Ysio X.pree Turnover Workbook
Ysio X.pree Turnover Workbook
SIEMENS Healthineers YSIO X.pree Turnover Workbook Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Effective Date: 20 Nov 2025| QR700032073 Unrestricted © Siemens Healthineers, 2025 YSIO X.pree Turnover Workbook SIEMENS Healthineers Table of Contents Contents 2 Course Description 3 System Hardware 4 Patient Workflow 22 System Management 44 Additional Resources 53 2 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Course Overview SIEMENS Healthineers This workbook guides users through performing Upon completion of this course, you will be able to: patient exams on the YSIO X.pree system. It also • Utilize the Tube/Detector/Table/ Bucky Wall covers how to post-process images and make Stand necessary adjustments before sending them to • Navigate the system for patient exams PACS. Users will learn how to manage system • Utilize the post processing functions on the YSIO settings and modify exam protocols to meet X.pree system clinical needs. The content is designed to • Successfully send images to PACS familiarize technologists with system operations • Modify clinical protocols and exposure factors and support an efficient workflow. 3 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 SIEMENS Healthineers System Hardware 4 Click to add footnote Effective Date: 20 Nov 2025 | QR700032073 second line Unrestricted © Siemens Healthineers, 2025 YSIO X.pree SIEMENS Technical specifications Healthineers Ceiling-mounted tube myExam IQ Un.M Easy reachable touchscreen Your preferred image • 10.4 inch touch user impression from day one • Automation AIM Plus1 • • MAXalign for automatic display of detector angle myExam 3D Camera enables myExam Collimate for User-friendly interface Auto Thorax Collimation1 Intuitive workflow --- • Virtual Collimation1 concept • Smart Virtual Ortho1 • Bucky wall stand1 Barcode reader license1 • Automatic tube tracking For in-room patient • Vertical travel range: up to 145 cm registration • Low central beam height: 27 cm • Tilting: +90° / -20° Table1 SIEMENS Max Detectors1 MAX wi-D detector: • Automatic tube tracking 35 cm x 43 cm Max. 300 kg capacity • Adjustable height: from 52 to 96 cm • High weight capacity: 450 kg (static) MAX mini detector: Flat table top or standard table top 24 cm x 30 cm • MAX static detector: 43 cm x 43 cm 1 Option 5 YSIO X.pree is not commercially available in all countries. Its future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for Effective Date: 20 Nov 2025 | QR700032073 further details. Unrestricted © Siemens Healthineers, 2025 YSIO X.pree – System Overview SIEMENS Healthineers Bucky wall stand • Vertical travel range: up to 145 cm • Low central beam height: 27 cm • Tilting: +90°/-20° • Automatic tube tracking Ceiling-mounted tube 3 Dimensions of movement w/ manual and automated options* Tube Touch User Interface (TUI) Allows user to change all key image parameters directly on the tube and displays system and exam information Table • Adjustable height: from 52 to 96 cm (20.5 to 37.8 inches) • High weight capacity: 450 kg (990 lbs.) • Flexible and comfortable patient positioning • Automatic tube height tracking MAX mini detector* • Wireless • Size: 24 cm x 30 cm • Weight: 1.6 kg, Thickness: 16 mm MAX wi-D detector • Wireless • Size: 35 cm x 43 cm • Weight: 3.3 kg, Thickness: 19 mm Wireless Remote Control* Control System movements from anywhere in the room ARK Wi 6 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: Exposure Console SIEMENS Healthineers System On/Off Console It is recommended to restart the system once a day. 1. Close the current examination or image review. Messages (0 2. Shut down the system. (1) 3. Wait until the imaging system has shut down (dark (2) (5) monitor). (3) 4. Switch the system on by pressing the “ON” button. (4) 5. Wait until the system is ready again. *Depending on configuration, the home screen or the login dialog is displayed HealthimENS (1) Emergency STOP button STO (2) Generator ON button O (3) Generator OFF button (4) Radiation release button WARNING This X-ray unit may be dangerous to patient and operator unless safe exposure factors, operating instructions and maintenance schedules are observed. (5) Radiation ON indicator 7 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: Patient Table SIEMENS Healthineers • Floating tabletop function • Raise/lower the table (motorized movements) • Manual alignment of the bucky tray • Maximum static weight limit is 990 lbs. (450 kgs) The YSIO X.pree system is available with two different patient tables: SIEMENS Healthineery • Patient