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Safety

Mechanical Safety

0.0

04/2012

0.0

A.3-3

0.0

Operating conditions

A.3

The following requirements must be fulfilled for operation of 
the system.

A.3

General information

A.3

The system must be operated in rooms that are designated for 
medical use.

A.3

Climatic conditions in the 
room  

A.3

The room temperature and the humidity of the air must not 
exceed the values given in 

(→

System Owner Manual)

A.3

A.3

A.3

CAUTION

A.3

System is operated outside of the specified temperature range!

A.3

Wrong diagnosis possible (artifacts may occur).

A.3

✧

If the working conditions specified cannot be met, the 
room must be equipped with air-conditioning.

Summary of Contents for SOMATOM Spirit

Page 1: ...CT syngo CT 2010C Shi Jing Ru SOMATOM Spirit Operator Manual CT 2005 2012 C2 025 620 27 05 02 EN EN 04 2012 CT RD DS VB36 SOMATOM Spirit 0 0 Operator Manual 0 0 syngo CT 2010C 0 0 www siemens com healthcare ...

Page 2: ...n of Conformity 0 0 The original language of this document is English 0 0 2005 2012 Siemens Shang hai Medical Equipment Ltd Order No C2 025 620 27 05 02 Printed in China 04 2012 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 9131 84 0 www siemens ...

Page 3: ... contents 0 0 Safety A System Description B System Handling C Operation D Maintenance E Quality Assurance F Technical Specifications G Standards and Statutory Regulations H Forms J DIP Report K Location of Labels L Glossary M Index N ...

Page 4: ...0 0 0 0 ii SOMATOM Spirit0 0 ...

Page 5: ...hanical Safety A 4 Software Related Safety Information B System Description B 1 System Overview B 2 Scan Unit Gantry B 3 Patient Table B 4 Console Related Safety Advice B 5 Console B 6 Storage Media and Drives B 7 Accessories C System Handling C 1 Operation of the Gantry C 2 Operation of the Patient Table C 3 Use of Storage Media ...

Page 6: ... Positioning D 4 Positioning the Patient E Maintenance E 1 Maintenance and Service E 2 Cleaning Agents and Disinfectants E 3 Cleaning and Disinfecting F Quality Assurance F 1 General Information F 2 Daily Quality Measurements F 3 Constancy Test F 4 Low Contrast Test Optional F 5 Camera Test F 6 Constancy Test of the Monitor ...

Page 7: ...0 0 04 2012 0 0 v0 0 G Technical Specifications H Standards and Statutory Regulations J Forms K DIP Report L Location of Labels M Glossary N Index ...

Page 8: ...0 0 0 0 vi SOMATOM Spirit0 0 ...

Page 9: ...Quick Starter System Owner Manual Release Note Online Help E Manual CD E Manual 0 0 E Manual is a collection of the following books that you view directly on your syngo Workplace 0 0 SOMATOM Spirit Operator Manual Description of hardware components and their operation including all relevant safety instructions 0 0 syngo CT Operator Manual Workflow orientated description for operation of the syngo ...

Page 10: ... g technical data declaration of conformity location of labels It is available in printed form 0 0 Release Note 0 0 The Release Note includes latest product and software informa tion It is available in printed form 0 0 Online Help 0 0 The Online Help explains operation of the system s software To call up the Online Help press the F1 key on your keyboard 0 0 E Manual CD 0 0 The CD allows you to vie...

Page 11: ...r manual for the following versions 0 0 This manual applies to the following devices 0 0 SOMATOM Spirit Information on the configuration of your system can be obtained via Options SOMATOM LifeNet System Informa tion 0 0 Information via internet 0 0 More detailed information on accessories can be obtained via Internet www medical siemens com Select your country on the Siemens Healthcare home page a...

Page 12: ... on when you are familiar with the basic operation of the system you can use the manuals as reference for detailed ques tions The table of contents and the detailed index will help you to find a topic quickly 0 0 This Operator Manual 0 0 The Operator Manuals are subdivided into individual parts Part A Part B etc 0 0 At the beginning of each part you will find a detailed table of contents The overv...

Page 13: ...by a check mark 0 0 This precedes a prerequisite of an operating step if applica ble Lists 0 0 Items in a list are marked by square shaped bullets 0 0 This precedes each item in a list Cross references 0 0 A topic is often closely related to another topic or is described in detail at another location in the manual In order to keep the manuals down to a manageable size and to show you how top ics a...

Page 14: ... described 0 0 Perform these operating steps to solve the problem 0 0 Background information 0 0 In the background information marked with lines at the top and at the bottom of the paragraph you will find information for a better understanding process 0 0 Hints 0 0 Hints are classified as Tip or Note 0 0 i 0 0 In tips you will find interesting additional information about the described topic e g f...

Page 15: ...tions past or present is entirely coincidental 0 0 All parameters and images shown in this manual are examples Only the parameters displayed by your system are definite 0 0 Configuration dependant designations such as names of drives network nodes and databases that are used in this oper ator manual are usually not the same as the designations to be found on a particular installation of the system...

Page 16: ...ic purposes 0 0 Site of application 0 0 SOMATOM Spirit can be operated in the X ray department of a hospital or doctor s office 0 0 Authorized users 0 0 SOMATOM Spirit must be used by persons with the necessary specialist knowledge according to country specific regulations e g physicians trained radiologists or trained technologists after an appropriate application training 0 0 For information abo...

Page 17: ...t they must use their own learning training and expertise in dealing with their individual patients This material does not sub stitute for that duty and is not intended by Siemens to be used for any purpose in that regard 0 0 The drugs and doses mentioned are consistent with the approval labeling for uses and or indications of the drug The treating physician bears the sole responsibility for the d...

Page 18: ...nd your suggestions for improve ment To make this easier for you we have attached a form in the System Owner Manual Please copy this form 2 pages and mail or fax your answer to the address provided 0 0 We will take account of your suggestions in the next edition Thank you for your time 0 0 ...

Page 19: ...tions A 1 20 A 2 Information about Personal Safety A 2 1 Positioning A 2 1 Laser beam A 2 5 System movement A 2 10 Terminating system movements and radiation A 2 14 Shut down in case of emergency A 2 17 Radiation protection A 2 18 Radiation protection equipment A 2 18 Protective measures A 2 19 Image Artifacts A 2 21 Measurement related artifacts A 2 21 System related artifacts A 2 26 Repeating sc...

Page 20: ... 3 4 Safety equipment A 3 6 Equipment modifications A 3 8 Disposal of the system A 3 11 A 4 Software Related Safety Information A 4 1 Patient registration A 4 1 Unique identification A 4 1 Patient sex and age A 4 2 Patient position A 4 2 Scanning A 4 3 Scan parameters A 4 3 Time settings A 4 5 Reconstruction A 4 6 Image quality check A 4 6 Field of view A 4 7 ...

Page 21: ...13 syngo Neuro Perfusion CT A 4 16 syngo Body Perfusion CT A 4 19 Image display A 4 20 Topograms A 4 20 Scan lines for Osteo CT examinations A 4 21 Data compression A 4 22 Filming A 4 23 Print modes A 4 24 Paper printouts A 4 25 Exporting data A 4 26 Exporting in multi session mode A 4 26 ...

Page 22: ... commitment A 4 32 Delete confirmation A 4 35 Rearranging patient and examination data A 4 36 Exporting and recording off line files A 4 37 Exiting the program A 4 38 Network communication A 4 39 Software installation and network A 4 39 Searching for data A 4 41 Transferring manipulated images A 4 42 Remote service A 4 43 ...

Page 23: ...ed as follows in this manual A 1 Warning A 1 WARNING indicates warning regarding risks that may result in death or serious physical injury A 1 Warning example A 1 The content of a Warning is structured in three different sec tions cause consequence countermeasure A 1 A 1 A 1 WARNING A 1 First the source of danger is addressed A 1 Then possible consequences are described A 1 Finally measures are gi...

Page 24: ... minor physical injury or material damage A 1 Caution example A 1 The content of a Caution is structured in three different sections cause consequence countermeasure A 1 A 1 A 1 CAUTION A 1 First the source of danger is addressed A 1 Then possible consequences are described A 1 Finally measures are given to prevent a dangerous situa tion ...

Page 25: ... given in the manual A 1 B 1 A The SOMATOM system was designed and built so that it cannot cause death if used properly Page A 1 17 Proper and improper use A 1 Qualification and compe tence A 1 As the user you must have the necessary qualification for example training in a relevant medical profession You must also have been instructed in the use of the CT scanner for example precise knowledge of t...

Page 26: ...very of the system These safety instructions are provided as a supplement to the instructions already contained in the operator manual Appendix Safety Instructions A 1 A 1 Statutory stipulations A 1 Relevant statutory stipulations must be observed during instal lation operation and maintenance A 1 B 1 A Please observe the information given in System Owner Manual A 1 A 1 CAUTION A 1 Not observing t...

Page 27: ...ent correctly This applies especially to patient position sex and date of birth Make sure that you do not register the patient twice Always check whether the entry already exists Patient positioning A 1 The patient must always be positioned on the patient table A 1 Never position the patient directly in the gantry A 1 Information A 1 The better the patient is informed the easier he or she will fin...

Page 28: ...sion lines must not be under tensile stress A 1 Make sure that the infusion lines are long enough and can not become caught or crushed by table movements Special care A 1 Take special care when examining infants small children obese patients or patients who do not keep still or have accident inju ries A 1 Take the same care when using positioning accessories A 1 A 1 CAUTION A 1 Insufficient cleani...

Page 29: ...ly during acquisition A 1 Immobilize the patient if necessary Restraint straps A 1 The restraint straps are not permanently attached to the table Thus they cannot prevent the patient from falling off the table A 1 Make sure that the patient especially a restless patient does not fall off the table A 1 CAUTION A 1 Scanning patients with implanted devices such as pacemakers or neuro stimulators A 1 ...

Page 30: ...Make sure that you know where the STOP key is located Always observe the patient directly Press the nearest STOP key in case of danger B 1 A You will find STOP keys on the gantry and on the control box Page A 2 14 Terminating system movements and radia tion A 1 Releasing the patient A 1 After you have pressed a STOP or EMERGENCY OFF key or if a power failure has occurred no motorized system moveme...

Page 31: ...ossible to completely eliminate the risk of injury danger due to collision crushing radiation A 1 Never leave the CT scanner unsupervised during an exami nation A 1 A 1 CAUTION A 1 Wrong table feed direction A 1 X ray not or only partially usable A 1 Always keep an eye on the patient Stop scanning in case of wrong table feed direction ...

Page 32: ...tation A 1 Faults in the computer system can lead to loss of data A 1 Document or export the patient images and studies as fast as possible Computer viruses A 1 Despite precautions the software of the computer system is not absolutely safe from computer viruses A 1 A 1 CAUTION A 1 Patient intercom system nonfunctional A 1 Patient cannot be understood in case of an emergency A 1 Leave the intercom ...

Page 33: ...owever no dan gerous operating states for the patient or the user will result from this A 1 Equipment such as monitors could be disturbed by magnetic fields for example MR unit To some extent they can also inter fere with ECG and EEG units System Owner Manual A 1 A 1 CAUTION A 1 System infected by computer virus A 1 Manipulation of the software A 1 Never use a data medium that could contain a comp...

Page 34: ...s the system is connected to the power supply A 1 A 1 A 1 CAUTION A 1 The system carries line voltage A 1 Hazard of an electric shock A 1 Never open components of the system Leave all repairs to Siemens Service Ensure that no objects for example necklaces paperclips or liquids can get into the interior of the system electrical shock short circuit ...

Page 35: ...t be careful with liquids and food They can get into the equip ment and cause malfunctions A 1 A 1 Ventilation openings A 1 Blocked ventilation slots can cause damage to the equipment and loss of data computer A 1 Make sure that the ventilation openings on the equipment are not covered for example by cloths A 1 CAUTION A 1 Fluids in keyboard or control box A 1 Undesired radiation A 1 Keep liquids ...

Page 36: ... A 1 Only a regularly checked and serviced unit is safe A 1 Perform the prescribed function tests Page D 2 1 Function Tests Make sure that maintenance is performed at the prescribed intervals System Owner Manual A 1 CAUTION A 1 Fire inside or in the vicinity of the system A 1 Injury of patient and personnel and damage to the property possible Risk of gas poisoning caused by burning plastic A 1 Swi...

Page 37: ...y Damage and defects A 1 If damage or defects should occur to or on the system patient table gantry on add ons or accessories safety of operation is no longer guaranteed A 1 Watch out for such damage and have these parts repaired or replaced immediately Cables A 1 There is a risk of stumbling when accessories are connected via cables A 1 A 1 A 1 CAUTION A 1 Tripping of user and other persons A 1 I...

Page 38: ...itor when the system is switched on the monitor is likely to be defective A 1 Call Siemens Customer Service A 1 A 1 CAUTION A 1 Monitor failure A 1 Uncontrolled system A 1 Do not make any more entries via the keyboard Interrupt the examination If necessary press a STOP key or in case of an emergency an EMERGENCY OFF button ...

Page 39: ...amined by doctors in accordance with the methods and precautions described in this manual A 1 Improper use means if the systems or parts of the systems are used for other purposes A 1 A 1 A 1 CAUTION A 1 Use of the CT system for body screening A 1 Undesired radiation exposure A 1 Only use the CT system for scanning single parts of the body Do not use the CT system as a screening device This mea su...

Page 40: ... system is delivered with currently known precautions regarding data security Data is stored in a pre defined directory by default Data access is possible via File Browser only For security reasons the operating system is not accessible anymore A 1 B 1 A Siemens is not responsible for the loss of patient data and will refuse warranty in case of unauthorized improper use of the equipment for exampl...

Page 41: ...m behavior like freezing or delayed response time to user due to lack of memory resources immediately restart your system if possible or at least close some applications and background activities A 1 A 1 A 1 CAUTION A 1 Insufficient memory or disk space may lead to an instable or blocking system A 1 System is not available in emergency cases A 1 Do not ignore the storage capacity warming icons ...

Page 42: ...of a physician 21 CFR 801 109 b 1 A 1 A 1 A 1 CAUTION A 1 Operation of the system by non trained users A 1 Incorrect diagnosis or treatment due to misinterpretation of image information A 1 The SOMATOM system must only be used by persons with the necessary specialist knowledge e g physicians trained radiologists or trained technologists after an appropriate application training ...

Page 43: ...cations there is danger of collision damage and injury during system movements and how you can stop system movements in case of an emergency A 2 You will also be informed about radiation protection and what artifacts can occur A 2 Positioning A 2 If the system is operated correctly and the patient is correctly positioned there is very little risk of injury to the patient or per sonnel A 2 B 2 A Pl...

Page 44: ...With obese patients make sure that no collision occurs A 2 A 2 A 2 CAUTION A 2 Improper patient positioning A 2 Injury of the patient A 2 Ensure that neither the patient s clothing nor hair can get caught in mechanical parts It is very important to ensure that infusion lines and respi ration tubes catheters and ECG cables cannot get caught in the space between the table top and the side parts Thes...

Page 45: ...patient s clothing nor hair can get caught in mechanical parts It is very important to ensure that infusion lines and respi ration tubes catheters and ECG cables cannot get caught in the space between the table top and the side parts These components must not be put under tensile stress in any other way Make sure that patient bedding cannot get caught between the parts of the patient table ...

Page 46: ...lowing objects will not collide with the gantry A 2 CFK head holder Head arm support for abdomen examinations Knee support Coronal prone head holder optional Coronal supine head holder optional Baby mattress This applies to table heights from a display value of 272 mm up to the maximum height and to examinations with a tilted gan try A 2 ...

Page 47: ...that the patient s eyes are protected for example if the patient is not responsive or if the eyelid closing reflex is impaired A 2 The patient must not wear glasses or contact lenses A 2 B 2 A Laser Radiation Do not view directly with optical instruments Class 1M Laser Product A 2 A 2 A 2 CAUTION A 2 Looking into laser beam with optical instruments A 2 Loss of sight possible A 2 Do not look direct...

Page 48: ...t the appropriate housing B 2 A All legal and product specific regulations must be followed when working with lasers A 2 B 2 A Non compliance with these regulations can lead to injury due to the hazardous effects of laser beam A 2 A 2 A 2 CAUTION A 2 Laser radiation A 2 Possible loss of eyesight due to laser radiation A 2 Do not look directly into the laser beam or at its reflection on smooth mirr...

Page 49: ...regularly according to this manual and national quality assurance regulations In case of misalignment please contact Siemens customer service A 2 CAUTION A 2 Insufficient image information for RT planning caused by table misalignment requires new CT scan after quality assurance A 2 Additional dose of radiation A 2 Please check table alignment accuracy regularly according to this manual and nationa...

Page 50: ...or wrong definition of scan area that require new CT scan A 2 Please follow the RTP laser adjustment instructions in the RTP laser adjustment manual carefully A 2 CAUTION A 2 Insufficiently trained staff performing the RTP laser adjustment A 2 Misadjustment and or wrong definition of scan area require new scan Additional dose of radiation A 2 Make sure that only trained staff performs the RTP lase...

Page 51: ...90 0 A 2 A 2 CAUTION A 2 Laser misadjustment during laser adjustment procedure A 2 Misadjustment and or wrong definition of scan area require new scan Additional dose of radiation A 2 After laser readjustment check the accuracy of adjustment with the RTP phantom ...

Page 52: ...ils a dan ger of injury A 2 A 2 A 2 A 2 CAUTION A 2 Movable parts of the CT system A 2 Possible injury of the patient by moving parts A 2 Always observe the possible contusion points shown in the following pictures A 2 CAUTION A 2 Unintentional patient movement A 2 Injury of the patient A 2 Always fix and observe the patient during the measure ment ...

Page 53: ...Particularly dangerous points are marked with arrows and dan gerous areas are colored red in the drawings below A 2 A 2 CAUTION A 2 Unintentional patient movement A 2 Contusion of patient extremities at patient table and gantry A 2 Always fix and observe the patient during system move ments ...

Page 54: ...rmation about Personal Safety Safety A 2 12 SOMATOM Spirit0 0 B 2 A The pictures of the components shown here are only examples The appearance of your components will depend on the system configuration A 2 A 2 A 2 ...

Page 55: ...Safety Information about Personal Safety 0 0 04 2012 0 0 A 2 130 0 A 2 ...

Page 56: ... or EMERGENCY OFF key or if a power failure has occurred the stopping distance of the patient table in the horizontal and vertical directions can be up to 10 mm and the stopping distance for the gantry up to 0 5º A 2 You can then pull out the patient table by hand Page C 2 8 Moving the patient table manually A 2 B 2 A If you want to continue working you must reactivate the system with Continue and...

Page 57: ...ry control panel and the control box A 2 B 2 A When these two STOP keys light up it doesn t mean any warn ing of danger occurs or any urgent action must be taken It is only indicates that the system is switched on A 2 When the acquisition system is switched on the two STOP keys on the gantry control panel light up A 2 A 2 A 2 A 2 ...

