Siemens ARCADIS Varic Operator'S Manual Download Page 153

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ARCADIS Varic
SPR2-310.620.30.02.02

of 52

Examination

Safety information relating to the
examination procedure

Before examination

Orientation aid for

image orientation

Integrated I.I. laser

aimer

Depending on the configuration of your ARCADIS Varic, you can use the integrat-
ed I.I. laser aimer for positioning the C-arm.

Single-tank laser

targeting device

Depending on the configuration of your ARCADIS Varic, you can use the integrat-
ed single-tank laser targeting device for positioning the C-arm.

Examination settings

Before starting surgery, please make sure that all the set parameters as well as
examination settings in all operation modes are correct.

Warning

Incorrect image position displayed on the monitor.

Surgical intervention in the wrong position!

◆

Use lead letters as orientation aids during the exposure.

Warning

Laser radiation

Risk of eye injury!

◆

Do not view the beam using optical instruments (laser class 1M).

Warning

Laser radiation

Risk of eye injury!

◆

Do not look directly into the laser beam (Class 2 laser).

Summary of Contents for ARCADIS Varic

Page 1: ...sh Operator Manual SPR2 310 620 30 02 02 ARCADIS Varic English Operator Manual SPR2 310 620 30 02 02 ARCADIS Varic English Operator Manual SPR2 310 620 30 02 02 ARCADIS Varic English Operator Manual SPR2 310 620 30 02 02 ARCADIS Varic English Operator Manual SPR2 310 620 30 02 02 ARCADIS Varic English Operator Manual SPR2 310 620 30 02 02 ...

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Page 3: ...www siemens com healthcare ARCADIS Varic Operator Manual ...

Page 4: ...inval idate this declaration Original Language English Global Business Unit Siemens AG Medical Solutions X Ray Products Henkestr 127 DE 91052 Erlangen Phone 49 9131 84 0 www siemens com healthcare Global Siemens Headquarters Siemens AG Wittelsbacherplatz 2 80333 Muenchen Germany Global Siemens Healthcare Headquarters Siemens AG Healthcare Sector Henkestrasse 127 91052 Erlangen Germany Phone 49 913...

Page 5: ...quests suggestions and criticism with respect to this Operator Manual For feedback by fax please use the following fax number 49 9131 84 2378 If you prefer notification by e mail please send your feedback to sp_ga med siemens com When contacting us please refer to the entire print number shown in the footer of this page Thank you very much for supporting us in our efforts to improve our products M...

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Page 7: ... 2 Safety Register 3 System Description Register 4 Patient data Register 5 Examination Register 6 Image Processing Register 7 Documentation Register 8 Configuration Register 9 Technical Data Register 10 Maintenance Register 11 Options ...

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Page 9: ...t 8 Registering a known patient 12 Configuration of Patient Registration 18 Introduction Patient Browser 24 Searching for and displaying patient data 28 Updating and deleting data 34 Patient Browser Configuration 48 Register 5 Examination Safety information relating to the examination procedure 3 The Examination task card 5 Performing the examination 11 References task card 25 Displaying reference...

Page 10: ...data transfer 43 Configuration for filming printing 51 Introduction to archiving 61 Archiving Data 65 Exporting data 68 Import export in the file system 75 Checking the data transfer 81 Configuration for archiving 87 Register 8 Configuration Configuration Examination 3 Register 9 Technical Data Curves and diagrams 3 Notes concerning electromagnetic compatibility EMC 11 Unit data 16 Labels 22 Regis...

Page 11: ...ining 5 Conditions of use 5 Maintenance cleaning and disinfection 5 Essential performance characteristics 5 Frequently used operating functions 5 Operating functions regarding safety 5 Information about this Operator Manual 6 Scope 6 Names and parameters 6 Values 6 Layout conventions 6 Instructions 6 Conclusion 7 List 7 Cross reference 7 General notes 7 Warning notices 8 Information about correcti...

Page 12: ...Operator Manual 2 of 8 SPR2 310 620 30 02 02 Introduction ...

Page 13: ...ologic vascular cardiac critical care and emergency room procedures The system is suitable for a large variety of clinical visualizations such as o Visualization of bones o Visualization of vessels soft tissues o Visualization of implants o Visualization of surgical instruments Patient group 0 In principle the ARCADIS Varic can be used for examining all types of patients without restriction When u...

Page 14: ... fluoroscopy pulsed fluoroscopy subtraction roadmap User profile 0 The system can be used properly only by suitably qualified medical personnel This requires operating personnel to be familiar with the Operator Manual This manual must be studied in detail prior to starting up the system Pay special attention to the following sections General safety information Personal safety Equipment safety Main...

Page 15: ...le country specific requirements must be observed Maintenance cleaning and disinfection 0 See Register 10 Maintenance Essential performance characteristics 0 See Register 9 Technical Data Frequently used operating functions 0 System On Off Patient registration Selecting the operating mode Recording X ray images Processing X ray images post processing adding comments Saving archiving studies locall...

Page 16: ... in this Operator Manual are examples Only the parameters displayed by your system are definite Values 0 All numbers specified are typical values unless specific tolerances are indicated Layout conventions 0 The Operator Manual has several registers A detailed table of contents listing all chapters contained in the manual is provided at the beginning Certain sections of text are marked with symbol...

Page 17: ...in other chapters Cross references are identified by thin arrows General notes 0 A note refers to information that is important for safe operation of the system without the presence of any hazard to health or life A note is indicated by an exclamation mark and printed in italics Additional information contains tips regarding optimal system use and settings as well as other useful hints Additional ...

Page 18: ...s that might occur when performing operat ing steps is given at the end of the relevant instructions In these paragraphs the problem and the potential cause are described To solve the problem perform the operating steps specified here Warning First the source of danger is stated Then possible consequences are pointed out Finally information on how to avoid the danger is provided Caution First the ...

Page 19: ...otection 12 Explosion protection 12 Overload protection 13 Personal safety 14 Open heart and skull examinations 14 Crushing hazards on the C arm system 14 Crushing hazard on the monitor trolley 16 Mechanical damage 16 Tube housing temperature 17 Radiation protection 17 Deterministic radiation effect 18 Position and extent of the main operating area 19 Maximum scatter radiation in the operating are...

Page 20: ...Manual 2 of 28 SPR2 310 620 30 02 02 Safety Attenuation equivalent 26 Weight counterbalance 26 Image quality 27 Electrical safety 27 Electromagnetic compatibility 27 Additional safety information 27 Disposal 28 ...

Page 21: ...ons of Directive 93 42 EEC of June 14th 1993 concerning medical devices Data related to individual persons are subject to data protection Ensure compli ance with all applicable laws and regulations Legally required tests must be performed at the specified intervals These tests include for example Constancy test according to the X ray ordinance 16 RöV in the Federal Republic of Germany Tests based ...

Page 22: ...supply can lead to malfunctioning of the system Unauthorized access and or virus attacks possible Make sure all necessary precautions are taken with the existing level of security when changing a functionality or factory set configuration Make sure that the anti virus protection is up to date Register 10 Maintenance Page 7 Caution Reduced system performance due to overload of the network environme...

Page 23: ...ng electromagnetic compatibility EMC in the Operator Manual However we wish to inform you that other mobile electronic devices such as radio telephones mobile phones exceed the radiation limits specified in the EMC standard and can therefore disturb functions of your medical device Use in connection with high frequency 0 The following regulations for use must be observed IEC TR 1289 1 07 94 High f...

Page 24: ...sure optimal image quality have the following functions checked in partic ular as part of regular maintenance Pixel shift image rotation noise reduction edge enhancement subtraction Roadmapping Performing maintenance Maintenance work should be performed by trained technical personnel only If you do not have a service contract please contact Siemens Customer Service If national laws or regulations ...

Page 25: ... but tons Non temporary error messages such as No 5015 or 5016 cannot be can celed If these errors occur radiation release is no longer possible Please notify Customer Service immediately Error messages 7309 tube unit iris diaphragm 7009 slot diaphragm and 7409 TV camera iris are temporary error messages that can lead to unnecessary radiation exposure of the user and patient if treatment is contin...

Page 26: ...r on the monitor The type of message is identified by a corresponding symbol top left Example of an error message Example of a warning Example of information You must confirm error messages with the OK button or the radiation release button to be able to resume your work However warnings and information do not disable radiation release ...

Page 27: ...iemens Service can evaluate the recorded system activities and identify the error without the need of a site visit Insert a CD into the drive of the monitor trolley or connect the USB memory medium Select Options Save Log File from the main menu A dialog window is displayed Click this button The log file is saved to the USB memory medium as a compressed zip file Or Click this button The log file i...

Page 28: ...azard has been clearly identified and remedied may the system be reconnected to the power supply In all other cases e g system malfunction contact Siemens Customer Service immediately System failure 0 The user must have a replacement unit available if a system failure could predict ably cause a critical situation resulting in patient injury during a medical examina tion Caution Electrical faults R...

Page 29: ...monitor until the ARCADIS Varic switches off completely When the power plug is pulled out switching to the uninterruptible power supply causes an acoustic signal to be emitted The UPS switches off after 10 min at the latest As soon as the mains supply is restored the battery of the UPS is recharged Please remember that the UPS battery life is limited Emergency STOP 0 Immediately press the red EMER...

Page 30: ... 0 Warning In the event of fire A fire or smoldering fire can produce toxic gases or fumes Immediately switch off the ARCADIS Varic Pull the power cable out of the wall outlet Inform all personnel of the correct procedures in case of fire as part of occupational safety training Warning Ignitable concentration of anesthetic gases in the examination room Explosion hazard The ARCADIS Varic must not b...

Page 31: ...mperature rises to 50 C the temperature indicator on the control panel of the C arm system lights up the selected characteristic curve is switched to S1 at the end of radiation in fluoro and pulsed fluoro If the temperature rises to 60 C the selected characteristic curve is switched to S1 during radiation in fluoro and pulsed fluoro If the temperature rises to 70 C the temperature indicator on the...

Page 32: ...e C arm system 0 Correct handling of the C arm system requires that operating personnel and patients use only the grips provided for this purpose Where this is not possible monitor the points of potential crush injury between movable system parts and their guide openings Warning Moving and braking the C arm see Fig 1 and 3 Risk of crushing hands Please make sure that your hands are not in the trav...

Page 33: ...crush or bump themselves 1 Potential danger points when moving and braking the C arm 2 Potential danger points when the C arm is lowered fully 3 Potential danger points when moving and braking the C arm Warning Maximum lowering of the C arm see Fig 2 Radiation can be released inadvertently Please make sure that the footswitch is not located underneath the C arm 1 2 3 ...

Page 34: ...option the monitor trolley can also be equipped with a printer which is placed in the pro vided bay Mechanical damage 0 To avoid injury to the patient operating personnel or third parties mechanical damage to the system must be repaired by authorized service personnel Caution Risk when positioning or folding up monitors pulling out or pushing in the printer Risk of crushing hands Carefully watch y...

Page 35: ...e assembly Wear protective clothing in the control area during an examination Wear a radiation monitoring badge or use a pen dosimeter For patients and operating personnel Keep the fluoroscopic time as short as possible Keep the source to skin distance as large as possible Additional objects in the beam path may result in increased scattered radiation Please be aware that certain materials in the ...

Page 36: ...tion and that the point of skin penetration is 30 cm 50 cm maximum away from the image intensifier input The skin penetration dose for various operating modes and under standard oper ating conditions can be estimated using the Dosimetric information table under the Technical Information tab Example An accumulated fluoroscopic time of 15 minutes and a skin penetration dose of 20 mGy min yields a do...

Page 37: ...28 Position and extent of the main operating area 0 All examination types may be performed in the illustrated operating area of the X ray system Vertical beam path Focus 170 cm height above floor Main operating area Dimensions in cm 1 Tube 2 I I unit ...

Page 38: ...ous fluoroscopy 110 kV 2 9 mA C arm horizontal downward beam direc tion without additional Cu filter with scattered radiation grid Measurement D Operating area B Characteristic HC2 high 68 kV 1 3 mA C arm horizontal downward beam direc tion without additional Cu filter with scattered radiation grid Height above the floor cm Measure ment A µGy h Measure ment B µGy h Measure ment C µGy h Measure men...

Page 39: ... Continuous fluoroscopy 110 kV 3 0 mA Measurement B Characteristic HC2 high 68 kV 1 3 mA Measurement C Continuous fluoroscopy 110 kV 3 0 mA Measurement D Characteristic HC2 high 68 kV 1 3 mA µGy h power air kerma cm above ground µGy h power air kerma cm above ground ...

Page 40: ...ruption for all operating modes 0 The hand and footswitches are designed as pushbutton switches Radiation is interrupted immediately when releasing the corresponding operating element or in other operating modes after the completion of the stored image Height above the floor cm Operating area A Measurement B I I 23 cm 9 110 1 4 mGy h Height above the floor cm Operating area B Measurement D I I 23 ...

Page 41: ...itioned in an unfavorable way there can also be a collision between the image intensifier single tank and the unit base This can cause dam age to the respective components Brakes Make sure the brakes are applied after adjusting the C arm position Transport When moving or transporting the C arm system please take special care that the system parts do not collide with an obstacle This could also res...

Page 42: ... the room containing the system does not meet the specifications of DIN VDE 0107 or the corresponding local regulations If desired we will provide the technical documentation for the product However this does not imply authorization to undertake repairs We cannot be held responsible for repairs made without our express written approval When any work is performed on the product we would recommend t...

Page 43: ...fety requirements of this system can result in a reduced safety level of the combined system When choosing accessories the following aspects must be considered in partic ular Use of accessories close to the patient Proof that the accessories have been safety tested according to the applicable IEC 60601 1 guideline and or the IEC 60601 1 1 harmonized national stan dard Tilting resistance mechanical...

Page 44: ...c If materials are placed directly in front of the image intensifier the image quality can be impaired and the applied dose will be increased by the automatic adjust ment Additional objects in the beam path may result in increased scattered radi ation Weight counterbalance 0 Attachment of any additional loads on the image intensifier or the tube assembly side compromises the counterbalance and can...

Page 45: ...void thermal overloading of components and short circuits EN 60601 1 Section 7 and if appropriate UL 60601 1 must be complied with Connecting external loads to the power supply of the C arm system is not per mitted We recommend that users in the EU have the relevant manufacturer of the accessory operated by you e g a navigation system confirm the CE Declara tion of Conformity according to Appendix...

Page 46: ...egal regulations are complied with and to avoid potential environmental hazards which may be caused by the disposal of your product we recommend that you consult Siemens Customer Service Batteries and packaging should be disposed of in an ecologically sound man ner as specified in national regulations The sterile single use covers I I C arm must be disposed of in accordance with national regulatio...

Page 47: ... arm 14 Moving the C arm horizontally 15 Swiveling the C arm 16 Angulating the C arm 16 Moving the C arm orbitally 17 Preparing exposure 18 Protection against contamination and the penetration of fluids 18 Positioning the C arm 18 Setting the semi transparent slot diaphragm 19 Manual slot diaphragm calibration 19 Setting the iris diaphragm 20 Selecting the noise reduction factor 21 Selecting the i...

Page 48: ...ription Transport 37 Transport and parking position of the C arm system 38 Monitor trolley transport position 41 Park position of optional monitors 41 Moving the monitor trolley 42 Locking the monitor trolley 43 Setting the direction of the monitor trolley 43 ...

Page 49: ... USB port two rotatable TFT displays DVD R W drive and memory for 60 000 images Operating modes 0 The ARCADIS Varic has the following operating modes Continuous Fluoroscopy CFC Pulsed Fluoroscopy PFC with 8 f s Digital Radiography DR Options 0 The following options are available for the ARCADIS Varic Additional operating modes Subtraction and Roadmap Pulsed Fluoroscopy PFC 15 f s Fluoro Loop 2 TFT...

Page 50: ...ntegrated digital navigation interface for lossless transfer of 2D image data to a navigation system 2D measuring function to measure angles and distances HIPAA Health Insurance Portability and Accountability Act Thermal printer SONY UP 970 Economical light weight compact printer for single color printing on thermal paper Thermal printer SONY UP 990 Economical light weight compact printer for sing...

Page 51: ...em 0 Components of the C arm system 0 1 ARCADIS electronics unit 2 Control and display panel 3 Lifting column 4 Horizontal support arm 5 C arm 6 Handle 7 Image intensifier with integrated TV camera 8 Single tank with X ray tube unit and integrated collimator 1 2 3 4 5 7 8 6 ...

Page 52: ...n different areas 1 Operating mode selection 2 Selecting image parameters high contrast fluoroscopy image quality image display 3 Collimator setting 4 Radiation indicator X ray tube assembly temperature 5 Image postprocessing 6 Image selection storing and printing 7 Lift lower C arm 8 Image rotation 9 Display exposure time reset exposure time confirm warning tone 10 Select and display X ray parame...

Page 53: ...Grips for neat cable storage 5 Drawer for storage of CDs DVDs Quick Guide etc 6 DVD R W drive 7 Wheels with cable deflectors 8 Monitor column optional height adjustable 9 Storage shelf with USB connection On Off switch of ARCADIS Varic optional Connection for MP3 player including loudspeaker on the rear of the monitor trolley 10 Printer bay 11 Charge state of independent power supply UPS see Page ...

Page 54: ...display field of the UPS at the front of the monitor trolley shows the charge state of the batteries and the operating status 1 Bar display of battery charge status 2 Bar display of utilization ratio 3 LED UPS On lit during operation 4 LED Consumer protected lit during mains and battery operation 5 LED Interference operation lit additionally during battery operation 6 LED Error lit in case of erro...

Page 55: ... loops Do not lay connection cables parallel to other cables 1 Lever Plug the central plug into the socket on the left side of the C arm system If the central plug is marked with a green dot then the green dot must also be above the connector of the basic unit so that the C arm system is correctly con nected The monitor trolley may only be connected to the corresponding C arm system If the monitor...