table with MAX static • Patient table with mobile detectors Each table version is available with two different tabletops: • Patient table with standard tabletop • Patient table with flat tabletop 8 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: Patient Table SIEMENS Healthineers (1) Tabletop (2) Accessory rails (4) (3) Centering button and SmartMove button (2) (i) (depending on system configuration) (4) Detector tray, movable to the left or right and withdrawable (either equipped with (3) (5) MAX static or for the insertion of mobile (6) detectors (5) Emergency STOP push button (6) Brake knob to move the detector tray (7) (7) Foot kick switch for tabletop movements and table lift 9 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: Control elements on patient table SIEMENS Healthineers Centering button When pushing the centering button, the detector tray moves to the center position. With AIM/AIM Plus, the tube centers automatically to the detector. 8 SmartMove button (with AIM/AIM Plus only) Press this button to move the system to a predefined position which is stored in the clinical protocol. 10 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: Bucky Wall Stand SIEMENS Healthineers • Movement buttons are located on either side of the bucky for easy adjustments • Tracking capabilities allow full column movements. • Adjustable patient grab bar • Maximum weight limit of 55lbs – Bucky and Grab bar YSI0 X pres ... ..... ... SIEMENS 11 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: Bucky Wall Stand SIEMENS Healthineers (5) (6) (7) (1) Stand column (2) Front panel with imprint for detector position and measuring fields (2) -(4) (8). (3) Patient hand grips (on both sides (4) Emergency STOP push button (3). (9) (5) LED indicator* LED green: System is ready for exposure LED yellow: Exposures are being performed (1)- LED white: System is not ready for exposure (6) On both sides: Buttons for motorized vertical movement (7) Degree of tilting angle* (8) On both sides: Park position button, centering button and SmartMove button* (9) On both sides: Button for manual vertical movement (above) and button for unlocking the tilt mechanism (below) 12 Effective Date: 20 Nov 2025 | QR700032073 *Optional feature Unrestricted © Siemens Healthineers, 2025 System Hardware: MAX wi-D Detectors SIEMENS Healthineers (3) (1) Detector MAX wi-D, to be used in table and wall (1) (2) stand and for free exposure (2) Detector MAX mini, for free exposures only (3) Detector indicators SIEMENS Healthingers Max. load capacity = 300 kg with patient recumbent MAX mink SIEMENS Healthingers MAX wl-D 13 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: MAX wi-D Detectors SIEMENS Healthineers (1) (1) Detector status LED (3) (2) (2) Wi-Fi status LED (3) Battery status LED (4) Infrared sensor, needed for attachment of detector MAXswap) (5) Power button (4) (5) Short push (wake up) Long push (switch off/on) 14 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: X wi-D SIEMENS Healthineers Wireless detectors (X.wi-D 24, X.wi-D 35 or X.wi-D 43) SIEMENS Healthineers - (1) (1) (2) (3) (4) ..... (1) Detector status LED (2) Wi-Fi status LED (1) Detector indicators (3) Infrared sensor, needed for attachment of a detector (4) Detector status LED Max. load capacity = 300 kg with patient recumbent 15 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: X-Ray Tube Assembly Movement Controls SIEMENS Healthineers Button Function of the button symbol • There are 4 movement buttons on either side of the C Tube rotation about the horizontal axis overhead tube display • The buttons unlock and allow tube movement in their Floating movement up and down respective directions • Color-coded arrows on the tube display show the user Motorized movement up the direction associated with each button - Motorized movement down John Doe = 12.02.1962 Positioning YSIO X.pree Examination Longitudinal movement SIEMENS Abdomen a.p. Healthineers Patient Acquisition Type Table Dose (PGy) Measuring Positioning Longitudinal movement is in lock position. kV 81 + Recall Collimation Show Patient Size - - -- d Dose (uGy) Measuring Fiekt (III Current: 115 cm 12 + Transverse movement Centered [11] Desired: 115 cm Center Il Collimation Show More Top Align mmCU: 0.3 . 1 43 cm x 35 cm Automatic I] Cument: 115 cm 9| 115 cm Ill Desired: 115 cm Distance V @ | 1 43cm x 35cm | Automatic (ACSS) Transverse movement is in lock position. Tube rotation about the vertical axis Effective Date: 20 Nov 2025 | QR700032073 16 Unrestricted © Siemens Healthineers, 2025 X-Ray Tube Assembly SIEMENS Healthineers TUI - Examination Tab SIEMENS (1) Clinical Protocol Step Healthineers (2) Acquisition Type John Doe 12.02. 