www.siemens.com/healthcare

Artis Q/zeego/Q.zenOperator ManualVD11 and higher

Answers for life.

BatteriesThe batteries shall always be sufficiently charged.

Caution

Weak batteries of wireless footswitchDiscontinuation of interventional treatment◆ Make sure that the batteries are charged before starting an

examination.

◆ In case of empty battery, use the provided power adapter to continuetreatment.

The batteries of the wireless footswitch must be exchanged once a year byauthorized and trained staff. Please call Siemens Service. Unauthorizedexchange may cause severe damage.Changes or modifications not expressly approved by the party responsible forcompliance could void the user´s authority to operate the equipment.

Cleaning and disinfection Caution

Use of harsh cleaning agents, liquids or sprays.Risk of electrical hazard or damage to the system◆ Use only substances for cleaning and disinfection, which are

recommended.

◆ Do not let cleaning liquids seep into the openings of the system, e.g. airopenings, gaps between covers.

◆ Observe the following cleaning and disinfection instructions.

Cleaning agents for all LCD displays, Large Display and ArtisCockpit onlyThe following active ingredient classes can be used for LCD displays:

Active ingredient class Tested cleaning agents and disinfec-tants

Additional examples

Alcohol Ethyl alcohol 96% Hospiset clothMicrocide liquid

Aldehyde MelsittCidex

Aldasan 2000KohsolinGigasept FF

Chlorine derivates Terralin Quartamon Med

2.4

2.4.1

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40 Operator ManualPrint No. AXA4-100.620.17.01.02

Active ingredient class Tested cleaning agents and disinfec-tants

Additional examples

Disinfectants Taski DS5001(Diverseylever Labs)Morning MistSurfanios Fraicheur Citron(Anios Labs)

Guanidine derivates Lysoformin

Quaternary compounds Incidur spray, full strength

Commercially available dishwashingliquid

Tempo Fairy Ultra, Palmolive

Benzine Petroleum ether

Pyridine derivates Active Spray, full strength

Water Tap waterDistilled water

Special instructions for all LCD displays, Large Display, and forArtis Cockpit only

◾ LCD displays are very sensitive to mechanical damage.Avoid scratches, bumps, etc.

◾ LCD displays are very sensitive to liquids.Longer contact with the liquids can cause discoloration or can leavecalcium residue on the surface.Droplets that run down between the panel and the frame can causedamage or total failure of the panel!

1 If possible, immediately clean any droplets of liquid.2 If a cleaning agent is sprayed directly on the display surface, make sure that

any droplets that run down are wiped off with a microfiber cloth before theyreach the edge of the panel.

3 If the front of the panel is soiled, clean it with a microfiber cloth and, ifnecessary, with a glass cleaning agent. Clean housing parts with a cleaningagent for plastics only.

Cleaning agents for all other system parts

Some substances contained in disinfectants are known to be hazardous tohealth. Their concentration in the air must not exceed the legally definedlimit.Always follow the manufacturer's instructions when using the disinfectants.

2.4.2

2.4.3

Safety 2

Artis Q/zeego/Q.zen | VD11 and higher 41Print No. AXA4-100.620.17.01.02

The following active ingredient classes can be used:

Active ingredient class Cleaning agents and disinfectants

Aldehyde Incidin Perfekt

Alkylamine Lysoformin Plus

Chlorine derivates Clorina

Commercially available dishwashingliquid

Tempo, Fairy Ultra, Palmolive

Guanidine derivates Biguacid S

Organic acids Apesin SDR san

Quaternary compounds Oasis Pro

Peroxides Sanosil

Pyridine derivates Bacoban WB

The following products should not be used:◾ All alcohol-based products◾ All chlorine-releasing products◾ Benzine / phenole-based products◾ Products: Banicide Advanced, Wavicide, Terralin, Cidex OPA

Instructions for cleaning and disinfection

Sprays can penetrate the interior of equipment.It can cause damage to electronic components and the formation offlammable mixtures of air/solution vapor.

Use gloves to avoid infection.1 Before cleaning the system, block radiation and block unit movements.

( Page 228 Blocking radiation)

( Page 229 Blocking unit movements)

2 Use a lukewarm detergent solution and a soft cloth to remove slightcontamination.

3 Clean all contaminated parts and all parts which may or have come intocontact with the patient.

4 Remove contrast medium spots best of all with warm water.5 Remove major contamination first with a cloth soaked in alcohol, then wipe

off with clear water.

6 After using disinfectants, always wipe off with clear water.

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7 Remove any contamination of Velcro tapes using a plastic comb.8 Keep the ventilation slots of all components unobstructed.9 Regularly clean the dust off all rails and joints etc.

SterilizationPlease observe your hospital's regulations concerning sterilization.

Information about unit movementsBecause of the possible speed of movement of the stand and C-arm and thetabletop, this system must be operated with particular care.

Collision protectionFor reasons of safety the systems are equipped with collision sensors.( Page 138 Safety equipment)If one of the collision sensors is activated, further unit movements are blockedand a message indicating that appears.

Dead man's gripAll unit movements are controlled with a dead man's grip (DMG), that is,movements are performed only while the operating element is being actuated.In the event of danger, the movement can be stopped immediately by releasingthe dead man's grip.

Danger of crushingThe patient and operating personnel must grip only the handles which areintended for the proper handling of the equipment or positioning of the patient.When it is not possible, attention must be paid to possible risks of injury bycrushing in the vicinity of moving parts.◾ Pay special attention to the risks of crushing fingers/hands between moving

parts and their guide openings.◾ Before performing unit movements make certain that the patients do not

grasp the frame of the tabletop.