Page 56: ...ding connection 0 The ARCADIS Varic can be connected to a protective ground terminal via the equipotential connector on the C arm system This will ensure that the ARCADIS Varic has the same electrical potential as other units connected to the same protective earth terminal When performing cardiac examinations or examinations of the open skull an addi tional grounding cable according to DIN 57107 V...

Page 57: ...eforehand the system will be ready for operation again in less than a minute following a simple shutdown or after 3 min following a complete shutdown Page 34 If the HIPAA Security Package is activated it can take approx 90 100 s for the ARCADIS Varic to be operational again after a simple shutdown If the ARCADIS Varic is restarted after a simple shutdown and immediately after wards large image dat...

Page 58: ...hen the ARCADIS Varic is started Operating mode The basic setting configured for the body region All Register 8 Configuration Page 5 Iris diaphragm in full format edges visible Semi transparent slot diaphragm in full format Before beginning the examination perform the daily function and safety checks ...

Page 59: ...lors for the corresponding directions of movement is located on the housing Before moving the C arm the brake for the relevant direction of movement must be released Release the brake You can move the C arm Or Engage the brake You can no longer move the C arm Emergency STOP The electronics unit of the C arm system is provided with a red EMERGENCY STOP button which you can use to stop motorized lif...

Page 60: ... position 2 Lifting the C arm Press the Up key on the control panel of the C arm system The lifting column moves upwards Lowering the C arm Press the Down key on the control panel of the C arm system The lifting column then moves to position 1 and automatically stops there A signal sounds Press the Down key on the control panel of the C arm system once more The lifting column is lowered further Th...

Page 61: ...otary knob clockwise If the lifting column can still no longer be moved in any direction then please contact Customer Service Moving the C arm horizontally 0 You can move the support arm horizontally by up to 20 cm Release the brake marked in green arrow Move the support arm to the desired position while observing the green scale Lock the brake again STOP STOP 20 cm ...

Page 62: ...d in orange arrow Swivel the C arm to the required position Lock the brake again Angulating the C arm 0 You can rotate the C arm vertically about the horizontal support arm by 190 Release the brake marked in yellow arrow Rotate the C arm to the required angulated position while observing the yellow scale on the support arm joint Lock the brake again STOP 12 5 12 5 STOP 190 190 ...

Page 63: ...the C arm orbitally 0 Starting from the basic position 0 you can swivel the C arm by up to 90 or up to 40 130 in total Release the brake marked in blue arrow Swivel the C arm to the required orbital position while observing the blue scale Lock the brake again STOP 130 130 ...

Page 64: ... It is recommend to cover the relevant areas appropriately The C arm can be covered completely or partially with a sterile disposable sheet to protect it against contamination Register 11 Options Page 13 Positioning the C arm 0 Align the ARCADIS Varic Release the brakes and set the C arm to the required position Page 13 Warning As long as the brakes are not locked after movement the C arm system m...

Page 65: ...uickly oriented to the direction of the anatomy under examination e g the extremities Press one of the keys The semi transparent slot diaphragms are rotated to the left right Press this key The semi transparent slot diaphragm is closed Press this key The semi transparent slot diaphragm is opened Manual slot diaphragm calibration 0 If it is determined during an intervention that the accuracy of the...

Page 66: ...s in the fluoro image The X iris leaves are set such that at least two leaves are visible When switching on the ARCADIS Varic the iris diaphragm automatically opens to the full format Press this key The iris diaphragm is closed Press this key The iris diaphragm is opened The LED lights up When you open close the iris diaphragm or move the semi transparent slot diaphragm without radiation you can s...

Page 67: ...goes out A higher integration factor is selected for very slow movements Selecting the image intensifier format 0 You can select a zoom format Press this key The LED lights up when this function is selected Setting image reversal 0 Press this key The image is flipped vertically The LED lights up when this function is selected Press this key The image is flipped horizontally The LED lights up when ...

Page 68: ... it Object display on the monitor depends upon the C arm system position relative to the patient 1 right side of patient 2 left side of patient The rotation angle is displayed on the C arm system 360 The rotation angle is displayed absolute proportional to the original position as well as relative pro portional to the previous image Press one of the keys The image is rotated in the respective dire...

Page 69: ...edure Fracture reposition of the distal upper extremity e g distal forearm fracture in the plaster room of an emergency outpatient clinic where under continuous fluoroscopy the fracture elements are reduced by extension fixed temporari ly in the best possible position and then fixed permanently by applying a plas ter cast Pulsed fluoroscopy This operating mode frame rates up to 15 f s allows a red...

Page 70: ...K2 matrix 1 f s frame rate with image integration depending on the setting X ray pulse with 7 ms up to approx 1400 ms width depending on the noise reduction set Typical clinical procedure Final follow up exposure of a fracture reposition of the distal upper extremity see above Subtraction Roadmap option The subtraction memory option allows you to perform a subtraction angiography and simultaneousl...

Page 71: ...ting modes can be selected directly at the control panel of the C arm system or in the Examination task card The operating modes can also be selected via the corresponding button on the optional multifunctional footswitch if used The switch from one mode to anoth er is confirmed with a confirmation tone You can then release radiation again right away Register 11 Options Page 8 When an operating mo...

Page 72: ...hy DR Digital Radiography DR provides an electronic instant image with best image quality DR is recommended for final exposures On activation of digital radiography a short radiation pulse is released Press this key Digital Radiography mode is selected The LED lights up In order to ensure sufficient image quality images are completely acquired after the start of acquisition even if no more radiati...

Page 73: ... Press this key again to switch high contrast off High contrast is deselected The maximum radiation time for high contrast is 15 s CFC and PFC During the exposure an acoustic warning signal is emitted At the end of the maximum radi ation time radiation is automatically switched off If the X ray tube overheats high contrast fluoroscopy cannot be selected the overload protection will switch over the...

Page 74: ...e frequency Sometimes the displayed pulse frequency does not correspond to the pulse fre quency defined in the examination program However a highly improbable com bination of settings must have been selected Create user specific exam set for body region All with bones displayed white high dose and PFC 10 p s Now PFC mode and the exam set stated above will be saved in the basic set tings for the Al...

Page 75: ...er flu oroscopy it is recommended that you set the kV just established with the Dose Rate Control Stop key at the start of fluoroscopy Press this key The stop function is switched on the LED lights up Automatic dose control is disabled The keys for kV mA are enabled Setting the X ray parameters manually You can set the kV mA values manually by activating the Dose Rate Control Stop key Press the ke...

Page 76: ...k 2 and k 32 and can be assigned to an exam set and stored IEC 60601 2 7 1998 29 1 103 d Key switch 0 To ensure that radiation is released by authorized personnel only the C arm in cludes a key switch The key switch is located on the left side of the C arm viewed from the direction of travel Prior to releasing radiation turn the key switch to the right until it is horizontal Radiation now can be r...

Page 77: ... side of the C arm system 1 Key for saving images hold down key for 2 seconds and scenes hold down key for 2 seconds 2 Release button Releasing radiation Use the button to release the exposure Radiation is released in the selected operating mode The current radiation parameters are displayed on the control panel of the C arm system During or at the end of the exposure an acoustic warning signal so...

Page 78: ...nel of the C arm system The acoustic warning signal is deactivated Storing images during radiation Press this button on the hand switch during radiation The image currently generated and displayed is saved Register 5 Examination Page 17 Storing images after radiation Press this button on the hand switch Holding the key for 2 seconds saves the image last recorded LIH Holding the key for 2 seconds s...

Page 79: ...ays used to activate fluoroscopy CFC standard set ting The left footswitch is used to activate the currently selected operating mode Exception If fluoroscopy CFC is selected the left pedal is assigned the digital radiography DR mode The functionality of the two pedals can be reversed by Siemens Service upon request Keep the foot pedal pressed during radiation release SIEMENS SIEMENS SIEMENS SIEMEN...

Page 80: ...peration after approx one minute Depending on the configuration it may take longer than one minute for the ARCADIS Varic to be ready for operation again It is possible to switch on again in approx 5 seconds after you used the switch off button even during shut down Switching off simple shut down can be used up to 15 times in a row After the tenth shut off using the OFF button a dialog opens in whi...

Page 81: ...ed off Using the End Software Session menu command or automatically upon 16th switch off using the OFF button the imaging system is completely shut down before it switches off When the ARCADIS Varic is switched on again after a complete shutdown it may take more than 3 minutes depending on the con figuration and previous use for it to reach operational readiness The Restart button in the System Me...

Page 82: ... ARCADIS Varic system as follows Open the monitor trolley drawer partway and press the Reset button on the bottom of the key panel All running processes are aborted and the ARCADIS Varic is shut down Switch the ARCADIS Varic on again and let it boot up completely Now you can either continue using the ARCADIS Varic or shut it down If the ARCADIS Varic is not fully operational despite the reset plea...

Page 83: ...aution In general care should be taken when transporting the C arm system and the monitor trolley Risk of injury to persons and risk of material damage Always be sure to move the equipment slowly and carefully Caution When transporting the C arm system and the monitor trolley in the transport position the floor inclination must not exceed 10 The C arm system can tip over Avoid an inclination angle...

Page 84: ...tion 0 Orbital position 0 Lower the lifting column down to position 2 Page 14 Move the horizontal carriage all the way back Lock all brakes on the C arm Disconnect the power plug Switch off the ARCADIS Varic and wait for it to shut down Pull the power plug out of the wall outlet Pull on the plug not on the cable The ARCADIS Varic can be switched on again after approx 5 s Please note that after fin...

Page 85: ...ral plug is disconnected from the monitor trolley If attached disconnect the grounding cable from the C arm system Rolling up the footswitch cable 1 Rolling up the footswitch cable 2 Footswitch holder Roll up the footswitch cable onto the cleat provided and place the footswitch into its holder When attaching the footswitch please be careful not to kink the cable 2 1 ...

Page 86: ... transverse travel to the right or left Lift the steering lever and turn it in the desired direction The steering lever can be locked into three different positions One is for move ment straight ahead the others for transverse travel to the right or left Move the C arm system by hand If the steering lever is in a transverse position the C arm system moves parallel to the lever position When transp...

Page 87: ...e grips of the monitor trolley Depositing the connection cable Place the rolled up cables on the grips of the monitor trolley Park position of optional monitors 0 1 Height adjustable monitors 2 Toggle switch for height adjustment of the monitors The height of the monitors can be adjusted with the black toggle switch Press the arrow symbol for Down on the toggle switch The monitors automatically mo...

Page 88: ...10 620 30 02 02 System Description When the lowest position has been reached the monitors can be folded Moving the monitor trolley 0 Release the central brake at the front of the monitor trolley see arrow to start moving the trolley ...

Page 89: ... engages Setting the direction of the monitor trolley 0 In order to set the direction of the monitor trolley push the center brake upwards with your foot until it stops engages Warning As long as the brake at the front is not locked the monitor trolley can move freely There is a risk of injury to persons and damage to equipment Lock the brake at the front of the monitor trolley ...

Page 90: ...Operator Manual 44 of 44 SPR2 310 620 30 02 02 System Description ...

Page 91: ...xamination 11 Preregistering a patient 11 Registering a known patient 12 Searching in the Patient Registration window 13 Starting a search 13 Accepting patient data 14 Patient data not recognized 14 Searching in the Patient Browser 15 Completing your entries 16 Resuming a commenced study 17 Configuration of Patient Registration 18 Calling up the configuration window 18 Configuring selection lists ...

Page 92: ...ing and concluding a report 43 Delete data 45 Deleting patient data 45 Protecting data from deletion 46 Removing delete protection 46 Deleting data in the scheduler 47 Patient Browser Configuration 48 Calling up the configuration window 48 General settings 49 Configuring the tool bar 50 Data preview for external media 50 Work status 51 Delete confirmation 52 Tree view 53 Selecting a database and a...

Page 93: ...gency registration This reduces the time before you can begin the examination to a minimum Registration for the examination However if you want to register a patient for an examination you first enter the patient s data or call it up from the database and then examine the patient Preregistration If you want to prepare the system to examine a patient at a later time then you can preregister the pat...

Page 94: ...he Patient Registration window is subdivided into four areas into which you can enter topically coherent data 1 Personal data of the patient PATIENT 2 Hospital specific data HOSPITAL 3 Study specific data PROCEDURE 4 Institution data INSTITUTION The input fields can be adapted by Siemens Service ...

Page 95: ...ing registered a patient for the examination a corresponding dialog box is displayed After radiation has been released again an emergency patient is automatically registered You can register an emergency patient by releasing radiation twice with the hand switch or footswitch Thus en tries at the monitor trolley are unnecessary Provisional patient data The patient is registered with provisional dat...

Page 96: ... Call up Patient Emergency in the main menu The Emergency Registration window opens Click the Exam button in the Emergency Registration window The Emergency Registration window is closed The Examination task card is opened By clicking Cancel you can stop emergency registration at any time e g if you have accidentally called up the Emergency Registration window instead of the Patient Registration w...

Page 97: ... Registration window 0 First finish off or interrupt the current examination Press the key on the symbol keypad The Patient Registration window is displayed Click the Emergency button in the Patient Registration window The Patient Registration window is closed The Examination task card is opened ...

Page 98: ...atory input fields These are emphasized by bold letters sex name patient ID and date of birth Calling up the Patient Registration window 0 The data of a new patient are entered into the empty Patient Registration win dow You can call up patient registration from the Patient menu via icon buttons on the Viewing task card as well as from the Patient Browser Press the key on the symbol keypad Or Clic...

Page 99: ... identification number of your system unique worldwide Enter the personal data of the patient at least the mandatory input fields in the PATIENT area The valid input format for the Date of Birth is displayed in the status line Enter the year of birth using four digits If you do not know the date of birth you can enter the estimated Age The system then calculates a date of birth from the current da...

Page 100: ...om the HIS RIS system option if connected are entered automatically Do not enter any data here After you have registered the patient the data for the upcoming examination can be entered in the Examination task card Institution data 0 In the INSTITUTION area you enter the information about the examining institu tion and the personnel performing the examination This information can be help ful if th...

Page 101: ...ent now The ensuing examination is conducted with the data that you have entered Click the Exam button The Examination task card is displayed Now you can start examining the patient Preregistering a patient 0 You can preregister the patient with the data entered if you want to perform the examination later on You can then access the patient data again when you start the examination Page 12 Click t...

Page 102: ...then start the examination Please note that this is only possi ble if you have already acquired images in the commenced study An empty study cannot be used for registration HIS RIS query If the patient s data have already been entered via a HIS RIS system you can que ry and retrieve the data from the hospital network and transfer them to the sched uler The patient is then preregistered The schedul...

Page 103: ... Starting a search 0 Call up the empty Patient Registration window Enter the data known to you in the Last name and Patient ID fields If you know only part of the name or part of the ID of the patient you are looking for you can use the asterisk as a wildcard It does not matter whether your entries contain upper or lower case letters Click Search The databases of your system are now searched for t...

Page 104: ...d patient for preregistered patients all data entered previously are placed in the Patient Registration window Repeat your search with changed entries and or extend the search to further da tabases Patient data not recognized 0 If a patient is already registered in the local database with Last Name First Name the data may be saved differently in the systems This is not visible to the user however ...

Page 105: ...to the Patient Registration window You can simplify your search by filtering and sorting the patient data Page 28 First select the database from which you want to transfer the patient data Click the required patient entry in the navigation or content area of the Patient Browser or Select the study or studies of the patient that you want to perform or repeat Press the key on the symbol keypad or Se...

Page 106: ...amine the patient next The patient is registered for examination The examination data are transferred to the Examination task card and you can begin the examination Or Click Preregister to preregister the patient The Changing Patient Attributes window is displayed If you have transferred the patient from the local database and made corrections to that patient s personal data this message box appea...

Page 107: ...sume an incomplete study of a patient All newly generated images are appended to the existing study as a new series Call up the Patient Browser Select the relevant study Call up the Patient Registration window Click the Exam button The Examination task card is displayed and you can resume the study ...

Page 108: ...ing the search function as well as the search procedure and display of the search re sults Worklist settings if a HIS RIS system is connected Calling up the configuration window 0 You can call up the configuration window from the syngo Configuration panel Select Options Configuration in the main menu Double click on the Patient Registration icon The Registration Configuration window is displayed w...

Page 109: ...stration you can then make use of these entries In this way you save time dur ing data entry and avoid typing errors Possible selection lists You can change and add to the selection lists for the following input fields if these fields are shown in the Patient Registration window Referring physician Admitting diagnosis Ward Institution name Performing physician Operator ...

Page 110: ...ntries For each selection list you can define whether and which entries are preselected in an input field when you call up patient registration Select No default When you call up patient registration the input field is empty Or Select Use first element as default When you call up patient registration the first entry from the selection list is already in the input field Or Select Keep selection fro...

Page 111: ...30 02 02 21 of 60 Configuring Patient Search 0 In the Searching tab card you can define which databases are to be searched during a patient search after how many hits the search is terminated and what information the search list is to contain ...

Page 112: ... in the past and whose data have not yet been deleted Local archive contains all patients that are stored on the data media currently inserted Select the databases that you want to search during the patient search It is not possible to exclude the scheduler from the search Limiting the number of patients found You can have the search stopped once a certain number of patients have been found Enter ...

Page 113: ... information you have entered in the PATIENT area Appointment data Information about the referring physician and ward from the HOSPITAL area Information about the institution The name of the hospital practice that you have entered in the INSTITUTION area Location The network node where the data of the patient displayed in the search list are stored Enter the column of the search list in which the ...

