Job Aid Online Training Luminos Agile Max

SIEMENS Healthineers Low Dose Patient-side le .... Fluoroscopy Luminos Agile MAX s-drf-max siemens-healthineers.com/luminos-drf-max Member of the MAX family SHS DI XP 1 Unrestricted © Siemens Healthineers, 2019 Unrestricted © Siemens Healthineers, 2019 Luminos Agile Max – system overview SIEMENS Healthineers OPTIGrip with SmartTouch Ysio Max option with large MAXtouch Touch user interface (TUI) offering access to key for fast and easy access to all imaging parameters table movements and imaging parameters MAX image chain MAX dynamic detector with Cesium iodide Comprehensive scintillator 43 cm x 43 cm (17" x 17") 00 tableside controls Tube: 820 kHU for fast and easy access to all table movements and imaging parameters Healthingers Table Height: min. 65 cm (26"), max. 112 cm (44") Bucky wall stand The Max Weight capacity: up to 275 kg (606 lbs.) Vertical travel range: 140 cm (55") Effect Extra-wide tabletop: 80 cm (31.5") Minimal central beam height: 33 cm (13") Standardization Savings Tilting: +90°/-20° Satisfaction 1 Option Luminos Agile Max is not commercially available in all countries. Due to regulatory reasons its future availability cannot be SHS DI XP 2 guaranteed. Please contact your local Siemens Healthineers organization for further details. Unrestricted © Siemens Healthineers, 2019 Luminos Agile Max SIEMENS Healthineers The smart way to invest in patient-side fluoroscopy 1 Radiography With a true 2-in-1 solution >> Pemeriksaan Radiografi Ceiling dan Fluor 2 Fluoroscopy For fast, confident diagnosis >> Pemeriksaan Low Dose Fluoroscopy ...... 3 Advance Examination More than just Radiofluoroscopy system >> Longspine & Longleg, DRF ...... ...... Luminos Agile Max is not commercially available in all countries. Due to regulatory reasons its future availability cannot be guaranteed. Please contact your local SHS DI XP 3 Siemens Healthineers organization for further details. Unrestricted © Siemens Healthineers, 2019 CARE and dose saving features SIEMENS Healthineers CAREPROFILE1 LIH Radiation-free collimation Gambar Terakhir yng diambil pada seri using (LIH) fluoroskopi CAREMAX Dose area product CAREVISION SmartOrtho Pulsed fluoroscopy dgn ...... ...... Melakukan pemeriksaan kecepatan untuk tulang Panjang 30, 15, 10, 7.5 dan 3 p/s Spine & ekstrmitas bawah ...... ...... FluoroLoop1 CAREPOSITION1 ............... Memutar Kembali Memosisikan Pasien tanpa rekaman Fluoroskopi yang radiasi, hanya berdasarkan telah di simpan LIH SHS DI XP 4 1 Option Unrestricted © Siemens Healthineers, 2019 Fully integrated second plane – SIEMENS Healthineers with Bucky wall stand1 and table Bucky tracking Wall stand tracking Table Bucky tracking Healthingers Boas Agile Max SHS DI XP 5 1 Option Unrestricted © Siemens Healthineers, 2019 Radiography Examination at BWS SIEMENS Healthineers kode pemeriksaan : W (W Chest PA, etc) 1. Tube Ceiling Mengunci pada rel oranye dan hijau ditandai dgn titik putih pada tombol rel transversal dan longitudinal R 2. Detector tracking aktif, ditandai dgn ikon tracking meyala putih test 3. XXXX 34.5 cm Centering Tube aktif, ditandai dgn ikon centering menyala warna hijau W Chest p.a. o 4. Jarak antara Tube dan Detektor sesuai dgn SIEMENS.:- pemeriksaan yg akan dilakukan, SID / FFD 110 Healthineers'· ACSS ditampilkan di