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Hologic Fluoroscan Insight FD User Manual
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Hologic Fluoroscan Insight FD User Manual

Hologic Fluoroscan Insight FD User Manual

Mini c-arm imaging system
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Insight FD Mini C-Arm Imaging System
User Guide
Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician
(or properly licensed practitioner).
MAN-09971 Revision 001

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Summary of Contents for Hologic Fluoroscan Insight FD

  • Page 1 Insight FD Mini C-Arm Imaging System User Guide Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician (or properly licensed practitioner). MAN-09971 Revision 001...
  • Page 2 Hologic, Fluoroscan, InSight, and associated logos are trademarks and/or registered trademarks of Hologic, Inc. and/or its subsidiaries in the U.S. and/or other countries. Any other product and company names mentioned herein are the trademarks of their respective owners. This product may be protected by one or more U.S. or foreign patents as identified at www.Hologic.com/patents.
  • Page 3 Insight FD Mini C-Arm Imaging System User Guide Table of Contents Table of Contents ....................i List of Figures ......................iii List of Tables ......................v Indications for Use........................1 Radiation Safety ...........................2 General ..............................2 Radiation Dose and Dose Rate ......................2 X-ray Shielding ............................3 Regulations for X-Ray Equipment....................3 United States Federal and State Regulations..................
  • Page 4 Insight FD Mini C-Arm Imaging System User Guide DICOM Send Options........................... 23 DICOM Print Options ........................25 Worklist Configuration......................... 27 Users ..............................29 Physician Preferences..........................30 Physician Preferences — Image Acquisition ..................32 Physician Preferences — Image Processing..................34 Physician Preferences — Image Management .................. 36 Administrative Settings Page ......................
  • Page 5 Insight FD Mini C-Arm Imaging System User Guide List of Figures Figure 1: Insight FD Imaging System ..................1 Figure 2: Serial Number ......................5 Figure 3: X-Ray System Warning ..................... 5 Figure 4: Electric Shock Warning ..................... 6 Figure 5: Field of View ......................6 Figure 6: Transport Position Knob ..................
  • Page 6 Insight FD Mini C-Arm Imaging System User Guide Figure 35: Tools Menu ......................58 Figure 36: Image Export from Review Screen ..............59 Figure 37: Export Images ......................60 Figure 38: Tool Menu Export ....................60 Figure 39: Export Images from Tool Menu ................61 Figure 40: Tools Menu ......................
  • Page 7 Insight FD Mini C-Arm Imaging System User Guide List of Tables Table 1: Symbols ...........................6 Table 2: Safety Hazards .......................8 Table 3: X-ray Head Control Panel ..................13 Table 4: Foot Switch Controls ....................14 Table 5: Keyboard Controls ......................15 Table 6: Conditioning Schedule ....................20 Table 7: System Configuration User Interface ...............21 Table 8: System Page .........................22 Table 9: DICOM Send Options Page ..................24...
  • Page 8 Insight FD Mini C-Arm Imaging System User Guide Table 27: Select or Enter Patient Window, Section/Field Descriptions ......44 Table 28: Select or Enter Patient Window, Button Functions ..........45 Table 29: Image Acquisition Screen ..................45 Table 30: Image Effects Menu ....................46 Table 31: Configure Image Area Menu ...................47 Table 32: Image Acquisition Screen, Button Functions ............48 Table 33: Tool Set ........................49...
  • Page 9 Insight FD Mini C-Arm Imaging System User Guide MAN-09971 Revision 001...
  • Page 10 Insight FD Mini C-Arm Imaging System User Guide Indications for Use Indications for Use ® The Fluoroscan Insight FD is a Mini C-Arm Fluoroscopic Imaging System designed to provide physicians with general fluoroscopic visualization of a patient, including, but not limited to surgical orthopedic and podiatry use, critical and emergency care procedures, and light anatomy imaging situations.
  • Page 11 X-rays in the primary beam. However, as the dose rate is much less, scatter is usually expressed in mR/hour (1 mR = 0.01 mGy). Dose and scatter data for Insight is available from Hologic upon request. MAN-09971 Revision 001...
  • Page 12 Regulations for X-Ray Equipment United States Federal and State Regulations Fluoroscan Insight FD Mini C-arm Imaging Systems conform to the United States Code of Federal Regulations, 21 CFR 1020.32 “Performance Standards for Ionizing Radiation Emitting Products: Fluoroscopic Equipment.” However, additional state regulations may apply to X-ray products.
