1. Manuals
  2. Brands
  3. Siemens Healthineers Manuals
  4. Medical Equipment
  5. Ysio Max
  6. Operator's manual

Siemens Healthineers Ysio Max Operator's Manual

Vf10 and higher
Hide thumbs
Table of Contents

Advertisement

Quick Links

Download this manual
Ysio Max
 
Operator Manual – VF10 and higher
siemens-healthineers.com

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the Ysio Max and is the answer not in the manual?

Questions and answers

Subscribe to Our Youtube Channel

Related Manuals for Siemens Healthineers Ysio Max

Summary of Contents for Siemens Healthineers Ysio Max

  • Page 1 Ysio Max   Operator Manual – VF10 and higher siemens-healthineers.com...
  • Page 2 WARNING consists of the following elements: • Information about the nature of a hazardous situation • Consequences of not avoiding a hazardous situation • Methods of avoiding a hazardous situation VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 3: Table Of Contents

    Installation, repair, or modifications 2.3.6 Product service life 2.3.7 Disposal Cleaning and disinfection 2.4.1 Important general information 2.4.2 Cleaning and disinfection process 2.4.3 Special cleaning information 2.4.4 Surfactant disinfectants 2.4.5 Sterilization VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 4 Components 3.2.2 Scatter radiation grid 3.2.3 Application capabilities 3.2.4 Examples System configurations 3.3.1 Ysio Max ceiling stand with Aim FAST 3.3.2 Ysio Max ceiling stand System overview 3.4.1 In the examination room 3.4.2 In the control room 3.4.3 Generator ON/OFF console System components 3.5.1...
  • Page 5 6.2.14 Compensation filters 6.2.15 Filter holder for eight filters 6.2.16 Three-field template, set 6.2.17 AEC templates 6.2.18 Laser light localizer template 6.2.19 Detector protector (patient support) 6.2.20 Clip-on grids VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 6 7.1.8 Displays 7.1.9 WLAN access point SCALANCE W7x8 7.1.10 WLAN access point Aruba 303 Location of labels 7.2.1 Ysio Max label locations 7.2.2 Ysio Max system labels 7.2.3 FLUOROSPOT Compact imaging system label Electromagnetic compatibility (EMC) 7.3.1 Essential Performance 7.3.2...

  • Page 7: Introduction

    1 Introduction 1 Introduction To operate the Ysio Max system accurately and safely, the operating personnel must have the necessary expertise as well as knowledge of the entire Operator Manual. It must be read carefully prior to starting up the Ysio Max system.

  • Page 8: Value Statements

    • Equipment training: Application training is supplied with the equipment according to the hand-over contract. It is mandatory to follow such application training supplied by Siemens Healthineers before any use of the system. The follow-up training, which is necessary due to change of personnel, is in the responsibility of the operator of the system.

  • Page 9: System Safety

    The following are pictograms and their meanings as they may apply to your system (IEC standard). Alternating current Equipotential bonding Caution: Read Operator Manual Caution: Laser Pushing prohibited Attention: Hot surface (at the X-ray tube) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 10: Laws And Regulations

    • Safety check for technical construction at least every 2 years USA and Canada Corresponding to the Medical Device Directive in the EU, Ysio Max complies in the U.S.A. and Canada with the applicable standards. Federal law stipulates that this system may only be sold to a physician or by order of a physician.

  • Page 11: Explosion Protection

    2 System Safety 2.1.4 Explosion protection Ysio Max is designed for operation in explosion-endangered areas. CAUTION The system is not designed for operation in explosion-endangered areas. It does not fulfill the requirements for AP/APG classification. Danger of explosion! ◆ Do use the system where explosive atmospheres can arise.

  • Page 12: Information About The Software

    • Device log data shall be stored for a reasonable time period; • Devices shall be placed in network zones which fulfill and are appropriate for their information security requirements; VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 13: Third Party Software

    • Siemens Healthineers will provide timely patches or mitigations for serious software security vulnerabilities; • Siemens Healthineers releases a security patch for the system regularly (90 days) to repair general security vulnerabilities. 2.1.6.2...

  • Page 14: Data Security

    Operator Manual of the FLUOROSPOT Compact imaging system. 2.1.9 Gender inclusivity At Siemens Healthineers, we want to address all genders equally in our Instructions for Use. It is not our intention to exclude anyone. We continue to update documentation with this in mind.

  • Page 15: Personal Safety Measures

    This warning notice indicates that special instructions can be found in the Operator Manual. Please read the Operator Manual. 2.2.2 Information about unit movements Because of the possible speed of movement of the system, it must be operated with particular care. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 16: Danger Of Crushing

    1 Pay special attention to the risks of crushing fingers and hands between moving parts and their guide openings. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 17: Abnormal Movements

    2.2.6 Collision protection The Ysio Max system has a collision control device comprising all motor driven moving components like tube support, detector support, tabletop and wall stand. Attention: When organ programs are used in which the tube was programmed in the collision zone of the table, collisions of the tube and the table are possible.
  • Page 18 The system is reinitialized. 2.2.7.3 Where are the emergency STOP buttons? You find the emergency STOP buttons in the following locations: STOP On the table On the generator ON/OFF console VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 19: Emergency Shutdown Button (Installed On-Site)

    An emergency power supply, if one is connected, will not be activated when emergency SHUTDOWN is pressed. The UPS of the imaging system is also not activated. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 20: Shutdown In An Emergency

    Power failure If the power network at the site is very unstable, it may be advisable to install an uninterruptible power supply to prevent data loss. Contact Siemens Healthineers for more information. 2.2.9.1 With UPS for imaging system (Uninterruptible Power Supply) 1 In case of a short power failure, please try to switch on the system after some seconds.

