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Azurion
Release 1.2
Instructions for Use
English
4522 203 52421

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Table of Contents

   Summary of Contents for Philips Azurion

  • Page 1 Instructions for Use English 4522 203 52421 Azurion Release 1.2...
  • Page 3: Table Of Contents

    Collision Prevention (BodyGuard)................28 3.1.5 Collision Prevention Override................31 3.1.6 Intelligent Collision Protection................31 3.1.7 Patient Table......................32 3.1.8 Control Module...................... 33 3.1.9 Touch Screen Module.....................34 3.1.10 Monitor Configuration................... 35 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 4 Changing the Patient Orientation................55 Preparing the System......................56 5.9.1 Safety Information....................56 5.9.2 Positioning the C-arm.................... 57 5.9.3 FlexMove........................58 5.9.4 Control Modules....................59 5.9.5 Positioning the Monitor Ceiling Suspension............60 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 5 Multiphase Acquisition......................97 6.12.1 Changing Multiphase Acquisition Settings............. 97 6.13 Bolus Chase..........................98 6.13.1 Acquiring a Contrast Run..................98 6.13.2 Acquiring a Mask Run (Optional)................. 100 6.14 Roadmap Pro........................101 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 6 7.8.2 Reconstruction..................... 124 7.8.3 Processing......................127 Resolving a Patient Mix......................128 8 Processing........................129 Zooming..........................130 Panning..........................130 Adjusting Contrast and Brightness..................131 Enhancing Edges in Images....................132 Inverting Images........................133 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 7 10 2D Quantitative Analysis (Option)..................156 10.1 Intended Use of 2D Quantitative Analysis................156 10.2 Acquiring X-ray Images......................157 10.3 Starting 2D Quantitative Analysis..................158 10.4 Calibration Guidelines......................158 10.5 QCA / QVA..........................160 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 8 Using the Shoulder Support Board..............191 11.1.7 Drip Stand......................191 11.1.8 Cerebral Filter...................... 191 11.1.9 Peripheral X-ray Filters..................192 11.1.10 Head Support....................... 193 11.1.11 Mattress....................... 193 11.1.12 Neuro Wedge....................... 194 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 9 Changing Automatic Position Control Settings..............223 12.11 Customizing APC Positions for X-ray Protocols..............224 12.12 Changing Viewing Preferences..................... 225 12.13 Changing Display Preferences....................226 12.14 Customizing Predefined Annotations................... 227 12.15 Changing Print Settings......................228 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 10 Restoring Factory Default Settings..................250 14 Maintenance........................251 14.1 Cleaning and Disinfecting..................... 251 14.1.1 Cleaning the Ceiling Rails..................253 14.2 Removing and Replacing the Anti-Scatter Grid..............253 14.2.1 Removing the Anti-Scatter Grid................253 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 11 Accuracy of Dosimetric Indications and Automatic Control System....271 16.3 X-ray Generator........................271 16.4 Anti-Scatter Grid........................274 16.5 Mains Power.........................274 16.6 Monitor Ceiling Suspension....................275 16.6.1 FlexVision (XL) Monitor Ceiling Suspension............275 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 12 16.21.5 Additional Filtering....................317 16.21.6 User Dose and Imaging Information for Cone Beam CT Reconstructions....318 16.22 Electromagnetic Compatibility..................... 322 16.23 Equipment Labels......................... 325 16.24 Symbols Used on the Equipment..................339 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 13 Bolus Chase Reconstruction Overview Image Window Toolbar........... 382 19 Glossary........................... 384 19.1 Definitions..........................384 19.1.1 Windows, Panels, Views, and Viewports............. 384 19.1.2 Patient Table: Doctor Side and Nurse Side............385 19.1.3 Dose Related Definitions..................386 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 14 Contents 19.1.4 Dose Model......................388 19.1.5 Interventional Tools..................... 390 19.1.6 Injector Control Methods..................390 19.2 Abbreviations........................391 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 15: Introduction

    Introduction About These Instructions for Use 1 Introduction Welcome to the Azurion Instructions for Use. Before using the system, read these Instructions for Use, especially the information contained in the Safety section. 1.1 About These Instructions for Use These Instructions for Use are intended to assist you in the safe and effective operation of the system.
  • Page 16: Intended Use Of The System

    Clinical Environment The Azurion system is a fixed and stationary system that can be used in a clinical environment fulfilling the local laws and regulations for radiological X-Ray systems in sterile and non-sterile environments.
  • Page 17: Contraindications

    Guidance for performing tasks is displayed as instructions in the application panels. Tooltips Pause the pointer over a button to display a tooltip that provides information about the function. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 18: Safety

    Safety Emergency Procedures 2 Safety Philips Medical Systems products are designed to meet stringent safety standards. All medical electrical equipment requires proper installation, operation, and maintenance to ensure personal safety and correct operation. WARNING Do not use the system until you have read and understood all safety directions, emergency procedures, warnings, and cautions contained in these Instructions for Use, and observed all danger notices and safety markings on the equipment.
  • Page 19: Emergency Stop

    The room where the system is used must comply with all applicable laws and regulations, or regulations concerning electrical safety for this type of equipment. The combination of the system and Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 20: Mechanical Safety

    Collisions may also occur during tilt movements, if applicable. • With the stand at the head end of the tabletop, the stand may hit the tabletop during angulation or rotation movements. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 21: Explosion Safety

    WARNING The use of accessories, transducers, and cables other than those specified for this equipment may result in increased emissions or decreased immunity. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 22: Radiation Safety

    – For user-selected X-ray protocols, allow optimized operation for indicated clinical protocols. • Immobilise the patient to prevent the need to reacquire images due to patient movement. • Select the appropriate patient type. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 23 Selecting the largest field size Limiting the duration of fluoroscopy/expo- sure Applying proper collimation and wedges Increasing the distance from the patient to the X-ray source (at a constant SID) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 24: Pediatric Radiation Guidelines

    • Radiate for the shortest time possible, use the Last Image Hold image to review the anatomy rather than live fluoroscopy. Before you use the equipment for pediatric cases, Philips recommends reviewing generally available resources on pediatric imaging, such as the following: •...
  • Page 25: Hazardous Substances

    REACH Declaration REACH requires that Philips Medical Systems provides chemical content information for Substances of Very High Concern (SVHC) if they are present in amounts above 0.1% of the product weight. Components with electric or electronic equipment may contain phthalates above the threshold (for example, bis(2-ethyl(hexyl)phthalate), CAS nr.: 117-81-7).
  • Page 26: About The System

    OR table. All biplane systems have a floor-mounted frontal stand and a ceiling-mounted lateral stand: • Azurion F12/12: A biplane system with a 12-inch flat detector on the frontal stand and a 12-inch flat detector on the lateral stand.
  • Page 27: Stand

    Figure 3 Floor-mounted stand (left) and ceiling-mounted stand (right) The monoplane stand can be floor or ceiling-mounted. Biplane Stands Figure 4 Two views of the frontal stand and lateral stand of a biplane system Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 28: Flexvision (option)

    If a collision occurs that causes any equipment cover to break or become detached, you should do the following: • Finish the case • Switch off the power • Contact technical support Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 29 • In the status area of the acquisition window in the control room. Icon Description A detector collision has been detected A stand collision has been detected (depending on the stand in use) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 30 When the stand is positioned at the doctor or nurse side, the BodyGuard sensor on top of the stand is not switched off, to prevent a collision with the operator's legs. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 31: Collision Prevention Override

    • When the calculated distance remains the same during the movement, the movement continues at reduced speed. • When the calculated distance increases during the movement, the movement continues at normal speed. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 32: Patient Table

    Positioning the Table (page 61). The patient table has an accessory rail that is used to mount additional equipment such as the control module, touch screen module, and radiation shields. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 33: Control Module

    Figure 8 Monoplane control module Figure 9 Biplane control modules: geometry control module (left) and imaging control module (right) Up to three control modules can be used with each system. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 34: Touch Screen Module

    • You can use different applications on each touch screen module. • If you use the same application on multiple touch screen modules, the modules are fully linked. For more information, see Touch Screen Module (page 357). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 35: Monitor Configuration

    Switchable Monitors (Option) The switchable monitors option allows you to manage up to 16 displays in the examination room and display video and applications originating from the Azurion system and up to 11 video sources from auxiliary systems. Azurion Release 1.2 Instructions for Use...
  • Page 36: Foot Switch

    3.1.11 Foot Switch You can control fluoroscopy and exposure using the foot switch. The function assigned to each pedal on the foot switch is configured when your system is installed. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 37 Switch the room light on and off Biplane Foot Switch Figure 15 Biplane foot switch Depending on how your system is configured, six of the following functions may be assigned to the biplane foot switch. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 38: Hand Switches

    You use the swivel hand switch to swivel the table towards the head end or towards the foot end. Speed Controller You use the speed controller to control the speed of longitudinal table movements when acquiring images for Bolus Chase Reconstruction. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 39: Viewpad

    If cover is damaged, do not use the viewpad and call technical support for a replacement. NOTE Do not use the viewpad when more than one Azurion system is in use in the same room. Azurion Release 1.2 Instructions for Use...
  • Page 40: Mouse And Mouse Table (option)

    3.2 Equipment in the Control Room The control room usually contains two monitors that display the acquisition window and the review window. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 41: Review Module

    You can also perform some general functions using the review module, for example, switching the system on and off, disabling radiation, disabling geometry movements, and resetting the fluoroscopy buzzer. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 42: Touch Screen Module

    • You can use different applications on each touch screen module. • If you use the same application on multiple touch screen modules, the modules are fully linked. For more information, see Touch Screen Module (page 357). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 43: Flexspot (option)

    • In the menu bar, only the application selector and the keyboard lock icons are available. • The status area can be hidden to make the main display area larger. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 44: Starting And Stopping The System

    If your password has expired, a dialog box is displayed allowing you to change your password. You are asked to enter your existing password and to set your new password. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 45: Accessing The System In An Emergency

    • To perform a cold restart, do the following: On the review module, press and hold Power Off. b Release the button when the indicator light begins to flash. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 46: Mains Power Failure

    Alternatively, an internal uninterruptible power supply is available as an option that allows the system to perform a controlled shutdown if the hospital mains power supply is interrupted. All data is backed up during the shutdown. For more information, contact technical support. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 47: Restarting After Emergency Power Off