Page 114: ...ards When to use the Patient Browser To examine a patient who has already been examined once before with your system and whose data are still saved in the local database To view the images of a patient from earlier examinations in order to compare them with current results To comment or postprocess images after an examination To correct incorrect information on a patient stored in your system To a...

Page 115: ...dit the data you have selected using the menus or the icon buttons on the tool bar Navigation area The lower data levels for the selected databases patients studies and series are displayed graphically in the navigation area Information box In the information box you can see brief information about the patient and study selected Content area The content area contains a list of the studies or proce...

Page 116: ...d the patient must be registered again If you have saved the data in an archive on the network they will still be available even after the patient has been deleted from the local database Scheduler The scheduler contains the data of all preregistered patients This database gives you an overview of all patients who have been preregistered for examination Here you can search for patients you want to...

Page 117: ...e databases and on the external data media the patient and examination data are structured hierarchically This structure helps you find examination results quickly 1 Database 2 Patient 3 Examination 4 Series 5 Instances The display of the data levels depends on the configuration ...

Page 118: ...e main menu by selecting Patient Browser Data at the workstation 0 You can search for patient data in the Patient Browser by navigating through the data levels of the window by mouse click or using the keyboard You can speed up your search by sorting the data displayed e g alphabetically by the last name of the patient You can also filter the data displayed and only view a certain subset Opening a...

Page 119: ...abase according to a combination of target items You can call up the Filter Specification window with Options Filter Settings Activating a filter Select one of the filter criteria in the Filter menu of the Patient Browser Or Select a standard filter from the tool bar In the Browser Configuration dialog you can define which filter icons are dis played on the tool bar To open this dialog box select ...

Page 120: ...ing crite ria will be provided Click on one of the sorting criteria offered Data on external exchange media 0 You can import patient and examination data archived or exported onto a data medium in DICOM format into your system into the local database if a drive has been installed and configured appropriately Importing data Insert the required data medium Click on the icon of a data medium in the n...

Page 121: ...uate them on your workstation Calling up Patient Search Call up Patient Search or Click the icon button on the tool bar If you need further data on a patient stored in your local database select the pa tient in the Patient Browser and call up Patient Search Selected The search window will then already contain the search mask for the relevant patient The Patient Search dialog box is displayed 1 Inp...

Page 122: ...rt data Select the required data in the results area or in the image list Click the Import button The selected data are copied from the network node to your workstation and displayed in the navigation and content area of the Patient Browser Caution Receipt of images of a patient listed under different personal data in the local database and on the sending network node e g after patient was renamed...

Page 123: ...cessed Displaying a print preview Display the required patient and examination data in the content area Select Patient Print Preview A print preview of the data list is displayed Print Select Patient Print List or Click Print in the Print Preview The data list is printed on the default printer If you wish to print to another printer select Patient Print You can now change the print settings in the...

Page 124: ...e them from the local database Please note that when deleting large amounts of data part of the system resourc es will be occupied for a while up to 30 minutes for deleting all data with com pletely filled database During this time the system performance during examinations with high image storage rates may be restricted To avoid interfering with routine clinical procedures we recommend that updat...

Page 125: ...nd the cor rected data sets Safety notes for changing data 0 When correcting and rearranging examination data make sure that the images are assigned correctly and these changes are also made on the other network nodes Please terminate the active study of the patient before correcting examination data of this patient Caution Correcting rearranging objects with references References may be lost Rear...

Page 126: ...ialog window Correct Select the patient study series or images that you want to correct in the nav igation or content area of the Patient Browser Call up Edit Correct or Click on the icon button on the tool bar The Correct dialog box opens 1 Name and number of selected data 2 Entry form for correction data divided in data areas 3 Entry cards for details of the individual data ...

Page 127: ... might be dimmed Data marked by cannot be changed When you enter very long comments in the Comment input field only the first part of the text is displayed in the Viewing task depending on the selected lay out A third or fourth comment line is not displayed either Signing for changes Enter your name under Modifier s name Or Select your name in the selection list If you do not specify a name the na...

Page 128: ...ave the corrected patient name the dialog box asks you whether you want to merge the examination data of the two patient entries or not Click on OK All selected data are stored under the corrected patient name Or Click Cancel The correction of the data is canceled No changes are made Caution Patient data are merged Examination data may be assigned to the wrong patient Before confirming the message...

Page 129: ... data hierarchy must be maintained e g a study cannot be subordinated to a series Delete protected data or data currently loaded in an application cannot be edited Moving data Select the study series or images in the Patient Browser Move the selected data to the required position by drag drop The Rearrange dialog box for confirming your changes is displayed Signing for changes Enter your name unde...

Page 130: ...hanges Select the patient study series or image stored in the local database whose history of changes you want to view Call up Edit History Or Click the icon button on the tool bar The Correct Rearrange History window is displayed with a chronologi cal list of changes Depending on the hierarchy level of the selected data different information is list ed in the Correct Rearrange History window If a...

Page 131: ...always check whether the process was carried out correctly irrespective of the work status display Under Transfer Configuration you can specify that data must have reached a cer tain work status before they can be archived and sent Entering the status manually As the user you can set the following entries for studies and series in your local database com Completed ver QA Verified rea Read Select E...

Page 132: ...ation and post processing of the exam ination results the report is updated Before you conclude your work on the examination by archiving check and add missing entries to the performance report Select the patient the study or one of the associated series or images from the Patient Browser Call up Patient Show MPPS Or Click the icon button on the tool bar The Modality Performed Procedure Step windo...

Page 133: ...con sumption and the material into the tables If you want to annotate the applied radiation dose click the Dose card in the foreground and enter the text into the lower Comment field Sending and concluding a report 0 If all data in the performance report are entered correctly you can close the report and therefore also the examination If further working steps are planned you can save the report te...

Page 134: ...nd the examination is concluded A message indicating this is sent to the HIS RIS system if connected You can no longer make changes to the performance report Exiting a report as discontinued Click the Discontinued button The examination is no longer continued The report is also closed with that A message indicating this is sent to the HIS RIS system if connected ...

Page 135: ...age 61 Deleting patient data 0 You can delete existing data in the navigation or content area Select the data you want to delete Call up Edit Delete in the main menu of the Patient Browser or Click on the icon button on the tool bar A dialog box is displayed in which you have to confirm again that you really want to delete the selected data Caution Deleting non archived images Data are irretrievab...

Page 136: ...s includes all lower data levels and the related entries of the higher data levels For example if you protect a study entry you can no longer delete the individual images of that study nor the patient entry Delete protection can be identified by the mark status prot Data that you have assigned delete protection to are protected from both moving and correction Removing delete protection 0 If you wa...

Page 137: ...ou to delete certain scheduler entries in one step Select Edit Clear Scheduler in the menu bar of the Patient Browser The Clear Scheduler dialog box is displayed Select the entries to be deleted by ticking the relevant check boxes Confirm your selection with OK to save your settings and delete the corre sponding procedure steps ...

Page 138: ...archical view of the information levels patient study series instance in the navigation and content area The display of the individual information levels study series instance in the content area The selection lists in the Patient Search window Calling up the configuration window 0 You can call up the configuration window from the syngo Configuration panel Select Options Configuration in the main ...

Page 139: ...ings 0 On the General tab card you can configure the tool bar of the Patient Browser define which work status is displayed for the examination data and set the influ ence of the work status on delete permission And finally here you can establish the links to network nodes ...

Page 140: ...at this step until the Tool Bar contains all the buttons you require Deselect the buttons that you do not require using the Arrow up key Data preview for external media 0 In addition to the list view the data of external media can also be shown as a thumbnail preview The thumbnails are shown in the content area of the Patient Browser Click the check box to activate the thumbnail preview A dialog w...

Page 141: ...r the examination data and in which processing state data is released for deletion Showing work status Select the checkbox for a work status if you want this work status to be dis played in the content area of the Patient Browser Defining delete permission Select the check box of a work status Data without this status cannot be deleted without explicit confirmation in a message box ...

Page 142: ...ven if the data concerned have already reached the work status required for deletion You can activate and deactivate this confirmation in the con figuration Click the Confirm Deletion check box A confirmation box is displayed every time before data is deleted Caution Delete confirmation has been deactivated Potential loss of data Delete confirmation should always be activated ...

Page 143: ... On the Tree View tab card you can define what information is listed in the con tent area of the Patient Browser in the hierarchy levels e g patient You can also hide hierarchy levels in the navigation and content areas and configure the icon display of series and images ...

Page 144: ...heduler The display of preregistered patient data is defined in the Patient Browser Select the data level for which you want to define the entries The names and information that appear on the Tree View card for the different data levels differ depending on the database that you have called up e g Study in the local database corresponds to Procedure in the scheduler ...

Page 145: ...ant to have displayed in the content area Select the entries in the sequence in which you want to have them displayed in the table Click the Down arrow to place the entry in the Heading Settings for the table in the content area Using the Modality selection list you can define the entries depending on the imaging modality or the data type Hiding data levels 0 You can define whether the study serie...

Page 146: ...SPR2 310 620 30 02 02 Patient data Single view 0 In the Single View tab card you can define up to which hierarchy level data are to be displayed if the navigation area is hidden Each data entry is displayed in exactly one line ...

Page 147: ... Select the database that you want to configure from the selection list With the Display Level radio button you can select the data level that you want to have displayed in the content area when switching from Tree View to Single View In single view the content area always shows the same data level ...

Page 148: ...e the data level from which you want to take list entries for the content area in the Heading Pool In the Heading Pool area all the possible list entries from the selected information level are displayed The currently selected list entries are high lighted Making entries Click a list entry in the Heading Pool and use the Down arrow key to move the entry into the Heading Settings Now select another...

Page 149: ...f the Modality and Body Part selection lists are config urable Call up the syngo Configuration Panel by activating Options Configuration in the main menu Double click the Patient Search icon The Patient Search Configuration window appears Select or deselect the desired items by clicking or deselecting the correspond ing check box Click the OK button The settings you have made are saved ...

Page 150: ...Operator Manual 60 of 60 SPR2 310 620 30 02 02 Patient data ...

Page 151: ...tings Extended display mode only 8 Radiation data Extended display mode only 9 Image area 10 Performing the examination 11 Examination settings 11 Basic display mode 12 Body region 12 Starting the examination 12 Extended display mode 13 Medical application area 13 Body region 14 Exam set 15 Operating mode 16 Acquisition 17 Releasing radiation 17 Saving and displaying images 17 Reviewing and storin...

Page 152: ...aying native images 34 Native images during examinations 34 Native images from the database 35 Reports 36 Radiation Summary Report 37 Opening a report 38 Editing a report 38 Printing a report 39 LithoReport 40 Opening a report 41 Editing a report 41 Printing a report 43 Export for statistical evaluations 44 Configuration 46 Calling up the configuration window 46 Configuring selection lists 47 Defi...

Page 153: ... ARCADIS Varic you can use the integrat ed single tank laser targeting device for positioning the C arm Examination settings Before starting surgery please make sure that all the set parameters as well as examination settings in all operation modes are correct Warning Incorrect image position displayed on the monitor Surgical intervention in the wrong position Use lead letters as orientation aids ...

Page 154: ...e observe the relevant system messages Reference images from previous examinations Since permanent network functionality cannot always be guaranteed reference images should be loaded from the network archive before starting an examina tion During examination 0 Prior to the release of radiation check whether the patient is positioned correctly Ensure correct image orientation accurate to side on th...

Page 155: ...elated operating and program parameters It is also used for acquiring images and dis playing current images and examination data Layout of the Examination task card 0 The task card is displayed on the left monitor the so called live monitor 1 Menu bar 2 Status bar 3 Control area shown here with maximum functionality in the Extended dis play mode 4 Image area ...

Page 156: ...ation task card The navigation system sends a message to the C arm system signaling readiness for receiving images The C arm system receives the message identifies the sending navigation system and responds At this moment communication between the two systems is activated and the NaviLink 2D icon appears in the status bar of the Examination task card As soon as the communication connec tion is ter...

Page 157: ...rmed with the standard exposure parameters of the body region to be examined In the Extended display mode the full functionality of the user interface is shown This allows for detailed examination settings with additional information displayed You can switch between the two display modes at any time with the Basic Extended button 1 Control area in the Basic display mode 2 Control area in the Exten...

Page 158: ...ntrol area shows a schematic virtual patient anatomy for selecting a body region VPA Virtual Patient Anatomy The display is available in both dis play modes Selection area for examination settings Extended display mode only 0 The selection area for examination settings offers several selection lists that can be opened by using arrow symbols 1 Selection list of medical application areas 2 Selection...

Page 159: ...alled As an alternative Display of air kerma values The cumulated air kerma value is identified by a preceding dot The reference location for determining the air kerma strength with the optional dose measurement chamber is 30 cm in front of the image intensifier input The reason for this convention is that in typical applications the object to be ex amined is located approximately 30 cm in front o...

Page 160: ...e con figuration see Register 6 Image Processing Page 78 1 Information on kV and mA 2 Window value and LUT information Live images As soon as the exposure i e radiation starts the current fluoroscopic images live images are displayed in the image area of the Examination task card Last Image Hold LIH The last fluoro image Last Image Hold is displayed in the Examination task card as soon as the expo...

Page 161: ...cy patient in the local database Examination settings 0 In the Examination card standard exposure parameters for the medical applica tion area Ortho Trauma are already preset If these settings are appropriate for your examination you can start the exposure immediately on the ARCADIS Varic Page 17 To examine other body regions you must first select them in the Examination task card You can use the ...

Page 162: ...the simple display mode Click here to switch from the expanded to the simple display mode Body region 0 Selecting a body region Click on the body region that you want to examine The activated body region is highlighted in a light color Deactivating the selected body region Click in the area outside of all body regions The deactivated body region is displayed in the original color Or Click on anoth...

Page 163: ...tion of the exam set thereby setting the dose 4 Selection of the operating mode thereby loading the parameter settings of the associated operating program Activating the expanded display mode Click here to switch from the simple to the expanded display mode Medical application area 0 First select the scheduled medical application area You can configure which application area is automatically selec...

Page 164: ...g the VPA Virtual Patient Anatomy Selecting a body region Click on the body region that you want to examine The activated body region is highlighted in a light color Deactivating the selected body region Click in the area outside of all body regions The deactivated body region is displayed in the original color Or Click on another body region that you want to examine If no body region is selected ...

Page 165: ...able only if you have to adapt the dose to the particular anatomical conditions of the patient e g very slim or obese patients Use the selection list to select another exam set dose program if necessary With Reduced Dose you set the minimum dose rate which provides a sat isfactory image quality for the selected body region If you change the exam set the fluoroscopy mode is automatically set Even i...

Page 166: ...is displayed as a symbol in the control area Using the footswitch the operating mode can be changed temporarily depend ing on the pedal actuated Register 3 System Description With an additional operating element on the optional multifunctional footswitch you can select the operating mode permanently Register 11 Options Page 8 During the exposure the Examination task card always shows the symbol of...

Page 167: ...stored during the examination Images which you later want to print to a local printer must be saved during the examination Frequent activation of the Save button during fluoroscopy can delay the storage process Storing images during radiation Press this key on the control panel of the C arm system or Press this key on the hand switch The current image or the subtraction image in Sub Roadmap mode i...

Page 168: ... basic tools for optimizing the image display of the Examination task card Edge enhancement 4 levels Selection of LUT steps on monitor A Enlarging reducing the image During an examination single frames and scenes can automatically be loaded into the References card Page 31 Changes in edge enhancement only affect the left monitor the image is displayed with an enhanced or less enhanced edge The ref...

Page 169: ... speed matches the storage rate Review at half double speed Pause Previous next frame If Autoloop is configured in the exam set used review of the scene is started automatically at the end of radiation Storing the scene Prerequisite Scene review has been stopped Select Patient Save LSH Scene from the main menu or Press function key F9 on the keyboard The last 120 images are stored in the local dat...

Page 170: ...ly finished Finishing an examination Call up Patient End Exam in the main menu or Press function key F4 The examination is concluded Patient and examination data are deleted from the Examination card If the MPPS option is installed the Modality Performed Procedure Step window for performance documentation is now displayed automatically Register 4 Patient data Page 42 Examining the next patient Cal...

Page 171: ...perimposition in real time Progression The subtraction angiography is divided into three phases Phase A Time until the mask is completed permanently defined Phase B1 The time from the inject display on the monitor up to when the injection medium has reached the area to be examined Phase B2 Time of the actual exposure of the examination region If Auto Save is activated in the configuration menu you...

Page 172: ... Native task card is placed into the foreground Release radiation with the hand switch or with the assigned footswitch During the generation of the mask the native image is displayed on the right monitor Inject the contrast medium as soon as the syringe symbol appears on the screen Keep the radiation release button pressed until the vessel is filled with contrast medium On the left monitor you can...

Page 173: ...tioned is superimposed by current fluoroscopic images phase C Generating a new fill image If there is no suitable subtraction mask e g from a previous subtraction angiog raphy you have to generate a new fill image Prerequisites The patient to be examined has been registered Make the necessary settings for the examination Page 11 Set the Roadmap mode in the Examination task card or by pressing the ...

Page 174: ... can now start positioning the cath eter If you press the RoadMap key twice the existing subtraction image is discarded You will then have to regenerate the fill image Positioning the catheter Release radiation with the hand switch or with the assigned footswitch The live image is displayed on the left monitor Position the guide wire or the catheter under fluoroscopic control The right monitor sho...

Page 175: ...ains the Examination and Viewing task cards The right monitor is used to display reference images and contains the References Native for the Subtraction option and Filming option task cards Reference images The References task card is used to display specific images during an examina tion Reference images may be preoperative images incl images of other modalities e g CT MR images of current examin...

Page 176: ...Operator Manual 26 of 52 SPR2 310 620 30 02 02 Examination Layout of the References task card 0 1 Menu bar 2 Image area 3 Control area with subtask cards ...

