SIREMOBIL SIREMOBIL

Compact L Compact L

English English

System System
Operator Operator
Manual Manual
SPR2-130.620.06.01.02 SPR2-130.620.06.01.02

SIREMOBIL SIREMOBIL
Compact L Compact L

English English

System System
Operator Operator
Manual Manual
SPR2-130.620.06.01.02 SPR2-130.620.06.01.02
Operator Manual
Compact L
SP
 The original language of this document is German.

© Siemens AG 2005
All rights reserved

Contact address
SP
Siemens AG Siemens AG, Medical Solutions Order no.: SPR2-130.620.06.01.02
Wittelsbacherplatz 2 Special Systems Printed in the Federal Republic of Germany
D-80333 Muenchen Henkestrasse 127 AG 11/05
Germany D-91052 Erlangen
Germany
 SIREMOBIL Compact L
Overall Table of Contents

Directories

System Operating Instructions

Overall Table of Contents

Register: Directories

Chapter: Overall Table of Contents ....................................................................................................... 1

Register 1: Safety
Information about this Operator Manual ............................................................................................... 3
Laws and regulations ............................................................................................................................ 6
Maintenance and Check ....................................................................................................................... 9
Malfunctions ....................................................................................................................................... 10
Fire protection ..................................................................................................................................... 12
Explosion protection ........................................................................................................................... 13
Overload protection ............................................................................................................................ 14
Personal Safety ................................................................................................................................... 15
Equipment Safety ............................................................................................................................... 21

Register 2: Basic System

Function Description ............................................................................................................................. 3
System overview .................................................................................................................................. 4
Overview of a SIREMOBIL Compact L system with 2 TFT monitors ................................................... 5
Overview of operating elements and displays ...................................................................................... 7
Operation ............................................................................................................................................ 10

Register 3: Memoskop
Memoskop C-E, C-E 100, C and C-SUB
Digital image memory ........................................................................................................................... 3
Memoskop CX 200
Digital image memory ......................................................................................................................... 40

Register 4: Technical data

Curves and Diagrams ............................................................................................................................ 3
Technical Data ....................................................................................................................................... 8
Labels ................................................................................................................................................. 15

SIREMOBIL Compact L
SPR2-130.620.06.01.02 1 of 2
SIREMOBIL Compact L
Overall Table of Contents

Register 5: Maintenance
Functional and Safety Checks ............................................................................................................... 3
Cleaning and Disinfection ..................................................................................................................... 6

Register 6: Accessories
Accessories ........................................................................................................................................... 3

Operator Manual
2 of 2 SPR2-130.620.06.01.02
Operator Manual
SIREMOBIL Compact L
Safety
SP

SPR2-130.620.06.01.02
 Please observe the

Safety Operator Manual

It must be studied thoroughly before system startup.

© Siemens AG 2005
All rights reserved

Siemens AG, Wittelsbacher Platz 2, D-80333 Muenchen, Germany Order no.: SPR2-130.620.06.01.02
SP
Contact information: Siemens AG, Medical Solutions, Special Systems Printed in the Federal Republic of Germany
Henkestrasse 127, D-91052 Erlangen, Germany AG 11/05
 Safety
Table of contents

Operator Manual
Safety

Information about this Operator Manual ............................................................................ 3

Information on text format ................................................................................................ 3
Highlighting of safety information ....................................................................................... 4
Supplements and addenda to the Operator Manual ................................................................ 4
Names and parameters .................................................................................................... 5
Values .......................................................................................................................... 5

Laws and regulations .......................................................................................................... 6

Scope ........................................................................................................................... 6
Software ....................................................................................................................... 7
Equipotential bonding ...................................................................................................... 7
Electromagnetic Compatibility ........................................................................................... 8
Use in connection with high frequency ................................................................................ 8

Maintenance and Check ..................................................................................................... 9

Malfunctions ..................................................................................................................... 10
Fault and error reports ................................................................................................... 10
Electrical faults ............................................................................................................. 11
Switching to emergency power supply ..................................................................... 11
Emergency STOP .......................................................................................................... 12

Fire protection .................................................................................................................. 12

Explosion protection ......................................................................................................... 13

Overload protection .......................................................................................................... 14

Personal Safety ................................................................................................................. 15

Open heart and skull examinations ................................................................................... 15
Risk of crushing on the C-arm chassis ............................................................................... 15
Risk of crushing on monitor trolley .................................................................................... 17
Mechanical damage ....................................................................................................... 17
Radiation protection ....................................................................................................... 18
Position and extent of the relevant operating area ................................................................ 19
(according to DIN EN 60601-1-3) .............................................................................. 19
Maximum scattered radiation in the relevant operating area .......................................... 20
Radiation interruption for all operating modes ..................................................................... 20

SIREMOBIL Compact L
SPR2-130.620.06.01.02 1 of 22
Safety
Table of contents

Equipment Safety ............................................................................................................. 21

Installation, repair .......................................................................................................... 21
Original accessories ....................................................................................................... 21
Combining with other products/components ...................................................................... 21
Positioning the C-arm ..................................................................................................... 22
Disposal ...................................................................................................................... 22

Operator Manual
2 of 22 SPR2-130.620.06.01.02
 Safety

Information about this Operator Manual 0

Proper use of this system presupposes that operating personnel are familiar with
the Operator Manual. This manual must be studied in detail prior to starting up
the system. Pay special attention to the following sections:
❏ Safety Information
❏ Functional and Safety Checks
❏ Personal Safety
❏ Equipment Safety
The operating personnel must be instructed in correct operation. This instruction
must be repeated as required at appropriate intervals.We recommend simulating
emergency conditions during training so that appropriate corrective measures
can be taught.

Information on text format 0

A set of conventions has been observed in this Operator Manual that is intended
to help you perceive the importance of a piece of text at a glance.

The following conventions have been used:

Instructional text
guides you in the proper use of your system.
◆ A diamond precedes text of this type.

Lists
❏ A square precedes text of this type.

Explanatory text
subdivides instruction or list text into further subitems.
– A dash precedes texts of this type.

References
refers you to further explanations at another point in your operator manual or in
other documents.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 3 of 22
Safety

➩ An arrow indicates texts of this type.

Note
is used in two different ways:
❏ It emphasizes safety-relevant information where there is no immediate danger.
❏ It contains a summary of the most important information about a subject.

This text is highlighted in gray.

Information
is text that provides additional useful explanations about a subject.

This text is indicated by the icon for information and is printed in italics.

Highlighting of safety information 0

Safety information in this operator manual will be offset by a black frame. Differ-
ent degrees of danger are indicated by the following safety levels and signal
words:

Warning

Warning draws your attention to a potential risk for the health or life of persons.

Caution

Caution draws your attention to the risk of possible damage to the equipment in
the case of inattentive operation.

Supplements and addenda to the Operator Manual 0

◆ Please read the supplements and addenda to the Operator Manual necessi-
tated by technical developments.

Operator Manual
4 of 22 SPR2-130.620.06.01.02
 Safety

Names and parameters 0

All names and data on patients and equipment that are used as examples in this
Operator Manual are entirely fictional.
Any resemblance to names of real persons and institutions is entirely coinciden-
tal.
All parameters and images shown in this Operator Manual are examples. Only
the parameters displayed on your system are relevant.

Values 0

All numbers specified are typical values unless specific tolerances are indicated.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 5 of 22
Safety

Laws and regulations 0

If legally binding regulations govern the installation and/or operation of the sys-
tem, it is the responsibility of the installer and/or the operator to observe these
regulations.
The legally established country-specific regulations must be followed in all coun-
tries. Deviating from this Operator Manual, values may be set according to coun-
try-specific regulations.
This product is provided with a CE marking in accordance with the provisions of
Directive 93/42/EEC of June 14th, 1993 concerning medical devices.
Data related to individual persons is subject to data protection. Please observe
the relevant legal provisions.
Legally required tests must be performed at the specified intervals. These tests
include, for example:
❏ Constancy test according to the X-ray ordinance (§16 RoeV) in the
Federal Republic of Germany.
❏ Tests based on DHHS guidelines (Department of Health and Human Services)
where applicable.

Scope 0

This Operator Manual is valid for the user acceptance test

❏ SIREMOBIL Compact L

Operator Manual
6 of 22 SPR2-130.620.06.01.02
 Safety

Software 0

The system and user software used in this product is protected by copyright.

Warning
Non-released software or manipulations and changes of the software lead to
malfunctions of the product.
This may injure the patient and/or damage the product.
◆ Only software authorized by Siemens for use with this product may be used.

Caution
Impermissible or faulty modifications to the software or to the connection
between the system and the power supply can lead to malfunctioning of
the system.
Access to the system by a third party.
◆ Make sure that all necessary precautions are taken (with the existing level of
safety) when a factory-set function or configuration is changed.

Equipotential bonding 0

Products for which equipotential bonding is required may only be operated in

medical facilities where supplemental equipotential bonding has been installed
and tested according to the specifications in DIN VDE 0107 for Germany or rele-
vant country-specific regulations.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 7 of 22
Safety

Electromagnetic Compatibility 0

This medical product complies with the requirements of the applicable standard
on electromagnetic compatibility (EMC).
However, we wish to inform you that other mobile electronic devices such as
radio telephones (mobile phones) exceed the radiation limits specified in the
EMC standard and can therefore disturb functions of your medical device.
(→ see section Technical Data)

Use in connection with high frequency 0

The following regulations for use must be observed:

❏ IEC/TR 1289-1/07.94/
High frequency surgical equipment - Part 1: Operation
High frequency surgical units - Part 1: Operation
❏ IEC/TR 1289-2/08.94/
High frequency surgical equipment - Part 2: Maintenance
High frequency surgical units - Part 2: Maintenance

Operator Manual
8 of 22 SPR2-130.620.06.01.02
 Safety

Maintenance and Check 0

Prior to an examination, the user must make sure that all safety-relevant parts of
the system are functioning properly and that the system is ready for operation.
The system is subject to mechanical and electrical wear. In the interest of the
safety of patients, operators and third persons, maintenance and safety checks
are required every 12 months to maintain the operating safety and function of the
product.
With increased use the check should be made at shorter intervals of time.

Please observe the statements in the "Maintenance" register in this regard.

Improper handling or excessive demands can cause mechanical and electrical

damage.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 9 of 22
Safety

Malfunctions 0

If there are general malfunctions in the system, call SIEMENS Customer Service.

Fault and error reports 0

When detecting a fault the system is blocked and the fault is displayed as an error
at the operating panel of the C-arm chassis.

5090
min

❏ Each time the system is switched on an automatic check of all important func-
tions is performed
❏ During routine operation the system is constantly monitored
❏ Temporary error messages, such as No. 5090, can be cancelled
by pressing any key on the C-arm chassis (except lifting column and On/Off
switch)
❏ Non-temporary error messages, such as 5015 or 5016, cannot be acknowl-
edged. Additional radiation can be released here.
Please notify Customer Service immediately
The error messages 7309 and 7409 are temporary error messages that can lead
to unnecessary exposure to radiation of user and patient if treatment is contin-
ued.
In case the error is repeated the system must be switched off and Customer
Service must be notified. For this, the following information is useful:
❏ Error numbers
❏ Selected operating mode
❏ Has error occurred during radiation
❏ Is there a correlation with an operating sequence

If there are any malfunctions/failure of the radiation indicators, please contact

Siemens Customer Service.

Operator Manual
10 of 22 SPR2-130.620.06.01.02
 Safety

Electrical faults 0

In case of risks for patients and operators (e.g. if there is no live image on the
monitor and the radiation indicator is on despite this) or in case of risks for the
product, you must disconnect the power plug immediately. The entire system
is shut down and disconnected from the power supply. As a consequence
❏ radiation is switched off
❏ the current application program is cancelled
❏ current procedures are cancelled and deleted
❏ all image information is deleted if it is not stored on a hard disk
You may reconnect the power plug only after you have clearly identified and elim-
inated the cause of the danger. In all other cases, for example, system malfunc-
tion, contact Siemens Customer Service immediately.

Switching to emergency power supply 0

In case of a power supply interruption of more than 8 msec, the SIREMOBIL can
switch off. In this case the device must be switched on again after switching to
emergency power supply has taken place.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 11 of 22
Safety

Emergency STOP 0

Please press the red EMERGENCY STOP switch (arrow) on the electronic unit of
the SIREMOBIL Compact L C-arm chassis as soon as a dangerous situation oc-
curs due to motor-driven movements.

❏ The motorized vertical lift is then blocked immediately.

❏ All other unit functions are not affected by this.
Unlock the switch only when the danger has definitely passed.
❏ You can unlock the switch by a slight clockwise rotation.

Fire protection 0

Warning
In the event of fire:
Poisonous gases or fumes can result from a burning or smoldering fire.

◆ Switch off the system immediately.

◆ Pull out the mains cable from the socket.
◆ We recommend that all personnel be given safety training to instruct them on
what to do in the event of a fire.
Please notify our Customer Service prior to starting up the system again as it may
require refurbishing due to damage caused by fire.

Operator Manual
12 of 22 SPR2-130.620.06.01.02
 Safety

Explosion protection 0

C-arms including image intensifier and X-ray tube assembly are designed accord-
AP
ing to the regulations for devices with anesthesia test (AP) according to
DIN IEC 601 Part 1/VDE 0750 Part 1, main section 6, and marked by this symbol
(on green dot).

Warning
In case of explosion:
Fire or smoldering fire may cause an explosion.