  • Page 21: Maximum Weight

    Collision causes damage to system Injury of persons ◆ Report severe collisions to Siemens service so that the system can be inspected. 2.2.11.1 Avoiding equipment damage ( Page 15 Information about unit movements) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 22: Danger Zones / Danger Points

    • If it is necessary to position the patient with legs or knees under the cross-beam at the head or foot end of the table, avoid system movements. • Be aware of the danger zone between patient table and detector tray. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 23: Patient Table

    ◆ Most axes perform a short overtravel movement. Danger points Risk of injury by crushing or collision 2.2.12.1 Patient table Ysio Max Patient sitting with knee under the patient table (not allowed) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 24 ◆ Move the patient away from the table first. ( Page 198 Detector holder, lateral) 2.2.12.2 Ceiling-mounted X-ray tube support VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 25 Crushing of patient seated with legs under the detector (for example, a wheelchair patient) ◆ Do not move the detector while a patient is seated near the wall stand. ◆ Move the patient away from the wall stand first. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 26: Hand Grip Locations

    • The hands, arms, legs, head, and hair of the patient must not extend unsecured beyond the edge of the tabletop. • Observe the patient while moving the tabletop and during system movements. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 27: Room Lighting

    • The setting of the illuminance must be reproducible (for example, dimmer with scale). • No mirroring or reflections of windows, lights, view boxes, and so on, must occur in the operating position of the monitors. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 28 In case of doubt, film images on a hardcopy camera, if you want to make a diagnosis. Siemens Healthineers undertakes no liability for diagnoses, which are performed on monitors of other vendors. VF10 and higher | Operator Manual Ysio Max Print No.

  • Page 29: Radiation Protection

    Only hardcopy cameras approved by Siemens Healthineers may be used. Approvals by Siemens Healthineers refer to DICOM image type XA. Siemens Healthineers does not accept any liability for diagnoses made on the basis of images from non-approved hardcopy cameras. 2.2.15...

  • Page 30: Information About Dose Measurement

    To provide you with perfect image quality for your daily work without additional operating effort, we install the most frequently used organ programs (preferred organ programs) in the factory. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 31: Measurement Configuration

    Equipment safety measures 2.3.1 Protection against electric shock Attention: To avoid the risk of electric shock, a protective conductor must be implemented when connecting this device to mains power. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 32: Power Outlet

    Republic of Germany) or the relevant local and federal regulations. Attention: To avoid the risk of electrical shock, a protective conductor must be implemented. 2.3.1.6 Opening the units Only authorized service personnel are permitted to open the units. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 33: Electromagnetic Compatibility (Emc)

    ◆ Maintenance work should be performed by trained technical personnel only. ◆ Purchasing a maintenance contract will keep the system in optimum condition. This maintenance plan includes the required tests according to IEC 62353 VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 34: Periodic Maintenance

    This employee has to archive all certificates in the folder for the "Technical Documentation". In addition to our repair service, Siemens Healthineers also offers you a complete range of services for preventive inspection and maintenance of your system. These services can be called on as required or agreed in a flexibly drafted service contract.
  • Page 35 Protection against incorrect operation Check for damage and thus protection of patients, per‐ sonnel and unit Safety-relevant parts subject to wear Protection of patients, personnel Check for damage and unit VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 36: Preventive Maintenance

    Preventive measures must be adopted or repairs must be undertaken as appropriate. The specified maintenance intervals correspond to the minimum requirements. Compliance with stricter national legislation may be necessary Maintenance interval: 24 months for the entire system VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 37: Quality And Function Tests

    Reason What is checked Overall system Optimum operation on the basis of the Interaction of all system components specifications listed in the data sheet according to the assured characteristics VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 38 * DHHS and country-specific regulations must be observed † Depending on the system configuration 2.3.3.5 Safety-relevant parts subject to wear Safety-relevant parts which are subject to wear must be replaced in periodic intervals. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 39: Combination With Other Products/Components

    Modifications of or additions to the product must be made in accordance with the legal regulations and generally accepted engineering standards. Siemens Healthineers does not accept responsibility for the safety features and for the reliability and performance of the equipment as the manufacturer, assembler, installer, or importer, in the following cases: •...

  • Page 40: Technical Documents

    Please talk to your Siemens Healthineers Representative about these measures early enough! 2.3.7...

  • Page 41: Cleaning And Disinfection

    2.4.1 Important general information 2.4.1.1 Safety hints Switch off the Ysio Max and disconnect it from the main power prior to cleaning or disinfecting. CAUTION Use of harsh cleaning agents, liquids, or sprays. Risk of electrical hazard or damage to the system ◆...

  • Page 42: Cleaning In General

    The use of other than the compatible cleaning agents can result in damage to the equipment. 2 Wipe system parts with a damp cloth (squeeze out wet cloth before using it) until all contaminations are removed. 3 Remove any watery residues immediately. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 43: Cleaning And Disinfection Process

    8 Follow the manufacturer's instructions regarding the exposure time of the disinfectant solution. 9 Soak a wipe with tap water and wipe all surfaces of the product thoroughly. 10 Let the system dry. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 44: Special Cleaning Information

    Accessory parts ◆ Please note that for some accessory parts, there are special instructions on cleaning in the corresponding chapters. Refer to ( Page 144 Accessories and Auxiliary Devices). VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 45: Surfactant Disinfectants

    Their concentration in the air must not exceed the statutorily defined limits. Follow the manufacturers' instructions for use of these products. 2.4.5 Sterilization The system does not require sterilization. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 46: System Overview

    3.1.1 Intended use Ysio Max is a device intended to visualize anatomical structures by converting an X-ray pattern into a visible image. Ysio Max enables radiographic and tomographic exposures of the whole body and may be used on pediatric, adult and bariatric patients. It can also be used for emergency applications.

  • Page 47: Conditions Of Use

    Operating functions regarding safety Refer to ( Page 9 System Safety). Product description The Ysio Max system with MODEL NO. 10762470 bears the CE 0123 marking for the entire system. The label is attached to the back of the table frame. 3.2.1...

  • Page 48: Scatter Radiation Grid

    For free exposures the MAX wi-D and MAX mini can be equipped with a clip-on grid. 3.2.3 Application capabilities An Ysio Max system may be used for projection of radiographic examinations of both adults and children (removable scattered radiation grid). • On the...

  • Page 49: Examples

    3 System Overview 3.2.4 Examples System configurations The following system configurations are available: VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 50: Ysio Max Ceiling Stand With Aim Fast

    System overview 3.4.1 In the examination room (1) Ysio Max ceiling support with control panel, tube assembly, MAXtouch (Touch User Interface) and collimator (2) Patient table with MAX wi-D or MAX static (3) Wall stand with MAX wi-D or MAX static...