Page 177: ...refer to Register 6 Image Processing Page 5 Using the View Image and Tools subtask cards you can easily change the dis play of reference images and perform measurements if necessary The Tools subtask card is available if your ARCADIS Varic includes the Measure angles and distances option This button copies the currently displayed image to the Filming task card From there you can send it to a conne...

Page 178: ...e Image subtask card you will find tools for image processing Tools subtask card The Tools subtask card contains buttons for image evaluation Division of the screen Single view 4 1 9 1 and 16 1 Image stripe display stripe Image stack display stack Reduce image size to half factor 0 5 Zoom in to double image size factor 2 0 Zoom and pan Angle Distance Calibration ...

Page 179: ...lley in the Viewing and References task cards During an examination you can use the control panel of the C arm system to control the individual functions of the References task card Operation at the monitor trolley 0 You can load images of completed examinations from the Patient Browser into the Viewing task card and then into the References task card Images from the hospital network e g archive c...

Page 180: ...d in the control area of the References task card to change the display of loaded images Holding a reference image 0 The Hold Reference function allows you to select a particular image and then record it on the right monitor In the Options menu of the Examination or Viewing task card select Hold Reference The image is recorded on the right monitor The menu entry is marked with a check mark Enable ...

Page 181: ...will then be automatically transferred to the References task card see Register 6 Image Processing Page 77 Transferring images manually 0 As soon as you save an image it is displayed on the right monitor in the References task card Frequent activation of the Save button during fluoroscopy can delay the storage process In this case an image other than the one last saved may be displayed If this hap...

Page 182: ...en single frame and multiple frame display Selection of LUT steps on monitor B Print Printout of one or several reference image s on the local printer If single frame display is selected the image displayed on the right monitor is printed If multiple frame display is selected the images selected on the reference monitor are printed individually Printing does not take place immediately Images are f...

Page 183: ...rovides the Subtraction operating mode option The Native task card allows you to have subtraction images shown on the left monitor and simultaneously displayed as native unsubtracted images on the right monitor Layout of the Native task card 0 1 Image area for displaying native images 2 Control area with patient folder and status bar ...

Page 184: ... click the Native tab on the right monitor The Native task card is placed into the foreground Start your exposures with the hand switch or the footswitch on the C arm sys tem Each new exposure is simultaneously displayed as a native image on the right monitor and as a subtraction image on the left monitor Saving an image When an image is saved it is automatically transferred to the References task...

Page 185: ...task card by using the Patient Browser Select Sub Sub Native Display in the main menu of the Viewing task card or Click this button in the Sub subtask card In the Viewing task card the subtraction images are displayed on the left monitor In the Native task card the corresponding native images are displayed on the right monitor Closing the patient After finishing your evaluation of patient images c...

Page 186: ...ings All processes related to reporting are recorded in the audit trail This applies to generating opening and editing a report as well as to printing reports and export ing statistics Formats Reports are saved in two different formats This allows them to be opened in dif ferent applications Secondary Captures SC Allows loading into Viewing for example PACS compatible Structured Report SR Data for...

Page 187: ... examination duration and dose The generation of this report is a fully automatic process 1 Icon buttons printing a report 2 Generation status EXAMINATION REPORT Treatment in process report is being generated POSTPROCESSING REPORT Treatment is finished the report has been completed and stored and can be postprocessed 3 Work status and verification status 4 Content area ...

Page 188: ... Browser Or Select the report in the Patient Browser Select Reporting Open Report or click the relevant button in the tool bar of the Patient Browser The selected report is opened Editing a report 0 Apart from the work and verification status no changes are required in the Radiation Summary Report The other entries can therefore not be edited Setting the status The status for the postprocessing re...

Page 189: ...Select Reporting Print Preview in the menu of the Patient Browser The print preview of the report is displayed Here you can scroll through the individual pages and check the entries Print Select Reporting Print in the menu of the Patient Browser or Click this button in the report window or in the print preview The Print Report dialog box is opened Here you can make the necessary print settings and...

Page 190: ...pter is connected to the C arm system Part of the data are automatically recorded during treatment Any other data can be added and postprocessed by you at any time 1 Icon buttons printing a report 2 Generation status EXAMINATION REPORT Treatment in process report is being generated POSTPROCESSING REPORT Treatment is finished the report has been completed and stored and can be postprocessed 3 Work ...

Page 191: ... for another patient Double click the required report in the content area of the Patient Browser Or Select the report in the Patient Browser Select Reporting Open Report or click the relevant button in the tool bar of the Patient Browser The selected report is opened Editing a report 0 The content area of the LithoReport is subdivided into 4 cards in which you can add any missing information relat...

Page 192: ...ready contains the permanent examination data in particu lar relating to radiation Here you can enter additional information on the exami nation and treatment Click the Summary card into the foreground The patient data are automatically transferred from the registration Enter the missing data in the active fields Click Apply Entering follow up data On the Follow up card you enter the measures to b...

Page 193: ... button is enabled only if the patient has been closed Printing a report 0 You can display a print preview of the completed report or send the report to a connected printer straight away Calling up the print preview Select Reporting Print Preview in the menu of the Patient Browser The print preview of the report is displayed Here you can scroll through the individual pages and check the entries Pr...

Page 194: ... different programs e g Microsoft Excel A report can be exported only if it has reached the status completed and verified Opening the export dialog window In the export dialog you define the criteria for the comparison data The program then searches the local database for all reports meeting these criteria In the Viewing task card open the LithoReport for which you want to compile comparison data ...

Page 195: ...rs as filter criteria Enter the name of the output file in the Result field Click Export Statistics The data search is started and the file is exported A progress bar informs you of the progress of the export process Click on Close The dialog box closes The export process is continued in the background until it is successfully completed ...

Page 196: ...can call up the configuration window from the syngo Configuration Panel Select Options Configuration from the main menu Double click the Structured Reporting button The Structured Reporting dialog is displayed Configuring the LithoReport To configure a LithoReport you perform settings on the following cards Parameter sets Here you define the contents of different selection lists Stone locations He...

Page 197: ...er for which you want to configure the selec tion list In the right list you can see the currently available selection possibilities for this parameter Using the icon buttons above the list you can adapt the list to your requirements If necessary select the list entry that you want to edit and click on the icon of the required function Symbol Comment Inserts another list entry Deletes the active l...

Page 198: ...re displayed Every position is marked by a small square You can give a name to each of these locations Click the Stone locations card into the foreground Click on the square of the position to be named If this position has already been named the name will be displayed in the entry field Enter a suitable name Proceed in the same way to name the other positions you require ...

Page 199: ...s three subcards that you can access using the tab at the left hand edge Defining default print settings Click the General subcard into the foreground Select the required printer from the Default printer selection list Select the required paper size from the Default papersize selection list The default print settings on the General subcard are valid for the LithoReport and the Radiation Summary Re...

Page 200: ...fine when a report is to be shown automatically Click the Litho subcard into the foreground Check the check box after creation if you want the report to be displayed automatically after it has been generated Check the check box after end examination if you want the report to be dis played automatically at the end of the examination ...

Page 201: ...ck the Options card into the foreground The General subcard is opened The default print settings on the General subcard are valid for the LithoReport and the Radiation Summary Report Page 49 Printing the Radiation Summary Report automatically Click the Rad Sum subcard into the foreground Check the check box Print after end examination if you want to print the Radiation Summary Report automatically...

Page 202: ...n Applying configuration settings 0 After you have made all the required settings you apply them to your system Click OK to apply the settings and to close the configuration window Or Click Apply to apply the settings without closing the configuration window ...

Page 203: ...splaying and hiding graphic elements 18 Scrolling and selecting images 19 Scrolling 19 Scrolling image by image 20 Scrolling page by page 21 Scrolling from series to series 24 Scrolling from study to study 24 Sequence for displaying images 24 Selecting images 25 Working in the input focus 25 Selecting images explicitly 27 Selecting direct image processing 29 Viewing images in movie mode 30 Editing...

Page 204: ...cal background 58 Achieving exact covering of image and mask 59 Saving transferring documenting closing images 61 Save images 61 Restoring image display 63 Archiving sending or filming images 64 Archiving images 64 Sending images DICOM option 65 Filming Images 66 Transferring images to the References task card 67 Closing the patient 68 Viewing configuration 69 Calling up the configuration window 6...

Page 205: ...arest way for your diagnostic problem Processing and evaluating images On the Viewing task card you can then process and evaluate the images You can change window values zoom pan rotate and flip images You can add comments to relevant image parts You can measure and evaluate distances and angles in images Images that are loaded into the Viewing task card can also be loaded into the References task...

Page 206: ...ask card the task card moves into the foreground You can however switch to other applications at any time and resume image processing on the Viewing task card later The Viewing task card is divided into four areas 1 Menu bar with specific entries for viewing and processing images 2 Status bar for system messages 3 Control area 4 Image area ...

Page 207: ...yed on one page in a format large enough to show all details Image text and graphic objects In the Viewing task card medical images can be supplemented with graphic elements or texts Control area 0 In the control area you will find the tools you need to select image material arrange the screen display and process images Here you can also control data exchange with other parts of the program and ac...

Page 208: ... Basic display mode 2 Control area in the Extended display mode Patient information 0 In the upper part of the control area you can see the names of the patients whose images are currently loaded in the Viewing task card In the Viewing task card you can manage up to three patients 2 1 ...

Page 209: ...sferring image data and switching to other applications View subtask card The View subtask card shows keys for setting up the layout the Basic display mode only has the first row of keys Division of the screen full screen 1 1 4 1 9 1 and 16 1 Image stripe display stripe Image stack display stack Showing hiding image text Showing hiding graphic elements and comments ...

Page 210: ... Tools subtask card The Tools subtask card includes keys for image evaluation and commenting the Basic display mode only has the first row of keys Use a shutter Magnifier Insert an annotation into the image Angle option Distance option Distance calibration option ...

Page 211: ...ol keys for image editing the Basic display mode only has the first row of keys Switch brightness contrast characteristic LUT to previous and next Reduce and increase edge enhancement Inverting gray scale values Reduce an image by factor 0 5 Enlarge an image by factor 2 0 Zoom or pan the image Rotating an image ...

Page 212: ...btask card optional The Sub subtask card is only available with the Subtraction option Pixelshift Auto Pixelshift Change the mask and Dual Channel Mode Sub Native Display Subtracted image on monitor A left Native image on monitor B right Display the anatomical background ...

Page 213: ...0 30 02 02 11 of 78 Movie subtask card The Movie subtask card contains control functions to play a scene as a movie Start review speed matches the storage rate Review at half double speed Pause stop Previous next frame Show previous next scene ...

Page 214: ...of 78 SPR2 310 620 30 02 02 Image Processing Other control functions The keys in the lower segment of the control area have the following functions Copy an image into the References task card Reset all Copy to film sheet ...

Page 215: ...arch for patients studies series or individual images and load them into the Viewing task card Calling up the Viewing task card 0 As soon as you have loaded images into the Viewing task card the task card moves into the foreground You can however switch to other applications at any time and resume image processing on the Viewing task card later Click the Viewing tab on the left hand edge of the sc...

Page 216: ... Or Click the Load To Viewer button Or Select Patient Load To Viewer Or Drag your selection onto the Viewing task card with the mouse drag drop The image data are loaded into the Viewing task card The Loading Progress window is displayed If you transfer further images of a patient who is already loaded in the Viewing task card the new images are attached to the existing ones Images of series or st...

Page 217: ...study one after the other image by image Select View Image Stripe Or Click the Image Stripe button in the View subtask card Image stripe display is activated You see the images of the first loaded series displayed in the image area from top left to bottom right Selecting image stack display 0 If you want to compare the images of various series of one study you best select stack display Select View...

Page 218: ...e area Switch to a large format display with just a few images on the screen if you want to see diagnostic details Select a small format display to obtain an overview Select a layout in the View menu Or Select a layout with the buttons on the View subtask card When you select a new layout the division of the image area is changed but the sequence of the images displayed remains the same ...

Page 219: ...be shown by default Page 78 Text blocks The information displayed is arranged in blocks around the edge of the image according to its content 1 Patient and study data 2 Hospital system information 3 Image specific settings incl kV and mA 4 Image comment 5 Window values and edge enhancement Especially with a small format layout the images displayed can become cluttered by image text You can then de...

Page 220: ...ing and hiding graphic elements 0 Like text information you can have graphics e g distance lines and annotations displayed or hidden Click the Hide Graphics button in the View subtask card Or Select View Hide Graphics in the menu bar The graphics and annotations are hidden ...

Page 221: ...and symbol keypad Depending on the processing stage and working method you are accustomed to you can select your individual way of working In the stack display you can simultaneously browse through several image stacks in the monitor split settings 4 1 9 1 and 16 1 When doing this it may be possible that you reach the end of one or several stacks while in other stacks there are more images left e ...

Page 222: ... scroll with the mouse Scroll from image to image in a stack with Image or Image just like in image stripe display Or Click on the outer triangle 1 or on the inner triangle 2 You scroll forward or backward by one image If you want to scroll through a stack of images very quickly click on a dog ear and hold the mouse button down Scrolling through several stacks image by image Press the Ctrl key and...

Page 223: ...t Scroll Last Page You jump to the last page of the current patient folder Select Scroll First Page to jump back to the first page of the current patient folder You jump to the first page of the current patient folder The first image of the series is displayed in the top left segment of the image area Scrolling page by page with the keyboard Press the Image up key You scroll forward by one page Pr...

Page 224: ...he scroll bar 1 Scroll arrow for first page 2 Scroll symbol for previous page 3 Scroll arrow for previous page 4 Slider 5 Scroll arrow for next page 6 Scroll symbol for next page 7 Scroll arrow for last page The position of the slider only refers to the specific series through which you are currently scrolling and not to all images currently loaded in the Viewing task card ...

Page 225: ...he scroll symbol for the previous next series You jump from the beginning end of the series to the end of the previous series beginning of the next series scrolling across series If you are in the middle of a series you first jump to the beginning end of the current series Drag the slider up or down with the mouse until the page you require is dis played The page number is also displayed If you cl...

Page 226: ... image scroll symbols in the scroll bar Scrolling from study to study 0 The image area of the Viewing task card contains all the images of the loaded studies and series provided they all fit on one screen page As soon as you have loaded the images the images of the first study are dis played starting at the top left Select Scroll Next Study or Scroll Previous Study in the main menu You page forwar...

Page 227: ...ssing explicitly holding the Ctrl key down explicitly selected images are shown with a continuous border implicitly by working in the input focus Working in the input focus 0 The Input Focus shows the active segment of the image area It is marked by a broken line border i e it is selected implicitly Default input focus When you load images onto the Viewing task card the input focus is in the defau...

Page 228: ...he arrow key left or right The input focus is moved to the next column of the image area Or Press the arrow key up or down The input focus is moved to the next row of the image area If an image or a graphic is selected explicitly the arrow keys are not active Processing an image As long as you have not selected any images explicitly your processing steps are applied to the image in the segment tha...

Page 229: ... Ctrl key and click on an image with the left mouse button The image is selected explicitly Hold the Ctrl key down and click on further images if you want to extend your selection Several images are selected explicitly one after the other Selecting images explicitly up to the end of series Click on the image that you want to select explicitly holding the Ctrl key down or set the input focus by cli...

Page 230: ...citly Hold the Ctrl key down and click on individual images of the required series Call up Edit Select Series in the main menu Several series are selected completely Deselecting images If the explicit selection of images does not contain the set of images you require you can deselect individual images or all images Place the input focus on an unselected segment manually with the mouse by clicking ...

Page 231: ...mouse is automatically applied to the image segment on which the mouse cursor is located Setting the input focus Place the mouse cursor on an image which is not selected and edit the image for example by windowing The input focus is placed on this image If graphics were previously explicitly selected in the input focus they remain explicitly selected ...

Page 232: ...Filming mode is only active if you set the layout one image per page Movie mode is displayed on a large image segment The images included in a movie are always from a single series You can control the movie mode with the Movie subtask card or the options of the Scroll menu Image text and graphic objects are not displayed during movie replay Scrolling a single image In the movie segment you can scr...

Page 233: ... the button Start Movie Real Time does not react three patients are loaded in Viewing a fourth patient is being registered and a scene multiframe object is being recorded You have the following possibilities to optimize movie display and set the speed according to your requirements slowly real time fast Select Scroll Realtime Movie or click the button The film is started with the original frame ra...

Page 234: ...p button The running movie is stopped If you continue playback of the movie it will start from the beginning again There is no indication where the film was stopped Storing the scene Scenes of a current examination that have not yet been saved can be stored using the Last Scene Hold function Prerequisite Scene review has been stopped Select Patient Save LSH Scene from the main menu or Press functi...

Page 235: ...f individual images In this way you can emphasize areas and image contents for subsequent evaluation or reporting You can adapt the window values of the loaded images You can enlarge seg ments and display regions of interest in the center of the screen You can also rotate flip or invert images for certain diagnostic problems Extreme window values can impair image quality With scenes the image proc...

Page 236: ...ow width you define how many gray scale values above and below the center value you want to see The smaller the window width the higher the contrast Windowing of color images is not possible Displaying window values You can see the window values set in the bottom right hand corner of the images 1 W Window width Contrast 2 C Window center Brightness Assigning fixed window settings LUTs 0 Some imagi...

Page 237: ...tton down The mouse cursor disappears Drag the mouse up or down The window center brightness is changed Or Move the mouse right left The window width contrast is changed As soon as you release the mouse button the new window values are also applied to all the other selected images or the selected scope of action The changed window values are displayed immediately in the image interactive windowing...

Page 238: ...ton The contrast is reduced or increased in small steps Or Keep the Width or Width button pressed The contrast is reduced or increased in larger steps Setting the brightness Press the Center or Center button The brightness is reduced or increased in small steps Or Keep the Center or Center button pressed The brightness is reduced or increased in larger steps Restoring window values 0 Select Image ...

