Siemens Cios Select Quick Manual
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Siemens Cios Select Quick Manual

Siemens Cios Select Quick Manual

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Cios Select
Quick Guide

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Summary of Contents for Siemens Cios Select

  • Page 1 Cios Select Quick Guide...
  • Page 2 Manufacturer's notes: This device bears a CE mark in accordance with the provisions of EU Regulation 2017/745 of April 5, 2017 concerning medical devices and the Council Directive 2011/65/EU of June 8, 2011 on the restriction of the use of certain hazardous substances in electrical and elec- tronic equipment.
  • Page 3 Introduction We welcome you as a user of the Cios Select mobile X-ray system from Siemens. This Quick Guide is a guideline to help you with the operation of the system. The Quick Guide is valid only in conjunction with the operator manuals and the safety infor- mation they contain: ...

  • Page 4: Table Of Contents

    Startup Preparing Cios Select ......13 Switch on Cios Select......15 Lifting and lowering the C-arm ... 15 Transport of the Cios Select ....19 Examination procedure Removing the scatter radiation grid ..21 Attaching the sterile covers ....21 Patient registration ......
  • Page 5 Table of Contents System maintenance Cleaning, disinfection ......73...

  • Page 6: System Overview

    System overview Quick Guide Cios Select...

  • Page 7: Cios Select C-Arm System

    System overview Cios Select C-arm system Horizontal support arm Handles including holder for hand switch, steering handle for transport Connection for central plug Base system (chassis) with electronics unit Single tank with X-ray tube unit and collimator Image intensifier with grid...
  • Page 8 System overview Quick Guide Cios Select...

  • Page 9: Overview Of Operating Elements

    System overview UPS window The UPS window indicates the battery charge level and the system operating status. LED “Green”: Input voltage (line power operation) LED “Yellow”: Battery operation LED “Red”: Alarm, malfunction Bar display of utilization ratio Bar display of battery charge status Overview of operating elements Control panel on the monitor trolley Control panel on the C-arm...
  • Page 10 System overview 8 9 10 11 Quick Guide Cios Select...

  • Page 11: C-Arm Keyboard

    System overview C-arm keyboard The keyboard for performing your examinations is located on the C-arm. Selection of operating mode Pre-defined application settings Collimator setting Image processing Image display, documentation Lift/lower C-arm Image rotation (left/right) Pulse rate Noise filter selection 10. Select and display dose rate level 11.

  • Page 12: Startup

    Startup Quick Guide Cios Select...

  • Page 13: Preparing Cios Select

    Startup Preparing Cios Select Connecting the C-arm system to the monitor trolley  Plug the main monitor trolley connection cable plug into the socket on the C-arm basic unit (1).  Turn the switch to the right until it locks in (2).
  • Page 14 Startup  An audible signal sounds while the system starts up.  Do not press any button on the control panel during startup, otherwise an error message will appear. Quick Guide Cios Select...

  • Page 15: Switch On Cios Select

    Startup Switch on Cios Select  Press the right ON button on the C-arm basic unit.  The C-arm system starts up.  An acoustic signal sounds during startup. Wait for the imaging system to boot. Lifting and lowering the C-arm You can lift and lower the C-arm by motor control using the arrow buttons on the C-arm basic unit.
  • Page 16 Startup Quick Guide Cios Select...
  • Page 17 Startup Moving the C-arm horizontally  Open the brake lever marked in green for horizontal movement by turning it to position.  Move the support arm while observing the green scale.  Re-engage the brake. Swiveling the C-arm  Open the brake lever marked in orange for horizontal swivel by turning it to position.
  • Page 18 Startup Quick Guide Cios Select...

  • Page 19: Transport Of The Cios Select

     Motion straight ahead / pivoting in place  Diagonal motion  Straight left or straight right motion The Cios Select can now be moved in the desired direc- tion. 2. Braking the C-arm system For the desired park position, engage the brakes as fol- lows: ...

  • Page 20: Examination Procedure

    Examination procedure These icons on the left monitor and the control panels indicate the “inserted/removed” status of the scatter radiation grid. Quick Guide Cios Select...

