Siemens SIREMOBIL Iso-C 3D Installation manual

© Siemens AG
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of a utility model or design, are
reserved.
Print No.:
Loskarn
SIREMOBIL Iso-C 3D
System
Installation and Startup
SP
2002
SPR2-230.814.03.02.02
Replaces: SPR2-230.814.03.01.02
English
Doc. Gen. Date: 11.05
3D Navigation

2 Revision / Disclaimer
SIREMOBIL Iso-C 3D SPR2-230.814.03.02.02 Siemens AG
11.05 CS SD 24
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1Revision / Disclaimer
Document revision level
The document corresponds to the version/revision level effective at the time of system
delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.
Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise
authorized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated
with or authorized by Siemens or one of its affiliates are directed to contact one of the
local offices of Siemens or one of its affiliates before attempting installation or service pro-
cedures.

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Table of Contents 3
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1- 0Table of Contents
1 _______ General information______________________________________________ 5
Safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Notes and symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3D Navigation with the SIREMOBIL Iso-C 3D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Procedure in collaboration with the navigation systems vendor BrainLAB . . . . . . . . . 9
Procedure in collaboration with all other navigation systems vendors . . . . . . . . . . . 10
Overview - flow chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Tools and materials required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2 _______ Checks Prior to Installation ______________________________________ 14
Updates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Testing the 3D software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Systems with imaging system PC: CELSIUS C650 part no. 71 29 013 . . . . . . . . . . 15
Systems with imaging system PC: CELSIUS C444 part no. 77 14 145 . . . . . . . . . . 15
Function check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
3 _______ Mechanical system _____________________________________________ 17
Replacing grid holder on image intensifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Attach label to unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4 _______ License and configuration _______________________________________ 22
Licensing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Loading the license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
DICOM Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
System network configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Navigation DICOM nodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
5 _______ Adjusting the calibration phantom ________________________________ 29
Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Systems equipped with a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Systems not equipped with a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Checking the positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
6 _______ BrainLAB navigation system _____________________________________ 32
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Image quality test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Testing procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Measurement run . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Checking 3D high resolution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Notify BrainLAB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
7 _______ Concluding steps_______________________________________________ 49

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Concluding steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
8 _______ Fax Form______________________________________________________ 50
9 _______ Changes to Previous Version _____________________________________ 51

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1General inf ormation
Safety information 0
NOTICE
¹When performing the work steps and tests described
herein, observe the product-specific safety information
contained in the documents, as well as the general safety
information TD00-000.860.01....

6 General information
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Notes and symbols 0
Emphasized text in this technical documentation has the following meanings:
Fig. 1: Safety Notes
NOTE
•Steps to be performed are preceded by a bullet point.
- Indented text under the activity to be performed contains
general information.
¹Results and events are indented and preceded by an
arrow.
NOTE Depending on the progress of the configuration, the "Next” button
might also be displayed as the "Finish” button.
DANGER
!
WARNING
!
CAUTION
!
NOTICE
DANGER indicates when there is an immediate danger that
l e a d s to death or serious physical injury.
WARNING indicates a risk of danger that m a y l e a d to death
or serious physical injury.
CAUTION used with the safety alert symbol indicates a risk of
danger that leads to slight or moderate physical injury and/ or
damage to property.
NOTICE used without the safety alert symbol indicates a risk of
danger that if disregarded leads or may lead to a potential
situation which may result in an undesirable result or state other
than death, physical injury or property damage.

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NOTE Once the "Save" button has been selected in the individual
screens, the message "..... successfully saved" appears following
a successful save. Please:
•Select "OK".
NOTE If any problems arise when making changes in the Service UI, at-
tempt to resolve them first by powering the system completely off
and then powering it on again.

8 General information
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3D Navigation with the SIREMOBIL Iso-C 3D 0
The 3D navigation kit is a universal HW and SW interface which controls navigation sys-
tems provided by different navigation systems vendors.
The navigation system itself is not provided by Siemens, but always by a navigation sys-
tems vendor.
Fig. 2: Cooperation

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Procedure in collaboration with the navigation systems vendor BrainLAB 0
No time overlap when installing the navigation system
In coordination with the navigation systems vendor BrainLAB, the installation of the
Navilink interface and the startup of the navigation system are performed sequentially,
with no time overlap of technician service calls.
The navigation systems vendor informs the customer that the SIREMOBIL Iso-C must be
prepared for navigation. The customer informs the SIEMENS technician of this and
schedules the service call to have the Navilink interface installed.
After the SIEMENS technician has performed the necessary tasks, he or she notifies the
navigation systems vendor. The navigation systems vendor schedules its own service
call.
The presence of a SIEMENS technician is no longer necessary.
This will prevent waiting periods for the SIEMENS technician as well as for the navigation
systems vendor's technician.
For this reason, the procedure described below should be followed.
Tasks performed by Siemens
After the customer has placed the order, the following tasks are performed by SIEMENS:
•Schedule the service call with the customer.
•Check all required system updates and perform any that are still necessary.
•Install the new grid holder on the image intensifier.
•Check latest SW version, and install if necessary.
•Check Navilink license, and install if necessary.
•Configure a default network node.
•Calibrate 3D reconstruction, but without the marker ring installed.
•Fill out and send the fax form to BrainLAB. Enter on the form all data required by Brain-
LAB.
NOTE When BrainLAB receives the fax form, they contact the customer,
schedule the service call for installation and startup of the naviga-
tion system, and perform all required steps. A SIEMENS technician
is no longer required to be on site for this phase.