sebelah tube centerig ikon !cm Ready 300 cm DO 11 42.5 cm 1 1 300 cm Author | Department 6 Unrestricted © Siemens Healthineers, 2019 Radiography Examination in Table SIEMENS Healthineers kode pemeriksaan : T (T Abdomen Supine, etc) test XXXXXXX T Abdomen, lying position ap V Ready 101 cm 8 # 115 cm 42 4 cm | | ACSS = 34:8 cm= 1. Tube Ceiling Mengunci pada rel oranye ditandai dgn titik putih pada tombol rel transversal 2. SID & Detector tracking aktif, ditandai dgn ikon tracking meyala putih 12:00 3. Centering Tube aktif, ditandai dgn ikon centering menyala warna hijau Author | Department 7 Unrestricted © Siemens Healthineers, 2019 Radiografi dengan menggunakan sistem Fluoroskopi SIEMENS Healthineers kode pemeriksaan : UT (UT ABDOMEN) Sistem Fluoroskopi dapat digunakan untuk mengambil gambar Radiografi Pemeriksaan ini dapat dilakukan baik dalam posisi erect/kursi roda maupun supine atau tiduran. Radiografi ini diambil dengan tombol yang ada di pegangan DIT atau footswitch Langkah melakukan Radiografi pada sistem ...... Fluoroscopy Gunakan Program dengan kode UT - Lakukan Fluoroskopi sebagai panduan posisi - sebelum melakukan radiografi Jika posisi pasien dan detektor sudah pas, - lakukan radiografi dengan menekan tombol akusisi pada pegangan DIT SHS DI XP 8 Unrestricted © Siemens Healthineers, 2019 Easier access for all patients – SIEMENS Healthineers with more space built in O Vertical imaging Wide patient opening: 60 cm (24’’) ...... ...... ...... ...... G Wide table 80 cm (31.5") SIEMENS. Healthineers kow Judy soujuny ...... ...... ...... SHS DI XP 9 Unrestricted © Siemens Healthineers, 2019 Melakukan Pemeriksaan Fluoroskopi SIEMENS Healthineers Syarat melakukan pemeriksaan fluoroskopi T 9 1. Memparkir tube ceiling Tape Measure Davion 2. Jika sistem belum siap, maka akan ada 2 Position pesan yang ditampilkan J P Generator Tomo “No x-ray. Table at Min” >>> meja terlalu rendah, • naikkan meja pemeriksaan “FD at parking position” >>> Detektor pada posisi • parkir ? PP Sampleman, John 3. Touchscreen akan menunjukkan tulisan “Ready” ? Ready Author | Department 10 Unrestricted © Siemens Healthineers, 2019 Melakukan Pemeriksaan Fluoroskopi 888808 8298º8 8008 8238ª8 0000 E Mengunci Mengunci pergerakan pergerakan kiri-kanan Jarak Memutar Menyimpan Luminos Agile Max Video video Fluoroskopi Fluoro 11 Unrestricted © Siemens Healthineers, 2019 Stay in control – SIEMENS Healthineers always with tableside controls During the exam, you want to remain with and concentrate on the patient. Easy-to-reach tableside controls, a touch user interface #43143. (TUI), and the bilateral control panels allow full system operation right at the system. 30 35 ? Read Your benefits • Control all table movements and imaging parameters without leaving the patient • Work ergonomically no matter if you are left or right handed Improved patient interaction SHS DI XP 12 Unrestricted © Siemens Healthineers, 2019 CAREPOSITION1 SIEMENS Healthineers Radiation-free patient repositioning based on LIH Saves dose for patient and staff improved workflow 1 Option SHS DI XP 13 Courtesy of Children‘s hospital medical centre Omaha Unrestricted © Siemens Healthineers, 2019 CAREPOSITION1 SIEMENS Healthineers • Radiation-free adjustment of collimator on LIH • Radiation-free semitransparent filter position setting Radiation-free