Page 239: ...r can be set within a range of 0 to 100 in 10 incre ments Select one or more images or series Click the Edge Filter Next button on the Image subtask card or Select Image Edge Filter Next The image is displayed with enhanced structures The higher the filter setting the more structures are enhanced and the less they are smoothed Click the Edge Filter Previous button on the Image subtask card Or Sele...

Page 240: ...arly interested in zooming If the enlarged image then no longer fits in the segment you can pan it until the relevant area is in the center of the segment again Zooming images 0 The Viewing task card provides you with several possibilities of enlarging or reducing images Displaying images in double size half size Select the images that you want to edit ...

Page 241: ...age Processing ARCADIS Varic SPR2 310 620 30 02 02 39 of 78 Click the Zoom Out By 0 5 button The zoom factor of an image is halved Or Click the Zoom In By 2 0 button The zoom factor of an image is doubled ...

Page 242: ...he cursor changes shape Drag the mouse cursor up with the left mouse button pressed The image is enlarged Or Drag the mouse cursor down with the left mouse button pressed The image is reduced As soon as you release the mouse button the new zoom factor is applied to all the selected images or the selected scope of action When zooming make sure you do not accidentally click on a graphic element Othe...

Page 243: ... now switched from Select to Zoom Pan Now place the mouse cursor in the center part of the image To pan the content of the image press and hold the left mouse button while dragging the mouse upward downward to the left or to the right You can immediately see the result of your mouse movements in the image on which the mouse cursor is located When panning make sure you do not accidentally click on ...

Page 244: ...the Magic Glass Zoom button on the Tools subtask card Click on the selected image with the left mouse button A rectangular image is displayed with zoom factor 2 0 In this window the enlarged area of the image around the position of the mouse key is dis played Move the mouse key in the segment The content of the magnify window is automatically updated Switching off the zoom function Select Tools Ma...

Page 245: ...scale images are displayed dark and dark areas are displayed bright The gray scale assignment in the LUT look up table is inverted Select the images that you want to edit Select Image Invert Gray Scale or Click the Invert Gray Scale button on the Image subtask card To reset the original view select Image Invert Gray Scale again ...

Page 246: ...ou can rotate the image freely to the left or to the right Place the mouse cursor at the edge of the image and rotate the image to the required position by using the mouse As long as you keep the left mouse key pressed the rotation angles are displayed in the lower control area The first angle indicates by how many degrees the image had already been rotated with reference to the original image The...

Page 247: ...78 Flipping images 0 The Flip function allows you to easily compare images of series that were ac quired in a different patient position or direction of examination Flipping images vertically Select the images that you want to edit Select Image Flip Vertically ...

Page 248: ...Operator Manual 46 of 78 SPR2 310 620 30 02 02 Image Processing Flipping images horizontally Select the images that you want to edit Select Image Flip Horizontally ...

Page 249: ... must calibrate the image When calibrating measuring and interpreting values please note that the acquired images are only a two dimensional display of three dimensional objects Performing a calibration A calibration object with known measurements e g length diameter is nec essary to define the longitudinal scale The calibration object must be perpendicular to the central beam and within the area ...

Page 250: ...ton to finish the line The distance line is displayed The Calibration dialog box is displayed Enter the distance in cm Confirm with OK Distance calibration is performed and the calibration factor is displayed in the image Distances already drawn in the image are updated Canceling calibration Click Cancel The previous calibration factor is maintained Deleting the distance line Select Edit Remove Ca...

Page 251: ...ear the edge of the image take into account that the I I distortion will result in measurement errors These depend on the I I format With full format the error of measurement is comparatively large whereas it is considerably smaller with an increasing zoom factor Drawing a distance line Call up Tools Distance or Click on the Distance button of the Tools subtask card The cursor changes shape Place ...

Page 252: ...se cursor on a starting point for the first leg The cursor changes shape Drag a line to the end point of the first leg holding the left mouse button pressed Draw the second side in the same way The two legs of an angle are assigned the same number so you can distin guish several angles unambiguously As soon as you start drawing the second leg the angle is calculated and dis played The two lines be...

Page 253: ...her location Switching the angle direction You can also have the complementary angle displayed difference of 180 angle measured Select the angle Select Other Angle from the context menu right mouse button The angle is now measured counterclockwise and the new value is dis played 1 Angle between the legs 2 Complementary angle If the angle approximates to 90 180 270 it is not clear whether the angle...

Page 254: ...ts are hidden The image text with the scale remains visible To unhide the graphic elements click View Hide Graphics again Delete Graphic elements can be deleted jointly or individually from the image in the following ways Select one or several Ctrl key graphic elements Or Open Edit Select All Graphics to delete all graphics Press the Del key on your keyboard or Select Edit Delete Graphics or Selec...

Page 255: ...erent shutters in different frames of a scene the shutter in the first frame is taken into account Setting a shutter Call up Tools Shutter or Click on the Shutter button on the Tools subtask card Place the mouse cursor in the area of the image that you want displayed The cursor changes shape Hold the left mouse button pressed and drag out a rectangle for the shutter By clicking on the border of th...

Page 256: ...phic elements they may not be hidden menu View Hide Graphics Otherwise the shutter cannot be transferred to the film sheet and printing is impossible Removing the shutter Click on the border of the shutter The shutter is selected Press the Del key on your keyboard The image is displayed in its original size again Images of a scene always have the same shutter If they are moved or resized that chan...

Page 257: ...ng images 0 You can anchor image text with a special image detail Call up Tools Annotation Arrow or Click on the Annotation Arrow button on the Tools subtask card The cursor changes shape Click into the image where you want to place the annotation and draw an ar row keeping the left mouse button pressed The text cursor is at the end of the arrow Enter the desired text The following special charact...

Page 258: ...n be moved as required Click on the text with the left mouse button The text is marked by small squares Drag the text to the new position Editing text Previously entered image annotations can be changed at any time Double click on the text with the left mouse button The text is marked by small squares The text cursor is at the beginning of the text Now change or add to your text You can finish tex...

Page 259: ... discerned clearly When the SUB Roadmap option is installed the following functions are available to optimize subtraction images Anatomical background Pixelshift Loading and displaying images 0 Native images from previous examinations acquired in the Subtraction mode op tion or Roadmap mode option are stored in the local database or in your archive together with the subtraction images Both image t...

Page 260: ...vious mask Select Sub Mask Previous in the main menu of the Viewing task card or Click this button The previous mask is selected Adding the anatomical background 0 Normally the anatomical surroundings of vessels of interest are not visible in images that are displayed subtracted By adding the mask image the surrounding tissue can be highlighted more or less The initial degree of admixture is defin...

Page 261: ...ction image is achieved Automatic pixelshift Define an area ROI for which pixelshift is to be optimized The ROI can be defined in one image or in a series of images in a stack The best result is automatically calculated for this area Manual pixelshift Click this button The button is displayed selected The mouse pointer changes shape arrow Move the mouse cursor in the image keeping the left mouse b...

Page 262: ...ck this button The button is displayed selected The mouse cursor changes into a rectangle Move the rectangle to the position in the image where misalignment is most evident Click this position in the image The mask is moved so that subtraction for the area within the rectangle is optimized ...

Page 263: ... the original image in the transfer We strongly recommend that you include original images in your diagnostic considerations which should not be based solely on edited or modified images Save images 0 Once you have finished processing and evaluating the images save your results You can save your images in one of two ways You can save the processed images in a new series You can add the images to a...

Page 264: ...he original images of the study Click the Save images in new series option in the Save As dialog box Enter a new description for the series in the text input field Confirm with OK The images are saved in a new series Appending images to an existing series If you do not want to create a new series for your processed and evaluated images you can append them to an existing series Click the Append ima...

Page 265: ...apply the values that were set when you last saved the selected image in question This will also reset any image evalua tion steps e g shutter or measurements that were performed after the relevant image was last saved Select the images in the image area of the Viewing task card Select Edit Reset all or Click this button All selected images are reset to their original state before they were pro ce...

Page 266: ...a to an archive via the network only DICOM option Please note that CDs DVDs are not archive media Saving and keeping data on CD DVD R does not comply with archiving requirements For images of a subtraction or Roadmap study you can select whether you want to send native images or only the subtracted images Select the images that you want to archive Select Transfer Archive to The Archive To dialog b...

Page 267: ...s of a subtraction or Roadmap study you can select whether you want to send native images or only the subtracted images Send images to node 1 Select the data that you want to send Select Transfer Send to Node 1 The data are sent to the selected address Sending images to a specific network address Select Transfer Send to Select the required network address es in the Send To dialog box Click Send Th...

Page 268: ...this button All the selected images are transferred to the virtual film sheet Filming task card or Film Preview window There you activate the Auto Expose option and the images are exposed on film or printed on paper as soon as the film sheet has been filled or they are first collected in a film job Exposing images on film Patient images that you have collected in a film job can be printed or expos...

Page 269: ...ask card 0 In the Viewing task card you can transfer images to the References task card Select the images or series you want to process in the Viewing task card Select Patient Copy to Reference Monitor or Click this button The images are copied to the References task card Register 5 Examination Page 29 ...

Page 270: ...d images of another patient for postprocessing When closing the patient the error message Unloading of patient data failed may appear This happens if more than 320 images of a study are being unloaded In this case a restart must be performed Automatic slot diaphragm calibration When a patient is closed the slot diaphragm is automatically recalibrated in order to ensure increased accuracy of the fu...

Page 271: ...Presettings for saving Sub Roadmap image data Standard layout of the image area of the References task card Behavior of reference images during loading Settings for image text display configuration via image text editor Calling up the configuration window 0 You can call up the configuration window from the syngo Configuration panel Select Options Configuration in the main menu Double click the Vie...

Page 272: ...ied The Viewer Configuration dialog window is closed Or Click Apply The changes of the current card are applied The Viewer Configuration dialog window remains opened The changed settings are automatically applied the next time you load data into the Viewing task card the next time Resetting to default settings Click Reset to Default The values of the current card are reset to standard values The V...

Page 273: ... full screen This is the most suitable layout for detect ing diagnostic details For overview purposes you can set a layout with several images per page 4 1 9 1 or 16 1 Changing the size of the layout Click the Layout card into the foreground Select the size of the layout from the selection list After the images have been loaded into the Viewing task card they are displayed in the selected layout s...

Page 274: ...can view the loaded series of a study one after the other image by image Or Click the Stack option All images of a series are now arranged in a stack one on top of the other Or Click the Unchanged option All images are displayed in the type of layout that was used last Gallery is the default setting for the layout type ...

Page 275: ...ine and 50 characters The entered texts are available for selection if you have enabled the Tools Annotate function in the Viewing task card and then click into the image with the right mouse button Creating a new text Click the Annotation card into the foreground Click on the Paste button Double click the empty box Enter the new text Click on the Paste button or press the Enter key The new annota...

Page 276: ...sting text Select a text in the list of annotation texts Click on the Delete button The selected text is deleted Moving texts Select a text in the list of annotation texts Click on the Move up button or Drag drop the text to the requested position The selected text is moved up one line Or Click on the Move down button or Drag drop the text to the requested position The selected text is moved down ...

Page 277: ...hese can also be viewed in non Siemens systems Subtraction functions can no longer be performed with these data export for Native Image Display Native images are saved These can also be viewed in non Siemens sys tems export as Raw Data The original data set is saved It can be post processed in other ARCADIS systems or in systems with subtraction functions Native Image Display is the default settin...

Page 278: ... the Monitor split button at the C arm system is pressed Click the Ref Split card into the foreground Select the size of the layout from the selection list Loaded images are displayed in the selected layout size in the References task card when the Monitor split button is selected on the C arm system You can set the following layout sizes 4 1 9 1 16 1 The standard setting for the layout size is 4 ...

Page 279: ...ee Register 8 Configuration Page 13 The Ref Loading card lets you determine which data are to be automatically transferred to the References task card Click the Ref Loading card into the foreground Click the Single Frame Images check box Automatically saved individual images are always loaded in the References task card Click the Multi Frame Images check box Automatically saved multiframe images s...

Page 280: ... in the syngo Configuration Panel In the View Name selection list select the basic format for which your con figuration settings apply Select either All Text or No Text By default all available image texts or no image text are is displayed or Click on the option field Customized Text Select the desired information in the left selection area By default the selected image texts are displayed All ent...

Page 281: ... Correcting the film size 18 Viewing and processing film sheets and images 19 Film preview 20 Calling up the film preview 20 Basic functions 21 Changing default settings 24 Processing a film sheet 25 Processing film jobs and film sheets 26 Calling up the Filming task card 26 Selecting a film job 27 Selecting film sheets and images 28 Reorganizing film sheets 31 Editing images 32 Changing film sett...

Page 282: ...ctions 64 Archiving Data 65 General safety information 65 Archiving in the network option 67 Exporting data 68 General safety information 68 Backup on local data media 69 Media for saving data 69 Inserting and ejecting media 70 Storing on multi session media 71 Sending patient data in the network option 73 Sending data to a standard address 73 Sending data to other addresses in the network 74 Impo...

Page 283: ... transfer 88 Creating and editing rules 89 Infinite loops 91 Deleting rules 91 Local Devices 92 Defining the use of storage capacity 93 Setting data compression for storing 94 Defining the work status for storing 95 Network Nodes option 96 Setting data compression for sending 97 Setting retries 97 Defining the work status for sending 98 ...

Page 284: ...Operator Manual 4 of 98 SPR2 310 620 30 02 02 Documentation ...

Page 285: ...so obtain information about the extent to which film jobs in the camera printer queue have been executed in the Film Task Status dialog box and inter vene in the sequence of execution Film preview Images in film jobs are not immediately printed or exposed on film but are first transferred to a virtual film sheet In the Film Preview window you can see how the images will later be arranged on the ex...

Page 286: ...ages directly to a camera printer or you can perform additional processing steps first If a local printer is connected you can print individual images on paper or X ray film directly in the OR Page 11 Scenes multiframe objects with more than 1023 images cannot be sent to a DICOM camera Image material can be printed or exposed on film either automatically or manually Manual filming You transfer ima...

Page 287: ...tically output on camera or printer Automatic Exposure function We recommend keeping Automatic Exposure always switched off This way radiation release will not be impeded by images being printed out during the examination Instead the images to be printed will first be collected in the virtual film sheet They can be edited after the examination and manually sent to the printer ...

Page 288: ...default film settings default layout you can change individual film settings using the virtual film sheet The current film job is then processed with your new settings For the next film job the system will use the default settings again Study specific layouts In the Configuration of the Filming task card you can define special film set tings for individual studies and series Whenever you film or p...

Page 289: ...s in the queue or if you want to process the images again before filming switch to the Filming task card The Filming task card is divided in four main areas 1 Menu bar with menu entries for filming 2 Control area allowing easy access to processing functions 3 Display of the film sheets virtual film sheet 4 Status bar for system messages ...

Page 290: ...eue that have not yet been sent to the camera or printer you can use the Film Preview window 1 Maximize to Filming task card 2 Film jobs 3 Display of film sheets 4 Spin box for selecting the number of copies 5 Buttons for film control and delete button The Film Preview window can be opened only from the Patient Browser by selecting Patient Film Preview ...

Page 291: ...es that you can choose from selection lists as well as the specified paper film size were set up Note that you can only print on the paper film size that was configured for the respective output device Transferring images to the virtual film sheet 0 Images can be transferred for printing from different applications via the control panel on the C arm system or at the monitor trolley At the C arm sy...

Page 292: ...he Patient Browser opens Select the images for filming in the navigation or content area Or Load the series or study containing the images that you want to film into the Viewing task card Register 6 Image Processing Page 13 Select the images for filming in the image area Transferring Images Select Patient Copy to Film Sheet Or Click the Copy to Film Sheet button Or Press the Copy to Film Sheet key...

Page 293: ...the virtual film sheet If a fourth film job is transferred to the film sheet the No More Film Jobs Available dialog box appears This situation can usually only occur if the Automatic Exposure option is deacti vated for the film jobs as recommended The film jobs then remain in the virtual film sheet until you send them to filming manually and thus complete them You must first expose print or delete...

Page 294: ...aced in its position in the virtual film sheet Deleting a selected film job Click Delete The selected job is deleted and the new job is placed in its position Merging film jobs Click Merge The images of the new film job are appended to the end of this old film job The film job remains in the virtual film sheet as a multiple film job until you trans fer it to the camera or printer Page 5 ...

Page 295: ...d completely to the virtual film sheet it can immediately and automatically be transferred to the camera printer We recommend keeping Automatic Exposure always switched off This way radiation release will not be impeded by images being printed out during the examination Instead the images to be printed will first be collected in the virtual film sheet They can be edited after the examination and m...

Page 296: ...et is transferred If the last film sheet is only partially filled then the configuration settings deter mine when it is sent to be filmed Page 54 Automatic exposure off Deselect Options Auto Expose Or Click the active Auto Expose button Aborting automatic exposure If errors occur during automatic filming or you notice that defective images have been filmed printed you can abort automatic exposure ...

Page 297: ...amera or printer Or Click the Expose Film Task button All images of the film job are transferred to the camera If you only want to expose a single film sheet instead of a whole film job then select the desired sheet in the Filming task card or in the Film Preview window and expose it from there Page 19 Caution The printed flag is set as soon as the images are successfully transferred to the printe...

Page 298: ...og box Select Patient Expose Film Task The Select Film Job dialog box is opened Select a job Click Expose Correcting the film size 0 If the film size set for the film sheet waiting to be exposed printed is not support ed by the selected camera the Incorrect Film Size dialog box is displayed Selecting a different size Select the film size configured for the camera printer from the selection list Co...

