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Siemens MAGNETOM Avanto User Manual

Siemens MAGNETOM Avanto
140 pages
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www.siemens.com/healthcare
MAGNETOM Avanto,
MAGNETOM Verio
Operator Manual – MR System
syngo MR E11

Table of Contents

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Siemens MAGNETOM Avanto Specifications

General IconGeneral
Magnetic Field Strength1.5 T
Gradient Strength45 mT/m
Maximum Slew Rate200 T/m/s
Patient Table Weight Capacity250 kg
Magnet TypeSuperconducting
Patient Weight Limit250 kg
Patient Bore Diameter60 cm
RF SystemTim (Total imaging matrix) technology
Dimensions220 x 220 x 300 cm
System TypeMRI Scanner
Dimensions (W x H x D)220 x 220 x 300 cm
Magnet Length200 cm
RF CoilsVariety of Tim coils available

Summary

1 Introduction

1.1 Documentation Overview

Overview of the operator manuals structure and availability.

1.1.1 Availability

Information on how to access operator manuals electronically and in print.

1.1.2 Contents

Describes the content and scope of operator manuals.

1.2 Accessing Operator Manuals Online

1.3 Intended Use of the MR System

1.4 Authorized Operating Personnel

1.4.1 Definitions of Different Persons

Defines roles like User/Operator, System Owner, and MR Worker.

1.5 Information About Branding

1.5.1 Siemens Healthineers

Details the rebranding to Siemens Healthineers.

2 Safety

2.1 Preface About Safety

Introduction to the safety chapter and its importance.

2.1.1 Hazards and Risks

Identifies potential hazards during MR system operation.

2.1.2 Common Causes of Accidents

Discusses frequent causes of accidents and how to avoid them.

2.1.3 Responsibility

Outlines Siemens' responsibility regarding system use and safety.

2.2 Common/Permanently Existing Hazards

2.2.1 Electromagnetic Fields

Explains different types of electromagnetic fields and their risks.

2.2.2 Safety Instructions on Static Magnetic Field

Provides safety guidelines for the static magnetic field.

2.2.3 Safety Instructions on RF and Gradient Fields

Safety guidelines for RF and gradient fields.

2.2.4 Contraindications

Lists conditions that contraindicate MR examinations for patients.

2.2.5 Mechanical Hazards

Discusses hazards related to collisions and mechanical movements.

2.2.6 Compatibility

Covers hazards and considerations when using third-party products.

2.3 What Else Must Be Observed?

2.3.1 Ambient Conditions

Importance of room temperature and humidity for patient safety.

2.3.2 Access to the Examination Room

Requirements for safe access and egress of the examination room.

2.3.3 Noise Development

Information on noise levels during MR scans and hearing protection.

2.3.4 Patient Care

Guidelines for informing patients about safety and care during examinations.

Patient Monitoring

Methods for monitoring patients during MR examinations.

2.3.5 Interventional Procedures

Safety considerations during interventional MR procedures.

2.3.6 Artifacts and Imaging Errors

Causes and types of image artifacts and errors.

2.3.7 Maintenance/Repair

Safety precautions for maintenance and repair activities.

2.3.8 Signs and Symbols

Explains warning signs and symbols used in the MR system.

2.3.9 System Owner-Related Advices

Refers to safety instructions for the system owner.

2.3.10 Coils/Quality Assurance

Safety instructions for coils and quality assurance.

2.4 In Case of Emergency

2.4.1 Emergency Switches

Identifies and explains the function of emergency switches.

Emergency Shut-down Switch (MAGNETOM Avanto)

Details the function of the emergency shut-down switch.

System Off Switch (MAGNETOM Verio)

Details the function of the system off switch.

Table Stop Button

Explains the function and operation of the table stop button.

2.4.2 Medical Emergency

Procedures for handling medical emergencies during MR measurements.

2.4.3 Coolant Accidents

First aid measures for coolant accidents (e.g., shortness of breath, frostbite).

2.4.4 Fire/Fire Fighting

Procedures and equipment for fire fighting in the MR environment.

3 MR System Components

3.1 Overview System

General introduction to the MR system's components.

3.1.1 About Function

Information on system specifications and MR compatibility data.

3.1.2 Super-conducting Magnet

Details about the magnet's field strength, cooling, and shielding.

3.1.3 Electronics Cabinets

Description of the gradient and control cabinets.

3.1.4 RF Coils

Information on RF coils and their handling.

3.2 syngo Acquisition Workplace

3.2.1 Host

Details on the host processor functions like patient management.

3.2.2 Data Recording

Information about the system's data recording drive.

3.2.3 Monitor

Description of the monitor used for displaying images and dialogs.

3.2.4 Keyboard

Details about the Siemens keyboard and its function keys.

3.2.5 Mouse

Information on the system's wheel mouse.

3.2.6 syngo MR Workplace (Optional)

Functionality of the optional MR Workplace for evaluation.

3.3 System Control

3.3.1 Control Units

Description of control units on the MAGNETOM Avanto and Verio.

3.3.2 Table Display

Information shown on the table display and its functions.

3.4 Patient Table

3.4.1 Description

Details on the patient table's function and connections.

3.4.2 Operation

Describes patient table control via buttons and important positions.

3.5 Laser-Light Localizer

3.5.1 Using the Laser-Light Localizer

Instructions and warnings for using the laser-light localizer.