    • To log off, select System from the menu bar of the review window, and then select Log Off. • To switch the system off, press Power Off on the review module for 3 seconds. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 48: Preparing A Patient Study

    Displays the details of the study currently in progress Scheduled Displays studies scheduled in the database Suspended Displays studies that have been started but not completed Completed Displays studies that have been completed Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 49: Procedurecards

    Clear. 5.2 ProcedureCards A ProcedureCard is a digital card that contains predefined procedure settings such as acquisition protocols, patient orientation, and imported documents for procedure instructions. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 50: Scheduling A Study From The Hospital Worklist

    When you schedule a study from the hospital worklist, the ProcedureCard is automatically selected based on the DICOM RIS code recorded for the study in the hospital worklist. For more information, see Mapping RIS Codes to ProcedureCards (page 234). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 51: Scheduling A Study Manually

    5 Click Save to save your changes. Alternatively, click Back to Schedule to return to the patient database without saving your changes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 52: Checking The Available Disk Storage Space

    NOTE Disable geometry movements and X-ray while performing the following actions: • Positioning the patient on the tabletop. • Removing the patient from the tabletop. • Preparing the patient for the procedure. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 53 6 Transfer the patient on to the tabletop and place the patient into the correct position. Figure 26 Transfer the patient with the table fully retracted toward the table base Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 54: Using Patient Straps

    Figure 28 Applying patient straps around the accessory rail A label showing the correct use of the straps is located on both sides of the table between the strap location holes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 55: Changing The Patient Orientation

    92). You can change the patient orientation using the acquisition window or the touch screen module. 1 To change the patient orientation using the acquisition window, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 56: Preparing The System

    This can cause serious injury to the patient or any other person. Foot Switch Ensure that the foot switch is not unintentionally activated during geometry movement or swivel movement of the table base. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 57: Positioning The C-arm

    4 Place the patient on the table in the desired position. For more information, see Positioning the Patient on the Table (page 52). 5 Move the C-arm to the desired position. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 58: Flexmove

    Use the handgrips to push or pull the C-arm to the desired position. To stop the movement, release the key. • To perform motorized movements, use the Move Beam XY Motorized switch on the control module. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 59: Control Modules

    To ensure that stand movements remain logical for each position in which the control module can be mounted, the Orientation switch located on the under side of the module must be set to the appropriate position. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 60: Positioning The Monitor Ceiling Suspension

    For more information, see Applied Parts (page 342). 1 Press and hold the motorized movement buttons to adjust the height of the monitor ceiling suspension. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 61: Positioning The Table

    1 Clear all objects from the path of the table. 2 Using the control module, float the table and center the region of interest in the middle of the field of view. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 62 Cradling the Table The cradle function allows you to cradle the tabletop from -15 degrees to +15 degrees. Figure 37 Cradling the table Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 63 4 Push the table to the desired angle. There are detent positions at +13 degrees and -13 degrees, or you can pivot the tabletop between +90 degrees and -180 degrees. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 64 The unlock indicator light on the control module switches to white when the pivot lock is engaged. Swiveling the Table The swivel function allows you to position the table for entire body imaging with the F20 system. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 65: Using Radiation Shields

    The table-mounted and ceiling-suspended radiation shields are 0.5 mm lead (Pb) equivalent. For optimal protection, use the table-mounted and ceiling-suspended radiation shields together with lead aprons. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 66 3 Slide the jaws of the clamping device on to the tabletop accessory rail. 4 Turn the knob of the clamping device clockwise to clamp the radiation shield to the accessory rail. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 67 6 To use the upper shield, lift the shield upward until the pins drop into the notches. Figure 43 Using the upper shield 7 To park the radiation shield, fold down the upper shield if deployed and push the lower shield underneath the table. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 68: Using Sterile Covers

    NOTE When using a sterile cover on the touch screen module, ensure that the cover is fitted tightly to avoid problems when using the touch screen for actions such as dragging. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 69: Using An Or Table

    Using an OR Table 5.10 Using an OR Table You can use an OR table with the Azurion X-ray system. The level of integration depends on the OR table used, and available functions are described in this section. The Azurion X-ray system is compatible with OR tables from the following manufacturers: •...
  • Page 70: Maquet Operating Table

    Using an OR Table NOTE Additional accessories may be available from the manufacturer of the OR table. However, these accessories have not been tested for use with the Azurion X-ray system. Refer to the information provided by the manufacturer. Parking the Stand If the optional ceiling rail extension is installed, you can park the stand so that it is out of the way of the table.
  • Page 71: Trumpf Operating Table

    X-ray system's collision prevention features while docking the tabletop. NOTE Do not use straps from Philips to secure the patient during movements. Refer to the Trumpf documentation for details of how to secure the patient.
  • Page 72 When BodyGuard is activated it is possible to move the X-ray system closer to the table at a lower speed. During a warm restart procedure and in the X-ray system's fast fluoroscopy mode, you can move the table. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 73 NOTE The X-ray system patient orientation position information is inaccurate since it is based on the horizontal table position and is independent of the position of the Trumpf table. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 74: Fitting Sterile And Disposable Covers

    9 Open the glued stickers and attach the stand top cover to the inner part of the C-arm from top to bottom. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 75 Instructions for Use supplied with the touch screen module cover package provide guidance on fitting the cover. Standard covers can be used for the foot switch, which should be covered with a plastic cover or bag. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 76: Performing Procedures

    3 Position the region of interest. For more information, see the following sections: • Positioning the Patient on the Table (page 52) • Isocentering (page 90) 4 Start acquisition. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 77: Enabling X-ray

    At least one indicator light is positioned outside the examination room, next to each door. The light is lit when a foot or hand switch is pressed to initiate fluoroscopy or exposure. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 78: Audible Signals

    When the exposure buzzer is configured, if exposure is activated the buzzer sound will be a continuously audible signal. When the exposure buzzer is not configured, the buzzer does not sound if exposure is activated. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 79: Acquiring Images

    If the system is not ready, you should observe the guidance given in the messages displayed in the status area. Indication Meaning The system is ready and exposure is active The system is ready and fluoroscopy is active Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 80: Acquiring Fluoroscopy Images

    Control Module Indicator Lights Standard System System with ClarityIQ (Option) Normal Medium Three High Normal 2 To set the fluoroscopy flavor using the touch screen module, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 81 Figure 48 Unsaved fluoroscopy series pictorial Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 82 1 To switch off the audible signal, do one of the following: • On the control module or on the review module, press Reset Fluoroscopy Buzzer. • On the touch screen module, tap Reset. 2 Continue with fluoroscopy if appropriate. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 83: Using Shutters And Wedges

    Adjusting Shutters on the Control Module You adjust the shutters using the shutter switch. For more information, see Monoplane Control Module (page 373). 1 When using a biplane system, select the desired channel. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 84 2 When using a biplane system, adjustments are applied to the channel represented by the main image. To change the channel, tap the mini viewport. 3 To move the horizontal shutters or the vertical shutters independently, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 85 The wedges can only be adjusted on the touch screen module after acquiring an image. On biplane systems, a biplane acquisition is needed to adjust the wedges on both channels. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 86 5 Tap Reset to reset the desired wedge filter to the default position. Using Automatic Wedge Following The system can automatically position the wedges according to the C-arm rotation and angulation angles. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 87: Acquiring Exposure Images

    5 To start acquiring exposure images, press the exposure hand switch or the exposure foot switch. Pressing the exposure hand switch button to the first stage prepares the system for exposure. Pressing the button to the second stage activates exposure. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 88: Zero Dose Positioning

    In an emergency, you can start a study without logging on and without having previously scheduled the patient, by using the emergency access mode. While you are using the system in emergency access mode, you can acquire images but other system functions are not available. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 89 9 If all studies are complete and emergency access is no longer needed, click System and select Log Off to exit emergency access mode and return to the logon screen. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 90: Locking And Unlocking C-arm And Table Movements

    For some types of procedure it is important that the anatomical region of interest is in the isocenter. The isocenter of the C-arm is the point around which the detector and the tube rotate. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 91: Recalling The Isocenter Position

    You recall the isocenter position using the touch screen module. 1 On the touch screen module, tap the Table task. 2 Ensure that all table movement locks are off. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 92: Image Orientation

    The preset layout for FlexVision is predefined in the selected ProcedureCard in use but you can select a different layout to use for the study. 1 On the touch screen module, tap the application selector. 2 Tap FlexVision to display available presets. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 93: Saving A Modified Preset For Flexvision

    1 On the touch screen module, tap the application selector. 2 Tap FlexVision. 3 Tap Change Content. 4 Tap Save As. 5 Select a preset group from the list. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 94: Using The Screen Saver On Flexvision

    To be able to switch video sources in this way, the switchable monitors option must be installed on your system. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 95: Injector Coupling

    6.11 Injector Coupling Timing of contrast injection and X-ray imaging can be coupled in order to synchronize the acquisition of images to the flow of contrast medium. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 96: Uncoupled Operation

    1 Select the X-ray Settings task. 2 Select the X-ray protocol. 3 If injector coupling is off, tap Coupling to switch injector coupling on. 4 Adjust the X-ray delay time using + or -. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 97: Multiphase Acquisition

    3 Set the image speed (frame rate) in frames per second, for each phase: • Tap + to increase the image speed. • Tap - to decrease the image speed. 4 Set the duration of each phase. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 98: Bolus Chase

    Table travel distance (maximum 100 cm / 39.4 in) End position Table movement 6.13.1 Acquiring a Contrast Run To acquire a contrast run for Bolus Chase Reconstruction, you chase the contrast bolus along the patient's legs. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 99 NOTE BodyGuards are disabled during image acquisition. 19 When the contrast bolus reaches the bottom of the image on the monitor, start moving the tabletop using the speed controller. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 100: Acquiring A Mask Run (optional)

    Bolus Chase Reconstruction automatically uses the mask run to display subtracted images. 6 While reviewing the run, you can use Subtraction On / Off to view subtracted images or contrast images. You can acquire additional mask runs, if desired. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 101: Roadmap Pro

