Philips Azurion User Manual

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Instrucons f

or Use

English

4522 203 52421

Azurion

R

elease 1.2

Table of Contents

Contents3
1 Introduction15
- 1.1 About These Instructions for Use15
- 1.2 Electronic Instructions for Use15
  - 1.2.1 Searching the Electronic Instructions for Use15
- 1.3 Intended Use of the System16
- 1.4 Compatibility16
- 1.5 Contraindications17
- 1.6 Training17
- 1.7 Help and Guidance17
2 Safety18
- 2.1 Emergency Procedures18
- 2.2 Electrical Safety19
- 2.3 Mechanical Safety20
- 2.4 Explosion Safety21
- 2.5 Fire Safety21
- 2.6 Electromagnetic Compatibility21
- 2.7 Radiation Safety22
  - 2.7.1 Pediatric Radiation Guidelines24
- 2.8 Hazardous Substances25
3 About the System26
- 3.1 Equipment in the Examination Room26
- 3.2 Equipment in the Control Room40
4 Starting and Stopping the System44
- 4.1 Starting the System44
  - 4.1.1 Accessing the System in an Emergency45
  - 4.1.2 Switching On Only the Monitors (Option)45
- 4.2 Restarting the System45
- 4.3 Mains Power Failure46
  - 4.3.1 Uninterruptible Power Supply (Option)46
- 4.4 Restarting after Emergency Power Off47
- 4.5 Stopping the System47
5 Preparing a Patient Study48
- 5.1 Patient Database48
- 5.2 ProcedureCards49
- 5.3 Scheduling a Study from the Hospital Worklist50
- 5.4 Scheduling a Study Manually51
- 5.5 Editing a Scheduled Study51
- 5.6 Checking the Available Disk Storage Space52
- 5.7 Starting a Study52
- 5.8 Positioning the Patient on the Table52
  - 5.8.1 Using Patient Straps54
  - 5.8.2 Changing the Patient Orientation55
- 5.9 Preparing the System56
- 5.10 Using an OR Table69
6 Performing Procedures76
- 6.1 General Acquisition Workflow76
- 6.2 Enabling X-ray77
- 6.3 X-ray On Indicators77
  - 6.3.1 Audible Signals78
- 6.4 Acquiring Images79
  - 6.4.1 System Readiness79
  - 6.4.2 Acquiring Fluoroscopy Images80
  - 6.4.3 Using Shutters and Wedges83
  - 6.4.4 Acquiring Exposure Images87
  - 6.4.5 Zero Dose Positioning88
- 6.5 Acquiring Images in an Emergency88
- 6.6 Locking and Unlocking C-arm and Table Movements90
- 6.7 Isocentering90
  - 6.7.1 Recalling the Isocenter Position91
- 6.8 Image Orientation92
- 6.9 Selecting a Different Preset for FlexVision92
  - 6.9.1 Saving a Modified Preset for FlexVision93
  - 6.9.2 Using the Screen Saver on FlexVision94
- 6.10 Using Switchable Monitors94
- 6.11 Injector Coupling95
  - 6.11.1 Uncoupled Operation96
  - 6.11.2 Coupled Operation96
- 6.12 Multiphase Acquisition97
  - 6.12.1 Changing Multiphase Acquisition Settings97
- 6.13 Bolus Chase98
  - 6.13.1 Acquiring a Contrast Run98
  - 6.13.2 Acquiring a Mask Run (Optional)100
- 6.14 Roadmap Pro101
  - 6.14.1 Using Roadmap Pro101
  - 6.14.2 Using SmartMask102
- 6.15 ECG Triggering102
- 6.16 Rotation Scans103
  - 6.16.1 Performing a Fixed Rotational Scan104
  - 6.16.2 Performing a Free Rotational Scan104
  - 6.16.3 XperCT105
    - XperCT Procedure Selection106
  - 6.16.4 XperCT Dual107
  - 6.16.5 CardiacSwing108
    - CardiacSwing Procedure Selection109
- 6.17 Electrophysiology Procedures113
- 6.18 Previewing Series and Images for Automatic Archiving113
- 6.19 Ending a Study114
- 6.20 Dose Reports115
  - 6.20.1 Viewing a Secondary Capture Dose Report115
  - 6.20.2 Printing a Secondary Capture Dose Report115
7 Reviewing117
- 7.1 Instant Parallel Working117
- 7.2 Reviewing a Series using the Review Window117
- 7.3 Reviewing a Series using the Touch Screen Module118
- 7.4 Using the Interventional Room Pointer120
- 7.5 Protecting and Unprotecting Studies120
- 7.6 Reviewing Historical Data for a Scheduled Patient121
