Mobius airo2 User manual

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Note: This guide does not replace the user manuals.Page 1-16
POWER ON AIRO
• Insert the key and switch on the system by rotating
the key to the
On position d.
•Pressthe Start a button.
The yellow indicator light s illuminates.
REMOVE TABLE TOP
• Ensure the table top is removed.
TRANSPORT
• Select Transport from the Choose Mode screen
on the pendant.
• Alternatively, select
Transport on the pendant by
pressing
Menu a > Transport .
LATCH AIRO
• Ensure the gantry is at the end of the rail, away from
the table column.
• Rotate the gantry and align it with the base.
Ensure the latch is locked.
• Push the gantry towards the table column until it also
latches with the base.
NOTE: Ensure that the gantry does not come into
contact with the table column during alignment.
a
Transport
as d
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Hardware: Airo
MOVE, PARK AND STORE AIRO

Note: This guide does not replace the user manuals.Page 2-16
RAISE AIRO
• Disconnect all power and network cables.
•Raise
Airo onto its wheels by pressing Up aon the
pendant until the front facing camera window is
visible.
NOTE: If the camera view is not visible, check that
all power and network cables are disconnected.
MOVE AIRO
• Look at the pendant screen ato view the area in
front of
Airo .
• Push the forward sand reverse dbuttons as
applicable, to engage the drive mechanism.
• Push on the left and right side-handles to turn
Airo .
NOTE: Airo weighs 975 Kg (2150 lbs). Collision can
cause injury to people or damage to objects.
NOTE: Inclines must not exceed 5° and thresholds
cannot exceed 9.5 mm (3/8 inch).
PARK IN THE
OR
• Select Scan a from the Choose Mode screen.
•Pressthe Down s button on the pendant to lower
the base into position on the floor.
• Plug in power and network cables.
NOTE: Ensure there are no objects underneath Airo
before it is lowered (e.g., power cables or feet).
NOTE: Park on level surfaces only.
PARK IN STORAGE AREA (IF APPLICABLE)
NOTE: Ensure the area of the parked location is
strong enough to withstand the weight.
• Leave Airo parked on its wheels.
• Select
Menu > Home on the pendant.
• Turn the key to
Standby s.
•Plug
Airo into a mains power source to keep the
batteries fully charged.
• Check that the power indicator light illuminates
green on the power panel a.
a
ads
s
a
as

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Note: This guide does not replace the user manuals.Page 3-16
PRE-SURGERY MAINTENANCE
STEP 1
• Select Scan a on the Choose Mode screen.
•Pressthe
Down button s to lower the base on to
the floor into final surgery position.
•Pluginpowerand network cables.
NOTE: Ensure there are no objects underneath Airo
before it is lowered (e.g., power cables or feet).
DAILY TASK 1 - WARM UP SCAN
• Select Menu a.
• Select Warm Up to initiate the warm up sequence.
• Remove the pendant and go to a safe area, ensuring
the scanning area is also safe for X-ray exposure.
• Select and hold the
Scan button.
• Select
Next if the warm up is successful.
DAILY TASK 2 - EMERGENCY STOP TEST -
STEP 1
• Select E-Stop Test from the HOSPITAL SERVICE
screen.
• Follow the instructions as prompted.
•Press
Next .
•Set
Start and End point for the scan as prompted.
Hardware: Airo
as
a
Warm Up
a
STEP 2
• Ensure the power cable is not wrapped around the
brackets before rotating the system, to avoid
damage.
• Consider the correct direction for gantry rotation.
• Pull the release latch a to unlock the gantry and
rotate it manually. The gantry locks in at +/- 90°.
NOTE: For navigation, ensure that the reflective
markers face the camera.
Before scanning, ensure the area is safe for X-
ray exposure.

