Philips Azurion - Page 402

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Philips Healthcare is part of

oyal Philips

www.philips.com/healthcare

healthcare@philips.com

Manufacturer's address

Philips Medical Systems Nederland B.V.

Veenpluis 4-6

5684 PC Best

The Netherlands

All righ

ts are reserved. Reproducon in whole or in part in any form or by any means, electrical, mechanical or otherwise is prohibited

without the wrien consent of the copyright holder.

Printed in The Netherlands

4522 203 52421 *

2017-07

0344

This Medic

al Device meets the provisions of the transposion of the Medical Device Direcve 93/42/EEC within the country of origin of

the Noed Body concerned with the device.

Main Page

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

Philips Azurion - Page 402

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