  • Page 21: Removing The Scatter Radiation Grid

    Examination procedure Removing the scatter radiation grid If necessary, remove the scatter radiation grid as fol- lows:  Unlock the scatter radiation grid by turning the attachment screw.  Carefully pull the scatter radiation grid out and set it safely aside. ...
  • Page 22 Examination procedure Quick Guide Cios Select...
  • Page 23 Examination procedure  Pull the plastic cover over the single tank.  The plastic cover is fixed in place with an elastic cord.  Pull the other plastic cover over the image intensifier.  The plastic cover is fixed in place with an elastic cord.
  • Page 24 Examination procedure Quick Guide Cios Select...

  • Page 25: Patient Registration

    Examination procedure Patient registration Emergency patient  As long as no other patient is registered, press the hand or footswitch once for radiation release.  Click the Emergency button in the Data Entry Dialog window.  The patient is registered using temporary patient data that can be corrected later.
  • Page 26 Examination procedure Quick Guide Cios Select...
  • Page 27 Examination procedure Previous or pre-registered patient  Press the New Patient button on the control panel and press one of the following buttons:  Previous patients if the patient was examined once previously.  Worklist if the patient was flagged for an examina- tion via the HIS/RIS or using the data entry dialog.
  • Page 28 Examination procedure Adjust the exposure parameters on the left side of the control panel. Quick Guide Cios Select...

  • Page 29: Defining The Exposure Parameters

    Examination procedure Defining the exposure parameters Operating mode  Press the button for the desired mode.  The button shaded in white indicates the current mode. Collimators  Open or close the iris collimator with the In or Out buttons. ...
  • Page 30 Examination procedure k factor: a number of k exposures are inte- grated into one image (depending on mode and examination program, from k = 1 to k = 16). Quick Guide Cios Select...
  • Page 31 Examination procedure Motion/noise filter  Press the Motion button.  Turn off/on motion detection for fixed or moving objects. Selecting the input format (I.I. zoom/magnification)  Press the Magnify button.  Each time you press the key, you switch between zoom levels 0 (full format) and 1.
  • Page 32 (due to rods from surgeries, for example)  Fluoroscopy of objects with widely varying densities (such as prosthetic hips) Image parameters are entered separately on the C-arm keyboard. Changes affect the current and subsequently captured images. Quick Guide Cios Select...

  • Page 33: Setting The Image Parameters

    Examination procedure Tech lock – manual input of radiation parameters Automatic dose regulation (ADR) is usually used. Deactivating the button turns off this control. The radia- tion parameters can then be changed manually.  Press the Tech lock button.  Automatic dose regulation stops. The kV/mA or kV/mAs level remains constant at the most recently set and displayed values.
  • Page 34 Examination procedure Check the left monitor display to ensure the current patient and the registered patient are the same. Quick Guide Cios Select...

  • Page 35: Acquiring Images

    Examination procedure Acquiring images All further steps of the examination are performed at the C-arm system. Release radiation  Release radiation with the hand switch or foot- switch.  The current fluoro image is displayed on the left (live) monitor, the LIH after radiation is complete. Saving images ...
  • Page 36 Examination procedure If the Transfer button is pressed, the trans- ferred image is not saved. Images/scenes are automatically transferred to the right monitor with the save command. Quick Guide Cios Select...

  • Page 37: Ending The Examination

    Examination procedure Changing the image display  If needed, use the following tools to improve the image display:  Brightness (1)  Contrast (2)  LUT selection (3)  Edge enhancement (4) Using reference images  Press the Transfer button to transfer the live image to the right (reference) monitor.

  • Page 38: Postprocessing

    Postprocessing You can organize the list display as desired using the appropriate filter sorting the columns. Quick Guide Cios Select...