Abnormal movementsIf any part of the system moves although that movement was not released, forexample, if the display ceiling suspension moves downward by itself, theremight be a fault.◾ Shut down your system and call Siemens Service.

2.4.5

2.5

2.5.1

2.5.2

2.5.3

2.5.4

Safety 2

Artis Q/zeego/Q.zen | VD11 and higher 43Print No. AXA4-100.620.17.01.02

This product is provided with a CE marking in accordancewith the regulations stated in Appendix II of the Directive93/42/EEC of June 14th, 1993 concerning medical devices.In accordance with Appendix IX of the Directive 93/42/EEC, this device is assigned to class II b.

The CE marking applies only to medical devices which have been put onthe market according to the above-mentioned EC Directive.

Unauthorized changes to this product invalidate this declaration.

Whenever the hardware necessary to run the software is supplied, theCE Mark is provided in accordance with, if applicable, Electro MagneticCompatibility Directive 2004/108/EC and / or Low-Voltage Directive2006/95/EC.

Caution: Federal law restricts this device to sale by or on the order of aphysician (21 CFR 801.109(b)(1)).

This Operator Manual was originally written in English.

Legal ManufacturerSiemens AGWittelsbacherplatz 2DE-80333 MuenchenGermany

Global Business UnitSiemens AGMedical SolutionsMedical Solutions Angiography &Interventional X-ray SystemsSiemensstraße 1DE-91301 ForchheimGermanyPhone: +49 9191 18-0www.siemens.com/healthcare

Global Siemens HeadquartersSiemens AGWittelsbacherplatz 280333 MuenchenGermany

Global Siemens HealthcareHeadquartersSiemens AGHealthcare SectorHenkestraße 12791052 ErlangenGermanyPhone: +49 9131 84-0www.siemens.com/healthcare

Print No. AXA4-100.620.17.01.02 | © 09.2014, Siemens AG

www.siemens.com/healthcare

Table of contentsIntroductionSafety and usabilityTechnical and specialist knowledgeStatutory regulationsScope of applicabilityInformation about this ManualOptionsInstalled system componentsUpdates/upgradesAddendaSystem Owner ManualHelp systemsyngoThird-party componentsIllustrationsNamesValue statementsOther productsFeedback

SafetyInformation about the softwareCopyrightDICOM conformityLanguageScreen saverSystem date and timeWindows dialogsRegular restartsSoftware updatesVirus scannerThird-party softwareData protectionSecurity PackageSetting up securityUser accountsLog-on and offDifferent userData protectionService passwordAdministrationAudit trail

Pictograms and labelsPrerequisites for diagnosis and treatment planningChecksTest imagesVisual contact to patientRoom lightingMonitors/LCDsUse of hardcopy camerasUse of video recordersConnectionSwitching on/offMedia typeCompatibilityOriginal operator manualRecordingPlayback

Use of wireless footswitchesVisual contactInterferenceBatteries

Cleaning and disinfectionCleaning agents for all LCD displays, Large Display and Artis Cockpit onlySpecial instructions for all LCD displays, Large Display, and for Artis Cockpit onlyCleaning agents for all other system partsInstructions for cleaning and disinfectionSterilization

Information about unit movementsCollision protectionDead man's gripDanger of crushingAbnormal movementsRed emergency STOP buttonsWhere are the emergency STOP buttons?Triggering STOPCanceling STOP

Emergency SHUTDOWN button (installed on-site)Switching off in an emergency in case of dangerSwitching on again

Maximum patient weightAccessory load

Warning signsDanger of crushingGeneral dangerObserve the documentsMagnetic field

LasersClass 1M laserLaser positioner

Danger zones / danger pointsDanger points on the Artis zeego standDanger points on the floor stand (Artis floor)Danger points on the top stand (Artis biplane)Danger points on the Artis ceiling stand/C-armDanger points on the patient table

Rescuing the patient in an emergencyPreparations for rescuingC-arm (Artis floor or Artis biplane)Table tiltTable rotationTabletopImmobilizationRescuing the patient along with the mattressArtis zeego recovery procedure after power failure during interventionsReleasing the brakesMoving the stand/C-arm manuallyReadjustment of the stand

Artis ceiling recovery procedure after power failure during interventionsReleasing the brakesMoving the stand/C-arm manuallyAfter power recovery:

Radiation protectionDose monitoring and reductionRadiation protection for the patientRadiation protection for the examinerSwitching off in an emergency

Reducing radiation with CARECAREmaticCAREvisionCAREfilterCAREprofileCAREpositionCAREwatchCAREmonitorCAREguardCAREreport

Interventional applicationCardiopulmonary resuscitation (CPR)Pressure compression / max. permissible patient weightCPR position of the patient table

InjectionSetting the injector to “armed”

Radiation protection (interventions)High skin dosesAccessoriesDoor contactsPrograms for interventionsExam sets (interventions)

AP safety for interventional examinationsInstructions for cleaning and disinfection (interventions)PreventionSystem partsCleaning

Laws and regulationsGermanyU.S.A.

Protection against electric shockPower supplyInjector connectorPower outletCoversProtection classApplied partProtection against ingress of waterSterilization/DisinfectionEquipotential equalizationOpening the unitsAdditional devices

Precautions for EMCFire protectionIn case of a fire

Combination with other products/componentsConnection of third-party devices with Artis Cockpit and Large Display

Installation, repair, or modificationsTechnical documents

MaintenanceLegally required testsRegular maintenanceService contractSafety-related parts subject to wearTube assembly maintenanceChecking the water level of the cooling circuit

Product service lifeDisposalDangerous componentsCooling fluidFist aid measuresAfter swallowingAfter eye contactAfter skin contactAfter inhalation

System OverviewApplicationIntended use - Indications for usePatient populationKnown side effectsOperating locations

System configurationsFlat Detector (FD)Imaging systemAcquisition modesAdvanced acquisition modes

Equipment in the control roomSystem consoleArtis CockpitON box with CD/DVD drivesLCD monitorsOperating elementsPower on/offOperating indicator

KeyboardKeys on the symbol keypad

Mouse3 buttonsClick

Intercom systemPTT mode

On-site equipmentDisconnection from the power supplyEmergency SHUTDOWN buttonDoor contacts

Equipment in the examination roomOverview Artis zeegoThe Artis zeego standOverview Artis floorThe floor stand (Artis floor and Artis biplane)Overview Artis biplaneThe top stand (Artis biplane)Overview Artis ceilingThe Artis ceiling stand/C-armPatient tableTrolley for control modulesControl consolesEmergency STOP buttonTable control module - TCMStand/C-arm control module - SCMC-arm control module for linear movements (Artis zeego)Orientation keyCollimator control module (CCM)Touchscreen control console

Laser positionerMembrane keys on the FD 20x20Membrane keys on the FD 26x30 and FD 30x40HandswitchFootswitchCable with plugFootswitch functionsWireless footswitchFootswitch control for table with lateral tilt

Display Ceiling Suspension (DCS)Examples of DCSKeys on the DCSKeys on the DCS extendedIndicator lightsLarge DisplayMonitors

Manual control for table with lateral tiltAcoustic signalsEventsPriorities

“Plane ready for radiation” displaysPlane APlane B

System OperationSwitching on/offSwitching onStart-upLogging in with active securitySwitching on after a power failure or emergency SHUTDOWNTests and checks

Switching offShutdown (without active security)Logoff/shutdown with active securityDisconnection from the on-site power supplySwitching off in an emergency

Functional and safety checksMalfunctionsChecks in each planeBefore an examinationDuring an examinationDaily checksEmergency STOP buttonMovementsCollision sensorsRadiation protection devicesRadiation, radiation indicatorsImage orientationImage orientation with collimator rotationCollimationInput format/zoom factorOptions

Weekly checksMonthly checksChecking the dose rate controlChecking the automatic format collimationChecking the brakes

Annual maintenance

Unit movementsImportant information on unit movementsSafety equipmentCollision computerStopping movementsOperating locations and prioritiesPositioning the control consolesSetting the orienation of a control console

Stand/C-arm and table position indicationStand/C-arm positionTable positionSID and input formatValuesDisplay of programmed positionsPatient coordinates

Movement possibilitiesMovements of the Artis zeego standMovements of the floor stand (Artis floor and Artis biplane)Movements of the top stand (Artis biplane)Movements of the stand/C-arm (Artis ceiling)Movements of the patient table

General basic positionsC-armPatient tableStopping in the basic positions

Table movementsRaising / lowering the tableStop in the isocenterAdjusting the working height (Artis zeego)Moving the tabletopMoving the tabletop (additional control console)Moving the tabletop longitudinally onlyTilting the patient tableMoving the table to the basic position

C-arm movementsC-arm angulationsC-arm rotation/orbital movement (cranial/caudal/LAO/RAO angulations) (floor stand)ISO tiltingC-arm rotation (cranial/caudal angulations)Linear C-arm movements (Artis zeego)Simultaneous movements of both C-arms (Artis biplane)Overtable/undertable conversionStand/C-arm longitudinal movements (top stand)Stand swivel (floor stand or Artis ceiling top stand)FD lift / Setting the SIDRotating the FD / Setting portrait/landscapeManual stand movementsMovement to or from a position with rotated table

Programmed positionsOverview of system positionsSystem positions of the Artis zeego standSystem positions of the floor stand (Artis floor and Artis biplane)Positions with the top stand (Artis biplane)Moving to programmed positionsMoving to system positions using shortcut keys (direct positions I, II, III)Storing programmed positionsStoring system positions with shortcut (direct positions I, II, III)Deleting programmed positionsAutomap

Positioning the monitorsPositioning the DCS longitudinallyRotating the DCSPositioning the DCS extended longitudinallyRotating the DCS extended

Image formats/zoom stagesCheck/select plane (Artis biplane only)Selecting the image format/zoom stageZoom stage and collimationZoom stage and measuring field

Collimation and filter diaphragmsRectangular collimationCollimatingResetting the collimation

Filter diaphragms (wedge and finger filters)Selecting the filter type (with Angio collimator only)Setting the wedge filtersSetting the finger filterStoring filter positions or deleting them

Resetting the collimation completelyCollimation without radiation - CAREprofileChecking the collimator position

GridGrid for inserting at the FDRemoving the gridInserting the grid

Screen layoutLabels of the screensArtis Cockpit screen layoutTitle barScreen layoutChanging the Artis Cockpit screen layoutCursorSymbol/Numeric keypadArtis Cockpit 2Third-party deviceSetting the Artis Cockpit to standby

Large Display screen layoutAssist screenSelecting the screen layout of the Large Display

Saving a screen shot to USB memoryTransmission of the Large DisplayConnecting from external device to StreamLink

Selecting the image source for the additional color displayOperating the 4x4 Crossbar VideoswitchSelecting the video outputSelecting the video input

Operating the 8x8 Crossbar VideoswitchSelecting the video outputSelecting the video input

Video connector box

Operation via touchscreen controlTouchscreen control (TSC)Selecting a task cardSelecting a different layout

