Cios Select VA21 Hardware Overview Online Training

Continue Button Intro Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Cios Select Hardware Overview Software Version VA21 This training module will introduce you to the hardware components of your mobile C-arm. Please note: This training refers to software version VA21. Recognize the C-arm system components Identify the components on the monitor trolley 1 4 3 2 Memorize the functions of the hand switch Memorize the functions of the foot switch Welcome cios-select-ii_va21_hwovw_1-1_en.mp3 Welcome to the Hardware Overview Online Training for the Cios Select. This training module will introduce you to the hardware components of your mobile C-arm. ? Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Some pages show an X button in the upper right corner. Select the X button to return to the overview page and not miss any information provided. Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Enjoy the course! ? This slide is mandatory for all ED1 trainings. It is displayed directly after the Welcome slide. Please delete what is not needed. Navigation Hints ? Hardware Components Overview Monitor Trolley C-arm Image Intensifier Single Tank Main Unit C-arm System Horizontal Support Arm Lifting Column Hardware Components Overview cios-select-ii_va21_hwovw_2-1_en.mp3 The Cios Select consists of the C-arm system with the main unit and the monitor trolley. The C-arm system is where imaging occurs. On the monitor trolley, you register patients, review and postprocess images, and document the examination. In a first step, we will focus on the C-arm system, which includes the C-arm with the image intensifier and the single tank, as well as the main unit. The C-arm and the main unit are connected by the horizontal support arm and the lifting column. Please select the orange markers to find out where to find each component. Recognize the System Components ? C-arm Components Image Intensifier (I.I.) Dose Measuring Chamber (DAP Meter) Anti-scatter Grid (Optional) Image Intensifier Laser-Light Localizer (Optional) Handle for Image Intensifier Handle for Manual Movement of the C-arm Image Intensifier with Grid Single Tank With X-ray Tube Unit and Integrated Collimator C-arm Integrated Dose Measuring Chamber (DAP meter) Integrated Image Intensifier Laser Light (Optional) C-arm Components cios-select-ii_va21_hwovw_2-2_en.mp3 Let’s take a closer look at the C-arm. On the C-Arm you can find the image intensifier with the handles for positioning, and the single tank with the x-ray tube and integrated collimators. Please select the tab arrows on the right to learn more about individual C-arm components. Image Intensifier Laser-light Localizer (Optional) Depending on the configuration of your Cios Select, you can use the laser-light localizer as a positioning aid. To activate or deactivate the laser light, press this key on the C-arm keyboard. If there is no laser light installed the key on the control panel has no function. The laser light will automatically switch off after 5 minutes. Keyboard on Main Unit Anti-scatter Grid (Optional) Use the anti-scatter grid to filter scatter, that is created by the patient and other objects, out of the image to improve image quality. As in pediatrics the grid can be removed since the dose awareness is high and the scatter created by small patients is low. It is recommended to remove the grid for patients up to 7 years of age. Please keep the grid inserted for all other cases to maintain sufficient image quality. Please note: Damage to the grid can reduce image quality. Dose Measuring Chamber (DAP Meter) The dose measuring chamber, also called DAP meter, is integrated in the X-ray tube housing and determines the dose area product (DAP) and air kerma values. The cumulative patient data is displayed during the examination on the monitor trolley on the left monitor as long as the patient is open. Dose Area Product Air Kerma Rate Cumulative Air Kerma Value 0.4 mGy 00:00:29 hh:mm:ss 0.8 mGy/min Image Intensifier (I.I.) The image intensifier (I.I.) provides the option to implement X-ray for intraoperative imaging. This allows the operator to use a wide range of applications. The anti-scatter grid attached to the image intensifier further affects the image quality. Image Intensifier with Grid ? Horizontal Support Arm and Lifting Column Horizontal Support Arm and Mechanical Brakes Lifting Column Horizontal Support Arm Lifting Column Mechanical Brakes Horizontal Support Arm and Lifting Column cios-select-ii_va21_hwovw_2-3_en.mp3 The horizontal support arm and the lifting column are used for positioning the C-arm. Please select the tab arrows on the right to learn more about the horizontal