Siemens VB 13C Operator Manual
C-arm keyboard
kV
mAs
mA min
ARCADIS Varic
VB 13C
Quick Guide
ROAD
SUB
MAP
mA
DR
R
top/lateral row of keys
Lift/lower
C-arm
Switch ADR stop
on/off
Reset f luoroscopy
time
bottom row of keys
Operating modes:
-Pulsed
fluoroscopy
- Continuous
fluoroscopy
mA
Powe r m od e Enlarge live image
Noise reduction Image reversal
Open/close
iris diap hragm
Open/close
slot
diaphragm
System OF F Edge enhance-
A
B
R
B B
BA
Reduce/increase
kV and mA
Single-tank
laser light localizer
Rotate image
SUB
DR
R
- Subtraction
MAP
-Roadmap
-Digital
radiography
R
left/right o r
top/bottom
Rotate slot
diaphragm
Radiation indicator
Tube unit temperature
Operating modes:
ROAD
ment
A B
B
Enlarge stored
images
Contrast adjustment left/rig ht
monitor
Read images from
B
memory forward/
backward
Monitor split
horizontal/vertical
A
B
Save im age
Print image
Monitor trolley symbol keypad
Brightne ss - Brightness +
Contrast - Contrast +
Scroll study back Scroll study
Scroll series back Scroll s eries
Scroll image back Scroll image
Switch between
negative and
positive image
Enter a study
comment
Copy to film sheet Call up Patient
Call up the
Patien t
Browser
for ward
for ward
for ward
Send to node 1
Mark an image
Registration
This product is provided with a CE marking in
according with the regulations stated in
Directive 93/42/EEC of June 14th, 1993 con
cerning medical devices.
The CE marking applies only to medical
devices which have been put on the market
according to the above-mentioned EC Direc
tive.
The original language of this document is
German.
This Quick Guide is available in German,
English, French, Italian and Spanish.
ARCADIS Varic Quick Guide
Introduction
We welcome you as a user of the powerful
ARCADIS Varic C-arm system from Siemens.
This clearly laid out Quick Guide is intended
to guide you through the operation of the sys
tem.
The Quick Guide is valid only in conjunction
with the Operator Manuals and the safety
information they contain:
❏ Please observe the Operator Manual
and all supplements/addenda
❏ Please observe all safety information
The right-hand pages contain step-by-step
instructions corresponding to the typical
workflow in the OR.
The pages to the left contain illustrations and
and supplemental notes.
The description focuses on easy and fast
operation of the ARCADIS Varic from startup
through to shutdown of the system including
optional functions such as connection to a
hospital network or subtraction.
More detailed and complete descriptions can
be found in the ARCADIS Varic Operator
Manual.
-
ARCADIS Varic Quick Guide
3
Table of Contents
Basics
Input devices ........................................ 7
syngo user interface ............................. 9
syngo control elements ...................... 11
Product overview
C-arm system ..................................... 13
Monitor trolley ..................................... 17
Examination procedure
Preparing the system ......................... 19
Patient registration ............................. 21
Preparation in the Examination
task card ............................................ 23
Radiation release and dose display .... 25
High-contrast fluoroscopy
(Power Mode) .................................... 29
Image rotation and reversal ................ 31
Collimator setting ............................... 33
Changing the contrast ........................ 35
Saving images .................................... 37
Fluoro Loop/LSH (option) ................... 39
Ending the examination ..................... 39
4
Subtraction and Roadmap
Performing a subtraction scene ......... 41
Postprocessing a subtraction scene .... 43
Roadmap ............................................ 51
Postprocessing
Loading patient images into the
Viewing task card ............................... 53
Image display ..................................... 55
Measuring and annotations ................ 57
Image manipulation ............................ 61
ARCADIS Varic Quick Guide
Documentation
Printing ............................................... 65
Burning CDs ....................................... 75
Reports
Generating reports ............................. 77
Editing a LithoReport ......................... 79
Printing and exporting a report ........... 81
Connectivity
Send/Storage Commitment ............... 87
Get Worklist ....................................... 91
MPPS – Modality Performed
Procedure Step .................................. 93
Query/Retrieve ................................... 95
NaviLink 2D
Features ............................................. 97
Procedure ........................................... 97
Dismantling
Transport position ............................. 101
Switching off ..................................... 101
Cassette exposure (option)
Components .................................... 10 3
Preparing the exposure .................... 10 5
Exposure .......................................... 107
5
ARCADIS Varic Quick Guide
Basics
This chapter is addressed to syngo beginners and users with little computer experience.