Note: This guide does not replace the user manuals.Page 4-16
DAILY TASK 3 - GAIN CALIBRATION - STEP 1
• Allow up to 30 mins for Airo to reach its operating
temperature.
• Select
Hospital Service from the SERVICE
FUNCTIONS
screen.
• Enter password as prompted.
• Select
Gain Calibration a from the HOSPITAL
SERVICE
screen.
• Select Next to proceed when prompted.
NOTE: Ensure the field of view for Airo is clear.
DAILY TASK 2 - EMERGENCY STOP TEST -
STEP 2
• Remove the pendant and move to a safe area.
• Press and hold the
Scan button and wait for the
gantry to move and beep tone to start.
• While holding the
Scan button down, press the E-
Stop
button on the pendant, ensuring the beeping
tone stops within 0.5 seconds and the gantry stops
immediately.
• Click
Next to continue. Contact Brainlab if test fails.
DAILY TASK 3 - GAIN CALIBRATION - STEP 2
• Remove the pendant and go to a safe area, ensuring
the scanning area is also safe for X-ray exposure.
• Select and hold the
Scan button.
• Select Next if the Gain Calibration is successful.
If not successful, evaluate the area and remove any
objects that might interfere with the scan and repeat
scan.
DAILY TASK 4 - QUALITY CHECK SCAN
• Select Quality Check Scans from the HOSPITAL
SERVICE
screen.
• Select Daily Helical QC aand/or Daily Axial QC
s(depending on clinical use).
• Position the phantom on the table top and align the
lasers as prompted (use Carbon X-tra only).
• Ensuring perfect alignment, click
Next to continue.
• Remove the pendant and move to a safe area.
• Press and hold the
Scan button until the yellow light
on the pendant goes out.
• Select
Next and repeat as prompted for the
opposite scan direction if the scan is successful.
Scan
a
a s
Scan

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Note: This guide does not replace the user manuals.Page 5-16
OR SETUP (LUMBAR-THORACIC)
BEFORE SCANNING
• Ensure the navigation system is connected.
• Avoid crossing a patient’s eyes with the positioning
laser.
Ensure that:
•Markerson Airo are visible to the camera.
• The patient is 5 cm minimum from the inner surface
of the ring bore to avoid skin burns.
• Staff have left the room or are shielded.
SCANNING POSITION - HEAD FIRST
• Position the camera a.
• Position the patient on the table with the feet facing
the camera.
• Remove the pendant and go to a safe area.
• Halt the patient’s respiration immediately prior to
scanning.
• Press and hold the
Scan button during scanning and
follow prompts from the pendant.
OPERATING POSITION 1 - NO ROTATION
•Movegantryf to full extent of the base and away
from the patient.
• Keep the patient in the original scanning position.
• Ensure the equipment and medical staff are all
correctly positioned: Camera a, monitor s,
anesthesiologist d and surgeon g.
OPERATING POSITION 2 - ROTATED 90 DEGS
•Movegantryf to full extent of the base and away
from the patient.
• Rotate the table 90 degrees.
• Ensure the equipment and medical staff are all
correctly positioned: Monitor a, surgeon s,
anesthesiologist d and camera g.
NOTE: Use 4 marker array for 90 degree rotations.
Hardware: Airo
sf
g
d
a
f
s
g
d
a
a
Ensure the area is safe for X-ray exposure.

Note: This guide does not replace the user manuals.Page 6-16

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Note: This guide does not replace the user manuals.Page 7-16
OR SETUP (CERVICAL SPINE)
BEFORE SCANNING
• Ensure the navigation system is connected.
• Avoid crossing a patient’s eyes with the positioning
laser.
Ensure that:
•Markerson Airo are visible to the camera.
• The patient is 5 cm minimum from the inner surface
of the ring bore to avoid skin burns.
• Staff have left the room or are shielded.
SCAN DIRECTION - SAB
SCANNING POSITION - HEAD FIRST
• Position the camera a at the table base.
• Position the patient on the table with the head facing
away from the camera.
• Remove the pendant and go to a safe area.
• Halt the patient’s respiration immediately prior to
scanning.
• Press and hold the
Scan button during scanning and
follow prompts from the pendant.
OPERATING POSITION 1 - ROTATED 180 DEGS
•Movegantryg to the end of the rail and away from
the patient.
• Rotate the table 180 degrees.
• Ensure the equipment and medical staff are all
correctly positioned: Surgeon a, camera s,
anesthesiologist d and monitor f.
NOTE: Use 4 marker array for 180 degree rotations.
OPERATING POSITION 2 - ROTATED 90 DEGS
•Movegantryg to the end of the rail and away from
the patient.
• Rotate the table 90 degrees.
• Reposition the camera d.
• Ensure the equipment and medical staff are all
correctly positioned: Monitor a, surgeon s, camera
d and anesthesiologist f.
NOTE: Use 4 marker array for 90 degree rotations.
Hardware: Airo
a
g
f
a
s
d
f
g
a
d
s
Ensure the area is safe for X-ray exposure.