    6 When the subtracted image is created, inject the contrast. For more information, see Injector Coupling (page 95). 7 Stop fluoroscopy when the vessel tree is fully visible (maximum opacification). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 102: Using Smartmask

    Selecting a procedure that is not supported by ECG triggering, for example, Rotation scan or Bolus Chase, automatically deactivates ECG triggering and the controls in the ECG triggering task panel are unavailable. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 103: Rotation Scans

    Rotation scans, or 3D-Rotational Angiography (3D-RA), are used to acquire a 3D perception of vessel anatomy. Fixed rotation scans are predefined and you cannot alter the start and end positions. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 104: Performing A Fixed Rotational Scan

    You can perform a free rotational scan to provide a 3D impression of a vessel based on 2D images. In a free rotational scan, you can define the start and end positions. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 105: Xperct

    For biplane systems, XperCT is only available on the frontal channel. For information about XperCT calibration, see XperCT Calibration (page 263). To be able to use XperCT, the table should be positioned within the following ranges: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 106 CT Cranial Stent 22 cm / 8.5" Head High XperCT Prop (open) HQ - 5s Head High XperCT Dual Prop (open) HQ -5s Head High XperCT Prop (open) LD - 5s Head Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 107: Xperct Dual

    9 Switch Injector Coupling on or off as desired. If you switch Injector Coupling on, set the X-ray delay time. 10 Follow the instructions given on the touch screen module to confirm the end position. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 108: Cardiacswing

    CardiacSwing Procedure Selection (page 109). 10 If you are using an injector, do the following: Tap Injector Coupling to switch injector coupling on. b Set the X-ray delay time. 11 Tap Next. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 109 RCA AP 4s Right coronary (Best practice) Left coronary LCA/RCA RAO-CAU -> LAO- Right coronary CRA 4s Grafts Left coronary LCA/RCA LAO-CAU -> RAO- Right coronary CRA 4s Grafts Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 110 CAUD Figure 59 Small curve for all patients: LCA CRA 30 5s CRAN CAUD Figure 60 Medium curve for all patients: LCA CRA 35 5s (best practice for LCA) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 111 CRAN CAUD Figure 61 Large curve for normal or thin patients: LCA CRA 40 5s RCA Trajectories CRAN CAUD Figure 62 Standard curve for all patients: RCA LAO 3s Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 112 Figure 63 Standard curve for all patients: RCA AP 4s LCA, RCA, and Graft Trajectories CRAN CAUD Figure 64 Swing for coronary and grafts: LCA/RCA RAO-CAU -> LAO-CRA 4s Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 113: Electrophysiology Procedures

    The following icons indicate whether the whole series or only some images in the series are to be archived. Icon Description The series will be archived Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 114: Ending A Study

    A dialog box is displayed showing the series and images that will be archived. For more information, Previewing Series and Images for Automatic Archiving (page 113). 5 To end the study, click OK. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 115: Dose Reports

    2 To launch the print application, click More Tools and then select Print Preview. The print application is launched and a preview of the report is displayed, including the dose report. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 116 Performing Procedures Dose Reports 3 Compile any other desired elements of the report. 4 Click Print to print the report. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 117: Reviewing

    The following procedure describes a single method but you can also perform many of the actions using either the mouse, the review module, or the viewpad depending upon the situation. For more information, see Review Module (page 378) Viewpad (page 379). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 118: Reviewing A Series Using The Touch Screen Module

    • Photo images • Flagged images 7.3 Reviewing a Series using the Touch Screen Module You can review a series for the acquisition patient using the touch screen module. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 119 To review the previous or next image in the series, tap Previous image or Next image. d To review the previous or next series, tap Previous series or Next series. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 120: Using The Interventional Room Pointer

    If the system's storage is full, the system automatically deletes data that is not protected to make space for newly acquired images. You can protect individual studies to prevent deletion. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 121: Reviewing Historical Data For A Scheduled Patient

    Click Import. The selected series are imported from the network archive to the local database. d Select the imported series that you want to view. e Click View. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 122: Importing Studies Or Series For Review

    Figure 68 Inserting a USB flash memory drive 2 If you are importing from a CD or DVD, insert the disc into the CD/DVD drive. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 123: Bolus Chase Reconstruction

    Bolus Chase (page 98). NOTE Imported images cannot be used to create an overview image in Bolus Chase Reconstruction. The Bolus Chase Reconstruction screen provides the following views and task panels. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 124: Tasks

    When a bolus chase mask run is also available for the acquisition patient, you can create a subtracted view of the reconstruction image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 125 The following functions are not available when reviewing the series as a movie: • Annotations • Measurements • Snapshots • Printing 4 To view original images in the main view with the anatomy fixed in place, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 126 Reconstruction control panel. 13 If another bolus chase reconstruction is available for the patient, you can select the reconstruction in the Existing Reconstructions panel of the Reconstruction control panel. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 127: Processing

    While reviewing images, you can add annotations and measurements. You can add annotations and measurements to the original images, but you can only add annotations to the overview image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 128: Resolving A Patient Mix

    • The dose information is not removed from the source patient. 9 Click Close to close the wizard. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 129: Processing

    • Biplane Unlinked: Changes can be applied independently to both the frontal and lateral images • Biplane Linked: Changes applied to one image are automatically applied to both the frontal and lateral images Figure 70 Link Image Processing options Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 130: Zooming

    2 To pan using the mouse, drag the image in the desired direction. To pan the current image only, select Adjust current image only in the control panel. 3 To pan using the touch screen module, use the Pan controls. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 131: Adjusting Contrast And Brightness

    To apply the changes to the current image only, select Adjust current image only. 3 To adjust contrast and brightness on the touch screen module, do the following: Select the Processing task and tap CBE. b Use the Contrast and brightness controls. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 132: Enhancing Edges In Images

    4 To reset your changes, click or tap Reset in the task panel. You can also reset your changes by clicking Reset image processing on the toolbar in the acquisition window or review window. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 133: Inverting Images

    5 To change the appearance of an annotation, right-click it and select an option from the shortcut menu. You can change the following characteristics, when available: • Color • Font Size • Line Thickness Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 134: Adding An Arrow

    • Click again to set the width (short axis) of the ellipse. 3 To change the appearance of an annotation, right-click it and select an option from the shortcut menu. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 135: Adding A Rectangle

    3 In the image, click at the start point of the line. 4 Click at intermediate points in the line. You can set as many intermediate points as you want. 5 Double-click at the end point of the line. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 136: Cropping Images

    Shutter lines are displayed at the edges of the image. Figure 71 Shutter lines when cropping an image 3 To move the left and right, and top and bottom lines together, select the Use symmetric lines check box. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 137: Using Subtraction

    3 If you are using the touch screen module, tap Remask. 4 If you are using Image Subtraction, use one of the following functions to select a new mask image: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 138: Adjusting The Mask Position

    You can only apply Landmarking if subtraction is switched on. 1 To adjust landmarking using the mouse directly on the image, right-click the image, click Landmarking, and then do one of the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 139: Creating A View Trace Image

    2 Click the Processing task in the acquisition or review window. 3 Click View Trace. The View Trace control panel opens and the view trace image is displayed. 4 Select the contrast medium in use. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 140: Copying Images And Series To Reference Windows

    3 To view an image or series copied to a reference window, click on the corresponding reference tab in the header area of the review monitor, or refer to the appropriate window or viewport in the examination room. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 141: Creating A Snapshot

    To accept the automatic calibration factor, click Accept in the Calibration and Measurements task panel. When you accept the calibration factor, the information is added to the image information overlay on the image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 142: Creating A Distance Measurement

    4 In the image, click at the start point of the line. 5 Click at intermediate points in the line. You can set as many intermediate points as you want. 6 Double-click at the end point of the line. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 143: Creating A Ratio Measurement

    4 Click in the image at the end of the first angle leg. 5 Click at the apex of the angle. 6 Click at the end of the second leg. The angle and its value are displayed in the image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 144: Creating An Open Angle Measurement

    Using a tapered segment for calibration will result in incorrect measurement results. 1 In the Calibration and Measurements task panel, click Manual Calibration to display the Calibration dialog box. 2 In the Cal. Method list, select Catheter. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 145 7 After drawing the line, select the distance in the list in the control panel. If the desired distance is not available, you can type it directly in the box. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 146 If the desired diameter is not available, you can type it directly in the box. 9 You can delete the calibration at any time and start over by clicking Delete in the task panel. 10 To complete manual calibration, click Accept and Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 147: Exporting And Printing

    2 Insert a USB flash memory drive into one of the USB ports at the side of the left monitor. Regardless of the position of the review and acquisition monitors (left or right) within the control room, the USB ports are always situated in the left monitor. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 148 The series or images being exported are listed below your selection. 6 To select a DICOM format for export, do the following: Select the Format to use for exporting, from the DICOM Formats section of the drop-down list. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 149: Exporting Data To Cd/dvd

    1 Select the studies, series or images you want to export. To select more than one study, series or image at a time, do one of the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 150 7 To de-identify the images, do the following: Select De-Identify. b For each of the patients listed, enter an alternative De-Identified Name. NOTE Personal data in photo images cannot be de-identified. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 151: Exporting Data To A Pacs

    This option is not available if you have selected specific images to export. The series or images being exported are listed below your selection. 4 Select the Format to use for exporting, from the DICOM Formats section of the drop-down list. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 152: Exporting Data Using Drag And Drop

    Drag and drop the desired series from the series list onto the desired device or network location to the left. If the data cannot be exported to the desired location for any reason, the pointer changes to indicate this. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 153: Printing

    If you want to print specific pages only, select the page range radio button and enter the pages or range of pages you want to print. To print a single page, enter the page number. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 154: Viewing System Tasks In The Job Viewer

    If an error is encountered, the relevant tab displays a warning symbol. 2 Click on the relevant tab to find the job you are looking for. Each tab displays the following information for each task: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 155 6 To cancel a task which is running or waiting, click Cancel. 7 To restart or repeat a task, click Redo. 8 To close the job viewer, click Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 156: Quantitative Analysis (option)

    Contact with body part / tissue type “2D Quantitative Analysis” is a software medical device and does not come in contact with the patient. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 157: Acquiring X-ray Images

    It is your responsibility to review all contours detected by the system, and to correct the contours when necessary. • Avoid using images with insufficient image quality, such as low contrast, high noise, or overlapping structures. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 158: Starting 2d Quantitative Analysis