◆ If the housing of the image intensifier unit and the single tank are damaged,
the system may not be operated.

Products with anesthesia test may be repaired only by the manufacturer or a

customer service authorized by the manufacturer.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 13 of 22
Safety

Overload protection 0

Prolonged continuous radiation at maximum tube load is permissible during fluo-

roscopy. This can cause the X-ray tube assembly to heat up. For this reason, the
X-ray tube assembly has a thermal monitor.

Warning
Heating up of X-ray tube assembly through permanent radiation:
This can lead to skin burns.

◆ Direct contact between the tube assembly housing and the patient's skin
must be avoided at a temperature ≥ 50 °C.

If the temperature rises to ≥ 50 °C

❏ the temperature indicator on the operating panel of the C-arm chassis lights up
❏ a selected high contrast characteristic curve is deselected at the end of radia-
tion
❏ the characteristic curves are switched from:
– S2 to S1
– HC2 to HC1
– IOD to HC1
❏ renewed selection of the high contrast characteristic curve is possible

If the temperature rises to ≥ 60 °C

❏ a switch is made to another characteristic curve during radiation
❏ the characteristic curves are switched from
– S2 to S1
– HC2 to HC1
– IOD to HC1
❏ Selecting the fluoroscopic curve S2, HC2 and IOD is no longer possible

If the temperature rises to ≥ 70 °C

❏ the temperature indicator on the operating panel of the C-arm chassis flashes
❏ the radiation is aborted. No more release is possible
If the temperature falls below 50 °C
❏ the previously selected characteristic curve is selected again automatically

Operator Manual
14 of 22 SPR2-130.620.06.01.02
 Safety

Personal Safety 0

Open heart and skull examinations 0

If you use an approved product alone or together with other products for these
examinations, you must establish an equipotential bonding between the product
and a point in the equipotential bonding, e.g. the tabletop.
Only then you are able to establish a connection between the patient and the
product.

Risk of crushing on the C-arm chassis 0

For proper handling of the unit, hold it with your hands only with the handles pro-
vided for this purpose. Where this is not possible, pay special attention to possi-
ble risks of crushing between moving parts and their guide openings.

Warning
Moving and braking the C-arm (see graphic 1 and 3).
There is risk of crushing for the hands.
◆ Please make sure that your hands do not get in the way of travel paths of
components.

Warning
Maximum lowering of C-arm (see graphic 2)
There is risk of crushing for the feet.
◆ In case of maximum lowering of the C-arm, please mind your feet, as there
might not be enough space between I.I. and the floor.

The components marked in the illustrations indicate danger points where the
patient or operating personnel can be injured.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 15 of 22
Safety

Danger points for operating personnel

(1) Danger points in case of movements and braking of the C-arm

(2) Danger points in case of maximum lowering of the C-arm
(3) Danger points in case of movements and braking of the C-arm

Operator Manual
16 of 22 SPR2-130.620.06.01.02
 Safety

Risk of crushing on monitor trolley 0

You can equip your monitor trolley optionally with a printer.

Caution
Pushing the printer in or out
There is risk of crushing for the hands.
◆ Please mind your hands when pushing the printer into or out of its position.

Danger points for operating personnel

Mechanical damage 0

Mechanical damage of the system must be repaired and maintained by autho-

rized service engineers in order to avoid injuries of patients, operating personnel
and third parties.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 17 of 22
Safety

Radiation protection 0

The automatic dose rate control significantly contributes to reducing the expo-
sure of the patient and the operating personnel to radiation.
Nevertheless, observe the following important notes in order to keep the dose
absorbed by the patient as low as possible.

For the patient ❏ Keep the radiation field as small as possible.

❏ Ensure the best possible protection of the patient during exposures in the
vicinity of his or her reproductive organs (use gonadal shields or lead-lined
rubber covers).

For the operating ❏ When releasing the exposure, the operator must keep a sufficient safety dis-
personnel tance from the X-ray tube assembly.
❏ Wear protective clothing in the control area during an examination.
❏ Wear a radiation-monitoring badge or use a pen dosimeter.

For patients and ❏ Keep the duration of fluoroscopy as short as possible.

operating personnel
❏ Keep the source-to-skin distance as large as possible.

Additional objects in the beam path may result in increased scattered radiation.

Please take into account that certain materials in the X-ray beam (e.g. parts of
an operation table) may deteriorate the X-ray image due to imaging of contours
and inclusions in these materials. In certain rare cases, this may even lead to
incorrect diagnosis. This material may also result in a higher radiation exposure.

Operator Manual
18 of 22 SPR2-130.620.06.01.02
 Safety

Position and extent of the relevant operating area 0

(according to DIN EN 60601-1-3) 0

Vertical beam path

Focus 170 cm above ground

Main operating area

Dimensions in cm

SIREMOBIL Compact L
SPR2-130.620.06.01.02 19 of 22
Safety

Maximum scattered radiation in the relevant operating area 0

Measuring conditions
The values are valid for fluoroscopy with automatic dose rate control, HC-2 char-
acteristic, with water phantom 25 x 25 x 15 [cm] directly on the I.I..

Height above floor in cm A

I.I. 17 cm/7" 120 < 700 µGy/h
I.I. 23 cm/9" 120 < 1.7 mGy/h

Height above floor in cm B

I.I. 17 cm/7" 160 to 190 < 30 µGy/h

I.I. 23 cm/9" 140 to 200 < 70 µGy/h

Radiation interruption for all operating modes 0

The hand as well as the foot switch are designed as push button.
By releasing the respective operating element, radiation during fluoroscopy is
interrupted immediately, or after completion of the storage image.

Operator Manual
20 of 22 SPR2-130.620.06.01.02
 Safety

Equipment Safety 0

Installation, repair 0

Modifications of or additions to the product must be made in accordance with the

legal regulations and generally accepted engineering standards.
SIEMENS cannot accept responsibility for the safety features and for the reliabil-
ity and performance of the equipment as the manufacturer, if:
❏ the product is used in a manner other than that specified in the
Operator Manual,
❏ installation, upgrades, resetting, modifications, or repairs are performed by
personnel not authorized by SIEMENS,
❏ components affecting safe operation of the product are not replaced by origi-
nal spare parts in the event of a malfunction,
❏ electrical wiring in the rooms containing the system do not meet the specifi-
cations of VDE ordinance 0107 or local regulations.
On request we can provide you with technical documentation for the system.
However, this does not imply authorization to undertake repairs.
We cannot be held responsible for repairs made without our express written con-
sent.
We recommend that you obtain a report indicating the nature and the extent of
the work performed from the persons carrying out such work. The report should
include any changes in rated parameters or operating ranges, as well as the date,
the name of the company and a signature.

Original accessories 0

For safety reasons, only approved original accessories from Siemens or accesso-
ries of other manufacturers approved by SIEMENS AG, Medical Solutions Group,
may be used for this product.
The operator is liable for any risks associated with the use of accessories not ap-
proved by Siemens.

Combining with other products/components 0

To ensure the required safety, only products/components expressly approved by

Medical Solutions, SIEMENS AG, Medical Solutions Group, may be used in com-
bination with this system.
With regard to mounting non-Siemens products to the image intensifier, please
read
(→ Register Accessories and Options)

SIREMOBIL Compact L
SPR2-130.620.06.01.02 21 of 22
Safety

Additional components which are inserted into the beam path (e.g. positioning
aids) weaken radiation and can adversely affect image quality.

Positioning the C-arm 0

In case of improper handling of the SIREMOBIL Compact L, collisions of the im-

age intensifier and the single tank with the patient and the tabletop are possible
due to the maneuverability of the C-arm.
There can also be a collision between the image intensifier/single tank and the
unit base if the unit is positioned in an unfavorable way. This can cause damage
to the respective components.
When moving or transporting the unit, please make sure that the components do
not bump into any obstacles. A collision can also adversely affect image quality
or release radiation unintentionally.

Make sure that the brakes are locked again after having moved the C-arm.

Disposal 0

There may be local regulations governing the disposal of your system.

❏ If the system is put out of service, there may be local regulations and laws
governing its disposal. In order to ensure that these legal regulations are com-
plied with and to avoid environmental damage which may be caused due to
the disposal of your system, please consult Siemens Customer Service.
❏ Batteries and packaging material must be disposed of in an environmentally
safe manner according to national regulations.
❏ For further information on the disposal of this system, refer to the technical
documentation.
(→ see section Technical Documentation)

Operator Manual
22 of 22 SPR2-130.620.06.01.02
Operator Manual
SIREMOBIL Compact L
Basic System
SP

SPR2-130.620.06.01.02
 Please observe the

Safety Operator Manual

It must be studied thoroughly before system startup.

The original version of this Operator Manual was written in the

German language.

© Siemens AG 2005
All rights reserved

Siemens AG, Wittelsbacher Platz 2, D-80333 Muenchen, Germany Order no.: SPR2-130.620.06.01.02
SP
Contact information: Siemens AG, Medical Solutions, Special Systems Printed in the Federal Republic of Germany
Henkestrasse 127, D-91052 Erlangen, Germany AG 11/05
 Basic System
Contents

Operator Manual
Basic System

Function Description ........................................................................................................... 3

Use .............................................................................................................................. 3
System Configuration ...................................................................................................... 3
Basic version ......................................................................................................... 3
Options ................................................................................................................ 3

System overview ................................................................................................................ 4

Overview of a SIREMOBIL Compact L system with 1 TFT monitor ............................................ 4
Overview of a SIREMOBIL Compact L system with 2 TFT monitors ................................................... 5

Overview of operating elements and displays ................................................................... 7

Control panel at the C-arm system ...................................................................................... 7
Key allocation ........................................................................................................ 8
Data entry keyboard on monitor trolley ................................................................................ 9
Key allocation ........................................................................................................ 9

Operation .......................................................................................................................... 10
Startup ....................................................................................................................... 10
Connect the C-arm chassis with the monitor trolley ..................................................... 10
Establishing equipotential bonding connection ............................................................ 11
Switching on the complete system .......................................................................... 12
Movements of the C-arm system ..................................................................................... 14
Raising and lowering the C-arm system .................................................................... 14
C-arm horizontal movement .................................................................................... 16
C-arm swivel range ............................................................................................... 16
C-arm angulation .................................................................................................. 17
C-arm orbital movement ........................................................................................ 17
Preparing for exposure ................................................................................................... 18
Positioning C-arm system ...................................................................................... 18
Primary collimation and image display ............................................................................... 18
Semi-transparent slot diaphragm ............................................................................. 18
Iris diaphragm ...................................................................................................... 18
Collimator display without radiation on the monitor ..................................................... 19
Image intensifier format selection ............................................................................ 19
Image reversal ..................................................................................................... 19
Image position ..................................................................................................... 19
Image rotation ..................................................................................................... 20

SIREMOBIL Compact L
SPR2-130.620.06.01.02 1 from 36
Basic System
Contents

Selecting the operating mode .......................................................................................... 21

Fluoroscopy ........................................................................................................ 22
High contrast fluoroscopy ...................................................................................... 22
Pulsed Fluoroscopy .............................................................................................. 23
Framerate for pulsed fluoroscopy ............................................................................ 23
Releasing Fluoroscopy/Pulsed Fluoroscopy ................................................................ 24
Display of the fluoroscopic data ............................................................................... 24
Fluoroscopic time limit .......................................................................................... 24
Automatic dose rate control .................................................................................... 25
Digital radiography ................................................................................................ 26
Stop function ....................................................................................................... 27
Exposure release .......................................................................................................... 28
With hand switch ................................................................................................. 28
With foot switch ........................................................................................................... 29
Switching off the entire system ....................................................................................... 30
Switching off the SIREMOBIL Compact L system ....................................................... 30
Transport .................................................................................................................... 31
Transport position of the SIREMOBIL Compact L ........................................................ 31
Unplug the power connector .................................................................................. 31
Unplugging the central plug .................................................................................... 32
Moving the C-arm system ...................................................................................... 33
Transport ............................................................................................................ 33
Cable deflectors ................................................................................................... 34
Transport position of the monitor trolley .................................................................... 35
Moving the monitor trolley ..................................................................................... 35

Operator Manual
2 from 36 SPR2-130.620.06.01.02
 Basic System

Function Description 0

Use 0

The SIREMOBIL Compact L system is a mobile X-ray unit for surgery, traumatol-
ogy, orthopedics, for minimally-invasive surgery and for cardiology.
You can select the following operating modes for the SIREMOBIL Compact L:
Fluoroscopy, Pulsed Fluoroscopy, Digital Radiography, Subtraction (optional) and
Roadmap (optional).
These are required for a large variety of clinical procedures, such as intraoperative
display of the bile pathways, implantation of metal parts, display of bones, fluo-
roscopy techniques for pain therapy as well as insertion of catheters and probes.

