Symbia Pro.specta™ System Overview Online Training

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The copied placeholder will keep its formatting System Overview Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? Symbia Pro.specta™ System Overview Online Training This training will introduce the features and components of the Symbia Pro.specta platform as well as provide a general summary of the SPECT/CT systems. Identify all parts of the gantry Perform System Maintenance Demonstrate the function of the Gantry Display Operate the system using the hand controller 1 4 3 2 Shutdown and startup the system 5 Welcome Welcome to the Symbia Pro.specta System Overview online training course. This training will introduce the hardware features and components of the Symbia Pro.specta platform as well as cover the five objectives listed here. For navigation help, select the question mark button located in the lower right hand corner of each slide. ? The Symbia Pro.specta Platform The Symbia Pro.specta platform is a scanner family that consists of the following systems Symbia Pro.specta Q3 Symbia Pro.specta X3 Symbia Pro.specta X7 This online training will cover the hardware components that are available on each of these systems. The Symbia Pro.specta Platform The Symbia Pro.specta platform is a scanner family that consists of the Symbia Pro.specta Q3, Symbia Pro.specta X3, and Symbia Pro.specta X7 systems. This online training will cover the hardware components that are available on each of these systems. ? Select the image to the left for an interactive learning experience of the key parts of the system, hand controller, and control box. Hardware Overview Hardware Overview Select the image for an interactive learning experience of the key parts of the system, hand controller, and control box. A new tab will open taking you out of this training. Once all tasks in the interactive experience are completed, close the new tab to proceed with this online training. ? Gantry Connections The Gantry Connections area is where the external ECG can be plugged in. When an internal or external ECG is connected, the heart rate and lead placement will be displayed on the Gantry Display. Gantry Connections Need image of this area on the gantry The Gantry Connections area is where the external ECG can be plugged in. When an internal or external ECG is connected, the heart rate and lead placement will be displayed on the Gantry Display. However, there will not be an ECG waveform on the Gantry Display for an external ECG.  This will be displayed on the external ECG monitor. The internal ECG waveform on the Gantry Display will be discussed in the next section. ? Gantry Display The Gantry Display is a touch screen monitor used for viewing the patient position, changing collimators, detector reconfiguration, viewing the system orientation, and displaying the progress of an exam. Explore Gantry Display The Gantry Display is a touch screen monitor used for viewing the patient position, changing collimators, detector reconfiguration, viewing the system orientation, and displaying the progress of an exam. Select the Explore button to learn more about the Gantry Display. ? Gantry Display Overview Screen Overview (Highlighting each area mentioned) The patient name and date of birth are displayed in the top left of the screen. This can be hidden by tapping the eye icon. (1 sec pause) The ECG display is shown on the top right and is based on lead 2. If an ECG is connected, the physiological data is received from the ECG in the form of ECG signals and heart rate at the top of the Gantry Display.   (1 sec pause) The ECG curve can be hidden by tapping the Up Arrow or the ECG curve. (1 sec pause) To view the ECG placement, tap the Electrodes icon. (pause) The roman numeral 2 stands for the "mode" used by the ECG.  Mode 2 produces the best ECG signal with most patients and is what will always be used on the display.  (1 sec pause) The persistence images for each detector are displayed. The Detector 1 image is shown on the left (pause) and the detector 2 image on the right, with the counts for each image displayed in the middle. (1 sec pause) The persistence and windowing levels are displayed below the images and can be adjusted as needed. The selected isotope is also displayed here. (1 sec pause) At the bottom of the Gantry Display screen is the Tools Area. (1 sec pause) The Acquisition information area is shown on the left. This area displays what is being scanned and once the scan begins, the time remaining for the acquisition. (pause) Select the Acquisition Information Area to learn more about protocol selection. PROTOCOLS AUDIO Need gantry display with no protocol loaded. The Gantry Display screen will change depending if a protocol is loaded at the Console or not.  