Siemens Modularis Uro Plus Function Description
MODULARIS Uro Plus
Function Description
LITHOSTAR MODULARIS
SP
© Siemens AG 1998
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reserved.
English
Print No.: SPL1-130.041.01.01.02 Doc. Gen. Date: 09.98
Replaces: n.a.
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Table of Contents 0 - 3
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1 _______Introduction ___________________________________________________ 1 - 1
The first step. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 - 1
Components of a MODULARIS Uro Plus system . . . . . . . . . . . . . . . . . . . . 1 - 2
LITHOSTAR MODULARIS overview . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 3
Manual control with LCD display and selection keys . . . . . . . . . . . . . . . . . . 1 - 4
Menu displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 5
Selection Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 6
2 _______Function Overview _____________________________________________ 2 - 1
Using menus in the display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 1
System start-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 1
The therapy menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 2
The selection menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 3
The service menu (English only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 4
Summary: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 6
3 _______Blockschaltbild ________________________________________________ 3 - 1
Main system functions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 1
4 _______System start-up ________________________________________________4 - 1
Internal tests (initialization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 1
External tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 - 2
Start-up after download and new control board D3 . . . . . . . . . . . . . . . . . . . 4 - 2
5 _______The shock wave system _________________________________________ 5 - 1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 - 1
The shock wave head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 2
The cooling and coupling circuit hydraulics . . . . . . . . . . . . . . . . . . . . . . . 5 - 3
The cooling circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 4
The coupling circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 5
Electrical circuit diagram of the cooling and coupling circuit: . . . . . . . . . . . . . . 5 - 6
The charging and high voltage circuit . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 8
Interface between D3 and M12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 12
6 _______Patient table operation and interfaces _____________________________ 6 - 1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 - 1
7 _______SIREMOBIL ISO-C Interface ______________________________________ 7 - 1
8 _______The chip card system ___________________________________________ 8 - 1
Goldcard system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1
Pay per use system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1
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MODULARIS Uro Plus SPL1-130.041.01 Page 4 of 4 Siemens AG
Rev. 01 09.98 TD SD 24 Medical Engineering
Introduction 1
The first step 1
This introduction provides an overview of the most important components of the MODULARIS Uro Plus system. It describes the function of the LITHOSTAR MODULARIS therapy unit and the MODULARIS Uro patient table.
The supplied operating instructions contain information on operating the system.
This chapter contains only the most important information.
The objective of this document is to describe all system functions, from the beginning of
the function (e.g. via the manual control) to the end (e.g. motor starts running). Understanding all of these functions will provide faster service (shorter repair times).
An important issue which has emerged from the many courses on older LITHOSTAR systems, is the fact that it is essential to understand how the system should operate under
normal conditions. This way, if the system should malfunction, it will be easier to recognize "what is different", and to come up with an appropriate strategy for troubleshooting.
1 - 1
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1 - 2 Introduction
Components of a MODULARIS Uro Plus system 1
B
D
F
A
LITHOSTAR MODULARIS
SIREMOBIL Iso-C
Fig. 1
Imaging module:
A: SIREMOBIL ISO-C basic unit with X-ray generator
B: Sirecon 23-3 HDR image intensifier
C: X-ray tube with integrated collimator
D: Trolley with monitor and Memoskop digital memory
H
G
E
C
Table mo dule:
E: MODULARIS Uro patient table
ESWL module:
F: LITHOSTAR MODULARIS
G: Shock wave head with shock wave system C
H: Manual control
Options: (not shown)
SIRECUST ECG triggering
SONOLINE Prima ultrasound device (general monitoring)
e.g. Multispot 2000 multi-format camera / laser camera connection)
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Introduction 1 - 3
LITHOSTAR MODULARIS overview 1
1
3
8
4
LITHOSTAR MODULARIS
1. Shock wave head
5
6
Report Menu
___0
P Energy
0,1
2
7
2. Supply line
3. Support arm
4. Basic unit with
- control unit with chip card reader
- shock wave generator
- cooling unit with hydraulic control
- power supply
- control cable to SIREMOBIL Iso-C
- control cable to MODULARIS Uro table
- control cable to SIRECUST ECG unit
5. Manual control with LCD display
6. Focus measurement device (focus phantom)
7. C-arm angulation motor (+/- 20 degrees)
8. Coupling and locking unit to the SIREMOBIL ISO-C
Options: (not shown)
- SIRECUST ECG triggering
- ultrasound general monitoring
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1 - 4 Introduction
Manual control with LCD display and selection keys 1
Multifunctional use
Multifunctional use
depending on
the display
Move table upward
Move table left
Move table towards head-end
or foot-end (dep. on position)
Move table down
S1
Report Menu
S2
___0
0,1
P
Energy
S3
S5
S6
S4
Multifunctional use
Patient position*
LCD display
Multifunctional use
depending on
the display
Shock wave release
Move table towards head/foot end
Litho basic position
Move table right
C-arm angulation -20°
The manual control comprises the LCD display with buttons for controlling the shock wave
system, and buttons for controlling the table movement or C-arm for localization. There
are additional buttons for radiation release and image storage.