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Tasks performed by BrainLAB
The following tasks are performed by a BrainLAB technician trained for the Siremobil,
without the presence of a SIEMENS technician:
•Install and start up the navigation system
•If necessary, adapt the DICOM network node to the Siremobil Iso-C
•Check network communication between 3D PC and navigation system
•Calibrate 3D reconstruction on Siremobil Iso-C with marker ring installed
•Check 3D high resolution on Siremobil Iso-C
•Create a backup CD
•Turnover to customer, customer briefing
Procedure in collaboration with all other navigation systems vendors 0
There is a time overlap involving the Siemens technician and the navigation sys-
tems vendor's technician
In such cases, the Navilink interface installation can be only partially performed by a SIE-
MENS technician. Some tasks must be carried out in close cooperation with a technician
from the navigation systems vendor.
This means that the SIEMENS technician requires two service calls to integrate the navi-
gation system.
Tasks performed by Siemens
•Schedule the service call with the customer.
Siemens technician (1st service call)
The following tasks must be performed by the SIEMENS technician at the 1st service call:
•Check all required system updates and perform any that are still necessary
•Install the new grid holder on the image intensifier
•Check latest SW version, and install if necessary
•Check Navilink license, and install if necessary
•Configure a default DICOM network node for the navigation system
•Calibrate 3D reconstruction. Only the calibration without the navigation system can be
performed, since the navigation system's marker ring is not present.
•Check image quality and 3D high resolution

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Joint tasks, performed by Siemens and the navigation systems vendor
The following tasks are performed jointly, with a technician from the navigation systems
vendor:
•If necessary, adapt the DICOM network node configuration to the navigation system
•Check network communication between 3D PC and navigation system
•Calibrate 3D reconstruction (with marker ring)
After installation is completed, stow the navigation system test body (included in the
Navilink kit) in the monitor trolley.
Inform the customer about the storage location and use of the test body.
The navigation systems vendor turns the navigation system over to the customer and per-
forms the necessary customer briefing.
The overlapping work time of the two technicians is approx. 5 hours.
Overview - flow chart 0
Fig. 3: prepair the connection

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Tools and materials required 0
Iso-C 3D calibration phantom with navi - material no.: 75 51 620 G5486
NOTE The older calibration phantom, material no. 71 39 947 G5486, can-
not be used in combination with a navigation system!
Tool kit
Allen wrench set
Insulating tape
Service PC
Several blank CD-ROMs
Several floppy disks

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References 0
Software description SPR2-230.815.01
Image Quality quick test SPR2-230.037.01

14 Checks Prior to Installation
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3-
2Checks Prior to Installation
Updates 0
•Check to see whether all necessary system updates have been performed.
•Perform any necessary updates.

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Testing the 3D software 0
Systems with imaging system PC: CELSIUS C650 part no. 71 29 013 0
•After system start-up, press the key combination "Ctrl-D" on the MEMOSKOP key-
board to switch over to 3D operation.
¹syngo screen appears on right-hand monitor
•Click "Help"
•Click “About ISO-C 3D...”
•Check to see whether the software “VB00D” appears under “3DSW”.
•If the 3D software “VB00D” is installed, continue with the "function control" item
•If the 3D software “VB00D” is not installed, install it according to the instructions found
in the document “Software Description SPR2-230.815.01.xx.xx”.
•Close the window
Systems with imaging system PC: CELSIUS C444 part no. 77 14 145 0
•After system start-up, press the key combination "Ctrl-D" on the MEMOSKOP key-
board to switch over to 3D operation.
¹syngo screen appears on right-hand monitor
•Click "Help"
•Check to see whether the software “VC00B” appears under “3DSW”.
•If the 3D software “VC00B” is installed, continue with the "function control" item
•If the 3D software “VC00B” is not installed, install it according to the instructions found
in the document “Software Description SPR2-230.815.01.xx.xx”.
•Close the window

16 Checks Prior to Installation
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Function check 0
•Check that the system functions properly.
•Perform a visual inspection of the 3D navigation kit and of the calibration phantom with
the navigation interface to make sure they are in the correct condition.

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3Mechanical system
Replacing grid holder on image intensifier 0
Fig. 4: I.I._1
•Remove the screws of the grid holder.

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Fig. 5: I.I._2
•Remove the microswitch.
•Cut cable and insulate with insulating tape.

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Fig. 6: I.I._3
•Carefully remove grid from grid holder. The gaskets are no longer needed.
•Apply some silicon (20 48 981) to the fitting surface of the new metal grid holder (75 51
703), all the way around, orient the grid correctly, and press it onto the grid holder.

20 Mechanical system
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Fig. 7: I.I._4
NOTE The new grid holder has a protruding pin. The grid must be insert-
ed and glued in with its label toward the pin. The new grid holder
must be installed with its pin toward the end of the c-arm.
•Wait for the silicone to harden (approx. 30 min).
•Attach the grid holder to the I.I. and secure it with screws (11 22 571) and contact wash-
ers (34 16 66)6.