Page 58: ...a movement does not stop immediately when the key is released Press STOP if the patient table does not stop as expected Press STOP if the patient table position displayed differs by more than 10 mm from the actual position Press STOP if the patient is not correctly positioned during system movements Press STOP if the patient table moves in the wrong direc tion Press STOP if the HOLD key does not r...

Page 59: ...er com ponents is not integrated in the EMERGENCY OFF system the UPS must be unplugged to disconnect the computer compo nents from main power A 2 You must only press the EMERGENCY OFF key A 2 If the STOP key on the CT system does not respond If situations arise that could cause injury to the patient or user or damage to the equipment for example liquids or particles getting into the equipment dama...

Page 60: ...nformation please refer to System Owner Manual A 2 Radiation protection equipment A 2 Special equipment is part of the radiation protection regula tions A 2 Control area A 2 The console is located outside the radiation control area The patient can be observed through a lead glass window The gan try and the patient table can be operated by remote control A 2 When scanning operate the system from th...

Page 61: ...trol box as well as site radiation warning lamps to be pro vided by the customer must light up if scanning has been trig gered A 2 If a radiation warning lamp does not light up once a scan has been released please contact Siemens Service A 2 Protective measures A 2 Take the following measures to protect both yourself and the patient A 2 A 2 A 2 CAUTION A 2 Radiation in the scanning room after the ...

Page 62: ...ssary radiation A 2 Always use a gonadal shield if possible Use the pediatric mode for children Use CARE features Reduction of the radiation load A 2 You can avoid repeating a measurement and so reduce the radi ation load on the patient by taking certain precautions A 2 Inform the patient sufficiently The patient must move as little as possible during scanning and follow the breathing instructions...

Page 63: ...nt such that the organ to be examined is in the center of the scan field Exceptions are examinations of the aorta or the trachea which should not be positioned in the very center in order to avoid ring artifacts A 2 Artifacts can have various causes which can in general be divided into two groups measurement related artifacts and sys tem related artifacts A 2 Measurement related artifacts A 2 The ...

Page 64: ...lowing precautions concerning overhanging material flaps must be observed A 2 A 2 A 2 A 2 CAUTION A 2 Flaps outside of the scan range A 2 Image artifacts A 2 Always use patient restraint straps to fix the flaps on the patient A 2 CAUTION A 2 Flaps at the head end outside of the scan range A 2 Image artifacts A 2 Put these flaps under the patient Try not to scan the footend region ...

Page 65: ...me effects These are caused by high density tis sues such as a bone or objects such as pacemakers projecting only partly into the slice plane One such well known artifact is the so called Hounsfield bar between the petrous bones Other regions of the skull are also problematic with regard to partial volume effects which are visible as dark streaks Additional cor rection and or special parameter set...

Page 66: ...r for example soft tis sue the effect on the CT image can be compensated In areas of high density such as hips shoulders or lower skull hypodense streaks and areas with reduced CT values can be seen Along the sides of the upper part of the skull the so called cupping effect can be seen as a brightening of the CT values The cupping effect also occurs in rare cases such as infant skull tomograms due...

Page 67: ... artifacts A 2 Motion artifacts A 2 Movement of organs in the slice or displacement of the entire slice during scanning likewise causes bright and dark artifacts These are usually seen as streaks or in areas of low density To reduce motion artifacts use the automatic patient instructions API function for breathing and swallowing commands A 2 Greater difficulties are encountered with peristalsis He...

Page 68: ...tem Detector deviations A 2 A 2 CAUTION A 2 The detector heating is switched off as long as the system is dis connected from the power supply When you restart the system the detector has not yet reached operating temperature A 2 Wrong diagnosis due to image artifacts A 2 Calibrate the system as part of the check up Repeat calibra tion Setup Calibration if ring artifacts occur ...

Page 69: ...during warm up to operational temperature calibration or due to an extended length of service of the X ray tube The same applies to defects in the measurement system A 2 The daily quality checkup usually detects and reports such dis crepancies A 2 B 2 A Additional calibrations may also be necessary if large changes in temperature occur in the room A 2 Other system defects or calibration deviations...

Page 70: ...mage parameters are both zero Such rings are easily recognizable but a blurred spot in the center of the scan field might lead to inaccurate diag noses A 2 Repeating scans A 2 Measurement related or system related artifacts cannot always be excluded Therefore the scan should be repeated if a tomo graphic structure appears questionable This should be done after slightly shifting the patient s posit...

Page 71: ...etition A 2 Image artifacts are normal during scanning with the RTP board It is not necessary to repeat the scan A 2 CAUTION A 2 Artifacts affecting the diagnosis are evident or suspected in a patient image or the patient may have moved during scanning A 2 Improper diagnosis possible A 2 Scanning must under all circumstances be repeated with a slight shift in patient position ...

Page 72: ...0 0 0 0 Information about Personal Safety Safety A 2 30 SOMATOM Spirit0 0 ...

Page 73: ...ions site require ments and safety equipment of the system It also informs you what to observe when you modify or dispose of the system A 3 B 3 A Please observe the information given in System Owner Manual A 3 B 3 A For further details about system safety please contact your Siemens Customer Service A 3 ...

Page 74: ...ent table A 3 The patient table has been designed to carry a maximum load of 200 kg 440 lbs in the center The weight on the extended part at the head end has to be derated A 3 B 3 A Make sure that obese patients in particular climb onto the patient table as close to the center as possible A 3 Positioning aids A 3 Bear in mind that only certain weights can be placed on posi tioning aids Page D 3 1 ...

Page 75: ...hat are designated for medical use A 3 Climatic conditions in the room A 3 The room temperature and the humidity of the air must not exceed the values given in System Owner Manual A 3 A 3 A 3 CAUTION A 3 System is operated outside of the specified temperature range A 3 Wrong diagnosis possible artifacts may occur A 3 If the working conditions specified cannot be met the room must be equipped with ...

Page 76: ... EMC stipulations In extreme cases use of such items can cause interference A 3 Do not use a radio telephone or similar equipment in the vicinity of the system Protection measures A 3 The following protection measures must be followed when installing the system A 3 Power connection A 3 The power supply must be provided to all products operated as part of an X ray system through a fixed wiring conn...

Page 77: ...MDD Medical Device Directive an on off switch must be installed on site by the customer A 3 The on off state must be visible A 3 Radiation warning lamps A 3 Radiation warning lamps must be installed on all doors of the examination room They must be visible from all areas where radiation can be released A 3 Radiation warning acoustic signal A 3 A warning signal sounds when radiation is being genera...

Page 78: ...lowing safety equipment A 3 Temperature monitoring of the X Ray tube assembly A 3 The temperature of the X Ray tube assembly is permanently monitored and calculated in advance this function is running in the background If the temperature rises above the limit value a warning is given A 3 If necessary scanning is interrupted until the required cooling period has elapsed A 3 i 3 A This means that yo...

Page 79: ...verheat a warning is dis played on the monitor A 3 In this case finish the current measurement as quickly as possible Uninterruptible power sup ply UPS A 3 The computers of the system are equipped with an uninterrupt ible power supply UPS Furthermore the system can be con nected to an emergency power supply A 3 If the uninterruptible power supply is active a message or an acoustic signal indicates...

Page 80: ... 3 CAUTION A 3 Impermissible or faulty manipulations or changes of the hard ware or software can cause the system to malfunction A 3 Injury of the patient or damage to the equipment or both A 3 Do not open or remove the cladding of the equipment nor install third party software A 3 CAUTION A 3 Impermissible or faulty manipulations or changes of the hard ware or software can cause the system to mal...

Page 81: ...trical installation in the CT room that does not comply with the requirements of VDE standard 0107 or other bind ing codes of practice Operation of the system in a way which deviates from the instructions given in these manuals Certificate of conformity A 3 We therefore recommend that you obtain a certificate of confor mity containing the following information A 3 Type extent and date of the work ...

Page 82: ...system specification A 3 If this information is not sufficient you must consult the manu facturer of such systems equipment or a specialist about the fol lowing topics A 3 Reliability and performance of the systems equipment Potential safety risks for people and equipment If you connect additional equipment you have to ensure that the configuration complies with standards and statu tory regulation...

Page 83: ... A 3 Improper disposal of the system or parts of the system A 3 Pollution of the environment A 3 System components hazardous to persons or the environ ment must be disposed of with care and in compliance with legally binding ordinances Examples of environmentally relevant components are accumulators and batteries transformers capacitors mon itor picture tubes and phantoms For details contact your ...

Page 84: ...0 0 0 0 Mechanical Safety Safety A 3 12 SOMATOM Spirit0 0 ...

Page 85: ... Patient name patient ID date of birth and sex are used for unique identification of a patient in the databases or of exported data on devices A 4 A 4 A 4 CAUTION A 4 The internal identification of patient data for example studies series and images uses the system time for generation of the patient identification If it is necessary to turn system time back duplicate identified may be created A 4 D...

Page 86: ...osition A 4 For the examination and the ensuing evaluation it is essential that the patient position is entered correctly A 4 A 4 A 4 CAUTION A 4 Wrong entry of patient sex or age A 4 Wrong basis for diagnosis A 4 Make sure that the patient sex and age are correct A 4 CAUTION A 4 Wrong entry of patient position A 4 Wrong basis for diagnosis A 4 Make sure that you enter the patient position correct...

Page 87: ...r individual requirements A 4 Scan parameters A 4 Scan protocols are available for different regions for example head and body to ensure that scanning is performed with a suitable radiation dose A 4 A 4 A 4 A 4 CAUTION A 4 Wrong entries A 4 Dose not as desired A 4 Check scan parameters before scanning A 4 CAUTION A 4 Superimposition by subfunctions e g SOMATOM life A 4 Scan parameters are superimp...

Page 88: ... tion data from topogram A 4 X ray not or only partially usable A 4 Check plausibility of the automatically selected scan param eters before scanning A 4 CAUTION A 4 RTP board is an additional absorber in the scan field A 4 Reduced low contrast resolution at soft tissue tumors A 4 Consider reduced low contrast resolution when identifying soft tissue tumors ...

Page 89: ... a delay time suitable for the region to be examined The delay time is the time from pressing the Start key to when the scan begins A 4 A 4 A 4 CAUTION A 4 Wrong start delay A 4 X ray not or only partially usable A 4 For acquisition with contrast medium select the flooding time of the contrast medium as the delay ...

Page 90: ...uality check A 4 The scan parameters and reconstruction parameters together determine the quality of the CT images A 4 A 4 A 4 A 4 CAUTION A 4 Wrong correction tables A 4 X ray not or only partially usable A 4 Perform the daily quality tests every day before you start the actual examinations A 4 CAUTION A 4 Wrong correction tables are used for reconstruction A 4 X ray not or only partially usable ...

Page 91: ...OV you can define what square areas of the slices are to be the visible images A 4 A 4 A 4 CAUTION A 4 Reduced image quality caused by extended field of view A 4 Wrong diagnosis caused by wrong image information A 4 For diagnosis do not use the image area outside the regu lar field of view It has reduced quality and may contain arti facts ...

Page 92: ...system A 4 In this section general and application specific safety advices related to post processing operations are described A 4 General A 4 The following safety instructions apply to post processing oper ations in general A 4 A 4 A 4 CAUTION A 4 User is not instructed in how to operate the application A 4 Wrong basis for diagnosis A 4 The operator must be qualified to use the application ...

Page 93: ... of a small area of 5 x 5 pixels This value can be displayed perma nently in the image together with a pixel marker A 4 A 4 A 4 CAUTION A 4 The pixel marker has a constant size and is independent of the zoom factor of the image A 4 Wrong diagnosis caused by misleading image information A 4 Please note that the pixel marker is only a pointer indicating the position not the size of the measured area...

Page 94: ...lts A 4 A 4 A 4 CAUTION A 4 Modifications in medical images are not saved automatically in the same way as image comments Additionally in case of a user switch where the new user has no adequate access rights modifications of the image text may also be lost A 4 Possible loss of image modifications A 4 Choose Patient Save As in order to save the image with modifications as a new image ...

Page 95: ...he image text may also be lost A 4 Image modifications may be lost A 4 Use Patient Save in order to save the image comment and Patient Save as to save the image with modifica tions as a new image A 4 CAUTION A 4 Inconsistent patient data or image information for syngo appli cations like Osteo CT Pulmo CT Volume Circulation Dental CT LungCARE CT or Calcium Scoring A 4 Wrong basis for diagnosis A 4 ...

Page 96: ...d on the 3D task card can be transferred to the Viewing task card for 2D evaluation A 4 A 4 A 4 CAUTION A 4 Thickness length and angular measurements on MIP and SSD images do not reflect the actual anatomical conditions A 4 Basis for incorrect diagnosis A 4 Do not perform thickness and length measurements on MIP and SSD images ...

Page 97: ...nts in projected images A 4 Possible wrong diagnosis A 4 Do not use measurements in projected images for diagnos tics purposes A 4 CAUTION A 4 The evaluation of distances angles and ROIs in 3D VRT or SSD and projection plain film X ray or fluoroscopic images can be inaccurate A 4 Wrong measurement results and wrong diagnosis A 4 Do not use uncalibrated projection images to make critical measuremen...

Page 98: ... line with any curvature freehand You can then display this cut as an image in the out put segment The orientation mark and the cutline are displayed as orientation aids A 4 A 4 A 4 CAUTION A 4 Using non planar slice images for diagnostic purposes A 4 Wrong diagnosis A 4 Be careful when interpreting orientation labels Keep the shape of the curved cut and its orientation in the volume in mind ...

Page 99: ... It is used to visualize cavities such as colon bronchial system and arteries from positions within the volume A 4 A 4 A 4 CAUTION A 4 Exclusive use of CT endoscopic or angiographic procedures for diagnosis A 4 Possible wrong basis for diagnosis or wrong treatment A 4 Please note that this procedure has not been demonstrated to be a replacement for any conventional endoscopic or angiographic proce...

Page 100: ... A 4 Image requirements for the intended perfusion calculation not fulfilled A 4 Misleading interpretation of results A 4 Take special care when processing dynamic CT images other than SOMATOM CT image data If processing other levels of the brain ensure that the slice contains the occipital segment of the superior sagittal sinus above the confluence of sinuses Only use data that have been acquired...

Page 101: ...tion A 4 syngo Neuro Perfusion CT allows the display of parameter images in color similar to nuclear medicine A 4 A 4 A 4 CAUTION A 4 Inappropriate use of color display A 4 Certain pathological findings are suppressed or overempha sized A 4 Compare the displayed color with the color bar ...

Page 102: ...o Perfusion CT after an initial calculation A 4 A 4 A 4 CAUTION A 4 Setting of inappropriate limits for the optimization algorithm A 4 Incorrect values may result A 4 Only modify the limits manually if you have an adequate understanding of what the modification of these time points entails Use the images calculated without optimization as a refer ence ...

Page 103: ...tion A 4 A 4 A 4 A 4 CAUTION A 4 Motion artifacts on images A 4 Incorrect automatic segmentation A 4 After loading of images check images for motion artifacts Also check results of segmentation If not applicable use Reset button Remove image s with motion artifacts Then repeat evaluation A 4 CAUTION A 4 Evaluation settings are not adapted A 4 Wrong diagnosis A 4 Check that the thresholds for CBF a...

Page 104: ... for region evaluation measuring distances lengths and angles and for pixel evaluation A 4 A 4 A 4 CAUTION A 4 Distance and angle measurements in the topogram A 4 Incorrect measurement values due to the projection tech nique used A 4 Only perform distance measurements in the topogram in the longitudinal direction head foot direction Do not perform angle measurements ...

Page 105: ...you have finished the topogram scan you can see one or more examination ranges marked in the topogram A 4 A 4 A 4 CAUTION A 4 Scan lines at wrong position for syngo Osteo CT examination A 4 Wrong diagnosis caused by wrong image information A 4 Check that position of scan lines is in the middle of the ver tebral body ...

Page 106: ...lost A 4 Lossy compressed images should not be used for primary diagnosis the image quality may not be sufficient Lossy compression is indicated in the image displayed The indication will be displayed except if No Text is in effect Pay attention to corresponding entries in the image text A 4 CAUTION A 4 Lossy compression is selected for data transfer A 4 Image quality of the lossy compressed image...

Page 107: ...or print them on paper for documentation and reporting A 4 All film settings such as the layout of the film sheet or the selected camera printer are defined in so called film layouts A 4 A 4 A 4 CAUTION A 4 Exposing images with a non verified camera A 4 Wrong basis for diagnosis A 4 Only use cameras that have been released by Siemens ...

Page 108: ...e provides images with reduced quality and does not support original size A 4 A 4 A 4 CAUTION A 4 Using scalable page mode may reduce the image quality The resulting image quality may no longer be sufficient The scal able page mode does not support real size A 4 Possible wrong diagnosis A 4 Be aware of image quality reduction if scalable page mode is configured ...

Page 109: ...gnosis A 4 Wrong diagnosis caused by wrong image information A 4 Only use images on film for diagnostic purpose A 4 CAUTION A 4 The image quality on paper printouts might be reduced so that the printouts may not be sufficient for diagnosis A 4 Possible wrong diagnosis A 4 Only use images on film for diagnostic purposes You may use printouts for diagnosis if the printer has been evaluated and relea...

Page 110: ...nal data medium or to the central archive A 4 Exporting in multi session mode A 4 If your system is configured for multi session you can store your data to new unrecorded CDs or CDs that have already been written to once or several times A 4 B 4 A The setting of multi session or single session mode can be changed by Siemens Service factory default is multi session A 4 ...

Page 111: ...set to this data in the database become invalid A 4 Only delete the data that you have archived on a media from the local database after you have successfully final ized and verified the media A 4 CAUTION A 4 Switching to multi session mode may destroy data previously recorded on this medium A 4 Previously stored data can no longer be read A 4 Only delete the data that you have exported on a CD R ...

Page 112: ...rvice techni cian as to which security options you want to be enabled A 4 A 4 A 4 CAUTION A 4 There is no undo A 4 After activating the security system access is limited to only the defined users Once the security system is activated it is not possible to deactivate it instead you would have to reinstall the completed syngo system on the computer from scratch A 4 Make sure you have read and comple...

Page 113: ...nd assign it to a group and a role both called Emergency Access Define a local user account for emer gency The password for this account should never expire Regardless as to whether you specify a password for the emergency account or not users shall be prohibited from changing any passwords especially for the emergency account The users shall contact you immediately in case of prob lems A 4 CAUTIO...

Page 114: ...accounts or passwords or wrong setup for example in case of an emergency A 4 Inaccessible system A 4 Do not forget to define a general user account for emer gency access and assign it to a group and a role both called Emergency Access Define a local user account for emer gency The password for this account should never expire Regardless as to whether you specify a password for the emergency accoun...