When there is no protocol loaded, the display will not show anything for the Patient Information or Acquisition Information.  The unload button will also be disabled. Additionally, if no protocol is loaded, by default Tc-99m (pronounced - tech-neeshium-99-m ) Siemens energy window is selected, but all other isotopes are selectable and listed in alphabetical order. (Other isotopes are listed once Tech99m is selected) (1 sec pause) When a protocol is loaded, the patient information and protocol details are displayed. (Highlight left side of screen and patient name at top) The energy window will be set based on the scan protocol parameters. The energy window cannot be changed from the Gantry Display when a protocol is loaded. If the energy window needs to be changed this must be done in the protocol from the console. (pause) The workflow controls appear in the bottom left. This allows you to confirm the patient position, start the acquisition, or cancel the acquisition from the Gantry Display instead of going back to the console. (pause) The unload button is enabled when a protocol is loaded. If a planar protocol is loaded, the Acquisition Information Area will include the detector view and zoom information. If the protocol is configured to one detector, the detector view name and the persistence image will read "Disabled." (Left side) User is Automatically Returned to the Gantry Display Overview – Base Layer ? Gantry Tools Area At the bottom of the Gantry Display screen is the Tools Area. Retract Detectors moves the detectors out to the furthest position. (0.5 sec pause) Unload retracts detectors, then retracts the patient table and lowers the table. (0.5 sec pause) Reset unwinds the gantry to the home position for the current detector configuration. (0.5 sec pause) Collimator opens the detector and collimator configuration options. (0.5 sec pause) Table Position, Height and Configuration displays the table and gantry position options. (0.5 sec pause) and The Settings Gear opens the settings menu. (0.5 sec pause) Select each of the HIGHLIGHTED icons in the Tools Area to learn more. ? Unload Unload No Audio-need to upload to streaming server After video plays customer will be auto taken to the Tools Area Overview Screen Cardiac Workflow no subs video ~6:10 until 7:10 is unload – Find Video in Video folder of System Overview Teams Folder ? Configuration Popover Collimator and Detector Configuration The Configuration Popover allows for the selection of collimators and detector position at the same time. The “Match Collimator” or “change only detector 2” toggle allows the option to change both collimators to match or only change detector 2. (pause) For the detector configuration options, only the supported configurations for the selected collimator will be available. The unsupported configurations will be disabled. (pause) After selections are made and confirmed, follow the instructions on the Gantry Display to change the collimators. The system will then automatically move the detectors to the selected configuration. ? Table Configuration The Table-Gantry Position popover displays the position of the table, gantry and detectors. To open this popover, tap either the Table Position, Table Height, or Configuration in the Tools Area. (pause) The location of the patient table is shown on the left for both the in/out direction and the up/down direction. (pause) The gantry rotation indicator is located here. (pause) The dot helps visualize how much further the gantry can be rotated in either direction. (1 sec pause) The positions of detector 1 and detector 2 are displayed. (pause) Detector 2 will indicate if the detector is tilted or not tilted for the caudal (caw-daal) tilt feature. ? Settings Gear The Settings popover provides access to additional options for the display and system. (pause) The patient table settings for scan height and unload height can be configured here. The scan height is the default height the patient table will move to when the Scan Height button is double-clicked on the Hand Control. (pause) The Unload height is the position the patient table will lower to when the Unload button from either the Gantry Display or Hand Control is pressed. This can be configured to by moving the patient table to the desired position then tapping the “Set to” button. (pause) The scan height and unload height can be set back to the factory default settings by tapping the “Set to Default” or “Set to Low” buttons on the screen. (1 sec pause) The External ECG and Plan and Go options can be turned on or off from here. If the Plan&GO feature is not configured, this should be set to Off. (1 sec pause) Motion Home and Touch pad test are additional features available from the Settings popover. The motion home status and time of the next touch pad test will be displayed. ? System Maintenance Regular maintenance and service are important