collimation and filter setting 1 Option SHS DI XP 14 Courtesy of Haukeland Hospital Helse Bergen, Norway Unrestricted © Siemens Healthineers, 2019 SmartOrtho SIEMENS Healthineers Pemeriksaan dari Cervical – Sacrum/ Hip – Ankle the exam, you want to remain with and concentrate on the patient. Easy-to-reach tableside controls, a touch user interface (TUI), and the bilateral control panels allow full system operation right at the system. SmartOrtho Workflow • Atur tube stand seperti pemeriksaan BWS lainnya, kecuali FFD/SID berada pada jarak 300cm • Yakinkan Ortho Stand sudah dikunci dan tidak bergerak • Tekan tombol X-Ray seperti pemeriksaan Panoramic – TIDAK MELEPAS TOMBOL XRAY sebelum pesan pada monitor menunjukkan pesan “Finished” Improved patient interaction SHS DI XP 15 Unrestricted © Siemens Healthineers, 2019 SmartOrtho SIEMENS Healthineers Pemeriksaan dari Cervical – Sacrum/ Hip – Ankle Device Position Setup Ortho Kay Setup Ortho TAÏ Setup Ortho 14 cm OW norr 14 cn 0º OW LongSpine a.p. normal OW LongSpine a.p normal 146cm 1 Enter TOD Adjust collimation Afterwards set first Ortho position 1 VI Ready 300 cm DO 300 cm # V Generator Tape 300 cm 100 Measure Generator # 423 cm H Manual Generator 4 Improved patient interaction SHS DI XP 16 Unrestricted © Siemens Healthineers, 2019 Frequently Asked Questions SIEMENS Healthineers penggunaan analog Exam Manager X Patient: Test, Patient Menggunakan CR/ Cassette Film Available Exams / Organ Programs Assigned Exams / Organ Programa • alphabetic by name @Organ Programs by Exam alphabetic by body part region @ Organ Programs in acquisition order alphabetically by acquisition type T Paranasal sinuses Pelvis Pennal • Pada window Examination, temukan [ T Patella 2 views TU88 Polit Pennal 1/11 40" T Pelvis organ program dengan kode ET084 Pelvis a.p. BT Pelvis inlet Outlet T111b Pelvis Outlet C Cassette dengan ikon kaset T11la Pelvis Inlet T Petrous bone T Ribs a p T Sacrum T. Schadel axial Add T Sella turcica ET Shoulder joint axial T Skull 2 views T Stenvers D T Stress view exp. Lachmann T Stress view exp Telos. T Thorax in lying pos T Towne TT-spine 2 views # T T-Spine, L-spine junction Exoma Favorites Organ Prog Delete Details Accession Number. Details ... Study Description: Pelvis Pennal Scheduled Procedure Step: Home Examination Cancel Author | Department 17 Unrestricted © Siemens Healthineers, 2019 Frequently Asked Questions SIEMENS Healthineers PEX Editor i PEX Editor X Exam Organ Program Fluoro Program Param. Module Configuration Body Part Examined IMPORTIERT Alternative Acquisition Programs Program Name T026a L-spine a.p. (d) • Mengubah / Menambahkan Organ Acquisition Mode DR RAD Acquisition Type Table Program X - Ray Parameters Image Processing Parameters Presettings Mark Image Auto-cropping Standard Set Black PT Position Not defined • Mengubah parameter dan nama Organ Fluoro Program Set D32 m10 70kV v Defined size as cropped V 010 Laterality Not Defined MField Amplification 1.0 Auto Enhanced MField View position Not Defined Program O 1 pt Gradation Parameters Anatomically Correct View O 1 pt with ext. exp. Flip ] No change O2 pt 15 O3 pt [invert (Image) O 3 pt with AEC Spatial Frequency Parameters ... KV 75 Rotate 00 90 180 @ 270 Spine MAS Label EXI Values .. O ZY PEX Editor ms Exp. Correction 0 % EP default Exam Organ Program Fluoro Program Param. Module Configuration Dose 3.57 OGP View Examination View TO23c T-spine obl (d) 0_testCRST(d) Sensitivity 280 Windowing T024 Oblique exposure 45º/75º (d) 0_testCRST_dRF(d) Width Factor 1 T025a T-spine/L-spine junc. ap (d) Tube Load 80 v % / Auto Stand Parameters 0_testCRST_YSIO_semi(d) T025bL T-spine/L-spine j. lat (d) sert OGP 0_Uro All(d) Center Shift 0 TOD not defined cm TO25bR T-spine/L-spine j. lat (d) 1_TC_Cassette_All_Acq_Types(d) Focus Bandwidth Grid 115 Grid rotation .............................................................. T026a L-spine a.p. (d) 1_TC_Cassette_Free(d) cm O TO26b L-spine lat (d) 1_TC_Cassette_Table(d) Filter Type 0.0 Cu mm T026bR L-spine lat (d) 1_TC_Cassette_Wall(d) Window Center 2000 Collimator 43 × 30 cm 44.44 TO26c L-spine obl (d) 1_TC_dRF_All_Acq_Types(d) - T027a Sacrum a.p. (d) 1_TC_dRF_Cassette(d) Window Width 2500 Stand Position Table centered T027b Sacrum lat (d) 1 TC_dRF_Cassette_alternativeOGP(d' T027bR Sacrum lat (d) 1_TC_dRF_DSA(d) Top Alignment M SID Tracking T028a Coccyx a.p. (d) Remove OGP 1_TC_dRF_DSA_Dose(d) T028bL Coccyx lat (d) 1_TC_dRF_RAD_Alternative(d) E Tracking T028bR Coccyx lat (d) 1_TC_dRF_RAD_Flip_Rotate(d) M T029 L-spine oblique exposure (d) 1_TC_dRF_RAD_Label(d) Group by O Name O Body Part O Acq. type Anatomic order number 0 Store Store as new Print Delete previous previous next Sort by O Name O Body Part Acq type Exam Parameters Default Exams OGP Parameters ExamName Name for RIS DICOM Modality Add to favorites Filming Layout Network Node 1 Default Network Node Exam level GP level Network Node 2 Fluoro Network Node 3 Rad Camera O Auto Scale Auto Scale Autosending Never for this exam % Automatically switch to next OGP after acquisition Store as new Store Delete Author | Department 18 Unrestricted © Siemens Healthineers, 2019 Frequently Asked Questions SIEMENS Healthineers Image Display and Print trage Display and Print Properties DisplayLayn Inssticion nome • Mengatur layout print Image layout Patient name Patient O P"FLUOROSPOT COMPACT Display image text Date of beth Physician 1 / Physician 2 Patent age 7 Referring physician Mengatur tampilan keterangan (kV, mAs, DAP, Date of exposure • 1- Ward ‘ Time of composure etc) pada hasil cetak hardcopy X Accession No FD Status Patent onercation labels Patient position • Mengatur tampilan keterangan pada display Ucerinitial Patient view Tiago scole Laterality Mache size monitor o Torno symbol F MÁS Image type 5 Dove value / Sensitivity class Tomo height Zoom Landmarc Physical Ex @ Harmonizacion Patient Name | Patient ID Date of Birth Sex Study Description Ward Physician Flag Date and Fizer Test, Micha 230508. 11-11-1911 26-05-2008 Cincel EXI Anorgamer Scard 20-05-2008 P Window values AnorUSER SETTINGS 20-05-2008 .. Devido on index Eme 19-05-2008 Anor OGP name Proel shift values 19-05-2008 .. Anor Eme DICOM Image Display Examination 16-05-2008 Diamond View D Site into Exam Properties and Print Pr Properties Manage 16-05-2008 .. Image no Eme 08-05-2008 Eme 08-05-2008 Dose area product - 19 06-05-2008 Commert Patient Video Manager Patient Settings| Service Image Delete Registrati Properties Select all Deselect al Labeling Label "lentigh UR OK ADRY Cancel Author | Department 19 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers How to know you are in the Right Dose ? 