Page 115: ... 4 In this case it is not possible to work with the system Emer gency access is also not possible A 4 To prevent system blockage someone must archive the log files and remove them from the audit trail on a regular basis When the audit trail blocks the system user with the Secu ritySystem BypassBlockedSystem and the Audit Trail Archive can login to the system and delete archive the log files ...

Page 116: ... only report back to the sending system when the data has been fully received flags A and S A user or an auto delete mechanism at the send ing system might subsequently delete the sent data However this response dose not imply that the data has already been stored at the receiving system A 4 In the case that the receiving system cannot store the data the data might irrevocably be lost A 4 Double c...

Page 117: ...age commitment flags AC SC Storage Commitment means storage to hard disk but this may not fulfill or guarantee regulatory requirements about long term archiving You can delete the committed objects A 4 Possible loss of data within the required period for reten tion A 4 Observe the regulatory requirements regarding longterm archiving ...

Page 118: ...sys tems will not automatically change the patient information in syngo A 4 Data retrieved from PACS or other nodes seems to be mis aligned or lost but is stored elsewhere in the database A 4 Imported data will always be appended to the already exist ing patient on the local system based on matching DICOM UIDs If you imported data but cannot find them on the local system under a certain name use o...

Page 119: ...vated A 4 Possible loss of data A 4 The option in the General tab card to configure the Delete Confirmation dialog box should not be switched off Be careful when setting permissions to delete documents without check if flags are not set A 4 CAUTION A 4 Deletion confirmation deactivated A 4 Possible loss of data A 4 The option in the General tab card to configure the Delete Confirmation dialog box ...

Page 120: ...cal groups If you find that the structure is not correct you can regroup the examinations and series by moving them A 4 A 4 A 4 CAUTION A 4 Correcting or rearranging not all objects with references A 4 Possible loss of references A 4 Rearrange the entire hierarchical group containing all objects with references in order to maintain the references Only references found within the selection will be ...

Page 121: ...mat and sequences of images in AVI format exported previously to a specific directory can be recorded automatically on CD R The path of this specific directory is configurable by service personnel but the default path is H sitedata offline A 4 A 4 A 4 CAUTION A 4 Using another directory for Camtasia data files A 4 Data disk is full and no further examination possible You can not delete files any m...

Page 122: ...r system A 4 A 4 A 4 A 4 CAUTION A 4 Switch user shut down logoff or restart without saving data A 4 Possible loss of unsaved changes A 4 Save data before switching user shutting down or restart ing the system A 4 CAUTION A 4 Switching off the computer in Stand by mode or without shut ting down A 4 Possible loss of data data corruption or system damage A 4 Shut down the computer before switching o...

Page 123: ...wall is included A 4 A 4 A 4 CAUTION A 4 Impermissible or faulty manipulations or changes of the soft ware or hardware or connection of the system to a network A 4 Unauthorized access damage to the equipment A 4 Make sure that all necessary precautions with respect to the existing level of security are considered when adding a functionality or altering the shipped configuration You are not permitt...

Page 124: ...ic or private network may lead to insufficient system performance A 4 Possible degradation of system performance or unexpected system behavior A 4 Only use syngo in a secure and load adapted network A 4 CAUTION A 4 Misuse of data handling A 4 Failure in diagnosis A 4 Ensure that only a trained user gets remote access to the system ...

Page 125: ...er with Patient Search you first search for the patient you require A 4 A 4 A 4 CAUTION A 4 If the Patient ID is not unique studies may be listed which do not belong to the patient selected and displayed in the information area A 4 Import of wrong patient data possible A 4 Always check the patient data before importing them into your system ...

Page 126: ... may be displayed with a reduced pixel matrix A 4 A 4 A 4 CAUTION A 4 Transferring manipulated non square matrices or viewing seg ments A 4 Diagnostically relevant areas of images may be lost A 4 When manipulated images are exported or sent to another workstation the related original images should be sent as well It is strongly recommended to base the final diagnosis always on the original images ...

Page 127: ...by Siemens Service via modem A 4 A 4 A 4 CAUTION A 4 Terminating remote service without consultation with the ser vice engineers A 4 Terminating the remote service ends all service processes and may cause system malfunctions A 4 Always coordinate termination with the service engineer before terminating the remote service ...

Page 128: ...0 0 0 0 Software Related Safety Information Safety A 4 44 SOMATOM Spirit0 0 ...

Page 129: ...anels and displays B 1 5 Patient table B 1 5 Console with input units B 1 5 Image reconstruction system B 1 5 Accessories B 1 6 Expansion levels of the system B 1 6 B 2 Scan Unit Gantry B 2 1 Components B 2 1 Design B 2 2 Gantry operator panels B 2 4 Arrangement of the operating elements and the radiation lamp B 2 5 Functions of the operating elements B 2 8 Equipment for communication with the pat...

Page 130: ...Table B 3 1 Operating elements B 3 2 Definitions and limit values B 3 4 B 4 Console Related Safety Advice B 4 1 Location of use B 4 1 Connections B 4 2 Navigator console B 4 2 Monitor B 4 3 Cleaning B 4 5 Transportation B 4 6 Safety instructions for the UPS B 4 7 ...

Page 131: ...ware updates B 5 6 Software version B 5 6 Input units B 5 7 Keyboard B 5 7 Mouse B 5 9 Control box B 5 10 Monitor B 5 13 Type of monitor B 5 13 Operating elements B 5 14 Uninterruptible power supply UPS B 5 15 On off switch and displays B 5 16 UPS operating modes B 5 17 Documentation B 5 18 Support of DICOM standard B 5 18 Support of postscript printers B 5 19 ...

Page 132: ...r B 6 1 CDs and DVDs B 6 1 DVD recorder B 6 2 USB Devices B 6 4 B 7 Accessories B 7 1 Systems for patient registration B 7 1 Phantoms B 7 1 Patient table and positioning accessories B 7 2 Positioning aids B 7 2 Paper roll holder optional B 7 3 Slicker B 7 4 Special examination accessories B 7 5 Osteo CT B 7 5 ...

Page 133: ...s of a patient for diagnostic purposes according to the computed tomography procedure B 1 The tomographic images generated with this system can be viewed on a monitor processed filmed and exported B 1 Optional equipment B 1 You can expand a SOMATOM standard system individually and adjust it to your clinical requirements B 1 Configuration of the system B 1 Components of your system are described in...

Page 134: ...irit is suitable for the generation and processing of tomographic images of patients for diagnostic purposes B 1 Site of application B 1 SOMATOM Spirit can be operated in the x ray department of a hospital or doctor s office B 1 Authorized users B 1 SOMATOM Spirit must be used by persons with the necessary specialist knowledge for example doctors trained radiologists or trained technologists B 1 ...

Page 135: ... components B 1 Acquisition system gantry and patient table Console computers including IRS input units monitor control box and UPS B 1B The pictures of the components shown here are only examples The appearance of your components depends on the system configuration B 1 B 1 1 Patient table and gantry 2 Console components ...

Page 136: ... Gantry scan unit B 1 The interior of the gantry consists of the rotating x ray detector system This consists of the x ray tube and collimator and the UFC detector Ultra Fast Ceramic The gantry also contains the generator the motor drive the data acquisition system and the unit control B 1 The gantry contains laser light markers for vertical and horizon tal positioning as well as the microphone an...

Page 137: ...he examination position The horizontal and vertical posi tion of the patient table can be adjusted by the user It is adjusted automatically for slice positioning Page B 3 1 Patient Table B 1 Console with input units B 1 The console is your main workstation Here you enter all charac teristic values and patient data perform examinations and view the tomographic images on the screen Page B 5 1 Con so...

Page 138: ... SOMATOM Spirit0 0 Accessories B 1 Different accessories are available Page B 7 1 Accessories B 1 Expansion levels of the system B 1 Please refer to the listing in your purchase contract for informa tion about the expansion levels of your system B 1 ...

Page 139: ...onents B 2 You will find the following operating elements and displays on the gantry B 2 B 2B The pictures of the components shown here are only examples The appearance of your components depends on the system configuration B 2 B 2 1 Gantry operator panels 2 Laser light markers 3 Displays 4 Loudspeaker and microphone on the back of the gantry ...

Page 140: ...eam which passes through the patient B 2 Detector system B 2 The bow shaped detector system is located opposite the x ray tube It measures the incoming radiation B 2 The system is equipped with UFC solid state detectors Ultra Fast Ceramic for processing low dose radiation with high image quality B 2 The x ray tube and detector are aligned with one another and rotate around the patient B 2 ...

Page 141: ...tem Description Scan Unit Gantry 0 0 04 2012 0 0 B 2 30 0 Gantry tilt B 2 The gantry can be tilted forward or backward up to 25º or 30º depending on the system configuration See System Owner Manual B 2 B 2 ...

Page 142: ...perator panels you control the movement of the gantry and patient table The displays indicate the vertical and horizontal position of the table and the angle of inclination of the gantry as well as the radiation data B 2 The radiation warning lamps at the gantry front indicate whether a scan is being released B 2 ...

Page 143: ...2012 0 0 B 2 50 0 Arrangement of the operating elements and the radiation lamp B 2 Left and right gantry opera tor panel B 2 B 2 1 STOP button 2 Operating elements 3 Radiation warning lamp B 2B Press one key for motion control only at a time B 2 ...

Page 144: ... The tube voltage in kV the tube current in mA and the scan time in s are displayed at the top of the gantry front The radi ation warning lamp is located here as well B 2 B 2B The values shown on the display here are only examples B 2 B 2 1 Tube voltage 2 Tube current 3 Radiation 4 Scan time ...

Page 145: ... Table top move ment into the gantry opening is displayed as a negative value and movement out of the gantry opening as a positive value B 2 The display value of the vertical table position indicates the table height in mm relative to the center axis of the gantry B 2 Radiation warning lamps B 2 B 2 The radiation warning lamps on the gantry operator panels on the control box as well as site radiat...

Page 146: ...ions of the operating elements B 2 Operating elements B 2 The operating elements on the left and right gantry panel are shown as below B 2 B 2 1 Predefined table position A B 2 Table out 3 Table up 4 Laser light marker 5 Table in 6 Gantry tilt 7 Table down 8 Table retraction ...

Page 147: ...ng pages are from right gantry panel You can use the operating elements on the left gantry panel as well B 2 Gantry tilt B 2 B 2 With the two keys you can tilt the gantry up to 25º from the vertical position 0 depending on the table height B 2 Table movements B 2 B 2 With the four table adjustment keys you can adjust the table height and move the table into and out of the gantry B 2 ...

Page 148: ...key you switch the laser light marker on and off The laser light marker indicates the position of the scan center and the slice plane in the middle of the detector rows B 2 i 2B After approximate 1 minute the laser light marker is switched off automatically B 2 Tabel retraction B 2 B 2 With this key you move the table top out of the gantry opening and lower it The key is active as long as it is pr...

Page 149: ... unit movements in an emergency table movements and gantry tilting and switch off radiation B 2 If you press one of the red STOP keys unit movements are inter rupted and radiation is stopped The functions of the keys for system movements are blocked as well Page A 2 14 Termi nating system movements and radiation B 2 ...

Page 150: ... B 2 The equipment for communication with the patient is located in the rear upper part of the gantry B 2 B 2 1 Loudspeaker 2 Microphone Intercom system B 2 Using the speaker and microphones you can talk with the patient B 2 You can operate the intercom with the keys on the control box Page B 5 10 Control box B 2 ...

Page 151: ...Manual B 3 Material B 3 The table top consists of material which is impervious to water The table mattress and accessories are shaped such that they cause if at all only minimal artifacts B 3 Positioning aids B 3 For safe and comfortable positioning of the patient positioning aids are available Page D 3 1 Accessories for Patient Posi tioning B 3 Equipotential bonding con nector pin B 3 The connect...

Page 152: ...0 0 Operating elements B 3 At the patient table you will find the components and operating elements for manual movement B 3 B 3B The pictures of the components shown here are only examples The appearance of your components depends on the system configuration B 3 ...

Page 153: ...ments B 3 B 3 1 Patient table with movable table top 2 Handle on the table top with locking device 3 Label The patient table corresponds to a type B applied part It is protected against electrical shock by limiting admissible leakage currents in accordance with IEC 60601 1 ...

Page 154: ...s B 3 To enter the patient position correctly you must be familiar with certain definitions concerning the patient table B 3 Head end foot end B 3 B 3 1 The head end is the end of the patient table closer to the gantry 2 The foot end is the end of the patient table further away from the gantry ...

Page 155: ...System Description Patient Table 0 0 04 2012 0 0 B 3 50 0 Directions B 3 B 3 1 In z and out z 2 Scan field axis 3 Up y and down y ...

Page 156: ...s to the isocenter of the system B 3 i 3B Do not change the table height during the examination because it alters the slice position too B 3 Limit values B 3 The table top can be lowered to approximate 500 mm above the floor level for example during patient positioning B 3 B 3B The limiting values for the vertical and horizontal table setting and the angle of inclination of the gantry are interdep...

Page 157: ...ts shall only be operated outside the patient vicinity B 4 Additional monitors B 4 If a CRT monitor is used in the examination room it shall only be operated outside the vicinity of the patient not cleared for use in closer proximity due to leakage current Please refer to the diagrams below B 4 B 4 1 USA 1 83m 2 All other countries 1 50m ...

Page 158: ...power connec tions for the monitor the ICS computer and the IRS computer as well as the input power connector B 4 B 4 B 4 Electric shock hazard B 4 Do not remove cover or back refer servicing to qualified personnel B 4 CAUTION B 4 Impermissible or faulty manipulations or changes of the hard ware or software can cause the system to malfunction B 4 Injury of the patient or damage to the equipment or...

Page 159: ...contact your sales office or our customer service B 4 B 4 B 4 WARNING B 4 Unauthorized manipulation or improper use of the system B 4 Hazard of an electric shock B 4 Never open the monitor Leave all repairs to Siemens Service Never place cups glasses or other vessels containing liquid on or near the monitor in case of accidental spillage Ensure that no objects for example necklaces paperclips can ...

Page 160: ... 4 Users are not authorized to work on operating system level Any software manipulation is forbidden B 4 CAUTION B 4 Impermissible or faulty manipulations or changes of the hard ware or software can cause the system to malfunction B 4 This can cause injury and or damage to the equipment B 4 Do not open or remove the cover of the equipment nor install third party software ...

Page 161: ...while the system is connected to the power supply B 4 Electric shock due to possible contact with line voltage B 4 Always switch the system off at the main power switch before cleaning or disinfecting B 4 CAUTION B 4 Cleaning of the monitor housing during operation B 4 Electric shock B 4 Only clean the housing when the monitor is switched off ...

Page 162: ...an the screen If necessary dampen it with a domestic glass cleaner Remove water drops immediately extended contact with water discolors the surface In order to avoiding damage to the surface coating never use corrosive agents to clean the screen surface Transportation B 4 The monitor has to be packed properly when transported B 4 B 4 B 4 CAUTION B 4 Dropping of the CRT monitor B 4 Injury of user p...

Page 163: ...nt B 4 Observe proper precautions Servicing should be per formed by qualified service personnel knowledgeable of batteries and required precautions Keep unauthorized personnel away from batteries B 4 CAUTION B 4 Improper handling of batteries B 4 Electrical shock or burn from high short circuit current B 4 Observe proper precautions Servicing should be per formed by qualified service personnel kno...

Page 164: ...0 0 0 0 Console Related Safety Advice System Description B 4 8 SOMATOM Spirit0 0 ...

Page 165: ... the sys tem on and off enter patient data plan the examination and trigger measurement B 5 You acquire the CT data and use them to reconstruct the CT images which you then evaluate B 5 Components B 5 The console consists of the following components B 5 B 5B The pictures of the components shown here are only examples The appearance of your components depends on the system configuration B 5 ...

Page 166: ...0 0 0 0 Console System Description B 5 2 SOMATOM Spirit0 0 B 5 1 Monitor 2 Control box 3 Keyboard 4 Mouse 5 Image control system ICS 6 Image reconstruction system IRS 7 Uninterruptible power supply UPS ...

Page 167: ... B 5 The CT scanner is controlled by two main computers the image control system and the image reconstruction system B 5 B 5B The pictures of the components shown here are only examples The appearance of your components depends on the system configuration B 5 B 5 ...

Page 168: ...studies and store them B 5 i 5B You work with this computer B 5 Image reconstruction sys tem IRS B 5 The image reconstruction system communicates with the scan system It uses the measured data of the detector system to cal culate the images for each slice It then passes on the data to the image control system B 5 i 5B The image reconstruction system does not require any special operation B 5 ...

Page 169: ...o This software is used for examination and evaluation B 5 i 5B The syngo application software is described in detail in the Online Help and in the syngo CT Operator Manual B 5 Service software B 5 The service software is used for adjustment checking and diag nostics of the systems and programs You cannot access patient data with the service software B 5 ...

Page 170: ...the software from time to time to keep your system up to date B 5 Software version B 5 Information about the software and installed software packs function custom and service packs is listed in the Version dialog box B 5 B 5B You can display the Version dialog box with Options Version in the main menu B 5 ...

Page 171: ...se keyboard mouse and control box to inform the computer what actions to perform B 5 Keyboard B 5 With the keyboard you enter text numbers and commands B 5 B 5B The picture of the keyboard shown here is only an example The appearance of your device may be slightly different B 5 ...

Page 172: ...ATOM Spirit0 0 B 5 1 Function keys 2 Typewriter keyboard 3 Cursor keys 4 Symbol keypad Language Versions B 5 The computer supports keyboards in different languages B 5 For further information about the keyboard please refer to the Online Help B 5 ...

Page 173: ...e of the mouse shown here is only an example The appearance of your device may be slightly different B 5 B 5 Mouse keys B 5 Your mouse has three keys B 5 The left key is used to select objects The right key is used to call up popup menus The center key is used for window setting For further information about the mouse please refer to the Online Help B 5 ...

Page 174: ... lamp lights up and a warning signal sounds when radiation is being generated B 5 B 5 The color of the illuminated ring indicates the operating state of the system B 5 Encircling ring B 5 Blinking Green ready for scanning Yellow radiation warning Intercom B 5 The operating elements for the intercom system are also located on the control box With this system you can talk to the patient or play back...

Page 175: ...erating elements B 5 B 5 1 Move key With this key you move the table and gantry tilt to the next measuring position B 5 2 Microphone 3 Start key With this key you trigger scanning B 5 4 Radiation warning lamp This display lamp lights up during radiation B 5 ...

Page 176: ... this key if you want to hear what the patient is saying The light diode indicates that the listening connection is maintained Press the key again to release the listening con nection B 5 7 Loudspeaker 8 Call Pat Call Patient key Hold this key down while you are speaking into the micro phone B 5 9 STOP key With this key you stop scanning altogether in an emer gency B 5 B 5B The picture shown here ...

Page 177: ...r B 5 On the monitor you can see and control the examination proce dure and view the images B 5 Type of monitor B 5 The monitor on the console is a 19 Liquid Crystal Display LCD color monitor with high resolution B 5 i 5B Do not touch the screen surface B 5 B 5 ...