for the safety of patients, personnel, and for the functional integrity of the system. Select the tab arrows to the right to learn more about System Maintenance. Siemens Healthineers Service Maintenance Schedule Cleaning and Disinfecting Air Filter Replacement System Maintenance System Maintenance- audio Regular maintenance and service are important for the safety of patients, personnel, people accompanying the patient, and for the functional integrity of the system. The request to initiate preventive maintenance can be done by you or your Siemens Healthineers Service representative. Select the tab arrows to the right to learn more about System Maintenance. System Maintenance Schedule - audio Maintenance and service work should be performed by Siemens Healthineers Service, except for the cleaning of the equipment and replacement of air filters and accessories. A full system maintenance is made up of 3 parts and is completed every 18 months. One of the three parts is performed every six months. Cleaning - audio If the system is improperly cleaned serious injury and system damage can result. Siemens recommends the use of commercially available liquid detergent soaps to clean the system gantry, detector covers, patient table and pad, foam pads, and system accessories. Be sure not to use: Isopropyl alcohol or surgical spirits - these will fade and damage the system’s foam accessories, restraint straps, and any acrylic surfaces. Organic solvents such as acetone, stain remover, cleaner’s naphtha, and benzine. Agents that release ammonia when they are dissolved or decomposed and have a corrosive effect. Agents containing silicone as it decays over time and can form sticky deposits that interfere with electrical contacts. or Disinfectants based on substituted phenols or disinfectants that release chlorine. (1 sec pause) The Gantry Display is very sensitive, be sure to avoid scratches and other physical damage. Remove any water drops immediately. To clean the screen use a clean, soft, lint-free dry cloth. If needed apply a small amount of glass cleaner that does not contain ammonia or alcohol. (1 sec pause) Never spray or pour liquids directly onto the system. Away from the system, spray cleaning solution onto a cloth. Disinfectant wipes can also be used. Do NOT clean or disinfect any area inside the gantry. Avoid scrubbing, rubbing or applying excessive pressure to detectors and touchpads. and, if possible, turn the system off before cleaning or disinfecting and completely dry surfaces before turning the system on. Air Filter Replacement - audio If an air filter is dirty, it might lead to the system overheating. A notification will appear when it is time to change the air filters. There are two air filters at the back of the gantry. The door of the filter is closed with magnets for a quick and easy exchange of the filter pads. Air Filter Replacement A notification will appear when it is time to change the air filter. Air filter replacement is a quick and simple, as needed, maintenance task. If the air filter is not very dirty, cleaning it with a vacuum cleaner is sufficient. Cleaning and Disinfecting Cleaning To clean the gantry, detector covers, patient table and pad, foam pads and system accessories use commercially available liquid detergent soaps Disinfecting To disinfect use commercially available decontamination or germicidal solutions Be sure not to use: Isopropyl alcohol Surgical spirits Organic solvents Agents that release ammonia Agents containing silicone Substituted phenols or disinfectants that release chlorine Gantry Display avoid scratches immediately remove water droplets clean with a soft, lint-free dry cloth use glass cleaner as needed Precautions Never spray or pour liquids directly onto the system Spray a cleaning solution away from system onto a cloth. Disinfectant wipes can also be used. Do not clean or disinfect any area inside the gantry Avoid scrubbing, rubbing or applying excessive pressure to detectors and touchpads If possible, turn the system off before cleaning or disinfecting and completely dry surfaces before turning system on System Maintenance Schedule All maintenance and service work with the exception of the cleaning of the equipment, replacing air filters and accessories should be performed by Siemens Healthineers Service. Table with 2 columns and 6 rows Maintenance Type Required Interval Safety Inspection and System Checks Every 12 Months Full System Maintenance Part 1: Covers Off Every 18 Months Part 2: Covers On Every 18 Months Part 3: Gantries Separated Every 18 Months ? Shutdown/Startup Procedures and Power States The system can be On, Off, or in a Power Save state. This section will discuss how to shutdown, startup and restart the system. Select the numbered steps below to learn more about the shutdown and startup procedures. 