1962 (3) Patient Size Examination Positioning (4) kV selection Abdomen a.p. (1) (5) Dose Acquisition Type (2) Patient Size Table L (3) +- (6) Measuring Field (4) kV Dose (uGy) 81 2 + Measuring Field (7) Recall collimation - (7) Recall Collimation (8) Show More (8) Show More Centered IIII Cur ent: 115 cm 115 cm Exposure Mode Selection (6) Center Top Align IIII DesTed: 115 cm • Distance mmCU: 0.3 43 cm x 35 cm Automatic (ACSS) • Copper Filtration Focal Spot (5) • 17 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Hardware: User Interface at Tube (Tube UI) SIEMENS Healthineers (1) Menu, patient and examination data (1) Emergency_9a110cb9 1/1/1900 i (2) Tab cards for parameter display and function (2) Examination Positioning selection (3) Movement button indicators Clinical protocol step name C-Spine lat (4) Display of and/or selection of alignment, grid Acquisition Type Patient Size status, SID, copper filter and collimation (3) Wall Stand M (3) (5) System messages KV 73 + Dose 2 + Measuring Field Recall Collimation Show more * Not We'll Current: none (4) Centered Center III] Desired: fo115 2| 115 cm Top Align Distance mmCU: 0.0 11 24.0 cm x 18.0 cm |Manual (5) Align tube / Wall Stand-FD 18 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 User Interface at Tube (Tube UI): Examination Tab SIEMENS Healthineers The Examination Tab allows users to select a clinical protocol step and adjust acquisition parameters. Examination Positioning Examination Positioning Clinical protocol step name Clinical protocol step name C-Spine lat C-Spine lat Acquisition Type Patient Size Acquisition Type Patient Size Wall Stand M Wall Stand M KV Dose Measuring Field KV Dose Measuring Field 73 2 73 2 + Exposure Mode mmCu EC kV, Dose 0.0 + o Recall Collimation Show more Recall Collimation Show less 19 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 User Interface at Tube (Tube UI): Positioning Tab SIEMENS Healthineers The System Position blind on the Positioning tab The Measuring Tape blind on the Positioning displays the rotation angles of the tube unit, tab displays the settings for the tape detector unit, wall stand (detector tilt and height), measurement, including SID (Source-Image and patient table height. Distance) measurement, SOD (Source-Object- Distance) measurement and magnification Examination Positioning display. Examination Positioning System Position Tube Tube - Detector Wall Stand System Position V Measuring Tape 8 0 0 . 0 . 115 cm 0 cm Measuring Tape V 20 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Hardware Overview SIEMENS Healthineers Tube – TUI Menu Opens the menu: admin2 Display of the logged-in user account Enable help i Help i Page remote control Page remote control Block system movement Block movement Block radiation Block radiation Rotation 0⁰ detent: Select if the center lock is for portrait or for the landscape format. Rotation 0º detent The detent will be active if the detector is not inserted or inserted in the corresponding format. Camera View The detent will be inactive or deactivated if the detector is inserted in the opposite format as configured. Setting is OFF Camera View: Show/hide the camera image on the touch display in the control room. Setting is ON 21 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 SIEMENS Healthineers Patient Workflow .. 22 Click to add footnote Effective Date: 20 Nov 2025 | QR700032073 second line Unrestricted © Siemens Healthineers, 2025 Beginning a Patient Exam SIEMENS Healthineers Login Screen Login Screen Home Screen If configured, the default user is automatically logged in. Examination opens the worklist. (The availability of the default user is configurable.) Lock screen locks and unlocks the workstation. Tap Default Access on the login screen to open the home screen. SIEMENS Healthineers Examination Lock Screen UIS Dep.Rad1 VA10C User Name APPCLinicalAdmin Password Change Domain XP-UIS-07 Default Access Cancel OK Copyright @ Siemens Healthcare Gmbh 2020. All rights reserved 23 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Beginning a Patient Exam SIEMENS Healthineers Scheduler Tab (1) SIEMENS Healthingers (1) Opens the patient lists (2) Scheduler Local Data (2) Opens the Scheduler (3) Search input field ( 3 )- Search (4) Headers ( 4 )- Name DoB Gender ID Planned Procedure Time (8) (5) Patient entry (5)- PATIENT1, XENIA M (7) (6) Assigned procedures 1/1/1958, Female ID 20130129170642 (7) Opens menu ( 6 ) (8) Indicates sort order IR CON ... 4/11/2019 7:55 AM IR INS T ... 