Selecting the plane on the touchscreenDisplaying tooltip help for buttonsConfiguring the touchscreen layoutOpening the TSC ConfiguratorThe TSC ConfiguratorRules for positioning itemsAdditional configurable itemsConfiguring itemsPopup windowsGrouping or ungrouping buttonsSaving a layoutUploading a layoutDeleting a layout

Mouse joystick functionsDisplay of the mouse joystick functions on the screen

Sensis touchscreen operationPhysio task card

DVD video recordingRecorder and mediaRecording with DVO-1000MDDVD+RWInternal hard diskRecording modesRecording indexesControl elements and displaysSetupDVD recording

DVD playbackStarting playbackPauseEnding playback

ExaminationRegistering a patientTaking over patient data from the RISRegistering an emergency patientRegistering the patient and starting examinationRegistering a patient manuallyPreregistering the patient

Searching for patient dataCalling up patient search in the Patient RegistrationCalling up patient search in the Patient BrowserSearching

Searching in the HIS/RIS and registeringSearching in the HIS/RIS

Taking over patient data from Sensis

Preparing the patient and the equipmentBlocking radiationBlocking unit movementsTransferring and positioning the patientComfortable positioningActivation of the head holder collision zoneAttaching the ECGPreparing for pressure measurementAdjusting the stand and tableIsocenterIsocenter heightIsocenter keySetting the isocenter

Parameters for the examinationThe Examination task cardScreen layout in the control roomBiplane screen layout in the control roomScreen layout in the examination roomScreen layout on the touchscreen

Patient dataPatient positionChecking/changing the patient positionChecking/changing the patient position (Touchscreen)

System positionExam set, application profile and acquisition programExam setApplication profileSelecting the acquisition program/exam set (Touchscreen)Selecting the acquisition program/exam set (Console)Changing the acquisition program in the current exam set (Touchscreen)Changing the acquisition program in the current exam set (Console)

Series descriptionSelecting the series description (Touchscreen)Selecting the series description (Console)Modifying the series description list

Aquisition parametersChanging the acquisition frame rate (Touchscreen)Changing the acquisition frame rate (Console)

Scene length and/or measuring fieldIntelligent Measuring FieldChanging the scene length and/or measuring field (Touchscreen)Changing the scene length and/or measuring field (Console)

Fluoroscopy/roadmap parametersChanging the fluoroscopy/roadmap program (Touchscreen)Changing the fluoroscopy/roadmap program (Console)

Pulse rateChanging the pulse rate (Touchscreen)Changing the pulse rate (Console)

Acquisition plane(s)Selecting the other plane (Touchscreen)Selecting the other plane (Console)Selecting both planes

Image mirror/flip preselectionPreselecting image mirror/flip (Touchscreen only)

Fluoroscopy/acquisitionRadiation indicationDoseThermal loadResourcesMessagesFluoroscopyHigh dose fluoroscopy or roadmapFluoro timerResetting the fluoroscopy signal (Touchscreen)Resetting the fluoroscopy signal (Console)

Storing a fluoroscopic sceneStoring images as Store MonitorDilatation timerStarting the timerStopping the timerResetting the timer

Positioning the patient without radiation - CAREpositionPerforming CAREposition (Touchscreen)

AcquisitionAlternative acquisitionRestrictions with biplane footswitch configurationNo injector triggering with alternative acquisitionPreparing alternative acquisitionPerforming alternative acquisition

Reference images and display modesReference imageStoring an image as a reference imageStoring reference images in both planes

2nd Reference imageXA reference imageStoring a CT/MR image as an XA reference image

CLEARstent reference imageGenerating and storing a CLEARstent image as a reference imageOverlay Reference with a CLEARstent reference image

Display modes for fluoroscopy/roadmap and acquisitionDisplay modes nativeDisplay modes subtractedSelecting the display mode (Touchscreen)Selecting the display mode (Console)Performing Overlay Reference

Subtracted Fluoroscopy: RoadmapRoadmap variantsClassic RoadmapClassic Roadmap phases

DSA Roadmap (CLEARmap)DSA Roadmap phases

Additional Roadmap ProgramAdditional Roadmap Program phases

Performing RoadmapClassic Roadmap workflowDSA Roadmap workflowAdditional Roadmap Program workflowStarting RoadmapPerforming Roadmap phase 1 (native fluoroscopy)Performing Roadmap contrast injectionPerforming the Roadmap subtraction phaseResetting RoadmapResetting biplane RoadmapZooming/panning during RoadmapReplace mask during RoadmapShow Progress during RoadmapAnatomical background during RoadmapVessel/catheter contrast during RoadmapPixelshift during RoadmapDeselecting Roadmap/selecting it again

Roadmap with two system positions (single plane)Performing Roadmap with two system positions (single plane)

Roadmap with return to biplane system positionPerforming roadmap with return to biplane system position

Image PostprocessingThe PostProc task cardProcessing the other planeThe Image task card on the touchscreen

Starting postprocessingLoading a scene/imageSearching for and importing data in the network

Changing patient dataOpen the Correct windowRenaming/correcting an emergency patientChanging the name of a seriesChanging the registered patient position after acquisitionEntering/changing the lateralityEnter the modifier’s name

Moving series/scenes/images accidentally acquired under the wrong patientRearranging data

Managing and viewing scenes/imagesActive patientThe scene directory of a patientRepresentativeDisplaying the scene directoryDisplaying the scene directory (Touchscreen)Limiting display to scenes/images/reference imagesScrolling through the directoriesScrolling through the directories (TSC)Selecting scenes/(reference) imagesScrolling through scenes/(reference) imagesScrolling scenes (Touchscreen)Scrolling reference images (Touchscreen)