Page 299: ...re finally printing them or expos ing them on film Film preview If you want to obtain a quick overview of the film jobs in the queue that have not yet been sent to the camera or printer you can use the Film Preview window Filming task card If you want to organize individual film sheets of the jobs in the queue more effi ciently and clearly or if you want to process the images again before filming ...

Page 300: ...Film preview 0 In the Film Preview window you can also access some basic functions for film ing without having to switch to the Filming task card Calling up the film preview 0 Select Patient Film Preview in the Patient Browser The Film Preview window is displayed ...

Page 301: ... The film job is opened Scroll through the display area Using the dog ears in the top right hand corner you can scroll through all the film sheets of the film job Click once on the outer triangle The film sheet is paged forward Or Click once on the inner triangle dog ear The film sheet is paged backward Film task status Click the Film Task Status button Or Select Patient Film Task Status The Film ...

Page 302: ...ion Click the Auto Expose button Or Select Options Auto Expose The opened film job is automatically exposed Exposing a film job Click the Expose Film Task button Or Select Patient Expose Film Task The opened film job is transferred to a camera printer Caution Using paper printouts for diagnosis of AX CT and MR images Wrong diagnosis possible Only use film material and cameras printer appropriate f...

Page 303: ...Select a film sheet Call up Film Expose Film Sheet Only the selected film sheet is processed Incorrect film size If the film size set for the film sheet waiting to be exposed printed is not support ed by the selected camera the Incorrect Film Size dialog box is displayed Select the film size configured for the camera printer from the selection list Confirm with OK Filming is resumed ...

Page 304: ...int on the paper film size that was configured for the respective output device Changing film settings Click in a segment or on the border of the film sheet or Select the film job Select Film Properties The Film Properties dialog box is opened in which you can change a number of layout settings for filming Or Right click in a segment or on the border of the film sheet Select Properties from the co...

Page 305: ... so that no empty segments remain Or Select Film Clear Document s The image is deleted The following images do not move up Enter Film Repack Your film material is now used more efficiently Adding images If you have opened the Film Preview from the Patient Browser window you can add further images to a film job Select Film New Film Sheet An empty film sheet is added to the end of the film job Selec...

Page 306: ...ing card Calling up the Filming task card 0 The Filming task card is in the stack of task cards on the right hand monitor Click the Filming tab Or Maximize the Film Preview window The Filming task card is placed in the foreground As soon as you transfer images to the virtual film sheet Print button at the C arm control panel or Copy to Film Sheet menu item at the monitor trolley the Filming task c...

Page 307: ...film job on the virtual film sheet a patient folder with the designation New is displayed Opening a film job Click on a film job The film job is opened The patient folder opens up and the color of the folder remains unchanged Selecting an entire film job Click again on the opened film job All the film sheets with all images of this job are selected The folder icon is now highlighted blue and all t...

Page 308: ...ng a film sheet Click on the border of the film sheet All the segments of the film sheet are now shown with a clear border Deselecting a film sheet Click outside the film sheet with the left mouse button Or Select a single image another film sheet or another film job Your selection is canceled Selecting multiple selection You can also select several film sheets at once Click on the border of the f...

Page 309: ...ndividual images of a film job The Input Focus shows the active segment of the image area It is marked by a dashed border and shows you which image is currently being processed Click on another image with the left mouse button to place the input focus on another segment Or Move the input focus using the arrow keys on the keyboard ...

Page 310: ...n Succeeding The selected image and all the following images are now selected Selecting a complete series explicitly Click on the image of the series that you want to select holding the Ctrl key down or use the input focus Select Edit Select series The whole series is now selected explicitly Deselecting images Hold the Ctrl button pressed Click on an explicitly selected image again Or Select Edit ...

Page 311: ...led Copying images or film sheets First select the images film sheets that you want to copy Select Edit Copy Select the image in front of which you want to insert the copies Select Edit Paste from the main menu All the copied images are inserted in front of the selected segment The image of this segment is moved back in the film job Moving images or film sheets Select the image or the images that ...

Page 312: ...ues that were permanently stored with the image data e g with imported images The images acquired at the system do not support different window values the buttons are then deactivated dimmed Select one or more images or work in the input focus Click Window 1 or Window 2 The windows are assigned the values of the first or second stored window Zooming and panning images Click the Zoom Pan button Or ...

Page 313: ...film layout is defined This layout contains all the settings required for filming If these presettings are not suitable you can change the following on the Filming task card or in the Film Preview dialog Select another camera or printer Change the number of copies Change the layout of the film sheets Change the image text and graphic display ...

Page 314: ...he foreground or Select Film Change Camera The Change Camera and Film Size dialog box is displayed Select a camera or printer from the list Under Film Size select the film size configured for the camera printer The newly selected camera or printer will then become the default camera or printer These default devices will be used as long as you have not selected an other camera or printer In the Sta...

Page 315: ...images of a film job Select an entire film job The layout is changed for all sheets of this job Or Select a film sheet The layout is changed for this single sheet only Or Select individual images or work in the input focus The format for the relevant images is changed Changing the layout Click the Layout subtask card on the Filming task card into the foreground Click the button for a film layout T...

Page 316: ...erties in the main menu or Properties in the context menu right mouse button The Film Properties dialog box is opened Select a division in the Division selection list If the film sheet division is different for the selected images or film sheets the Division selection list is empty ...

Page 317: ... Filming task card you can change the aspect ratio of individual images in your segments and define wheth er and how text and graphics are to be printed or exposed on film Click the Images subtask card into the foreground or Call up the Film Properties dialog box The settings of the currently selected images are displayed The dots in the radio buttons are displayed gray if the settings of the imag...

Page 318: ...e size of the segment Select one image several images or the entire film job Click the Fit to segment button Or Select Fit to segment in the Film Properties dialog box The images are displayed as large as possible in the segment without any parts of the image being cut off ...

Page 319: ...lick the Clip document button Or Select Clip document in the Film Properties dialog box Rectangular images can be increased so that the shorter side of the image fills the segment Parts of the longer side of the image are cut off upper and lower edge of the image or the sides of the image ...

Page 320: ... option in the Film Properties dialog box The images are displayed in the segment in their original size max 1 tol erance the dimensions on the screen and on the printout are the original ones If it is not possible to display images in the Original Image aspect ratio 1 1 scale a message is displayed and the Fit to segment option is selected instead ...

Page 321: ...box All text information about the images is displayed in the segments and later filmed or printed together with the images Click the No text button or Select the No text option in the Film Properties dialog box All text information in the segments is hidden Click the Customized text button or Select the Customized text option in the Film Properties dialog box Only part of the text information is ...

Page 322: ...e g ROIs and annotations displayed or hidden Click the Show Graphics button or Select the Show option in the Film Properties dialog box The graphics e g ROIs and annotations are displayed Click the Hide Graphics button or Select the Hide option in the Film Properties dialog box The graphics e g ROIs and annotations are hidden ...

Page 323: ... camera printer A queue of jobs waiting to be executed will be formed Display in the status bar During the filming process the status bar displays icons that tell you whether errors have occurred during filming The status of the printer is not shown on the status bar Action Symbol Camera in operation Film exposure interrupted Output of warning messages ...

Page 324: ...led information about the filming process You can stop the entire queue trigger it again and repeat or delete indi vidual film jobs Calling up the Film Task Status dialog 0 Select Patient Film Task Status Or Click the Film Task Status button Or Click an icon for local data transfer in the status bar The Film Task Status dialog box is displayed ...

Page 325: ...of a camera is displayed The camera whose queue is being displayed is highlighted in a different color Displaying the queue of a printer Click on one of the printer icons The print job control box is displayed Here you can manipulate the print jobs for the selected printer by using the menu entries of the Windows XP operating system ...

Page 326: ...bs You can stop jobs with the Queued or Printing status at any time for example to insert a new film Select one or more jobs having the Queued status Click Stop All film jobs of this queue are stopped Stopped status In the job being filmed a sheet that has been started will still be completed All the follow ing film sheets will not be processed Resuming jobs Once your camera is ready again you can...

Page 327: ...m and has the Printed status Click Repeat The job is assigned the Queued status and is copied to the end of the queue Deleting jobs You can delete film jobs that are listed in a queue regardless of their status Select one or more jobs or Click Select All Click Delete The selected jobs are deleted If you delete a job that is being exposed the sheet that has been started will still be completed but ...

Page 328: ...d status If several jobs are classified as urgent they will be processed in the order listed Selecting another camera You can select a new camera for one or more film jobs Select one or more film jobs Click the Change Camera button The Change Camera dialog window is opened Select a new camera from the selection list You cannot redirect film jobs with the Printing status i e jobs that are being pro...

Page 329: ...witched off to another camera Click the camera icon The queue of the camera is displayed Click the Change Camera button The Change Camera dialog window is opened Select a substitute camera from the selection list Close the Change Camera dialog box The queue of the camera is redirected to the substitute camera The redi rected queue is marked with the note redirect in the header of the dialog box ...

Page 330: ...queue is now assigned to the original camera again The original device designation is again displayed in the header of the Film Task Status dialog box If you shut down the system before all the film jobs in a queue have been exe cuted they will remain in the queue After rebooting the system the film jobs are displayed in their old status again Exception Active film jobs for the local printer will ...

Page 331: ...can adapt the standard lay out and create new layouts that are tailored to individual studies In the Filming Study Layout configuration window you can assign specific layouts to individual studies Calling up the configuration window 0 You can call up the configuration windows from the syngo Configuration panel Select Options Configuration in the main menu Double click the icon of the Filming Layou...

Page 332: ...During installation of your system some study specific layouts are also installed and assigned to individual studies or series This has the advantage that a suitable film layout is always used for these images You can adapt the default settings to your requirements by creating a new study specific layout and assigning it to a study or changing an existing layout Select the layout that you want to ...

Page 333: ...s of the standard layout in the Film Task or Series cards and change it to meet your requirements Click the General Default button The standard settings are entered in gray in the radio buttons and check boxes of the corresponding tab cards Settings that you have changed are shown black so that you can distinguish them from the default settings ...

Page 334: ...ution of a film job Determining a film job Select the New film job by patient option A film job contains only the images of one patient Or Deselect the New film job by patient option Multiple film jobs are allowed Selecting a new film sheet Select the New film sheet by option Empty rows in film sheets are permitted Select an option e g Study A new film sheet is started for each study ...

Page 335: ... image or all images n 1 of a film job are to be copied in the virtual film sheet and therefore exposed printed Selecting the number of copies Define the number of copies Selecting a film size In the Film size selection list select the film size configured for the camera printer The entries offered depend on the cameras and printers Selecting segment lines Select the Segment lines option The image...

Page 336: ...xposed or printed Selecting the film sheet division In the Layout divisions selection list you define the required number of columns and rows for a film sheet The division is shown in a diagram in the display window Selecting the orientation Select portrait for exposing on film printing on paper Or Select landscape for exposing on film printing on paper ...

Page 337: ...rinting Click the Copy series option Copies of the series are generated Activate the Interleaved option The copied series is inserted Or Activate the Appended option The copied series is appended to the end Selecting the display Activate the Keep visible part option The image is displayed in the segment with maximum size without being cropped This is the default Or Activate the Original Image opti...

Page 338: ... Linking layouts to a study or series 0 In the Filming Study Layout window you can assign a specific layout to a study or series This can either be a layout you have created yourself or a layout that was created by Siemens Service when your system was configured ...

Page 339: ... selecting a study or series stored in your system and the layout required and then linking the two Select the required film layout Click the symbol in front of a study The associated series are displayed Click a series or study Click the down arrow button The layout is assigned to the selected study or series ...

Page 340: ...Series linked to selected layout list Click the up arrow button The study series is now assigned the standard layout again Deleting a layout 0 Since your system can store and manage up to 100 layouts you should regularly delete those film layouts that you no longer require for the sake of clarity Select a layout that you no longer require from the Film layouts selection list Click the Delete Layou...

Page 341: ...CD DVD R for short term storage or transfer If your system is connected to a network you can send patient and examination data to other workstations via the network using the Send to function Importing data from archive media If you need archived data again at a later date you can reimport them with the Patient Browser Automatic transfer To make your working routine more effective you can also hav...

Page 342: ...other workstations Send to 5 Receiving from other workstations 6 Exporting to a directory on the local hard disk USB drive Export to Off line 7 Importing from a directory on the local hard disk USB drive Import from Off line Please remember that not all transfer options may be available on your system The devices and network nodes available depend on the individual configuration of your system and...

Page 343: ... data medium to another they must first be imported into the main database Scenes multiframe objects with more than 1023 images cannot be written to CD exported to an offline directory or sent to a DICOM network node Patient Browser If you want to archive or transfer patient or examination data you usually select them from the local database of the Patient Browser Task cards You can also select in...

Page 344: ...of your system Buttons Depending on your configuration you will find different buttons for starting trans fer quickly and easily in the control area of your task cards You will also find a series of icon buttons in the tool bar of the Patient Browser with which you can start transfers 1 Import data 2 Storing data to a specified default CD DVD R 3 Storing data to a selectable local data medium CD D...

Page 345: ... or sending data an acknowledgement of receipt is sent from the destination address back to your computer Storage Commitment This status is shown in the Patient Browser for the respective data objects with markings The following markings are used with Storage Commitment AC Archived and Committed SC Sent and committed However the flags do not confirm successful long term archiving on the receiver s...

Page 346: ...t technical advancements it may not be possible to implement storage and access for the required archiving period with a single storage tech nology and type of medium Hence migration of data may be necessary under the responsibility of the operator of the digital archive Caution CD DVD R media used for data storage can be damaged or rendered unread able Loss of data Local media should be configure...

Page 347: ...n is of relevance for archive nodes Destination Name of the archive Compression Method by which data are compressed Quality factor Quality factor with which the data are compressed Select the data that you want to archive Call up Transfer Archive To The dialog box Archive To is displayed The available archive nodes and drives are displayed Select the required archive from the list Click on Archive...

Page 348: ...es you can release radiation in fluoroscopy mode However radiation may be disrupted Moreover the export process of subtracted images to CD DVD R is interrupted during radiation release and other compute intensive processes e g play LSH Images are in those cases stored as raw data You are therefore urgently advised to start write processes outside of examina tion hours e g at the end of the office ...

Page 349: ... to a medium memory utilization and compression Data media ARCADIS Varic supports the following media types for saving data DVD R minus R and CD USB stick If other media is accidentally used e g DVD R or DVD RW this may impair functionality Data are archived to a central archive via the network The archive can use other data media Handling of data media Please pay attention to the instructions of ...

Page 350: ...ct Transfer Eject from CD DVD The drawer slides out Place the CD DVD in the drawer with the label facing up Press the eject button on the drive The drawer with the CD DVD is retracted Ejecting medium from the drive If there is a CD DVD in the drive the drive slot cannot be opened using the button on the actual slot Always remove the CD DVD from the drive using only in the Transfer Eject from CD DV...

Page 351: ...e DICOM viewer also allows you to store imported image information in the AVI Bitmap and JPEG file formats It is currently not possible to display com pressed data on the DICOM viewer Selecting data Usually you export the data to CD DVD R from the Patient Browser where you can simply select the required data objects Make sure that the correct CD DVD R is in the drive Open the Patient Browser Selec...

Page 352: ...g data in the Correct dialog box Insufficient memory available If the storage capacity of the CD DVD R is not sufficient the message Not enough space on CD DVD is displayed If you want to change the CD DVD R for example to insert a new unrecorded CD DVD R click Eject Finalizing the medium Once all desired data have been written to the CD DVD it is best to finalize the medium This prevents the data...

Page 353: ...m to other users in your DICOM network whenever necessary Sending data to a standard address 0 During installation Siemens Service can configure various network nodes e g Node 1 and Node 2 as standard addresses in the network Select the data that you want to send Press the Send to Node 1 key on the symbol keypad Or Call up Transfer Send to Node 1 or Transfer Send to Node 2 or Click the relevant bu...

Page 354: ...at you want to send Select Transfer Send to or Click this button The Send To dialog box is displayed with a list of all available network addresses 1 Network Node Name of the network node receiver name 2 Compression Compression method by which the data are prepared for faster transfer 3 Quality Factor The quality factor states the image quality of the compressed data com pared with the original da...

Page 355: ...ive external hard drive USB stick and import them from there Please note that the DICOM Viewer will not be saved in the file system during exports If you save data to a USB storage medium please take care that it is not unplugged during the storage process Danger of data loss Image formats The following formats are supported for exporting DICOM format ima Windows Bitmap bmp Importing images is onl...

Page 356: ...ection list Select drive F to select an inserted USB stick Extend the path if necessary To select or create a subdirectory add the subdirectory path to the prompted path separated by up to 8 subdirectory levels are possible from the root direc tory You can also select a directory on another computer in the network In this case you must enter the path as computer_name directory Please make sure tha...

Page 357: ...function has been successfully performed Selecting image text graphic Check the corresponding check boxes The image text and the graphic are burnt into the image and exported with it If you have selected DICOM format the image text and the graphic is also export ed as it is included in DICOM format i e Export functions in the dialog window are disabled Export anonymously Click the anonymously chec...

Page 358: ...e system 0 You can import individual images from specific released directories of the system hard disk or USB drives or import them into your local database across the net work Calling up the import dialog Select Transfer Import from Off line The Import from Off line dialog box is displayed ...

Page 359: ...cking on a folder and using the higher level folder button All directories starting with the configured root directory are accessible Enter a file name You can specify several files at once using the wildcard Or Select the file s in question from the directory You can select several files at once with the left mouse button using Shift and Ctrl Confirm with OK Or Double click the relevant file The ...

Page 360: ...s outside of examination hours e g at the end of the office day In exceptional cases emergencies you can release radiation in the Fluoroscopy operating mode However radiation may be disrupted Recording files Select Transfer Record Off line Files in the main menu Recording is started in single session mode Note that the CD DVD R and the Local Job Status clipboard must be empty Recording can be star...