support arm and the lifting column. Lifting Column You can lift and lower the C-arm by motor control using the arrow keys on the C-arm control unit. Please note: You will learn more about lifting movement of the C-arm in the System Preparation Online Training. Lifting/Lowering the C-arm The lifting column can be lowered from position 1 (highest level) to intermediate position 2, down to position 3 (lowest level). Up/Down Key on the C-arm Keyboard Pressing up key: The lifting column moves upwards. Pressing down key: The lifting column then moves to the intermediate position (2) and automatically stops there Pressing down key again: The lifting column is lowered further. An audible signal sounds. Horizontal Support Arm and Mechanical Brakes Horizontal Movement Brake Swivel Brake Brake for Angulation Adjustment Orbital Movement Brake Horizontal Movement Angulation Adjustment Orbital Movement Swivel You can move the support arm horizontally by up to 20 cm. The Cios Select is equipped with mechanical breaks that need to be released for C-arm movement. Please note: You will learn more about positioning the C-arm in the System Preparation Online Training. 20 cm ? Wheel With Cable Deflector and Brake Main Unit Components Keyboard on C-arm System System ON/OFF Button Emergency Stop Button Side Handles with Hand Switch Holder Steering Lever Use this lever to steer the system for transport. You will learn how to use this lever in the System Preparation Online Training. Cios Select Electronics Unit System ON/OFF and Emergency Stop Button Storage Area for Foot Switch Keyboard on C-arm System Central Plug Wheel With Cable Deflector and Break Main Unit Components cios-select-ii_va21_hwovw_2-4_en.mp3 The main unit consists of several components. On the top of the main unit you can find the C-arm system keyboard, a steering lever and side handles. At the back of the main unit, there are, for example, buttons to turn the system ON and OFF and the emergency stop button. On the sides of the main unit you also find the central plug connection and wheels with cable deflectors and breaks. Please select the markers and tab arrows to learn more about the individual main unit components. Layer Keyboard on C-arm System Select the orange markers to find out which functions can be performed on the keyboard of the C-arm system. Please note: You will learn more about the functions of the keyboard in the Software Overview Online Training. Wheel with Cable Deflector and Brake On each side of the main unit there is a large wheel with cable deflector. The cable deflectors push aside cables that could obstruct movement. Please note: You should still take care when moving the system to ensure that no cables are in the movement path. The wheel brake is located above the wheel, when pressed system movement is blocked for both side wheels. Braking the C-arm System To securely brake the C-arm system particularly on tilted or uneven planes and surfaces, the foot pedal can be pressed in both directions. Cable Deflector Any cables on the ground that might inhibit the maneuverability of the unit are pushed aside by cable deflectors. Unit movement is not obstructed. Emergency Stop Button The emergency stop button can be activated in dangerous situations to stop motorized movements and to interrupt X-ray release. Press the emergency stop button to activate it. Radiation can still be released manually and the brakes can be actuated manually. When the hazardous situation has been eliminated, turn the emergency stop button clockwise so that it pops out again to unlock it. System ON/OFF Button To turn on all system components, press the ON button on the main unit. To turn the system components off, press the OFF button on the main unit. Please note: In the System Preparation Online Training, you will learn more about system startup and system shutdown. OFF Button The OFF button has a dot outside the circle. ON Button The ON button has a dot inside the circle. Keyboard C-arm System Lift/Lower C-arm Lift/Lower C-arm Selection of Operating Mode Pre-defined Application Settings Collimator Settings Image Processing Image Display, Documentation Select and Display Dose Rate Level Noise Filter Selection Image Rotation (Left/Right) Pulse Rate Radiation Indicator, Tube Load Indicator, Select Laser-light Localizer Display/Manually Select Radiation Parameters Radiation Time Display, Reset Radiation Time Identify the Monitor Trolley Components ? Monitor Trolley C-arm System Monitor Trolley Monitor Trolley cios-select-ii_va21_hwovw_3-1_en.mp3 Now, let’s talk about the monitor trolley. We will start from the top with the radiation indicator. ? Radiation Indicator Radiation Indicator Radiation Indicator Radiation