Scene overviewDisplaying the scene overviewSelecting an image and switching to full-screen displayDisplaying the scene overview and selecting an image (TSC)

Controlling scene review (Loop)Stopping the loopStopping the loop (TSC)Single stepSingle step (TSC)Starting the loopStarting the loop (TSC)Acquisition mode and frame rateSetting the review frame rateSetting the review frame rate (TSC)Default review modeLoop through all scenesReplacing the maximum fill image

Changing scene/image displayToolsTouchscreenImage flip/mirrorSetting an electronic shutterInverting grayscale valuesMagnifying the scene/image, zooming/panningUsing pointersUsing pointers (TSC)Text information in images (full screen)Text information in the scene/image directoryHiding/showing patient informationSwitching image text on/offSwitching scene time display on/offSwitching ECG display on/offSwitching ECG display on/off (Touchscreen)

Processing scenes/imagesWindowingSetting window valuesWindowing (TSC)Assigning automatic window valuesAssigning automatic window values (Touchscreen)

Edge enhancement filterSetting edge enhancementResetting edge enhancementEdge enhancement filter (TSC)

Text and graphicsText and graphics on the touchscreenSelecting and manipulating graphic elementsSelecting and manipulating graphic elements (TSC)Laterality (right/left assignment)Annotating images with textsDrawing circlesDrawing circles (TSC)Drawing lines or arrowsDrawing lines or arrows (TSC)Drawing polygonsDrawing polygons (TSC)

DSA postprocessingDSA toolsDSA tools (Touchscreen)Introduction to DSASetting a new maskDefault setting “Move Mask” or “Replace Mask”Moving the maskMoving the mask (TSC)Replacing the maskReplacing the mask (TSC)

Switching over between subtracted and unsubtracted displayNativeSubtractedNative (Touchscreen)

Anatomical backgroundStarting anatomical backgroundSwitching on anatomical backgroundChanging the anatomical backgroundAnatomical background off/onUndoing changesChanging the background (TSC)

Vessel/catheter contrastChanging the vessel/catheter contrast

Making the image and mask coincide exactly (Pixelshift)VariantsScope of actionStarting pixelshiftStarting pixelshift (TSC)Automatic pixelshiftAutomatic pixelshift (TSC)Manual pixelshiftManual pixelshift (TSC)Further pixelshift correctionsTerminating pixelshiftTerminating pixelshift (TSC)Undoing pixelshiftUndoing (Touchscreen)Flexible pixelshiftFlexible pixelshift (TSC)

Generating the image with maximum contrast medium fillingStartingBolus startScrollingBolus endOpac end

Generating the image with maximum contrast medium filling (TSC)Bolus startScrollingBolus end

Improving the noise suppression of a scene (averaging)RulesAveragingAveraging (Touchscreen)

Exam ProtocolCalling up the Exam ProtocolEntering commentsPrinting the Exam ProtocolEntries in the Exam ProtocolPatient positionRadiation eventsAccumulated data

Saving and documenting scenes/imagesStoring the current image (Store Monitor)Storing

Storing the current image (Touchscreen)Filming/printing imagesSelect images for filming/printingCopying an image to film sheetCopying an image to film sheet (Touchscreen)

Archiving/sending/receiving/exporting patients/imagesSafety notes for transfersTransferred image format and annotationsSelecting data and sendingExporting on CD-R/DVD

Sending an image to the CARTO systemExporting scenes/images as video or bitmapsUSB memoryExporting scenes/imagesSelecting the formatSelecting the rangeSelecting planesChanging the settingsChanging the codec settingsSetting the image matrixWith or without text/graphics/ECGDefining the file name and the export locationStarting the exportRecording exported files to CD-R/DVD

Closing the patientClosing the patient (Touchscreen)Configuring patient close

Procedure tracking with MPPSEditing the performance documentationChecking dataDisplaying Actions, Dose, BillingSending and concluding a report

Deleting patients/studies/series/scenesDeleting data manuallyConfiguring automatic deletion

Advanced ExaminationsCardiac ExaminationsCLEARstent and CLEARstent LiveCLEARstent Dynamic acquisitionCLEARstent Dynamic acquisition workflowCLEARstent Live acquisitionPerforming a CLEARstent Live acquisition

IVUSmapGeneral information on IVUSmapIVUS imagingIVUSmapReviewIVUS systemCatheter typesIVUSmap exam setInput field/zoom stageArtis biplane

IVUSmap examination workflowIVUSmap examination sequenceStep 1: Start IVUSmap and acquire sceneStep 2: Mark the vessel segment of interestStep 3: PullbackStep 4: Review

IVUSmap reviewStarting the review in the control roomThe IVUSmap task cardIVUS ILD image segmentReplayScrollingBookmarksOverlay ReferenceShow/hide settings

CorrectionsStarting correction (Console)Correcting the centerline alignmentCorrecting the pullback speedSaving a corrected registration

MeasurementsDistance measurementsArea measurementsDrawing and measuring areas

Rotational AngiographyGeneral information on rotational angiographyApplicationAdvantagesIsocenterRotationRotation angle and speedFrame ratesWashout phaseInstructionsCollisionsPatient movementsExposure releaseInjection modeSystem positions for rotational angiographyPlayback of rotational scenes

Acquisition programs for rotational angiographyWindowingAuto windowingDoseAutomatic/manual controlDyna TimeAngulation step

General preparations for rotational angiographyMove the C-arm of plane B into parking positionPosition the C-arm (of plane A)Setting the isocenterPreparing the injection

DR-DYNAVISION examination sequenceDR-DYNAVISION workflowPreparing DR-DYNAVISIONDR-DYNAVISION test phaseDR-DYNAVISION fill phase