- 7.7 Importing Studies or Series for Review122
  - 7.7.1 Importing Studies or Series from a Network Location122
  - 7.7.2 Importing Studies and Series from USB Device, CD, or DVD122
- 7.8 Bolus Chase Reconstruction123
- 7.9 Resolving a Patient Mix128
8 Processing129
- 8.1 Zooming130
- 8.2 Panning130
- 8.3 Adjusting Contrast and Brightness131
- 8.4 Enhancing Edges in Images132
- 8.5 Inverting Images133
- 8.6 Adding Annotations133
- 8.7 Cropping Images136
- 8.8 Using Subtraction137
  - 8.8.1 Changing the Subtraction Mask137
  - 8.8.2 Adjusting the Mask Position138
- 8.9 Using Landmarking138
- 8.10 Creating a View Trace Image139
- 8.11 Copying Images and Series to Reference Windows140
- 8.12 Creating a Snapshot141
- 8.13 Flagging Images141
- 8.14 Creating Measurements141
9 Exporting and Printing147
- 9.1 Exporting Data147
- 9.2 Printing153
- 9.3 Viewing System Tasks in the Job Viewer154
10 2D Quantitative Analysis (Option)156
- 10.1 Intended Use of 2D Quantitative Analysis156
- 10.2 Acquiring X-ray Images157
- 10.3 Starting 2D Quantitative Analysis158
- 10.4 Calibration Guidelines158
- 10.5 QCA / QVA160
- 10.6 LVA / RVA167
- 10.7 Managing Results182
- 10.8 2D-QA Settings183
11 Using Other Equipment187
- 11.1 Accessories187
- 11.2 Third-Party Interfaces203
- 11.3 Other Devices205
12 User Customization212
- 12.1 Changing Your Password212
- 12.2 Viewing System and License Information213
- 12.3 Setting the Date and Time213
- 12.4 Changing the Date and Time Formats214
- 12.5 Changing the Physician List214
- 12.6 Managing Presets from the Control Room215
- 12.7 Managing Preset Groups from the Control Room217
- 12.8 Managing Presets for FlexVision Using the Touch Screen Module219
- 12.9 Managing Preset Groups for FlexVision Using the Touch Screen Module222
- 12.10 Changing Automatic Position Control Settings223
- 12.11 Customizing APC Positions for X-ray Protocols224
- 12.12 Changing Viewing Preferences225
- 12.13 Changing Display Preferences226
- 12.14 Customizing Predefined Annotations227
- 12.15 Changing Print Settings228
13 System Administration229
- 13.1 Changing Regional Settings229
- 13.2 Configuring Audit Trail Settings230
- 13.3 Managing Users and System Logon230
  - 13.3.1 Adding and Deleting Users231
  - 13.3.2 Resetting a User's Password231
- 13.4 Changing General Patient and Workflow Settings232
- 13.5 Enabling and Disabling Storage Device Export and Import233
- 13.6 Mapping RIS Codes to ProcedureCards234
- 13.7 DICOM Settings234
- 13.8 Configuring Export Protocols239
- 13.9 Configuring Automatic Data Transfer241
- 13.10 Network Configuration242
- 13.11 Enabling or Disabling Remote Support242
- 13.12 Managing ProcedureCards243
- 13.13 Exporting Settings249
- 13.14 Importing Settings250
- 13.15 Restoring Factory Default Settings250
14 Maintenance251
- 14.1 Cleaning and Disinfecting251
  - 14.1.1 Cleaning the Ceiling Rails253
- 14.2 Removing and Replacing the Anti-Scatter Grid253
  - 14.2.1 Removing the Anti-Scatter Grid253
  - 14.2.2 Replacing the Anti-Scatter Grid254
- 14.3 Replacing Batteries254
- 14.4 Planned Maintenance Program255
- 14.5 User Quality Control Mode256
- 14.6 User Verification Test256
  - 14.6.1 Automatic Exposure Control Test257
  - 14.6.2 Beam Limitation Check257
- 14.7 Viewing and Testing Network Connections258
- 14.8 Activating the Screen Saver259
- 14.9 Viewing Audit Logs259
- 14.10 Saving Information for Technical Support259
  - 14.10.1 Saving a Series for Technical Support260
  - 14.10.2 Saving a Log File for Technical Support260
- 14.11 Enabling and Disabling Remote Assistance260