(1) (2) (3)
(4)
(5)
Functions of the symbol keypad see foldout cover.
ARCADIS Varic Quick Guide
(6)
(7)
6
Basics
This chapter provides you with basic information on the input devices of the computer at
the monitor trolley and on the syngo user
interface.
Input devices
The mouse
(1) Left button
Single click: select/mark
Double click: load data/program
Button kept pressed: drag/move
(2) Middle button
Button kept pressed: windowing
(change
(3) Right button
Single click: call up popup menu
(context-sensitive)
brightness and contrast)
The keyboard
(4) Function keys
F1 = syngo Online Help
(5) Alphanumeric keypad
Text input, e.g. patient data
(6) Cursor keypad
Movement of the mouse pointer in texts
(7) Symbol keypad
Direct selection of important syngo functions (e.g. calling up Patient Registration
or local database; image postprocessing
functions)
ARCADIS Varic Quick Guide
7
Basics
(1)
(2)
(3)
(4)
After the ARCADIS Varic system has been
switched on, the syngo user interface auto
matically appears on the monitor trolley
screens.
-
(5) (6)
(7)
(8)
(9)
ARCADIS Varic Quick Guide
8
Basics
syngo user interface
syngo consists of several stacked task cards.
These are assigned to the individual steps of
the workflow.
Ta s k c a rd s
(1) Menu bar
Calling up of main menus and submenus
(2) Tabs
Selection/switching of task cards
(3) Stack of subtask cards
Selection of processing tools and display
functions
Switching of subtask card via tab
(4) Status bar
Display of system messages
(5) Control area
Display of image and examination parameters, selection of functions (via subtask
cards)
(6) Image area
Display and processing of images
Windows/Dialogs
Windows are called up separately or displayed automatically.
Windows can be closed again after processing.
(7) Title bar
Name of window, "Close window" button
(8) Window content
Input and selection of data
(9) Softkeys/buttons
Confirmation or cancellation of actions
and messages
ARCADIS Varic Quick Guide
9
Basics
(1) (2)
(3) (5)(4)
10
ARCADIS Varic Quick Guide
(6) (7)
(8) (10)(9)
Basics
syngo control elements
Control elements on the screen are easiest
selected with the mouse.
Menus
(1) Main menu
Opens by pressing left mouse button
(2) Popup menu
Opens by pressing right mouse button
The content depends on the mouse
position ("mouse focus") on the screen
Input elements
(3) Text input field
(4) Selection list
Selection of preset parameters and data;
opens via arrow
(5) Spin box
Setting of values with arrow keys
(6) Radio buttons
Only one option selectable
(7) Check box
Several options selectable
Icon buttons
(8) Dimmed
Function not selectable
(9) Inactive
Function selectable, but not active
(10) Active
Function activated
ARCADIS Varic Quick Guide
11
Product overview
(5)
(6)
(7)
As soon as you press the emergency stop
button, motorized up and down movement
of the C-arm system is disabled.