DYNAVISION examination sequenceDYNAVISION workflowPreparing DYNAVISIONDYNAVISION test phaseDYNAVISION mask phaseDYNAVISION fill phase

3D AcquisitionGeneral information on 3D acquisitionIsocenterInstructionsCollisionsPatient movementsExposure releaseInjection modeSupported systems4D task card on the touchscreen3D acquisition modes3D acquisition programsSystem positions for 3D acquisitionPatient positions for 3D acquisitionFD orientation during 3D acquisitionInput field/zoom stage for 3D acquisitionCollimation and filtration for 3D acquisitionMeasuring field for 3D acquisitionSystem calibration for 3D acquisitionPlayback of 3D scenesQuality measurements for 3D acquisition

syngo Dyna3D, DynaCT, ...3D reconstruction

General preparations for 3D acquisitionPreparing the stand and tableSetting the isocenterPreparing the injection

3D DR examination sequence3D DR workflow

3D DSA examination sequence3D DSA workflow

DynaPBV Neuro examination sequenceDynaPBV Neuro workflow

3D CARD examination sequence3D CARD workflow

3D DR - Large examination sequence (Artis zeego)3D DR - Large workflow (Artis zeego)

syngo DynaCT 360 examination sequence (Artis zeego)syngo DynaCT 360 workflow (Artis zeego)

3D eccentric rotation examination sequence (Artis zeego)3D eccentric rotation workflow (Artis zeego)

Preparing 3D acquisitionsCentering the target volume in the isocenterChecking the table positionAvoiding artifactsSelecting the exam set and the 3D acquisition programGetting ready for 3D test phaseIsocenter assistant

3D test phasePerforming the test run

3D acquisition phasesStarting acquisitionAutomatic injection and rotationManual injection and rotation

Automatic 3D reconstructionSending projection images manually for 3D reconstructionStarting a 3D reconstruction from the Patient BrowserStarting a 3D reconstruction from the PostProc task card

Peripheral AngiographyGeneral information on peripheral angiographyAcquisition seriesMovementSystem positionsTable tiltRunning directionNumber of positionsFrame ratesInstructionsCollisionsPlaybackStoring and loadingDocumentation

Acquisition programs for peripheral angiographyWindowingAuto windowingMeasuring fieldScene time

General preparations for peripheral angiographyPreparing the patientPositioningImmobilizationPreparing the stand and tablePreparing the injectionSetting the start position

PERISTEPPINGPERISTEPPING examination sequencePreparing PERISTEPPINGPERISTEPPING test phasePERISTEPPING return phasePERISTEPPING fill phase

PERIVISIONPERIVISION examination sequencePreparing PERIVISIONPERIVISION test phasePERIVISION mask phasePERIVISION fill phase

Exam SetsEPS exam setIVUS exam setThe Exam Set and Program EditorOpening the Exam Set and Program EditorExam set passwordChanging the password for the Exam Set EditorResetting the password for the Exam Set Editor

Application profileDisplaying exam sets of an application profile

Viewing exam setsViewing roadmap programsDisplaying fluoroscopy programs againScrolling in the tree of exam setsDisplaying parameters

Editing exam setsLogging in for editing exam sets and programsMarking an exam setCreating a new exam setRearranging exam setsRenaming an exam setApplying an exam setRemoving an acquisition/fluoroscopy/roadmap program from an exam setDeleting an exam setAssigning an exam sets to an application profileSetting as IVUS exam set

Viewing and editing acquisition/fluoroscopy/roadmap programsDisplaying program parametersDisplaying service parametersChanging the name of an acquisition/fluoroscopy/roadmap programChanging parametersHiding parameters

Organizing programsViewing program parametersFinding out in which exam sets a program is usedAssigning acquisition/fluoroscopy/roadmap programsDeleting an acquisition/fluoroscopy/roadmap programRules for assignment of programs

Storing and/or applying programsSaving changed program parametersStoring a programAccepting the changes for all exam setsCreating a new programApplying a programStoring and applying a programClosing the Exam Set and Program Editor

Parameters for Exam SetsCLEAR image qualityExposure parameters for acquisitionkVPulsewidthkV msFocuskV-FocusMFieldDosekV DoseMin. CU Filter/Max. CU Filter

Image parameters for acquisitionProcessing ModeAuto ProcessingContrast MediumAuto Pixel ShiftI-Noise ReductionI-Noise Reduction DetailsEdge Enhancement NAT/SUBEE-KernelDDO-Type, DDODDO-KernelWindow CenterWindow WidthAuto WindowSigmoid WindowWindow BrightnessWindow ContrastGamma CorrectionGain CorrectionBones WhiteK-FactorEVECarto CorrectionStripe compensationPixel ResolutionMaxOPAC

Frame rates and scene durationFrame Rate ControlFixed frame rateECG gated frame rateVariable frame rate

Parameters for rotational angiographyDyna TimeAngulation StepDYNA ControlCalculationFrame RateWashout PhasePhase Time [s]Washout

Parameters for 3D3D Type3D ControlStart PositionAngleAngulation Step3D Recon PresetExtended Frame RateOverlapEccentric 3DStart Position Eccentric3D image parametersAdditional 3D CARD parameters

Parameters for peripheral angiographyScene TimeDirectionPosition # - Frame Rate

Exposure parameters for fluoroscopy/RoadmapkVPulsewidthkV msFocusKV-FocusDosekV DoseEP ReductionDose increase phase 1 & 2Min. CU Filter/Max. CU FilterkV Warning LevelHigh ContrastProgressive Show Progress