  • Page 13 This instrument is supplied with hardware and software accessories that are needed for safe and reliable operation. Additional accessories may be used to perform optional procedures. Do not use any accessories with this instrument other than those approved by Hologic. MAN-09971 Revision 001...
  • Page 14 Insight FD Mini C-Arm Imaging System User Guide Insight System Labels Insight System Labels Manufacturer Serial Number Label The Manufacturer Serial Number Label is on the back of the base cabinet. Figure 2 Serial Number X-Ray System Warning Label The X-Ray System Warning Label is on the front of the base cabinet below the Computer On/Standby switch.
  • Page 15 Insight FD Mini C-Arm Imaging System User Guide Symbols Electric Shock Warning Label The Electric Shock Warning Label is located near the fasteners for panels covering high voltage components. Figure 4 Electric Shock Warning Field of View Field of View is represented by raised rectangles on the underside of the High Voltage Power Supply.
  • Page 16 Insight FD Mini C-Arm Imaging System User Guide Symbols Table 1 Symbols USB connector Electrostatic sensitive device WEEE dispose of electrical/ Computer On/Standby switch electronic equipment properly Rear wheels free to move in all Rear wheels move forward and directions back only Rear wheels locked Manufacturer name and...
  • Page 17 Insight FD Mini C-Arm Imaging System User Guide Safety Hazards Safety Hazards The following table itemizes various safety hazards. Each hazard is cross referenced with the respective cause and proper course of action. Table 2 Safety Hazards Safety Hazard Cause Course of Action This system produces Radiation Safety...
  • Page 18 Do not make any changes to Never remove the Modifications to the X-ray tube. Contact a housing around the X- X-ray Tube Hologic Representative to ray tube or make any replace the X-ray tube. changes to the X-ray tube. When the product leaves the...
  • Page 19 Insight FD Mini C-Arm Imaging System User Guide Safety Hazards Table 2 Safety Hazards Safety Hazard Cause Course of Action Explosion Hazard Flammable and explosive If any of these products are anesthetics, liquids, vapors near the system, do not turn on and gases can cause an the system.
  • Page 20 Insight FD Mini C-Arm Imaging System User Guide Safety Hazards Table 2 Safety Hazards Safety Hazard Cause Course of Action Cleaning Safety Almost any liquid spilled into This system is not waterproof. electronic equipment If liquid is spilled on the automatically becomes a system, turn the system off conductor of electricity.
  • Page 21 Insight FD Mini C-Arm Imaging System User Guide System Components System Components X-ray ON light C-arm retainer Touch screen monitor Image printer shelf Keyboard with integrated pointing CD/DVD RW recorder device X-ray head Computer On/Standby switch Collimation switch USB port (behind the CMOS detector) Flex-arm Foot switch shelf C-arm...
  • Page 22 Insight FD Mini C-Arm Imaging System User Guide Controls and Indicators Controls and Indicators X-ray Head Control Panel Table 3 X-ray Head Control Panel Symbol Label Function Save Saves selected images or cine loop to the patient’s record. If the number of stored images or minutes of cine loop exceeds the storage limit, a message displays.
  • Page 23 Insight FD Mini C-Arm Imaging System User Guide Controls and Indicators Table 3 X-ray Head Control Panel Symbol Label Function kV/mA Increases or decreases technique factors based on selected mode (Table 14). Pressing both the up and down power buttons at the same time returns the system to Auto Power mode.
  • Page 24 Insight FD Mini C-Arm Imaging System User Guide Controls and Indicators Keyboard Controls Table 5 Keyboard Controls Icon Function Key Function Displays help window. Displays the Patient Information window in Image Acquisition session. Displays the Select Study for Review window in Review session. Flips image horizontally.
  • Page 25 Insight FD Mini C-Arm Imaging System User Guide Using the System Using the System Note Insight operators should read the Radiation Safety section before operating the system. Moving the System Warning: Before moving the system, the flex-arm and C-arm must be in the locked storage position to prevent tipping.