System Configuration 0

Basic version 0

❏ 17 or 23 cm image intensifier
❏ 3-image memory, 100-image memory, 200-image memory,
700-image memory or subtraction memory with 900 images (MOD optional)
❏ 1 or 2 SIMOMED or standard class monitors or 2 TFT monitors
❏ Single-focus tube with 1.4 kW generator
❏ CD-(R) reading image data (CX 200)

Options 0

❏ DICOM Bridge
❏ MOD (for 700 image memory and 900 image SUB memory)
❏ MULTISPOT 2000-2 or 2000-1/4 multiformat camera
❏ Codonics printer and frame grabber (for USA only)
❏ Video printer
❏ Laser light localizer with sterile cover (selectable for I.I. and/or single tank)

SIREMOBIL Compact L
SPR2-130.620.06.01.02 3 of 36
Basic System

❏ Dose measurement chamber

❏ Cassette holder
❏ Sterile cover for x-ray image intensifier, tube assembly and C-arm
❏ 2000-image memory
❏ 5000-image memory with DSA
❏ CD-(RW) export of image data

System overview 0

Overview of a SIREMOBIL Compact L system

with 1 TFT monitor 0

6
8
5
15 15
10 9
4 16 11
3 (20) 17
2
12
1
14 13

18 18
7
19

(1) SIREMOBIL electronic unit

(2) Control panel
(3) Lifting column
(4) Horizontal support arm
(5) C-arm
(6) Image intensifier with integrated TV camera
(7) Single tank with X-ray tube and integrated collimator
(8) Monitor
(9) System ON/OFF switch
(10) Data entry keyboard

Operator Manual
4 of 36 SPR2-130.620.06.01.02
 Basic System

(11) Storage compartment or slot for printer

(12) Storage compartment or place for printer
(13) Monitor trolley
(14) CD RW drive (optional)
(15) Radiation indicators
(16) Ambient light sensor (dependent on TFT monitor)
(17) Front handle
(18) Castors
(19) Grounding strap
(20) Cable holder (not displayed - on back of monitor trolley)

Overview of a SIREMOBIL Compact L

system with 2 TFT monitors 0

6
8
5 16 16
15 15
10 9
4
(20) 11
3 17 17
2
12
1
14 13

18 18
7
19

(1) SIREMOBIL electronic unit

(2) Control panel
(3) Lifting column

SIREMOBIL Compact L
SPR2-130.620.06.01.02 5 of 36
Basic System

(4) Horizontal support arm

(5) C-arm
(6) Image intensifier with integrated TV camera
(7) Single tank with X-ray tube and integrated collimator
(8) Monitor A (left), Monitor B (right)
(9) System ON/OFF switch
(10) Data entry keyboard
(11) Storage compartment or slot for printer
(12) Storage compartment or place for printer
(13) Monitor trolley
(14) CD RW drive (optional)
(15) Radiation indicators
(16) Ambient light sensor (dependent on TFT monitor)
(17) Grips
(18) Castors
(19) Grounding strap
(20) Cable holder (not displayed - on back of monitor trolley)

To optimize the image impression dependent on the viewer and perspective,

the observer can tilt both TFT monitors.

Operator Manual
6 of 36 SPR2-130.620.06.01.02
 Basic System

Overview of operating elements and

displays 0

Control panel at the C-arm system 0

The control panel and display field for carrying out your examinations is located
on the C-arm system.
The individual keys and displays are grouped into individual areas according to
their function.

(10) (9) (8)

mAs
kV mA min

(7) (7)

SUB ROAD A B
MAP mA

DR B B

R A B
R

(1) (2) (3) (4) (5) (6)

(1) Selection of the operating modes

(2) Selection of Power mode, parameter setting and image reversal keys
(3) Collimator setting
(4) Radiation indicator, power switch and tube assembly temperature
(5) Image post-processing
(6) Image selection and storage
(7) Vertical movement of the C-arm
(8) Image rotation
(9) Duration of exposure
(10) Fluoroscopy parameters and selection of single tank laser light localizer
(optional)

SIREMOBIL Compact L
SPR2-130.620.06.01.02 7 of 36
Basic System

Key allocation 0

top row of keys

Exposure or mAs
Values for cassette
kV fluoroscopic voltage (kV) mA operation or fluoroscopy

Display of the Display of the

min
fluoroscopic time image rotation
Switch stop function of Switch laser targeting
dose rate control on/off device on single tank
on/off (optional)
Reduce/enlarge
kV and mA
Reset fluoroscopy time Rotate camera

C-arm: Raising/lowering

bottom row of keys

Subtraction mode ROAD
Roadmap mode
SUB
MAP

Digital radiography mode

DR

Pulsed fluoroscopy mode Fluoroscopy mode

Select high-contrast
mA fluoroscopy
Enlarge live image Noise reduction

Left/right image reversal R Top/bottom image rever-

R
sal
Close/open iris diaphragm Rotate slot diaphragm

Close/open slot diaphragm

Display of radiation in all Tube assembly

modes temperature
Power switch: Switch off
the system
Monitor split In Memoskop CX 200
horizontal/vertical without function

Zoom stored images Edge enhancement

A B Contrast adjustment Store image from

A B
left/right monitor monitor A

B B
Read images from memory Print monitor image
forward/backward

Operator Manual
8 of 36 SPR2-130.620.06.01.02
 Basic System

Data entry keyboard on monitor trolley 0

You operate the application software via the keyboard on the monitor trolley
to prepare (e.g. patient data input) and analyze the examination.

INS A B
NEXT PAT ALL PAT PROCESS REMASK

+ U DEL
TEXT SAVE PAT

CTRL

SHIFT SHIFT

PRINT

(1) (2)
(1) Alphanumeric keypad
(2) Image postprocessing keys, software function keys and cursor keys

Key allocation 0

Start user program

CTRL U

Shift key Return key

SHIFT

DEL key: Delete a normal write function

DEL
character

Next patient: Patient data Patient directory (not for

NEXT PAT
entry ALL PAT
Memoskop C-E)

Switch patient data on/off Write protection of patient

TEXT SAVE PAT
images

Post process subtraction Select new mask, pixel-

SUB PROCESS
scenes REMASK shift function

Monitor split Edge enhancement

in Memoskop CX 200
without function
Select monitor A/B
A B

Zoom stored images Contrast adjustment

Browse image: forward, Print monitor image

backward PRINT

Cursor keys Home key

SIREMOBIL Compact L
SPR2-130.620.06.01.02 9 of 36
Basic System

Operation 0

Startup 0

Connect the C-arm chassis with the monitor trolley 0

The C-arm chassis is connected to the monitor trolley via a connection cable.

The monitor trolley must only be connected to the associated C-arm system.

Before system startup, make sure the cables have no loops or bends.

Do not lay connection cable parallel to other cables.

Connect the monitor trolley with the C-arm system:

◆ For this purpose, plug the central plug of the connection cable from the
monitor trolley to the C-arm system into the socket on the left side of the basic
unit.
◆ Before that, turn the lever (1) completely to the left.
◆ Next insert the plug and turn the lever by approx. 11/2 rotations to the right,
until it audibly snaps into place and cannot be turned any further.
– The monitor trolley is connected to the C-arm system.

Operator Manual
10 of 36 SPR2-130.620.06.01.02
 Basic System

Establishing equipotential bonding connection 0

The SIREMOBIL Compact L system can be connected to a protective ground

terminal via a equipotential bonding connection, which is located on the C-arm
system.

DR

During cardiac examinations or open skull surgery, you must additionally lay a
ground wire according to DIN 57107/VDE107 for rooms of application group 2.
◆ Clamp the cable to the center suspension arm of the C-arm system (arrow)
and to a point of the equipotential bonding (e.g. tabletop).
◆ Establish the power connection by plugging the power plug into the associat-
ed socket.
– The power cable is located on the monitor trolley.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 11 of 36
Basic System

Switching on the complete system 0

In order to protect the units from startup by unauthorized persons, the monitor
trolley has a key switch.

(1) The key switch is located on the right-hand side of the monitor trolley.

The unit can only be started when it has been unlocked.

◆ Unlock the unit.

The SIREMOBIL Compact L system is operated via a grounded socket.

◆ Plug the power plug into the appropriate socket.
– Power connection is now established.

The power cable is located on the monitor trolley.

The unit should be operated only in a hospital network which is protected

against computer viruses.

Operator Manual
12 of 36 SPR2-130.620.06.01.02
 Basic System

◆ Press the "ON" key on the monitor trolley.

– The entire unit is switched on.

❏ Before switching on the unit, a safety test program is carried out automatical-
ly.
– If there is an error, an error message is issued on the control console.
❏ After approx. 40 s, the unit is ready and the following functions are set:
– Fluoroscopy mode with user program 1 or cassette operation if a cassette
is inserted
– Iris diaphragm in full format or cassette position
– Slot diaphragm in full format
– TV camera in basic position (rotate)
– Stand-alone operation for monitor trolley
(not for Memoskop C-E)
❏ With image memory CX 200 present only the fluoroscopy operating mode is
possible during the run-up phase. "Minimum Mode" is displayed on monitor
"A" during this phase.
– If there is an operating mode change during the run-up phase
(e.g. Subtraction or Road Map), the error message "4732" is displayed.
– After confirmation of this message radiation continues to be possible in
the fluoroscopy operating mode.

Perform the daily function and safety check before starting the examination.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 13 of 36
Basic System

Movements of the C-arm system 0

The tilt of the unit in operating position must not be more than ± 5° from the
horizontal.

In order to move the C-arm, use the handle if possible.

◆ Release brake:
– Movement possible

◆ Engage brake:
– Movement not possible

Warning
As long as the brakes are not engaged after a movement, the C-arm system
remains freely moveable.
There is a risk of injury for patient and personnel.

◆ Engage the brake.

Raising and lowering the C-arm system 0

You can raise and lower the C-arm motor-controlled by using the arrow keys on
the control panel of the C-arm system.

Raising the C-arm

◆ To move the C-arm upwards, press the upwards key.
– In this case no signal sounds.

Operator Manual
14 of 36 SPR2-130.620.06.01.02
 Basic System

Lowering the C-arm

◆ To move the C-arm downwards, press the downwards key.

– The lifting column moves to position 1 (see above) and stops there auto-
matically.
– A stop signal (3-times beep) sounds simultaneously.
◆ To lower the lifting column further press the downwards key once again.
– The lifting column can then be moved by a further 5 cm to the lowest point
(position 2, see above).
– In this area a signal (3 times beep) sounds for safety reasons each time the
downwards key is pressed.
◆ The lift motor remains stationary if both keys are pressed simultaneously.

The lifting column cannot be moved while there is radiation during cassette
operation.

Warning
Please note that there can be risk of crushing if the lifting column is not
properly handled.
➩ See chapter "Safety", Risk of crushing.

Warning
◆ Please press the red EMERGENCY STOP button on the electronic unit of
the SIREMOBIL Compact L, as soon as a dangerous situation occurs due
to motor-driven movements.
– With this, the motorized vertical lift is blocked.

Unlock the knob only when the danger has definitely passed.
◆ You can unlock the knob by slight clockwise rotation.

If the lifting column cannot be moved for whatever reason, first check whether
the EMERGENCY STOP button has been pressed and unlock it as described
above.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 15 of 36
Basic System

C-arm horizontal movement 0

You can move the support arm horizontally by approx. 20 cm.

◆ For this purpose, release the brake marked green (arrow) and move the sup-
port arm.
◆ Once you have placed the support arm in the desired position, you must
re-engage the brake immediately.

C-arm swivel range 0

You can swivel the C-arm horizontally around the C-arm system column ± 12.5°.
◆ For this purpose, release the brake marked orange (arrow) and swivel the
C-arm.
◆ Once you have placed the C-arm in the desired position, you must
re-engage the brake immediately.

Operator Manual
16 of 36 SPR2-130.620.06.01.02
 Basic System

C-arm angulation 0

You can turn the C-arm vertically ± 190° about the horizontal support arm.
◆ For this purpose, release the brake marked yellow (arrow) and rotate the
C-arm.
– Scale on support arm joint.
◆ Once you have placed the C-arm in the desired position, you must
re-engage the brake immediately.

C-arm orbital movement 0

You can swivel the C-arm from + 90° horizontally to - 40° vertically (in total 130°).
◆ For this purpose, release the brake marked blue (arrow) and swivel the C-arm.
– Marking on outer side of C-arm.
◆ Once you have placed the C-arm in the desired position, you must re-engage
the brake immediately.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 17 of 36
Basic System

Preparing for exposure 0

Positioning C-arm system 0

◆ Pre-position the SIREMOBIL Compact L system.

◆ Release the brake and move the C-arm into the desired position (see section
Movements of the C-arm system).

Primary collimation and image display 0

Semi-transparent slot diaphragm 0

The semi-transparent slot diaphragm is mainly for displaying extremities.

Collimation increases image contrast and reduces scattered radiation. The direct
radiation passing along the soft tissue sides is reduced so that no significant
brightness differences occur in the monitor image.
By turning the slot diaphragm, the collimated field, e.g. for extremities, can be
swiftly adjusted to the position of the object.

Turn the semi-transparent slot diaphragm left/right

Close the semi-transparent slot diaphragm

Open the semi-transparent slot diaphragm

Iris diaphragm 0

The iris diaphragm is a collimator and serves as radiation protection for patients
and all persons who participate in the examination.
Smaller collimations cause less scattered radiation and thus higher image con-
trast.
With maximum aperture the iris diaphragm must be visible in the fluoroscopic
image at least in two places.
When switching on the unit, the iris diaphragm opens automatically in full format.

◆ Close iris diaphragm.

◆ Open iris diaphragm.

– LED is on if the iris diaphragm is fully opened with cassette inserted.

Operator Manual
18 of 36 SPR2-130.620.06.01.02
 Basic System

Collimator display without radiation on the monitor 0

When you open/close the iris diaphragm or move the semi-transparent slot
diaphragm without radiation, you can trace the position of the diaphragm on the
displayed image (LIH) with a collimated line/circle.
If you then release radiation, the diaphragms are in the position shown on the
image.