  • Page 51: In The Control Room

    (5) Generator ON/OFF console with radiation release button (6) Manual radiation release 3.4.3 Generator ON/OFF console (1) Emergency STOP button (2) Generator ON button (3) Generator OFF button (4) Radiation release button VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 52: System Components

    • If no input signal is present, e.g. during startup, No Signal will be displayed. • If no image or a blurred image, vertical lines or other defects, are displayed, notify the Customer Service. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 53: Patient Table

    Risk of damage to the system and injury of the patient ◆ The maximum load of the opened detector tray must not exceed 10 kg. ◆ Do not allow the patient to use the detector tray for support. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 54 3 System Overview 3.5.2.2 Patient table with MAX static Ysio Max Patient table with fixed detector (1) Tabletop (2) Accessory rails (3) Handheld table side control (4) Detector tray with MAX static, movable to the left or right (5) Emergency STOP push button...
  • Page 55 Incorrect insertion of detector or cassettes into the Bucky tray Risk of pinching or damage to detector ◆ Be careful when inserting detector or cassettes in the Bucky tray. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 56 For exposures without grid and without automatic exposure control, and for better accessibility, for example during exposures of the extremities, the detector tray can be pulled out like a drawer. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 57 ◆ Push the detector tray back in until it locks into position. back in Push the detector tray back completely, or else the detector is not loaded in the detector tray. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 58 Press this button to move the system to a predefined OGP position CAUTION Patient activates motorized movement using the hand switch. Injury of patient ◆ Take care that the hand-held control is inside the associated holder during patient transfer. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 59: Ceiling-Suspended X-Ray Tube With Multileaf Collimator

    – If this second actuation does not occur within a certain time, then the function is switched off again automatically after this time. 3.5.3 Ceiling-suspended X-ray tube with multileaf collimator The 3D overhead support consists of the following components: VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 60 3.5.3.1 Movement control elements Icon Description Tube rotation about the vertical axis Vertical tube movement up and down VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 61: Multileaf Collimator

    (3) Button for full-field light localizer and laser line light localizer (4) Measuring tape for SID/SOD measurement (5) Laser line light localizer with sliding cover. (6) Accessory rails (7) Crosshairs in the light localizer window VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 62 Various functions of the MAXtouch are related to the imaging system and are therefore described in the FLUOROSPOT Compact Operator Manual. General functions Icon Short description Round buttons start an action immediately VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 63 SID and SOD Mag = SID/SOD Device Position tab card Icon Short description Tube rotation horizontally Tube rotation vertically Detector rotation horizontally Detector rotation vertically Detector tilt on wall stand VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 64 Measure tomo height: on/off Tomo height Decrease/increase in steps of 1 or 10 mm; display function only, when the “Measure tomo height” function is used. Tomo test run with blocked X-ray: on/off VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 65 Top alignment on/off Restore stored collimator Page wireless remote control button (Ysio Max with option Aim FAST only) Switch between active detectors for free exposure Currently selected detector (MAX wi-D or MAX mini) displayed VF10 and higher | Operator Manual Ysio Max Print No.

  • Page 66: Wall Stand

    • The detector unit can be continuously tilted from the vertical into the horizontal position (+90°) and up to -20° with a detent at 0° and 90°. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 67: Operating Elements

    – fully automatic centering of X-ray tube on middle of detector or its upper edge – SID adjusted to type of grid used (only with Ysio Max with Aim FAST • The wall stand can be mounted on the floor.
  • Page 68 TUI. When the patient uses the stretch grips during exposures onto the wall stand, take care to ensure that the detector unit is fixed in the 0° position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 69 Press this button to move the system to a predefined OGP position CAUTION Patient activates motorized movement using the hand switch. Injury of patient ◆ Take care that the hand-held control is inside the associated holder during patient transfer. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 70 Preparing for acquisition Inserting the detector into the (with wireless mobile detector only) wall stand The detector can be inserted into the detector tray in portrait or landscape format. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 71 6 Carefully and slowly slide in the detector tray with the detector. Be careful not to damage the detector when sliding it into the tray as the tray does not have a mechanism to absorb the shock. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 72 The responsibility for selecting and inserting the scattered radiation grid to be used for an exposure lies with the examiner. Removing the grid 1 Move the detector unit to the 0° position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 73 3 Place the grid against the top and bottom guide rail. 4 Holding it vertically and straight, push the grid all the way in. When the grid has reached the end position, the locking lever engages. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 74 ◆ Select a suitable organ program at the FLUOROSPOT Compact imaging system or the MAXtouch for an exposure onto the wall stand. Exposure with vertical beam Workstation "Wall stand vertical" projection VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 75 Move the tube unit to the vertical center position with the help of the Light localizer. Light localizer ◆ Press the button for the light localizer / linear light localizer on the collimator or on the hand-held remote control. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 76: Wireless Detectors (Max Wi-D Or Max Mini)

    (2) Wi-Fi status LED (3) Battery status LED (4) Infrared sensor, needed for attachment of a detector (MAXswap) (5) Power button Short push (wake up) Long push (switch off/on) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 77 LED orange - blinking fast , Switching OFF (going to OFF n.a. n.a. then red flashlight on the 3 mode) when requested by LEDs, then OFF message or by time-out VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 78: Acoustic Signals

    • End of X-ray • X-ray tube too hot • Paging remote control • User information display • Error message requiring user confirmation The sounds can be configured by Customer Service. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 79: System Operation

    In such situation, protect the detector with a single use plastic bag. Do not spray the detector directly for cleaning and disinfection purposes. Portable and mobile RF communication equipment can affect the detector operation. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 80 Additional symbols on the detector underside (1) IP code moved to a different label (2) Symbol for manual cleaning (3) Triangle for correct battery position Symbol indicates that manual cleaning is necessary. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 81: Interference With Other Devices

    The operator must ensure that other wireless devices in the 2.4 GHz or 5 GHz ISM band should not be operated in the vicinity of the Radiography X-ray system. Please observe and verify normal operation of the portable wireless detectors prior to using it. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 82: Maintenance

    The detector is monitored by integrated sensors, so that data can be read out by a technician. Be sure to use the detector unit on a flat place so it will not bend. Otherwise, the detector may be damaged. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 83 ◆ Leaked particles could be toxic - do touch them! ◆ Use protective gloves to collect and keep them in a sealed container. ◆ Return spilled particles to Siemens Healthineers. CAUTION Detector cover breaks because patient is too heavy Possible injury of patient or personnel by carbon or glass splinters or electrical shock.

  • Page 84: Detector Temperature

    CAUTION Detector temperature out of range. X-ray without diagnostic value ◆ Check the detector temperature icon on the display regularly. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 85: Operation And Setting Of Wlan

    The standard (11a, g, n) and the channel can be set by a service technician via the service SW installed on the FLUOROSPOT Compact imaging system. For a list of available channels in your country please contact your Siemens Healthineers project manager or sales representative.