1 1 1 2 2 2 3 3 3 4 4 4 5 5 5 6 6 6 Power States Power States - audio The system can be On, Off, or in a Power Save state. This section will discuss how to shutdown, startup and restart the system. Select the numbered steps below to learn more about the shutdown and startup procedures. System Off Power State - audio System off is the best power state option when the system will not be used for an extended period of time. When the system is off everything with the exception of the detectors will be turned off. The detectors are left on to reduce start up time. The system can be turned off either by the Gantry Display or Console. Shutdown Gantry Display - audio To shutdown the system from the gantry display, press and release the blue power on/off button. After confirming, a 60 second timer displayed on both the gantry display and the console, will begin to countdown. Once the timer expires, both the system and computers will begin to shutdown. The system will turn off completely, then the detectors will turn back on and the blue power on/off button will pulse slowly. The system is now in the System off state. In the event that the blue button was pressed by mistake and the shutdown needs to be cancelled, select “No” in the message on the gantry display or console. This will stop the shutdown. Shutdown Console - audio The system can also be shutdown from the console Home Screen. Ensure all protocols are complete before starting this process. From the Home page, select the power button at the bottom right of the screen. From the menu select Shut down System then Shut Down from the confirmation pop up. Startup Gantry Display - audio To start the system from the Gantry Display, press the blue Power On/Off button. This will power on all components including the console. After the Gantry Display screen illuminates the green Reset button will pulse, press the green Reset button to continue the startup. This will enable motion for the system. Once the startup is complete a pop up will display as a reminder to perform a Motion Home. Power Save Power State - audio The system will enter a Power Save state after it has been idle for at least 10 minutes. Power save reduces power to all non-essential subsystems. Restart - audio From the Home screen of the console, select the power button at the bottom right of the screen. From the menu select Restart System then Restart from the confirmation pop up. Restart will restart the computers and CT system. Restart - Console From the Home page of the software, select the power button at the bottom right of the screen from the menu select Restart System select Restart from the confirmation pop up 6 Power Save State The system will enter a Power Save state after it has been idle for at least 10 minutes. Power save reduces power to all non-essential subsystems. The system can be awakened from Power Save with any interaction – touching the Gantry Display or moving the mouse of the console. 5 Startup – Gantry Display To startup the system, press the blue Power On/Off button. This will power on all components including the console. To enable motion for the system after powering on, press the green Reset button on the Gantry Display. Once motion is enabled be sure to run a Motion Home. 4 Shutdown – Console From the Home page select the power button at the bottom right of the screen select Shut down System select Shut Down from the confirmation pop up 3 Shutdown – Gantry Display 2 To shutdown the system from the Gantry Display, simply press the blue Power On/Off button. This will start a 60 second timer from both the Gantry Display and the console. Once the timer expires, both the system and computers will begin to shutdown. System Off Power State 1 System off is the best power state option when the system will not be used for an extended period of time. When the system is off everything other than the detectors will be turned off. The detectors are left on to reduce start up time. The system can be turned off either by the Gantry Display or Console. ? Course Review Congratulations. You have completed the Symbia Pro.specta System Overview course. Select the numbered buttons below to review the material before proceeding to the final assessment. Perform System Maintenance Demonstrate the function of the Gantry Display Operate the system using the hand controller Identify all parts of the gantry 1 1 2 2 2 3 3 3 4 4 4 Shutdown and startup the system 5 5 5 Course Review Shutdown and startup the system Shutdown There are two ways to shutdown the system: Gantry Display Console Startup The correct way to start up a system from off is through the Gantry Display. Perform system maintenance The majority of user system maintenance is cleaning different parts of the system with the appropriate cleaning solution or cleaning tool. Air filters should be changed upon notification by