Page 361: ... how the queue is executed Display in the status bar During data transfer icons are displayed in the status bar which tell you what operation is currently being executed or whether an error has occurred in at least one job If an error occurs during data transfer an error message appears on the status bar together with the appropriate icon Action Not active Active Errors Storing Exporting Importing...

Page 362: ...for data exchange through the network If your system is closed down during an archiving job the number of remaining images displayed in the Job Status dialog boxes may be incorrect when you restart the system Jobs with the status Error Receiving or active import jobs or Spooling are no longer displayed after a restart Calling up local jobs 0 Select Transfer Local Job Status Or Click an icon for lo...

Page 363: ...n ARCADIS Varic SPR2 310 620 30 02 02 83 of 98 Calling up network jobs 0 Select Transfer Network Job Status Or Click the status bar on an icon for remote data transfer The Network Job Status dialog box is displayed ...

Page 364: ...ou want to change the CD DVD R before processing the jobs Select one or more jobs having the Queued status Click Stop The selected jobs and all other queued jobs with the same destination address are now no longer started automatically Resuming jobs Jobs with Stopped or Failed status can be resumed at the point at which they were stopped only for archive and import processes listed in the Local Jo...

Page 365: ...s Click Restart The jobs are restarted their status is now Active or Queued Deleting jobs You can delete jobs that are listed in the job status windows provided they do not have the status Receiving Recording or Spooling Select one or more jobs Click Delete These jobs will no longer be executed and they will be removed from the job list For technical reasons large jobs will remain in the job list ...

Page 366: ...Job Status dialog box no more than one job per destination address Select one send job that is to be executed first Click Urgent The send job in the queue is then started immediately after the active jobs Clearing a job list Entries having the status Completed Received or Error can be removed from the job list Click Clear The jobs are removed from the job list ...

Page 367: ...d sending of examination data Compression of data during storing export and sending Work status required for storing data and storage capacity on data media Calling up the configuration window 0 You can call up the configuration window from the syngo Configuration panel Select Options Configuration in the main menu Double click on the icon of the Transfer configuration window The Transfer Configur...

Page 368: ...s Data that have reached the status stated here are automatically stored or sent via the network 4 Objects Here you can see to what kind of data the rules refer i e images series 5 Destination In this column you can see to which drive or to which network address the data are automatically transferred 6 Marked A checkmark in this column indicates that only marked data are automatically transferred ...

Page 369: ... a new rule Creating rules You can create a rule for automatic data transfer by combining attributes from the selection lists in the lower segment of the dialog window The selection lists contain the following special entries Selecting None in these selection lists means that an auto transfer route is valid if the according attribute is empty Selecting Ignore means that the status is not relevant ...

Page 370: ...er should always be configured at instance level Click this check box if you want to limit the data transfer to marked and or filmed printed images Other images will not be transferred automatically even if the transfer rules have been met Activating rules Click on the Activate transfer rule check box The selected rule is active and used for starting automatic data transfer jobs Shut down the ARCA...

Page 371: ...end all data received to computer 3 3 Rule on computer 3 Send all data received to computer 2 As soon as computer 2 receives data for the first time these data are sent back and forth in a loop between computers 2 and 3 Deleting rules 0 Rules that will not be needed again for automatic data transfer can be deleted instead of just deactivating them Select the rule that you want to delete from the l...

Page 372: ...Operator Manual 92 of 98 SPR2 310 620 30 02 02 Documentation Local Devices 0 On the Local Devices card you define the default settings for storing and export ing data on the data media ...

Page 373: ... over two data media or not if possible Click on the option field Keep all objects The data of one patient are always stored contiguously on one data medium Or Click on the radio button Maximize media usage The examination data of one patient are distributed over two or more data media This will make optimum use of the storage capacity of the data media Keep all objects for one patient on one medi...

Page 374: ... for which you want to define data compression Select under Compression type whether and how the data is to be com pressed State under Quality Factor 1 100 the remaining image quality in as compared with the original material The quality factor can be specified only in the Lossy JPEG setting Which quality factor is acceptable to you will depend on your requirements JPEG compression is indicated in...

Page 375: ...ched a warning will be dis played before data transfer starts Use the radio buttons to define the work status required as a prerequisite for storing The Verified and Read options apply to the study and series levels only If you select the Unspecific option you can store data of any work status without confirmation Click on the Printed check box if necessary Images must have been printed filmed at ...

Page 376: ...k Nodes option 0 On the Network Nodes card you can define the default settings for sending data in the network For each network address you can specify the compression type and quality factor if necessary as well as rules for repeated send attempts and the work status ...

Page 377: ...ransmission in the network they can often be reme died with a repeated attempt You can set how many times and at what interval attempts are to be repeated Enter the number of retries or click on the arrows Possible values 0 to 5 default 0 Enter the time interval between the attempts Possible values 5 to 60 min default 10 min The number of new attempts is displayed in the window Network Job Status ...

Page 378: ...status for sending 0 Here you can select the work status that patient and examination data must have reached before they can be sent If this work status is not reached a warning is displayed before sending With the radio buttons specify the work status desired for sending Page 95 ...

Page 379: ...aging examination sets 6 Displaying a list of examination sets 6 Available active examination sets 8 Setting defaults 9 User defined examination sets 10 Configuring the operating programs 13 The Common tab card 14 The Fluoroscopy tab card 15 The Digital Radiography tab card 17 The Subtraction tab card 18 The Roadmap tab card 20 The LUT Data tab card 21 The Edge Filters tab card 23 ...

Page 380: ...Operator Manual 2 of 24 SPR2 310 620 30 02 02 Configuration ...

Page 381: ...task card These default settings are used for the examinations of body regions Administration activating deactivating creating and deleting of exam sets This determines which exam sets are available for the examination In the Extended display mode of the Examination task card these entries are shown in the selection lists of the control area The administration of exam sets is done in the Examinati...

Page 382: ...sets 4 Area of active examination sets 5 Operating programs with the parameter settings specific to the examination set in the individual operating modes Applying changes Once you have changed the settings of the examination sets you must confirm your entries Click this button Your changes are applied to the ARCADIS Varic system The configuration dialog remains open for further entries Or Click th...

Page 383: ...iguration window The Basic Mode Configuration window appears Every line contains the current default settings for a body region Changing default settings Select the application area examination set and operating mode for each body region from the corresponding selection lists Only application areas relevant to the corresponding body region are displayed When the application area is changed another...

Page 384: ...SUB Roadmap option If the option is not activated the Examination Set Configuration will not con tain a configuration card for this option and the application area cannot be select ed in the Examination task card Displaying a list of examination sets 0 When editing examination sets first select the medical application area and after wards the body region All valid examination sets for this combina...

Page 385: ...the required body region in the Virtual patient anatomy The activated body region is highlighted In the lower area of the Examination Set Configuration dialog window the examination sets which are especially designated for this body region are displayed Or Click next to the Virtual patient anatomy to select the body region All None of the body regions is highlighted A medical application area does...

Page 386: ...on lists of the control area Activating exam sets You can activate further examination sets by moving them from the selection pool to the active pool Click an examination set in the Examination Set Pool area Click this button or Drag the examination set into the Active Examination Sets list using the mouse The examination set is available for examinations in the selected applica tion area for the ...

Page 387: ...ing defaults 0 In the case of examinations you perform in the Extended display mode of the Examination task card you initially select the medical application area and the body region A certain examination set is then selected automatically as a default for this combination The default examination sets can be defined in the Examination Set Configuration dialog window Click on the desired examinatio...

Page 388: ...age 13 Creating exam sets Select the set you want to use as a template from the active or selectable examination sets Click this button or Select Copy As in the context menu of the name entry for the examination set The Copy As dialog box is opened In the center area select another medical application area and or another body region if applicable The default settings are the same data as those of ...

Page 389: ...The new name is accepted and is displayed in the examination set lists The standard examination sets delivered with the system cannot be renamed shown in italics Deleting exam sets Select the examination set that you want to delete Click this button or Select Delete in the context menu of the name entry for the examination set A dialog window is displayed which prompts you to confirm deletion Clic...

Page 390: ... an examination set should only be performed by experienced medical staff If the examination or operating parameters have been modified a test pattern should be generated In this way the new parameters can be verified Select the examination set whose operating parameters you want to change Click this button or Select Edit in the context menu of the name entry for the examination set The Operating ...

Page 391: ...ab cards you can specify the parameters of the operating program in the respective operating mode In addition some parameters may be common to several operating modes of an examination set e g edge enhancement They are available on other tab cards that are independent of the operating mode The parameters for the Fluoroscopy Pulsed Fluoroscopy and Digital Radiography modes are configured for every ...

Page 392: ...ters Select the required new parameters from the selection lists Click this button Your changes are applied to the ARCADIS Varic system The configuration dialog remains open for further entries Continue configuring the next operating mode on the corresponding tab card or Click this button The dialog box closes Parameters Remarks Black Offset Native possible values 200 to 900 Black Offset Native Me...

Page 393: ... area Parameter settings You can change the following parameter on the tab card of the individual area Parameters Remarks Noise Reduction Parameter sets for noise reduction and or motion detection are possible Noise Reduction Low Noise Reduction Low is always less or equal to noise reduction Noise Reduction LIH Special noise reduction factor for LIH image to guarantee appropriate image quality eve...

Page 394: ...ropriate image quality even with short time release off no noise reduction k 2 k 4 k 8 noise reduction on with selected k factor with PFC for pulse rates 2 p s only Autostore off no automatic storage last last image is stored all all images are stored Storage Rate f s only if Autostore all Setting in frames s Autoloop Check box for activating automatic play back of a sequence of images at the end ...

Page 395: ...the tab card Parameters Remarks Dose Level Possible values medium high Noise Reduction Parameter sets for noise reduction and or motion detection are possible Noise Reduction Low Noise Reduction Low is always less or equal to noise reduction Bone Display Possible values white black Autostore Check box for activating deactivating automatic storage of images ...

Page 396: ...ists Click this button Your changes are applied to the ARCADIS Varic system The configuration dialog remains open for further entries Continue configuring the next operating mode on the corresponding tab card or Click this button The dialog box closes The Subtraction tab card 0 This tab card is available only with the Subtraction option ...

Page 397: ...utton The dialog box closes Parameters Remarks Opacification Possible values min max Dose Level Possible values medium high Landmark With the slider 0 to 30 in steps of 5 Bone Display Possible values white black Autostore off no automatic storage Phase B1 phase B2 saves only images of the respective phase all all images are stored Duration Phase B1 Disabled if Autostore off other wise enabled Stor...

Page 398: ...tness values and automatic vessel contour detection fails Parameters Remarks Opacification Possible values min max Dose Level Possible values medium high Landmark With the slider 0 to 30 in steps of 5 Bone Display Possible values white black Autostore off no automatic storage all all images are stored Storage Rate f s Only if Autostore all Setting in frames s Autoloop Check box for activating auto...

Page 399: ...ding tab card or Click this button The dialog box closes The LUT Data tab card 0 The specified Look up Tables LUTs are valid for those operating modes of the current examination set which generate display native images If the SUB Roadmap option is enabled additional LUTs look up tables can be selected for those operating modes of the current examination set that generate display subtracted images ...

Page 400: ...oved to the LUT pool Thus it is inactive Defining the LUT default settings The first LUT value in the Active list is set as default Use the Default buttons to define a different LUT value as default value Select the value you want as default in the right column active LUTs Click this button The default LUT value is displayed in bold on the list Saving parameters Click this button Your changes are ...

Page 401: ...ancement values can be selected for those operating modes of the current examination set that gen erate display subtracted images Parameter settings The entries on the lists of available or active edge enhancement values are defined as follows Up to 4 edge enhancement values can be activated including off You can switch between them using the edge enhancement key on the C arm system Entry Remarks ...

Page 402: ... moved into the column of active values and is thus available via the respective key Deactivating edge enhancement values Select the value that you want to activate in the right column active edge en hancement value Click this button The edge enhancement value is moved to the edge enhancement pool Thus it is inactive Saving parameters Click this button Your changes are applied to the ARCADIS Varic...

Page 403: ...ength 9 Maximum air kerma strength 10 Notes concerning electromagnetic compatibility EMC 11 Guidelines and manufacturer s declaration Electromagnetic emissions 12 Guidelines and manufacturer s declaration Electromagnetic interference immunity 13 Recommended protective distances between portable and mobile RF telecommunication devices and the system 15 Unit data 16 Complete system 16 Generation of ...

Page 404: ... 22 1 I I unit 23 2 Image intensifier 23 3 I I grid 24 4 SIREPHOS X ray tube housing 25 5 X ray system control 26 6 Tube shutter 27 7 Single tank laser targeting device option 28 8 Support arm 29 9 I I laser light localizer 30 10 Cassette holder 31 Monitor trolley with TFT monitors 32 ...

Page 405: ...c SPR2 310 620 30 02 02 3 of 34 Register 9 Technical Data Technical Data Curves and diagrams 0 SIREPHOS 2000 0 Tube cooling curve 0 Heat Unit HU 1 200 000 1 000 000 800 000 500 000 30 60 90 120 min Heat Unit HU min ...

Page 406: ... 0 mA in Power Mode 600 W max 5 5 mA 2 S1 330 W SIREMATIC S Standard standard mode max 3 0 mA in Power Mode 600 W max 5 5 mA 3 S2 550 W SIREMATIC S Standard standard mode max 5 0 mA in Power Mode 1000 W max 9 1 mA 4 HC1 330 W SIREMATIC HC High Contrast standard mode max 4 7 mA in Power Mode 600 W max 8 5 mA 5 HC2 550 W SIREMATIC HC High Contrast standard mode max 7 8 mA in Power Mode 1000 W max 14...

Page 407: ... 3 mA S 2 Antiisowatt curve with max 5 mA LD Low dose curve with high kV values i e low radia tion exposure for the patient especially well suited for pediatrics The characteristically high kV values result in lower image contrast HC 1 High contrast curve with max 4 7 mA HC 2 High contrast curve for applications requiring higher mA values max 7 8 mA e g spinal column hip skull IOD IODINE curve For...

Page 408: ...ode max 22 4 mA in Power Mode 600 W max 23 0 mA 3 S2 550 W SIREMATIC S Standard standard mode max 23 0 mA in Power Mode 1000 W max 23 0 mA 4 HC1 330 W SIREMATIC HC High Contrast standard mode max 23 0 mA in Power Mode 600 W max 23 0 mA 5 HC2 550 W SIREMATIC HC High Contrast standard mode max 23 0 mA in Power Mode 1000 W max 23 0 mA 6 IOD 550 W SIREMATIC IOD Iodine contrast optimized standard mode ...

Page 409: ...al Data ARCADIS Varic SPR2 310 620 30 02 02 7 of 34 kV mA curves for Digital Radiography DR 0 1 DR 1000 W N 1 with noise reduction factor max 14 3 mA 2 DR 1000 W N 1 without noise reduction factor max 23 0 mA ...

Page 410: ...fluenced by beam quality kV As a consequence different dose rates may result at the I I input screen for the same luminance at the I I output screen When examining a patient in fluoroscopy mode additional scatter radiation val ues are produced in comparison to the phantom values affecting the dose rate at the image intensifier input Deviation calculation Using K as a correction value refer to diag...

Page 411: ...nt to IEC 60601 2 54 2009 203 5 2 4 5 101 standard examination program provided Program Curve Format Dose Air kerma reference CFC HC2 Normal medium 19 mGy min Standard medium push 20 mGy min CFC IOD Normal low 12 mGy min Standard medium 18 mGy min high 22 mGy min Card IOD Normal high push 33 mGy min Program Curve Format Noise reduction Air kerma reference DR DR 1000 Normal k 4 0 2 mGy f image k 8 ...

Page 412: ...of 30 cm from the image intensifier input pursuant to IEC 60601 2 54 2009 203 5 2 4 5 101 standard examination program provided In ADR stop mode the maximum kV value is set Program Curve ADR stop Air kerma reference CFC HC2 110 kV 5 mA 52 mGy min Standard HC1 110 kV 3 mA 32 mGy min Program kV mAs Air kerma reference Cassette 110 69 12 mGy f image Exposure 72 mGy min ...

Page 413: ... can affect medical electrical equipment Fixed equipment or system cabling that cannot be removed by the user is not listed This cabling is part of the system and was considered in all EMC measure ments Without this cabling the equipment or system would not function The use of accessories transducers and cables other than those specified with the exception of transducers and cables sold by the man...

Page 414: ... Electromagnetic environment guidance RF emissions according to CISPR 11 Group 1 The system uses RF energy exclusively for its internal function Therefore its RF emissions are very low and not likely to cause any interference in nearby electronic equipment RF emissions according to CISPR 11 Class A The system is not suitable for use in domestic establishments and establishments directly connected ...

Page 415: ...l mode voltage 2 kV common mode voltage 1 kV differential mode voltage 2 kV common mode voltage Mains power quality should be that of a typical com mercial or hospital environment Voltage dips short interrup tions and voltage variations on power supply input lines according to IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycles not possible Compliance with the low values for the leakage cur rent requi...

Page 416: ... deter mined by electromagnetic site surveya should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structure...

Page 417: ...imum output power of transmitter W Safe distance according to frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to the freq...

Page 418: ...00 V corresponds to nominal value of the slow blow fuse in the power input of the product Internal line resistance Ri 0 3 ohms at 100 127 V Ri 0 8 ohms at 200 240 V Power consumption max 2 5 kVA Weight C arm system approx 235 kg Monitor trolley with 2 monitors approx 190 kg with PC and UPS Environmental conditions for operation Temperature range 15 C to 35 C Rel humidity 15 to 75 non condensing Ba...