Image parameters for fluoroscopy/RoadmapAuto Pixel ShiftI-Noise ReductionI-Noise Reduction DetailsI-Noise Reduction Details Phase 3Edge EnhancementEE-KernelDDO-Type, DDODDO-KernelAuto WindowWindow CenterWindow WidthWindow BrightnessWindow ContrastSigmoid WindowGamma CorrectionGain CorrectionBones WhiteBones White SubK-FactorK-Factor Phase-3Averaged Frames Phase 1EVEEVE Phase 3Catheter ContrastVessel ContrastCartoCorrectionStripe compensationVessel MapVessel Presentation Phase 2Vessel Presentation DSAAveraged Frames Show Progress

Pulse rates for fluoroscopy/roadmapFluoro TypePulse RateECG GatedStripe compensationBiplane Pulse Reduction

K Factor and motion detectorK FactorMotion detector

Dynamic Density Optimization (DDO)

Calibration and MeasurementsCalibrationCalibration methodsPerforming a calibrationImage angle

Automatic isocenter calibrationAuto ISO calibration with automatic startStarting Auto ISO calibration manuallyStarting Auto ISO calibration manually (Touchscreen, Image task card)Starting Auto ISO calibration manually (Touchscreen, Quant task card)

Calibration using the table-object distanceAuto TOD calibration with automatic startStarting Auto TOD calibration manuallyMarking the point of interestEntering the TODStarting Auto TOD calibration manually (Touchscreen, Image task card)Starting Auto TOD calibration manually (Touchscreen, Quant task card)Adjusting the TOD (TSC)

Manual distance calibrationPerforming a manual distance calibration (PostProc)Performing a manual distance calibration (Quant)Performing a manual distance calibration (Touchscreen)

Catheter calibrationStarting catheter calibrationDrawing in the center line of the catheterEntering the catheter size

Catheter calibration (Touchscreen)Starting catheter calibrationDrawing in the center line of the catheterSelecting the catheter size

Sphere calibrationStarting sphere calibrationCenter, diameter3 pointsMoving the circleChanging the sizeEntering the diameterCopying sphere calibration to a second image

Sphere calibration (Touchscreen)Starting sphere calibrationCenter, diameter3 pointsMoving the circleChanging the sizeSelecting the sphere size (Touchscreen)

Calibration with a calibration factorUndoing the last calibration step (Quant)Confirming calibration / calculating the average (Quant)Clearing the entire calibration (Quant)Clearing the entire calibration (Touchscreen)Recalling the last calibration (Quant)

MeasurementsPreconditions for measurementsIn PostProcIn Quant

Drawing and measuring distancesSetting straight or curved distance measurementStart drawing straight distance linesDrawing straight distance linesChanging a straight distance lineStart drawing curved distance linesDrawing curved distance linesSelecting curved distance lines, e.g. for manipulationMoving curved distance linesModifying curved distance lines

Drawing and measuring distances (Touchscreen)Start drawing straight distance lines (Image or Quant task card)Start drawing straight distance lines (IVUSmap task card)Drawing straight distance linesStart drawing curved distance linesDrawing curved distance lines

Drawing and measuring anglesDrawing an angleChanging an angleDrawing an angle (Touchscreen)

QuantificationGeneral informationImportant notesSpecialized knowledgeState of the artRectangular pixelsUnfiltered imagesMatrix sizeNot supported data

The Quant task cardCalling up the Quant task cardActivating a plane

The Quant task card on the touchscreenSelecting patients and scenes/imagesDefining window and filter valuesZooming/panningSwitching on zoomPanningNo more panning

Common functionsReportConfigurationChecking the installed optionsConfiguring the calibrationClosing configuration

Quantitative Vascular Analysis (QCA/QVA, IZ3D)QCA/QVAIZ3DBifurcationQCA/QVA workflowIZ3D workflowIZ3D biplane workflowSelecting a scene/imageScenes/images for IZ3DTwo projectionsEnd Diastolic frame (IZ3D)Auto EDManual ED

Auto ED detectionAuto ED detection (Touchscreen)

CalibrationSelecting the analysis methodVessel contour detectionSelecting the vessel segmentCorrecting the contourSmoothing the contourManual restrictionToggle ostial branch

3D vessel model in IZ3DCreating a 3D vessel modelCommon image pointVirtual C-armOptimal projectionViewing the 3D vessel modelStent planning in IZ3DDisplaying the quad viewMoving the C-arm according to the 3D vessel modelDocumentation of the 3D vessel model

Contour informationEntering analysis informationSelecting diagram display

Performing evaluationsInformation about stenosis calculationAutomatically determined reference diameterModifying an analysisModifying an analysis (TSC)Manually determined reference diameterManual subsegmentLocal diameter

Recalling an analysisPreliminary resultsReportDefinitionsPatient, study, scene, ...Area formulaStenosisObstruction SegmentAnalyzed segmentPolygon of ConfluenceMiscellaneousResults of the hemodynamic data

Configuring vascular analysis

Quantitative Ventricular Analysis (LVA)AngulationCalibrationSelecting a sceneSelecting the analysis methodLVA workflowAuto ED/ESNo Auto ED/ES

Selecting imagesDefining the ED frameDefining the ES frameDefining ED/ES frames automatically

Selecting images (Touchscreen)Defining the ED frameDefining the ES frame

Biplane LVABiplane LVA workflowPerforming biplane LVAPerforming biplane LVA (Touchscreen)

Setting the frontal and lateral planeDefining contoursAutomatic contour detectionSmoothing the contourDefining a contour manuallyDefining a contour manually (Touchscreen)Drawing the wall contourChecking the contourAnnotating a contour