Page 178: ...nfigured by Siemens Service Therefore you cannot make any changes to these set tings B 5 i 5B Always leave the monitor switched on It is switched on and off together with the system at the UPS B 5 B 5 The operating elements are located on the rear left side of the housing B 5 B 5B The adjustment keys are locked by default B 5 ...

Page 179: ...0 0 04 2012 0 0 B 5 150 0 Uninterruptiblepowersupply UPS B 5 The uninterruptible power supply compensates for voltage fluc tuations and provides backup power during power failures for a short time for the computer system B 5 B 5 ...

Page 180: ...h and displays B 5 B 5 1 Battery Replace Indicator 2 Backup Mode Indicator 3 UPS Warning Fault Indicator 4 AC Buck Mode Indicator 5 AC Boost Mode Indicator 6 AC Normal Indicator 7 On button 8 Off button 9 Battery Capacity Load level Indicator L1 L5 10 Over Load Indicator L6 ...

Page 181: ...tected equipment The UPS mon itors and charges the batteries as needed and provides power protection to your equipment B 5 Battery mode B 5 When the UPS is operating during a power outage the alarm beeps and the battery mode indicator illuminates The protected equipment is now powered by the UPS When power returns the UPS returns to normal operation while the battery recharges B 5 The length of ti...

Page 182: ...ation B 5 Support of DICOM standard B 5 The SOMATOM system supports the DICOM standard Besides DICOM Print various cameras are supported to commit the CT images to film B 5 i 5B You can obtain an up to date list of cameras supported from your Siemens representative B 5 ...

Page 183: ...neric printer driver different postscript printers can be connected to a Siemens CT system without the need of install ing any specific printer driver for the individual printer B 5 Siemens only allows the connection of a postscript printer via a TCP IP network port or locally at the parallel interface Con nected postscript printers shall be used primarily for printing the reports that are created...

Page 184: ...he following printers were tested successfully for version syngo CT 2010C B 5 Xerox Phaser 6250N Hewlett Packard Color Laser Jet 4650N Siemens recommends to use one of those two printers In case you wish a different printer to be installed contact your service technician for support B 5 ...

Page 185: ...nd DVDs Digital Versatile Discs From recorded CDs and DVDs you can for example import the examination data stored on them into your database B 6 CDs and DVDs B 6 You can use the following types of discs on your system B 6 CD ROM CD R DVD ROM DVD R B 6B Only use medical grade CD Rs and DVD Rs Medical grade media are available through your Siemens representative B 6 ...

Page 186: ...m Description B 6 2 SOMATOM Spirit0 0 DVD recorder B 6 With the DVD recorder you can read and write data onto from CDs and DVDs B 6 Operating elements B 6 B 6 1 DVD tray 2 LED 3 Opening for manual ejection of discs 4 Open Close Stop button ...

Page 187: ...System Description Storage Media and Drives 0 0 04 2012 0 0 B 6 30 0 B 6 1 DVD tray 2 Opening for manual ejection of discs 3 LED 4 Open Close Stop button ...

Page 188: ...n B 6 4 SOMATOM Spirit0 0 USB Devices B 6 You can store data on USB devices B 6 i 6B Only use USB devices approved by Siemens B 6 More information about the supported USB devices can be obtained from your Siemens representative B 6 Connections B 6 B 6 ...

Page 189: ... 0 04 2012 0 0 B 6 50 0 Recommended USB hard drives B 6 The following two USB hard drives were tested successfully for version syngo CT 2010C B 6 lomega 160 Gbyte External Hard Drive Hi Speed USB 2 0 Maxtor One Touch 160 Gbyte External Hard Drive ...

Page 190: ...0 0 0 0 Storage Media and Drives System Description B 6 6 SOMATOM Spirit0 0 ...

Page 191: ...nt registration B 7 Connection to HIS RIS hospital information system radiol ogy information system i 7B Please ask your Siemens Customer Service Representative B 7 Phantoms B 7 The following phantoms are provided Page F 1 6 Accesso ries for quality measurement B 7 Water phantom 20 cm Slice thickness phantom Wire phantom Low contrast phantom optional ...

Page 192: ...accessories B 7 Positioning aids B 7 Positioning aids are used for optimum positioning of the patient during measurement Page D 3 1 Accessories for Patient Positioning B 7 Head holders and table top extension Supports and cushions Restraint straps Optional accessories for example baby mattress ...

Page 193: ... The paper roll holder is used for easy changing of the crepe paper on the table It can be placed wherever you want also on the table B 7 B 7B To rule out collisions the paper roll holder should not be placed on the head end of the table while table height is set to the min imum B 7 B 7 ...

Page 194: ...3 Disposal of this crepe paper has to be environmentally compatible B 7 Slicker B 7 The slicker is an exchangeable cover for the patient table top It prevents fluids from infiltrating into the table and additionally facilitates patient positioning B 7 i 7B For detailed information on the operation of the slicker please refer to the operator manual of the slicker manufacturer Rad Scan Medical Equip...

Page 195: ...Special examination accessories B 7 Osteo CT B 7 Use the Osteo positioning mat to position the patient appropri ately for the Osteo examination B 7 Table top mat B 7 It has a cut out in the vertebral region for the reference phan tom and the gel pack B 7 B 7 ...

Page 196: ...ATOM Spirit0 0 Reference phantom and gel pack B 7 Use the table top mat in combination with the reference phan tom and the gel pack B 7 B 7 Other non Osteo examina tions B 7 For standard examinations use the Osteo positioning mat with the PE pad B 7 ...

Page 197: ...vements C 2 1 Preparations C 2 2 Moving the patient table C 2 2 Moving the patient table manually C 2 8 Usage for Veterinary Purposes C 2 10 Immobilizing animal patients C 2 12 C 3 Use of Storage Media C 3 1 Use of the DVD Drive C 3 1 General instructions for use C 3 1 DVD recorder C 3 4 Use of USB Devices C 3 8 Insertion and removal C 3 9 Formatting C 3 11 ...

Page 198: ...0 0 0 0 System Handling C 2 SOMATOM Spirit0 0 ...

Page 199: ... up to 25º or 30º from the vertical posi tion 0 depending on the table height C 1 B 1 C Press one key for motion control only at a time C 1 The operating elements illustrated on the left margin in follow ing pages are from right gantry panel You can use the operating elements on the left gantry panel as well C 1 ...

Page 200: ...can be switched between Scan subtask card and Gantry tilt Table position subtask card C 1 If non of the steps is selected in the chronological list the Gantry tilt Table position subtask card appears you can read the gantry tilt angle in this card If any step is selected in the chronological list the Scan sub task card appears So you have to switch it to Gantry tilt Table position subtask card by ...

Page 201: ...ment to continue The gantry is inclined such that the top of it moves toward the patient table positive angle C 1 i 1 C If the following positions have been reached the tilting stops automatically C 1 Vertical position 0 position Maximal positive or negative angle Final position defined by the current table position or scan program To continue movement release the key and press it again C 1 ...

Page 202: ...ovement to continue The gantry is inclined such that the top of it moves away from the patient table negative angle C 1 i 1 C If the following positions have been reached the tilting stops automatically C 1 Vertical position 0 position Maximal positive or negative angle Final position defined by the current table position or scan program To continue movement release the key and press it again C 1 ...

Page 203: ...xaminations the table is moved in steps horizontally For spiral scans the table is moved continuously in horizon tal direction STOP keys C 2 C 2 With the STOP keys you can interrupt unit movements in an emergency table movements and gantry tilting and switch off radiation C 2 If you press one of the red STOP keys unit movements are inter rupted and radiation is stopped The functions of the keys fo...

Page 204: ...ed ding can not get caught by moving parts of the patient table C 2 Moving the patient table C 2 You can adjust the table height and move the table into and out of the gantry directly on the gantry operator panel Page B 2 4 Gantry operator panels C 2 B 2 C Always ensure that the movement is not obstructed by any objects C 2 Do not place any objects underneath the patient table C 2 ...

Page 205: ...tion of the Patient Table 0 0 04 2012 0 0 C 2 30 0 Displays C 2 The table height and relative table feed are displayed both on the position displays on the gantry and on the screen Page B 2 4 Gantry operator panels C 2 C 2 ...

Page 206: ...ween Scan subtask card and Gantry tilt Table position subtask card C 2 If none of the steps is selected in the chronological list the Gantry tilt Table position subtask card appears you can read the values of the table position and table height in this card If any step is selected in the chronological list the Scan sub task card appears So you have to switch it to Gantry tilt Table position subtas...

Page 207: ...mum height you must completely retract the table top out of the gantry and posi tion the gantry in the vertical position C 2 C 2 C 2 C 2 CAUTION C 2 Lowering the patient table C 2 Body parts can get caught C 2 Make sure that the patient s body are above the patient table Make sure that neither body parts of anybody not any objects are below the patient table ...

Page 208: ...l the table is correctly positioned or C 2 C 2 Press the Table down key and hold it down during table movement until the table is correctly positioned Moving the table top hori zontally C 2 C 2 C 2 C 2 CAUTION C 2 Horizontal table top movement C 2 Possible injury of the hand warning label C 2 Do not place your hand in the gap of the table top support ...

Page 209: ...hown on the display C 2 or C 2 C 2 Press the Table out key and hold it pressed until the table is correctly positioned The table top moves out of the gantry The new table top posi tion in mm is shown on the display C 2 Moving to the predefined ta ble position C 2 C 2 Apply the predefined position keys A or B to move the patient table into scanning position The table reaches the predefined position...

Page 210: ...tion the table top manually C 2 Moving the table top hori zontally C 2 You can use the handle at the end of the table to move the table top out of the gantry C 2 C 2 Press the lever towards the end of the table top and pull the table top out of the gantry B 2 C Before you continue work on the system you must lock the tabletop back into its original position C 2 ...

Page 211: ...ti cally C 2 You can use the hand crank at the bottom of the table to move the table up or down manually C 2 C 2 1 Hand crank 2 Hand crank under the patient table 3 Hole for the hand crank Insert the hand crank into the matching hole below the table as far as it will go Crank the table up or down ...

Page 212: ...e gantry there are no additional restrictions when using the system for animal patients C 2 The technical specification for the SOMATOM CT system equip ment is given in System Owner Manual For more informa tion on the relevant safety measures refer to Page A 1 1 Safety C 2 B 2 C United States Federal law restricts this device to sale by or on the order of a physician or veterinarian 21 CFR 801 109...

Page 213: ...ossibility of electrical shock C 2 Always make sure that the animal cannot loose uncon trolled body fluid during scanning for example by using catheters or diapers C 2 CAUTION C 2 Using an animal protocol for scanning a human C 2 Injury of the human or radiation damage C 2 The scan protocols must be uniquely assigned as animal protocols Do not use animal protocols for humans ...

Page 214: ... sonnel damage to the equipment or misdiagnosis due to movement of the animal patient during scanning C 2 C 2 C 2 C 2 C 2 CAUTION C 2 Animal not immobilized C 2 Contusion fractures of the operator personnel or atten dant Damage to the equipment C 2 Always anesthetize or sedate the animal before scanning Keep the number of the persons in the scanning room as low as possible C 2 CAUTION C 2 Animal n...

Page 215: ... movement does not stop immediately when the key is released Press STOP if the patient table does not stop as expected Press STOP if the patient table position displayed differs by more than 10 mm from the actual position Press STOP if the patient is not correctly positioned during system movements Press STOP if the patient table moves in the wrong direc tion Press STOP if the HOLD key does not re...

Page 216: ... or anesthetization weakens during scanning uncontrolled movements of the animal patient could also result in injury or misdiagnosis Therefore the animal patient needs to be observed at all times C 2 C 2 C 2 CAUTION C 2 Unintentional patient movement C 2 Injury of the patient C 2 Always fix and observe the patient during the measure ment ...

Page 217: ...de or in several record ing steps multi session mode The session mode configured depends on the system configuration C 3 i 3 C The process of writing data on a CD or DVD is called Recording C 3 You can read data from CDs and DVDs after recording C 3 General instructions for use C 3 C 3 C 3 CAUTION C 3 Use of poor quality MODs C 3 Possible loss of data C 3 Only use brand name MODs ...

Page 218: ...on the non shiny labeling side using a special marker Do not use glue to apply labels or stickers smaller than the disc s surface This will imbalance the disc and therefore data might get lost Keep the discs away from heat for example heaters and direct sunlight Always store discs horizontally and in a dry not too warm location Only use CD Rs that have been formatted in the CD R drive of the CT un...

Page 219: ...sc was left in the drive remove the media shortly after you turned on the unit by pressing the release button Make sure that the DVD drive is not subject to vibrations during operation Vibrations can cause the drive to stop Only open the drawer to insert or remove the disc Do not place any objects on the open drawer Never press down on the open drawer ...

Page 220: ...ghts up green Press the insert eject key briefly The drawer moves out C 3 Insert the disc into the drawer with the label side up Press the insert eject key again briefly The drawer is retracted C 3 As soon as the disc has been inserted and the drive is ready for reading and writing the status LED lights up green C 3 B 3 C If the status LED does not light up green after you have inserted the disc t...

Page 221: ...write status LED lights up green C 3 B 3 C Do not write data onto CD or DVD during a patient examination C 3 Use the appropriate menu entries of the user interface to write to and read from the CD or DVD i 3 C Depending on the volume of data the recording process can take several minutes C 3 i 3 C While data is being read the read write status LED lights up green C 3 ...

Page 222: ...C 3 Take the CD or DVD out of the drawer when the mechanism stops and put it back in its cover Press the insert eject key again The drawer is retracted again C 3 B 3 C If the status LED flashes red a drive fault has occurred Contact Siemens Service C 3 C 3 CAUTION C 3 Taking out the CD or DVD too early C 3 Loss of data and destruction of the CD R possible C 3 Do not remove the CD R from the CD rec...

Page 223: ... Press the recessed key next to the insert eject key using a piece of stiff wire for example a straightened paper clip The drawer is now unlatched C 3 Carefully pull out the drawer and remove the disc B 3 C In case of power failure or shutdown during a recording session data stored on this CD or DVD during a previous session may no longer be accessible In order to avoid loss of data we recom mend ...

Page 224: ...rformed as a background process and is started via File Browser C 3 i 3 C For instructions using the USB device please refer to the opera tor manual of the USB device manufacturer More information can be obtained via internet C 3 B 3 C It is recommended to use a USB disk without additional hard ware function for example backup encryption and so on Please click Cancel if Found New Hardware window p...

Page 225: ... USB device C 3 C 3 CAUTION C 3 Using USB devices without own power supply C 3 The USB controller can be permanently damaged C 3 Use USB devices as recommended by the manufacturer of the device C 3 CAUTION C 3 Use of non integrated USB storage device C 3 Reboot request of the operating system C 3 Ignore the reboot request and press Cancel Finish your examination or application Restart the system w...

Page 226: ...amage of the operating system and damage of media C 3 Do not immediately unplug a USB device Always use the software functionality for safe removal before unplugging C 3 CAUTION C 3 Plugging or unplugging USB devices during acquisition can make the system unstable which may affect other processes like running acquisition tasks C 3 Loss of data acquisition process disturbed C 3 Do not plug in or un...

Page 227: ...ice out of the USB port Formatting C 3 It is necessary to format your USB hard drive as NTFS file system to transfer raw data 4 GB to your USB hard drive C 3 The entire process consists of two main steps C 3 Formatting the USB hard drive Setting Full Control access to group Everyone You can perform both steps at any computer with Windows XP operating system but not on syngo Acquisition Workplace C...

Page 228: ... in USB hard drive Open the Windows Explorer Select the USB hard drive and select Format from the context menu The Format dialog window is displayed C 3 Select NTFS from the File system selection list Click the Start key to format the hard drive A message window is displayed informing the user that all data are lost during this action C 3 Confirm with OK to continue A window above illustrates the ...

Page 229: ...g system but not on syngo Acquisition Workplace C 3 Login as Administrator Plug in USB hard drive Open Windows Explorer Select USB hard drive and select Properties from the con text menu Select the tab card Security Select group Everyone Allow Full Control to this group Confirm settings by Apply button Click the OK button to close the Properties window ...

Page 230: ...0 0 0 0 Use of Storage Media System Handling C 3 14 SOMATOM Spirit0 0 ...

Page 231: ... and calibration D 1 8 Shutting down the system D 1 11 Shutdown and switching off D 1 14 Shutdown and restart D 1 16 Restart of the application D 1 16 Restart after System Emergency Stop D 1 17 Exceptional situations D 1 18 Gantry temperature outside permissible range D 1 19 Overheating of the computer system D 1 21 Power failure D 1 24 Standby mode D 1 26 D 2 Function Tests D 2 1 Performing the t...

Page 232: ...head holder optional D 3 10 Bocollo cushion Headrest optional D 3 12 Table top extension D 3 13 Supports and cushions D 3 14 Head arm support for thorax abdomen and pelvis examinations D 3 14 Arm support optional D 3 17 Knee support D 3 18 Cushion set D 3 19 Baby mattress optional D 3 24 Positioning mat D 3 28 Straps D 3 29 Body support straps D 3 30 Forehead support strap D 3 32 Chin support stra...

Page 233: ...ranial examinations D 4 17 Positioning for examinations in neck region and for cervical vertebrae D 4 23 Positioning for examinations of thorax and abdomen D 4 27 Positioning for examinations of extremities D 4 32 Using optional accessories D 4 34 Positioning for cranial examinations D 4 34 Positioning for examinations of extremities D 4 37 Vertebrae examinations with Osteo D 4 39 ...

Page 234: ...0 0 0 0 Operation D 4 SOMATOM Spirit0 0 ...

Page 235: ...tem D 1 You will also be told what to do in exceptional situations like overheating or power failure D 1 And finally standby mode is explained to you D 1 Switching on D 1 The acquisition system and the console are switched on and off separately D 1 The acquisition system is switched on using the power switch which is part of the customer s installation The console is started up when you switch on ...

Page 236: ...ady for operation D 1 Switching the system on again D 1 If you only wish to switch off the system for a few moments or have switched it off accidentally do not switch it on again immediately D 1 Wait for approximate 1 minute before switching the system on again Switching on after a power failure D 1 A power failure has occurred Switch the power switch off Wait for approximately 1 minute after powe...

Page 237: ... in the fol lowing phases D 1 Start up of the operating system Start up of syngo System checkup and calibration optional Start up of the operating system D 1 When you switch on the system the Windows XP operating system is started D 1 Standard login D 1 If the security package is not active you are automatically logged on as a syngo user D 1 ...

Page 238: ...u must interrupt automatic login D 1 The application is running Call up System End in the main menu The End Session dialog box is displayed D 1 Click Restart Application and confirm your choice Press the Shift button and keep pressed during application startup The login dialog box is displayed D 1 Enter a user name and if necessary a password and con firm your entries Booting is continued D 1 ...