Indicator cios-select-ii_va21_hwovw_3-2_en.mp3 The radiation indicator is located on top of the monitor trolley and on the keyboard of the C-arm system. Both illuminate during radiation release. ? TFT Monitors Left Monitor Live image Right Monitor Reference images Please note: The column of the monitor trolley is fixed. Left Monitor Right Monitor TFT Monitors cios-select-ii_va21_hwovw_3-3_en.mp3 The monitor trolley has two TFT monitors for image display. The left monitor displays the live image, while the right monitor displays the reference image. Reference images may be preoperative images, images of the current examination or images from previous examinations. Please note that the column of the monitor trolley is fixed. It is not possible to rotate them or change their height. ? Control Area Control Area Patient information Examination data Dose monitoring information Current Pedal allocation of the foot switch Tube temperature Icons for image documentation Click here to view where the tube temperature icon is located on the keyboard (C-arm system). Control Area cios-select-ii_va21_hwovw_3-4_en.mp3 On the left side of the left monitor is the control area. Here you will find different kind of information, such as patient information, examination data, dose monitoring information, the current pedal allocation of the foot switch, the tube temperature or icons for image documentation. The tube temperature can also be found on the keyboard of the C-arm system. Click here to view where the tub temperature icon is located on the keyboard. Display of Tube Temperature Tube Temperature The tube temperature icon illuminates when the temperature has exceeded. Further information can be found on the left monitor. Tube Temperature Here you can find further information regarding the tube temperature. The icon changes its color depending on the temperature. ? Control Panel Keyboard Select this callout to learn more about the functions of the keyboard. The detailed functions are explained in the Software Overview Online Training. Operating Area for the Mouse USB Ports Right USB port: Connects the mouse. Left USB port: Connects the USB device for image export. Control Panel cios-select-ii_va21_hwovw_3-5_en.mp3 Below the monitors and the monitor column is the control panel with USB ports, the operating area for the mouse and the keyboard. The left USB port connects the USB device for image export. The right USB port connects the mouse. The keyboard is integrated in the monitor trolley. It is used, for example, for patient registration, image scrolling, and documentation. To get an overview about the keyboard, please select the callout. More information about the keyboard’s function are available in the Software Overview Online Training. Keyboard Control Panel Documentation, Close Patient Patient Registration and Examination Scrolling Buttons Image Display Cursor Keypads Special Functions For example radiation block, subtraction display Keyboard Area ? Lower Area Thermal Printer (Optional) Reset Button UPS Window Thermal Printer UPS Window Reset Button CD/DVD Drive Handles You use the handles to direct the movements of the monitor trolley and to store the cables of the monitor trolley. Lower Area cios-select-ii_va21_hwovw_3-6_en.mp3 Below the control unit, you can find a shelf for an optional printer, the computer unit, handles and the uninterruptible power supply unit, or UPS for short. The reset button and the UPS window are located on the computer unit. Press the reset button when it is not possible to shut down the system via the OFF button, or if the system is frozen. If you have a CD/DVD drive, you can use it for image export. For more information, select the orange markers and buttons on the right. UPS Window The Cios Select is installed with an uninterruptible power supply (UPS) unit. This unit protects the system against image data loss in the case of a power outage or if the power cable is disconnected. The UPS window on the front of the monitor trolley shows the charge state of the batteries and the operating status. If the red LED is lit, the system is not protected by the UPS unit against power outages. You should not disconnect the system from the power supply until the system is shut down. Green LED Input voltage (power supply from the power cable) Red LED Alarm, malfunction Yellow LED Battery operation Utilization Ratio Battery Charge Status Reset Button If the imaging system cannot be shut down properly after pressing the OFF button, or if it no longer reacts to input, you must reactivate your system as follows: Use a pin or a pointed object to actuate the Reset button on the front. All running processes are terminated and the Cios Select is