  • Page 39: Patient Data

    Postprocessing Patient data Displaying the Patient list  Press Previous Patient button on the monitor trolley keyboard.  The Patient list displays the data stored in the local database for previously examined patients:  Study list (1), the selected study is marked in blue ...
  • Page 40 Postprocessing You can configure automatic deletion of images based on their processing status. If the "DICOM node" source is selected, the Query for retrieve dialog box is displayed for the data import. Quick Guide Cios Select...
  • Page 41 Postprocessing Deleting data To ensure sufficient storage capacity, you should regu- larly delete images that are no longer needed from the local database.  Select the entry to be deleted in the Patient list.  Press this button.  If needed, you can activate/remove deletion protec- tion using this button.
  • Page 42 Postprocessing Quick Guide Cios Select...

  • Page 43: Editing Images

    Postprocessing Editing images Loading images  Press Previous Pat. button on the control panel.  Use the arrow buttons to select the desired study.  Double-click the patient with the mouse. Displaying images  Turn on Overview if needed.  Select from the following displays of loaded images on the left monitor: ...
  • Page 44 Postprocessing Quick Guide Cios Select...
  • Page 45 Postprocessing Reviewing a scene  Press the Replay button.  Press one of these buttons to go backward/forward by a single image.  Press one of these buttons to go to the previous/ next scene. Windowing images  Use Brightness button to change the brightness. ...
  • Page 46 Postprocessing Analyses using distance measurements require previous calibration of the image. Quick Guide Cios Select...

  • Page 47: Evaluating Images

    Postprocessing Evaluating images Start the evaluation functions  Click this button on the left monitor (lower left). The following tools are available:  Annotate images (1)  Line and angle measurement (2)  Graphic object selection (3)  Delete individual graphic object in image (4) ...
  • Page 48 Postprocessing Depending on the start and end points of the second leg, either the interior or exterior angle is indicated. The side identification is applied automatically to the remaining images of the series. Quick Guide Cios Select...
  • Page 49 Postprocessing Measuring an angle  Click this button.  Draw the first leg by setting the desired start and end points with the mouse pointer.  Draw the second leg using the same method.  The registered angle (in °) and the sequential num- ber of the graphic object are displayed in the image.
  • Page 50 Postprocessing All changes in the image are saved when you close the patient. Quick Guide Cios Select...

  • Page 51: Manually Saving Images And Scenes

    Postprocessing Manually saving images and scenes During manual saving, the selected images/scenes are saved as copies of the original in the corresponding study. Saving single images  Use the Ctrl and Shift keys to select the desired sequential images.  Press the Store button. Saving partial scenes ...

  • Page 52: Documentation

    Documentation Quick Guide Cios Select...

  • Page 53: Print

    Documentation Print Selecting images  Press the Overview button on the monitor trolley keyboard.  Select the desired individual images or series by holding down the Ctrl button. Printing using default settings  Press the Print/Export button.  The default printer is used with the defined paper size and segmentation settings.
  • Page 54 To export complete studies, select the records in the Patient list. During data transmission, do not shut down the Cios Select, disconnect the monitor trolley from the C-arm system, or remove the data storage medium. The appearance of the Print/Export button depends on the set default export target.

  • Page 55: Exporting

    Documentation Exporting Selecting images  Press the Overview button on the monitor trolley keyboard.  Select the desired individual images or series by holding down the Ctrl button. Preparing the removable devices  Place the CD/DVD into a protable drive with the label facing upwards.
  • Page 56 Documentation When this option is activated, the current parameters are set to the default export settings. Quick Guide Cios Select...
  • Page 57 Documentation Exporting with changed settings  Click the export icon at the bottom left of the left monitor.  Enter the export settings:  Export destination DICOM node, CD/DVD, USB For a DICOM node, the network address (Target) must be entered ...

  • Page 58: Subtraction/Roadmap

    During the examination, images without con- trast agent (mask) are continuously subtracted from images with contrast agent and displayed on the monitor. Depending on the contrast agent flow, they display the relevant vascular segment without superimposition in real time. Quick Guide Cios Select...