Page 239: ... error occurs and an error message is displayed D 1 You cannot use the system due to an incorrect license number D 1 Call Siemens Service D 1 Starting a new system for the first time D 1 When you start a newly supplied system for the first time or after new software has been installed you are asked once for the license number of the software Enter your license number and confirm your entry The lic...

Page 240: ...Off Operation D 1 6 SOMATOM Spirit0 0 Start up of syngo D 1 After the operating system has started syngo is started auto matically D 1 Check if syngo starts up without displaying an error mes sage The Start up window is displayed D 1 D 1 ...

Page 241: ... 0 0 D 1 70 0 f B D 1 An error message is displayed D 1 syngo cannot be started D 1 D 1 Click on Retry in the dialog box displayed The application is restarted D 1 or D 1 D 1 Click on Cancel Starting is interrupted D 1 Log off and call Siemens Service D 1 ...

Page 242: ...no longer than 12 hours ago the time since the last complete checkup is indicated It is recommended to perform the checkup or calibration once a day to assure best system performance D 1 You have the option of skipping the checkup If necessary you can calibrate the system later Setup Calibration D 1 D 1 D 1 CAUTION D 1 The detector heating is switched off as long as the system is dis connected fro...

Page 243: ...p dialog box is displayed D 1 Performing checkup D 1 Now you must perform the series of test scans required for cal ibration D 1 During checkup and calibration the patient table is automati cally retracted It is not necessary to press the Move key to ini tiate table movement D 1 ...

Page 244: ...ckup you read Automatic checkup com pleted D 1 The Checkup dialog box is closed automatically The user inter face with the task cards is displayed D 1 f B D 1 An error message is displayed D 1 An error occurred during checkup D 1 D 1 Click on Retry in the dialog box displayed Checkup is started again D 1 D 1 f B D 1 The message Scan system should not be used is displayed D 1 The checkup failed sev...

Page 245: ... D 1 110 0 Shutting down the system D 1 The system shuts down in three stages D 1 Shutdown of the scan system Termination of syngo Shutdown of the operating system B D 1 Before you can shut down the system you must exit all exami nations and applications D 1 ...

Page 246: ...peration D 1 12 SOMATOM Spirit0 0 Calling up the End dialog box D 1 Call up System End in the main menu The End Session dialog box is displayed D 1 D 1 i D 1 If you do not want to exit syngo click on Cancel You return to the user interface D 1 ...

Page 247: ... for faster access This operation may take several hours D 1 During the maintenance shutdown access to the user interface or operating system is not possible D 1 Call up System Run in the main menu Select System Clean Up and Shutdown The System Clean Up and Shutdown dialog box is displayed D 1 Click on Start i D 1 If you do not want to exit syngo click on Cancel You return to the user interface D ...

Page 248: ... the system to switch it off D 1 Shutting down the operat ing system D 1 D 1 Click on Shutdown System D 1 Confirm with Yes in the dialog box displayed The system is shut down D 1 Terminating active applica tions D 1 A dialog box is displayed if applications are still active D 1 A similar dialog is displayed when a patient examination is still running ...

Page 249: ...face Switching off the system D 1 If no errors occur during shutdown the computer will be switched off D 1 Press the O pushbutton at the UPS at least 3 seconds The console will be switched off D 1 B D 1 Unless absolutely necessary do not switch off the system at the main switch provided by the customer or the EMERGENCY OFF switch Otherwise you will have to calibrate the system several times when y...

Page 250: ...nfirm with Yes in the dialog box displayed The system is restarted Page D 1 3 Starting procedures D 1 Restart of the application D 1 If you want to close all applications and restart the syngo appli cation only use the third option in the End Session dialog box D 1 Closing the applications D 1 D 1 Click on Restart Application in the End Session dialog box D 1 Confirm with Yes in the dialog box dis...

Page 251: ...n room for example by accident a controlled restart has to be done D 1 B D 1 Country specific regulations must be observed D 1 Starting the system D 1 All causes of danger have been found and remedied Wait for approximately 1 minute after power switch off Release the EMERGENCY OFF key provided by the cus tomer Switch the system on again Perform the usual checkup procedure to calibrate the sys tem ...

Page 252: ... responds to such exceptional situations in several steps D 1 Countdown D 1 If the system reaches a critical state a countdown is started During this time do not perform any examinations and termi nate any current application s D 1 Recovery D 1 If the system returns to the normal state during countdown temperature dropped power supply restored you can resume examination D 1 Shutdown D 1 If the cou...

Page 253: ...alibra tion is no longer correct D 1 Overheating or low temper ature D 1 If the temperature of the gantry exceeds the permissible range countdown starts A temperature warning is displayed D 1 Recovery D 1 If the temperature moves back into the permissible range during countdown the countdown stops You can then return to the user interface D 1 Shutdown D 1 When the countdown has finished measuremen...

Page 254: ...tomatically switched off A message appears stating that the gantry is no longer ready for operation D 1 When it has cooled down the gantry automatically switches on again A message stating this fact appears D 1 Resolving the temperature warning D 1 Temperature warning dialog box is displayed Countdown has started Finish the current examination and check the cooling sys tem Confirm with OK in the d...

Page 255: ...D 1 You return to the user interface D 1 Restarting the system after automatic shutdown D 1 The system is ready to be restarted A corresponding dialog box is displayed Select Restart The system is restarted D 1 Overheating of the computer system D 1 Parts of the computer system might overheat during operation In this case reliable operation and data security are endan gered D 1 B D 1 Keep the vent...

Page 256: ... to rise and reaches a critical value countdown is initiated D 1 Countdown D 1 As long as the countdown is running you have the option of completing current actions and storing your data A dialog box is displayed D 1 If the temperature falls below the threshold value during count down you can continue operation D 1 Shutdown D 1 If the countdown has finished and the temperature is still above the c...

Page 257: ...layed The dialog box is closed D 1 i D 1 A text is displayed in the status bar D 1 Continuing operation D 1 The temperature moves back into the permissible range Countdown stops A dialog box is displayed Confirm with OK The dialog box is closed D 1 You can continue operation D 1 Restarting the system after automatic shutdown D 1 The system has shut down Wait for the computer system to cool down Re...

Page 258: ...e alarm if the input voltage drops D 1 Warning D 1 A message box is displayed when the public power supply fails As long as the UPS takes over the power supply of your com puter system you have the option of completing current actions D 1 If the power failure is remedied during this time you can con tinue with normal operation after resetting the system D 1 Shutdown D 1 When the backup time 3 min ...

Page 259: ... 1 Normal power supply is reactivated D 1 Restart the system Page D 1 1 Switching the System On and Off D 1 CAUTION D 1 The detector heating is switched off as long as the system is dis connected from the power supply When you restart the system the detector has not yet reached operating temperature D 1 Wrong diagnosis due to image artifacts D 1 Calibrate the system as part of the check up Repeat ...

Page 260: ...irit0 0 Standby mode D 1 If you do not scan for some time the system goes into Standby mode D 1 In this operating state the gantry stops rotating after a while D 1 Cancel standby mode D 1 Start with the next scan The gantry starts rotating Standby mode is cancelled D 1 ...

Page 261: ...that the system is ready for operation and all func tions relevant to safety are working correctly you must perform function tests daily before beginning with the actual examina tion procedures D 2 i D 2 For further information please refer to System Owner Man ual D 2 ...

Page 262: ... check the following keys on the gantry operator pan els D 2 Gantry tilt Table positioning Predefined table position A and B Switching on the light marker Retracting the table Check the keys when you switch on the unit B D 2 Press one key for motion control only at a time D 2 The operating elements illustrated on the left margin in follow ing pages are from right gantry panel You can use the opera...

Page 263: ...m blood or other contaminations Checking the laser light marker D 2 D 2 Switch on the laser light marker and check the projections of the light beams on a white sheet of paper The laser beam must project a line D 2 f B D 2 The laser light marker does not work D 2 Stop scanning to rule out any danger to patients Call Siemens Customer Service D 2 Checking the intercom sys tem D 2 Apply the Hear Pati...

Page 264: ...ext to the doors of the examina tion room D 2 Check the proper function of the radiation warning lamps during the daily image quality tests The radiation warning lamps must light up when radiation is generated D 2 Make sure that radiation stops immediately when a door of the examination room is opened i D 2 When the door is closed again you must restore system readi ness with Setup Continue D 2 ...

Page 265: ...he gantry operator panel and hold it down D 2 When the table moves press a STOP key The table movement must stop immediately D 2 Check that you can move the table out of the gantry man ually after you have pressed a STOP key i D 2 After you have applied a STOP key you must restore system readiness with Setup Continue D 2 ...

Page 266: ...0 0 0 0 Function Tests Operation D 2 6 SOMATOM Spirit0 0 ...

Page 267: ...rview of the available positioning aids D 3 Use the positioning aids to position the patient safely and com fortably Thus you prevent motion artifacts D 3 The following positioning aids are available D 3 Head holder headrest and table top extension Supports and cushions Restraint straps Osteo CT accessories ...

Page 268: ...ning aids are subject to wear and tear They must be replaced with original parts if they become dirty or damaged D 3 D 3 CAUTION D 3 Use of non original positioning aids D 3 Danger for the patient through collisions with the gantry Image quality may also decrease D 3 Do not use any positioning aids not mentioned in this sec tion ...

Page 269: ...escribed in this section into the head end of the patient table D 3 Safety instructions D 3 D 3 D 3 CAUTION D 3 If a head holder or support does not engage securely it can come loose D 3 Possible injury of the patient D 3 Make sure that the pluggable positioning aids are seated firmly and securely engaged in the receptacle at the end of the table top ...

Page 270: ...age to the system are possible D 3 Use the positioning aids exclusively for their original pur pose head holder for positioning a head only table top extension for positioning feet only D 3 CAUTION D 3 Overloading of positioning aids D 3 Cuts and other injuries D 3 Pluggable positioning aids must not bear weights of more than a special value shown on a warning label ...

Page 271: ... top extension and the head arm support are all mounted in the same way at the head end of the table D 3 D 3 Push the holding bracket into the receptacle at the head end of the table until it is firmly engaged i D 3 The head holder has Velcro straps on both sides Here you attach the Velcro straps supplied to immobilize the head D 3 Removing positioning aids D 3 D 3 Press the release key from below...

Page 272: ...pirit0 0 CFK head holder D 3 Depending on the requirement this head holder can be used in combination with the associated set of cushions for all standard examinations in the cranial area and for coronal scans for example sinuses D 3 D 3 1 Velcro strips 2 Release button ...

Page 273: ... the patient D 3 Make sure that the pluggable positioning aids are seated firmly and securely engaged in the receptacle at the end of the table top D 3 CAUTION D 3 Improper use of positioning aids D 3 Injury of the patient or damage to the system are possible D 3 Use the positioning aids exclusively for their original pur pose head holder for positioning a head only table top extension for positio...

Page 274: ...ing espe cially if the gantry is tilted Warning label Maximum load D 3 D 3 Overloading the head holder receptacle of the patient table D 3 Damage to the head holder D 3 The maximum permissible weight must not exceed 180 N this corresponds to approximate 18 kg 40 lbs Using the CFK head holder D 3 Use this accessory for positioning the head for cranial examinations for examinations in the neck regio...

Page 275: ...older D 3 D 3 Use of the coronal supine head holder D 3 Possible injury of the patient when the gantry is tilted D 3 Use the coronal supine head holder with a table height of 160 mm or greater vertical value lower table position Using the coronal supine head holder D 3 Use this accessory for positioning the head for cranial examinations in the supine position coronal slices ...

Page 276: ... supports D 3 Chin support This is fixed to the holder using a Velcro strap attachment You can adjust its position for maximum patient comfort Forehead support Its vertical position can be adjusted by loosening the support screw moving it to the desired posi tion and retightening the screw firmly D 3 1 Adjustable forehead support 2 Adjustable chin support ...

Page 277: ...er D 3 Increased risk of the patient s head hitting the gantry D 3 Always watch the patient while the table is moving D 3 CAUTION D 3 Improper use of positioning aids D 3 Injury of the patient or damage to the system are possible D 3 Use the positioning aids exclusively for their original pur pose head holder for positioning a head only table top extension for positioning feet only ...

Page 278: ...m permissible weight must not exceed 180 N which corresponds to approximate 18 kg 40 lbs Using the coronal prone head holder D 3 Use this accessory for positioning of the head for cranial examinations in the prone position coronal slices Bocollo cushion Headrest optional D 3 The Bocollo cushion headrest is for the comfortable position ing of the patient s head at the plate of the patient positioni...

Page 279: ... D 3 Warning label Maximum weight D 3 D 3 Overloading of the table top extension D 3 Damage to the table top extension D 3 The maximum permissible weight must not exceed 500 N this corresponds to approximate 50 kg 110 lbs B D 3 If you use the table top extension image artifacts might occur D 3 Using the table top exten sion D 3 Use this accessory for positioning the feet for examinations of the lo...

Page 280: ...atient Positioning Operation D 3 14 SOMATOM Spirit0 0 Supports and cushions D 3 The following positioning aids are used to position the patient comfortably D 3 Head arm support for thorax abdomen and pelvis examinations D 3 D 3 ...

Page 281: ...support D 3 Increased risk that the gantry might collide with the arms of the patient D 3 Always watch the patient while the table is moving espe cially if the gantry is tilted D 3 CAUTION D 3 Use of the head arm support D 3 Increased risk that the gantry might collide with the arms of the patient D 3 Always keep an eye on the patient during table move ments ...

Page 282: ...ms crossed above the head It can be placed directly on the patient table wherever you want head end foot end or on the table top extension The head arm support is supplied with a flat cushion which can be placed inside For better immobilization the support has Velcro straps on both sides Here you can fix the patient s hands i D 3 These supports are not recommended for head and neck exam inations D...

Page 283: ... for examinations in which the patient s arms need to be positioned next to his or her body The arm supports are used in pairs and allow a safe and more com fortable positioning of the arms D 3 D 3 Using the arm supports D 3 Place the arm supports between patient and table and posi tion the patient s arms in the arm supports ...

Page 284: ...lumbar vertebrae The patient is positioned more stable D 3 D 3 Safety instructions D 3 Warning label Knee supportD 3 D 3 Use of the knee support D 3 Increased risk that the gantry might collide with the legs of the patient D 3 Always watch the patient while the table is moving espe cially if the gantry is tilted Using the knee support D 3 Place the knee support under the knees and the lower legs ...

Page 285: ...on set D 3 This cushion set consists of the following positioning aids D 3 Cushion flat Head cushion 15 Head cushion 25 Pad thin one pair Pad thick one pair The head cushion makes it easier for the patient to move the chin toward the chest for optimum positioning of the head D 3 ...

Page 286: ...ation D 3 The cushion set is used in conjunction with a head holder for correct positioning of the patient s head D 3 Flat positioning with the flat cushion Positioning with head cushions 15 or 25 for brain exam inations D 3 1 Head cushion 2 Pad thin thick 3 Velcro straps 4 Cushion flat ...

Page 287: ...t could cause the surface material to become wrinkled D 3 Please note that the shape and dimensions of the head support may result in restrictions in operation D 3 Using the cushion set D 3 Attach the head holder to the head end of the table for positioning the head Place the flat cushion or one of the head cushions in the head holder Position the patient s head in the desired position and immobil...

Page 288: ...he flat cushion must be placed in the head support such that it is centered and flush with the head support D 3 D 3 Place the flat cushion in the CFK head holder Using the 15 or 25 head cushions D 3 D 3 1 Head cushion 15 2 Head cushion 25 Place the head cushion in the head support instead of the flat cushion ...

Page 289: ...itioning 0 0 04 2012 0 0 D 3 230 0 Using the thin or thick pad D 3 The pads ensure secure but not unpleasant immobilization of the head D 3 D 3 1 Pad thin 2 Pad thick Push the pads between the ear and the head holder on the right and left ...

Page 290: ...s optional D 3 The baby mattress provides you with special equipment With the baby mattress you can position babies comfortably and securely on the patient table D 3 D 3 1 Body support 2 Mat 3 Head support 4 Velcro straps for arm fixation 5 Velcro straps for head and body fixation 6 Cushions ...

Page 291: ...ent cushions can be placed inside For better immobilization the head support has Velcro on both sides Here you can attach the Velcro straps D 3 Velcro straps for arm fixa tion D 3 The Velcro straps for arm fixation secure the arms of the baby Different fixation positions for the Velcro straps for arm fixation are along the body support on both sides D 3 Velcro straps for head and body fixation D 3...

Page 292: ...es the operation of the accessories and sys tem components D 3 Using the flaps and the Velcro straps D 3 Using the flaps D 3 The baby is positioned on the baby mattress Close the flaps tightly B D 3 When positioning large babies use the Velcro straps for body fixation to fix the flaps D 3 The body of the baby is immobilized D 3 ...

Page 293: ...e different positions for fixation of the Velcro straps D 3 Open the Velcro straps for arm fixation Place the arms of the baby in the Velcro straps Close the Velcro straps to immobilize the arms of the baby Using the Velcro straps for head fixation D 3 The baby is positioned and immobilized on the baby mat tress Position the head of the baby in the head support Fix the Velcro straps for head fixat...

Page 294: ...cessories for Patient Positioning Operation D 3 28 SOMATOM Spirit0 0 Positioning mat D 3 Using the positioning mat D 3 Use this accessory to provide a comfortable position for the patient on the table top D 3 D 3 ...

Page 295: ...e patient D 3 Head support straps are used to immobilize the patient s head They restrain the head in a stable position to avoid motion arti facts D 3 B D 3 Be aware that the edges of the straps may cause artifacts D 3 B D 3 Remove any contamination particularly contrast medium resi dues as quickly as possible D 3 ...

Page 296: ...0 0 0 0 Accessories for Patient Positioning Operation D 3 30 SOMATOM Spirit0 0 Body support straps D 3 D 3 Dimensions 10 cm x 165 cm D 3 D 3 Dimensions 20 cm x 180 cm D 3 ...

Page 297: ... 3 D 3 Run the straps underneath the positioning mat Fasten the straps with the Velcro strips over the patient in such a way that the patient is positioned symmetrically with his her arms immobilized D 3 CAUTION D 3 The restraint straps are not permanently attached to the table D 3 They can not prevent the patient from falling off the table Patients who do not keep still may fall off the table D 3...

Page 298: ... Using the forehead support strap D 3 Use the forehead support straps to immobilize the head in the head holder if necessary using the lateral fixing pads of the cushion set D 3 Run the soft fabric straps over the patient s forehead and fasten them to the Velcro fixing strips on the outside of the head holder ...

Page 299: ...apD 3 Use the chin support strap if you want to position and immobi lize the patient s head jaw even more effectively D 3 Fix the strap in such a way that the patient s chin is placed in the slit of the strap Attach the strap like the forehead support strap to the shaped Velcro fixing strips on the outside of the head holder ...