Image intensifier format selection 0

Overview: LED off

Zoom format: LED on

Image reversal 0

Left/right image reversal

R – LED on with active function

R Top/bottom image reversal

– LED on with active function

Image reversal only affects the life monitor (i.e. for 2 monitor operation monitor A).

Image position 0

The display of the object on the monitor depends on the positioning of the unit
to the patient.

Example:
– Patient in supine position (left side of the patient at the C-arm)
– X-ray image intensifier above patient
– Image reversal not selected (light emitting diodes dark)
– Display of the rotation angle is 0° (camera in basic position)

left patient side

l

right patient side

Schematic representation "Image position for power on"

SIREMOBIL Compact L
SPR2-130.620.06.01.02 19 of 36
Basic System

Image rotation 0

Image rotation makes it possible to position the object on the monitor in the
desired viewing position.

Display of the image rotation

– Rotation angle ± 220°

◆ By pressing one of the keys the respective rotation direction is initiated. At the
same time, on the upper edge of the monitor a position marker for the image
rotation is displayed (only possible after radiation).
The marker is to be positioned in the position which is to be displayed above
after fluoroscopy has been carried out.
When the marker has been positioned (upon releasing the key), a calculated im-
age is displayed in the expected position on the monitor and the position marker
is located in the upper edge of the image again and flashes.
A flashing marker always indicates a calculated image.

When radiation is switched "on", the live image is displayed on the monitor in
the desired position.

Schematic representation

With the Memoskop CX 200, image rotation is in real time without display of the
position mark.

Operator Manual
20 of 36 SPR2-130.620.06.01.02
 Basic System

Selecting the operating mode 0

In connection with the digital image processing and image storage, post process-
ing is enabled in all operating modes.
Fluoroscopy
For fluoroscopy, several fluoroscopy curves are available which determine the
exposure parameters for fluoroscopy. Certain curves for certain applications can
be selected. For example, one for normal fluoroscopy and one for high-contrast
fluoroscopy (factory setting).
Pulsed Fluoroscopy
In this operating mode, a reduced radiation exposure of up to 70 % is possible for
the patient and the operating personnel.
The dose reduction depends on the set factor for noise reduction. Depending
on the level of noise reduction, a different number of fluoroscopy images is inte-
grated.
Depending on the factor of noise reduction and the selected reduction, the radi-
ation-pause ratio changes and thus the frame rate.
Digital radiography
Digital radiography (DR) enables an electronic instant image of the patient on the
monitor.
Subtraction
The subtraction memory Memoskop C-SUB and Memoskop CX 5000 DSA
provide the option to perform digital subtraction angiography (DSA) and
roadmapping.

These instructions describe the different basic versions.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 21 of 36
Basic System

Fluoroscopy 0

When switching on the unit, the fluoroscopy mode is automatically preselected.

◆ When pressing the key you select the Fluoroscopy mode.

– The LED lights up.
◆ You can browse through the different programs by repeatedly pressing the
key.

High contrast fluoroscopy 0

◆When pressing the key you switch between normal and high contrast charac-
teristic curve.
mA
– LED is on - high contrast characteristic curve selected.
◆ Repeated pressing of the key selects the normal characteristic curve again.
– LED is off - normal characteristic curve selected.
❏ The characteristic curves and their selection are identical for pulsed fluorosco-
py.
These characteristic curves can be set in the Fluoroscopy and Pulsed Fluorosco-
py programs (see register "Digital Image Memory Memoskop").

In case of overheating of the X-ray tube assembly, the overload protection of the
characteristic curve switches. See chapter "Safety under overload protection."

Operator Manual
22 of 36 SPR2-130.620.06.01.02
 Basic System

Pulsed Fluoroscopy 0

◆ When pressing the key you select the Pulsed Fluoroscopy mode.
– The LED lights up.
◆ You can browse through the different programs by repeatedly pressing the
key.
When selecting the noise reduction factor (integration of image components),
the pulse width of the radiation is affected and thus also dose reduction.

High Contrast Fluoroscopy

(see previous page).

Framerate for pulsed fluoroscopy 0

– The given images per second are the result of a stable automatic dose
rate control subject to the noise reduction factor and the selected dose
reduction.
Camera frequency 50 Hz

Measured frame rate

Dose reduction Noise reduction factor
in f/s
small 8 approx. 1.6
small 16 approx. 0.9
medium 8 approx. 1.2
medium 16 approx. 0.6
large 4 approx. 1.1
large 8 approx. 0.7
large 16 approx. 0.4

Camera frequency 60 Hz

Measured frame rate

Dose reduction Noise reduction factor
in f/s

small 8 approx. 1.7

small 16 approx. 1.1
medium 8 approx. 1.4
medium 16 approx. 0.8
large 4 approx. 1.3
large 8 approx. 0.8
large 16 approx. 0.5

SIREMOBIL Compact L
SPR2-130.620.06.01.02 23 of 36
Basic System

Releasing Fluoroscopy/Pulsed Fluoroscopy 0

You can release fluoroscopy or pulsed fluoroscopy with the foot switch (see foot
switch description) or the release switch on the hand switch.
❏ If radiation is present, the radiation indicators on the control panel of the C-arm
system and the monitor trolley light up.
❏ When switching off fluoroscopy or pulsed fluoroscopy, the last image on the
monitor remains.

Display of the fluoroscopic data 0

The current fluoroscopy values are displayed on the control panel.

Fluoroscopic time limit 0

After a fluoroscopic time of 5 minutes1 a warning signal sounds.

By pressing the Reset key the acoustic warning is switched off. The fluoroscopic
time display remains. 5 minutes after resetting the warning signal sounds again.
If the fluoroscopic time is not reset, radiation is blocked 10 minutes after the last
reset.
During new fluoroscopy the fluoroscopic times are added, so that the total fluo-
roscopic time can be recorded after completion of the examination.

1
At the customer's wish, this parameter can be changed by SIEMENS Customer Service in
accordance with country-specific regulations.

Operator Manual
24 of 36 SPR2-130.620.06.01.02
 Basic System

Automatic dose rate control 0

Functionality
The dose rate control keeps the mean value of the video signal within the domi-
nant independent of the thickness of the object relatively constant, thus an opti-
mal image display for diagnosis on the monitor is guaranteed.
The position of the dominant is centered towards the image intensifier input.
Three dose rate levels are preset in the factory; low, medium, high.
For 23 cm/9" I.I. (0.11/0.185/0.37 µGy/s)
For 17 cm/7" I.I. (0.13/0.22/0.44 µGy/s)
➩ The adjustable characteristic curves of the dose rate control can be found in
the register "Curves and Diagrams" under "SIREMATIC curves".

Stop function
In cases where a readjustment of the automatic dose rate control is not desired,
the adjusted kV value can be recorded with the Dose Rate Control Stop key.

When inserting metal objects into the beam path (e.g. bone nails) or during
fluoroscopy of objects with significantly different thickness (e.g. hip prosthesis),
it is recommended to record the value which has just been adjusted at the be-
ginning of the fluoroscopy with the "Dose Rate Control Stop" key.

◆ Press this key to switch on the stop function.

– The LED lights up.
– The automatic brightness control is locked.
– The kV ± keys are unlocked.
❏ Manual kV setting is possible.
❏ An I.I. format switch cancels the stop function.

◆ Press this key again to switch off the stop function.

The LED is on.
– The automatic brightness control is locked.
– The kV ± keys are unlocked.

Manual setting of the kV values1

For "Dose Rate Control Stop", a manual setting of the kV values is possible.

1 Not always possible due to country-specific requirements.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 25 of 36
Basic System

The kV values can be manually reset with the +/- kV keys.

➩ The mA values allocated to the kV values result from the SIREMATIC curves
(see register "Curves and Diagrams").

Digital radiography 0

Digital radiography function

Digital radiography (DR) enables an electronic instant image with best image
quality.
DR is recommended as final exposure, e.g. as replacement for cassette expo-
sure.
When releasing DR operation, a short radiation impulse is released, whose length
depends on an integration factor which can be selected in different levels.
The factor can be selected in 4 levels (4, 8, 16, 32) (see register "Digital Image
Memory Memoskop", Parameter menu).

Selecting DR and releasing digital radiography

◆ When pressing the key you select the Digital Radiography (DR) mode.
DR – The LED lights up.
◆ You can browse through the different programs by repeatedly pressing the
key.

You can release the digital radiography with the release switch on the hand
switch or the left foot switch (see foot switch description).

In order to ensure sufficient image quality, images are completely acquired after
start of acquisition, even if no more radiation is released. The effective acquistion
time depends on the preset integration factor and is a maximum of 1.8 seconds.
After complete image acquisition, radiation is automatically switched off, even if
the radiation release key remains pressed.

Displaying exposure data

The exposure data field in the control panel displays the current DR exposure
data.

Operator Manual
26 of 36 SPR2-130.620.06.01.02
 Basic System

Characteristic curves in digital radiography

❏ 850 W characteristic curve is used by default.
For DR operation the following applies:
❏ With the 850 W characteristic curve, only one radiation release is possible
within 7 seconds.
A repeated release within 7 seconds automatically results in switching to the
characteristic curve with reduced performance (550 W).
➩ Description of the characteristic curves (see register "Curves and Diagrams").

Stop function 0

In cases where a readjustment of the automatic dose rate control is not desired,
the adjusted kV value can be recorded with the "Dose Rate Control Stop" key.

◆ Press this key to switch on the stop function.

– The LED lights up.
– The automatic brightness control is locked.
– The kV ± keys are unlocked.
❏ Manual kV setting is possible.
❏ An I.I. format switch cancels the stop function.
❏ If the stop function was selected during transition of a fluoroscopy mode, this
fluoroscopic characteristic curve is retained.
❏ A flashing kV/mA display indicates a required radiation break.

◆ Press this key again to switch off the stop function.

– The LED is off.
– The automatic brightness control is released.
– The kV ± keys are locked.

Manual setting of the kV values1

For "Dose Rate Control Stop", a manual setting of the kV values is possible.

The kV values can be reset with the kV ± keys.

1 Not always possible due to country-specific requirements.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 27 of 36
Basic System

The Subtraction and Roadmap operating modes are described in chapter

Memoskop.
An exposure grid measuring the same as the cassette format can be inserted into
the cassette holder with the cassette.
The exposure grid is supplied as standard with the cassette holder.
◆ Always insert the exposure grid up to the end stop in the cassette holder.

Exposure release 0

With hand switch 0

The exposure is released with a hand switch.

The hand switch can be inserted on both sides of the C-arm system.

(2)

(1)

1. Key for saving images

2. Release switch

Exposure

◆ Press the release switch.

– Radiation is released for the respectively selected operating mode and for
cassette exposures.
– The current fluoroscopy values or DR exposures are displayed on the con-
trol panel.

Saving images

◆ With this key you can save images during current fluoroscopy
– from the monitor to the memory
(for models with 1 monitor)

Operator Manual
28 of 36 SPR2-130.620.06.01.02
 Basic System

– from monitor A to monitor B and to the memory

(for models with 2 monitors)

With foot switch 0

The exposure is released with a foot switch.

❏ Fluoroscopy is released in all operating modes with the switch on the right
side
❏ With the left-hand switch you can release radiation for the other operating
modes according to the following overview:

Operating mode selection Left switch Right switch

Fluoroscopy DR Fluoroscopy
Pulsed Fluoroscopy IFL Fluoroscopy
Digital radiography DR Fluoroscopy
Subtraction SUB Fluoroscopy
ROADMAP ROADMAP Fluoroscopy
CASSETTE -- --

Warning
Please make sure that the foot switch is not below the I.I. at 180° angulation of
the C-arm, as otherwise there could be unintentional radiation release through
contact with the I.I. when the C-arm is lowered to its maximum.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 29 of 36
Basic System

Switching off the entire system 0

Before you disconnect the system from power you need to switch it off. It is then
shut down automatically.

Caution
Disconnecting the power supply without shutting down the system.
Loss of data or damage of the system possible.

◆ Switch the system off properly before disconnecting it from power.

Switching off the SIREMOBIL Compact L system 0

◆ Press the "Off" button on the monitor trolley or on the control panel of the
C-arm system.

Switching the entire system back on again is only possible after 10 s.

Operator Manual
30 of 36 SPR2-130.620.06.01.02
 Basic System

Transport 0

The SIREMOBIL Compact L C-arm system is moveable on 3 wheels in each

direction.
The SIREMOBIL Compact L C-arm system is engaged via a foot switch (foot
lever)

When transporting the SIREMOBIL Compact L C-arm system as well as the

monitor trolley in transport position, the tilt of the floor against the horizontal
must not me more than ± 10°. Please observe this to prevent the unit from
falling over.

Transport position of the SIREMOBIL Compact L 0

◆ Release all brakes on the C-arm.

◆ Move the C-arm into the illustrated transport position.
◆ Move the lifting column all the way down into position 2.
➩ see paragraph "Lifting and lowering"
◆ Move the horizontal carriage to the rear as far as possible.
◆ Engage all brakes on the C-arm again.

Unplug the power connector 0

◆ Switch SIREMOBIL Compact L off.

◆ Pull out the power connector from the power supply socket.
Do not pull on the cable, but only on the plug!

SIREMOBIL Compact L
SPR2-130.620.06.01.02 31 of 36
Basic System

Unplugging the central plug 0

◆ Disconnect the central plug of the connection cable to the monitor trolley by
turning the lever (1) by 11/2 rotations to the left and removing the plug.
◆ Remove any present equipotential bonding connection from the
SIREMOBIL Compact L C-arm system.

