Siemens ARCADIS Orbic User manual

ARCADIS Orbic
ARCADIS Orbic 3D
VB 13C
Quick Guide
C-arm keyboard
top/lateral row of keys
bottom row of keys
Radiation indicator
Tu be u nit
temperature
System OFF
System ON
Lift/lower
C-arm
Reduce/enlarge kV
and mA
Rotate image Reset fluoroscopy
time
Single-tank
laser light localizer
Switch dose stop
function on/off
Operating modes:
-Pulsed
fluoroscopy
- Continuous
fluoroscopy
Operating modes:
- Subtraction
-Roadmap
-Digital
radiography
Power Mode Enlarge live image
Noise reduction Image reversal
left/right or
top/bottom
Open/close
iris diaphragm
Rotate slot
diaphragm
Open/close
slot diaphragm
Edge
enhancement
Enlarge stored
images
Monitor split
horizontal/vertical
Contrast
adjustment left/
right monitor
Save image
Read images from
memory forward/
backward
Print image
SUB ROAD
MAP
DR
mA
R
R
A B AB
BB
PRINT

ARCADIS Orbic Quick Guide
This product is provided with a CE marking
in accordance with the regulations stated in
Directive 93/42/EEC of June 14th, 1993
concerning medical devices.
The CE marking applies only to medical
devices which have been put on the market
according to the above-mentioned
EC Directive.
The original language of this document is
German.
This Quick Guide is available in German,
English, French, Italian and Spanish.
Monitor trolley symbol keypad
Brightness – Brightness +
Contrast – Contrast +
Scroll study back Scroll study
forward
Scroll series back Scroll series
forward
Scroll image back Scroll image
forward
Switch between
negative and
positive image
Send to network
node 1
Enter a study
comment
Mark image
Copy to film sheet Call up Patient
Registration
Select Patient
Browser

ARCADIS Orbic Quick Guide
3
Introduction
We welcome you as a user of the powerful
ARCADIS Orbic/Orbic 3D C-arm system from
Siemens.
This clearly laid out Quick Guide is intended
to guide you through the operation of the sys-
tem.
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 Orbic/Orbic 3D
from startup through to shutdown of the sys-
tem including optional functions such as con-
nection to a hospital network or subtraction.
More detailed and complete descriptions can
be found in the ARCADIS Orbic/Orbic 3D
Operator Manual.
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

ARCADIS Orbic Quick Guide
4
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
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 Orbic Quick Guide
5
3D option
Overview ............................................ 65
3D scan .............................................. 67
3D view .............................................. 71
New 3D ranges .................................. 75
Saving, filming, transferring ............... 79
3D display modes .............................. 81
3D Image Fusion (Option) .................. 85
Documentation
Printing ............................................... 93
Burning CDs ..................................... 103
Reports
Generating reports ........................... 105
Editing a LithoReport ....................... 107
Printing and exporting a report ......... 109
Connectivity
Send/Storage Commitment .............. 115
Get Worklist ...................................... 119
MPPS – Modality Performed
Procedure Step ................................ 121
Query/Retrieve ................................. 123
NaviLink 2D/3D
Features ........................................... 125
Procedure......................................... 127
Dismantling
Transport position ............................ 129
Switching off .................................... 129

ARCADIS Orbic Quick Guide
6
Basics
This chapter is addressed to syngo begin-
ners and users with little computer experi-
ence.
(1) (2) (3)
(4)
(5) (6) (7)
Functions of the symbol keypad see fold-
out cover.

ARCADIS Orbic Quick Guide
Basics
7
This chapter provides you with basic informa-
tion 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 brightness and contrast)
(3) Right button
Single click: call up popup menu
(context-sensitive)
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 func-
tions (e.g. calling up Patient Registration
or local database; image postprocessing
functions)

ARCADIS Orbic Quick Guide
Basics
8
After the ARCADIS Orbic/Orbic 3D system
has been switched on, the syngo user
interface automatically appears on the
monitor trolley screens.
(1)
(2)
(4)
(5) (6)
(3)
(7)
(8)
(9)

ARCADIS Orbic Quick Guide
Basics
9
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 param-
eters, selection of functions (via subtask
cards)
(6) Image area
Display and processing of images
Windows/Dialogs
Windows are called up separately or dis-
played automatically.
Windows can be closed again after process-
ing.
(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 Orbic Quick Guide
Basics
10
(1) (2)
(3) (5)(4)
(6) (7)
(8) (10)(9)

ARCADIS Orbic Quick Guide
Basics
11
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 posi-
tion ("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 Orbic Quick Guide
12
Product Overview
(1)
(2) (6)
(3)
(5)
(4)
(7)
As soon as you press the emergency stop
button, motorized up and down movement
of the C-arm system is disabled.
(5)
(7)

ARCADIS Orbic Quick Guide
Product Overview
13
C-arm system
C-arm
(1) Image intensifier
(2) X-ray tube
(3) Emergency stop
(4) Hand switch
(5) Steering lever
(6) Holder for footswitch
(7) Locking brake
Steering lever, brakes
(5) Steering lever
❏Steering lever straight:
Move C-arm system in any direction
❏Steering lever diagonal:
Move C-arm in transverse direction,
e.g. parallel to the table
(7) Locking brake
❏Locking brake released:
Move C-arm system

ARCADIS Orbic Quick Guide
Product Overview
14
(1)
(2)
(3)
(4)
(5)

ARCADIS Orbic Quick Guide
Product Overview
15
Moving the C-arm system
(1) Vertical travel (motorized)
Lift and lower C-arm
up to 40 cm
(2) Orbital movement
Change between a.p. and lateral position
➭Starting from the a.p. position, C-arm
swivels by 95° in both directions, 190° in
total.
(3) Angulation
Rotate C-arm about support arm in verti-
cal 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 hori-
zontal plane
by up to 10° in each direction
➭Ideal for fine adjustments directly at the
OR-table.

ARCADIS Orbic Quick Guide
Product Overview
16
Description of keyboard see Basics chap-
ter.
(1)
(2)
(4)
(5)
(6)
(3)

ARCADIS Orbic Quick Guide
Product Overview
17
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 Orbic Quick Guide
18
Examination Procedure
If an additional access control mechanism
is configured for the system, you have to
log in with your name and password.
(1)
(2)
(3)
(4)
(5)

ARCADIS Orbic Quick Guide
Examination Procedure
19
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 informa-
tion system or a navigation system or net-
work 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 Orbic Quick Guide
Examination Procedure
20
During operation, the window
can be opened by pressing the
Patient Registration icon button
on the monitor trolley.
(1)
(2)
(3)