    This is done through performing a calibration on the X-ray image, and determining a calibration factor (CF) in units of millimeter/pixel. There are two main types of calibration: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 159 Note 2: As verified for commonly used catheters. Due to the small diameter of modern catheters and diversity in their walls, obtainable accuracies may vary with catheter brand and size. Note 3: Errors from using unfilled catheters or catheters below 6 French can be 20% or more. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 160: Qca / Qva

    • Use a filled catheter to improve detection and accuracy. • Philips Medical Systems does not recommend catheter calibration on empty catheters or catheters below 6 French, as this may lead to an inaccurate calibration factor. The error can be 20% or more.
  • Page 161: Select Series Task

    Ensure that the image quality is good and that the contrast between the calibrating object and the background is good. Automatic Calibration 2D-QA can calculate the calibration factor automatically if the required information is available in the image series. 1 Click the Calibration task. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 162 8 You can delete the calibration at any time and start over by clicking Delete in the task panel. 9 To accept the calibration factor, click Accept and Continue in the control panel. Distance Calibration You perform distance calibration by marking a known distance in the image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 163 If the desired diameter is not available, you can type it directly in the box. 9 To accept the calibration factor, click Accept and Continue in the control panel. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 164: Analysis Task

    For additional information, click Help in the control panel. 1 In the analysis task, click Edit. 2 To edit the contour by clicking, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 165 When you move the minimum lesion diameter reference line, the reference lines in the image and in the graph are displayed at the new position, but the system-defined reference line is maintained. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 166: Result Task

    < 0.1 mm (for diameters > 1 mm) Vessel segment length < 1.0 mm < 2.0 mm Vessel diameter accuracy is specified for measurements performed on a vessel placed in the isocenter, using automatic calibration. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 167: Lva / Rva

    You use LVA to establish end diastolic (ED) and end systolic (ES) contours of the left ventricle, to determine ventricular volumes and wall motion. You can create, store and print reports of the analysis. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 168: Lva / Rva Tasks

    You can perform calibration automatically using Auto Calibration, or manually using the Calibration task. If you are only interested in calculating the ejection fraction, you can skip calibration for monoplane LVA and monoplane RVA. Conditions For manual calibration, follow these guidelines: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 169 • Click again to place a point further along the centerline. • Continue placing points along the centerline, and then double-click at the desired end point. For additional information, click Help in the control panel. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 170 10 To accept the calibration factor, click Accept and Continue in the control panel. Sphere Calibration You perform sphere calibration by identifying a sphere of a known size in the image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 171: End Diastole (ed) Task

    2 Use the navigation toolbar to review the series and select an image that shows the ED position. Defining the ED Contour Semi-Automatically in LVA To define a contour semi-automatically in LVA, you place three key points on the selected image. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 172 Editing the Contour (page 176). Defining the ED Contour Manually To define a contour manually, you place points along the ventricle wall. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 173: End Systole (es) Task

    Before you define the ES contour, you must select a suitable image that shows the ES position. The ECG is displayed with the series to assist you with identifying the ES cardiac phase. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 174 6 If you want to delete the contour and start over, click Delete in the control panel. 7 Use the navigation toolbar to check the accuracy of the ED and ES contours in each image of the series. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 175 7 If you want to delete the contour and start over, click Delete in the control panel. 8 Use the navigation toolbar to check the accuracy of the ED and ES contours in each image of the series. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 176: Editing The Contour

    2D-QA has been thoroughly checked and tested. The software is designed to produce a mathematical model as described in the medical literature or medical research. Philips Medical Systems cannot be held responsible in any way for any inaccuracies of any nature resulting from the use of this software. If the calibration guidelines are not followed, the absolute measurements may be inaccurate or unreliable.
  • Page 177 2 If the patient’s height and weight information is not displayed, or if it is incorrect, enter the correct information. 3 Enter the patient’s heart rate. 4 Click OK to close the dialog box and return to the Result task. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 178 Wall Motion results are not displayed by default. To include Wall Motion results in the results page, select the Wall Motion options in the control panel: • Slager Wall Motion • Centerline Wall Motion Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 179 The 20 lines result from 20 well-defined ED contour points or segments, 10 anterior and 10 posterior. The point or segment numbers are plotted along the contour. A center of contraction is defined for each pair of 2 opposite ED contour points. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 180 Sheehan. The gray band shows the average normal value ±2 standard deviations. This is not available in RVA results. References Computations in 2D Quantitative Analysis are performed according to methods described in medical literature. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 181 Graham TP Jr, Jarmakani JM, Right ventricular volume determinations in children. normal values and observations with Atwood GF, Canent RV Jr. volume or pressure overload. Circulation 1973; 47(1): 144–153. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 182: Managing Results

    You can delete a previously saved result page in the Result task. In the Existing result pages list, scroll through the saved result pages, right-click the desired page and click Delete. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 183: Qa Settings

    10, 15, 35, 50 10 mm to 100 mm Predefined sphere size values (mm) 45, 50, 55 10 mm to 100 mm 6 Click Save to save your changes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 184: Changing Qca / Qva Default Curve Display Settings

    4 To undo any changes that you have made in the Left Ventricle Analysis panel, click Undo Changes. 5 Alternatively, to restore the system settings to default values, click Reset Default. Item Default Settings Input Range Default index method Not applicable Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 185: Changing Rva Default Settings

    4 To undo any changes that you have made in the Right Ventricle Analysis panel, click Undo Changes. 5 Alternatively, to restore the system settings to default values, click Reset Default. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 186 EDV, ESV = 0.779, Vcalc = –1.807 Not applicable RVA Rotation/Angulation Range –10 degrees to +10 degrees –20 degrees to +20 degrees 6 Click Save to save your changes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 187: Using Other Equipment

    4 To remove the additional table accessory rail, do the following: Remove the modules and attach them to the standard table accessory rail. b Remove the additional table accessory rail from the tabletop. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 188: Arm Supports

    1 Position the patient on the table before using the arm support board. 2 Attach the foam pad to the arm support board ensuring that the arm support board is passed through the loop of the pad. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 189: Using The Height-adjustable Arm Support

    For more information, see Positioning the Patient on the Table (page 52). 2 Fit the tabletop accessory clamp to the tabletop at the desired position, and tighten the locking lever. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 190 5 Cover the arm support with a biocompatible material, such as tissue paper or a sheet, to avoid direct contact with the patient. 6 Set the angle of the arm support and position the patient's arm on the support. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 191: Using The Shoulder Support Board

    3 To adjust the height of the drip stand, loosen the height adjustment clamp, adjust the height of the drip stand, and then tighten the clamp. 11.1.8 Cerebral Filter The cerebral filter improves the overall image quality during neuro-angiographic procedures. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 192: Peripheral X-ray Filters

    3 Position the side filters as close as possible to the sides of the patient's legs, with the wide end at the patient's feet. 4 Fit the filters to the shape of the patient's legs to avoid gaps between the filters and the legs. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 193: Head Support

    Close the air plug while cleaning the mattress. When the mattress is not in use, the air plug can be pushed all the way in to the mattress. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 194: Neuro Wedge

    Figure 95 Fitting the compression band 4 Turn the ratchet winder clockwise to increase the compression. Take care to control the amount of compression. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 195: Accessory Rail Clamps

    The handgrip and clamp set provides safety and comfort for the patient during tilt or cradle movements. 1 Attach a tabletop accessory clamp on each side of the table at the appropriate position. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 196: Xperguide Laser Tool (option)

    Do not use the laser tool for investigation. The laser tool is for alignment only. The laser tool marks the needle entry point on the skin, and assists the user holding the needle in the correct position and orientation. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 197 The laser tool is used in the laser tool holder, which is attached to the table using a tabletop accessory clamp. The laser aperture of the laser tool is indicated with an arrow in the following illustration. Figure 101 Laser tool laser aperture Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 198 When the laser tool is switched on, the indicator light on the button is illuminated. Figure 103 XperGuide laser tool power button 2 To switch the laser tool off, press the power button again. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 199: Wireless Foot Switch (option)

    The wireless foot switch must be installed by a qualified service engineer with a Philips installation kit. Contact a Philips representative for details.
  • Page 200 Label Function Fluoroscopy Fluoroscopy - biplane Fluoroscopy - frontal channel Fluoroscopy - lateral channel Select exposure channel Prepare and expose Single shot exposure Room lighting Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 201 Battery charge level is between 0% and 25%. Green Battery charge level is between 25% and 100%. Green, flashing Battery is charging. Wireless Indicator Description Wireless connection is operational. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 202 NOTE If the battery is depleted within 2 days after a complete charge, contact technical support for a replacement battery. The battery may only be replaced by a qualified service engineer. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 203: Tabletop Accessory Clamps

    This section provides information about connecting third-party equipment to the system. 11.2.1 Compatibility Statements Philips has defined compatibility statements for a variety of third-party products. A compatibility statement implies that a third-party product and the system are verified for mutual compatibility when operated in accordance with the manufacturers' instructions.
  • Page 204: Connecting Video Feeds

    Legend Connector for injectors in pedestal configuration Connector for injectors in non-pedestal configuration Ask your Philips representative for a compatibility statement for the injector device that you want to connect to your system. Pedestal Configuration In the pedestal configuration, the entire injector is located in the examination room except for an optional injector display unit in the control room.
  • Page 205: Other Devices

    Using Other Equipment Other Devices The wall connection box assists with connecting third-party devices. For more information, contact a Philips representative. 11.3 Other Devices This section provides infomation about additional equipment that can be used with the system. 11.3.1 MultiSwitch (Option)
  • Page 206: Intercom (option)

    EP procedures, for example, and by streamlining cabling. Additional power and network connection points are integrated with the equipment rack. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 207: Pedestal (option)

    WARNING Do not push or lean against the pedestal. WARNING Do not attach any modules other than the control module or the touch screen module to the pedestal. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 208: Pan Handle (option)

    Release the pan handle to activate the tabletop brake. If your table has a tilt function, you can only float the tabletop longitudinally using the pan handle when the table is not tilted. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 209: 8-meter Cable Assembly Kit (option)

