Siemens VB 13C User manual

ARCADIS Varic
VB 13C
Quick Guide
C-arm keyboard
top/lateral row of keys
bottom row of keys
DR
R
R
mA
BA
AB
B B
kV
mAs
mA min
SUB ROAD
MAP
Lift/lower
C-arm
Reduce/increase
kV and mA
Switch ADR stop
on/off
Single-tank
laser light localizer
Reset fluoroscopy
time
Rotate image
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
Radiation indicator
Tube unit tempera-
ture
System OFF Edge enhance-
ment
Enlarge stored
images
Monitor split
horizontal/vertical
Contrast adjust-
ment left/right
monitor
Save image
Read images from
memory forward/
backward
Print image
DR
SUB ROAD
MAP
mA
R
R
A B AB
BB

ARCADIS Varic Quick Guide
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.
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 node 1
Enter a study
comment
Mark an image
Copy to film sheet Call up Patient
Registration
Call up the
Patient Browser

ARCADIS Varic Quick Guide
3
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 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.
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 Varic 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 Varic Quick Guide
5
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 .................................... 103
Preparing the exposure .................... 105
Exposure .......................................... 107

ARCADIS Varic 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 Varic 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 Varic Quick Guide
Basics
8
After the ARCADIS Varic system has been
switched on, the syngo user interface auto-
matically appears on the monitor trolley
screens.
(1)
(2)
(4)
(5) (6)
(3)
(7)
(8)
(9)

ARCADIS Varic 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 Varic Quick Guide
Basics
10
(1) (2)
(3) (5)(4)
(6) (7)
(8) (10)(9)

ARCADIS Varic 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
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
12
Product overview
(1)
(2)
(3)
(4)
(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)
ST
OP
ST
OP
(6)

ARCADIS Varic Quick Guide
Product overview
13
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 direc-
tion, e.g. parallel to the table

ARCADIS Varic Quick Guide
Product overview
14
45cm
(1)
S
T
O
P
130°
130°
(2)
S
T
O
P
190° 190°
(3)
STO
P
20 cm
(4)
S
T
O
P
12,5° 12,5°
(5)

ARCADIS Varic Quick Guide
Product overview
15
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
Product overview
16
Description of keyboard see Basics chap-
ter.
(1)
(2)
(4)
(5)
(6)
(3)

ARCADIS Varic 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 Varic 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 Varic 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 Varic 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)