- 14.12 Updating the System Software260
- 14.13 Showing the Monitor Test Image263
- 14.14 XperCT Calibration263
  - 14.14.1 Pre-Scan Calibration263
- 14.15 Environmental Impact of the System264
- 14.16 Disposing of the System264
15 Security266
- 15.1 Customer Responsibilities266
  - 15.1.1 Risks Related to Security266
- 15.2 Malware Protection267
  - 15.2.1 Security Patches267
  - 15.2.2 Whitelist Protection267
16 Technical Information268
- 16.1 Environmental Requirements268
- 16.2 X-ray System Configuration268
  - 16.2.1 Tube Output Power270
  - 16.2.2 Accuracy of Dosimetric Indications and Automatic Control System271
- 16.3 X-ray Generator271
- 16.4 Anti-Scatter Grid274
- 16.5 Mains Power274
- 16.6 Monitor Ceiling Suspension275
  - 16.6.1 FlexVision (XL) Monitor Ceiling Suspension275
  - 16.6.2 Supported Monitor Combinations276
  - 16.6.3 MCS Cabling Interface276
- 16.7 Springarm Monitor Ceiling Suspension277
- 16.8 Medical Monitor Boom277
- 16.9 Examination Light277
- 16.10 Detectors278
- 16.11 Beam Carriers279
- 16.12 Beam Carriers with FlexMove282
- 16.13 Patient Table283
- 16.14 Accessories and Detachable Parts285
  - 16.14.1 XperGuide Laser Tool286
- 16.15 Wireless Foot Switch287
- 16.16 Ceiling-Suspended Radiation Shield287
- 16.17 Wall Connection Box287
- 16.18 Network Data289
- 16.19 System Settings Influencing the Radiation Dose289
  - 16.19.1 X-ray Protocol Selection289
  - 16.19.2 Fluoroscopy and Exposure Time to Reach the 2 Gy Limit294
  - 16.19.3 Source-to-Skin Distance Spacer295
- 16.20 Typical Reference Air Kerma (Rate) Values295
  - 16.20.1 C12/F12 Systems296
  - 16.20.2 F15 Systems301
  - 16.20.3 C20/F20 Systems305
  - 16.20.4 Examples of Settings with a Relatively High Air Kerma (Rate)310
  - 16.20.5 Reference Air Kerma Measurement Setup311
- 16.21 Protection Against Stray Radiation313
  - 16.21.1 Zone of Occupancy313
  - 16.21.2 Isokerma Maps for C12/F12 System315
  - 16.21.3 Isokerma Maps for F15 System and C20/F20 System315
  - 16.21.4 Isokerma Maps for B20 System316
  - 16.21.5 Additional Filtering317
  - 16.21.6 User Dose and Imaging Information for Cone Beam CT Reconstructions318
- 16.22 Electromagnetic Compatibility322
- 16.23 Equipment Labels325
- 16.24 Symbols Used on the Equipment339
17 Regulatory Information342
- 17.1 Frequently Used Functions342
- 17.2 Applied Parts342
- 17.3 System Version343
- 17.4 Third Party Software344
- 17.5 Installation and Equipment Connections344
- 17.6 Contacting the Manufacturer348
18 Quick Reference349
- 18.1 WorkSpot349
  - 18.1.1 Acquisition Monitor349
  - 18.1.2 Review Monitor351
- 18.2 FlexSpot (Option)353
- 18.3 FlexVision (Option)355
- 18.4 Touch Screen Module357
  - 18.4.1 Touch Screen Gestures358
- 18.5 Status Area358
- 18.6 Toolbars370
- 18.7 Global Tools372
- 18.8 Monoplane Control Module373
- 18.9 Biplane Control Modules375
- 18.10 Review Module378
- 18.11 Using the Mouse379
- 18.12 Viewpad379
- 18.13 Bolus Chase Reconstruction Main Window Toolbars381
- 18.14 Bolus Chase Reconstruction Overview Image Window Toolbar382
19 Glossary384
- 19.1 Definitions384
- 19.2 Abbreviations391
Index394

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Philips Azurion Specifications

General

Applications	Cardiology
Display	High resolution LCD monitors.
User Interface	Touchscreen controls
Integration	Seamless integration with hospital information systems (HIS) and picture archiving and communication systems (PACS)
Detector Type	Flat-panel detector
Spatial Resolution	High spatial resolution for detailed imaging
Connectivity	DICOM, HL7

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