    You can use an 8-meter cable assembly kit to connect other equipment to the system and to hospital power (for example, Philips CX50 ultrasound cart). NOTE If the 8 meter cable assembly kit is disconnected at the equipment, it is possible that the cable be left on the floor with live voltage still present in the connection plug.
  • Page 210 Figure 118 Rear interface panel under the tabletop Table Base Accessory Rail The table base accessory rail can carry equipment up to 10 kg. The maximum torque load (moment) is 30 Nm. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 211 Using Other Equipment Other Devices Figure 119 Table base accessory rail Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 212: User Customization

    • If password complexity is enabled, passwords must contain characters from three of the following categories: – Uppercase letters – Lower case letters – Numbers (0 through 9) – Non-alphabetic characters (for example: ! $ # %) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 213: Viewing System And License Information

    Enter the correct time in the System Time field. 5 Select the correct Time Zone from the list. 6 To undo any changes you have made, click Undo Changes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 214: Changing The Date And Time Formats

    NOTE When a physician is added, they are visible on the system by default. 5 To delete a physician, click Delete and confirm that you want to delete the physician. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 215: Managing Presets From The Control Room

    The FlexSpot Presets Manager is displayed. 2 To manage FlexVision presets, click FlexSpot and select Manage FlexVision Presets. The FlexVision Presets Manager is displayed. 3 To create a new preset, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 216 Select the preset group containing the preset you want to edit. b Select the preset you want to edit, in the list. Click Edit. A dialog box is displayed. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 217: Managing Preset Groups From The Control Room

    Presets are organized into groups allowing you to choose which group to add a preset to. For information about managing preset groups in the examination room, see Managing Preset Groups for FlexVision Using the Touch Screen Module (page 222). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 218 5 To rename a preset group, do the following: Select the desired group in the list. b Click Rename. A dialog box is displayed. Enter a new name for the group. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 219: Managing Presets For Flexvision Using The Touch Screen Module

    Room (page 215). 1 On the touch screen module, tap the application selector. 2 Tap FlexVision. 3 Tap Manage Presets. A menu is displayed where you can manage presets. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 220 Enter a name for your preset. h To save your preset, tap Complete. Your preset is saved within the selected preset group. To close the dialog box without saving your preset, click Cancel. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 221 To move the preset to the selected preset group, tap OK. To close the dialog box without moving the preset, tap Cancel. 8 To change the order presets are displayed in, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 222: Managing Preset Groups For Flexvision Using The Touch Screen Module

    NOTE Deleting a preset group will delete all presets contained in the preset group. Select desired preset group in the list. b Tap More and select Delete. A confirmation dialogue box is displayed. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 223: Changing Automatic Position Control Settings

    Set the Source Image Distance using the slider or by entering a number in the box. Select the Detector Orientation from the drop-down list. 5 To change the settings of a biplane position, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 224: Customizing Apc Positions For X-ray Protocols

    11 To close the System Customization window, click Close. 12.11 Customizing APC Positions for X-ray Protocols You can customize the automatic position control settings that are available for each X-ray protocol. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 225: Changing Viewing Preferences

    2 In the X-Ray Application settings group, click Viewing and Processing. 3 To change the default image displayed when you open a series, select a new setting in the Default Active X-ray Image list. The settings available are: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 226: Changing Display Preferences

    5 To immediately activate the screen saver, click Activate Screen Saver. Moving the mouse or pressing any key on the keyboard will deactivate the screen saver. 6 To undo any changes you have made, click Undo Changes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 227: Customizing Predefined Annotations

    To delete the annotation, click OK. 7 To undo any changes you have made, click Undo Changes. 8 To save your changes, click Save. 9 To close the System Customization window, click Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 228: Changing Print Settings

    1x1 or a single column. 5 To undo any changes you have made, click Undo Changes. 6 To save your changes, click Save. 7 To close the System Customization window, click Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 229: System Administration

    10 Select the units used to display detector size from the Detector Size Display Unit drop-down list. 11 To undo any changes you have made, click Undo Changes. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 230: Configuring Audit Trail Settings

    8 To close the System Customization window, click Close. 13.3 Managing Users and System Logon You can manage user accounts and allow emergency access, or configure the system to log on automatically when started. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 231: Adding And Deleting Users

    You can reset a user’s password in the System Logon dialog panel. For information about changing your own password, see Changing Your Password (page 212). 1 Select the user in the User Accounts list. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 232: Changing General Patient And Workflow Settings

    1 On the System menu, click Customization to display the System Customization window. 2 In the General settings group, click Workflow. 3 To protect every study upon completion, select the Prevent Automatic Study Deletion check box. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 233: Enabling And Disabling Storage Device Export And Import

    6 To anonymize patient data exported to CD/DVD, select Default De-Identify Upon CD/DVD Export. 7 To undo any changes you have made, click Undo Changes. 8 To save your changes, click Save. 9 To close the System Customization window, click Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 234: Mapping Ris Codes To Procedurecards

    When you import a patient's details from a radiology information system, mapping allows you to apply the correct ProcedureCard in the Azurion system for the intended clinical procedure. The system collects a list of all RIS codes used in scheduled procedures, or you can enter new codes manually.
  • Page 235: Configuring Local Settings

    If the settings do not match, import and export jobs between the local system and a remote system may fail. 5 To change the certificate used for secure communications: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 236: Configuring Worklist Management And The Modality Performed Procedure Step (mpps) Manager

    6 Enter the following mandatory information for worklist management and for the MPPS manager: • AE Title • Host Name or IP Address • Port Number 7 Select the time period to be used for automatic querying of scheduled procedures. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 237: Configuring Remote Systems

    Click the Template Type box and select a template. The template defines the services that available on the remote system. Available services are indicated with a selected check box in the Services section. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 238: Configuring Dicom Printers

    The printer list can be sorted by clicking on the column headings to sort each column in ascending or descending order. 4 To reconfigure an existing printer, perform the following procedure: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 239: Configuring Export Protocols

    You can edit, copy and delete an existing export protocol, or create a new one. When editing or creating a protocol, you can configure the following options: • Manual or automatic export • Protocol name Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 240 5 To add a new protocol based on an existing protocol: Select the desired protocol in the list. b Click Copy the selected export protocol. Edit the Export Protocol Details. The following settings are recommended: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 241: Configuring Automatic Data Transfer

    For non-X-ray image data (snapshots, analysis reports, and dose reports), you can select the destination for data based on the data type or the X-ray protocol used to acquire it. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 242: Network Configuration

    13.11 Enabling or Disabling Remote Support You can enable remote support to allow technical support to monitor the system, or you can disable this service to prevent remote monitoring. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 243: Managing Procedurecards

    ProcedureCard is used and this will provide the system settings used for the study. You can manage ProcedureCards within the system, allowing you to create, edit and organize the ProcedureCards to suit how you use the system. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 244: Changing The Default Procedurecard

    13.12.2 Creating a New ProcedureCard You can create new ProcedureCards for use with studies. You can also create a new ProcedureCard by copying an existing ProcedureCard and changing the settings. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 245: Editing A Procedurecard

    Change the preset group by selecting a new group from the list. Select the new preset to use. 7 To change the preset screen layout used for FlexVision, do the following: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 246: Copying A Procedurecard

    Moving a ProcedureCard (page 247). 1 In the review window, click System and select Manage ProcedureCards. The ProcedureCards Manager is displayed. 2 Select the ProcedureCard Group containing the desired ProcedureCard. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 247: Moving A Procedurecard

    6 To close the confirmation message without deleting the ProcedureCard, click Cancel. 13.12.7 Managing ProcedureCard Groups You can create, rename, reorder, and delete ProcedureCard groups. ProcedureCards are organized into groups allowing you to choose which group to add a ProcedureCard Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 248: Importing, Exporting And Restoring Procedurecards

    ProcedureCards. Before you import or restore ProcedureCards, you should consider exporting the existing set of ProcedureCards so you can import them later if you need to. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 249: Exporting Settings

    1 On the System menu, click Customization to display the System Customization window. 2 Click Export Settings. 3 Click Browse and select the directory for the settings to be saved to. 4 Enter a name for the export file. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 250: Importing Settings

    4 To close the dialog box without restoring the settings to the factory defaults, click Cancel. 5 To restore the selected settings to the factory default settings, click Restore Defaults. 6 To close the System Customization window, click Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 251: Maintenance

    X-ray system. NOTE Always follow the manufacturer's instructions for the cleaning agents or disinfectants that you use. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 252 • If you intend to use non-flammable, non-explosive disinfectant sprays, first switch off the equipment and allow it to cool down. This prevents convection currents drawing disinfectant vapor into the equipment. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 253: Cleaning The Ceiling Rails

    Take care to avoid damaging either the detector or the anti-scatter grid during the following procedure. Figure 125 Removing the anti-scatter grid 1 Rotate the C-arm to the lateral position shown in the figure below. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 254: Replacing The Anti-scatter Grid

    14.3 Replacing Batteries For safe operation, you should replace the batteries in battery-operated equipment at regular intervals. The batteries of the following items should be replaced regularly: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 255: Planned Maintenance Program

    Safety (page 18). Philips Medical Systems provides a full planned maintenance and repair service on both a call basis and a contract basis. Full details are available from your Philips representative. A summary of the planned maintenance program appears in the table below. You should always take all practical steps to make sure that the Planned Maintenance Program is fully up to date before using the product with a patient.
  • Page 256: User Quality Control Mode

    UQCM is intended for trained hospital radiation physicists or service engineers and comprises special user quality control procedures that are accessible by using a service dongle. This dongle is only made available by Philips Medical Systems once the user has followed the appropriate training. For more information, see Contacting the Manufacturer (page 348).
  • Page 257: Automatic Exposure Control Test

    11 Expose the film (or digital film) by acquiring fluoroscopy. The maximum density of the developed film should be 0.9 ± 0.1. 12 Write down the ruler values (A2 to D2). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 258: Viewing And Testing Network Connections

    2 To view the information for a network connection, select the connection in the list. The following icons are used in the Network Connections dialog box to indicate the connection status: The connection is operational. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 259: Activating The Screen Saver

    14.10 Saving Information for Technical Support You can save information on the system for use by technical support. The system allows you to save the following information: • Images • Log files Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 260: Saving A Series For Technical Support