DR

◆ Wind up the connection cable of the foot switch at the front of the unit and
hang up the foot switch on it.

When hanging up the foot switch, make sure that the cable is not kinked.

Operator Manual
32 of 36 SPR2-130.620.06.01.02
 Basic System

Moving the C-arm system 0

left image: Foot switch released, right image: Foot switch blocked, both directions possible

◆ You can release or block the foot switch with the foot lever (both sides).

Transport 0

◆ Release the foot brake.

◆ For transport, use the steering lever and the handles.

The steering lever has 3 stop positions: for straight or transversal movement to
the right or the left.

– In the figure: Steering lever in straight position

SIREMOBIL Compact L
SPR2-130.620.06.01.02 33 of 36
Basic System

❏ Steering lever in stop position right or left for transversal movement.

◆ Lift the steering lever and turn it in the desired direction.
– The unit always moves parallel to the lever position.

Cable deflectors 0

Any cables lying on the ground which might inhibit the maneuverability of the unit
are pushed aside by cable deflectors.
The unit is not blocked.

When transporting the unit, please make sure that the wheels do not run into
any obstacles.

Operator Manual
34 of 36 SPR2-130.620.06.01.02
 Basic System

Transport position of the monitor trolley 0

◆ Wind up the mains cable and the connection cables to the

SIREMOBIL Compact L C-arm system at the rear of the monitor trolley.

Moving the monitor trolley 0

◆ For transport, release the brakes on the wheels (arrow).

SIREMOBIL Compact L
SPR2-130.620.06.01.02 35 of 36
Basic System

For notes

Operator Manual
36 of 36 SPR2-130.620.06.01.02
Operator Manual
SIREMOBIL systems
Memoskop digital image memory
SP

SPR2-130.620.06.01.02
 Please observe the

Safety Operator Manual

It must be studied thoroughly before system startup.

The original version of this Operator Manual was written in the

German language.

© Siemens AG 2005
All rights reserved

Siemens AG, Wittelsbacher Platz 2, D-80333 Muenchen, Germany Order no.: SPR2-130.620.06.01.02
SP
Contact information: Siemens AG, Medical Solutions, Special Systems Printed in the Federal Republic of Germany
Henkestrasse 127, D-91052 Erlangen, Germany AG 11/05
 Memoskop
Contents

Operator Manual
Memoskop

Memoskop C-E, C-E 100, C and C-SUB

Digital image memory ........................................................................................................ 3
Functions of the Memoskop C-E, C-E 100, C/C-MOD, C-SUB, C-SUB-MOD ................................ 3
Functions of the Memoskop C-E ............................................................................... 3
Functions of the Memoskop C-E 100 .......................................................................... 3
Functions of the Memoskop C/C-MOD ....................................................................... 3
Functions of the Memoskop C-SUB, C-SUB-MOD ......................................................... 4
Displays on the monitor .................................................................................................... 5
Patient registration .......................................................................................................... 6
Manual ................................................................................................................. 6
Worklist query ....................................................................................................... 8
Patient directory ........................................................................................................... 13
Selection and display of patient images ..................................................................... 13
Write protection ................................................................................................... 17
Subtraction and Roadmap operating modes ....................................................................... 18
Subtraction mode ................................................................................................. 18
Postprocessing of subtraction scenes ....................................................................... 20
Roadmap mode ................................................................................................... 25
User programs ............................................................................................................. 26
Starting the user menu .......................................................................................... 26
User menu .......................................................................................................... 27
User Setup Menu ................................................................................................. 28
Operating modes ................................................................................................. 29
Standard programs ............................................................................................... 30
Changing the user programs ........................................................................................... 32
Fluoroscopy ........................................................................................................ 32
Pulsed Fluoroscopy .............................................................................................. 33
Digital radiography ................................................................................................ 34
Subtraction ......................................................................................................... 35
Roadmap ............................................................................................................ 36
Windowing ......................................................................................................... 37
MOD Setup ........................................................................................................ 38
Worklist menu ..................................................................................................... 39

SIREMOBIL
SPR2-130.620.06.01.02 1 from 88
Memoskop
Contents

Memoskop CX 200
Digital image memory ....................................................................................................... 40
Functions of the Memoskop CX 200 ................................................................................. 40
Standard functions ................................................................................................ 40
Options .............................................................................................................. 40
Displays on the monitor .................................................................................................. 41
Patient registration ........................................................................................................ 42
Manual ............................................................................................................... 42
Worklist query ..................................................................................................... 44
Patient directory ........................................................................................................... 49
Selection and display of patient images ..................................................................... 49
Write protection ................................................................................................... 53
Subtraction and Roadmap operating modes ....................................................................... 54
Subtraction mode ................................................................................................. 54
Postprocessing of subtraction scenes ....................................................................... 56
Roadmap mode ................................................................................................... 60
User programs ............................................................................................................. 61
Starting the user menu .......................................................................................... 61
User Setup Menu ................................................................................................. 61
Standard programs ............................................................................................... 63
Changing the user programs ........................................................................................... 65
Fluoroscopy ........................................................................................................ 65
Pulsed fluoroscopy ............................................................................................... 66
Digital radiography ................................................................................................ 68
Subtraction ......................................................................................................... 70
Roadmap ............................................................................................................ 72
Windowing ......................................................................................................... 73
CD Export menu .................................................................................................. 75
System configuration ............................................................................................ 77
Dicom option ............................................................................................................... 79
Introduction ......................................................................................................... 79
System preparations ............................................................................................. 79
Sending patient images ......................................................................................... 80
Selection "Send individual images of a patient" ........................................................... 82
Transferring patient images to a laser camera/printer ................................................... 84

Operator Manual
2 from 88 SPR2-130.620.06.01.02
 Memoskop

Memoskop C-E, C-E 100, C and C-SUB

Digital image memory 0

The Memoskop is a digital image processing system available in the following

versions:
C-E, C-E 100, C, C-MOD, C-SUB and C-SUB-MOD. Depending on the version, dif-
ferent functions are possible. The main characteristics are listed in the overview.

Functions of the Memoskop C-E, C-E 100, C/C-MOD,

C-SUB, C-SUB-MOD 0

Functions of the Memoskop C-E 0

❏ 5 different user programs (adjustable by the user if a keyboard is available,

otherwise adjustable only by a service engineer)
❏ Adjustable dose rate
❏ Automatic windowing
❏ 3-image memory

Functions of the Memoskop C-E 100 0

as described for Memoskop C-E, additionally:

❏ Shutter
❏ Zoom/Roam
❏ 16-fold image display
❏ Video recorder mode
❏ 100-image memory
❏ DICOM bridge (optional)

Functions of the Memoskop C/C-MOD 0

as described for C-E 100, additionally:

❏ Shutter
❏ Zoom/Roam
❏ 16-fold image display
❏ Video recorder mode
❏ 700-image memory

SIREMOBIL
SPR2-130.620.06.01.02 3 of 88
Memoskop

❏ MOD disk (optional)

Magneto-optical disk

Functions of the Memoskop C-SUB, C-SUB-MOD 0

as described for Memoskop C and Memoskop C-E, additionally:

❏ Subtraction
❏ Roadmap
❏ Landmark
❏ Pixel shift/Remask
❏ Positive/negative image display
❏ 900-image memory

Operator Manual
4 of 88 SPR2-130.620.06.01.02
 Memoskop

Displays on the monitor 0

15
7 Chirurgie S t a t u s ze i l e 22.11.96 4, 5
8 LIH 1 14:30
9 293 2 6
10 A

11 Szenen Name 6345 cGy cm2 12

1 Müller Marcus S. 14
2 ID. 201530998AA30 12-05-58 Siemens 13
3 Universitätsklinik

❏ Different data can be displayed on the monitor, depending on the memory

type or configuration.
For example:
1. Patient name (surname, first name, second name abbreviated)
2. Patient ID and date of birth
3. Hospital name
4. Current date/time
5. Time of the stored image
6. Contrast level
7. Name of program
8. Operating mode of the displayed image (LIH, DR, pulsed fluoroscopy, SUB,
ROADMAP)
9. Number of the stored image/scene
10. Monitor selection A or B (for model with 2 monitors)
11. Name of scene can be entered in the subtraction scene above the
patient name
12. Accumulated dose area product
13. Company name
14. Hardcopy active
15. Status bar (current information, e.g. injecting, sending active)

SIREMOBIL
SPR2-130.620.06.01.02 5 of 88
Memoskop

Patient registration 0

Manual 0

◆ Touch this key to select the patient data screen.

NEXT PAT ❏ The selection "NEXT PAT" is not possible with the cassette inserted.

If desired, save the image beforehand.

The next patient input mask appears.

◆ You can now enter the following data and switch with the arrow keys from
one field to the next.
The entered birth date is checked for its logic. If it is not correct, the field must
be entered properly before you can move on.
◆ The sex can be selected with the arrow keys (alternatively: female, male,
undefined).

The patient input mask for Memoskop CE shows:

Patient data

Surname:.................: Müller
First name...............: Marcus
Second name..............: Schmitt
Birth date (DD-MM-YYYY)..: 12-05-1958
Sex......................: male
Patient ID...............: A1153359
Access number............: 19981103

Press .... to continue.

Press .... to exit.

Operator Manual
6 of 88 SPR2-130.620.06.01.02
 Memoskop

The patient input mask for Memoskop C, CE 100 and C SUB shows:

Patient data

Name
Last:...............................
First.:................................
Middle.:............................
Prefix:.............................
Suffix:.............................
------------------------------------
ID:.................................
------------------------------------
Sex...........:<nnn>
Birthdate.....:<Date> (DD.MM.YYYY)
Accession No..:..........
----------------------------------------

Press .... to continue.

Press .... to exit.

The patient ID is an ID number allocated by the HIS (Hospital Information

System).
The access number is allocated by the hospital staff, to distinguish between
several patient entries for a patient.

◆ Before closing the mask, save the patient data entered with the "Home" key.

If you close this input mask without entry, no data is displayed.

If this patient data mask was not opened (e.g. emergency patient), the current
date of the day is used for X-rays (not Memoskop C-E).

Incorrect or incomplete patient data can be changed in the user menu under
item M "Correcting the patient name".

For Subtraction scenes you can enter the scene directly on the patient image;
however, this must be entered exactly a line above the patient name, so that
it is saved.
For this purpose, move the cursor into this line.

SIREMOBIL
SPR2-130.620.06.01.02 7 of 88
Memoskop

Worklist query 0

For Memoskop C and C SUB, the worklist query can only be requested in
connection with a worklist-capable DICOM bridge.

NEXT PAT
◆ Press this key to select the Patient Data mask.
The next patient input mask appears:

Patient Data

Name
Last::..............................
First.:...............................
Middle.:............................
Prefix:.............................
Suffix:.............................
------------------------------------
ID:.................................
------------------------------------
Sex...........:<nnn>
Birthdate.....:<Date> (DD.MM.YYYY)
Accession No..:..........
--------------------------------------

Press .... to continue.

Press .... to exit.
.... ALLPAT for Worklist Query
Press

ALL PAT
With this key, select the general worklist query.

The following message appears:

Worklist Query Results

Worklist Query Processing

Operator Manual
8 of 88 SPR2-130.620.06.01.02
 Memoskop

Afterwards, the following mask is displayed:

Worklist Query Results

---------------------------
Patient name: Date:

Nobody Marcus 05.11.61

Mustermann Peter 10.06.55
Panorama Stephanie 24.03.73
-------------------------------
Name:...Mustermann Peter
Sex:....male
ID:.....987686
-------------------------------
Station Name:...COP
Physician:......RTA, EVA
Accession No.:..6803113
Procedure:......ABDOM_C233
Date/time:......11-03-2001..../...10:45
-------------------------------
Press .... to accept
Press .... to exit.

◆ Select a patient using the arrow keys:

◆ An arrow identifies the patient you have selected.
◆ In the lower part of the mask, the patient information is displayed.

◆ Confirm this by pressing the "Return" key. The patient data are copied to the
system.

SIREMOBIL
SPR2-130.620.06.01.02 9 of 88
Memoskop

The following monitor display appears (also see chapter Basic System, page 11):

Chirurgie S t a t u s ze i l e 22.11.96
LIH 1 14:30
293 2
A

Szenen Name 6345 cGy cm2

Mustermann Peter
ID. 987686 11-03-2001 Siemens
Universitätsklinik

Special worklist query

Here, a special search criterion can be entered:
❏ When using the "Universal" keyboard, the symbol "$" for any number of letters.
❏ When using the "Roman" keyboard, the symbol "=" for any number of letters.
❏ When using both keyboards, the symbol "?" can be used as wildcard for any
letter.
These entries can be made in any field of the patient input mask.

Operator Manual
10 of 88 SPR2-130.620.06.01.02
 Memoskop

Example:
In the patient data mask, "M??er" is entered as surname.

Patient Data

Name
Last:M??er..........................
First.:...............................
Middle.:............................
Prefix:.............................
Suffix:.............................
------------------------------------
ID:.................................
------------------------------------
Sex...........:<nnn>
Birthdate.....:<Date> (DD.MM.YYYY)
Accession No..:..........
--------------------------------------

Press .... to continue.

Press .... to exit.
.... ALLPAT for Worklist Query
Press

Confirm the entry with ALLPAT and wait until the input mask is uploaded:
ALL PAT

Worklist Query Results

---------------------------
Patient name: Date:

Maier Beate 16.01.59

Mayer Peter 08.04.68
Meier Udo 27.10.84
-------------------------------
Name:...Maier Beate
Sex:....male
ID:.....987686
-------------------------------
Station Name:...COP
Physician:......RTA, EVA
Accession No.:..6803113
Procedure:......ABDOM_C233
Date/time:......11-03-2001..../...10:45
-------------------------------
Press .... to accept
Press .... to exit.