* Orientation: At the beginning of the treatment, the user determines the "patient position"
in the display. The shock wave head is the point of reference. The travel direction of the
table then depends on the kidney to be treated. Headward or footward can be reversed,
depending on the table orientation.
C-arm angulation +20°
C -arm 0° position
Image memory
Release fluoroscopy
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Rev. 01 09.98 TD SD 24 Medical Engineering
Introduction 1 - 5
Menu displays 1
After system startup
Select
“Report”
Report Menu
Shock wave
count
Display
“Coupling Pressure”
Select
“Coupling Pressure”
Coupling pressure: 5 levels are selectable. Gel position if none are selected.
Energy levels: selectable from 0.1 to 8.0. After level 4, a warning appears
___0
0,1
P
Coupling pressure is continuously adjustable
after switching to the selection menu.
"kidney application exceeded!"
Energy
Select
“Menu”
Display
"maximum
energy level or
pulse/min for
kidney application
exceeded"
Display
shock wave
energy
Select
“Energy Level”
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1 - 6 Introduction
Selection menu 1
Example:
select
“position”
Back Back
Selection
> Position
Pulse/min
ECG-Trig.
P-control
Back Back
Selection
...
Rinsing
> Brightness
The selection menu is used to select and set the parameters displayed above.
- patient position - shock wave release frequency - ECG triggering
- P regulation - rinse coupling circuit -brightness set
(LCD display)
Refer to the next chapter for additional service-specific details on the menus.
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Function Overview 2
f
Using menus in the display 2
2 - 1
Chipcard not ok, return by
means of Cardchange or. I
chipcard is acceppted
Chipcard-
Status
Therapydata
These Menues are
only accessable for
Service Technic.
Error table
Pulse counter
Fig. 1
After Turn on
Chipmenu
Chipmenu f.
Goldcard
Startup
Chipcard
okay
Therapymenu
Selection
Service-Menu
System dataDate
Once the system successfully starts up, the therapy menu is displayed.
If this is a pay-per-use system, the user can access the chip menu in order to check the
current chip data.
For Goldcard systems, the chip menu is only accessible in service mode.
(Service mode: switching S2 on board D3.)
System start-up 2
S1
S2
SIEMENS
MODULARIS
S3 + S4
Fig. 2
If the system uses the Siemens configuration, the above will be displayed once the
LITHOSTAR MODULARIS is switched on. The keys on the manual control unit are
S5 + S6
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2 - 2 Function Overview
blocked and cannot be activated until the start-up process is completed. After an automatic water circulation cycle in the coupling circuit (length of time approx. 18 sec), the
chip card interface is checked. If the chip card is in order, the therapy menu will appear. If
the chip card is empty, invalid, or defective, the user must take appropriate action (refer to
chip card interface).
The therapy menu 2
Report Menu
___0
0,1
Fig. 3
P
Energy
Functions:
Í Increase or decrease the energy level (refer to shock wave system).
Í Increase or decrease the coupling pressure (refer to shock wave system).
Report: Press this key to display the therapy data. Pressing the Reset key for more than
one second resets the therapy data, and returns to the therapy menu.
Reset Back
Average value
E E Pulse
Ø max
3,8 4,7 3712
Only with
a pay per use
system
remaining units: 211 196
Fig. 4
MODULARIS Uro Plus SPL1-130.041.01 Page 2 of 6 Siemens AG
Rev. 01 09.98 TD SD 24 Medical Engineering
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