4/11/2019 7:55 AM KK PATIENT2, WILLIAM M ... 1/1/1922, Male ID 20130129170150 24 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Beginning a Patient Exam SIEMENS Healthineers Scheduler Tab SIEMENS Meduser Healthineers Scheduler Local Data • Scheduler Tab • Search Q Search Add Patient Emergency Refresh Patient Worklist Refresh Worklist Name Dat ... Gender ID Planned Procedure Time T Patient Registration Clinical Protocols Exam Information Institution • • Select Patient Female Last Name . Gender Select Exam X Female • Test, One First Name Height (cm) ... • Manual Patient Entry 1/1/1990, Female 0000 Title Weight (kg) • Patient Registration Exam, Fake • Clinical Protocols 2/2/1980, Female Suffix Ethnic Group 22222 • Exam Information Middle Name Military Rank Other Patient Names Comments Patient ID Medical Alerts Other Patient IDs Save Cancel Delete Prior data Exam 25 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Beginning a Patient Exam SIEMENS Healthineers Scheduler Tab SIEMENS Meduser Healthineers Scheduler Local Data • Scheduler Tab • Search Q Search Add Patient Emergency Patient Worklist Refresh Worklist Name Dat ... Gender ID Planned Procedure Time T Patient Registration Clinical Protocols Exam Information Institution • • Select Patient Female Last Name . Gender Select Exam X Female • Test, One ... 1/1/1990, Female First Name Height (cm) • Manual Patient Entry 0000 Title Weight (kg) • Patient Registration Exam, Fake ... • Clinical Protocols 2/2/1980, Female Suffix Ethnic Group 22222 • Exam Information Middle Name Military Rank Other Patient Names Comments Patient ID Medical Alerts Other Patient IDs Save Cancel Delete Prior data Exam 26 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Beginning a Patient Exam SIEMENS Healthineers Scheduler Tab Institution • Scheduler Tab Patient Registration Clinical Protocols Exam Information • Search Available Clinical Protocols • Refresh Worklist Skull/Jaw Humerus CP V • Select Patient Shoulder/Clavicle Elbow CP V • Select Exam Chest Arm Ortho • Manual Patient Entry Patient Registration Vertebral Column Ortho HTF FTH V • > Forearm CP • Clinical Protocols Abdomen Exam Information Hand CP • V Pelvis/Hip Arm Leg QA 27 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Beginning a Patient Exam SIEMENS Healthineers Scheduler Tab SIEMENS .. Healthineers ? * @ Meduser Scheduler Local Data • Scheduler Tab Q Search Search Add Patient Emergency Refresh • Patient Worklist Refresh Worklist Name Dat ... Gender ID Planned Procedure Time T Patient Registration Clinical Protocols Exam Information Institution • Emergency_c2ca3162 • Select Patient 1/1/1900 Other E 9b2f51e2472840e585798d1f543e212a • Select Exam Exam, Fake ... • Manual Patient Entry 2/2/1980, Female RP Description 22222 X • Patient Registration Accession Number • Clinical Protocols RP ID • Exam Information Admission ID RP Code Meaning RP Comments Click the Exam button from the Scheduler window. The Examination window will Save Cancel Delete Prior data Exam then display. 8:08 PM W/7/2021 28 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Acquisition - Examination Tab SIEMENS Healthineers CP Step Selection SIEMENS Test, One Meduser Healthineers 1/1/1990 × ? Chest standing 2 views Chest lat 21 180 cm 11 43.0 × 43.0 cm mmcu 0.0 Click the Exam button from the Examination Current fo150 Desired fo150 Chest lat Patient Size Scheduler window. The M Chest p.a. Acquisition Type Examination window will then Wall Stand Edit Clinical Protocol Steps + display. KV Viewing 125 + Dose Distribution 1.79 + Measuring Field • CP Step List Test, One, 1/1/1990 0000 Show More • Patent Size Selection Static Tools • Acquisition Type • Exposure Mode Messages (0) Positioning Reset Virtual Guide Parameters Collimator Thorax C .. Auto Series Navigator Next V 2:49 PM 29 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Acquisition - Examination Tab SIEMENS Healthineers Patient Size Selection SIEMENS Exam, Fake Healthineers X Meduser 2/2/1980 Lower Leg + Knee 2 views Lower Leg + Knee lat R 2| 115 cm 1 $ 20.0 x 43.0 cm mmCU 0.0 • Protocol List Examination Current none Desired none Patient Size Selection Lower Leg + Knee lat R Patient Size • M Lower Leg + Knee a.p. R S • Acquisition Type Lower Leg + Knee lat L 'n' M • Exposure Mode L Lower Leg + Knee a.p. L XL Ortho Long Leg single lat L Measuring Field Femur + Hip lat L Exam, Fake, 2/2/1980 22222 Show More Edit Clinical Protocol Steps + Viewing Static Tools Distribution Messages (0) Positioning Virtual Guide Parameters Collimator Series Navigator Next V 3:12 PM 4/7/2021 30 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Acquisition - Examination Tab SIEMENS Healthineers Acquisition Type Selection SIEMENS X Meduser Healthineers Exam, Fake 2/2/1980 ? Lower Leg + Knee 2 views Lower Leg + Knee lat R 21 115 cm 1 20.0 x 43.0 cm mmCU 0.0 • Protocol List Examination Current none Desired none Patent Size Selection Lower Leg + Knee lat R Patient Size • M • Acquisition Type Lower Leg + Knee a.p. R Acquisition Type Table Lower Leg + Knee lat L Table • Exposure Mode Lower Leg + Knee a.p. L Wall Stand Ortho Long Leg single lat L MAX mini - SN: 1512EB MAX wi-D - SN: 1234AB Femur + Hip lat L Exam, Fake, 2/2/1980 22222 Show More Edit Clinical Protocol Steps + Viewing Static Tools Distribution Messages (0) Positioning Reset Virtual Guide Parameters Collimator Series Navigator Next V 3:11 PM 31 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Acquisition - Examination Tab SIEMENS Healthineers Exposure Mode SIEMENS Exam, Fake X ? Meduser Healthineers 2/2/1980 Lower Leg + Knee 2 views Lower Leg + Knee lat R 2| 115 cm 11 20.0 x 43.0 cm mmCU 0.0 • Protocol List Examination Current none Desired none Patent Size Selection Lower Leg + Knee lat R Patient Size • M Acquisition Type • Acquisition Type Lower Leg + Knee a.p. R Table Lower Leg + Knee lat L Mode • Exposure Mode kV - Dose Lower Leg + Knee a.p. L KV - Dose Chest Ortho Long Leg single lat L kV - mAs Dose 1.79 + 9| 115cm 1180x 13.0cm Femur + Hip lat L Exam, Fake, 2/2/1980 Measuring Field Currentnone 2Desired nome 22222 Edit Clinical Protocol Steps + mmCU + 0.0 Patient Size Viewing Focus M Small Large Distribution Acquisition Type Messages (0) Static Tools Wall Stand Series Navigator kV 40 + Next Dose 0.89 + V 3:14 PM 4/7/2021 Measuring Field Use Show More to access Reset Parame ... Show More Exposure Mode dropdown. 32 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Adding a Clinical Protocol Step - Examination Tab SIEMENS Healthineers (1 of 2) If a clinical protocol step is needed after the exam has been started, it can be temporarily added in order to get the exam done. 1. Select Edit Clinical Protocols Steps in the left column. A screen will open that contains the body model, which will allow for the selection of the body part being examined. SIEMENS Healthingers Another, Patient 01/01/2000 Pelvis Examination Pelvis a.p. Edit Clinical Protocol Steps + Viewing Distribution 2. Select the necessary body part by using the list or tapping on the associated area on the body model. 33 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Adding a Clinical Protocol Step - Examination Tab SIEMENS Healthineers (2 of 2) Patient Registration Clinical Protocols Exam Information Institution Once a body part has been selected, Available Clinical Protocols Assigned Clinical Protocols protocols associated with that body Skull/Jaw V part will be displayed under Available ALL SHOULDER VIEWS SHOULDER LEFT Shoulder/Clavicle Clinical Protocols. Shoulder AP Shoulder AP External Left Chest Shoulder AP External Shoulder AP Internal Left Vertebral Column Shoulder AP External Left Shoulder Y-View Left Shoulder AP External Ri ... Shoulder Axillary Left Abdomen X X X X Shoulder AP Grashey Add Clinical Protocol NOTE: To permanently edit a clinical Pelvis/Hip Shoulder AP Grashey Left protocol, the exam will need to be Arm Shoulder AP Grashey Ri ... edited in the Clinical Protocol Editor Leg Shoulder AP Internal by an administrator. Shoulder AP Internal Left 3. Select the carrot to display all views associated with the exam. 4. Select the plus sign to add a step. 5. Once all the necessary steps have been added, select the Exam button. Exam 34 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Acquisition - Examination Tab SIEMENS Healthineers Static Tools The assortment of Static Tools depends on the available licenses and on the current progress in the Examination or Viewing workflow step. Before acquisition, when a clinical protocol is selected: After acquisition, when a just acquired image is displayed: Static Tools A Static Tools #c Positioning Camera Virtual Auto Recall Guide View Collimator Thorax C ... Collimation Reject & Repeat Add Flavor Repeat Reject & Repeat images: If the exposed image is not of the necessary quality, the image can be repeated and/or rejected. While viewing the desired image, select the Reject Image icon on the Static Tools section. Select a Reject Reason and select OK. The image is now marked with an X. To undo rejection of an image, select the Undo Rejection icon in the Static Tools . 