the system. The following cleaning solutions should not be used on any part of the system: Isopropyl alcohol Surgical spirits Organic solvents Agents that release ammonia Agents containing silicone Substituted phenols or disinfectants that release chlorine Demonstrate the function of the Gantry Display The Gantry Display is a touch screen monitor used to view the patient position, change collimators, reconfigure detectors, view the system orientation, and display the progress of an exam. The Gantry Display has three buttons above the screen (from left to right): Power On/Off Reset Emergency Stop Operate the system using the hand controller The hand controller has over 25 buttons that allow the user to control the system including the gantry, patient table, and detector movements. The round buttons at the top and bottom of the controller mainly control the patient table. The buttons in the middle control detector and gantry ring motions. Identify all parts of the gantry SPECT Gantry CT subsystem Patient Table Rear patient-handling system NM Detectors Gantry Display Hand Controller STOP keys Air filters Gantry intercom 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 5 What is the function of the NM Detectors? These detectors rotate around the patient table to acquire images at various angles. These detectors are used to display the progress of an exam. Circulate air through the gantry to keep it cool. Contain the x-ray tube which rotates around the patient. Multiple Choice Incorrect This describes the CT subsystem. Incorrect This describes the function of the air filters. Incorrect This describes the function of the Gantry Display. Incorrect Select the best answer. ? Question 2 of 5 Which letter correctly identifies the 180° Configuration button of the hand controller? E A C B D Multiple Choice Incorrect This is the button to control the Laser Light Markers. Incorrect This is the button to Index. Incorrect This is the button to Unload. Incorrect This is the button for Scan Height. Incorrect Select the best answer. ? Question 3 of 5 Which of the following statements pertaining to the Gantry Display is correct? If an external ECG is connected to the system, an ECG waveform will not appear on the Gantry Display. Unload in the Tools Area of the Gantry Display, unwinds the gantry to the home position for the current detector configuration. When no protocol is loaded, there is no Default energy window however other isotopes can be selected. The Scan Height found in the Settings Popover menu, is the position the patient table will lower when the Scan Height button is pressed on the Hand Controller. Multiple Choice Incorrect This describes the Unload Table Height preset setting. Incorrect The default energy window is Tc-99m. Incorrect This describes the action of the Reset button of the Gantry Display. Incorrect Select the best answer. ? Question 4 of 5 Which of the following is a recommended cleaning agent for the system gantry, detector covers, patient table and accessories? Commercially available liquid detergent soap Isopropyl alcohol/Surgical Spirits Agents containing silicone Agents containing ammonia Multiple Choice Incorrect These have a corrosive effect. Incorrect These decay overtime and leave behind a sticky residue. Incorrect These will cause system parts to fade and become damaged. Incorrect Select the best answer. ? Question 5 of 5 When the system is in a power off state: The blue power on/off button of the Gantry Display pulses, slowly. The detectors are turned off completely and allowed to cool. It can be powered on by moving the mouse of the console. Multiple Choice Incorrect This only works if the system is in a power save state. Incorrect The detectors are not turned off when the system is in an Off power state. Incorrect Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? 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 Symbia Pro.specta System Overview Online Training. Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon add subtitles Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Storage Slides ? Retract Detectors Retract Detectors Audio: Retract detectors moves detectors to the furthest possible position. This image shows the detectors fully retracted. After video plays customer will be auto taken to the Tools Area Overview Screen ? Need gantry display with no protocol loaded. Protocols Audio is in Gantry Display Overview ? Reset Reset No Audio in these videos – just visual effect After video plays customer will be auto taken to the Tools Area Overview Screen Question Bank 1 HOOD05162003237818 | Effective Date: 14 DEC 2021 1.1 Welcome 1.2 The Symbia Pro.specta Platform 1.3 Hardware Overview 1.4 Gantry Connections 1.14 Gantry Display 1.7 Gantry Tools Area 1.12 System Maintenance 1.13 Power States 1.14 Course Review 1.15 Disclaimer 1.16 Assessment