  • Page 59: Performing Subtraction Angiography

    Subtraction/Roadmap Performing subtraction angiography Subtraction angiography is divided into the following three phases:  Phase A Creating the mask (defined, fixed duration)  Phase B1 Contrast medium injection (duration of "Inject" dis- play until examination area is reached)  Phase B2 Time of the actual exposure of the examination region Preparation...
  • Page 60 Subtraction/Roadmap The mask (phase A), subtraction series (phase B) and the fill image are saved automat- ically. Quick Guide Cios Select...
  • Page 61 Subtraction/Roadmap Fill image  Do not turn off the radiation until the contrast medium has completely passed through the vessel.  The monitor displays the maximum fill image (PeakOP image).
  • Page 62 Subtraction/Roadmap Quick Guide Cios Select...

  • Page 63: Subtraction Postprocessing

    Subtraction/Roadmap Subtraction postprocessing Load images (after examination is complete)  Press the Previous Pat. button on the control panel.  Use the arrow buttons to select the subtraction study.  Double-click the patient with the mouse. Changing the monitor layout ...
  • Page 64 Subtraction/Roadmap The fill image can be used from pre- vious subtraction angiography or it can recreated in a like manner in Road mode. Quick Guide Cios Select...

  • Page 65: Performing Roadmap

    Subtraction/Roadmap Performing roadmap In the first step of the Roadmap examination, the fill image is created as a mask from a normal subtraction (phase A and phase B). In the second step, the display of the vessel into which the catheter is to be positioned is superimposed by current fluoroscopic images (phase C).

  • Page 66: Switching Off

    Switching off When you want to turn off the C-arm system only, disconnect it from the monitor trolley. Quick Guide Cios Select...

  • Page 67: Shutting Down The System

    Switching off Shutting down the system Switching off the system completely  Close the current patient with the Close pat. button on the control unit.  Press the OFF button on the monitor trolley (1).  Disconnect the monitor trolley power plug from the power outlet.
  • Page 68 Switching off Quick Guide Cios Select...

  • Page 69: Returning To The Park Position

    Switching off Returning to the park position 1. Lower the lifting column  Press the down button on the control unit and lower the lifting column to the lowest position. 2. Retract the horizontal support arm  Release the brake for horizontal movement and move the horizontal support arm all the way back.
  • Page 70 Switching off On sloping surfaces, make sure that the brakes are locked and the front of the monitor trolley is facing the downward slope. Risk of slipping and tipping! Quick Guide Cios Select...

  • Page 71: Transporting The Monitor Trolley

    Switching off Transporting the monitor trolley  Prior to transport, place the rolled-up cables on the handles of the monitor trolley.  Release the main brake at the front of the monitor trolley.  The monitor trolley can now be moved. Park position ...

  • Page 72: System Maintenance

    System maintenance Only use the recommended cleaning agents and disinfectants. Follow manufacturer's instructions. Do not allow any cleaning liquids to enter the openings of the system (e.g. air vents, gaps between covers). Quick Guide Cios Select...

  • Page 73: Cleaning, Disinfection

    System maintenance Cleaning, disinfection After you have turned off and disconnected the Cios Select from the main power, you can disinfect or clean the following system components:  Basically all components that come in contact with patients  X-ray tube assembly housing ...
  • Page 74 System maintenance Alcohol-based cleaning agents are not suitable for screen surfaces and the control units. Quick Guide Cios Select...
  • Page 75 System maintenance Screen surfaces/TFT displays Screen surfaces should be cleaned at least every two months.  Clean the monitor screen with a cotton cloth damp- ened with water.  Remove stubborn stains with a mixture of 2/3 water and 1/3 alcohol. ...
  • Page 76 Notes Quick Guide Cios Select...
  • Page 78 Siemens Healthineers Manufacturer Headquarters Siemens Healthcare GmbH Siemens Shanghai Medical Equip- Henkestr. 127 ment Ltd. 91052 Erlangen 278 Zhou Zhu Road Germany 201318 Shanghai Phone: +49 9131 84-0 P .R.China siemens.com/healthineers Print no. ATSC-200.622.11.01.02 | © Siemens Healthcare GmbH, 2022 www.siemens.com/healthineers...

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