  • Page 26 Insight FD Mini C-Arm Imaging System User Guide Using the System Figure 7 Rear Casters Rear Wheels Locked Rear Wheels Move Forward Rear Wheels Free to Move and Back Only in All Directions Adjusting the C-arm Turn the flex-arm lock counterclockwise to loosen; then adjust the flex- arm height.
  • Page 27 Insight FD Mini C-Arm Imaging System User Guide Using the System Figure 8 Adjusting the C-arm Sterile C-arm Drape Before using Insight in the operating room, fit the C-arm with a sterile drape. Small labels on the drape indicate how to fit the drape to the X-ray head and to the CMOS detector.
  • Page 28 Insight FD Mini C-Arm Imaging System User Guide Using the System Figure 9 Sterile C-arm Drape Powering Up the System Warning: The Insight system operates on standard 115 Volt, 60 Hz AC power for United States, Japanese and Canadian models, 230 Volt, 60 Hz AC, and 240 volt, 50 Hz AC power for other export models.
  • Page 29 Insight FD Mini C-Arm Imaging System User Guide Using the System Table 6 Conditioning Schedule Step Minimum Time 0.05 2 minutes 0.10 2 minutes 0.10 2 minutes 0.10 3 minutes 0.10 3 minutes Caution The system must warm up for FOUR MINUTES before generating X-rays.
  • Page 30 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Configuring the Application System Configuration User Interface System configuration user interface consists of a multiple-page tab-selected window. Each tab displays a page of configuration data. Four buttons display at the bottom of the window that are independent of the selected page: Table 7 System Configuration User Interface...
  • Page 31 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Figure 11 System Table 8 System Page Section/Field Description Fluoroscan Insight Insight system's serial number. Software dropdown list to display installed software and version. Serial Number Software Status Displays the following current settings: Date of Last System Date application settings and configuration data were Recover...
  • Page 32 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 8 System Page Section/Field Description Organization Name Administrator can enter name. Default Physician's Select default physician to be used by the application. Name Selected Language Select language to be used by the application. Query on Delete Administrator can select to display warning message when deleting images.
  • Page 33 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 9 DICOM Send Options Page Section/Field Description Configure DICOM Selection list of DICOM Send destinations configured on the Send Destinations system and six function buttons. When checked, the Active column check box enables destination for use.
  • Page 34 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 10 DICOM Send Options Page, Button Functions Button Function C-ECHO Confirms network connection to PACS. Updates the selection list with new or updated information and checks the destination’s Active check box. Cancel Ignores all edits and hides the Add/Edit Destination section.
  • Page 35 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 11 DICOM Print Options Page, Section/Field Descriptions Section/Field Description Add/Edit Entry/edit fields to identify a DICOM Print destination, a Destination section for entering and selecting print parameters, and two function buttons.
  • Page 36 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Worklist Configuration Available from System Configuration menu (Figure 10) on the Main Screen. Figure 14 Worklist Configuration Table 13 Worklist Configuration, Section Descriptions Section/Field Description Worklist Identifies the system to access for the Worklist by providing entry Provider fields for the provider's AE Title, Host Name or IP Address, and Port.
  • Page 37 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 13 Worklist Configuration, Section Descriptions Section/Field Description Query Provides entry fields to identify: Parameters • Requesting system (AE Title) • Type of worklist being requested (Modality) • Range of days to query •...
  • Page 38 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Users Available from System Configuration Menu (Figure 10) on the Main Screen. Figure 15 Users Table 15 Users Page, Section/Field Descriptions Section/Field Description All Users Displays selection list of registered system users. When checked, the Active column check box allows user to log into the system.
  • Page 39 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 16 Users Page, Button Functions Button Function Adds new users to the system. Edit Edits selected user information. Delete Deletes the selected user from the system. Updates the user list. Cancel Ignores all edits and removes the Add/Edit User section.
  • Page 40 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 17 Physician Preferences, Section/Field Descriptions Section/Field Description Set System Select system defaults to be used for visiting physician. Defaults or Select physician defaults to set defaults for a selected physician. Physician Defaults Select Physician...
  • Page 41 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Physician Preferences — Image Acquisition Displays the current default preference settings for the system or the selected physician. Settings can be customized by an administrator. Figure 17 Physician Preferences — Image Acquisition MAN-09971 Revision 001...