  • Page 86: Functional Specifications

    Wireless devices (e.g. your wireless hospital network and the MAX detectors) can influence each other if they are operated at the same frequency. For the mobile detector, this can lead to a slowdown or disruption of the wireless connection. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 87: Changing The Battery

    In case a WLAN-network is present in your work environment, the channels of the access points can be detected in the room where the system will be installed. The frequencies in use (channels if you have WLAN) should be communicated to the Siemens Healthineers project manager.
  • Page 88 3 Orientate the charged battery in the correct position: battery connector (1) facing the device connector (2). 4 Slide battery in the recess area of the device. 5 Push down the battery in the recess area. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 89: Charging Of The Detector Battery

    MAXswap With the MAXswap functionality, it is possible to share several wireless MAX detectors between different systems (Ysio Max, LUMINOS Lotus Max, Luminos dRF Max, Luminos Agile Max, Mobilett Mira Max, MOBILETT Elara Max, and Multitom Rax). You can detach a wireless MAX detector at the system where it is not needed and attach it to another system.

  • Page 90: System Switch-On/Off

    ◆ Purchasing a maintenance contract will keep the system in optimum condition. 4.2.1 System switch-on/off The Ysio Max system may be in one of the following operating status: • Off All the components of the system and the imaging system are turned off except for the detectors which remain in standby mode.

  • Page 91: Switching Off

    Pressing this key combination is on your own risk. If you do so, problems may occur. 1 Press the “OFF” button on the console. The Ysio Max system and the imaging system automatically shut down. VF10 and higher | Operator Manual Ysio Max...

  • Page 92: Restarting The System

    1 Press the OFF button an the console. 2 When the Fluorospot Compact imaging system has shut down (dark monitor), press the ON button again. When the power-up process has been completed, Ysio Max is again completely ready for operation. 4.2.3...

  • Page 93: Functioning In The Event Of Power Failure

    4 Restart the system. 4.2.3.2 Description of UPS The UPS has a five-button graphical LCD. It provides useful information about the UPS itself, load status, events, measurements and settings. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 94 As default, or after 5 minutes of inactivity, the LCD displays the screen saver. The backlight LCD automatically dims after 10 minutes of inactivity. Press any button to restore the screen. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 95: Ups Operation

    The UPS front panel display changes status to “UPS starting...”. 4 Check the UPS front panel display for active alarms or notices. Resolve any active alarms before continuing. ( Page 97 Troubleshooting) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 96: Operation On Battery Power

    The necessary energy is provided by the battery. • The indicators illuminate solid. • The audio alarm beeps every 10 seconds. The connected devices are supplied by the battery. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 97: Troubleshooting

    UPS fault The UPS has an internal fault. The UPS does not protect the system anymore. Note the alarm message and the UPS serial number, then contact Customer Service. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 98: Standby Power Supply (Inside The Hospital)

    6 Recommendation: As a test, take a full-format exposure using the largest possible format. 7 Run a functional test of the emergency STOP buttons by performing an arbitrary system movement and pressing the emergency STOP button during the movement. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 99: Patient Table

    See also ( Page 103 Positioning the 3D overhead support with tube unit). 4.3.1.6 Patient table 1 Check manual longitudinal and transverse movement of the tabletop. 2 Check motor driven table height adjustment. See also ( Page 106 Table movements). VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 100: During Examination

    ◆ Press the button again if light is on. The light beam is turned off. 4.3.2 During examination 1 Check the radiation ON indicator. It should light up only for the duration of an X-ray exposure. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 101: Monthly Tests

    Risk of unnecessary radiation exposure ◆ In case of unwanted radiation, press the nearest emergency STOP button. ◆ If no cause can be found, contact Siemens Healthineers and discontinue use of the system. 2 Check the patient positioning devices, for example the hand grips.

  • Page 102: Dap Display Test

    Moving: The 3D overhead support can be moved in the following directions: • x direction: longitudinal movement (with respect to the table) • y direction: transverse movement (with respect to the table) • z direction: height movement (SID) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 103 2 Press the button to release the brake for vertical movement. Releasing the button will stop the movement. 3 Pull the overhead support into the required position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 104 2 Press the button for the brake for rotating the tube unit about the horizontal (support arm) axis with your right thumb. 3 Turn the tube unit into the required position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 105 • Tracking is selected With rotation of the tube up to 45° in both directions, the detector inside the table follows the tube rotation; the central beam is locked on the detector. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 106 Optionally, there is also a foot switch. 4.4.2.1 Collision protection The table has a collision detection that stops downward motorized movements in case the tabletop collides with an obstacle. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 107: Adjusting Table Height

    Actuate the second foot kick switch from the right at the foot of the patient table. – or – Actuate the middle foot switch pedal for table up movement. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 108 ◆ Make sure that patient always uses the hand grips. ◆ If this is not possible, make sure that the patient's hands cannot get caught in the moving parts of the system. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 109: Scattered Radiation Grid

    Changing the grid Crushing between the housings of the detector case. ◆ Pay attention to danger zones / danger points of crushing between the housing of the detector case. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 110 3 Holding it horizontally and straight, push the grid all the way in. When the grid has reached the end position, the locking lever engages. Removing the grid 1 Push the tabletop away from you. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 111: Rotating The Multileaf Collimator

    Hands between the collimator and the overhead column Risk of injury ◆ Grasp the collimator on the sides when turning it so that there is no risk of crushing your hands. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 112 If the collimator is NOT in the 0° position, it will be indicated at the display of the MAXtouch with this symbol. 4.4.4.2 Rotating back into the 0° lock-in position ◆ Grasp the collimator and turn it into the centered 0° lock-in position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 113: Examination

    ◆ Make sure that the patient uses the hand grips during system movements or when turning over. ◆ Use other positioning aids for immobilizing weak or very unstable patients. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 114: General Information

    2 Use only positioning aids expressly approved by Siemens Healthineers. Contact your local Siemens Healthineers representative if you have any questions. 3 Materials located in the X-ray beam have a possible adverse effect (for example, attenuated X-ray beam and scattering effects).

