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Hologic Affirm User Manual

Hologic Affirm
116 pages
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User Guide
MAN-06411-002 Revision 003

Table of Contents

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Hologic Affirm Specifications

General IconGeneral
TypeBreast Biopsy Guidance System
Detector TypeDigital Detector
Imaging ModalityX-ray
CategoryMedical Equipment
ManufacturerHologic
SoftwareAffirm Prone Biopsy Software
Targeting Method3D Stereotactic
Needle GuidanceStereotactic
Patient PositioningUpright or Prone
TechnologyStereotactic
Biopsy Needle SizeVarious sizes supported
Imaging Capabilities2D and 3D Imaging

Summary

Introduction

Intended Use

Defines the Affirm system's purpose and intended application for breast biopsy procedures.

User Profiles and Training

Details user roles (Mammography Technologist, Radiologist, Physicist) and required training.

System Information and Safety

Covers warranty, support, complaints, cybersecurity, symbols, and warning definitions.

General Information

System Overview

Describes the Affirm biopsy system's main components and its attachment to the C-arm.

Handling the Biopsy Guidance Module

Provides instructions on how to lift, move, and store the Biopsy Guidance Module safely.

Safety and Compliance

Covers general safety, warnings, precautions, and system compliance requirements.

Label Locations

Illustrates the locations of important labels on the Biopsy Guidance Module and Lateral Arm.

Installation, Verification, and Removal

Biopsy Guidance Module Components

Details the components of the Biopsy Guidance Module and their functions.

Biopsy Control Module Components

Details the components of the Biopsy Control Module and their functions.

Main Component Installation

Step-by-step guide for attaching the Biopsy Guidance Module and Biopsy Control Module.

Accessory Installation and Removal

Procedures for installing and removing accessories like Biopsy Paddles, Needle Guides, and Lateral Arm.

System Verifications

Procedures to verify system installation, including host connection.

Removal of Main Components

Instructions for safely removing the Biopsy Control Module and Biopsy Guidance Module.

Tabletop Stand and Storage

Information on using the tabletop stand and storing the Lateral Arm and components.

User Interface - Biopsy Control Module

Home Screen

Displays user ID, error messages, and the Go button to navigate to Target Guidance.

Target Guidance Screen

Shows current biopsy device position, target coordinates, and difference between them.

Jog Mode Screen

Allows manual overwriting of targeting coordinates using arrow buttons.

Select Target Screen

Enables selection of different targets or movement to Home positions.

Biopsy

Biopsy Views

Explains stereo views for 2D biopsy and tomosynthesis for 3D biopsy.

Add and Edit Biopsy Views

Procedures for adding new views and assigning/modifying views in a biopsy procedure.

C-Arm Stereo Modes

Details Auto and Manual C-arm Stereo Modes for acquiring stereo images.

Biopsy Tab and Options

Describes the Biopsy Tab interface and available target management options.

Lesion Targeting Methods

Covers stereotactic 2D, tomosynthesis, and multi-pass lesion targeting procedures.

Post Biopsy and Image Printing

Steps for post-biopsy procedures and printing stereo pair images.

Quality Control

Required Quality Control Procedures

Lists essential procedures for correct system operation and accuracy.

QAS Test Procedures

Daily tests to confirm system accuracy, including standard and lateral needle approaches.

Geometry Calibration

Procedure for semiannual geometry calibration to ensure system accuracy.

Care and Cleaning

General Information

General guidelines for cleaning and disinfecting system components that contact patients.

Preventive Maintenance Schedule

Schedule of maintenance tasks for Radiologic Technologists and Service Engineers.

General Cleaning Procedures

Detailed steps for cleaning the system and its components to prevent damage and ensure safety.

System Specifications

Affirm System Measurements

Provides physical dimensions and weight specifications for the Affirm Biopsy Guidance Module.

Lateral Arm Measurements

Provides physical dimensions and weight specifications for the Lateral Arm accessory.

Module Specifications

Details accuracy, movement range, and power specs for Guidance, Lateral Arm, and Control Modules.

System Messages and Alerts

Audible Alerts

Lists system audible alerts, their frequency, duration, and repeat behavior.

Error Messages

Details common error messages and provides instructions on how to correct them.

Acquisition Workstation Messages

Lists messages displayed on the Acquisition Workstation and user actions to clear them.

CNR Correction for Biopsy

CNR Correction for Stereotactic 2D Biopsy

Provides CNR correction factors for stereotactic 2D biopsy imaging based on compression thickness.

CNR Correction for Tomosynthesis Biopsy

Provides CNR correction factors for tomosynthesis biopsy imaging based on compression thickness.

Forms

QAS Test Checklist

Template for recording results of daily QAS tests for system accuracy.

QAS Test Checklist for Lateral Arm

Template for recording QAS test results specific to the Lateral Arm.

Ancillary Parts for Biopsy

Hologic Factory-Verified Biopsy Devices

Lists Hologic-verified biopsy devices with their manufacturer, description, and model numbers.

Wire Localization Needle Guides

Provides part numbers, descriptions, and usage for wire localization needle guides.

Glossary of Terms

Index

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