Job Aid Online Training Artis Zee part 3

SIEMENS Healthineers Training Online Basic Knowledge How To Operate Artis Zee, Q, Q zen Biplane Pratama Kurnia Wisnubrata Unrestricted © Siemens Healthineers, 2020 SIEMENS Healthineers Artis System Basic and Safety Unrestricted © Siemens Healthcare GmbH, 2017 Safety Mechanism SIEMENS Healthineers • Tombol Emergency Stop • Dead Man Grip (DMG) (1) • Collision Computer • Sinyal pada saat melakukan penyinaran • Pelambatan Gerakan (2) (2) • Collision Sensor (3) 000 00 Author | Department 3 Unrestricted © Siemens Healthineers, 2020 Artis zee with PURE® SIEMENS Healthineers Artis zee systems with large or small detector Floor-mounted Ceiling-mounted Biplane Multi-purpose1) .......... ............................. Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 Get sharper images independent of direction SIEMENS Healthineers with flat emitter technology The innovative flat emitter technology optimizes Conventional Flat emitter focal spot area filament technology • Small focal spot size • The almost quadratic (0.4)1) shape improves spatial resolution Conventional Filament Flat Emitter in all directions Emitter -43% Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 CARE SIEMENS Combined Applications to Reduce Exposure Healthineers Dose saving CAREposition CAREvision CAREfilter CAREprofile Low-Dose Low-Dose Acquisition syngo DynaCT Dose monitoring CAREwatch CAREguard CAREmonitor Our philosophy to deliver better care at the lowest reasonable dose. Dose reporting Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 CLEAR – A standard in all Artis systems since 1994 SIEMENS Healthineers Image Acquisition Optimizing CLEARcontrol CLEARmap image quality Image Processing CLEARview CLEARvessel CLEARmotion CLEARmatch Customizing Provides optimal image quality image quality to help increase certainty during interventions. CLEARchoice Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 System Overview SIEMENS Healthineers Example: Artis zee ceiling with 4 monitors (1) Stand with C-arm, X-ray tube assembly and FD (7) (2) Patient table (3) (3) Display ceiling suspension system with LCD monitors or with Large Display (6) (4) Footswitch for releasing radiation (programmable) (5) Control consoles for controlling the stand, patient table and imaging (2) system (6) Radiation protection (1 5 (7) Examination lamp (4) Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 System Overview SIEMENS Healthineers (1) (2) (3) (4) Control console single plane (example) (1) Table (Table Control Module TCM) (2) Stand/C-arm (Stand Control Module SCM) (3) Collimation and filter (Collimator Control Module CCM) (4) Imaging system (Touchscreen Control) Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 System Overview SIEMENS Healthineers STOP STOP STOP Control modules Emergency Stop Button Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 System Overview SIEMENS Healthineers Footswitch Handswitch 9 <-k - Acquisition button 2) 7 (4) (1) Multifunctional button (3) K-K- (1) Fluoroscopy (2) Acquisition (3) Tabletop brake (4) Alternative Acquisition (9) Safety Bracket Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 Working position SIEMENS Healthineers Flexible positioning • Patient-right, patient-left or patient-head position • Plus all angles between for ideal patient access • Up to 3 start positions for 3D angiography Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 System Check SIEMENS Healthineers Daily Check :  System movement  Collision sensor SIEMENS  Radiation/radiation indicator (Release X-Ray)  Image orientation, Image Rotation, Collimation  Zoom factor  Emergency stop button Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 Emergency Situation SIEMENS Healthineers Dalam keadaan darurat (bencana alam) tekan tombol Emergency Shutdown maka sistem akan mati total (X-ray tidak aktif) serta memutus aliran listrik dari PLN ke panel alat Angiography. Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 Emergency Situation SIEMENS Healthineers Schneider Jika ingin menghidupkan sistem kembali tombol Kemudian tekan tombol hijau yang terdapat Emergency Shutdown diputar ke searah jarum pada panel atau pada dinding untuk memberikan jam, maka aliran listrik dari PLN ke panel alat supply listrik ke alat Artis Zee. Angiography akan terhubung kembali Author | Department Page ‹#› | Unrestricted © Siemens Healthcare GmbH, 2016 Collision Computer SIEMENS Healthineers The shape of the table is extended by a virtual patient and the user selected head holder or head clamp. This sphere helps to avoid collisions. During movement, if the C-arm comes too close to system components or the 'virtual patient', the speed of movements is reduced, and an audible sound will be heard. Please note: The system movements will not be stopped. Other extensions to the table, for example, IV poles and arm boards, are not part of the collision avoidance computation. Author | Department 16 Unrestricted © Siemens Healthineers, 2020 Collision Computer SIEMENS Healthineers The following room and system components are included in the collision computer calculation: Patient table and head holder (configurable) Stand and C-arm Floor Walls Ceiling Author | Department 17 Unrestricted © Siemens Healthineers, 2020 Collision Computer SIEMENS Healthineers IMPORTANT: Not all components of the exam room are considered in the collision computer calculation Mobile components and external components are not included, for example: Arm boards, armrests and the patient's extremities Mobile equipment Control console trolley Accessory rails and attached items . Ceiling suspensions with displays or other equipment · Ceiling mounted devices Author | Department 18 Unrestricted © Siemens Healthineers, 2020 Emergency Stop Button SIEMENS Healthineers Your system is equipped with emergency STOP buttons and emergency Shut Down buttons. In order to interrupt system movements and X-ray release in emergency situations, you should press the emergency STOP button. Emergency STOP buttons are located on the front side of the Table control module and the Stand control module. When pressed, the following system functions are interrupted: System movements are stopped immediately Fluoroscopy and acquisition are stopped If the injector is controlled by the system, injections are also stopped Author | Department 19 Unrestricted © Siemens Healthineers, 2020 Block Radiation SIEMENS Settings Exam Image Quant 4D ? Healthineers CARD SM FL(-) Card Coro REF 7.5 p/s 15 f/s REF ROMP ROMP IVUS To avoid accidental radiation release, activate Block radiation whenever radiation is not required. You activate Block radiation from the control room user interface or from the Touchscreen control (TSC) in the exam room. When enabled, radiation release from the footswitch or hand switch is blocked. Please note: Block radiation will not interrupt radiation. You cannot use Block radiation in an emergency situation to stop X-ray during release. In this case, you will need to press the emergency STOP button. Author | Department 20 Unrestricted © Siemens Healthineers, 2020 SIEMENS Healthineers Settings Exam Image Quant AD ? CARD FL(-) Card Coro 7.5 p/s 15 f/s REF AG ROMP ROMP IVUS To avoid accidental system movements, in some cases it is better to block system movements, for example: During patient transfer When cleaning the system Anytime the system is not in use You can block system movements by pressing the button on the Touchscreen control (TSC) in the exam room or by pressing the icon on the control room display. Author | Department 21 Unrestricted © Siemens Healthineers, 2020 SIEMENS Healthineers The table is designed to allow for CPR with a compression pressure of up to 600 N (60 kg/132 lbs). In the case that CPR is required, the tabletop: Must not be tilted Must be positioned so that the patient's thorax is positioned over the table column Make sure that there is enough free space to perform CPR and remove any objects away from the examination area. Author | Department 22 Unrestricted © Siemens Healthineers, 2020