35 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Acquisition - Examination Tab SIEMENS Healthineers Favorite Tools You can configure a set of favorite tools from the available tools. These shortcuts may be used while in the Examination Tab. Chest standing 2 views ILJMMUIL 1/1/1990, F, 031Y meduse Viewing Tools 11111 Chest lat 4/7/2021 IC Simulator Examination 14:49:58 * T 1 Favorite Image Measurement Image Viewing Tools Manipulation and Annotation Visualization Distribution R T Windowing L Label R Label Annotati ... Draw Arrow how/Hide ext & Dr ... Invert Static Tools V Messages (0) Reject Image Composing Patient Contrast Image Reset Position BOIUS 1117 PIX Series Navigator Flip: no DV9281 NS 10132180 Lateral Back Next 123 kV 1.1 mAs Physical Exi: 238 Zoom: 1.000 Clinical Exi: 241 C: 32766 W: 65536 2:26 PM Deviation Index: 1 Flavor 2.2 4/7/2021 12.00 uGy.m2 Thorax LAT 36 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Post-processing – Viewing Tab SIEMENS Healthineers Viewing Image Manipulation Viewing Tools • 2D Rotate: Tap to rotate image + or - 90 • Windowing: used to change WC and WW T Favorite Image Measurement Image < Flip: The default flip is defined in the clinical Tools Manipulation and Annotation Visualization • protocol step. The flip icon will flip horizontal or vertical accordingly. R • Crop: Tap to crop image. Once opened, a cropping 2D Rotate Windowing Flip frame will display. Adjust to desired position. Crop Fit to Acquisiti ... • Fit to Acquisition Size: Zooms image so that one pixel on the display equals one detector pixel. 37 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Post-processing – Viewing Tab (1 of 2) SIEMENS Healthineers Measurement and Annotation * T L/R label: Tap the L or R label icon then tap the desired Favorite Image Measurement Image < position on the image. To apply, tap the Checkmark icon. Tools Manipulation and Annotation Visualization L R T Annotation: Tap the Annotation icon. Select from configured list and tap the desired position on the image. L Label R Label Annotati ... Measure Measure Distance Angle To place a free text, tap Add Free Text. Tap on the image, enter your annotation text. Tap the Checkmark to apply. E Draw Show/Hide Manual ROI Arrow Text & Dr ... Calibration 38 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Post-processing – Viewing Tab (2 of 2) SIEMENS Healthineers Image Visualization T Invert: Will invert the gray scale of the image Favorite Image Measurement Image Tools Manipulation and Annotation Visualization Flavor: A Flavor is a variation of parameters which create a specific image impression. Please see PEP for full list Invert Flavor 39 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Image Archival (Sending to PACS) - Distribution SIEMENS Healthineers SIEMENS Healthineers Test, One 1/1/1990 X ? Meduser After completion of the examination Chest standing 2 views Distribute images and data of Test, One, 1/1/1990 Distribution Tools and review/postprocessing, you can Examination Chest standing 2 views V Select all Export Print export/archive or print the required Viewing V V images. Distribution V DUMMYPACS • Select/de-select with checkmark Export to other Target • Export via: Target Chest lat Chest p.a. Chest p.a. Chest standing 2 views DUMMYPACS • Quick export Format DICOM • Export targets Data Processed • Close exam Note: If Auto-Routing is configured, all non-rejected images Messages (1) Export Select 'Close' to complete workflow. will be sent to the configured nodes when Close study is selected, regardless of checkmarks. Back Close 3:03 PM 4/7/2021 40 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Distribution SIEMENS Healthineers Distribution Tools To view the export status, select the Job View icon. Selecting images Job Vier Sending images to PACS: Media CX Network Select the Export tab and verify the correct images are selected. Print Patient Name Status Num ... Trans ... Progr ... Proce ... Sourc ... Time 1. Emergency_@10464e Queued 13 Send To. SSpine PACS 5/31/2019 1:34; 2. Choose the correct target if not defaulted. 3. Select the format. Distribution Tools 4. Select Export. Clear list Export Print 5/31/2019 1:34:11 PM System is unable to establish connection. Automatic retry is scheduled. PACS Export to other Target Target USB - INTENSO_8GB Format DICOM Data Processed Compression Add Viewer V Anonymized a ... Type Service New Name Anonymous 41 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 SIEMENS Healthineers Local Data Tab The Local Data tab contains the patients/studies (1) already examined on the system. Local data list SIEMENS Healthingers (1) Opens the patient lists (2) Local Data (2) Opens the Local Data (3) Search input field (3)- -Q Search Filter by (12) (4) Headers (4) ( 5 )- Name Dat ... T Gender ID Accession ... Study I (11) (5) Select all check mark (6) Select check mark (6 ) Pattern, Pattern ... (7) Patient entry 10/22/1973. (10) (8) Assigned studies (7 )- AAPM, Test Patterns (9) (9) Opens menu 714/2002, Other (10) Indicates sort order TG18-2002 (11) Extends patient list (8). 