    2 To disable remote assistance, click System in the review window and select Enable/Disable Remote Assistance again. 14.12 Updating the System Software You can download and install system software updates when they become available. Check to ensure updates are available for your system. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 261 • Select Show install failed to include all software update packages that failed to install. Each software update package has an icon displaying its status. Ready for download / Retry download Download queued Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 262 NOTE If a software update package installation fails, the system is not ready for clinical use. If this occurs, contact technical support for assistance. 8 To close the dialog box, click Close. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 263: Showing The Monitor Test Image

    When you select an head procedure with XperCT, a pop-up message informs you to run the pre-scan calibration procedure for better image quality. The pop-up message will not be displayed for the next hour. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 264: Environmental Impact Of The System

    The system also contains privacy sensitive information which should be properly erased. Philips Medical Systems can support you with recovery of reusable parts, recycling useful materials, and the safe and effective disposal of equipment. For more information about recycling Philips Medical Systems products, refer to the following website: www.medical.philips.com/main/about/sustainability/recycling/index.wpd...
  • Page 265 If the system is passed to another organization, it must be in its complete state, including all product support documentation. You should make the new user aware of the support services that Philips Medical Systems provides. Before passing on the system or taking it out of service, all patient data must be deleted and unrecoverable on the system.
  • Page 266: Security

    15.1 Customer Responsibilities Philips Medical Systems recognizes that the security of its products is an important part of your facility's in-depth security strategy. However, these benefits can only be realized if you implement a comprehensive, multi-layered strategy (including policies, processes, and technologies) to protect information and systems from external and internal threats.
  • Page 267: Malware Protection

    15.2.1 Security Patches Security patches alter the system design and require proper validation and approval by Philips Medical Systems. The systematic analysis of cyber security vulnerabilities includes an assessment of the applicability and need to apply security patches, taking into account mitigating circumstances in the intended use and design of this system.
  • Page 268: Technical Information

    The following table gives an overview of the X-ray tube usage for each system: Monoplane Systems Catalog Number X-ray Tube Azurion 3 M12 722 063 MRC 200+ 0508 ROT-GS 1003 Azurion 3 M15 722 064 MRC 200+ 0407 ROT-GS 1004 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 269 • Tube housing ROT-GS 1004 for oil-cooled X-ray tube with thermal safety switch • Cooling unit heat exchanger for direct and continuous forced cooling with oil • Rotor control Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 270: Tube Output Power

    0.007 mAs (2 mA, 3.5 ms) 0.007 mAs (2 mA, 3.5 ms) ing factors at the lowest current time product) Notes: • Values ±10%. • Fluoroscopy is available in pulsed fluoroscopy mode only. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 271: Accuracy Of Dosimetric Indications And Automatic Control System

    0.1 mAs the combination of loading factors mittent) resulting in the lowest current time product § 201.7.9.2.1.101 f Nominal shortest irradiation time n/a no photo time technique (AEC exposures) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 272 Centeray X-ray generator (Typical range of application) Certeray Performance Requested by Standard Tube voltage ± (5%) ± 10% Tube current-time product ± (3% + 0.2 mAs) ± (10% + 0.2 mAs) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 273 Figure 129 Loading factors (Left Coronary, 15 fps) - pulse width and tube voltage Legend Tube voltage (kV) Pulse width (ms) Figure 130 Loading factors (Left Coronary, 15 fps) - tube current and voltage Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 274: Anti-scatter Grid

    Anti-Scatter Grid Legend Tube voltage (kV) Tube current (mA) Compatibility The Certeray iX High Voltage generator is compatible with the following tubes made by Philips Medical Systems: • MRC 200+ 0407-ROT-GS 1004 • MRC 200+ 0508-ROT-GS 1003 Labels For information about labels, see Equipment Labels (page 325).
  • Page 275: Monitor Ceiling Suspension

    12 mm/s (0.5 in/s) 16.6.1 FlexVision (XL) Monitor Ceiling Suspension Dimensions and Weight Width [mm] Height [mm] Depth [mm] Weight [kg] 1-fold (XL) 1750 1150 3-fold (XL) 1750 1450 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 276: Supported Monitor Combinations

    The monitor ceiling suspension provides the following cabling for an optional monitor. Cabling Item Specification Mains supply 100-240 Vac 50-60 Hz Protective earth Video signal DVI-D input connector DVI-D output connector Multiple frequencies up to 1920 x 1200, 60Hz Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 277: Springarm Monitor Ceiling Suspension

    100 to 240 V AC, 50 to 60 Hz Weight < 15 kg Maximum radiation in field 210 W/m at 1 m Temperature increase in head area 0.5 °C (33°F) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 278: Detectors

    1232 x 1232 960 x 960 22 cm 1016 x 1016 508 x 508 19 cm 864 x 864 432 x 432 15 cm 720 x 720 360 x 360 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 279: Beam Carriers

    8°/s Angulation speed 0 - 25 degrees/s (variable) These speeds are only valid when the stand is in its working position, otherwise the maximum speed is 8 degrees/s Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 280 Item Specification Rotation speed 0 - 25 degrees/s (variable) These speeds are only valid when the stand is in its working position, otherwise the maximum speed is 8 degrees/s Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 281 Rotation: 120 degrees LAO to 185 degrees RAO Projection angles with the C-arm positioned at the side of Angulation: 185 degrees caudal to 120 degrees cranial the table Rotation: 90 degrees LAO to 90 degrees RAO Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 282: Beam Carriers With Flexmove

    Item Specification Rotation speed 0 - 25 degrees/s (variable) These speeds are only valid when the stand is in its working position, otherwise the maximum speed is 8 degrees/s Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 283: Patient Table

    The patient table is available with a neuro tabletop or a cardio tabletop. The cardio tabletop can be used for a wide range of applications, including vascular and non-vascular procedures. The following figure indicates dimensions for the neuro tabletop and cardio tabletop. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 284 • Additional accessory weight should not be placed on the table accessory rail at the foot end of the tabletop. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 285: Accessories And Detachable Parts

    This section provides details of accessories and detachable parts that can be used with the system. Item Identification Additional table accessory rail 4598 007 4199X Anti-scatter grids FD12 9896 010 6943X FD15 9896 010 6905X FD20 9896 010 6904X Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 286: Xperguide Laser Tool

    9896 001 3362X Peripheral X-ray filter 9896 000 3241X Head support 4598 007 4807X Mattresses Standard mattress for Azurion series 3 4598 007 0777X Standard mattress for Azurion series 7 4598 011 1020X Cardio mattress for Azurion series 3 4598 007 0780X...
  • Page 287: Wireless Foot Switch

    Galvanic isolation ensures that the power source and grounding of the system and external equipment remain separated. NOTE Cables to connect external equipment are supplied with the Wall connection box. The wall connection box provides the following interfaces. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 288: Video Connection

    30 m Voltage Amperage Wall Connection Box in the Examination Room The wall connection box in the examination room should be mounted with the external interface connectors facing downwards. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 289: Network Data

    Pediatric Pediatrics 15 fps Normal 0.195 Cardiac Pediatrics 15 fps Normal 0.196 Head Cerebral 2 fps Normal 5.051 Head Cerebral 4 fps Normal 5.049 Thorax Lungs 3 fps 2.522 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 290 You can select one of the following patient types: Patient Type Weight Neonate <5 kg Infant 5 - 15 kg Child 15 - 40 kg Small Adult 40 - 55 kg Normal Adult 55 - 70 kg Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 291 The same applies to reference air kerma rate for fluoroscopy. The following example gives the reference air kerma values for a vascular procedure for different field size values on C12/F12 systems. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 292 This reduces the dose area product and the staff dose, although the reference air kerma and the (peak) skin dose are not influenced. In general, for example, 25% collimation of the irradiated area will reduce the dose area product by 25%. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 293 The following example shows that the resulting air kerma is larger for a 30 cm PMMA than for a 20 cm PMMA patient thickness, when measured at the same system settings for three typical exposure procedures. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 294: Fluoroscopy And Exposure Time To Reach The 2 Gy Limit

    1.7 min The following example shows the time required to reach the 2 Gy limit, for a few typical fluoroscopy flavor settings, and for a normal and an obese patient: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 295: Source-to-skin Distance Spacer

    X-ray protocols and the levels of protection provided by the system against stray radiation. All dose values are automatically determined by the system, based on the X-ray protocol selected. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 296: C12/f12 Systems

    Neonate, Infant, Child 0.034 0.036 0.041 0.048 0.055 Pediatrics Default 0.134 0.144 0.165 0.190 0.219 15 fps Normal Dose, >40 kg Neonate, Infant, Child 0.056 0.060 0.067 0.076 0.086 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 297 Child 2.792 3.520 3.589 3.674 3.777 Infant, Neonate 2.792 3.520 3.589 3.674 3.777 3D-RA Default 0.249 0.251 0.254 0.258 0.263 Prop 4s Infant, Neonate 0.152 0.154 0.156 0.159 0.162 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 298 Exposure X-ray Protocols: Abdomen (ClarityIQ) Field of View: Field Size (cm): X-ray Protocol Patient Type Ref. AK (mGy/image) Abdomen Default 1.265 1.405 1.688 2.058 2.520 6 fps Low Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 299 Fluoroscopy Flavors: Cardiac (ClarityIQ) Field of View: Field Size (cm): Flavor Patient Type Ref. AK (mGy/s) Default 0.145 0.157 0.181 0.210 0.245 Medium Default 0.214 0.232 0.270 0.316 0.374 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 300 Field Size (cm): Mode Patient Type Ref. AK (mGy/image) Navigate Default 0.171 0.183 0.207 0.237 0.273 Coil Default 0.075 0.084 0.100 0.122 0.149 UnSubtract Default 0.171 0.183 0.207 0.237 0.273 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 301: F15 Systems