3.6 Alarm Box

3.6.1 Description

Explains the functions of the alarm box (alarms, system control).

3.6.2 Checks

How to check the LEDs on the alarm box for system status.

3.7 Intercom

3.7.1 Description

Details on intercom use for communication and operations.

3.7.2 Operating the Intercom

Step-by-step guide to using the intercom functions.

3.8 In-Room syngo Acquisition Workplace

3.8.1 Description

Components and uses of the In-Room syngo Acq WP.

3.8.2 Operating the In-Room syngo Acquisition Workplace

How to operate the In-Room syngo Acq WP using its controls.

3.9 Other Components and Accessories

3.9.1 Gradient Supervision

Function of the gradient supervision system for damage prevention.

3.9.2 MagnaCoil™ Headset System

Details on the MagnaCoil headset for noise reduction and communication.

4 Physiological Imaging

4.1 Triggering Methods

Methods to avoid motion artifacts using physiological signals.

4.1.1 Prospective Triggering

Explanation of prospective triggering for image acquisition.

4.1.2 Retrospective Gating

Explanation of retrospective gating for image acquisition.

4.2 Physiological Measurement Unit (PMU)

Overview of the unit for controlling MR sequences with physiological signals.

4.2.1 Description

Components of the PMU, including sensors and units.

External Trigger Input/Output

How to connect external trigger sources to the PMU.

4.2.2 General Operation

How to inform the patient and operate the PMU display.

4.3 ECG Triggering

Method for measuring heart sequences using ECG signals.

4.3.1 Description

How ECG triggering works and its applications.

Trigger Methods

Available trigger methods for ECG triggering in the software.

Disposable Electrodes

Use of special MR Conditional and disposable electrodes.

4.3.2 Performing

Steps for preparing the patient and applying ECG electrodes.

4.4 Pulse Triggering

Method using patient's pulse to trigger measurements.

4.4.1 Description

How pulse triggering works and its applications.

4.4.2 Performing

Steps for attaching the pulse sensor.

4.5 Respiratory Triggering

Method for minimizing respiratory artifacts in abdominal imaging.

4.5.1 Description

How respiratory triggering works using a cushion.

4.5.2 Performing

How to inform the patient and attach the respiratory cushion.

4.6 External Triggering

Connecting external sources to drive MR sequences.

4.6.1 Input for External Trigger Signal

Specifications for the external trigger signal.

4.6.2 Performing

Steps for connecting and performing external triggering.

5 MR System Operation

5.1 Daily Functionality Checks

Routine checks before using the MR system.

5.1.1 Checking Functionality and Cleanliness

Detailed checks of system parts and areas for functionality.

5.2 Starting Up and Shutting Down the MR System

Explains the three operating modes and system startup/shutdown.

5.2.1 Starting the System (System On)

Steps for switching on the MR system and its components.

5.2.2 Shutting Down the System (System Off)

Steps for shutting down the computer and MR system.

5.2.3 Shutting Down the syngo MR Workplace

Procedure to shut down the MR Workplace software.

5.2.4 Starting/Ending Standby

How to put the system into or take it out of standby mode.

5.3 Preparing the MR System

Steps to prepare the MR system before patient examination.

5.3.1 Connecting Squeeze Bulb and Headset

How to connect the squeeze bulb and headset.

5.3.2 Setting Tunnel Conditions

How to set magnet tunnel conditions using control units.

5.4 Preparing the Patient

Instructions for preparing the patient for the MR examination.

5.4.1 Informing the Patient

How to inform patients about effects and risks of MR examinations.

5.5 Physiological Effects

Discusses potential physiological effects on patients during MR scans.

5.5.1 Operating Modes

Explains Normal and First Level Controlled Operating Modes.

5.5.2 SAR: Exposure to RF Electromagnetic Fields

Information on Specific Absorption Rate and RF field exposure.

5.5.3 Stimu: Exposure to Low Frequency Electromagnetic Fields

Explains peripheral nerve stimulation from gradient fields.

5.6 Starting/Stopping the Measurement

Procedures for starting and stopping MR measurements.

5.6.1 Starting the Measurement

How to start an MR measurement using the control unit.

5.6.2 Stopping the Measurement

How to stop an MR measurement using the control unit.

6 Maintenance

6.1 Cleaning

General instructions for cleaning the MR system and accessories.

6.1.1 Cleaning System Components

Approved and not approved cleaning agents for system components.

6.1.2 Cleaning Accessories

Cleaning procedures for accessories like camera lens and PMU.

6.1.3 Care and Cleaning of Floors

Guidelines for cleaning and caring for the floor covering.

6.2 Return and Disposal

Procedures for returning and disposing of the MR system.

6.2.1 MR System

Safety precautions for MR system disassembly and disposal.

6.2.2 Packaging

Information on returning and disposing of packaging material.

6.2.3 Batteries and Accumulators

Procedures for returning and disposing of batteries.

7 Appendix: Regulatory Information

7.1 Medical Devices of Other Manufacturers

Lists medical devices not manufactured by Siemens.

7.2 CE for Physiological Measurement Unit (PMU)

CE marking information for the PMU.

7.3 FCC and IC for Physiological Measurement Unit

FCC and IC compliance statements for the PMU.

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