20022002 11/17 : (12) Opens filter selection 20022002 11/17 : 42 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 SIEMENS Healthineers Local Data Tab Scheduler Local Data Menu Protect/Unprotect: Protects patients/and/or Q Search Filter by studies from unintentional deletion Cut/Paste: May be used to move Name Dat ... Gender ID Accession ... Study I data between different patients or studies tests Correct: May be used to correct personal data 10/25/2013, Female or enter additional data 12345 Protect New Examination: May be used to register a Unprotect new examination Paste Resume examination: May be used if additional imaging is requested (Available for Correct 24 hours) New examination Resume examination 43 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 SIEMENS Healthineers ? Administrator Administration Portal Cleaning Screen System Management myExam Cockpit Clinical Protocol Editor Access OS Create SaveLog 44 Click to add footnote Effective Date: 20 Nov 2025 | QR700032073 second line Unrestricted © Siemens Healthineers, 2025 System Management: Help Menu SIEMENS Healthineers The imaging system provides various ? Meduser help functions in the ? menu Remote Assistance Remote Assistance: If configured, User Manual assistance by requesting a remote desktop connection to your Siemens Help Healthineers Customer Service User Manual: Displays the instructions Meduser for use in full-screen i i Help: Enables context-sensitive help i i i n + Add Emergency Refresh Patient Patient Worklist 45 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Management: Settings Menu SIEMENS Healthineers Tap the Settings icon in the access bar to view available options. • Administration Portal Administrator • User and role administration: to create a new user ? • Quality Assurance: used to access Image rejection statistics and/or EXI statistics (login-dependent) Administration Portal • Cleaning Screen: Deactivates the touch display. When finished, Cleaning Screen tap the icon for at least two seconds myExam Cockpit • MyExam Cockpit: Used to change various settings for the Clinical Protocol Editor examination, workflow, and display of items Access OS • Clinical Protocol Editor: Allows the user to define and manage clinical protocols Create SaveLog • Access OS: Enables access to the desktop • Create SaveLog: Creates SaveLog and saves as a background process 46 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Management: myExam Cockpit SIEMENS Healthineers myExam Cockpit Detector Management Result List Attributes Viewing Workflow Editor Local Data Configurations Client Settings Devices • Detector Management: Check detector status, attach/detach wireless detectors • Results List Attributes: DICOM attributes for importing data • Viewing: Settings for Viewing and Postprocessing (Image Text, Favorite Tools) • Workflow Editor: Configure the Examination and Viewing Workflows • Local Data Configurations: Displayed DICOM attributes for the patient lists • Client Settings: Configure the user interface of the imaging system (language settings, lock screen, patient name format) • Devices: Camera, Barcode Reader 47 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Management: Clinical Protocol Editor SIEMENS Healthineers Administrator The Clinical Protocol Editor allows the user to define and manage clinical protocols that consists of one or more clinical Administration Portal protocol steps, create additional clinical protocols or clinical Cleaning Screen protocol steps (“organ programs”) and define the acquisition System Configuration paraments for the clinical protocol steps. Clinical Protocol Editor Note: The clinical protocol editor may only be accessed in Access OS settings if the user has been given permission. 