Note: This guide does not replace the user manuals.Page 8-16
OPERATING POSITION 3 - CLOSE PROXIMITY
• Move gantry f to the end of the rail and away from
the patient.
• Keep the patient in the original scanning position.
• Reposition the camera a.
• Ensure the equipment and medical staff are all
correctly positioned: Anesthesiologist s, monitor d,
surgeon g.
NOTE: The surgeon must stand clear of the
unsterile gantry.
SCAN DIRECTION - STB
SCANNING POSITION - HEAD FIRST
• Position the camera a at the head of the table.
• Position the patient on the table with the head facing
towards the camera.
• Remove the pendant and go to a safe area.
• Halt respiration immediately prior to scanning.
• Press and hold the
Scan button during scanning and
follow prompts from the pendant.
OPERATING POSITION 4 - NO ROTATION
• Keep the patient in the original scanning position.
• Position the patient mid-way in the gantry s.
• Ensure the equipment and medical staff are all
correctly positioned: Anesthesiologist a, camera d,
monitor f and surgeon g.
NOTE: The surgeon is positioned between Airo and
the camera. The surgeon must stand clear of the
unsterile gantry and camera as space is limited.
g
s
f
a
d
a
d
s
g
f
a

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Note: This guide does not replace the user manuals.Page 9-16
Hardware: Airo
BEFORE SCANNING
• Avoid crossing a patient’s eyes with the positioning
laser.
Ensure that:
•Markerson Airo are visible to the camera.
• Staff have left the room or are shielded.
• Radiolucent reference array, head clamp and pins
are used.
• The relative camera and reference array positions
stay the same during the scan and during surgery.
SCANNING POSITION - HEAD FIRST
• Position the camera a at the table base.
• Position the patient on the table with the head facing
away from the camera.
• Remove the pendant and go to a safe area.
• Press and hold the
Scan button during scanning and
follow prompts from the pendant.
OPERATING POSITION 1 - ROTATED 90 DEGS
•Movegantryg to the end of the rail and away from
the patient.
• Rotate the table 90 degrees.
• Ensure the equipment and medical staff are all
correctly positioned: Anesthesiologist a, camera s,
monitor dand surgeon f.
OPERATING POSITION 2 - ROTATED 180 DEGS
•Movegantryf to the end of the rail and away from
the patient.
• Rotate the table 180 degrees.
• Ensure the equipment and medical staff are all
correctly positioned: Monitor a, surgeon s,
anesthesiologist d and camera g.
a
f
d
g
s
a
f
d
g
s a
OR SETUP (CRANIAL)
Ensure the area is safe for X-ray exposure.

Note: This guide does not replace the user manuals.Page 10-16

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Note: This guide does not replace the user manuals.Page 11-16
TRANSFER TABLE TO COLUMN
STEP 1
• Set the shuttle to the zero (neutral) position.
•Set the
5th wheel pedal ato freewheel .
•Set the
brake pedal sto unbraked .
• Ensure that the
Airo gantry is away from the column
so that it does not collide with the wheels.
STEP 2
• Place the shuttle against the column.
• Adjust the column height accordingly to avoid
collision.
• Press and hold down the
Transfer pedal don the
shuttle or the Zero Position key on the remote
control.
• The column moves to the upper lift position.
NOTE: Refer to the table top instruction manual for
more information.
STEP 3
• Transfer the table top to the column, ensuring that
the table does not collide with the gantry while
maneuvering.
NOTE: Ensure that the operating table or other
patient support is properly locked onto the holding
wedges of the column.
NOTE: When the table transfer is complete, a two-
tone signal sounds and
Table top (type)
recognized
appears on the remote control display.
STEP 4
• Move the shuttle away after the signal sounds.
Hardware: Airo
sa
d

Note: This guide does not replace the user manuals.Page 12-16

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Note: This guide does not replace the user manuals.Page 13-16
STEP 2 - AIRO PENDANT
• Select New Scan from the WELCOME screen.
• Select New Patient from the PATIENT DATA
screen (Select one of the other available options to
load a pre-existing patient name and ID).
• For new patients, enter patient data as prompted on
screen.
• Select
Next .
SCAN PATIENT
STEP 1 - CURVE SETUP
•Start Curve Navigation System .
• Select your software application on Curve :
- Within Cranial Navigation
Select Register > Automatic Registration Airo
- Within Spine & Trauma Navigation
Select Register > New Scan > Airo Scanner
NOTE: No user interaction on Curve is required
during the registration workflow.
STEP 3
• Enter the patient’s weight as prompted.
Airo automatically calculates the dosage based
on the patient’s weight.
• Select Next .
NOTE: 110lbs/50 kg is the minimum dose weight.
Any weight below this will receive the 110lbs/50 kg
dose.
NOTE: Maximum load for the table top is 400lbs/
180 kg.
STEP 4
• Ensure the camera is in range.
• Ensure the markers on the gantry are visible to the
camera.
• Select
Next .
NOTE: A typical OR setup has the camera
positioned at the base of the table. During scanning
the gantry moves away from the camera.
Hardware: Airo and Curve