    0.226 Infant 0.074 0.079 0.088 0.098 0.111 0.128 0.145 Large adult, Very large 0.191 0.206 0.235 0.263 0.304 0.338 0.378 adult Neonate 0.048 0.052 0.061 0.069 0.082 0.083 0.083 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 302 1.567 1.811 2.173 2.596 3.135 4 fps Low Dose Default 1.2062 1.327 1.568 1.810 2.173 2.545 2.791 2 fps Normal Dose Default 2.3931 2.631 3.107 3.585 4.305 5.138 6.223 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 303 3.396 3.993 Exposure X-ray Protocols: Peripheral Field of View: Field Size (cm): X--ray Protocol Patient Type Ref. AK (mGy/image) One Leg Default 1.624 1.689 1.814 1.940 1.973 1.973 1.973 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 304 0.599 0.682 0.764 0.881 1.017 1.167 Fluoroscopy Flavors: Head Field of View: Field Size (cm): Flavor Patient Type Ref. AK (mGy/s) Default 0.346 0.378 0.438 0.498 0.589 0.693 0.693 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 305: C20/f20 Systems

    Child, Small adult 0.060 0.075 0.083 0.095 0.109 0.127 0.145 0.170 Infant 0.034 0.041 0.044 0.050 0.056 0.065 0.074 0.089 Neonate 0.021 0.025 0.028 0.032 0.037 0.044 0.051 0.064 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 306 0.100 0.125 0.137 0.157 0.179 0.209 0.238 0.283 Prop Ang0 -4s Infant 0.033 0.040 0.043 0.049 0.055 0.064 0.073 0.087 Neonate 0.020 0.025 0.027 0.032 0.037 0.044 0.051 0.063 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 307 2.269 2.684 3.202 4 fps Normal 3D-RA Default 0.115 0.139 0.166 0.167 0.168 0.170 0.172 0.174 Prop Scan 4s Infant, Neonate 0.068 0.085 0.103 0.104 0.105 0.107 0.108 0.110 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 308 Exposure X-ray Protocols: Peripheral (ClarityIQ) Field of View: Field Size (cm): X--ray Protocol Patient Type Ref. AK (mGy/image) Upper Legs Default 0.518 0.678 0.757 0.851 0.960 1.084 1.202 1.346 3 fps One Leg Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 309 Default 0.112 0.140 0.153 0.176 0.204 0.233 0.263 0.296 Normal Default 0.241 0.297 0.324 0.370 0.441 0.523 0.582 0.649 High Default 0.397 0.487 0.531 0.602 0.687 0.798 0.910 1.084 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 310: Examples Of Settings With A Relatively High Air Kerma (rate)

    16.20.4 Examples of Settings with a Relatively High Air Kerma (Rate) The following table shows examples of exposure procedures that produce a relatively high reference air kerma value, compared to other procedures, for the different Azurion systems (according to IEC 60601-2-54:2009, 203.5.2.4.5.101b 4):...
  • Page 311: Reference Air Kerma Measurement Setup

    Unfors Xi meter or RaySafe X2 meter with sensor placed in the X-ray beam between the focal spot and the phantom, outside the system measurement field (see the figure be- low) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 312 300 x 400 mm (11.81 x 15.75 inch) Single-shot exposure After radioscopy (stabilized kV/mA) Wedge filter Deselected X-ray beam orientation • Rotation: 90 degrees LAO • Angulation: 0 degrees CAUD Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 313: Protection Against Stray Radiation

    Technique factors can be obtained using the Manual X-ray Generator Test in Field Service mode. The following technique factors are used: • 125 kV, 10 mA • No additional filter Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 314 The indicated significant zone of occupancy is designated to be used for radiologic procedures according to the intended use of the equipment. For details, see Intended Use of the System (page 16). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 315: Isokerma Maps For C12/f12 System

    16.21.3 Isokerma Maps for F15 System and C20/F20 System The following illustrations show normalized isokerma maps at 100 cm (39.37 in) and 150 cm (59.10 in) above the floor, with swivel out. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 316: Isokerma Maps For B20 System

    The following illustrations show normalized isokerma maps at 100 cm (39.37 in) and 150 cm (59.10 in) above the floor, with swivel out. The following technique factors are used: • Fluoroscopy 120 kV • Source-to-image distance 100 cm Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 317: Additional Filtering

    The attenuation equivalent (at 75 kV/HVL 3.5 mm Al) of other materials in the X-ray beam are as follows: • Collimator: 0.1 mm Al • X-ray tube cover: 0.1 - 0.2 mm Al Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 318: User Dose And Imaging Information For Cone Beam Ct Reconstructions

    Their density is 1.19 ± 0.01 g/cc. The phantom for testing CT imaging of the body has a diameter of 32.0 cm, and the phantom for the head has a diameter of 16.0 cm. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 319 Non-stationarity of contrast resolution was evaluated through 3D reconstructions of a Catphan 500 phantom. Visual inspection of this image and similar images, shows that non-stationarity of contrast resolution is negligible. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 320 Uniformity within an axial single slice (near the plane of rotation) is dependent on the type of object scanned. Philips Medical Systems has measured uniformity using water phantoms where uniformity is better than 10H. This level of uniformity is also observed with XperCT Head. Uniformity with XperCT Abdomen is approximately 50H, mainly limited by scatter and truncation.
  • Page 321 Abdomen XperCT Prop HQ -5s Abdomen 3D-RA Prop scan 4s Abdomen 3D-RA Roll scan 8s XperCT Dose Profile The figure below shows a dose profile for an XperCT acquisition protocol. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 322: Electromagnetic Compatibility

    The system uses RF energy only for their internal functions. CISPR 11 Therefore, its RF emissions are low and not likely to cause any interference in nearby electronic equipment. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 323 36.202.7.a1 (table 210) have not been applied to the 3-phase supply mains interface of this system because this interface is exempt from these tests by clause 36.202.7.a1 for the following reasons: • The Azurion system is not life-supporting equipment. • The rated input current on the 3-phase supply mains interface exceeds 16 A.
  • Page 324 0.37 0.37 0.73 1.17 1.17 2.33 3.69 3.69 7.38 11.67 11.67 23.33 You should ensure a minimum distance of 0.3 m between any RF transmitter, antenna, and antenna cable. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 325: Equipment Labels

    A sub-system testing method has been used with no deviation from the collateral standard. Declaration of Conformity for Radio Equipment Hereby, Philips Medical Systems Nederland B.V. declares that the radio equipment type Azurion (722 063, 722 064, 722 067, 722 068, 722 078, and 722 079) is in compliance with Directive 2014/53/EU.
  • Page 326 C-arm Stand Label Labels for the following items can be found on the back of the C-arm: • X-ray tube assembly • Beam limiting device (collimator) • Image receptor (detector) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 327 Beam limiting device, including: • Manufacturer • Part number (12NC) • Certification label • Order number (ON) • Serial number (SN) • Date of manufacture • Manufacturer • Certification label Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 328 Figure 150 Symbol indicating type B applied part A label on tabletop indicates the maximum permissible weight on the table including accessories and modules. Figure 151 Patient table maximum weight label Label text: Max. 275 kg Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 329 Figure 155 Mattress label Table-Mounted Radiation Shield Label The label for the table-mounted radiation shield provides basic information about the model number, part number, serial number, and manufacturer. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 330 Do not use this device to point at persons. Figure 158 Viewpad laser label Viewpad Laser Label Text CAUTION Laser Radiation Do not stare into beam Class 2 Laser Product Laserdiode Wavelength 630-640nm Maximum output <1mW. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 331 Complies with FDA performance standards for laser products except for the deviations pursuant to laser notice 50, dated June 24, 2007. Monoplane Wireless Foot Switch Labels The following labels appear on the monoplane wireless foot switch. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 332 Technical Information Equipment Labels Figure 161 Product label Figure 162 FCC standards label Biplane Wireless Foot Switch The following labels appear on the biplane wireless foot switch. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 333 Technical Information Equipment Labels Figure 163 Product label Figure 164 FCC standards label Wireless Foot Switch Base Station The following labels appear on the wireless base station. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 334 Wireless Foot Switch Charging Unit The following label appears on the wireless foot switch charging unit. Figure 167 Product label Legend Serial number Output rating Date of manufacture IP rating Input rating Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 335 The identification label contains the following information: Label item Content Type/Model WCB 2.x Tx Full (PRODRIVE) Part number Serial number 12NC 12 digit numeric code Barcode Scan identification code Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 336 • Wall Connection Box (page 287) • Installation and Equipment Connections (page 344) Cabinets The labels for the X-ray control can be found on the top of the M-cabinet. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 337 XperGuide Laser Tool Label The label for the XperGuide laser tool provides basic information about the model number, part number, serial number and manufacturer. Figure 172 XperGuide laser tool label Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 338 The following label indicates the maximum payload for the equipment rack. The actual weight indicated on the label depends on the options installed in the equipment rack. For more information, refer to the Instructions for Use supplied with the equipment rack. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 339: Symbols Used On The Equipment

    This symbol identifies the medical device manufacturer, as defined in EU Directive 93/42/EEC. The date of manufacture, as well as the name and address of the manufacturer, can be combined in one symbol. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 340 Intermediate Focal Spot The value next to this symbol indicates the size of the intermediate focal spot of the X-ray tube. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 341 This symbol indicates that you should not push or lean against the equipment because it may overbalance and fall over. Finger Safety This symbol indicates that there is a risk of fingers becoming pinched in the location of the symbol. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 342: Regulatory Information

    The following parts are considered accessible by the patient, and are therefore treated as applied parts: • Table accessory rail • Additional table accessory rail • Table-mounted radiation shield Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 343: System Version

    Figure 177 Symbol indicating type B applied part 17.3 System Version You can find system version details in the product information screen. 1 On the Help menu, click About. The product information screen is displayed. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 344: Third Party Software

    This must be carried out by a trained service engineer, or by third parties expressly authorized by Philips Medical Systems to do so. The information contained in this chapter is mandatory under the terms of IEC 60601-1 and provides a guide for correct connection of the equipment.
  • Page 345 Location of the equipment Inside and outside the patient environment Electrical safety measures Only Philips Medical Systems service personnel are allowed to make connections for room interfaces. Additional cabling and connector is provided by Philips Medical Systems. Azurion Release 1.2 Instructions for Use...
  • Page 346 Maximum load on 5V output (X4) shall be less than 1A. The wall connection box shall be mounted such that its location is compliant with Pollution degree 2 (con- nectors at lower side). Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 347 Patient Table and Rear Panel Interfaces Item Specification IEC or ISO standard IEC / CSA / ANSI / AAMI ES 60601-1 Location of the equipment Inside the Patient environment Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 348: Contacting The Manufacturer