48 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 System Management: Clinical Protocol Editor SIEMENS Healthineers Local Service Account Healthinsert Clinical Protocol Editor X Clinical Protocols Clinical Protocol Stapt BIS Matching Free Facitiant Positioning Guida Gallery Import Export ches × Marne Body parts TYP Current Papdecual Shops Available Protocol Soaps U Chest sitting 2 views Expira ... Chest Chest p.a O x Chest sitting a.p. JO RAD G Chest Lot o x O Chest sitting a.p. Lapiration Chest DRAD C Chest. a.p. Chest RAD 20 O Chest uiting lat Chesi 20 RAD C Chest a p. in Bed Chesi O Chest utting lat Expiation Chest a p. in Bed Explution Chest RAD 20 O Chest sitting p.a. Chest O RAD C Menu of 0 Clinical O Chest sitting p.s. Expiration Chest lat Chesi Chest 20 RAD available Protocols Char standing 2 views Chest O Chest lat Expiration Chast RAD 20 Clinical (Exams) Chest standing 3 views Exp ... Chesi 20 RAD C Chest Iging a.p RAD 20 O Chest danding lat Chest 20 RAD Protocol Steps Chistpa. O Chest sanding lat Expiration Chest 20 RAD Chest p-1. Expiration Chest RAD 70 Chest standing p.a Chest 20 RAD C Chest standing p.a. Exprati .. Chest - 10 RAD E Chest shing a.p. Chest O Discard Change Assigned Clinical Protocol Steps (Views) 49 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Manually mapping an exam in the CP Editor SIEMENS Healthineers 1. Go to the RIS Matching tab as shown by the red arrow and select Add RIS Matching. Apps Adimin Clinical Protocol Editor ------ Add No Mexthing Delete lis Modeling 0 DOME ABDOMEN CUME ANDOUEN PLAY & UPSGOT ABDOUEN ) VEW O O ACJOINTS X* ALLE MANT 2 OR LICHE VERS (JSS TARN ? 110 O ME ACA O MSAMYOG.D 50 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Manually mapping an exam in the CP Editor (con’t) SIEMENS Healthineers 2. In the box below RIS Text, type in the exam name 4. Click Save to store these changes. exactly as it appears from your RIS system. (e.g., XR ANKLE 3+ VIEWS LT). Clinical Protocol Editor Clinical Protocols Clinical Protocol Steps RIS Matching Translations Free Positions Positioning Guide Gallery Import Export 3. Select the desired clinical protocol from the + Add RES Matching Delete RIS Matching RIS Text Clinical Protocol SPS Description dropdown list. XX ANKLE 3+ VIEWS LT ANKLE 3 VIEW LEFT ap Dexription XX ABDOMEN 1 MEW ABDOMEN KUBI XR ABDOMEN 2 MEWS ABDOMEN FLAT & UPRIGHT Clinical Protocol Editor XR ABDOMEN 3 OR MORE VIEWS ABDOUEN 3 VIEW Clinical Protocols Clinical Protocol Steps RIS Matching Translations Free Positions Positioning Guide Gallery Import Export XR ABDOMEN OBSTRUCT SERIES W CHEST 1 VIEW ABDOMEN ACUTE INCL. PA CHEST XR ACROMIOC.AMICULAR JOINTS AC JOINTS + Add Res Matching Delete RIS Matching XR ANKLE 2 VIEWS ANICE 2 VIEW PS Text Clinical Protocol SPS Description XR ANKLE 3 OR MORE VIEWS XR ANICLE 3+ MEWS LT Display Port BP Dexription XR ARM INFANT 2 OR MORE VIEWS CLESS THAN 1 YR INFANT UPPER EXTREMITY NICLE 3 VIEW XR BONE AGE ANGLE 3 VIEW BILATERAL XR ABDOMEN 1 MEW ANGLE 3 VIEW LEFT XR BONE LENGTH XR ABDOMEN 2 MEWS ANGLE 3 VIEW RIGHT XR BONE SURVEY CHILD INFANT BONE SURVEY 0000000000000 XX ABDOMEN 3 OR MORE VIEWS BABYGRAM XR ABDOMEN OBSTRUCT SERIES W CHEST 1 VIEW BONE AGE STUDIES Discard Changes XR ACROMIOO AMCULAR JOINTS BONE SURVEY COMPLETE CALCANEUS XR ANKLE 2 VIEWS CALCANEUS BILATERAL XR ANKLE 3 OR MORE VIEWS Note: Remember, this operation is dependent on XR ARM INFANT 2 OR MORE VIEWS (LESS THAN 1 YIO NFANT UPPER EXCTHE MITY XR BONE AGE specific configured privileges of the User Profile, XR BONE LENGTH XR BONE SURVEY CHILD INFANT BONE SURVEY 000000000000 Save Discard Changes currently logged into the system. 51 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Status Indicators SIEMENS Healthineers The current system status, messages, Symbol Short description and the current date and time of the Black: Status OK, the system is ready for operation. system are displayed in the bottom left (Acquisition is not possible because the system is not in acquisi- on the screen tion mode.) A number indicates the number of messages. Tap to view the messages. 1 Green: Status OK, the system is ready for acquisition. (Acquisition is possible because the system is in acquisition mode.) Yellow: Status not OK, the system is not ready for acquisition. Red: Status not OK, the system is not ready, acquisition is not possible. X 52 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 Additional Resources SIEMENS Healthineers Job Aids OLTs syngo XR VA20 Perform a chest examination simulation YSIO X.pree Adding a Clinical Protocol Step to an Exam USA – YSIO X.pree Moving Images syngo XR VA20 Basic postprocessing simulation - USA YSIO X.pree Moving Exams YSIO X.pree How to View or Export Reject Analysis Statistics YSIO X.pree Creating a User Account CP Editor: Creating a New Clinical Protocol (Exam Level) CP Editor: Creating a New Clinical Protocol Step (View Level) 53 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2025 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 54 Effective Date: 20 Nov 2025 | QR700032073 Unrestricted © Siemens Healthineers, 2025