  • Page 42 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 19 Physician Preferences, Image Acquisition Tab, Section/Field Descriptions Section/Field Description Snapshot Fluoro Enables/disables Snapshot image acquisition mode. Continuous Enables/disables Continuous image acquisition mode. Fluoro Continuous When checked and acquiring images in Continuous mode, X-rays mode instant off remain on until X-ray button or pedal is released.
  • Page 43 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Physician Preferences — Image Processing Displays the current default preference settings for the system or the selected physician. Settings can be customized by an administrator. Figure 18 Physician Preferences — Image Processing Table 20 Physician Preferences, Image Processing Tab, Section/Field Descriptions Section/Field...
  • Page 44 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Table 20 Physician Preferences, Image Processing Tab, Section/Field Descriptions Section/Field Description Image Select Edge or Sharpen from the dropdown list. Edge enhancement Enhancement increases visualization between bone and soft tissue in the image. Sharpening enhancement increases visualization of fine detail.
  • Page 45 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Physician Preferences — Image Management Displays the current default preference settings for the system or the selected physician. Settings can be customized by an administrator. Figure 19 Physician Preferences — Image Management Table 21 Physician Preferences, Image Management Tab, Section/Field Descriptions...
  • Page 46 Insight FD Mini C-Arm Imaging System User Guide Configuring the Application Administrative Settings Page Available from System Configuration menu on the Main Screen. Table 22 Administrative Settings, Section Descriptions Section/Field Description Log Files Selection list of all log files. Set Level of Administrators can set System Error log level of detail to Error Detail Only or Error and Operations.
  • Page 47 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Using the Insight Application You can select buttons, menus, menu functions, icons, and position the insertion cursor in fields by • Positioning the cursor on the respective item and clicking the left mouse button, or •...
  • Page 48 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 24 Main Screen Options Close the Application screen (unavailable) Help - Displays help for using the screen. Starts an image acquisition session (Image Acquisition Session on Page 44) (Review Screen Starts an image review session on Page 54)
  • Page 49 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Figure 22 System Configuration Menu Table 25 System Configuration Menu Function Description System Administrators can enter organization name, select default Attributes physician's name to be used by the application, select default language, enter DICOM application information and check if warning message should display when deleting images.
  • Page 50 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 25 System Configuration Menu Function Description DICOM Send Present if the DICOM Send option is installed. Administrators can add, edit, delete, and activate/deactivate Send destinations. All users can view the list of destinations, view destination information, and ping destinations.
  • Page 51 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Figure 23 Tools Pull-down Menu Table 26 Tools Menu Function Description View Logs View, print, export and in some cases edit various log files the application maintains. View DICOM Present if the DICOM Send option is installed.
  • Page 52 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 26 Tools Menu Function Description Service Tools — Administrators can open a test pattern to check monitor SMPTE Pattern performance and quality. MAN-09971 Revision 001...
  • Page 53 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Image Acquisition Session Select or Enter Patient Window Available from Main Screen by clicking Perform, from the Image Acquisition screen by clicking Update Patient, and from the Review screen during an image acquisition session by clicking Update Patient.
  • Page 54 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 28 Select or Enter Patient Window, Button Functions Button Function Clear All Clears Patient Information fields Perform Displays the Image Acquisition screen Review Displays the Review screen End Session Terminates the entry of Patient Information and leaves the Select or Enter Patient screen...
  • Page 55 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 29 Image Acquisition Screen Displays AKR and cumulative air kerma while the x-ray tube is active. Air kerma is calculated at the entrance to the CMOS detector. Displays current power settings.
  • Page 56 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 30 Image Effects Menu Function Description Save Current Enabled if the selected physician is registered on the system. Enhancements as Saves the current image effect settings as the selected physician’s Defaults preference settings.
  • Page 57 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Figure 28 Image Acquisition Screen Buttons Table 32 Image Acquisition Screen, Button Functions Button Function Acquisition Mode Cycles through: Selection Continuous – Displays continuous images when X-rays are actuated.
  • Page 58 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 32 Image Acquisition Screen, Button Functions Button Function Format Toggle Selects current image size and number of thumbnail images that display in the filmstrip area. one filmstrip image. two filmstrip images.
  • Page 59 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 33 Tool Set Button Function Annotations Contains function buttons and a field that allows the user to add markers or text to the image or remove selected markers or text from the image.
  • Page 60 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Select Reference Images Window Available from the Image Acquisition screen by selecting Select Reference Images from the Configure Image Area menu. Figure 29 Reference Images Window Table 34 Select Reference Images Window, Section Descriptions Section Description...