    You can contact the manufacturer by post or by email. Manufacturer's Address Postal address Philips Medical Systems Nederland B.V. Veenpluis 4-6 5684 PC Best The Netherlands Email address healthcare@philips.com Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 349: Quick Reference

    The acquisition window is divided into the following areas: Figure 179 Acquisition window Legend Main navigation area Application area Status area On biplane systems, the status area is displayed along the bottom edge of the window Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 350 – This area displays the images related to the selected X-ray live and reference views. The Live view is always available and displays the last acquired series or the selected series from the Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 351: Review Monitor

    For more information on parallel working, see Instant Parallel Working (page 117). The screen layout of the review window is divided into the following areas: Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 352 Close Study: Click this button to close the study. System menu: This menu contains options for system configuration. Help menu: This menu provides access to the following: • Electronic Instructions for Use • Information about the system Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 353: Flexspot (option)

    If the FlexSpot option is installed, the monitors in the control room are replaced by up to two larger wide-screen monitors (called the primary and secondary monitors) that are capable of displaying multiple applications in multiple windows. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 354: Flexspot Primary Monitor

    Keyboard lock status icons: only displayed if the additional FlexSpot option with a second keyboard is installed. FlexSpot menu: You can access FlexSpot and FlexVision preset management, workstation power management functions and system information. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 355: Flexspot Secondary Monitor

    FlexVision is a single ultra-high-definition monitor situated in the examination room. The FlexVision monitor has three fixed areas that are always displayed: • Top bar • System status area • Live X-ray window Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 356 The mouse pointer is controlled using a touchpad on the touch screen module with two buttons for left-click and right-click actions. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 357: Touch Screen Module

    • Applications • Fluoroscopy store • Fluoroscopy time buzzer (only displayed when the buzzer is active) • Full system lock • X-ray enable/disable Task Panel This panel displays available tasks. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 358: Touch Screen Gestures

    18.5 Status Area The status area displays information about the status of the X-ray system, including settings in use and messages. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 359: Status Area - Monoplane System

    X-ray status X-ray is on. X-ray status X-ray is disabled. Tube load The tube is overheated. Fluoroscopy Fluoroscopy settings are displayed. Exposure Exposure settings are displayed. X-ray generator settings Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 360 Displays the system time. If the stopwatch is active, the stopwatch time is watch displayed. If a collision is detected, this section in the status area displays collision detection warnings and icons. Only displayed if the thorax region is selected. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 361 The longitudinal offset of the table from the isocenter position. center offset Table height isocenter The height offset of the table from the isocenter position. offset The table is in the isocenter position. Isocenter Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 362: Status Area - Biplane System

    X-ray window and reference window. Status Area in the Control Room (Biplane System) Figure 187 Status area in the control room acquisition window Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 363 Table height isocenter The height offset of the table from the isocenter position offset The table is in the isocenter position Isocenter X-ray protocol The selected procedure settings Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 364 System status The system is not ready for exposure X-ray status X-ray is on X-ray status X-ray is disabled Tube load The tube is overheated Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 365 Displays the total fluoroscopy time If a collision is detected, this section in the status area displays collision detection warnings and icons. Only displayed if the thorax region is selected. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 366 System status The system is not ready for exposure X-ray status X-ray is on X-ray status X-ray is disabled Tube load The tube is overheated Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 367 Displays the system time. If the stopwatch is active, the stopwatch time is watch displayed If a collision is detected, this section in the status area displays collision detection warnings and icons. Only displayed if the thorax region is selected. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 368 Fluoroscopy settings are displayed Exposure Exposure settings are displayed X-ray generator settings C-arm rotation angle CRAN C-arm angulation angle The actual or target source-to-image distance The selected detector size Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 369: Collision Indicators

    When a collision is detected, a collision indicator is displayed in the status area. Icon Description A detector collision has been detected A stand collision has been detected (depending on the stand in use) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 370: Toolbars

    A collision between the lateral stand and the table has been detected (for more information, see Intelligent Collision Protection (page 31)) 18.6 Toolbars Acquisition and Review Windows Tool Function Description Default Default selection Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 371 Quantitative Vascular Analy- Starts Quantitative Vascular Analysis Left Ventricular Analysis Starts Left Ventricular Analysis Biplane Left Ventricular Starts Biplane Left Ventricular Analysis Analysis Right Ventricular Analysis Starts Right Ventricular Analysis Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 372: Global Tools

    Data Transfer (page 241). Adds the image as seen in the main window to the print queue. The print Add to Print Preview queue can be managed using the Print application. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 373: Monoplane Control Module

    Tilts the table up. Tilt table Tilts the table down. Cradle table Cradles the table left. Cradle table Cradles the table right. Move stand (longitudi- Moves the stand longitudinally (ceiling-mounted only). nal) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 374 Source-to-image dis- Changes the source-to-image distance. tance Angulation Controls the angulation position of the stand. Rotation Controls the rotation position of the stand. Shutters Opens and closes the shutters. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 375: Biplane Control Modules

    Quick Reference Biplane Control Modules Legend Description Left wedge Moves, rotates, and resets the left wedge. Right wedge Moves, rotates, and resets the right wedge. 18.9 Biplane Control Modules Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 376 Table pivot unlock Unlocks the table pivot lock. Detector position Moves the detector between portrait and landscape positions. Source-to-image dis- Changes the source-to-image distance of the frontal stand. tance Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 377 Opens and closes the shutters on the frontal channel. Left wedge Moves, rotates, and resets the left wedge on the frontal channel. Right wedge Moves, rotates, and resets the right wedge on the frontal channel. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 378: Review Module

    Displays the previous overview page in the series overview and study over- Previous page view. Next page Displays the next overview page in the series overview and study overview. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 379: Using The Mouse

    The viewpad contains a laser pointing device which is emitted from the front of the viewpad to point at the display monitors. You activate the laser pointing device using the button on the underside of the viewpad. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 380 Creates a snapshot of the current image and stores Displays the previous series it with the study Enables or disables subtraction (vascular viewpad Displays the next series only) Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 381: Bolus Chase Reconstruction Main Window Toolbars

    Turns subtraction on or off (this tool is only available when a mask run is Subtraction On / Off available) Adjusts the amount of subtracted background that is combined with the Landmarking subtracted image Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 382: Bolus Chase Reconstruction Overview Image Window Toolbar

    Turns subtraction on or off (this tool is only available when a mask run is Subtraction On / Off available) Adjusts the amount of subtracted background that is combined with the Landmarking subtracted image Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 383 Takes a snapshot of the image displayed and stores it with the current Snapshot study in the patient database Reset Resets the image to its original viewing settings Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 384: Glossary

    If the FlexVision or FlexSpot options are installed, it may appear as part of a larger screen that can display multiple applications. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 385: Patient Table: Doctor Side And Nurse Side

    The head end of the table is the end furthest away from the table base, and the foot end is the end nearest to the table base. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 386: Dose Related Definitions

    (as in the left figure), may coincide with the skin surface, or may be inside the patient (as in the right figure). Figure 195 Patient entrance reference point Legend X-ray tube Entrance surface Detector Patient entrance reference point Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 387 (see IEC 60601-2-54:2009, 201.3.203 and IEC 60601-2-43:2010, 203.6.4.5). Unlike the skin dose and air kerma, the DAP value is independent of the distance to the focal spot. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 388: Dose Model

    To determine the applied dose on various parts of the patient’s body and to assist in reducing the deterministic effects of radiation, a dose model is used. In this model the human body is divided into four zones. Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 389 X-ray beam: five at the cranial side and five at the caudal side. Figure 197 Dose model applied in the area corresponding to the current position (rotation and angulation) of the stand Figure 198 Dose model displayed in the dose report Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 390: Interventional Tools

    Since uncoupled operation of a contrast injector does not involve communication between the X-ray system and the contrast injector, you will use more than one switch when operating in uncoupled Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 391: Abbreviations

    Digital Imaging and Communications in Medicine Image file format (suitable for diagnostic pur- poses) Domain Name Server Network configuration item Digital Versatile Disc Removable storage media Electrocardiogram Anatomical measurement Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 392 Light Emitting Diode Hardware Left Ventricular Analysis Postprocessing application Meters Unit of measurement (distance) Milliamperes Unit of measurement (electric current) Media Access Control Hardware function Monitor Ceiling Suspension System equipment Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 393 Unit of measurement (electrical potential) Veterans Affairs Government department (US) Volt-Amperes Unit of measurement (electrical power) Watts Unit of measurement (power) Worklist Manager Network interface X-ray Angiography Procedure Extra large System equipment Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 394 Collision prevention 28 Automatic exposure control test 257 – Collision indicators 369 Automatic position control – Intelligent Collision Protection (iCP) 31 – Customizing 223 – Override 31 Compatibility 16, 203 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 395 Additional FlexSpot 43, 355 Electrical safety 19 – Managing preset groups 217 Electromagnetic compatibility (EMC) 21 – Managing presets 215 Electronic Instructions for Use – Primary monitor 354 – Language 15 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 396 Head support 193 – Volume methods 178 Help 17 – Wall motion results 178 Image noise 319 Mains power failure 46 – Uninterruptible power supply 46 Mains power specification 274 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 397 – Deleting 247 Neuro wedge 194 – Editing 245 Nurse side (definition) 385 – Exporting 248 – Importing 248 – Mapping RIS codes to ProcedureCards 234 – Moving 247 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 398 Ratchet compressor 194 – Volume methods 178 Reference air kerma 296, 299–301, 304, 305, – Wall motion results 178 309–313 – Measurement setup 311–313 References (LVA) 181 References (QCA/QVA 167 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 399 Touch screen module 84 – Quick reference 349 Smart BodyGuard override 31 System functions SmartMask 102 – Quick reference 349 Software System information 343 – Malware protection 267 – Security patches 267 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 400 XperGuide laser tool 196, 286 Uninterruptible power supply 46 Updating the system software 261 – Enabling and disabling 233 Zero dose positioning 88 User verification test 256 Zone of occupancy 313 Azurion Release 1.2 Instructions for Use Philips Healthcare 4522 203 52421...
  • Page 402 Philips Healthcare is part of Royal 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 © 2017 Koninklijke Philips N.V. All rights are reserved. Reproduction in whole or in part in any form or by any means, electrical, mechanical or otherwise is prohibited without the written consent of the copyright holder.

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