Note: This guide does not replace the user manuals.Page 14-16
STEP 5
• Select the examination region and scanning mode
(e.g., Spine > Lumbar > Helical).
• Select Next .
NOTE: Tube current modulation is only available in
helical scan mode.
STEP 6
Select your scan parameters under:
•Kernel
•FieldofView
•Navigation (to perform a scan with/without
automatic registration. If Navigation is not checked,
the data will not automatically be registered for
navigation).
• Select
Next .
The system automatically verifies if the setup is
ready for navigation.
STEP 7
• Select the patient’s orientation aand position s.
• Select
Next to proceed.
STEP 8
• Select either:
- A-P
- Lateral
- Skip Scout Scan to bypass the scout scan.
• Select
Next .
NOTE: Tube current modulation is only available if
an A-P scout is performed.
s
a

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Note: This guide does not replace the user manuals.Page 15-16
FINALIZE SCAN
SCOUT SCAN - STEP 1
• Carry out a collision check, ensuring the drape and
the patient’s arms are clear of the bore.
• Move the gantry using the left and right buttons on
the pendant s to set the 2D Scout Scan end point.
• Select
Next .
• Set the 2D Scout Scan start point using the left and
right buttons.
• Select
Next a.
SCOUT SCAN - STEP 2
• Review the scan parameters a.
• Remove the pendant and go to a safe area.
• Ensure the area is safe for X-ray exposure.
•Pressandhold Scan sfor the scan duration.
SET 3D SCAN AREA
• Define the 3D scan area d using Left Bound , Right
Bound
and Field of View a.
• Select
Next f.
NOTE: Yellow lines sindicate the width of the
beam outside the planned scan boundaries. This is
critical when planning eye or cranial procedures.
NOTE: Avoid irradiating the eyes when possible.
The minimum and maximum scan lengths for
navigation are 79 mm and 300 mm.
GANTRY POSITIONING
•Pressandhold Move a to move the gantry to the
start position.
When the gantry reaches the start position, the 3D
scan is automatically prepared.
s
a
a
s
a
f
d
s
a
Hardware: Airo and Curve Before scanning, ensure the area is safe for X-
ray exposure.

DISTRIBUTOR INFORMATION:
Brainlab AG
Olof-Palme-Str. 9, 81829 Munich, Germany
Europe, Africa, Asia, Australia: [phone]
USA and Canada: [phone]
Japan: [phone]
Latin America: [phone]
France: [phone]
E-mail: [e-mail]
MANUFACTURER INFORMATION:
Mobius Imaging, LLC
Phoenix Park, 2 Shaker Road, Bldg F, Suite 100,
Shirley, MA 01464, USA
USA: [phone]
www.mobiusimaging.com
Email: [email protected]
COPYRIGHT:
This guide contains proprietary information
protected by copyright.
No part of this guide may be reproduced or
translated without the express written
permission of Brainlab.
LIABILITY:
This guide is subject to change without
notice and does not represent a
commitment on the part of Brainlab.
For further information, please refer to
the “Limitations of Liability” section in
the Brainlab Standard Terms and
Conditions of Sale.
Page 16-16
TUBE CURRENT MODULATION (IF REQUIRED)
NOTE: This is only applicable if helical scan mode is
chosen and an A-P scout has been performed.
NOTE: The minimum, maximum and average tube
current values, based on the previous A-P scout is
displayed below
Modulated Tube Current a.
• Select your desired scan mode:
- Constant Tube Current
- Modulated Tube Current
• Select Next .
FINAL SCANNING
• Wait for both marker arrays to be visible a
(indicated by check marks).
• Remove the pendant and go to a safe area.
•Pressandhold
Scan sfor approx. 15 secs. until
scanning starts and keep pressed for the scan
duration. Follow the display prompts.
Performing 3D Scan dialog opens when complete.
*60917-32EN*
Document Revision: 1.3
Article Number: 60917-32EN
VERIFY REGISTRATION
Data is sent automatically from
Airo to Curve . Data
can also be sent manually from DICOM Viewer on
the pendant.
• Verify registration accuracy by holding the pointer tip
to at least three known anatomical landmarks and
verifying their positions on the screen.
NOTE: Verify registration accuracy in all anatomical
directions (cranial/caudal, medial/lateral, anterior/
posterior).
a
as