SIREMOBIL
SPR2-130.620.06.01.02 11 of 88
Memoskop

All names with five letters starting with "M" and ending with "er" are displayed.

❏ When entering "M$" via the "Universal" keyboard, all names starting with "M"
are displayed.
❏ When entering "M=" via the "Roman" keyboard, all names starting with "M" are
displayed.

◆ Select a patient using the arrow keys:

◆ An arrow identifies the patient you have selected.
◆ In the lower part of the mask, the patient information is displayed.

Confirm this by pressing the "Return" key. The patient data are copied to the sys-
tem.

Error messages
The following display shows error messages:

Worklist Error Messages

Display DICOM error messages

Press .... to exit.

List of possible error messages:

❏ Init of DICOM bridge fails

❏ Check network cable or storage node
❏ No patients in worklist
❏ Too many worklist responses
❏ Required parameters missing
❏ Worklist function not available
This display appears in case a DICOM bridge is not worklist-capable, in case
no DICOM bridge is available or if the Memoskop software does not corre-
spond to the software current at the time of worklist introduction.

Operator Manual
12 of 88 SPR2-130.620.06.01.02
 Memoskop

Patient directory 0

Selection and display of patient images 0

Please observe the following information:

The correct image orientation on the monitor/film is the responsibility of the

operator.

The correct assignment of image and patient data when storing images is the
responsibility of the operator.
Therefore, please take care that you press the "NEXT-PAT" button and enter the
new patient name before treatment of the next patient.

The hard disk of the imaging system is not suitable for use as a long-term
archive for image or patient data.

If the storage capacity of the hard drive is exceeded, the oldest unprotected
patients are overwritten.

Longer patient lists exceed the number of lines that can be displayed on the
screen. For this reason, an arrow on the upper or lower edge indicates that there
are additional patients.

SIREMOBIL
SPR2-130.620.06.01.02 13 of 88
Memoskop

Memoskop C-E 100

PROTECTED(P): 43 FREE SPACE: 57

NAME: Date: SGL

05.11.98 05.11.98 7 D
Müller Marcus S. 05.11.98 3 D
Schmitt Peter M. 05.11.98 10 D
Fischer Stephan H. 05.11.98 15 P

Example of a patient directory for Memoskop C-E 100

In this example 43 images are protected, 57 can still be saved
(P) means the images of the patient are protected
(D) means the images of the patient have been printed

◆ With this key, select the patient directory.

ALL PAT

◆ Select a patient using the arrow keys:

– An arrow identifies the patient you have selected.
❏ For the model with 2 monitors, the first image of the patient is now displayed
on monitor A.
◆ Terminate the patient selection with the "Home" key.
❏ For the model with 1 monitor, the first patient image is now displayed.

A B ◆ Select the desired monitor A or B:

– (only possible for model with 2 monitors)
– You can now display the images of the currently selected patient with the
image transfer keys.
By pressing + you can go to the next image, by pressing - to the previous
image.

Operator Manual
14 of 88 SPR2-130.620.06.01.02
 Memoskop

Memoskop C/C-MOD

PROTECTED(P): 123 FREE SPACE: 577

NAME: Date: SGL

05.11.98 05.11.98 7 T
Müller Marcus S. 05.11.98 3 D
Schmitt Peter M. 05.11.98 10 R
Fischer Stephan H. 05.11.98 15 P

Example of a patient directory for Memoskop C

In this example 123 images are protected, 577 can still be saved
(P) means the images of the patient are protected
(T) means the images of the patient have been transferred (e.g. into a network)
(D) means the images of the patient have been printed
(R) means the images of the patient have been restored

◆ With this key, select the patient directory.

ALL PAT

◆ Select a patient using the arrow keys:

– An arrow identifies the patient you have selected.
❏ For the model with 2 monitors, the first image of the patient is now displayed
on monitor A.
◆ Terminate the patient selection with the "Home" key.
❏ For the model with 1 monitor, the first patient image is now displayed.

A B ◆ Select the desired monitor A or B:

– (only possible for model with 2 monitors)
– You can now display the images of the currently selected patient with the
image transfer keys.
By pressing + you can go to the next image, by pressing - to the previous
image.

SIREMOBIL
SPR2-130.620.06.01.02 15 of 88
Memoskop

Memoskop C-SUB/C-SUB-MOD

PROTECTED(P): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Example for a patient directory with Memoskop SUB

In this example 137 images are protected, 763 can still be saved
(P) means the images of the patient are protected
(T) means the images of the patient have been transferred (e.g. into a network)
(D) means the images of the patient have been printed
(R) means the images of the patient have been restored
SUB means: Number of subtraction scenes
SGL means: Number of single images
SUM means: Total number of images for the respective patient

◆ With this key, select the patient directory.

ALL PAT

◆ Select a patient using the arrow keys:

– An arrow identifies the patient you have selected.
❏ The first image for this patient appears on monitor A.
◆ Terminate the patient selection with the "Home" key.

A ◆ Select the desired monitor A or B

B
(subtraction images are only displayed on monitor B).

◆ You can now display the images of the currently selected patient with the im-
age transfer keys.
You can display the next image by pressing + and the previous image by
pressing -.
❏ The operating mode of the saved image is displayed in the upper left of the
monitor.
❏ Image numbering
– Individual images of a patient are numbered consecutively,
starting with no. 1.
– Images of a scene receive a consecutive scene and image number,
separated by a forward slash.

Operator Manual
16 of 88 SPR2-130.620.06.01.02
 Memoskop

◆ If you now want to display the images within a subtraction scene, press the
SUB PROCESS "SUB" or "PROCESS" key on the monitor keyboard.
(Subtraction scenes can only be displayed on monitor B).

◆ You can now browse within the SUB scene with the image transfer keys.
– If you hold the keys down you can display the images one after the other
on the monitor (CINE LOOP). The images are displayed with the frequency
they were recorded in.

SUB PROCESS
◆ To exit the SUB scene, press the "SUB" or "PROCESS" key again.

Write protection 0

You can protect images from being overwritten when saving new images.
Protected images are marked with a "P" after the image number.
The number of the protected and unprotected images is displayed above the
patient directory.
Selecting the write protection

◆ With this key, select the patient directory.

ALL PAT

◆ Select a patient name.

◆ Press the "SAVE PAT" key:

– A "P" is displayed after the number of the saved images.
SAVE PAT

Canceling the write protection

◆ Select the patient directory.

ALL PAT

◆ Select the patient name.

◆ Press the "SAVE PAT" key.
– The "P" after the number of the image disappears.
SAVE PAT

SIREMOBIL
SPR2-130.620.06.01.02 17 of 88
Memoskop

Subtraction and Roadmap operating modes 0

Subtraction mode 0

Principle of the SUB memory

The subtraction procedure enables an isolated display of the vascular system
after injection of the contrast medium by means of background subtraction.
Images without contrast medium (mask) are continuously subtracted digitally
from images with contrast medium and displayed on the monitor. Depending on
the contrast medium flow, they display the respective vascular segment without
superimposition.
As the images are subtracted in real-time mode, the vessels and contrast medi-
um dynamic in the vessel can already be seen during examination.
The subtraction procedure enables the hemodynamic display as well as display
of maximum vascular filling and roadmapping technique for the interventional
techniques such as dilatation and embolization.

Phases of subtraction
The subtraction procedure can be divided into three phases.
Phase A
❏ The time until the mask creation is complete.
Phase B1
❏ The time from the "inject" display on the monitor up to when the injection
medium has reached the area to be examined.
Phase B2
❏ The important time during exposure in the area to be examined.
In order not to overload the memory unnecessarily with images which are of little
interest, the period of phase B1 and the storage transfer-rate of phases B1 and
B2 can be set in the subtraction menu.

Operator Manual
18 of 88 SPR2-130.620.06.01.02
 Memoskop

Subtraction procedure

◆ Create new patient, if required.

NEXT PAT
◆ Position the region to be examined.
◆ Check the collimation.
◆ Select subtraction on the C-arm system.
SUB
◆ You can browse through the different programs by repeatedly pressing
the key.
❏ You can optionally allocate a scene name.

◆ For this purpose, move the cursor to the line above the patient name by
pressing the "Return" key and enter the scene name.

◆ Release fluoroscopy and hold the fluoroscopy switch down.

The native image is displayed on monitor A.

◆ Inject the contrast medium into the blood vessel when the prompt for
"inject" is displayed on the monitor (top center).

Continue to hold the fluoro switch down until the contrast medium has passed
through the vessel and can be seen on the monitor.

1. Image 2. Image Last image last image of the SUB max

(SUB min would also be
possible)

❏ Continuous filling of the blood vessel with contrast medium can be observed.
❏ The result is a live subtraction with dynamic contrast medium filling.
❏ Once the radiation has been switched off, a subtraction image with summed
contrast medium filling (SUB max.) is displayed on monitor B, the MAX OP
image (the image of the subscene with the strongest filling phase) is displayed
on monitor A.
❏ The SUB-max image as well as the Max OP image are stored on the hard disk.

SIREMOBIL
SPR2-130.620.06.01.02 19 of 88
Memoskop

Postprocessing of subtraction scenes 0

If no patient is currently loaded, you can select a new patient from the list via the
patient selection (as described for the patient directory Memoskop-SUB), and
load the subtraction images onto the monitor (as described under the patient
directory section).

Remask and Pixel Shift

Remask
◆ Press the Remask key to start the function.
REMASK

◆ Select a native image as mask by scrolling backward or forward.

◆ Deactivate Remask by pressing again.

REMASK

◆ Press one of the image scroll keys to display the new image.

Pixel Shift

◆ The Remask function also enables the Pixelshift function.

REMASK

◆ Now the current mask can be moved in the desired direction with the arrow
keys: left, right, up, down:
– Each pressing of the arrow keys results in a pixelshift of 1/8th pixels in the
desired direction.

The moved mask is subtracted online from the respective native image and dis-
played on the monitor.

If you press the "Home" key in the Remask mode, the mask shift is set to 0.
This means that no mask shift has taken place.

Operator Manual
20 of 88 SPR2-130.620.06.01.02
 Memoskop

Shutter
If the primary side was not collimated during examination of the patient, this can
be carried out with electronic shutters during postprocessing, to cover the over-
exposed areas.
The horizontal and vertical collimators of the shutters can be moved independent-
ly of each other. It can affect an individual image as well as a complete scene.
The function is available for both monitors.

vertical shutter horizontal shutter

Activation

The shutter is moved by pressing the following keys at the same time.

The vertical shutter is closed.

SHIFT

The vertical shutter is opened.

SHIFT

The horizontal shutter is opened.

SHIFT

The horizontal shutter is closed.

SHIFT

SIREMOBIL
SPR2-130.620.06.01.02 21 of 88
Memoskop

Shutter with zoom function

Normal display Zoom display Normal display Zoom display

Zoom display Normal display Zoom display Normal display

When zoom is enabled, the shutter is zoomed with the image as long as it is
positioned within the zoomed area. If this function is not deselected, it remains
active for the entire scene.
If the zoom is disabled, the zoomed shutter is also reset.

Operator Manual
22 of 88 SPR2-130.620.06.01.02
 Memoskop

Roam
If images are displayed in zoom mode, only the centers of the images are visible,
the margins are not visible. Scrolling of an image to display other areas not readily
visible is called roaming.
Radiation must be switched off to enable roaming.

◆ Enable the zoom mode with the zoom key.

The enlarged center of the image is displayed.

◆ Move the zoomed image in the desired direction with the arrow keys.
Each time the arrow key is activated, the image is shifted 5 pixels
(not zoomed) in the desired direction.
The margin areas of the image now become visible.

The Zoom as well as the Roam functions are available for both monitors.

◆ Disabling Roam.
If you deselect the Zoom mode and reselect it again, previous roaming is deleted
and the image center is displayed again.

SIREMOBIL
SPR2-130.620.06.01.02 23 of 88
Memoskop

16-image collage
The screen layout can be enabled with two keys:
one directly on the control console of the C-arm,
the other on the keyboard of the monitor trolley.

For the image memory of Memoskop C and C-SUB, you can carry out the
16-image split on the monitor cart. The function is not possible if radiation is
switched on.
(Also see description Operating Elements in the Basic System).
◆ Select the image with the arrow keys and confirm with Return.

Example:

Single imageer
1. Subtraction scene,
3. Image
1. Subtraction scene,
001 002 003 001/001 1. Image
1. Subtraction scene,
2. Image 001/002 001/003 001/004 004 Scene, unsubtracted
(004 - 007)

005 006 007 008 Single image

2. Subtraction scene,
1. Image 002/001 002/002 002/003 002/004

Unsubtracted scenes are displayed as single images (see above).

Positive/negative image display

◆ By pressing the CTRL and R keys at the same time, you can switch from
positive to negative image display and vice versa.
The function is available for both monitors.
CTRL R
You can also select the positive or negative image display in the Subtraction or
Roadmap mode programs.

Operator Manual
24 of 88 SPR2-130.620.06.01.02
 Memoskop

Roadmap mode 0

The Roadmap procedure enables the user to position a catheter precisely in

a blood vessel under fluoroscopy.
In the first step, the Max OP (min. OP) image is created as mask from a normal
subtraction. In the second step, the vascular display in which the catheter is in-
tended to be positioned, is superimposed by the current fluoroscopic images.