Page 300: ...osition the reference phantom in the cut out of the Osteo positioning mat B D 3 Position the reference phantom in such a way that the marking TOP points up toward the gantry D 3 Inserting the gel pack D 3 Normally there is a space between the spine of the patient and the reference phantom This falsifies the evaluation D 3 Use the gel pack to fill the space ...

Page 301: ...osition ing mat D 3 With the Velcro strap supplied you can hang the Osteo mat on the wall when not in use D 3 D 3 Attach the self adhesive Velcro strap vertically to the wall in a suitable location in the examination room To store press the fluffy reverse side of the mat onto the Velcro strap ...

Page 302: ...ing RTP D 3 The RTP mattress is used with the following CT system D 3 SOMATOM Spirit Power Using the RTP mattress D 3 The RTP mattress is used to ensure that the patient lies flat dur ing Radiation Treatment Planning D 3 B D 3 Please note that the shape and dimensions of the RTP mattress differ from those of the standard mattress That might result in slight restrictions in operation D 3 ...

Page 303: ...on Accessories for Patient Positioning 0 0 04 2012 0 0 D 3 370 0 B D 3 The pictures of the components shown here are only examples The appearance of your components depends on the system configuration D 3 D 3 ...

Page 304: ...itioning the RTP mattress on the patient table you can follow the picture at one side of the mattress D 3 D 3 1 RTP mattress 2 Logo indicating the foot end B D 3 The mattress must be positioned on the table in a way that the logo on the mattress is located at the foot end of the table D 3 ...

Page 305: ... Patient Positioning 0 0 04 2012 0 0 D 3 390 0 Remove the standard mattress Place the RTP mattress on the table top D 3 Press the mattress onto the Velcro fixing points The mattress is now fixed to the table and cannot move D 3 ...

Page 306: ...py mat D 3 You can store the RTP mattress in the wall holder D 3 D 3 Place the mattress in the storage holder vertically and fix it with the Velcro straps in such a way that the mat lays flat against the wall B D 3 Please observe the manufacturer s notes in the attached assem bly instructions D 3 ...

Page 307: ...ply the optional accessories for special examinations D 4 i D 4 The CT images shown in this chapter are only examples D 4 System D 4 It is assumed that you are already familiar with the system Page B 1 1 System Overview D 4 Positioning accessories D 4 For information about the accessories available please refer to Page D 3 1 Accessories for Patient Positioning D 4 Safety D 4 The safety information...

Page 308: ...table or gantry movements only positioning accessories approved by Siemens should be used In this way also artifacts can be avoided which impair the image quality Page D 3 1 Accessories for Patient Positioning D 4 Replace damaged or worn positioning accessories espe cially if mechanical strength is required Radiotranslucency D 4 Positioning aids that are used in the region of interest must be made...

Page 309: ... so on D 4 Reconstruct an overview image if streaky artifacts impair the image quality This makes it easier to find the causes of the streaks and to avoid them for example residual contrast medium hair clips and so on D 4 Examination limits D 4 The markings on the table top and positioning mat mark the metal free area of the patient table D 4 If necessary reposition the patient Patient comfort D 4...

Page 310: ...r breath during CT acquisitions please ensure he or she is instructed how to prior to examina tion This especially applies to examinations of the thorax and abdomen However the slight movement that respiration inev itably causes can also lead to artifacts in other regions D 4 Explain to the patient before the examination how he or she should breathe Explain to the patient that he or she must hold ...

Page 311: ...patient table is not at risk Yet the correct functioning of the table lift positioning precision cannot be guaranteed 100 D 4 Be especially careful when positioning heavy patients on the table Before you start the examination convince yourself that the patient is not endangered either by the movement of the table or by the tilt of the gantry Problematic patients D 4 Special caution is required wit...

Page 312: ...ame for all examinations D 4 Preparing the patient table D 4 D 4 D 4 Move the table up or down Be aware of any objects in the path of table movement D 4 CAUTION D 4 Lowering the patient table D 4 Body parts can get caught D 4 Make sure that the patient s body are above the patient table Make sure that neither body parts of anybody not any objects are below the patient table ...

Page 313: ... 4 We recommend covering the mat with paper for example with HOSTESS paper cloths No 75312 Length 50 m width 60 cm perforation every 28 cm D 4 Use any positioning accessories which might be necessary Page D 4 16 Using standard accessories Page D 4 34 Using optional accessories Preparing the patient D 4 Jewelry glasses prostheses and so on must be removed from the body region to be examined Now pos...

Page 314: ... centered on the table with the extremities secured D 4 D 4 D 4 Position the straps below the mat Close them on top of the patient with the Velcro strip D 4 CAUTION D 4 The restraint straps are not permanently attached to the table D 4 They can not prevent the patient from falling off the table Patients who do not keep still may fall off the table D 4 Take special care with those patients ...

Page 315: ...4 Use of short infusion tubes D 4 Tensile stress on the infusion tubes when moving the table top Tubes can get caught D 4 Only use infusion tubes that are long enough D 4 CAUTION D 4 Lowering the patient table D 4 Body parts can get caught D 4 Make sure that the patient s body are above the patient table Make sure that neither body parts of anybody not any objects are below the patient table ...

Page 316: ...ty if the center of the object to be measured coincides with the light beam of the lat eral light localizer The laser light shows the isocenter of the gantry D 4 Setting the gantry tilt D 4 D 4 Set the gantry vertically for a topogram or D 4 Tilt the gantry for examinations of the skull or the spine if necessary Table movement D 4 D 4 Use the keys to move the table up or down in or out ...

Page 317: ...D 4 Switch on the light marker B D 4 After approximate 1 minute the laser light marker is switched off automatically If you want to switch off the light marker immediately press the light marker key again D 4 D 4 CAUTION D 4 Looking into laser beam with optical instruments D 4 Loss of sight possible D 4 Do not look directly into the laser beam D 4 CAUTION D 4 Lightmarker not positioned correctly D...

Page 318: ...r D 4 D 4 Use the predefined position keys A or B to move the patient table into the predefined position i D 4 The light markers coincide with the scanning plane The starting point for scanning is marked by the longitudinal light markers The vertical light marker helps you to adjust the height until that the examination region is in the isocenter D 4 From now on the patient must lie still D 4 ...

Page 319: ...tient posi tion D 4 D 4 Check whether the position and orientation of the patient were correctly entered when the patient data was entered D 4 CAUTION D 4 Wrong entry of patient position D 4 Wrong basis for diagnosis D 4 Make sure that you enter the patient position correctly ...

Page 320: ...ructed Ensure that the patient cannot be injured by a movement of the table or gantry D 4 CAUTION D 4 Unobserved moving of the patient table or gantry D 4 Risk of a collision of the patient with the gantry D 4 Monitor the patient continuously as long as the table top and gantry are moving Take special care with the tilt of the gantry other than 0 degree or a table height other than the isocenter f...

Page 321: ...patient D 4 Special care is required if contrast medium is injected intrave nously during an examination with table feed for example spi ral scans D 4 D 4 Press the Hear Patient key to open the listening connec tion Stopping system move ments and radiation D 4 D 4 In critical situations press one of the STOP keys All system movements are stopped immediately Radiation is shut down Page A 2 14 Termi...

Page 322: ...f the body D 4 Cranial region supine Cranial region prone Neck region Cervical vertebrae Thorax and abdomen Thoracic and lumbar vertebrae Lower extremities B D 4 You will find a description of the accessories in Page D 3 1 Accessories for Patient Positioning D 4 Please pay attention to the safety information given there D 4 Use positioning aids as described in the following D 4 ...

Page 323: ...ning the Patient 0 0 04 2012 0 0 D 4 170 0 Positioning for cranial examinations D 4 Cranial examinations su pine D 4 D 4 1 CFK head holder 2 Head cushion 3 Restraint strap 4 Pad thin thick 5 Velcro straps 6 Knee support ...

Page 324: ...aterally If necessary immobilize the head with the Velcro straps Place the arms of the patient next to the body Make sure that there is no metal in the scanning area Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 ...

Page 325: ...Operation Positioning the Patient 0 0 04 2012 0 0 D 4 190 0 Cranial examinations su pine with coronal supine head holder D 4 D 4 1 Coronal supine head holder 2 Positioning mat ...

Page 326: ...able Position the patient supine Ask the patient to slide far enough beyond the edge of the table at the head end that his or her head is tilted backward as far as possible Immobilize the head with the straps if necessary Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 ...

Page 327: ...e Patient 0 0 04 2012 0 0 D 4 210 0 Cranialexaminations prone D 4 We recommend this position for direct coronal slices D 4 D 4 1 CFK head holder 2 Head cushion 3 Restraint strap 4 Pad thin thick 5 Velcro straps 6 Knee support ...

Page 328: ...ly If necessary immobilize the head with the Velcro straps Place the arms of the patient next to the body Use straps if necessary Make sure that there is no metal in the scanning area Positioning D 4 The chin of the patient is placed in the CFK head holder The head is tilted backward as far as possible D 4 D 4 ...

Page 329: ...ons in neck region and for cervical vertebrae D 4 Examinations in the neck re gion D 4 You can support positioning of the head by placing the head cushion under the head with the thick end in the caudal direc tion D 4 D 4 1 CFK head holder 2 Head cushion 3 Pad thin thick 4 Knee support ...

Page 330: ...arms of the patient next to the body If necessary immobilize the patient with straps Make sure that there is no metal in the scanning area Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 ...

Page 331: ...Operation Positioning the Patient 0 0 04 2012 0 0 D 4 250 0 Examinations of the cervical vertebrae D 4 D 4 1 CFK head holder 2 Knee support 3 Pad thin thick 4 Velcro straps ...

Page 332: ...ure that the patient pulls his or her shoulders down and is relaxed Immobilize the head and if necessary use the pads and the Velcro straps Place the arms of the patient next to the body Make sure that there is no metal in the scanning area Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 ...

Page 333: ... the Patient 0 0 04 2012 0 0 D 4 270 0 Positioning for examinations of thorax and abdomen D 4 Thoracic and abdominal ex aminations D 4 D 4 1 Head arm support with straps and cushion optional 2 Straps optional 3 Knee support ...

Page 334: ...he patient so that he or she is lying supine with his or her arms crossed above the head Immobilize the hands with the Velcro straps When using the baby mattress close the flaps to immobi lize the body of the baby When positioning the table top or tilting the gantry make sure that the knees and the arms do not collide with the gantry ...

Page 335: ... 0 D 4 290 0 Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 1 Lung liver pancreas 2 Pancreas beginning at the sternum 3 Pelvis beginning at the pelvic crest ...

Page 336: ...on optional 2 Straps optional 3 Knee support Position the head of the patient in the head arm support Position the patient so that he or she is lying supine with his or her arms crossed above the head Immobilize the hands with the Velcro straps When positioning the table top or tilting the gantry make sure that the knees and the arms do not collide with the gantry ...

Page 337: ...g the Patient 0 0 04 2012 0 0 D 4 310 0 Positioning D 4 The yellow segment in the schematic representation indicates starting positioning and radiation direction for topogram D 4 D 4 1 Thoracic vertebrae 2 Lumbar vertebrae ...

Page 338: ...tient so that his or her feet are pointing in the direction of the gantry Remember to enter the position correctly in the patient data B D 4 Enter the patient position Feet first when registering the patient D 4 Place the Bocollo cushion Headrest under the head of the patient at the foot end of the patient table i D 4 In this case it is not possible to use the head holder D 4 ...

Page 339: ...d When using the baby mattress close the flaps to immobi lize the body of the baby B D 4 It is only possible to scan the region of the body that is inside the range marked on the table top D 4 Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 1 Ankle 2 Knee 3 Hip joint ...

Page 340: ...cessories are available as an option for rare types of examinations In this section you will learn how to use them D 4 Positioning for cranial examinations D 4 Head examinations in prone position using the coronal prone head holder D 4 The coronal prone head holder is used to produce direct coronal slices D 4 ...

Page 341: ...Operation Positioning the Patient 0 0 04 2012 0 0 D 4 350 0 D 4 Accessories 1 1 Coronal prone head holder optional 2 Velcro straps 3 Positioning mat ...

Page 342: ... of the table top The patient lies in prone position D 4 Adjust the forehead and the chin support for maximum patient comfort Immobilize the head arms using the straps if necessary Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 ...

Page 343: ...ension D 4 D 4 1 Table top extension optional 2 Bocollo cushion headrest Attach the table top extension to the head end of the patient table Position the patient such that his or her feet are pointing in the direction of the gantry Remember to enter the position correctly in the patient data B D 4 Enter the patient position Feet first when registering the patient D 4 ...

Page 344: ...so that he or she is lying supine with his or her arms crossed above the head B D 4 It is only possible to scan the region of the body that is inside the range marked on the table top D 4 Positioning D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 1 Ankle 2 Knee 3 Hip joint ...

Page 345: ...ae examinations with Osteo D 4 Vertebrae examinations with Osteo D 4 D 4 1 Head arm support 2 Reference phantom with gel pack optional 3 Osteo positioning mat optional 4 Knee support Page D 3 34 Osteo CT accessories optional Place the Osteo positioning mat on the table ...

Page 346: ...tient in such a way that the lower part of the thoracic vertebrae and the lumber vertebral region are directly above the phantom Position the patient supine with his or her arms crossed above his or her head D 4 CAUTION D 4 Use of other than original Siemens Osteo Phantom D 4 Wrong diagnosis caused by wrong information D 4 Only the original Siemens reference phantom must be used ...

Page 347: ...Insert the gel packs between the region of interest and the reference phantom Set the gantry vertically to record the topogram D 4 CAUTION D 4 Air between the reference phantom and the region of interest D 4 Unusable results D 4 Fill the free space with the gel pack ...

Page 348: ...atient Operation D 4 42 SOMATOM Spirit0 0 Example Lumbar vertebrae D 4 The yellow segment in the schematic representation indicates starting position and radiation direction for topogram D 4 D 4 1 Gel packs 2 Reference phantom ...

Page 349: ...contract E 1 2 Maintenance intervals E 1 3 Service E 1 4 Siemens local branch office and customer service E 1 6 E 2 Cleaning Agents and Disinfectants E 2 1 Disinfectants E 2 2 Cleaning agents E 2 3 Unsuitable cleaning agents and disinfectants E 2 4 Veterinary use E 2 5 E 3 Cleaning and Disinfecting E 3 1 Safety instructions E 3 1 ...

Page 350: ...0 0 0 0 Maintenance E 2 SOMATOM Spirit0 0 ...

Page 351: ...anying the patient as well as for the functional integrity of the system E 1 For that reason all maintenance work with the exception of the cleaning of the equipment and accessories should be performed by Siemens Service Page E 3 1 Cleaning and Disinfecting E 1 Technical documents E 1 On request technical documents can be obtained from Siemens at a small charge E 1 ...

Page 352: ...ystem does not function perfectly it must be checked immediately E 1 Notify Siemens Customer Service Maintenance contract E 1 On request you can have maintenance work performed regu larly by the Siemens Customer Service E 1 Please contact your Siemens Service to agree on a mainte nance contract for your system ...

Page 353: ...nd maintenance intervals please consult System Owner Manual E 1 CAUTION E 1 Missing maintenance of the scanning system E 1 Scan abortion or reduced image quality due to malfunction of the scanner E 1 Make sure that maintenance is performed at the recom mended intervals Check the imaging performance with the monthly con stancy test ...

Page 354: ...ch office or cus tomer service or contact us in Germany E 1 Siemens application hotline E 1 Phone number 49 0 9191 18 8080 138 English E 1 49 0 1803 11 2244 German E 1 Fax number 49 0 9191 18 9947 E 1 E mail address td hsc22 med siemens com E 1 Siemens technical hotline E 1 Phone numbers 49 0 9191 18 8080 1 132 E 1 Fax number 49 0 9191 18 9947 E 1 E mail address td hsc22 med siemens com E 1 ...

Page 355: ...and service packs Call up Options Version in the main menu to display this information E 1 Model and serial number of your system Brief description of the problem Your name and your telephone number Warranty E 1 For warranty terms please refer to your purchase contract E 1 Contacting local Siemens branch office and customer service E 1 Enter the name and telephone number here ...

Page 356: ...Spirit0 0 Siemens local branch office and customer service E 1 Siemens branch office E 1 Name E 1 Telephone number E 1 Fax number E 1 Internet E 1 e mail E 1 Siemens customer service E 1 Name E 1 Hotline telephone number E 1 Telephone number E 1 Fax number E 1 ...

Page 357: ...d which are unsuitable E 2 E 2 B 2 E Use cleaning agents and disinfectants in the concentration rec ommended by the manufacturer E 2 E 2 CAUTION E 2 Not observing the instructions of the disinfectant manufacturer E 2 Injury of the cleaning personnel E 2 Follow the cleaning instructions of the operator manual Follow the instructions of the disinfectant manufacturer ...

Page 358: ...Aldehyde decompositors Alcohols Quaternary compounds Organic acids Peroxide compounds B 2 E Use of disinfectants containing aldehyde or aldehyde decom positors will discolor the surfaces of RTP mattress positioning mat coronal prone head holder CFK head holder E 2 Use of disinfectants containing alcohols or quaternary com pounds will impair the surface of immobilization straps E 2 i 2 E Organic ac...

Page 359: ...ithout restriction E 2 Ethyl alcohol Ethyl alcohol impairs the surface of the immobilization straps the protective goggles the coronal prone head holder The surface of the head cushion and of the coronal prone head holder will fade with ethyl alcohol E 2 Surgical spirit The surface of the air bellows of the patient table and the head cushion will fade with surgical spirit E 2 Floor E 2 We recommen...

Page 360: ...ents or organic solvents E 2 The following agents can cause damage to surfaces or hairline cracks Even the smallest load can then damage the material irreversibly E 2 Abrasive cleaning liquids Organic solvents such as aldehyde acetone stain remover cleaner s naphtha benzine or alcohol Agents that release ammonia when they are dissolved or decomposed ammonia has a corrosive effect Agents containing...

Page 361: ...lean ing media used should also be approved for humans The clean ing agents and disinfectants are described in Operator Man ual E 2 E 2 E 2 E 2 CAUTION E 2 Insufficient cleaning E 2 Risk of infection biohazard E 2 Make sure that the table and the positioning aids are clean and covered with paper if possible E 2 CAUTION E 2 Using of cleaning media not approved for humans E 2 Allergic reaction or al...

Page 362: ...0 0 0 0 Cleaning Agents and Disinfectants Maintenance E 2 6 SOMATOM Spirit0 0 ...

Page 363: ...ium on the gantry or patient table with a wet cloth water Cleaning accessories E 3 Clean accessories made of plexiglas with soap solution or diluted cleaning liquid only E 3 CAUTION E 3 Cleaning of parts of the system while the system is connected to the power supply E 3 Electric shock due to possible contact with line voltage E 3 Always switch the system off at the main power switch before cleani...

Page 364: ...or screen with a soft cloth if necessary moistened with water Do not use cleaning solutions i 3 E Grease stains can also be removed from the monitor screen with water E 3 Cleaning the camera E 3 Wipe the outside of the camera with a soft cloth in accor dance with the manufacturer s instructions Cleaning CD discs E 3 Blow dust off the surface of the data medium with com pressed air B 3 E Never rub ...