  • Page 61 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 35 Select Reference Images Window, Button Functions Button Function Select All/ Selects or deselects all images in the image selection list. Deselect All Returns all selected images to the Image Acquisition screen’s filmstrip unless View Study Images Only is checked in the Configure Image Area Menu.
  • Page 62 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 36 Select Study for Review Window, Section/Field Descriptions Section/Field Description Search For Search criteria entry fields. To use Start Study and/or End Study Dates as a search criteria, the check box must be checked.
  • Page 63 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Review Screen Available from the Select Study for Review window, and from the Image Acquisition screen by clicking Review. Figure 31 Review Images Screen Table 38 Review Screen, Button Functions Button Function Display Mode...
  • Page 64 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 38 Review Screen, Button Functions Button Function Full View Displays the selected image in the Enhanced Displayed Image screen. See “Enhanced Displayed Image Screen” on page 57. Save Saves selected images or cine loop to the patient’s record.
  • Page 65 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 38 Review Screen, Button Functions Button Function Perform Visible only in an acquisition session. Returns to the image acquisition screen. End Session Terminates the current session. Figure 32 Patient Details Figure 33 VISTA Details MAN-09971 Revision 001...
  • Page 66 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Enhanced Displayed Image Screen Available from the Review Images screen by selecting one image and clicking Full View, or by double clicking an image. Figure 34 Enhanced Displayed Image Screen The tool set is identical to the tool set described in on pa ge 48 Table 39 Detailed Image Viewing Screen, Button Functions...
  • Page 67 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Maintaining Patient Study Records Update Patient Study Information Window Available to administrators from the tools menu on the Main Screen. Figure 35 Tools Menu Table 40 Update Patient/Study Information Window, Section Descriptions Section Description Select Patient...
  • Page 68 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 41 Update Patient/Study Information Window, Button Functions Button Function Update Updates the patient information on all images in the selected study. Note The Auto-Accession number is associated with a specific patient.
  • Page 69 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Figure 37 Export Images Export from Review Images Screen From the Tools Menu (Figure 38), select Export. Figure 38 Tool Menu Export Click Export to open the Export Images Window. In the Export Images window (Figure 39), select the studies from...
  • Page 70 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Figure 39 Export Images from Tool Menu Click Export to open the Select the images and options for the export: a. Select the Images for export b. Location to which the files will be exported c.
  • Page 71 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 42 Export Window, Section Descriptions Section Description Select Patient Selection list of all patient/study records on the system and a Study search criteria section (Find). The selection list can be sorted on any column by clicking in the respective column label.
  • Page 72 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Import Images Window Available from Tools menu (Figure 40) on the Main Screen. Figure 40 Tools Menu Figure 41 Import Images Window MAN-09971 Revision 001...
  • Page 73 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 44 Import Window, Section Descriptions Section Description Import Images Selection list of removable media devices currently available to the from system. Other Locations allows the user to browse for a folder on the system or network.
  • Page 74 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Delete Images Window Available to administrators from the tools menu on the Main Screen. Figure 42 Delete Images MAN-09971 Revision 001...
  • Page 75 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Figure 43 Patient Selected Figure 44 Image Selected for Deletion MAN-09971 Revision 001...
  • Page 76 Insight FD Mini C-Arm Imaging System User Guide Using the Insight Application Table 46 Delete Images Window, Section Descriptions Section Description Select Patient Selection list of all patient/study records on the system and a Study search criteria section (Find). The selection list can be sorted on any column by clicking in the respective column label.
  • Page 77 Insight FD Mini C-Arm Imaging System User Guide System Maintenance Figure 45 View DICOM Queue Table 48 Queue Window, Section Description and Button Functions Section/Button Description/Function DICOM Queue Selection list of queue request information that can be filtered. List Display Filters the selection list depending on the selected radio button.
  • Page 78 Disinfect using a 10% bleach solution. Wipe surfaces, do not scrub. A commercial glass cleaner may be used to clean the monitor’s touch screen. Preventative Maintenance Hologic recommends that preventative maintenance be performed by authorized service personnel at least once per year. MAN-09971 Revision 001...
  • Page 80 Refer to the corporate website for more facilities worldwide. www.hologic.com...
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