Recalling an LVA analysisResults (Report)Preliminary resultsReportDefinitionsPatient, study, scene, ...CalibrationIndex methodVolume methodRegression formulaeAnalysis parametersWall motion analysis

Configuring LVALVA configration parameters

Accessories and Auxiliary DevicesGeneral informationEquipment with accessoriesOther products/componentsCablesCleaning

Handling accessory partsAccessories for the patient tableTabletopsTabletop versions

Changing the tabletopRemoving the tabletopMounting the tabletop

Tabletop for headrest (Neuro)MattressCovering the mattressCleaning the mattress

Heated mattressAccessory railsAccessory rail extensionCable holderAttaching the cable holder

Cable clipsAttaching cable clips

ConnectorsHolder with railsMounting the holders

Head-end holderAttaching the head-end holder

Catheter tray, foot-endInstrument trayInfusion bottle holderAttaching the infusion bottle holder

Anesthesia screen holder

Positioning aidsHead support with cushion setAttaching the head support

Head holderHandgrips with supportsAttaching the handgripsAttaching the supports

Shoulder supportsAttaching the shoulder supports

Arm restAttaching the arm rest

Articulated arm supportArm rest for vertebroplastic and kyphoplastic proceduresOR arm rest with holderArm holderAttaching the arm holders

Radialis armboardCleaning and disinfectionMounting the radialis armboard

Set of body strapsAttaching the body straps

Compression beltAttaching the compression beltAdjusting the tensionReleasing the tension

Accessories for radiation shieldingLower body radiation protectionHead-end lower body X-ray protectionAttaching

Upper body radiation protectionUpper body radiation protection largeUsing the upper body radiation protection

Protective shield for Large DisplayExamination lampSwitching on/off, dimming

InjectorSterile coversFDCollimatorDCSArtis zeego sterile covers

Service FunctionsMaintenance statusChecking the maintenance status

Local serviceCalling up local service

LogbookCalling up the logbookHaving messages displayed

Remote software update and virus protectionUpdating your system with virus pattern, hotfixes, and software updatesUsing the virus scannerUpdating the virus scannerVirus pattern, hotfix, or software update availableInstalling virus pattern file updates silentlyInstalling the hotfix or software update

Finishing the installationSuccessful installationUpdates which require a reboot:Failed installation

Dealing with virus infections

Remote serviceCalling up remote serviceDefining the access rights

Providing images for ServiceProviding images for Service

Remote assistanceEstablishing a connectionActivating a multi-user accessGranting full accessRestricting access to View Only modeDisconnecting remote assistance

Test imagesRestoring test images

Image quality of the cameraStarting the camera test

Providing images to the image evaluation program

System Messages / TroubleshootingSystem messagesLocationsTypesError handlingMessage linesLine in lower part of imageStand/table message lineSystem status message lineLine 2 in the status areaLine 3 in the status areaStatus line in windowsResource displayAction history

Messages, causes, measuresMessages for unit movementsMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessageMessage

No unit movement possible!Message?Emergency STOP?Collision protection sensor?Movements blocked?Patient?Resetting the unit computer

Stand battery charging (Artis zeego only)Message

No communication!Message

Messages for X-rayMessageMessage

No radiation is released!Message?Radiation indicator lights upRadiation indicator is not litRadiation blocked?Door contact?Other reason?

Restart necessary!MessageMessage

Shutdown necessary!MessageSwitching on again

Buffer full! - Memory full!MessageMessage

Door open!Message

Footswitch/handswitch connection problemMessage

Transfer problemsMessage

Emergency operationOperation modes during start-upBypass fluoroscopyFluoroscopy during BYPASSBypass fluoroscopy during start-upBypass fluoroscopy during an examinationZoom stage and collimation during bypass fluoroscopy

Backup modeBackup mode during start-upBackup mode during an examinationArtis biplane

Synchronization after backup modeMessageMessage

Power failure!Hospital emergency power supplySystem emergency power suppliesUPS

UPS for the imaging systemPower recovers during this timePower does not recoverAfter recovery of the power supply

OR-UPSEmergency power supply (EPS)Continuous fluoroscopy during emergency power supply operationSwitching back to mains voltage

Test with emergency power supplyBefore the testTesting the EPSTesting the imaging system UPSTesting the hospital emergency power supplyAfter the test

RestartingAutomatic restart on errorsRestart immediately

Manual restartRestart application systemRestart systemRESET image evaluation systemSwitching off manually and power on again

General problems - Troubleshooting ...... if the monitors are dark but the units are still powered onProblem

... if the system does not shut downProblem

... with fault messages marked “... SC”Message

... if there is a problem with the FD cooling systemFD cooling system has failedMessage

... if there is another problem with the FDMessageMessage

... in the event of overtemperatureMessageMessageMessage

... if the tube is too hotMessageMessageMessageMessageMessageMessage

... if the X-ray tube assembly emits an audible signalHigh loadCooling circuit

... at tube overload (MEGALIX)Preliminary warning level

... if the pressure switch in the tube assembly respondsMessage

... in case of a focus defectMessage

... in case of a tube grid defect (GIGALIX)Message

... in case of a footswitch defect... if wrong dose is appliedMessages

... if the radiation is abortedMessage

... if the image quality changesProblem

... if the live image is not collimated correctlyProblem

... if the format collimation is incorrectProblem

... if there is a fault in the primary collimatorMessage

... if the collimator rotation is not correct... if there are problems with the ECGMessage

... if there are problems with the injectorMessageMessageMessageMessageMessage

... if there is a problem with the Large DisplayMessage

GlossaryIndex