Page 365: ... under the mouse by turn ing it towards the arrows E 3 Remove the ball and the ring Blow out any dust and fluff and remove dust caught on the rollers inside the mouse Clean the ball with clean water or a mild cleaning solution and dry it with a clean lint free cloth Place the ball back in the housing of the mouse Replace the ring and turn it against the direction of the arrows with two fingers unt...

Page 366: ...0 0 0 0 Cleaning and Disinfecting Maintenance E 3 4 SOMATOM Spirit0 0 ...

Page 367: ...orming the constancy test F 3 1 The individual tests F 3 7 Output of results F 3 35 F 4 Low Contrast Test Optional F 4 1 Performing the low contrast test for USA F 4 2 Performing the low contrast test for other countries F 4 7 F 5 Camera Test F 5 1 Performing the camera test F 5 2 Examples of test images F 5 3 Example F 5 4 F 6 Constancy Test of the Monitor F 6 1 Performing the monitor test F 6 3 ...

Page 368: ...0 0 0 0 Quality Assurance F 2 SOMATOM Spirit0 0 ...

Page 369: ... automatic checks and a series of warm up scans Page D 1 8 System checkup and calibration F 1 Regular checks F 1 Quality tests are usually performed in several steps F 1 Daily quality measurements Monthly quality measurements constancy test Camera test CTDI test once every six months Phantoms F 1 Phantoms are used to perform quality measurements You posi tion these phantoms on the patient table pr...

Page 370: ...est you film test images that are already stored in the local database Page F 5 1 Camera Test F 1 We recommend having the constancy test performed by Siemens Customer Service as part of a service contract Page F 3 1 Constancy Test F 1 B 1 F All parameters and images shown in this manual are examples Only the parameters displayed by your system are definite F 1 Background information F 1 Page F 1 6...

Page 371: ... toms F 1 Mount the phantoms at the head end of the patient table with the phantom holder in the following order water phantom slice thickness phantom wire phantom F 1 1 Patient table top 2 Water phantom 3 Slice thickness phantom 4 Wire phantom 5 Phantom holder bracket 6 Reference marking ...

Page 372: ...holder is secured by a locking key in the receptacle on the underside of the patient table You must press this key in when you pull the holder out of the guide again after removing the phantom set F 1 Positioning the phantoms F 1 F 1 Set the gantry vertical 0 F 1 Activate the light marker ...

Page 373: ... table height using the light marker i 1 F The numerical value for the correct table height will be dis played after the phantom position check F 1 F 1 Move the patient table into the gantry The beam of the light marker must be aligned with the refer ence marking of the slice phantom F 1 ...

Page 374: ...ent F 1 You require the set of phantoms for the quality measurement and possibly additional accessories for the constancy test F 1 Set of phantoms F 1 The set of phantoms comprises the water phantom the slice thickness phantom and the wire phantom F 1 F 1 1 Water phantom 2 Slice thickness phantom 3 Reference marks 4 Wire phantom ...

Page 375: ...sories for daily quality measurement F 1 The following components are required for the daily quality measurement F 1 Phantom holder Set of phantoms Accessories for the monthly constancy test F 1 For the monthly constancy test you require the following phan toms and accessories F 1 Phantom holder Set of phantoms 70 kg weight Ruler 40 cm or longer ...

Page 376: ...0 0 0 0 General Information Quality Assurance F 1 8 SOMATOM Spirit0 0 ...

Page 377: ...e x ray tube These measurements are carried out for all available kV values F 2 i 2 F The CT value of water can be measured in Constancy Test Homogeneity Test Page F 3 20 Performing the homo geneity test F 2 Storage F 2 The images of the Quality Daily measurements are stored as images of the Quality Assurance Patient New images over write older images F 2 i 2 F All values of the Quality Daily meas...

Page 378: ...measure ment F 2 Call up Setup Calibration Page D 1 8 System checkup and calibration Position the phantom set Page F 1 1 General Informa tion B 2 F All parameters and images shown in this manual are examples Only the parameters displayed by your system are definite F 2 F 2 CAUTION F 2 Wrong correction tables F 2 X ray not or only partially usable F 2 Perform the daily quality tests every day befor...

Page 379: ...0 0 Activating daily quality test F 2 Call up Setup Quality The Daily Quality Check dialog box is displayed F 2 F 2 B 2 F In the Quality Daily Check dialog box the vertical table height value 145 mm is an example Only the value displayed by your system is definite F 2 ...

Page 380: ...button The tilt of the gantry is automatically set to 0 if necessary F 2 The Quality Assurance Patient is automatically selected F 2 The patient table is positioned such that the water phantom is in the scan plane F 2 Triggering radiation F 2 In the Daily Quality Check dialog box you are prompted to initiate radiation F 2 ...

Page 381: ... is started automatically F 2 i 2 F For incorrect positioning of the phantom set a message is dis played Correct the position if necessary F 2 For each tube voltage kV step two measurements are per formed F 2 After each measurement a CT image of the water phantom is displayed in the active segment F 2 F 2 The difference between the first and the second measurement is calculated and displayed F 2 ...

Page 382: ...e measure for pixel noise F 2 The measurements are repeated automatically for each tube voltage F 2 Stopping measurement F 2 You can cancel quality measurement in any phase F 2 F 2 Click on the Cancel button The Quality Daily measurement is aborted F 2 You have to repeat the quality measurement from the begin ning before you start the actual examinations F 2 ...

Page 383: ... 2 All measurements were performed and evaluated Test results are displayed in the Daily Quality Check dialog box F 2 F 2 Click on the OK button The Quality Daily measurement is terminated F 2 f B 2 F Test results of the Quality Daily measurement are out of toler ance F 2 Call your Siemens Customer Service F 2 ...

Page 384: ...0 0 0 0 Daily Quality Measurements Quality Assurance F 2 8 SOMATOM Spirit0 0 ...

Page 385: ...so be measured after any maintenance work that might have altered the test results F 3 i 3 F We recommend having the constancy test and the CTDI mea surement performed by proper personnel F 3 If you want to conduct the constancy test and the CTDI measure ment yourself you must perform all steps of the constancy test or the CTDI measurement under your own responsibility F 3 Performing the constancy...

Page 386: ...dialog box F 3 Call up Options Service Local Service delete the pass word entries and click OK The Home Menu dialog window is displayed F 3 F 3 Click the Quality Assurance button to display the Quality dialog window F 3 Select the Constancy procedure The Quality Constancy dialog box is displayed F 3 ...

Page 387: ...Quality Assurance Constancy Test 0 0 04 2012 0 0 F 3 30 0 F 3 1 Title bar 2 Mode button s 3 Quality functions 4 Content area 5 Status and error message area 6 Command buttons ...

Page 388: ... Evaluation of the constancy test results are based on a compar ison with reference data that are stored in your system These are determined by Siemens Service F 3 If you have any of the system parts replaced for example tubes the reference data must be determined again You can do this with a reference measurement F 3 F 3 Click the field Reference NORMAL to toggle between a normal constancy measur...

Page 389: ...m selection of the constancy test with Go You are prompted to enter the name of the tester and the serial numbers of the phantoms F 3 F 3 Enter your name and the data required Prepare the measurement as described Page F 1 1 General Information F 3 Click Go when you have completed your preparations The Quality Assurance Patient is selected F 3 You are prompted to do press Start F 3 ...

Page 390: ...tem alerts you if the phantom is positioned incorrectly Correct the position if necessary F 3 The system then starts the first quality measurement It is usu ally checking the Lightmarker position z positioning F 3 Interrupting the constancy test F 3 You can interrupt each test within a constancy measurement F 3 F 3 Click the Cancel button The current measurement is aborted F 3 ...

Page 391: ... and coronal lightmarker Sag Cor Lightm Automatic positioning of the tomographic plane using a preview image Prev Image Pos Real slice thickness Slice Homogeneity Homogeneity Water Pixel noise Noise Modulation transmission function MTF Position of the patient table Table Position Dose in system axis in air CTDI Air B 3 F All parameters and images shown in this manual are examples Only the paramete...

Page 392: ...rent slice plane F 3 i 3 F After successful completion of the phantom position check the Lightmarker test is started automatically without pressing the Start key F 3 The set of phantoms is positioned in such a way that the inner light marker points on the reference marking on the slice thickness phantom Page F 1 1 General Informa tion The Lightmarker test mode is loaded You are prompted to press S...

Page 393: ... 3 90 0 F 3 Press the Start key on the control box Scanning is started F 3 In the image area the phantom is displayed as a circle in the image For the light marker test both the short and the long strip in the 12 o clock position are important F 3 F 3 ...

Page 394: ...content area of the Quality Constancy dialog box F 3 Correct the table position by clicking Feed In or Feed Out i 3 F With Feed In and Feed Out you can move the table by 1 mm F 3 Record a new image and compare the position of the strips again Repeat image recording and correction of the table position until you have set the correct z position F 3 Click Continue ...

Page 395: ...z position is set to 0 the display of the table posi tion shows 0 The result of the test is output in the content area of the Quality Constancy dialog box F 3 F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 F 3 ...

Page 396: ...atically without pressing the Start key F 3 The slice thickness phantom is positioned in such a way that the sagittal and horizontal lightmarkers mark the hori zontal and vertical center Page F 1 1 General Informa tion The Sag Cor Lightm test mode is loaded You are prompted to press Start F 3 Press the Start key on the control box Scanning is started F 3 In the image the middle of the phantom is d...

Page 397: ...0 0 04 2012 0 0 F 3 130 0 The result of the test is output in the content area of the Quality Constancy dialog box F 3 F 3 In the status and error message area the result of this test in tol erance or out of tolerance is output F 3 F 3 ...

Page 398: ...y F 3 The set of phantoms just before the scanplane The internal lightmarker must not hit the phantom Page F 1 1 General Information The table height is set so that the phantom is in the gantry center The Prev Image Pos test mode is loaded You are prompted to press Start F 3 Press the Start key on the control box In the image area the Quality Assurance Patient image is dis played You can see a hor...

Page 399: ... Go The patient table moves automatically to the marked position F 3 Scanning is started F 3 In the image area the phantom is displayed as a circle in the image For the preview image test both the short and the long strip in the 12 o clock position are important F 3 F 3 ...

Page 400: ...content area of the Quality Constancy dialog box F 3 Correct the table position by clicking Feed In or Feed Out i 3 F With Feed In and Feed Out you can move the table by 1 mm F 3 Record a new image and compare the position of the strips again Repeat image recording and correction of the table position until you have set the correct z position F 3 Click Continue ...

Page 401: ...0 0 04 2012 0 0 F 3 170 0 The result of the test is output in the content area of the Quality Constancy dialog box F 3 F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 F 3 ...

Page 402: ...ogram of the phantom is recorded and the real slice thickness is calculated from this F 3 F 3 Press the Start key on the control box Scanning is started F 3 i 3 F After the previous test has been completed the Slice test is started automatically F 3 An image of the slice thickness phantom is displayed in the image area and the slice thickness is calculated The procedure is repeated automatically F...

Page 403: ...ve been evaluated the result of the test is output in the content area of the Quality Constancy dia log box F 3 F 3 i 3 F Use the vertical scroll bar to view all test results F 3 In the status and error message area the result of this test in tol erance or out of tolerance is output F 3 F 3 ...

Page 404: ...rol box Scanning is started F 3 i 3 F After the previous test has been completed the Homogeneity test is started automatically F 3 An image of the water phantom is recorded 5 ROIs are marked in the image one central and four peripheral F 3 In addition to the ROIs the mean values and standard deviations of the CT values are displayed F 3 The difference between the mean values of the central ROI and...

Page 405: ...y for other tube volt ages The results of the test are output in the content area of the Quality Constancy dialog box F 3 F 3 i 3 F Use the vertical scroll bar to view all test results F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 F 3 ...

Page 406: ...Daily Quality Measurements F 3 F 3 Press the Start key on the control box Scanning is started F 3 i 3 F After the previous test has been completed the Noise test is started automatically F 3 Two images of the water phantom are recorded with identical parameters The difference between the first and the second measurement is shown F 3 The following evaluations are displayed F 3 ROI Mean value of the...

Page 407: ...ally for every tube volt age The results of the test are output in the content area of the Quality Constancy dialog box F 3 F 3 i 3 F Use the vertical scroll bar to view all test results F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 ...

Page 408: ... The 2 value of the MTF is the local frequency at which the con trast of periodical bar patterns of this local frequency is reduced to 2 In practice the MTF values are determined using a single thin wire F 3 F 3 Press the Start key on the control box Scanning is started F 3 i 3 F After the previous test has been completed the MTF test is started automatically F 3 The MTF is represented graphically...

Page 409: ...0 The scan is displayed in the image area The result image is cal culated and stored in the local database F 3 F 3 i 3 F The result image can be displayed in the Viewing task card after the constancy test has been completed Page F 3 35 Out put of results F 3 ...

Page 410: ...y Test Quality Assurance F 3 26 SOMATOM Spirit0 0 The evaluation is done for all detector rows using different ker nels The results of the test are output in the content area of the Quality Constancy dialog box F 3 F 3 ...

Page 411: ...this test you measure the contrast scale by a measure ment in air and water F 3 i 3 F After successful completion of the MTF test the Contrast test is started automatically without pressing the Start key F 3 The Contrast test mode is loaded You are prompted to press Start F 3 Press the Start key on the control box Scanning is started F 3 A central ROI is evaluated the corresponding mean value ME a...

Page 412: ... results of the test are output in the content area of the Quality Constancy dialog box F 3 F 3 i 3 F Use the vertical scroll bar to view all test results F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 F 3 ...

Page 413: ...o in the Quality Constancy dialog box Page F 3 1 Performing the constancy test F 3 i 3 F After the previous test has been completed the Table Position test is started automatically F 3 Mount a ruler at the mobile part of the patient table so that the 0 mm mark of the ruler is aligned with the stationary part of the table Place the 100 kg weight on the patient table F 3 Start measurement with Go Th...

Page 414: ...ead the 300 mm position on the ruler F 3 Enter the value in the entry field of the content area F 3 Click Continue The table top now moves stepwise into the gantry 300 mm and back F 3 Enter the actual values at the 300 mm and the 0 mm posi tion in the entry field again ...

Page 415: ...ayed positions are cal culated The results of the test are output in the content area of the Quality Constancy dialog box F 3 F 3 i 3 F Use the vertical scroll bar to view all test results F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 F 3 ...

Page 416: ...out pressing the Start key F 3 The ionization chamber is centered in the axial direction in the system axis The slice plane has to run through the cen ter of the chamber An appropriate dosimeter is connected to the ionization chamber The CTDI Air test mode is loaded You are prompted to press Start F 3 Press the Start key on the control box Scanning is started F 3 F 3 Read off the value on the dosi...

Page 417: ...sults of the test are output in the content area of the Quality Constancy dialog box F 3 F 3 i 3 F Use the vertical scroll bar to view all test results F 3 In the status and error message area the result of this test in tolerance or out of tolerance is output F 3 F 3 ...

Page 418: ...Constancy test is terminated F 3 B 3 F In Reference mode click the Save button first before terminat ing the constancy test with Done Without Save the old refer ence values will be retained F 3 F 3 Click Home You return to the Home window F 3 i 3 F You can now view the measurement report with the results of the actual and previous tests Page F 3 35 Output of results F 3 Close the Local Service win...

Page 419: ... during measurement are stored as images of the Quality Assurance Patient F 3 Viewing the measurement report F 3 You can view the results of the daily and monthly quality test with the Report function of the Local Service F 3 Call up Options Service Local Service delete the pass word entries and click OK F 3 Click Reports in the Home Menu dialog window The Report Files dialog box is displayed F 3 ...

Page 420: ...uality Assurance A list of the quality measurements performed daily quality tests and constancy tests is displayed sorted by date F 3 F 3 Double click a quality test in the list to have more detailed information displayed or F 3 F 3 Select the entry in the list and click Details ...

Page 421: ...tton generates a compressed file of report data and stores this file in a specific folder This function is for service purposes only F 3 The results of the selected quality test are displayed in the con tent area F 3 F 3 i 3 F Any test results outside the tolerance range are marked or F 3 ...

Page 422: ...be stored for at least two years F 3 You can copy individual report files to diskette F 3 In the Report Files dialog box select the quality tests in the list F 3 Click Copy Selected Reports to Disc Drive A The selected reports are transferred to the diskette drive F 3 Printing a report F 3 You can print out an individual report F 3 F 3 Click Print The displayed report is sent to the connected prin...

Page 423: ...e MTF test in the Viewing task card F 3 Open the Patient Browser Select the desired images of the Quality Assurance Patient Call up Patient Load into Viewing The images are displayed in the Viewing task card F 3 Example Result images of the MTF test F 3 F 3 Closing the report function F 3 F 3 F 3 Click Exit You return to the Home Menu dialog box F 3 ...

Page 424: ...0 0 0 0 Constancy Test Quality Assurance F 3 40 SOMATOM Spirit0 0 ...

Page 425: ...ntrast phantom section consists of a 165 mm diame ter 25 mm thick water equivalent brown plastic cylinder A clear plastic insert at the center contains three sets of low con trast pins with diameters of 3 4 and 5 mm each set with 4 pins together with two 20 mm diameter measurement areas F 4 Schematic diagram F 4 The two 20 mm diameter measurement areas are used to estab lish low contrast differenc...

Page 426: ...aring the phantom F 4 F 4 1 Water phantom 2 Slice thickness phantom 3 Wire phantom 4 Low contrast phantom Attach the low contrast phantom section to the Siemens phantom combination using the mounting bracket and four mounting screws Mount the phantom assembly on the patient table at nor mal body height Position the phantom set ...

Page 427: ...ity Constancy dialog box F 4 Select the Phantom Check and the Low Contrast test F 4 Confirm selection of the constancy test with Go You are prompted to enter the name of the tester and the serial numbers of the phantoms F 4 Enter your name and the data required Move the table until the inner light marker points on the reference marking on the slice thickness phantom F 4 F 4 Start the low contrast ...

Page 428: ...nce F 4 4 SOMATOM Spirit0 0 You are prompted to press Start F 4 F 4 F 4 Press the Start key on the control box The phantom position and the gantry inclination are checked F 4 The image of the low contrast phantom is displayed in the image area F 4 F 4 ...

Page 429: ...nge Low contrast estimations involve visual verification methods that are somewhat subjective It is normal to expect some variations in assessing low contrast of the smallest 3 mm pins F 4 Adjust the window width and center to improve visualiza tion adequate starting values 30 width 90 center Observe the region where the small pins are located just below the two 20 mm measurement areas i 4 F It ma...

Page 430: ...e result of the test is output in the content area of the Quality Constancy dialog box F 4 F 4 In the status and error message area the result of this test in tol erance or out of tolerance is output F 4 F 4 f B 4 F Test is out of tolerance F 4 Contact Siemens Customer Service F 4 ...