Roadmap procedure
◆ Position the region to be examined.

ROAD
◆ Check the collimation.
MAP
◆ Select Roadmap.
◆ Release radiation via the hand or foot switch (left pedal) and hold the switch
down.

During Roadmap, the edge enhancement can only be operated from the
monitor trolley.

❏ The live image is displayed on the left monitor.

❏ After a few seconds, the "inject" display appears on the monitor
(upper center).
◆ Now inject the contrast medium.

Continue holding the fluoro switch down until a continuous filling of the blood
vessel with contrast medium is visible.

◆ End fluoroscopy by releasing the switch.

Using the catheter

◆ Release radiation with the hand switch or the left foot switch.
◆ Position the guide wire or catheter under fluoroscopic control (in the Roadmap
mode).
❏ Monitor A displays the fluoroscopic image,
monitor B shows the subtracted roadmap image with the catheter.
❏ You can repeat fluoroscopy as often as needed while you insert the catheter.
❏ If you select Roadmap again, start a new roadmap scene.

SIREMOBIL
SPR2-130.620.06.01.02 25 of 88
Memoskop

User programs 0

The user programs make it possible to adjust the system to the applications
which are used most frequently. User programs are available in all operating
modes.

Before the start of an operation, you must ensure that the examination settings
in the operating modes are correct.

Starting the user menu 0

Program selection is carried out with the keyboard keys.

◆ Press the "CTRL" and "U" key at the same time to start the user program.
The main menu "User Set Up Menu" is displayed.
CTRL U

Operator Manual
26 of 88 SPR2-130.620.06.01.02
 Memoskop

User menu 0

USER SET UP MENU

1) Software Version
A. Mode Parameters
B. VCR output (Mon A)
C. Documentation (Mon A)
D. Text monitor (Mon A)
E. Split Screen (Horizontal)
F. Display of time (Yes)
G. Set Date/Time
H. Hospital Name
2) I. Storage of dose on disk (Yes)
2) K. Dose on hardcopy output (Yes)
L. SMPTE Test Pattern
2) M. Rename
2) N. Erase Unprotected Patients
2) O. MOD Setup
P. Worklist Matching Parameters

Press to exit
Press to confirm
Enter Selection:

Monitor display of the parameter menu

1) At the top of the monitor the software version of your system is displayed
2) Items I and K are only visible and possible with the dose measurement chamber option
M and N not for Memoskop C-E
O only possible with MOD option
P only functional in connection with worklist-capable DICOM bridge

SIREMOBIL
SPR2-130.620.06.01.02 27 of 88
Memoskop

User Setup Menu 0

Menu
Function/text on the monitor Available parameters
item

A Mode Parameters Fluoroscopy, Pulsed

Fluoroscopy, DR,
Subtraction, Roadmap and
Window Level
B VCR output Monitor A, Monitor B
C Documentation Monitor A, Monitor B
D Text monitor Monitor A, Monitor B
BOTH monitors
E Split Screen Vertical/Horizontal
F Display of time NO/YES
G Set Date/Time
H Hospital Name
I* Storage of dose on disk NO/YES
K* Dose on hardcopy output NO/YES
L SMPTE Test Pattern
M* Rename
N* Erase Unprotected Patients
O* MOD Setup
P* Worklist

* Items I and K are only visible and possible with the dose measurement chamber option
M and N not for Memoskop C-E
O only possible with MOD option
P only functional with worklist-capable Dicom bridge

Before deleting images the user must be certain that the images have been
correctly archived.

Operator Manual
28 of 88 SPR2-130.620.06.01.02
 Memoskop

A....P
◆ Confirm this by pressing the "Return" key.

◆ Select a parameter by pressing the arrow keys (except for A and L).
– G: Enter the date and time.
– H: Enter the name of the hospital.
– M: Enter the new name.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

Operating modes 0

Menu
Mode/text on the monitor Available programs/values
item

1 FLUOROSCOPY 1, 2, 3, 4, 5
1. Program number
2 PULSED FLUOROSCOPY 1, 2, 3, 4, 5
2. Program number
3 DIGITAL RADIOGRAPHY 1, 2, 3, 4, 5
3. Program number
4 SUBTRACTION 1, 2, 3, 4, 5
4. Program number
5 ROADMAP 1
5. Program number
6 Window Level 1, 2, 3, 4, 5, 6

A....P ◆ Select the desired program.

◆ Press "Return" to confirm.

◆ Select a program number by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

SIREMOBIL
SPR2-130.620.06.01.02 29 of 88
Memoskop

Standard programs 0

A standard program was pre-installed for each operating mode.

Operator Manual
30 of 88 SPR2-130.620.06.01.02
 Memoskop

SIREMOBIL
SPR2-130.620.06.01.02 31 of 88
Memoskop

Changing the user programs 0

Fluoroscopy 0

Menu
Text on the monitor Available parameters
item

FLUOROSCOPY 1, 2, 3, 4, 5
PROGRAM X
1 Program name Can be entered
2 Dose low, medium, high
3 Sirematic normal S1, S2, LD, HC1, HC2, IOD
4 Sirematic push S1, S2, LD, HC1, HC2, IOD
5 Noise reduction-low 1, 2 ,4, 8, 16, 32,
MD1, MD2
6 Noise reduction-high 1, 2, 4, 8, 16, 32,
MD1, MD2
7 Auto LIH disk transfer YES; NO
8 Disk transfer rate 0, 0.5, 1, 2, 3, 4, 5, 6 f/s
9 Delete this program * YES; NO

* not possible for program 1.

1...9 ◆ Select the desired menu item.

◆ Press "Return" to confirm.

◆ Select a parameter by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

Operator Manual
32 of 88 SPR2-130.620.06.01.02
 Memoskop

Pulsed Fluoroscopy 0

Menu
Text on the monitor Available parameters
item

PULSED FLUOROSCOPY 1, 2, 3, 4, 5
PROGRAM X
1 Program name Can be entered
2 Dose low, medium, high
3 Sirematic normal S1, S2, LD, HC1, HC2, IOD
4 Sirematic push S1. S2, LD, HC1, HC2, IOD
5 Noise reduction-low 4, 8, 16
6 Dose reduction-low low, medium, high
7 Noise reduction-high 4, 8, 16
8 Dose reduction-high low, medium, high
9 Auto transfer each image YES; NO
10 Auto LIH disk transfer YES; NO
11 Delete this program * YES; NO

* not possible for program 1

For possible settings, see basic system "Pulsed fluoroscopy" under frame rate.

1...11 ◆ Select the required menu item.

◆ Press "Return" to confirm.

◆ Select a parameter by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

SIREMOBIL
SPR2-130.620.06.01.02 33 of 88
Memoskop

Digital radiography 0

Menu
Text on the monitor Available parameters
item
DIGITAL RADIOGRAPHY 1, 2, 3, 4, 5
PROGRAM X
1 Program name Can be entered
2 Dose medium, high
3 Noise reduction-low 4, 8, 16, 32
4 Noise reduction-high 4, 8, 16, 32
5 Auto disk transfer YES; NO
6 Delete this program * YES; NO

* not possible for program 1

1...6 ◆ Select the required menu item.

◆ Press "Return" to confirm.

◆ Select a parameter by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

In order to ensure sufficient image quality, images are completely acquired after
start of acquisition, even if no more radiation is released. The effective acquistion
time depends on the preset integration factor and is a maximum of 1.8 seconds.
After complete image acquisition, radiation is automatically switched off, even if
the radiation release key remains pressed.

Operator Manual
34 of 88 SPR2-130.620.06.01.02
 Memoskop

Subtraction 0

Menu
Text on the monitor Available parameters
item

SUBTRACTION PROGRAM X 1, 2, 3, 4, 5
1 Program name Can be entered
2 Subtraction min, max
3 Dose medium, high
4 Landmark WITHOUT, 10%, 20%, 30%
5 Videosignal at the positive, negative
documentation output
6 Image display positive, negative
Phase B1
7 Duration of Phase B1 0...100 s
8 Disk transfer rate 0, 0.5, 1, 2, 3, 4, 5, 6 f/s **
(Framerate)
Phase B2
9 Disk transfer rate 0, 0.5, 1, 2, 3, 4, 5, 6 f/s **
10 Delete this program * YES; NO

* not possible for program 1

1...10 ◆ Select the required menu item.

◆ Press "Return" to confirm.

◆ Select a parameter by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

SIREMOBIL
SPR2-130.620.06.01.02 35 of 88
Memoskop

Roadmap 0

Menu
Text on the monitor Available parameters
item

ROADMAP PROGRAM X 1
1 Program name Can be entered
2 Subtraction min, max
3 Dose medium, high
4 Landmark WITHOUT, 10%, 20%, 30%
5 Videosignal at the documentation positive, negative
output
6 Image display positive, negative

1...6 ◆ Select the required menu item.

◆ Press "Return" to confirm.

◆ Select a parameter by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

Operator Manual
36 of 88 SPR2-130.620.06.01.02
 Memoskop

Windowing 0

Making different shades of grey visible within a window section is called

windowing.
Manual windowing
For Subtraction and Roadmap you can set 256 values for 6 different LUTs
(look-up tables) in the Window Level menu.

By selecting extreme pixel values, the result is limited and thus image information
gets lost. For this reason, select the values carefully. For values above 200 for ex-
ample, only a small band of pixel values is visible, only black and white is visible.

Value
Menu Available
Text on the monitor Status when
item Parameters
shipped

WINDOW LEVEL
1 /1Brightness 0...255 100
2 /1Contrast 0...255 195
3 /2Brightness 0...255 105
4 /2Contrast 0...255 205
5 /3Brightness 0...255 110
6 /3Contrast 0...255 215
7 /4Brightness 0...255 115
8 /4Contrast 0...255 225
9 /5Brightness 0...255 120
10 /5Contrast 0...255 235
11 /6Brightness 0...255 127
12 /6Contrast 0...255 245

1...12 ◆ Select the required menu item.

◆ Press "Return" to confirm.

◆ Select a parameter by pressing the arrow keys.

◆ Confirm this by pressing the "Return" key.

◆ Press the "Home" key to exit.

SIREMOBIL
SPR2-130.620.06.01.02 37 of 88
Memoskop

MOD Setup 0

only available with MOD option

Menu
Parameter/text on the monitor Available parameters
item

MOD Setup
1 Type of Format to MOD DICOM, TIFF
2 Store to MOD Patient Browser
3 Restore from MOD
4 Format/Delete MOD
5 Delete patient on MOD Patient Browser

Please only use MODs of the type 540 MB with 512 byte per sector.

1...5 ◆ Select a menu item.

3. Select the file format
– For displaying the Tiff format on your PC with MOD drive you can use
Microsoft Office 95 or 97 for example.
4. Store to MOD
– During storage the number of the images is displayed as three digits on the
monitor, e.g. 002/010
2 = number of stored images
10 = total number of images to be stored

During data transfer from or to the MOD, radiation is not possible!

5. From the MOD, you can restore images to the hard disk of the SIREMOBIL
(only DICOM format)
For this you must select the DICOM parameter.
6. You can format the MOD
7. You can delete individual patients on the MOD (only DICOM format)
The further procedure is menu-guided on the display.

Operator Manual
38 of 88 SPR2-130.620.06.01.02
 Memoskop

Worklist menu 0

The Worklist Menu becomes effective in connection with a worklist-capable

Dicom bridge.

SELECTION OF WORKLIST PARAMETERS

1. Scheduled station AE title:

2. Station name..:
3. Modality......:
4. Date start....: <current date, DD.MM.YYYY>
5. Date stop.....: <current date, DD.MM.YYYY>
6. Time start....: 00:00
7. Time stop.....: 23:59

Press to exit
Press to confirm
Enter selection:

SIREMOBIL
SPR2-130.620.06.01.02 39 of 88
Memoskop

Memoskop CX 200
Digital image memory 0

The Memoskop CX 200 is a digital image processing system. Depending on the

version, different functionalities are available. The main characteristics are listed
in the overview.

Functions of the Memoskop CX 200 0

Standard functions 0

❏ 5 different user programs

❏ Adjustable dose rate
❏ Automatic windowing
❏ Shutter
❏ Zoom/Roam
❏ Subtraction
❏ Roadmap
❏ Landmark
❏ Pixel shift/Remask
❏ Positive/negative image display
❏ 200-image memory
❏ CD-(R) reading image data

Options 0

❏ 2000-image memory
❏ 5000-image memory with DSA
❏ CD-(RW) export of image data
❏ DICOM standard (DICOM send, DICOM print, DICOM Worklist)

Operator Manual
40 of 88 SPR2-130.620.06.01.02
 Memoskop

Displays on the monitor 0

15
7 Chirurgie S t a t u s ze i l e 22.11.96 4, 5
8 LIH 1 14:30
9 293 2 6
10 A

11 Szenen Name 6345 cGy cm2 12

1 Müller Marcus S. 14
2 ID. 201530998AA30 12-05-58 Siemens 13
3 Universitätsklinik

❏ Different data can be displayed on the monitor, depending on the memory

type or configuration.
For example:
1. Patient name (last name, first name, middle name)
2. Patient ID and birthdate
3. Hospital name
4. Current date/time
5. Time of the stored image
6. Contrast level
7. Name of program
8. Operating mode of the displayed image (LIH, DR, pulsed fluoroscopy, SUB,
ROADMAP)
9. Number of the stored image/scene
10. Monitor selection A or B (for model with 2 monitors)
11. Name of scene can be entered in the subtraction scene above the
patient name.
12. Accumulated dose area product
13. Company name
14. Hardcopy active
15. Status bar (current information, e.g. injecting, sending active)

SIREMOBIL
SPR2-130.620.06.01.02 41 of 88
Memoskop

Patient registration 0

Manual 0

◆ Press this key to select the Patient Data mask.