(4)
(1)
(2)
(3)
(4)
12
(6)
S
O
T
P
ARCADIS Varic Quick Guide
S
O
T
P
Product overview
C-arm system
C-arm
(1) Image intensifier
(2) X-ray tube
(3) Holder for footswitch
(4) Locking brake
(5) Hand switch
(6) Steering lever
(7) Emergency stop button
Brakes, steering lever
(4) Locking brake
❏ Locking brake released in center position:
Move C-arm system
(6) Steering lever
❏ Steering lever straight:
Move C-arm system in any direction
❏ Steering lever crosswise:
Move C-arm system in transverse direction, e.g. parallel to the table
ARCADIS Varic Quick Guide
13
Product overview
(1)
130°
S
T
O
P
45cm
(2)
(3)
(4)
(5)
130°
S
T
O
P
ST
O
P
S
T
O
P
190°
190°
cm
20
12,5°
12,5°
14
ARCADIS Varic Quick Guide
Product overview
Moving the C-arm system
(1) Vertical travel (motorized)
Lift and lower C-arm
up to 45 cm
(2) Orbital movement
Change between a.p. and lateral position
➭ Starting from the a.p. position vertical to
-
40° and horizontal to + 90°
(130° in total).
(3) Angulation
Rotate C-arm about support arm in
vertical plane
by up to 190° in both directions
(4) Horizontal travel
Move C-arm horizontally
up to 20 cm
➭ Ideal for fine adjustments directly at the
OR-table.
(5) Swivel
Swivel C-arm about unit column in
horizontal plane
by up to 12.5° in each direction
➭ Ideal for fine adjustments directly at the
OR-table.
ARCADIS Varic Quick Guide
15
Product overview
(1)
(2)
(3)
(4)
(5)
(6)
16
ARCADIS Varic Quick Guide
Description of keyboard see Basics chapter.
Product overview
Monitor trolley
(1) TFT flat screen monitors
(2) Keyboard
(3) Power on/off switch
(4) CD drive
(5) Direction locks on the back wheels
(6) Brakes on the front wheels
ARCADIS Varic Quick Guide
17
Examination procedure
(1)
(2)
(3)
18
If an additional access control mechanism
is configured for the system, you have to
log in with your name and password.
(4)
(5)
ARCADIS Varic Quick Guide
Examination procedure
Preparing the system
Connecting, switching on and booting
✧ Connect the monitor trolley connecting
cable to the C-arm system (1).
✧ If available, connect the network cable
(if
the system is connected to an information system or a navigation system or network printer) (2).
✧ Plug the power plug into the power outlet.
✧ Switch on the C-arm system at the moni-
tor trolley (3).
➭ The system boots.
Covering the C-arm with sterile covers
✧ If necessary, cover the C-arm, e.g. with
the two-part sterile cover (4).
✧ Attach the cover with the sterilizable
clamps (5).
ARCADIS Varic Quick Guide
19
Examination procedure
During operation, the window
can be opened by pressing the
Patient Registration icon button
on the monitor trolley.
(1)
20
ARCADIS Varic Quick Guide
(2)
(3)
Examination procedure
Patient registration
First, the Patient Registration window (1)
appears directly.
(Here: maximal configuration)
✧ Enter the patient data into this mask (1).
At a minimum, the bold fields must be filled
out.
✧ Using the mouse, click on the Exam (2)
button.
➭ The patient data appear in the
Examination task card (3).
➭ The unit is now ready to start an examina-
tion.
Alternatives
❏ Preregistration/Scheduler
The patient has already been registered in the
Scheduler, from where it can be loaded into
the Patient Registration card.
❏ Emergency
If the patient data are unknown, the patient is
assigned a provisional number consisting of
the date and the time of the entry. These data
can later be corrected.
❏ Search
If an information network (e.g. hospital network) is connected, you can start a search for
registered patients here.
ARCADIS Varic Quick Guide
21
Examination procedure
To select parameters, use the mouse to
click the monitor trolley.
(1)
(2)
(3)
(5)
(6)
(4)
ARCADIS Varic Quick Guide
(7)
If the optional laser light localizer is available, the object should be positioned with
the laser light localizer, i.e. without radia
tion, as far as possible for reasons of radiation protection.