shut down. Switch the Cios Select on again and let it boot up completely. Now you can either continue using the Cios Select or shut it down properly. Reset Button Although there is a power ON button on the front side of the printer, it is not necessary to press it to start the printer. If the power ON button of the printer is switched on, the printer will automatically start with the system startup. For information regarding loading paper and film to the printer, please refer to the printer operating manual that is delivered with your system. Thermal Printer (Optional) Power ON Button Memorize the Functions of the Hand Switch Yellow key: Radiation release Grey key: Image storage for the preselected operating mode ? Hand Switch Radiation Release Key Press and hold the key down while radiation is released. Radiation is released in the selected operating mode and for cassette exposures. The current radiation parameters are shown on the keyboards. The currently generated image is displayed on the left monitor. Image Store Key Pressing this key during radiation: The image currently generated and displayed is saved Pressing this key after radiation: Holding the button for < 2 seconds: Saves the image last recorded (LIH). Holding the button for > 2 seconds: Saves the scene last recorded (LSH). Hand Switch cios-select-ii_va21_hwovw_4-1_en.mp3 The hand switch is attached to the main unit. With the yellow key, you can remotely release radiation. With the grey key, you can store images and scenes for the preselected operation mode. The hand switch can be inserted into the holder provided on the C-arm system handles. It is permanently connected to the main unit by a cable. Please select the orange markers for more information. Memorize the Functions of the Foot Switch Standard Foot Switch Current Pedal Allocation If no foot switch is connected, the hand switch symbol is displayed here. ? To release radiation for preselected operating mode Wireless foot switch optionally available Radiation Release in Preselected Operating Mode (Standard Configuration) Activated selected operating mode (single image, roadmap, subtraction) Exception: When fluoroscopy is selected as the operating mode, the left pedal activates single image mode. Radiation Release for Fluoroscopy (Standard Configuration) Please note: You will learn how to connect the foot switch in the System Preparation Online Training. Standard Foot Switch cios-select-ii_va21_hwovw_4-2_en.mp3 With the foot switch, you can also remotely release radiation for the preselected operating mode. There are two variations of the foot switch: A wired and a wireless foot switch. As standard, the system is installed with a wired foot switch. The wireless foot switch is optional. Here you can see the standard configuration of the standard foot switch. The assignment of the pedals can be configured. You can check the current pedal allocation on the left monitor. You will learn how to connect the foot switch in the System Preparation Online Training. Outro ? Course Review Congratulations. You have completed the Cios Select Hardware Overview Online Training for Software Version VA21. Select the numbered buttons below to review the material before proceeding to the final assessment. Memorize the functions of the foot switch Memorize the functions of the hand switch Identify the components on the monitor trolley Recognize the C-arm system components 1 1 2 2 2 3 3 3 4 4 4 Course Review Memorize the Functions of the Foot Switch Radiation Release for Fluoroscopy (Standard Configuration) Radiation Release in Preselected Operating Mode (Standard Configuration) Activated selected operating mode (single image, roadmap, subtraction) Exception: When fluoroscopy is selected as the operating mode, the left pedal activates single image mode. Memorize the Functions of the Hand Switch Image Store Key Pressing this key during the radiation: The image currently generated and displayed is saved Pressing this key after radiation: Holding the button for < 2 seconds: Saves the image last recorded (LIH). Holding the button for > 2 seconds: Saves the scene last recorded (LSH). Radiation Release Key Press and hold the key down while radiation is released Radiation is released in the selected operating mode and for cassette exposures Identify the Components on the Monitor Trolley Handles To store the cables and move the monitor trolley. Reset Button Thermal Printer (Optional) CD/DVD Drive UPS Window Displays the battery charge status, utilization ratio, as well as alarm and malfunction notifications. Radiation Indicator Another radiation indicator is located on the keyboard of the C-arm system. Left Monitor Displays the live image and the control