Siemens MAGNETOM Skyra fit Bedienungsanleitung

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MAGNETOM Skyrafit

Operator Manual – MR System

syngo MR E11

Answers for life.

MAGNETOM Skyrafit

Operator Manual – MR System

syngo MR E11

Indicates a hint

Provides information on how to avoid operating errors or information emphasizing

important details

Indicates the solution to a problem

Provides troubleshooting information or answers to frequently asked questions

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Indicates a prerequisite

A condition that has to be fulfilled before starting a particular operation

Indicates a single-step operation

Indicates steps within operating sequences

Used for references and for table or figure titles

Used to identify a link to related information as well as previous or next steps

Used to identify window titles, menu items, function names, buttons, and keys, for

example, the Save button

Used to emphasize particularly important sections of the text

Used for on-screen output of the system including code-related elements or

commands

Identifies inputs you need to provide

Used for the navigation to a certain submenu entry

Identifies variables or parameters, for example, within a string

CAUTION

Used with the safety alert symbol, indicates a hazardous situation which, if not

avoided, could result in minor or moderate injury or material damage.

CAUTION 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

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4MR System | Operator Manual

Print No. M6-04401.621.02.02.02

WARNING

Indicates a hazardous situation which, if not avoided, could result in death or

serious injury.

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

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MAGNETOM Skyrafit | syngo MR E11 5

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6MR System | Operator Manual

Print No. M6-04401.621.02.02.02

1 Introduction 11

1.1 Layout of the operator manual 11

1.2 The current operator manual 11

1.3 Intended use 12

1.4 Authorized operating personnel 13

1.4.1 Definitions of different persons 13

2 Safety 15

2.1 Preface about safety 15

2.1.1 Hazards and risks 15

2.1.2 Common causes of accidents 15

2.1.3 Responsibility 15

2.1.4 Configuration of hazard hints 16

2.2 Common/permanently existing hazards 16

2.2.1 Electromagnetic fields 16

2.2.2 Safety instructions on the static magnetic

field 18

2.2.3 Safety instructions on RF and gradient

fields 20

2.2.4 Contraindications 23

2.2.5 Mechanical hazards 25

2.2.6 Compatibility 28

2.3 What else must be observed? 30

2.3.1 Ambient conditions 30

2.3.2 Access to the examination room 30

2.3.3 Noise development 31

2.3.4 Patient care 32

2.3.5 Artifacts and imaging errors 33

2.3.6 Maintenance/repair 38

2.3.7 Signs and symbols 38

2.3.8 System owner-related advices 41

2.3.9 Coils/quality assurance 41

2.4 In case of emergency 41

2.4.1 Emergency switches 41

2.4.2 Medical emergency 44

2.4.3 Coolant accidents 45

2.4.4 Fire/Fire fighting 46

Table of contents

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3 MR system components 47

3.1 Overview MR system 47

3.1.1 About function 47

3.1.2 Super-conducting magnet 47

3.1.3 Electronics cabinets 47

3.1.4 RF coils 49

3.2 syngo Acquisition Workplace 49

3.2.1 Host 50

3.2.2 Data recording 50

3.2.3 Monitor 50

3.2.4 Keyboard 51

3.2.5 Mouse 52

3.2.6 syngo MR Workplace (optional) 53

3.3 System control 53

3.3.1 Description 53

3.3.2 Operating the Dot display 57

3.4 Patient table 57

3.4.1 Description 57

3.4.2 Operating the patient table 59

3.5 Dockable patient table 64

3.5.1 Description 64

3.5.2 Operating the dockable patient table 65

3.6 Laser light localizer 70

3.6.1 Using the laser light localizer 70

3.7 Alarm box 72

3.7.1 Description 72

3.7.2 Checks 72

3.8 Intercom 74

3.8.1 Description 74

3.8.2 Operating the intercom 75

3.9 In-Room syngo Acquisition Workplace 76

3.9.1 Description 76

3.9.2 Operating the In-Room syngo Acquisition

Workplace 77

3.10 Other components and accessories 80

3.10.1 Gradient supervision 80

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4 Physiological imaging 83

4.1 Triggering methods 83

4.1.1 Prospective triggering 83

4.1.2 Retrospective gating 84

4.2 Physiological Measurement Unit (PMU) 84

4.2.1 Description 84

4.2.2 Preparing the measurement 89

4.3 ECG triggering 91

4.3.1 Description 91

4.3.2 Performing 92

4.4 Pulse triggering 95

4.4.1 Description 95

4.4.2 Performing 95

4.5 Respiratory triggering 96

4.5.1 Description 96

4.5.2 Performing 96

4.6 External triggering 97

4.6.1 Input for external trigger signal 97

4.6.2 Performing 98

5 MR system operation 99

5.1 Daily functionality checks 99

5.1.1 Checking the functionality and

cleanliness 99

5.2 Starting up and shutting down the MR system 100

5.2.1 Starting the system (System On) 101

5.2.2 Shutting down the system (System Off) 103

5.2.3 Shutting down the syngo MR Workplace 104

5.2.4 Starting/ending Standby 105

5.3 Preparing the MR system 105

5.3.1 Connecting the squeeze bulb 106

5.3.2 Setting tunnel conditions 106

5.4 Preparing the patient 106

5.4.1 Informing the patient 107

5.5 Physiological effects 108

5.5.1 Operating modes 108

5.5.2 Exposure to low frequency

electromagnetic fields 110

5.5.3 Exposure to RF electromagnetic fields 112

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5.6 Starting/Stopping the measurement 115

5.6.1 Starting the measurement 115

5.6.2 Stopping the measurement 115

6 Maintenance 117

6.1 Cleaning 117

6.1.1 Cleaning the LCD monitor/video display 117

6.1.2 Cleaning the camera lens 118

6.1.3 Cleaning the data carrier 118

6.1.4 Cleaning the plugs and connectors 118

6.1.5 Cleaning the patient table and the straps 118

6.1.6 Cleaning and disinfecting the receptors 118

6.1.7 Disinfecting system components 119

6.1.8 Care and cleaning of floors 119

6.2 Return and disposal 120

6.2.1 MR System 120

6.2.2 Packaging 120

6.2.3 Batteries and accumulators 120

7 Appendix: regulatory information 123

7.1 Medical devices of other manufacturers 123

7.2 CE for Physiological Measurement Unit (PMU) 124

Table of contents

10 MR System | Operator Manual

Print No. M6-04401.621.02.02.02

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