  • Page 115: Positioning The Patient

    The grid focus (f ) and the source image distance SID must always be identical. ◆ Check the correct grid focus (f ) on the grid label before making acquisitions. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 116: Positioning The Patient At The Wall Stand

    ◆ Swing the overhead patient hand grip to the required position or to the side if it is not needed. Refer to ( Page 200 Overhead patient hand grip). VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 117 LASER line light localizer can be closed with the sliding cover. ( Page 61 Multileaf collimator) Auto Exposure Timer ◆ Pay attention to the positioning with respect to the Iontomat measuring chambers. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 118 1 Rotate the diaphragm knob to adjust the format height. 2 Rotate the diaphragm knob to adjust the format width. Radiation Protection ◆ Check the radiation protection. Acquisition ◆ Refer to the FLUOROSPOT Compact Operator Manual. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 119: Examination/Acquisition

    3 Pay attention to good collimation. Take care that the correct dominant is selected before the exposure. For selection of the measuring chamber refer to the FLUOROSPOT Compact Operator Manual. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 120: Light Localizer / Laser-Line Light Localizer

    To protect the eyes of the patient or any other person, the laser radiation exit of the laser line light localizer can be closed with the sliding cover. ( Page 61 Multileaf collimator) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 121: Collimation

    • Via ACSS ( Page 122 Collimation / Automatic Collimation Size Selection) • You can set the collimation with the light localizer via the knobs on the multileaf collimator. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 122 To protect the patient from unnecessary radiation, always check the collimator position with the light localizer. 5.3.3.1 Collimation / Automatic Collimation Size Selection Ysio Max supports ACSS (Automatic Collimation Size Selection). ACSS limits the maximum opening of the collimator to the borders of the selected detector or cassette in the table and Bucky wall stand.

  • Page 123: Additional Cu Filter

    Additional Cu filter There are four possibilities of selecting internal additional Cu filters: • 0.0 mm (no) Cu • 0.1 mm Cu • 0.2 mm Cu • 0.3 mm Cu VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 124: Centered Exposure With Vertical Beam Path

    1 Press button on the tube unit control panel. – or – Actuate the table height adjustment. 2 If required, switch on the tracking control for SID with the SID tracking button. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 125: Free Exposure With Vertical Beam Path Onto The Pulled-Out Detector

    Tube is not directed toward the detector during acquisition Unwanted radiation exposure ◆ Use the free exposure mode with care. ◆ Check that the tube is active and use the light marker for positioning before releasing X-ray. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 126 (0°): 1 Loosen the brakes with the push buttons on the control panel or with the buttons on the handles and position the tube unit. Positioning the tube unit VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 127 2 Bring the axis marking on the handle of the detector tray into centered mid-position with the aid of the line light localizer of the multileaf collimator. 5.3.6.5 Collimation 1 Rotate the diaphragm knob to adjust the format height. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 128: Free Exposure Onto The Mobile Detector

    5 Make sure that the indication status light on detector is green and so ready for radiation. 5.3.7.2 Positioning the tube unit Using the handles, bring the X-ray tube unit into position: VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 129 If necessary set the tube unit vertical: ◆ Release the brakes with the push buttons on the control panel or with the buttons on the handles and position the tube unit. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 130 ◆ Pay special attention in the diagnosis to distortions of the image geometry when using oblique projections. 5.3.7.7 MAXalign MAXalign is a feature to make free exposures easier and more accurate. It works with MAX wi-D and MAX mini. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 131 Radiation not usable ◆ After the system has been positioned, do a final check to make sure that the tube, anatomy and detector are properly aligned before releasing radiation. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 132: Exposures Onto The Wall Stand

    1 Position the tube unit manually as required for the exposure using the movement buttons at the MAXtouch and/or the buttons on the handles. ( Page 60 Movement control elements) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 133 2 Set the SID by using the buttons on the tube unit control panel. – or – Set the SID by using the buttons on the detector unit. 3 Make an exposure. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 134 Automatic Collimation Size Selection (ACSS) is not effective in the oblique projection. You must collimate manually. 5 Make an exposure. Pay especial care in the diagnosis to distortions of the image geometry due to the oblique projection! VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 135: Tomography

    In case of a tomography program, this could take approximately 15 seconds. If no acquisition is performed within 6 minutes, there will be another preparation sequence of approximately15 seconds. 5.3.9.2 Setting the fulcrum height MAXtouch, Tomo tab card VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 136 Remote Control again. The X-ray tube moves to the OGP position again. 5 Press the pre-contact of the manual radiation release. The X-ray tube moves to the Tomo start position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 137: Smartortho

    The X-ray tube unit is centered over the table. When an Ortho sequence is started, the detector moves and the tube is automatically tilted to the next position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 138: Smartortho On The Smartortho Stand

    To perform automatic Ortho imaging onto the wall stand, the SmartOrtho stand is needed. ( Page 172 Multipurpose / SmartOrtho stand (11105090)) Required system configuration: Ysio Max with SmartOrtho stand and the SmartOrtho license. Automatic Ortho acquisitions at the wall stand can be performed with large SID (3 m) and short SID (1.8 m).

  • Page 139: Preparing Ortho

    ◆ Use the correct organ program for Ortho. ◆ Make a test run. 1 Press the SmartMove button to move the X-ray tube assembly and the detector to the start position. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 140 For later measurements and correct composition of Ortho images it is required to enter the correct TOD = “Table”-Object Distance, i.e. tabletop/detector to object plane distance. ✓ After selecting an Ortho organ program, the TOD defined in this organ program is displayed. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 141 X-ray tube unit to the lower end position. 5 Press this button on the MAXtouch. The position is stored and the button is marked by a check mark. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 142 1 Select the required Ortho Step position. 2 Check/enter all the relevant acquisition parameters. If the same acquisition parameters shall be applied for the second and further acquisitions of the Ortho series: VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 143: Releasing The Ortho Exposures

    After all exposures are done, the acquired images are automatically stitched together and displayed in Composing. Refer to the FLUOROSPOT Compact Operator Manual. If configured, the acquired images will be sent to syngo.via View&GO for composition. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 144: Accessories And Auxiliary Devices

    For reasons of safety for patients, operators and the equipment, only original accessories manufactured and sold by Siemens Healthineers or Siemens Healthineers-approved accessories from another manufacturer may be used. Siemens Healthineers cannot accept any responsibility for accessories not approved by us. CAUTION Use of accessories not intended for the system.