area. Right Monitor Displays the reference view and other applications. Keyboard on Monitor Trolley Operating Area for the Mouse Control Panel USB Ports Right USB port: Connects the mouse. Left USB port: Connects the USB device for image export. Recognize the C-arm System Components C-arm Image Intensifier Contains the anti-scatter grid and image intensifier laser light. Single Tank Contains the X-ray tube unit and an integrated collimator. Horizontal Support Arm Contains mechanical breaks that need to be released for C-arm movement. Lifting Column Hand Switch Holder To secure the hand switch. System ON/OFF and Emergency Stop Button View on main unit from behind Steering Handle for Transport Keyboard on C-arm System Central Plug Wheel With Cable Deflector and Break Disclaimer 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 7 Where do you find the image intensifier and single tank of the Cios Select? C-arm Main unit Monitor trolley Multiple Choice Incorrect The image intensifier and the single tank are not located on the main unit. Incorrect The image intensifier and the single tank are not part of the monitor trolley. Correct Select the best answer. ? Question 2 of 7 What happens if you activate the emergency stop button? No more radiation can be used at all. The brakes can no longer be actuated. Motorized movements are stopped and X-ray release is interrupted. The C-arm can no longer be moved. Multiple Choice Incorrect The C-arm can be moved in the direction desired without releasing the brakes when enough strength is applied. Incorrect Incorrect The breaks can still be actuated manually. Incorrect Radiation can still be released manually. Select the best answer. ? Question 3 of 7 Where can you see the charge state of the batteries and the operating status? 1 2 3 4 1 4 3 2 Multiple Choice Incorrect The CD/DVD drive of the monitor trolley does not display the state of the batteries and the operating status. Incorrect The thermal printer on the monitor trolley does not display the state of the batteries and the operating status. Correct Incorrect The keyboard on the monitor trolley does not display the state of the batteries and the operating status. Select the best answer. ? Question 4 of 7 What happens if you press the gray button for less than 2 seconds? A reference image is permanently displayed on the right monitor. The system saves the last recorded scene (LSH). The last recorded image (LIH) is stored. The operating mode changes. Multiple Choice Incorrect This is not what happens when you press the gray button for less than 2 seconds. Incorrect Incorrect This is not what happens when you press the gray button for less than 2 seconds. Incorrect This is not what happens when you press the gray button for less than 2 seconds. Select the best answer. ? Question 5 of 7 What happens in the standard configuration of the foot switch when you press the right pedal? The lifting column is lifted. Radiation release for fluoroscopy is activated. Orbital movement of the C-arm is started. Radiation release in preselected operating mode is activated. Multiple Choice Incorrect The lifting column cannot be operated with the foot switch. Incorrect To do this, the left pedal must be pressed in the standard configuration. Incorrect The C-arm cannot be moved with the foot switch. Incorrect Select the best answer. ? Question 6 of 7 Which keys operate the lifting column of the C-arm system? 1 2 3 2 3 1 Multiple Choice Incorrect Use these keys to control the collimator settings. Incorrect Incorrect Use these keys for image rotation. Select the best answer. ? Question 7 of 7 Where do you release the wheel brakes of the C-arm system? 1 2 3 4 1 2 3 4 Multiple Choice Incorrect This is the foot switch for radiation release. Incorrect Incorrect This is the steering handle for transporting the C-arm system. Incorrect This is the break for angulation adjustment of the C-arm. Review Review Retry Assessment Results %Results.ScorePercent%Results.ScorePoints% %Results.PassPercent%Results.ScorePoints% Continue YOUR SCORE: PASSING SCORE: Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the Cios Select VA21 Hardware Overview Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. 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Assessment Slide Question Bank 1 HOOD05162003219838 | Effective Date: 22-Sep-2021 1.1 Welcome 1.2 Navigation Hints 1.3 Hardware Components Overview 2.1 C-arm Components 2.2 Horizontal Support Arm and Lifting Column 2.3 Main Unit Components 3.1 Monitor Trolley 3.2 Radiation Indicator 3.3 TFT Monitors 3.4 Control Area 3.5 Control Panel 3.6 Lower Area 4.1 Hand Switch 5.1 Standard Foot Switch 6.1 Course Review 6.2 Disclaimer 6.3 Assessment 6.12 Completion