Page 419: ...oroscopy Min pulse width 7 ms Pulse rate 15 f s 23 mA Max pulsed output 2 3 kW Fluoroscopy 40 kV to 110 kV 0 2 to 15 2 mA max 1000 W Digital Radiography 40 kV to 110 kV 0 2 to 23 mA max 1000 W Current time reference product 1 6 mAs 102 kV Tolerances kV 10 measured with spectrometric kV method mA 8 0 1 mA measured in rectified high voltage circuit Fluoroscopic time 1 digit 6 s 5 Power rating 1 4 kW...

Page 420: ... 3 mm Al eq 0 1 mm Cu X ray tube Stationary anode focal spot nominal value 0 6 CFC SUB ROADMAP PFC 2 f s PFC 2 f s DR k 1 DR k 1 Tube voltage 40 110 kV 40 110 kV 40 110 kV 40 110 kV Tube current 0 2 15 2 mA 1 23 mA 1 23 mA 0 2 14 3 mA Exposure time n a 7 24 ms 7 42 ms n a Pulsed output n a max 2 3 kW max 1 8 kW n a Mean power max 550 W max 1000 W for CFC and PFC high contrast max 550 W max 1000 W ...

Page 421: ...nt 45 cm motorized Source I I distance 100 cm Free space 78 cm SIRECON 23 2HDR C Nominal diameter 23 cm 9 Format switch over 23 cm 15 cm 9 6 Size of I I input field 21 5 cm Detective quantum efficiency DQE 61 as per IEC 61262 Round grid 17 70 fo100 System attenuation factor m 1 5 Collimator system Iris diaphragm for concentric collimation and semi transparent slot diaphragm for collimation with un...

Page 422: ...hnical Data Monitors 0 TFT color displays Resolution 1280 x 1024 pixels Screen diagonal 48 cm 19 Luminance typically 180 cd m2 max 250 cd m2 s w displays Resolution 1280 x 1024 pixels Screen diagonal 48 cm 19 Luminance typically 400 cd m2 max 600 cd m2 ...

Page 423: ...ximum measurable DAP 3000 00 µGym2 s equivalent to cGycm2 s Measuring inaccuracy 1 under constant pressure and temperature Energy range 40 125 kV 6 Attenuation equivalent Inherent filtration 0 5 mm Al equivalent Dose rate linearity better than 2 Measuring readiness 10 seconds after power on Temperature 10 C to 70 C Relative humidity 15 to 75 without condensation Barometric pressure 700 hPa to 1060...

Page 424: ... sub assem blies 1 I I unit 2 Image intensifier 3 I I grid 4 SIREPHOS X ray tube housing 5 X ray system control system identification label 6 Tube assembly collimator 7 Single tank laser targeting device optional 8 Support arm 9 I I laser aimer 10 Cassette holder option Equipotential bonding 3rd edition 7 2 4 Read Operator Manual 1 2 3 7 6 4 8 10 5 9 ...

Page 425: ...Data ARCADIS Varic SPR2 310 620 30 02 02 23 of 34 1 I I unit 0 1 Manufacturer s identification label 2 Image intensifier 0 1 Manufacturer s identification label 2 Approval label 3 Approval label 4 Approval label ...

Page 426: ...Operator Manual 24 of 34 SPR2 310 620 30 02 02 Technical Data 5 Label for I I tube 3 I I grid 0 1 Identification label GRID ...

Page 427: ...Technical Data ARCADIS Varic SPR2 310 620 30 02 02 25 of 34 4 SIREPHOS X ray tube housing 0 1 Special label with beam entry 2 Approval label 3 Tube ID label 4 Revision status label 5 Supplementary label ...

Page 428: ...10 620 30 02 02 Technical Data 5 X ray system control 0 1 System identification Manufacturer s identification label 2 Approval label 3 Approval label 4 Approval label 5 Revision status label 6 Weight label on C arm basic unit 1 8 kg ...

Page 429: ...echnical Data ARCADIS Varic SPR2 310 620 30 02 02 27 of 34 7 Label for Brasil only 8 Label for Venezuela only 6 Tube shutter 0 1 Manufacturer s identification label 2 Approval label 3 Supplementary label ...

Page 430: ...Technical Data 7 Single tank laser targeting device option 0 1 For USA Canada Great Britain warning label 2 Manufacturer s identification label 3 Supplementary label 4 For USA Canada approval label 5 For USA Canada warning label at the control panel ...

Page 431: ... 02 29 of 34 6 Countries other than USA Canada warning label 7 Countries other than USA Canada warning label 8 Support arm 0 1 For Canada only warning label 2 Affixed for Germany Austria only warning label 3 For China only warning label 635 nm 2007 ...

Page 432: ...erator Manual 30 of 34 SPR2 310 620 30 02 02 Technical Data 9 I I laser light localizer 0 1 Manufacturer s identification label 2 For USA Canada warning label 3 For USA Canada Great Britain warning label ...

Page 433: ... 34 10 Cassette holder 0 1 Manufacturer s identification label 2 For USA Canada approval label 3 Identification label film size 4 Identification label safety report for installation of the cassette holder in the local language Safety report for installation ...

Page 434: ...ata Monitor trolley with TFT monitors 0 1 For USA Canada warning label 2 For USA Canada warning label 3a Weight label on monitor trolley 3 Optional label country specific connection data 4 Identification label of the manufacturer Monitor trolley 1 2 4 7 3 8 kg ...

Page 435: ...Technical Data ARCADIS Varic SPR2 310 620 30 02 02 33 of 34 5 Approval label 6 Approval label 7 Manufacturer s revision level label 8 Read Operator Manual ...

Page 436: ...Operator Manual 34 of 34 SPR2 310 620 30 02 02 Technical Data ...

Page 437: ...cking the EMERGENCY STOP function for motor driven system movements 4 Maintenance plan for checking the system 4 Checks prior to special examinations e g of the open heart and skull 5 Dose and consistency test 5 Service via network connection 6 Updating virus protection 7 Remote service access 11 Service access 11 Cleaning and Disinfection 14 Cleaning 14 Disinfection 15 Monitor trolley 16 Screen s...

Page 438: ...Operator Manual 2 of 16 SPR2 310 620 30 02 02 Maintenance ...

Page 439: ...ring of the C arm system Check the C arm counterbalance after releasing the brakes Check the function of all radiation indicators Inspect the housing of the I I and the single tank for mechanical damage Monthly checks 0 Checking the dose rate control function 0 This following simple procedure allows you to check the automatic dose rate con trol function without an object in the beam path A kV valu...

Page 440: ...intenance plan If national laws or regulations specify more frequent checking and or mainte nance this must be observed Maintenance work should be performed by trained technical personnel only To keep the system in an optimum condition we recommend that you conclude a maintenance contract In the case of questions relating to maintenance mainte nance contract please contact our Siemens Customer Ser...

Page 441: ...otential equalization e g the patient table Dose and consistency test 0 The ARCADIS Varic system features automatic object position detection Proceed as follows Place the object or filter into the beam path Release fluoroscopy in automatic mode for approx 10 s Press the ADR stop button on the control panel Attach the dose measuring chamber to the image intensifier input Release fluoroscopy again t...

Page 442: ...the latest virus protection files via the network connection It is urgently recommended to do so regularly The ARCADIS Varic should only be operated within a virus protected hospital net work Remote service access Siemens Customer Service has the possibility of accessing the ARCADIS Varic via an active network connection DSL or ISDN With full access the image area of the left monitor is superimpos...

Page 443: ...de of exam ination hours Calling up the dialog window To update the virus protection open the SoftwareDistribution dialog window in the Local Service window Select Options Customer Service Local Service in the main menu of the task card The Service Software dialog box is displayed Delete the default code in the left window of the entry area Please enter password and click OK The start window for s...

Page 444: ...he window if appli cable The list of updates is updated Find the most recent virus definition virus pattern in the Software Package column by looking at the version information in the packet name and the Date column In this example it would be CS_Virus Pattern_4 627 00 of August 7 2007 Click Download in the left window area The Download area is displayed In the Action column click on the correspon...

Page 445: ...alling an update in the system The latest version of the virus protection files is now stored locally in your ARCADIS Varic You have to install them in the system to use them Click Install in the left window area The list of installable updates is shown In the Action column of the corresponding update click Install The update is installed A message window is shown when the process is successfully ...

Page 446: ...also open the Software Distribution Installation window later manu ally without restarting For this purpose click the yellow exclamation mark on the status bar This symbol will appear approx 15 min after installing the virus up date in the system Call up Options End Software Session in the main menu The System Message dialog box is displayed Click Restart The syngo user interface and the applicati...

Page 447: ... the Remote Service Access Control option is activated remote service can only be performed from trusted systems systems that have exchanged proved certificates with your syngo system Service access 0 Open Options Customer Service Remote Service to start a remote ser vice session The Remote Service Access Control window is displayed Wait for a response from the remote location before you grant acc...

Page 448: ...r will only have access to patient data if you give your explicit permission upon his specific request Limiting access rights As long as you have assigned full access rights to service i e maintenance is in progress you cannot continue working with your ARCADIS Varic Select Limited access or No access and confirm with OK or Apply to continue working For further information please contact Siemens S...

Page 449: ... session while the service engineer is still working all currently active service programs will be terminated This may cause the ARCADIS Varic to be inconsistent or inoperable The service engineer is only notified that the session is going to be ended by you Check with the service engineer before you end the session ...

Page 450: ...prevent contamination of the ARCADIS Varic Clean the parts with a damp cloth For moistening use water or a lukewarm diluted aqueous solution consisting of water and a household cleaning agent Do not use scouring cleaning agents or organic solvents or cleaning agents such as benzine pure alcohol spot remover etc because of possible material incompatibility Caution Cleaning agents or fluids penetrat...

Page 451: ...ions with a high alcohol content for example for disinfecting hands Please also observe the operator manual of the disinfectant Some substances contained in disinfectants are known to be hazardous to health The concentration of such substances in the air must not exceed the statutorily defined limit We recommend that you follow the manufacturers operating instructions for these products Caution Th...

Page 452: ...otton cloth dampened with water Remove stubborn stains with a mixture of 2 3 water and 1 3 alcohol Immediately dry off the monitor screen with a soft cotton cloth Wipe off contrast agent spots as soon as possible Caution Acids or alkaline solutions on the monitor screen This may damage the monitor screen Monitors with anti glare non reflective surfaces should only be cleaned with a soft cloth ...

Page 453: ...panel English text option 11 syngo keypad English text option 12 Sterile cover on the C arm 13 Clamps to keep covers in place 16 I I laser aimer option 17 Integrated I I laser aimer 17 Removable image intensifier laser light localizer 17 Single tank laser targeting device option 18 Laser specifications 18 Dose measuring chamber DAP meter 19 Cassette exposure 20 Attaching the cassette holder 21 Ins...

Page 454: ...Operator Manual 2 of 24 SPR2 310 620 30 02 02 Options ...

Page 455: ...in the description Please follow the Operator Manual provided by the manufacturer The following accessories have been approved for use with the ARCADIS Varic Accessories Part Number Manufacturer Disposable cover C trans parent 8080462 Microtek Medical B V Sterile cover C fabric 3780959 Karl Dieckhoff GmbH Co KG Disposable cover I I trans parent 5139837 Raguse GmbH Disposable cover 9717083 Moelnlyc...

Page 456: ...eved by attaching an additional spacer to the C arm system 1 Knurled screws If this source skin distance is too large for special examinations the spacer can be removed by loosening the knurled screws After these examinations the spacer must be reattached to ensure the reduction in skin dose resulting from a greater source skin distance Grounding cable 0 An optional grounding cable is available fo...

Page 457: ...ating WLAN 0 To activate WLAN use the switch on the side of the monitor trolley Once the WLAN unit is switched on it takes less than a minute for the WLAN connection to be functional WLAN ON OFF switch Warning The operation of WLAN may lead to disruptions of other electrical systems This may endanger the function of life support systems Maintain a minimum distance of 1 m between the WLAN unit and ...

Page 458: ... WPA or WPA2 In case the wireless connected is interrupted impaired or overloaded it is rec ommended to keep an Ethernet cable on hand provided there are connection options nearby The position of the RF beam of the activated WLAN is shown in a warning label 1 Warning label non ionizing electromagnetic field 2 Warning Read Operator Manual If WLAN is activated this warning label must not be covered ...

Page 459: ... Ethernet cable the WLAN at the monitor trolley needs to be deactivated prior to switching on the system Simultaneous operation via Ethernet cable and WLAN is not possible and should be avoided by all means After inadvertent simultaneous operation or after a change between both options the system must be switched off and on again ...

Page 460: ...lease of radiation u Please make sure that the footswitch is not located underneath the I I Caution If the C arm is lowered all the way and the bracket is folded up there may be contact between the multifunctional footswitch and image intensifier or tube assembly housing Damage to the multifunctional footswitch and image intensifier or tube assembly housing u Please make sure that the footswitch i...

Page 461: ...ctivate fluoroscopy CFC standard set ting The left footswitch is used to activate the currently selected operating mode Exception If fluoroscopy CFC is selected the left pedal is assigned the digital radiography DR mode The functionality of the pedals can optionally be changed Keep the foot pedal pressed during radiation release Storing images during radiation 0 Press this button on the multifunct...

Page 462: ...r transport 0 Before transporting the unit place the multi function footswitch into its holder on the side facing away from the C arm The cleat to hold the rolled up cable is on the C arm side as is the case with the standard footswitch Footswitch holder ARCADISVaric ...

Page 463: ...ge parameters high contrast fluoroscopy image quality image display automatic dose regulation OFF ADR Stop 3 Collimator setting 4 Radiation indicator X ray tube assembly temperature 5 Image postprocessing 6 Image selection storing and printing 7 Lift lower C arm 8 Image rotation 9 Display exposure time reset exposure time confirm warning tone 10 Select and display X ray parameters select laser lig...

Page 464: ...Operator Manual 12 of 24 SPR2 310 620 30 02 02 Options syngo keypad English text option 0 The numeric keypad on the monitor trolley for selecting syngo functions is labeled with the relevant text ...

Page 465: ...y tube assembly is completely covered with a two part sterile cover The cover is attached with sterile clamps C arm completely covered Slip the cover over the image intensifier Caution Insufficient attachment of the sterile cover The patient can be injured if the cover falls down When attaching the sterile cover with the clamps make sure the cover is fastened properly ...

Page 466: ...0 02 02 Options Attach the image intensifier cover Fold the cover for the C arm and the X ray tube Slipping the cover over becomes easier if you fold it first Make sure that the out side of the cover does not come into contact with the C arm ...

Page 467: ...Options ARCADIS Varic SPR2 310 620 30 02 02 15 of 24 Slip the cover over the X ray tube and cover the C arm Attach the cover close to the X ray tube with clamps ...

Page 468: ...and secure the C arm cover with a clamp Tie down the cover of the X ray tube The C arm is now covered completely Clamps to keep covers in place 0 The clamps keep the sterilizable C arm cover in place and can also be sterilized Please make sure that the clamps are properly fastened Otherwise there is a danger of injury 1 ...

Page 469: ...offset by 90 in the holding ring for the I I grid Removable image intensifier laser light localizer 0 The I I laser light localizer is attached to the image intensifier unit using a retain ing strap To activate the I I laser light localizer press one of the two keys The I I laser light localizer is activated To deactivate it press one of the two keys again or wait approx 1 min until it switches of...

Page 470: ... usually protect the eye In Germany the operator is responsible for ensuring that the user has been instructed in the use of the laser Outside Germany the relevant laws and regu lations regarding the use of Class 2 lasers must be complied with Laser specifications 0 Laser class Class 2 acc to IEC 825 Laser type Semiconductor laser laser diode Wave length 655 nm visible red Power output 1 mW Warnin...

Page 471: ...ingle tank of the ARCADIS Varic The DAP meter determines the dose area product DAP and air kerma values using an ionization chamber and an electron counter The cumulative patient data is displayed on the monitor trolley during the examination Register 5 Exami nation Page 9 Dose measuring chamber DAP meter integrated in the single tank ...

Page 472: ...In this position the centering pins on the cassette holder 1 must sit in the recesses in the plastic ring of the image intensifier Follow the instructions given on the warning label affixed to the cassette holder Cassette size Only 24 cm x 30 cm 10 inches x 12 inches 1 2 3 Caution The cassette holder is not sufficiently shielded from leaking radiation Risk to operating personnel and patient Do not...

Page 473: ...ette The exposure grid is delivered with the cassette holder Always insert the exposure grid up to the end stop in the cassette holder Attaching the cassette holder 0 3 1 2 Caution Springs or pins not correctly attached Risk of injury if cassette holder becomes loose Make sure the springs and pins 3 are securely locked in place Ensure that both centering pins sit in the recesses ...

Page 474: ...tches to mAs The LED for the deselected operating mode goes out Saving collimator settings 0 As the cassette is inserted both the slot diaphragm and the iris diaphragm open to maximum aperture The LED in the Open iris diaphragm key lights up If the diaphragm setting selected for fluoroscopy pulsed fluoroscopy DR or SUB is to be saved proceed as follows before inserting the cassette Press both keys...

Page 475: ... in the kV and mAs fields You cannot release an exposure since this can only be done after setting the required kV and mAs values Now press one of the kV or mAs buttons The preference values 40 kV and 5 mAs will be displayed You can then change these values Now press one of the kV or mAs buttons until the required values are set If you perform fluoroscopy in the meantime the kV and mAs values used...

Page 476: ...ed Removing the cassette 0 Take the cassette out of the cassette holder After removing the cassette the exposure data remains until another oper ating mode is selected Removing the cassette holder 0 Hold the spring Gently push the cassette holder downward lifting it over the front ring to remove it Switching the operating mode 0 You must remove the cassette before changing over to another operatin...

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