  • Page 145: Orientation Of Accessories

    Turn toward the right means tighten accessory with knurled screws or levers (clockwise) • Turn toward the left means remove accessory with knurled screws or levers or other fastening devices (counterclockwise) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 146: Description

    Please observe and verify normal operation of the Wireless Remote Control prior to using it. During operation, the Wireless Remote Control emits electromagnetic energy. Maybe, nearby electronic equipment is affected. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 147 Take care that the batteries are always sufficiently charged. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 148 Orange LED on: An operation button is being pressed. • LED off: battery sufficiently charged, remote control not connected to the Charging Station • LED flashing red: battery needs charging, remaining capacity < 4 h VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 149 As soon as you release the dead-man switch, the current operation is stopped. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 150 OGP position of patient table or parking position SmartMove button: • Move the patient table to the position which is stored in the OGP • Move the system to the parking position VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 151 Wireless Remote Controls. The same marks are attached to the respective table and room during installation. These signs are two examples of colored signs of different shape to mark the remote control to a Ysio Max system. 6.2.1.3 Charging Station for Wireless Remote Control The Wireless Remote Control is plugged in the Charging Station for charging the batteries.
  • Page 152 RF emissions CISPR 11 Compliance: Group 2 The deployment of Wireless Remote Control in combination with wi-D changes the classification of wi-D from compliance group 1 to compliance group 2. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 153: Foot Switch

    (3) Clamp for positioning (4) Store fluoro loop button (5) Colored symbol for identification (6) Battery compartment (7) Snapshot / store image / store LIH button (8) Status LEDs VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 154 ◆ Take care that the wireless foot switch and the system have the same colored label. ◆ Use wireless foot switch only when there is visual and acoustic contact with patient. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 155 1 To open the battery compartment on the bottom, lightly press in the knob and turn it. 2 Remove batteries. 3 Insert new batteries (LR14) into the wireless foot switch as shown in the diagram (see arrow for insertion direction). VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 156: Battery Charger

    Charging levels Fault signal Charging a fully discharged battery will take a maximum of 3 hours. Up to three batteries can be charged at a time in the charger. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 157: Charging Troubleshooting

    No battery inserted Battery not inserted correctly. 1 Remove battery and insert it again correctly. 2 If problem remains, check that connectors are not damaged or battery is not faulty. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 158: Wall Charger

    Inserting the MAX wi-D detector correctly for charging To charge the MAX wi-D detector correctly, proceed as follows: 1 Insert the MAX wi-D detector into the corresponding compartment (charging station) of the wall charger. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 159: Patient Positioning Mattress

    ◆ Use other positioning aids for immobilizing weak or very unstable patients. 6.2.7.1 Attaching the hand grip The hand grip can be attached to either of the two lateral accessory rails of the patient table. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 160: Removing The Hand Grip

    3 Tighten the hand grip by turning it clockwise. Please make sure that the hand grips are securely fastened. 6.2.7.2 Removing the hand grip ◆ Proceed in reverse order. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 161: Hand Grip Strip

    2 Position the hand grip strip from below at the accessory rail as shown in above figure. 3 Lift it up and turn it down (see following figure) We recommend placing the hand grip strip on the far side of the user. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 162 (not the cap screw) and does not hold onto the headend or the side edge of the patient table. 6.2.8.2 Removal 1 Loosen both cap screws on the hand grip strip. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 163: Compression Belt

    The parts of the unit marked in the drawing show possible danger zones where fingers can be crushed. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 164 3 When the cap screw and tension levers are in locked status, check if the compression belt is locked. Remove all traces of contrast agent from the compression belt. Otherwise, the X-ray image shows artifacts. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 165 The compression belt is a mechanical component for X-ray exposures. It is used for patient compression on the table or BWS, reducing the thickness of the patient which leads to better image quality for some examinations, especially abdominal. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 166 In this case, and for restless or frail patients, we recommend that someone assist you in attaching the compression belt 7 Lift the holder with the belt across the patient. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 167 2 Press the ratchet handle (1) back. 3 Turn the cap screw (3) on the tensioning roller toward the right. The compression belt unclenches. 4 Use the ratchet handle to set a lower belt tension. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 168 12 Use the cap screw (3) to roll up the belt on the tensioning roller. 6.2.9.5 Using the compression belt on the wall stand Attachment 1 Position the patient. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 169 The belt unclenches. For the attachment to the wall stand, we recommend that two persons fasten the compression belt. 6 Lift the holding part with belt over the patient. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 170 2 Turn the cap screw (3) on the clamping part to the right. The belt unclenches. 3 Set a reduced belt tension once again with the ratchet lever. Removal 1 Push the ratchet lever (1) to the back. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 171 -20°C to +70°C (Transport and storage) Relative humidity: 10% to 95% rel. air humid‐ ity without condensation Barometric pressure: 500 hPa to 1060 hPa Aluminum equivalent ≤ 0.8 mm Al VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 172: Multipurpose / Smartortho Stand (11105090)

    (3) UR label/ UR (4) Identification label for compression belt 6.2.10 Multipurpose / SmartOrtho stand (11105090) The SmartOrtho stand is necessary to position the patient correctly for Ortho imaging. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 173 Positioning the Ortho support Injury of the user ◆ Follow the instructions in the Operator Manual. ◆ Be careful not to pinch your fingers, hand or legs during positioning. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 174: Using The Brakes

    1 To lock the brakes push the pedal down towards the symbol of the closed padlock (1). 2 To release the brakes push the pedal down towards the symbol of the open padlock (2). VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 175 In this case, use the additional steps. (1) Wheels (there are more wheels on the left side) (2) Handle (another handle is on the right side) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 176: Hand Grips

    Patient hand grips slip because the guide rails are contaminated Patient injury ◆ Clean the Ortho support with a suitable agent. ◆ Check that there is no oily residue on the guide rails. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 177 Check that the locking screws on both hand grips are properly fixed to prevent the hand grips from disengaging while the patient is leaning on them. Disengaging hand grips might cause injuries to the patient and/or damage to the support! VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 178 ◆ Make sure that the swivel stool is attached correctly to the ortho support. ◆ Push and pull the stool to make sure that it is secure before positioning the patient. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 179 The holding device is used to position the ruler on the image. (1) Locking screw (2) Ruler (3) Positioning slots (4) Movable holding arm (5) Guide rail How to use the holder for the ruler VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 180 5 Position the ruler in the slot and fix it with the fixing clamp as shown above right. 6.2.10.8 BABIX holder for multipurpose stand The BABIX holder is used to fasten the BABIX during pediatric examinations of small children. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 181 1 Slide the support arm (2) with the BABIX holder (3) from above on the guide rail (4) and fix it with the cap screw (1). The BABIX holder can only be mounted on the right guide rail at the top. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 182 3 Move the BABIX holder (2) around the vertical axis in steps of 90° by lifting it with the holding knob (4) and turning it. 6.2.10.9 Detector holder for Multipurpose / SmartOrtho stand VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 183 4 Lift the fixing device (1). 5 Place the detector on the lower holder. 6 Slide the fixing device downward. 7 Ensure the detector is seated properly in the holder. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 184: Technical Data