Page 431: ... Slice thickness phantom 3 Wire phantom 4 Low contrast phantom Attach the low contrast phantom section to the Siemens phantom combination using the mounting bracket and four mounting screws Mount the phantom assembly on the patient table at nor mal body height Move the patient table into the gantry until the scan center is aligned with the center of the low contrast phantom ...

Page 432: ... with existing patients we propose to make the following entries F 4 Last name LowContrastTest Patient ID 12345678 Date of Birth 01 01 2000 Sex Other F 4 Select the AbdomenSeq Adult scan protocol in the Study selection list Select Head First Supine in the Patient position selection list Click the Exam button The Patient Registration window is closed and you return to the Examination task card F 4 ...

Page 433: ...on parameter to perform the low contrast test adequately F 4 F 4 F 4 Enter or select the required parameter in the subtask cards Routine and Recon Scan parameter F 4 F 4 mAs F 4 80 F 4 kV F 4 130 F 4 Scan time F 4 1 0 s F 4 Slice F 4 10 0 mm F 4 No of scans F 4 1 F 4 Recon parameter F 4 F 4 Kernel F 4 B31 medium smooth F 4 FoV F 4 150 mm F 4 ...

Page 434: ...w Contrast Test Optional Quality Assurance F 4 10 SOMATOM Spirit0 0 Starting the test F 4 F 4 Press the Start key on the control box The image of the low contrast phantom is displayed in the tomo segment F 4 F 4 ...

Page 435: ...s involve visual verification methods that are somewhat subjective It is normal to expect some variations in assessing low contrast of the smallest 3 mm pins F 4 Adjust the window width and center to improve visualiza tion adequate starting values 30 width 90 center Observe the region where the small pins are located just below the two 20 mm measurement areas i 4 F It may help to observe the image...

Page 436: ...0 0 0 0 Low Contrast Test Optional Quality Assurance F 4 12 SOMATOM Spirit0 0 ...

Page 437: ...ber Keep the developer bath at a constant temperature Use the correct chemicals Follow the development instructions supplied by the film manufacturer Test film F 5 After installation a test film is recorded and evaluated The results are summarized in a table These values are used as ref erence values for the daily quality check of the camera F 5 B 5 F If the equipment or the emulsion number of the...

Page 438: ...the option of filming the images of a previous constancy test to check the camera settings F 5 F 5 Starting the test F 5 In the Patient Browser transfer the test images of the Ref erence Images patient to the Viewing task card In the Viewing task card film the test images of the Refer ence Images patient F 5 CAUTION F 5 Missing camera test F 5 Wrong basis for diagnosis F 5 Perform the camera test ...

Page 439: ...Quality Assurance Camera Test 0 0 04 2012 0 0 F 5 30 0 Examples of test images F 5 F 5 ...

Page 440: ...nce values Measure the fields marked in the first test image with the densitometer X RITE 331 Enter the measured values in the constancy test report f B 5 F Test is out of tolerance F 5 Contact Siemens Customer Service F 5 Example F 5 Here is an example of test image 1 with measurement fields marked by the technologist F 5 F 5 ...

Page 441: ...IN V 6868 57 F 6 i 6 F We recommend that the constancy test and collection of the ref erence values is performed and documented by authorized per sonnel F 6 Imagequalityofthemonitor F 6 The acceptance test performed during initial start up commis sioning ensures optimum image quality of the device The results of these measurements are documented in an accep tance test report and serve as reference...

Page 442: ...stancy test is performed using the following test equip ment F 6 Luminance meter Specification Class B DIN 5032 7 with valid calibration range 0 05 cd m2 1000cd m2 recommended device MAVO monitor with SPOT meter F 6 Test image source imaging device Test images Technical images 1 2 3 F 6 Clinical reference images 4 5 6 F 6 ...

Page 443: ...ct the test images stored in the database under Local database Reference Images F 6 You also have the option of filming the images of a previous constancy test to check the camera settings F 6 F 6 F 6 CAUTION F 6 Missing constancy test of the monitor F 6 Wrong basis for diagnosis F 6 Perform the monitor test regularly at the recommended intervals ...

Page 444: ...e that the requirements for the room lighting are fulfilled or restored according to the acceptance test performed during ini tial start up F 6 Perform the individual tests as described Page F 6 6 The individual tests Enter the test results in the forms supplied System Owner Manual i 6 F All measurement and test results must be confirmed with the date and initials F 6 f B 6 F Test is out of tolera...

Page 445: ...Quality Assurance Constancy Test of the Monitor 0 0 04 2012 0 0 F 6 50 0 Examples of test images F 6 F 6 ...

Page 446: ...n the room lighting to the operating conditions using the dimmer switch Measure veiling luminance Ls at the center of the screen with the luminance meter i 6 F When taking measurements with the luminance meter observe the distance recommended by the manufacturer 40 60 cm F 6 Switch on the monitor Select test image 1 to measure the minimum and maxi mum luminance i 6 F In test image 1 the squares fo...

Page 447: ...ly increase the contrast ratio by reducing the envi ronmental lighting intensity However make sure that enough light is available for reading and writing F 6 Testing the spatial and con trast resolution F 6 The visual resolution is checked in this test F 6 Select test image 2 or test image 3 Check the lines of the grid with a modulation of 100 high contrast HC at the center and in the four corners...

Page 448: ...luminance meter measure a point close to the cen ter Lcenter and four measuring points in the corners Lcor ner Maximum deviation of the corner points F 6 1 Cathode ray tube 35 max F 6 2 Flatscreen 20 max F 6 Calculation of the deviation in 100 x Lcenter Lcorner Lcenter F 6 f B 6 F Visual interference such as ghosting artifacts overshoots light or dark spots flickering and so on encountered F 6 Ple...

Page 449: ...0 0 04 2012 0 0 G 10 0 APPENDIX F 6 G Technical Specifications The technical specification for the SOMATOM system equip ment is given in System Owner Manual G 0 ...

Page 450: ...0 0 0 0 Technical Specifications G 2 SOMATOM Spirit0 0 ...

Page 451: ...4 2012 0 0 H 10 0 APPENDIX G 0 H Standards and Statutory Regulations A SOMATOM system complies with the statutory regulations and standards H 0 For further information please refer to System Owner Manual H 0 ...

Page 452: ...0 0 0 0 Standards and Statutory Regulations H 2 SOMATOM Spirit0 0 ...

Page 453: ...0 0 04 2012 0 0 J 10 0 APPENDIX H 0 J Forms The samples of the appropriate quality assurance forms and user s opinion form is contained in System Owner Manual J 0 ...

Page 454: ...0 0 0 0 Forms J 2 SOMATOM Spirit0 0 ...

Page 455: ...0 0 04 2012 0 0 K 10 0 APPENDIX J 0 K DIP Report For further information please refer to System Owner Man ual K 0 ...

Page 456: ...0 0 0 0 DIP Report K 2 SOMATOM Spirit0 0 ...

Page 457: ...0 0 04 2012 0 0 L 10 0 APPENDIX K 0 L Location of Labels For an overview of the warning and identification labels dis played on the system and its accessories please refer to System Owner Manual L 0 ...

Page 458: ...0 0 0 0 Location of Labels L 2 SOMATOM Spirit0 0 ...

Page 459: ... 0 API M 0 Automatic Patient Instruction breathing instructions to the patient M 0 Artifact M 0 Structure in a medical image which does not represent any ana tomical structure and which impairs the representation of the anatomical structure e g streaks M 0 Attenuation M 0 The ratio of x ray beam intensity prior to and after passing through an attenuating object M 0 Attenuation profile M 0 Local di...

Page 460: ...olus in the ROIs of a reference scan defined by the user M 0 As soon as the preset contrast medium threshold is reached the acquisition is automatically started M 0 C M 0 Calibration M 0 Procedure for adjusting the sensitivity of the individual detector channels used for correction of measurement data M 0 CARE M 0 CARE Combined Applications to Reduce Exposure aims to achieve optimum image quality ...

Page 461: ...0 CPU M 0 Central Processing Unit part of the computer that performs the calculations M 0 The speed of the CPU not only determines factors such as the RAM configuration but also the processing speed of the com puter M 0 CT M 0 Computed Tomography M 0 CT value M 0 Number used to quantify the beam attenuation capability of an object The scale uses water as a reference with a CT value of 0 air CT val...

Page 462: ...ane from 7T to 7T T is the nominal tomographic slice thick ness M 0 CTDI 100 M 0 CTDose Index calculated as absorbed dose to air according to IEC 60601 2 44 The Integral of the dose profile is calculated along a line perpendicular to the tomographic plane from 50 mm to 50 mm M 0 CTDI vol M 0 The CTDose Index volume IEC 60601 2 44 is the approxima tion of the average dose over a single slice in the...

Page 463: ...s for acquiring radiation intensities M 0 DICOM M 0 Digital Imaging and COmmunications in Medicine Standard for exchanging medical images M 0 Digital camera M 0 Camera to which image data is digitally transferred M 0 DLP M 0 Dose Length Product When examining with CARE Vision CT the DLP value is displayed in the Patient Protocol M 0 The DLP is calculated as follows DLP mGy x cm CTDIvol mGy x Slice...

Page 464: ...continuous data acquisition of multiple scans at the same slice position M 0 E M 0 Exporting M 0 Image data can be transferred to an external medium CD R MOD magnetic tape PACS for storage M 0 F M 0 Fan beam device M 0 CT system in which an arc shaped detector array and an x ray tube generating a fan shaped beam rotate about the patient M 0 File M 0 Unit of data stored on the storage medium in the...

Page 465: ...M 0 Reconstruction Field Of View Used as an aid to calculate the tomogram M 0 G M 0 Gantry M 0 Scanning unit of a CT system including the x ray tube and the detector array M 0 H M 0 Hard disk M 0 Part of the computer on which data and programs are stored for quick access M 0 Hardware M 0 Technical physical equipment of a computer system in contrast to software M 0 High contrast resolution M 0 Spat...

Page 466: ...images within a hos pital M 0 Histogram M 0 Graphic and numerical display of frequency of CT values in a selected region M 0 Homogeneity M 0 Characteristic of image quality which describes how accurately CT values are measured when a homogeneous object is scanned and displayed by the CT system M 0 Hounsfield unit M 0 Unit used to measure the CT value M 0 HU M 0 Abbreviation of Hounsfield Unit M 0 ...

Page 467: ...r more efficient use of the storage capacity of the data carrier The image matrix is maintained M 0 Image matrix M 0 Size of a medical image in pixels e g 512 x 512 1024 x 1024 M 0 Image mode M 0 In image mode filming the transfer of the images to the camera takes place image by image see also page mode M 0 Image reconstruction M 0 Computation of the CT image from the measured raw data M 0 Image r...

Page 468: ...semi conductor element that lights up like a bulb M 0 Low contrast resolution M 0 Resolution of minute image details when there is little differen tiation in density For example in soft tissue M 0 M M 0 mA M 0 Milliampere 1 mA 1 1000 A unit used to measure the tube current M 0 mAs M 0 Milliampere per second product unit used to measure the prod uct of the tube current mA and scan time s Equivalent...

Page 469: ...ewing direction through a volume the voxel with the strongest absorption is displayed in the result image in each case M 0 MOD M 0 Magneto Optical Disk resp Drive system for exchange data M 0 Motion artifact M 0 Artifact caused by patient movement during the scan M 0 Mouse M 0 Operating element at the computer to direct the input cursor on the monitor and to adjust window values M 0 MPR M 0 Multi ...

Page 470: ... format allows for expo sures of multiple images on a single film M 0 N M 0 Noise M 0 Unwanted interference in the signal caused by random factors and containing no information regarding the object being scanned M 0 O M 0 Operating system M 0 Group of computer programs required for general operation of the computer and its periphery M 0 Osteo CT M 0 Semiautomatic bone mineral density measurement a...

Page 471: ... computer and then transferred to the camera see also image mode M 0 Partial scan M 0 Scan for which only a section 240 of the revolution of the X ray tube is used to measure a body slice M 0 Partial volume artifact M 0 Artifact caused by bone structures which are only partially included in the slice being scanned M 0 Phantom M 0 Measuring object whose weakening properties is similar to human Refe...

Page 472: ...anent memory Random Access Memory with which the computer operates The size of the available RAM determines other factors including the processing speed Data are stored long term on hard disk MOD or CD R M 0 Raw data M 0 Preprocessed measurement data A raw data file corresponding to each scan is used to reconstruct the CT image M 0 Real Time Display M 0 Displaying of the measured image synchronous...

Page 473: ... to radiology departments see also HIS M 0 ROI M 0 A region of the CT image which can be selected with respect to position size and shape and in which quantitative evaluations are performed Region Of Interest M 0 RTD M 0 Real Time Display see there M 0 S M 0 Scan M 0 CT acquisition of a slice M 0 Scan FOV M 0 Determines the size of the area that you expose during acquisi tion The Scan FOV is the m...

Page 474: ...nt or over lapping slices M 0 Sequence CT M 0 Scanning technique with single scans and optional table feed between the scans M 0 Slice thickness M 0 Thickness of slice to be reconstructed The slice thickness deter mines the collimation during scanning M 0 Software M 0 Programs of a computer M 0 Spiral CT M 0 Scanning technique with continuous rotation continuous data acquisition and continuous tab...

Page 475: ...axis of the patient M 0 Topogram M 0 Frontal or lateral survey scan similar to a conventional x ray exposure M 0 U M 0 UFC M 0 Ultra Fast Ceramic M 0 Detectors from Siemens with short decay time for fast scans M 0 UPS M 0 Uninterrupted Power Supply ensures operation even during short power failures M 0 ...

Page 476: ...tio of table feed per rotation to slice width of one detector row M 0 Voxel M 0 Mapped volume element determined by the pixel size of the image matrix and the slice thickness M 0 VRT M 0 Volume Rendering Technique M 0 Rendering technique for 3D visualization M 0 W M 0 Windowing M 0 Display of a selectable portion of the CT values using optimized contrast range of the monitor M 0 Working memory M 0...

Page 477: ...test F 5 1 N 0 Performing F 5 2 N 0 Caution A 1 2 N 0 CDs and DVDs B 6 1 N 0 CFK head holder D 3 6 N 0 Checkup N 0 Image quality D 1 8 N 0 Chin support strap D 3 33 N 0 Cleaning E 2 1 N 0 Cleaning agents E 2 3 N 0 Climatic conditions A 3 3 N 0 Communication N 0 Equipment B 2 12 N 0 Computer N 0 Connections B 4 2 N 0 Overheating D 1 21 N 0 Computer viruses N 0 Safety information A 1 10 N 0 Computer...

Page 478: ... supine head holder D 3 9 N 0 CTDI Air N 0 Test F 3 32 N 0 Cushion set D 3 19 N 0 D N 0 Detector system B 2 2 N 0 Directions B 3 5 N 0 Disinfectants E 2 2 N 0 Disinfection E 2 1 N 0 Displays N 0 Position B 2 7 N 0 Radiation B 2 6 N 0 Disposal of the system A 3 11 N 0 Documentation B 5 18 N 0 DVD recorder B 6 2 N 0 E N 0 E Manual vii N 0 Electromagnetic compatibility A 3 4 N 0 Emergency login A 4 3...

Page 479: ...oracic and vertebrae D 4 30 N 0 Using optional accessories D 4 34 N 0 Using standard accessories D 4 16 N 0 Exceptional situations D 1 18 N 0 Explosion protection A 3 4 N 0 F N 0 Fire N 0 Safety information A 1 14 N 0 Fire extinguisher A 3 5 N 0 Forehead support strap D 3 32 N 0 G N 0 Gantry B 1 4 N 0 Components B 2 1 N 0 Design B 2 2 N 0 Operator panels B 2 4 N 0 Temperature D 1 19 N 0 Tilt B 2 3...

Page 480: ...nitor F 6 1 N 0 Image reconstruction system B 5 4 N 0 Immobilization N 0 Patient D 4 8 N 0 Indications N 0 Safety information A 1 1 N 0 Infusions D 4 9 N 0 Intercom system B 2 12 N 0 K N 0 Keyboard B 5 7 N 0 Knee support D 3 18 N 0 L N 0 Laser light marker B 2 10 N 0 Using D 4 11 N 0 Light marker B 2 10 N 0 Lightmarker N 0 Test F 3 8 N 0 Login D 1 3 N 0 Emergency A 4 30 N 0 Under a different name ...

Page 481: ... 0 Mouse keys B 5 9 N 0 MTF F 3 24 N 0 N N 0 Normal mode B 5 17 N 0 O N 0 On off switch N 0 On site A 3 5 N 0 Operating elements N 0 Control box B 5 11 N 0 Optional accessories N 0 Using D 4 34 N 0 Overheating A 3 7 N 0 Computer system D 1 21 N 0 P N 0 Paper roll holder B 7 3 N 0 Patient N 0 Immobilizing D 4 8 N 0 Monitoring D 4 15 N 0 Positioning D 4 6 N 0 Patient positioning N 0 Safety informati...

Page 482: ...Positioning D 4 6 N 0 Information D 4 2 N 0 Positioning aids D 3 1 N 0 Mounting and removing D 3 3 N 0 Osteo B 7 5 D 3 34 N 0 RTP D 3 36 N 0 Straps D 3 29 N 0 Supports and cushions D 3 14 N 0 Positioning mat D 3 28 N 0 Power connection A 3 4 N 0 Power failure D 1 24 N 0 Proper use A 1 17 N 0 Purpose of the equipment xiv N 0 Q N 0 Quality measurement N 0 Accessories F 1 6 N 0 Dialog box F 3 2 N 0 P...

Page 483: ... N 0 Software A 4 1 N 0 Scan unit B 1 4 N 0 Components B 2 1 N 0 Slice thickness N 0 Test F 3 18 N 0 Slicker B 7 4 N 0 Software B 5 5 N 0 Version B 5 6 N 0 Standard accessories N 0 Using D 4 16 N 0 Standby mode D 1 26 N 0 Start up N 0 Error D 1 7 N 0 syngo D 1 6 N 0 System D 1 3 N 0 System N 0 Checkup D 1 8 N 0 Disposal A 3 11 N 0 Modification A 3 8 N 0 Overview B 1 1 N 0 Restart D 1 16 N 0 Restar...

Page 484: ... 3 F 6 5 N 0 U N 0 Uninterruptible power supply A 3 7 B 5 15 N 0 UPS A 3 7 B 5 15 N 0 On off switch and displays B 5 16 N 0 Operating modes B 5 17 N 0 USB N 0 Use of Devices C 3 8 N 0 Devices B 6 4 N 0 Drives B 6 4 N 0 Use N 0 Proper A 1 17 N 0 V N 0 Virus scanner A 1 10 N 0 W N 0 Warning A 1 1 N 0 warning lamp N 0 Radiation B 2 7 N 0 Warranty E 1 5 N 0 X N 0 X ray tube B 2 2 N 0 ...

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