(10)
-
(8)
(9)
22
Examination procedure
Preparation in the Examination task card
✧ Select the medical application area (1).
✧ Select the body region by clicking the
VPA
(Virtual Patient Anatomy) (2).
✧ Select the required application program (3).
➭ With the application program you simulta-
neously select a dose level (reduced,
standard, increased). This is shown by a
bar (4).
✧ Select the desired operating mode (5).
Alternative: Select/switch operating
mode on the C-arm keyboard (see fold-out
cover).
➭ The selected operating mode is shown as
a symbol (6).
➭ The readiness of the C-arm is shown in
the status bar (7).
Setting with the laser light localizer
Depending on the equipment, the l.I. side or
the I.I. integrated laser light localizer is avail
able next to the tube-side laser light localizer.
✧ Laser localizer on the I.I. side:
Press the button on the laser light localizer
to turn it on and off (8).
✧ Tube-side (9) and I.I. integrated laser light
localizer:
Press the button on the C-arm system (10)
to turn it on and off.
-
ARCADIS Varic Quick Guide
23
Examination procedure
Exception: If the continuous fluoroscopy
mode is set, pressing the left footswitch
releases a single exposure.
(2)
(1)
(3)
24
ARCADIS Varic Quick Guide
Examination procedure
Radiation release and dose display
Radiation release with the footswitch
✧ Actuate the right footswitch to release
continuous fluoroscopy (1).
✧ Actuate the left footswitch to release the
set operating mode (2).
Radiation release with the hand switch
✧ Press the release button to release the
set operating mode (3).
ARCADIS Varic Quick Guide
25
Examination procedure
)
1
(
(4)
ADR stop is recommended, for example,
for
❏ Thin objects, e.g. w rist (the movement
causes the object to slide out of the
central beam, the image is underex
posed)
❏ Metal (high density of the metal leads
to strong overexposure)
❏ Transition between thoracic and lumbar
spine (movement of the diaphragm/mid
riff causes changes in the exposure).
(2)
(3)
-
-
26
ARCADIS Varic Quick Guide
(5)(6) (7)
Examination procedure
Radiation time and dose display
(1) Display of accumulated fluoroscopic time
at the C-arm system
(2) Display of accumulated fluoroscopic time
at the monitor trolley (Examination task
card)
(3) Display of accumulated dose at the moni-
tor trolley (with optional dose measuring
chamber)
Alternative: Display of air kerma values
(preceding item: accumulated air kerma).
➭ After every five minutes of radiation, an
audible alarm sounds at the C-arm sys
tem.
✧ To temporarily deactivate the warning sig-
nal, press the Reset fluoro time button
on the C-arm system (4).
ADR stop, manual input of radiation parameters
All exposures are taken with automatic exposure control. This rule is turned off using
ADR
stop. The kV values can then be
selected manually.
-
✧ Select ADR stop at (5).
✧ If required, set a manual value with the
+/- buttons (6).
➭ kV and mA values are shown on the dis-
play at the C-arm system (7).
➭ As long as ADR stop is activated, the
manually set value remains unchanged.
ARCADIS Varic Quick Guide
27
Examination procedure
(1)
28
ARCADIS Varic Quick Guide
Examination procedure
High-contrast fluoroscopy (Power Mode)
Power Mode is an additional function that
can be selected for the fluoroscopy mode.
With Power Mode a higher contrast is
achieved, but with a higher dose.
✧ Select the Power Mode function at the
C-arm system (1).
➭ If the Power Mode function is activated,
a continuous warning signal sounds dur
ing fluoroscopy.
➭ The duration of the Power Mode function
is limited to 15
s.
-
ARCADIS Varic Quick Guide
29
Examination procedure
The rotation is performed without radiation
and can be observed on the monitor.
(3)
(4)
(1) (2)
30
ARCADIS Varic Quick Guide
(5)
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