    Positioning the Ortho stand Injury of the user ◆ Follow the instructions in the Operator Manual. ◆ Be careful not to pinch your fingers, hand or legs during positioning. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 185 (4) Additional removable platform for smaller patients (for example children) and for examinations of the lower extremities (5) Brake pedals (on both sides) (6) Patient platform (with positioning indentations for additional platform and swivel stool) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 186 CAUTION Mounting the Ortho stand Patient can slip or fall down ◆ Position the patient hand grips at the lowest possible position when the patient is mounting or dismounting. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 187 Removing the handgrips 1 To remove the hand rips when used as stretch grip, just turn the locking screws counterclockwise and remove the handgrips upwards from the guide rails. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 188: Brake Pedals

    (1) Padlock closed (2) Padlock open Push the brake pedal down towards this symbol to lock the brakes, support cannot be moved. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 189 Patient falls from the swivel stool Risk of patient injury ◆ Make sure that the patient is seated securely on the swivel stool. ◆ Position a handgrip so that the patient can hold on. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 190 Ruler with holding device The holding device is used to position the ruler on the image. (A) Locking screw (B) Ruler (C) Positioning slots (D) Movable holding arm (2) Guide rail VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 191 4 To position the ruler in one of the two holding slots first of all open the fixing clamp as shown above left. 5 Position the ruler in the slot and fix it with the fixing clamp as shown above right. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 192 BABIX holder loaded with more than 10 kg Injury of persons ◆ Do load the BABIX holder with more than 10 kg. (1) Cap screw (2) Support arm (3) BABIX holder (4) Guide rail VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 193 ◆ The hook of the BABIX holder can be turned in steps of 90° around the vertical axis by lifting the BABIX holder with the holding knob and turning it. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 194: Detector Holder

    1 Lift the fixing device (1). 2 Place the detector on the lower holder. 3 Slide the fixing device downward. 4 Ensure the detector is seated properly in the holder. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 195: Location Of Labels

    DIN EN 60601-1-3 6.2.11.10 Location of labels All labels displayed in the operator manuals are examples only and may differ from the labels attached to the system and components. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 196 6 Accessories and Auxiliary Devices (2)(3)(9) (10)(11) (7)(8) (4)(5)(6) (1)(2)(3) (1) Weight label (200 kg) (2) Type B equipment label (3) Refer to manual label (4) Ortho stand ID label VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 197 6 Accessories and Auxiliary Devices (5) China nameplate label (6) Weight label (120 kg) (7) DHHS label (8) Al equivalent label (9) Handgrip ID label (10) Weight label (30 kg) (11) Caution label VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 198: Detector Holder, Lateral

    Examples of application The detector holder is to be used only on or above the tabletop or directly at the side of the tabletop (see examples above). Danger points VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 199 ◆ Make sure the detector holder is securely fastened. 4 To move the detector holder vertically use the crank (1). 6.2.12.2 Inserting the detector 1 Insert the detector into the detector holder from above. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 200: Overhead Patient Hand Grip

    The overhead patient hand grip engages in the 0°, 90º, and 180° positions. For easy storage of the overhead patient hand grip, a wall holder is provided. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 201 1 Pull the overhead patient hand grip axially approximately 1 cm against the spring force to the front. A red mark is visible to indicate that the overhead patient hand grip is not locked. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 202: Compensation Filters

    • Infant skull • Adult skull • T-spine, L-spine • Shoulder Compensation filter for pelvis and compensation filter for foot Compensation filter for infant skull and compensation filter for adult skull VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 203 The safety spring in the left rail is pushed beside in this case. 2 Push the filter up to the stop. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 204 6.2.14.2 Removal 1 Pull filter out of the accessory rails of the multileaf collimator The safety spring in the left rail has to be pushed beside in this case. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 205: Filter Holder For Eight Filters

    ◆ Place the filter in a free compartment of the wall holder, turn the filter so that you can read the designation on the filter reading normally from above. 6.2.16 Three-field template, set Application For exposing the measuring fields on the object to be exposed. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 206: Aec Templates

    • SID: 130 cm - 175 cm • SID: 175 cm - 220 cm 6.2.17.1 Using the AEC templates 1 Push the locking lever on the left accessory rail to the left. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 207: Laser Light Localizer Template

    The detector protector is a protective cover for the detector. It is used for examinations where the patient has to stand on the detector if the patient body weight exceeds 100 kg. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 208: Clip-On Grids

    • 15/80 F115 for MAX wi-D • 5/85 F115 for MAX wi-D • 5/85 F115 for MAX mini Application The clip-on grids are used for free exposures on the mobile MAX detectors. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 209 MAX wi-D MAX mini Ensure that the grid unit is locked before lifting the detector unit. Otherwise, the grid unit can fall and be damaged. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 210: Wall Holder For Grids

    6.2.21 Wall holder for grids This holder is used for storage of exchangeable grids. It can be mounted to the wall. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 211: Babix Holder For Bucky Wall Stand

    3 Check the tractive force as well as screws and other fixing devices of the BABIX holder (1) at the support arm (2) for their stability and loading capacity. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 212: Patient Positioning Table, Mobile

    To enable the mobile patient positioning table to be fixed at any location, the two castors at the front of the table are equipped with brake pedals (as shown in the picture). VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 213: Intended Use

    It is the responsibility of the operator to initiate movements of the equipment only if it is ensured that neither the patient nor third parties can be endangered by these movements. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 214 4 Check that the necessary devices for patient holding and immobilization are attached properly to the unit. 5 When the castor brake pedal is in locked status, check if the patient table position is locked. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 215: Cleaning And Disinfection

    3 For sprayed paint, plastic and chromium alloy surface, make sure to use clean and dry soft cloth to wipe clean. Disinfection 1 Disinfect all components of mobile patient table, including accessories, only with a soft cloth soaked in disinfectant. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 216: Technical Data

    Lifting the table when the mobile detector holder is positioned above the tabletop. Risk of crushing ◆ Be careful lifting the tabletop when the mobile detector holder is positioned near the table. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 217 CAUTION The detector holder is not securely fastened. Injury of persons or damage to the detector or holder ◆ Make sure the detector holder is securely fastened. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 218: Technical Description

    7 Technical Description 7 Technical Description Technical data All technical data represent typical values unless specific tolerances are stated. Siemens Healthineers reserves the right to change the design and specifications without notice. 7.1.1 System Installation data The entire system is connected via a single line voltage...