1. Exposure Index Segmentation exclude collimation & direct radiation ( already provided by S14 ) The Clinical EXI analyzes the median gray value of the diagnostic relevant part of bodies in the image via Histogram ( exclude implant related portions ) histogram, and eliminated: directly radiated area, non collimated area, compared with standardized value’s. Median - GO The Clinical EXI is more robust estimation if the actual Threshold T image is over- or under exposed Median signal LIMIT ( 0 . 16383 ) AEXI RAD X EXI_RAD 20 Unrestricted © Siemens Healthineers, 2019 SIEMENS Right Dose Healthineers 1. Exposure Index Iwan_Test CXR 15-08-2020 212 31-05-1982 38 AP LAT Unpaired 241.50 MGy'mª 65.9 kV 32.80 DAS D: 2.500 Physicall EXI 842 Clinical EXI 248 DI 4.0 3 T Thorax PA “Exposure Index menunjukan Dosis pada FD”. Misal: Dose yang di-setting pada FD: AP LAT Unpaired 241.30 G.nº 2,5microGy/exposure. 65.9 kV 2800x 2801 32.80 TAS RAD H. 0.35 Maka nilai EI, sbb: 0.50 ww. 3250 EI max = (2,5 x 100) x 2 = 500 WC 1477 - DV: 1 EI min = (2,5 x 100) : 2 = 125 - 21 Unrestricted © Siemens Healthineers, 2019 PEPconnect SIEMENS Healthineers Basic Operations 3 min Job Aid Luminos Agile: Park and Job Aid Job Aid Video Unpark of the Digital Imaging Creating a New Exam on the Ortho Scanning on the Detector Care video Tower Luminos dRF Luminos dRF Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy This video will demonstrate how This job aid will provide the user This job aid will provide the user This job aid will provide the user to handle and charge your with instruction on how to park with information on creating new with information on how to detectors for the following and unpark the digital imaging exams on the Luminos dRF. perform Ortho scanning on the systems: MULTIX Impact, Ysio ... tower. Luminos dRF. * 0 3108 1# 151 . 435 12 . 504 15 0 446 14 Job Aid Job Aid Luminos: Creating Alternate Luminos: DVD Recording on Job Aid Job Aid Programs the Fluorospot Compact Luminos: Recording a CD Activating the Recycle Bin Author | Department 22 Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy Medical Imaging and Therapy Unrestricted © Siemens Healthineers, 2019 Fluoroscopy SIEMENS Healthineers Luminos Agile Max Read carefully the according chapter in the operator manual of the Luminos Agile Max Operator manual - chapter 2.3.8 Cleaning and disinfection1 The following active ingredient classes can be used: Guanidine derivatives Peroxide compounds Organic acids The following products should not be used: Example products (permitted) Virex TB US: Listed on EPA2: Terralin All alcohol-based products Peridox RTU / Contec All phenol-based products Peroxide All chlorine-releasing products Germany: Listed on RKI3: Dismozon / Bode Chemie The safety data sheets of the manufacturer provide detailed Peroxide information on the composition of the disinfectants. Incidin Plus / Ecolab Glucoprotamin ESUN EPA / US MIM 26ª Murdh 1000 SHS DI XP Author | Department 17 23 whims 26ª Mich 2020 Unrestricted @ Siemens Healthineers, 2020 Unrestricted © Siemens Healthineers, 2019 SIEMENS Healthineers TERIMA KASIH Patient Low Dose Fluoroscopy Dedicated Fluoroscopy Luminos Agile Max System Author | Department 24 Unrestricted © Siemens Healthineers, 2019 Unrestricted C Siemens Healthcare GmbH, 2017