  • Page 219: Patient Table

    ± 48 cm (± 4 mm tolerance) Transverse tabletop travel ± 14 cm (± 4 mm tolerance) Tabletop material Composite material Table recognition for improved posi‐ Standard with option Aim FAST tioning VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 220: Ceiling-Suspended X-Ray Tube

    Transverse • With 300 cm trolley: 220 cm • With 400 cm trolley: 355 cm Minimum focus-ceiling distance 83 cm Ysio Max with Aim FAST/Aim Ysio Max Vertical travel range 180 cm, manual or motorized 180 cm, manual or motorized Speed in x- and y-axes Aim FAST: up to max.
  • Page 221 7 Technical Description Ysio Max with Aim FAST/Aim Ysio Max Rotation range around the vertical axis • -154° to +182° manual • +154° to -182° manual • -150° to +180° motorized • Not applicable • Software stops at -90°; 0°; +90°...

  • Page 222: Bucky Wall Stand

    MAX static (integrated flat detector) Detector technology Cesium iodide scintillator coupled to TFT matrix with amorphous silicon techno- logy Dimensions (active area) 42.3 cm x 42.5 cm Active detector matrix 2860 x 2874 VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 223 DQE in %; 2µGy (RQA5 70% at 0.05 lp/mm 51% at 1 lp/mm, (IEC 62220) 42% at 2 lp/mm, (IEC 62220) 29% at 3 lp/mm, (IEC 62220) 19% at Nyquist VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 224 Pixel size 148 µm Semiconductor material Amorphous silicon (a-Si) Scintillator Cesium iodide (CsI) Acquisition depth 16 bits Data transmission WLAN* < 1.5 s preview; < 3.5 s full image VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 225: Generator Polydoros R 65/80

    1000 mA at 79 kV Automatic exposure control range 40 kV - 150 kV, 1 mA - 1000 mA 40 kV - 150 kV, 1 mA - 1000 mA VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 226: Fluorospot Compact Imaging System

    In TIFF or AVI format via CD-R Documentation • DICOM Print • Virtual Film Sheet DICOM Worklist, MPPS Data exchange via HIS/RIS Paper printing Printing of lists and images to a net‐ work paper printer VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 227: Displays

    Anti-glare Typical contrast ratio 1000 : 1 Power consumption < 75 W; in power save mode: < 10 W Weight 5.7 kg Horizontal viewing area 176° (H and V) VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 228: Wlan Access Point Scalance W7X8

    WLAN access point Aruba 303 Data transfer Ethernet transfer rate BASE-T 10/100/10000Mbps Wireless transmission rate 6 ... 300 Mbps Wireless standards supported • IEEE 802.11a • IEEE 802.11g • IEEE 802.11n VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 229: Location Of Labels

    A configurable device is a device that consists of several components which can be assembled by the manufacturer in multiple configurations. Those individual components may be devices in themselves. 7.2.1 Ysio Max label locations 7.2.1.1 At the patient table 7.2.1.2...
  • Page 230 7 Technical Description 7.2.1.3 At the overhead support only when patient table and bucky wall stand not present 7.2.1.4 At the FLUOROSPOT Compact VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 231: Ysio Max System Labels

    7 Technical Description 7.2.1.5 At the generator 7.2.2 Ysio Max system labels (1) System identification label (1a) Art. 22 MDR Combi Label (2) Approval labels CSA / UL / C-US VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 232 (6) Second set of labels (7) Detector label Model no. for detector: 10093820 (8) Approval label Saudi Arabian Ministry of Health for deliveries to Saudi Arabian Ministry of Health VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 233: Fluorospot Compact Imaging System Label

    7 Technical Description (9) Approval label South-Korea for deliveries to South-Korea (10) Approval label radio-control 7.2.3 FLUOROSPOT Compact imaging system label SGS product certification label VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 234: Electromagnetic Compatibility (Emc)

    The product complies with following test levels of IEC 60601-1-2:2014: Emission test: Basic EMC standard or Compliance level: test method: Conducted and radiated CISPR11 Group 1, Class A RF emissions VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 235 7.3.2.3 Declaration of EMC environment XP product is suitable for professional healthcare facility environment according IEC60601-1-2 ed. 4. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 236 Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the Ysio Max, including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.
  • Page 237 Warning against use of equipment nearby of emitters This equipment has been tested for radiated RF immunity only at selected frequencies; use of emitters in close proximity at other frequencies could result in improper operation. VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 238: Glossary

    MAX is a Siemens Healthineers innovation that is available with the Luminos Agile Max, Luminos dRF Max, Luminos Fusion Max, LUMINOS Lotus Max fluoroscopy systems, as well as the Ysio Max, YSIO X.pree, Mobilett Mira Max, and MOBILETT Elara Max radiography systems.
  • Page 239 SmartView SmartView allows you to display and switch between images from different modalities. Source-Object Distance Tableside control console Table-Object Distance Touchscreen User Interface Uninterruptible Power Supply VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...

  • Page 240: Index

    124 Detector holder 194 Exposures for Ortho stand 182 Changing onto the wall stand 132 lateral 198 the battery of the detector 87 mobile 216 VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 241 Pictograms 9 Operator Manual Positioning information 7 tabletop 108 Labels segmentation 7 the patient at the wall stand 116 compression belt 172 the patient on the table 114 locations 229 VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 242 101 Units SID tracking 106 opening 32 SmartOrtho 137 UPS 92 Software description 93 information 12 LCD description 94 Standby power supply 98 operation 95 Status indicators 14 VF10 and higher | Operator Manual Ysio Max Print No. XPB7-030G.620.04.03.02...
  • Page 243 This document is maintained in electronic form through Siemens Healthineers distribution channels. Printed versions not provided by Siemens Healthineers and/or downloaded copies are considered uncontrolled. Siemens Healthineers Headquarters Manufacturer Siemens Healthcare GmbH Siemens Healthcare GmbH Henkestr. 127 Henkestr. 127 91052 Erlangen...

Table of Contents