NEXT PAT ❏ The selection "NEXT PAT" is not possible with the cassette inserted.

If desired, save the image beforehand.

The patient input mask for Memoskop CX 200 is displayed:

Patient Data

Name
Family::............................
First.:..............................
Middle.:................................
Prefix:.............................
Suffix:.........................
------------------------------------
ID:.................................
------------------------------------
Sex........:<nnn>
Birthdate...:<Date> (DD.MM.YYYY)
Accession No..:..........
--------------------------------------

Press .... to continue.

Press .... to exit.
.... ALLPAT for Worklist Query
Press

◆ You can now enter the patient data and switch with the arrow keys from one
field to the next.

Exception:
For the "Sex" and "Service description" input fields the relevant selection list is
activated with the Return key.

Operator Manual
42 of 88 SPR2-130.620.06.01.02
 Memoskop

The patient ID is an ID number allocated by the HIS (Hospital Information

System).
The access number is allocated by the hospital staff, to distinguish between
several patient entries for a patient.

◆ Before closing the mask, save the patient data entered with the "Exit" key.

If you exit this input mask without making an entry, the current date is used as
patient name when X-rays are taken.

Incorrect or incomplete patient data can be changed in the All Pat menu
("Patient Directory") under text "Edit/Modify".

For Subtraction scenes you can enter the scene directly on the patient image;
however, this must be entered exactly a line above the patient name, so that it
is saved.
For this purpose, move the cursor into this line.

SIREMOBIL
SPR2-130.620.06.01.02 43 of 88
Memoskop

Worklist query 0

The worklist query can only be called up in connection with the DICOM option.

◆ Press this key to select the Patient Data mask.

NEXT PAT

With this key, start the general worklist query.

ALL PAT

Patient Data

Name
Family::............................
First.:..............................
Middle.:................................
Prefix:.............................
Suffix:.........................
------------------------------------
ID:.................................
------------------------------------
Sex........:<nnn>
Birthdate...:<Date> (DD.MM.YYYY)
Accession No..:..........
--------------------------------------

Press .... to continue.

Press .... to exit.
.... ALLPAT for Worklist Query
Press

The result of the worklist query is displayed.

◆ Select a patient using the arrow keys.

◆ The selected patient is highlighted.

◆ Confirm this by pressing the "Return" key. The patient data are copied to the
patient mask.

◆ Confirm the selection by pressing the "Home" key.

Operator Manual
44 of 88 SPR2-130.620.06.01.02
 Memoskop

The following monitor display appears (also see chapter Basic System, page 11):

Chirurgie S t a t u s ze i l e 22.11.96
LIH 1 14:30
293 2
A

Szenen Name 6345 cGy cm2

Mustermann Peter
ID. 987686 11-03-2001 Siemens
Universitätsklinik

Special worklist query

Here, a special search criterion can be entered:
❏ When using the "Universal" keyboard, the symbol "$" for any number of letters.
❏ When using the "Roman" keyboard, the symbol "=" for any number of letters.
❏ When using both keyboards, the symbol "?" can be used as wildcard for any
letter.
These entries can be made in any field of the patient input mask.

SIREMOBIL
SPR2-130.620.06.01.02 45 of 88
Memoskop

Example:
In the patient data mask, "M??er" is entered as surname.

Patient Data

Name
Family:M??er......................
First.:..............................
Middle.:................................
Prefix:.............................
Suffix:.........................
------------------------------------
ID:.................................
------------------------------------
Sex........:<nnn>
Birthdate...:<Date> (DD.MM.YYYY)
Accession No..:..........
--------------------------------------

Press .... to continue.

Press .... to exit.
.... ALLPAT for Worklist Query
Press

Confirm the entry with ALLPAT and wait until the input mask is uploaded:
ALL PAT

Worklist Query Results

---------------------------
Patient name: Date:

Maier Beate 16.01.59

Mayer Peter 08.04.68
Meier Udo 27.10.84
-------------------------------
Name:...Maier Beate
Sex:..male
ID:.....987686
-------------------------------
Station Name:......COP
Physician:........RTA, EVA
Accession No.:..6803113
Procedure:..ABDOM_C233
Date/time:...11-03-2001..../...10:45
-------------------------------
Press .... to accept
Press .... to exit.

Operator Manual
46 of 88 SPR2-130.620.06.01.02
 Memoskop

All names with five letters starting with "M" and ending with "er" are displayed.

❏ When entering "M$" via the "Universal" keyboard, all names starting with "M"
are displayed.
❏ When entering "M=" via the "Roman" keyboard, all names starting with "M"
are displayed.

◆ Select a patient using the arrow keys.

◆ The selected patient is highlighted.

Confirm this by pressing the "Return" key. The patient data are copied to the
patient mask.

Error messages
The following display shows error messages:

Worklist Error Messages

Display DICOM error messages

Press .... to exit.

SIREMOBIL
SPR2-130.620.06.01.02 47 of 88
Memoskop

List of possible error messages:

❏ Check network cable or storage node

❏ No patients in worklist
❏ Too many worklist responses
❏ Required parameters missing

Operator Manual
48 of 88 SPR2-130.620.06.01.02
 Memoskop

Patient directory 0

Selection and display of patient images 0

Please observe the following information:

The hard disk of the imaging system is not suitable for use as a long-term
archive for image or patient data.

The correct image orientation on the monitor/film is the responsibility of the

operator.

The correct assignment of image and patient data when storing images is the
responsibility of the operator.
Therefore, please take care that you press the "NEXT-PAT" button and enter the
new patient name before treatment of the next patient.

If the storage capacity of the hard drive is exceeded, the oldest unprotected
patients are overwritten.

Longer patient lists exceed the number of lines that can be displayed on the
screen. For this reason, an arrow on the upper or lower edge indicates that there
are additional patients.

SIREMOBIL
SPR2-130.620.06.01.02 49 of 88
Memoskop

Memoskop CX 200

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Example for a patient directory with Memoskop CX 200

(P) means that the images of the patient are protected
(T) means the images of the patient have been transferred (e.g. into a network)
(D) means the images of the patient have been printed
(R) means the images of the patient have been restored
SUB means: Number of subtraction scenes
SUM means: Total number of images for the respective patient

◆ With this key, select the patient directory.

ALL PAT

◆ Select a patient using the arrow keys.

– The selected patient is highlighted.
❏ The first image for this patient appears on monitor A.

◆ Confirm the selection of the patient by pressing the "Return" key.

– Patient selection stops.

A B ◆ Select the desired monitor A or B

(subtraction images are only displayed on monitor B).

Operator Manual
50 of 88 SPR2-130.620.06.01.02
 Memoskop

◆ You can now display the images of the currently selected patient with the im-
age transfer keys.
You can display the next image by pressing + and the previous image by
pressing -.

❏ The operating mode of the saved image is displayed in the upper left of the
monitor.
❏ Image numbering.
– Individual images of a patient are numbered consecutively, starting
with no. 1.
– Images of a scene receive a consecutive scene and image number,
separated by a forward slash.

◆ If you now want to display the images within a subtraction scene, press the
SUB PROCESS
"SUB" or "PROCESS" key on the monitor keyboard.
(Subtraction scenes can only be displayed on monitor B).

◆ You can now browse within the subtraction scene with the image transfer
keys.
– If you hold the keys down you can display the images one after the other
on the monitor. The images are displayed with the frequency they were
recorded in.

◆ To exit the subtraction scene, press the "SUB" or "PROCESS" key again.
SUB PROCESS

SIREMOBIL
SPR2-130.620.06.01.02 51 of 88
Memoskop

Preview bar
Swift switching between scenes is possible via the permanently active preview
bar.

PROTECTED(p): 137 F
NAME: D

05.11.98
Müller Marcus S.
Schmitt Peter M.
Fischer Stephan H. 0

◆ Within the preview bar you can select the desired scene with the arrow keys.
◆ The first image of the scene is displayed on monitor A.

Operator Manual
52 of 88 SPR2-130.620.06.01.02
 Memoskop

Write protection 0

You can protect images from being overwritten when saving new images.
Protected images are marked with a "P" after the picture number.

Selecting the write protection

◆ With this key, select the patient directory.

ALL PAT

◆ Select a patient.

◆ Press the "SAVE PAT" key:

– A "P" is displayed after the number of the protected images.
SAVE PAT

Canceling the write protection

◆ Select the patient directory.

ALL PAT

◆ Select the patient.

◆ Press the "SAVE PAT" key:
– The "P" after the number of the image disappears.
SAVE PAT

SIREMOBIL
SPR2-130.620.06.01.02 53 of 88
Memoskop

Subtraction and Roadmap operating modes 0

Subtraction mode 0

Principle of the SUB memory

The subtraction procedure enables an isolated display of the vascular system
after injection of the contrast medium by means of background subtraction.
Images without contrast medium (mask) are continuously subtracted digitally
from images with contrast medium and displayed on the monitor. Depending on
the contrast medium flow, they display the respective vascular segment without
superimposition.
As the images are subtracted in real-time mode, the vessels and contrast medi-
um dynamic in the vessel can already be seen during examination.
The subtraction procedure enables the hemodynamic display as well as display
of maximum vascular filling and roadmapping technique for the interventional
techniques such as dilatation and embolization.

Phases of subtraction
The subtraction procedure can be divided into three phases.
Phase A
❏ The time until the mask creation is complete.
Phase B1
❏ The time from the "inject" display on the monitor up to when the injection me-
dium has reached the area to be examined.
Phase B2
❏ The important time during exposure in the area to be examined.
In order not to overload the memory unnecessarily with images which are of little
interest, the period of phase B1 and the storage transfer-rate of phases B1 and
B2 can be set in the subtraction menu.

Operator Manual
54 of 88 SPR2-130.620.06.01.02
 Memoskop

Subtraction procedure

◆ Create new patient, if required.

NEXT PAT
◆ Position the region to be examined.
◆ Check the collimation.
◆ Select subtraction on the C-arm system.
SUB
◆ You can browse through the different programs by repeatedly pressing the
key.
❏ You can optionally allocate a scene name.

◆ For this purpose, move the cursor to the line above the patient name by press-
ing the "Return" key and enter the scene name.

◆ Release fluoroscopy and hold the fluoroscopy switch down.

The native image is displayed on monitor A.

◆ Inject the contrast medium into the blood vessel when the prompt for "inject"
is displayed on the monitor (top center).

Continue to hold the fluoro switch down until the contrast medium has passed
through the vessel and can be seen on the monitor.

1. image 2. image Last image last image of the SUB max

(SUB min would also be
possible)

❏ Continuous filling of the blood vessel with contrast medium can be observed.
❏ The result is a live subtraction with dynamic contrast medium filling.
❏ Once the radiation has been switched off, a subtraction image with summed
contrast medium filling (SUB max.) is displayed on monitor B, the
MAX OP image (the image of the subscene with the strongest filling phase)
is displayed on monitor A.
❏ The SUB-max image as well as the Max OP image are stored on the hard disk.

SIREMOBIL
SPR2-130.620.06.01.02 55 of 88
Memoskop

Postprocessing of subtraction scenes 0

If no patient is currently loaded, you can select a new patient from the list via the
patient selection (as described for the patient directory Memoskop CX 200),
and load the subtraction images onto the monitor (as described under the patient
directory section).

Remask and Pixel Shift

Remask
◆ Press the Remask key to start the function.
REMASK

◆ Select a native image as mask by scrolling backward or forward.

◆ Deactivate Remask by pressing again.

REMASK

◆ Press one of the image scroll keys to display the new image.

Pixel Shift

◆ The Remask function also enables the Pixelshift function.

REMASK

◆ Now the current mask can be moved in the desired direction with the arrow
keys: left, right, up, down:
– Each pressing of the arrow keys results in a pixelshift of 1/8th pixels in the
desired direction.

The moved mask is subtracted online from the respective native image and
displayed on the monitor.

If you press the "Home" key in the Remask mode, the mask shift is set to 0.
This means that no mask shift has taken place.

Operator Manual
56 of 88 SPR2-130.620.06.01.02
 Memoskop

Shutter
If the primary side was not collimated during examination of the patient, this can
be carried out with electronic shutters during postprocessing, to cover the over-
exposed areas.
The horizontal and vertical collimators of the shutters can be moved independent-
ly of each other. It can affect an individual image as well as a complete scene.
The function is available for both monitors.

vertical shutter horizontal shutter

Activation

The shutter is moved by pressing the following keys at the same time.

The vertical shutter is closed.

SHIFT

The vertical shutter is opened.

SHIFT

The horizontal shutter is opened.

SHIFT

The horizontal shutter is closed.

SHIFT

SIREMOBIL
SPR2-130.620.06.01.02 57 of 88
Memoskop

Shutter with zoom function

Normal display Zoom display Normal display Zoom display

Zoom display Normal display Zoom display Normal display

When the zoom is enabled, the shutter is zoomed with the image as long as it
is positioned within the zoomed area. If this function is not deselected, it remains
active for the entire scene.
If the zoom is disabled, the zoomed shutter is also reset.

Operator Manual
58 of 88 SPR2-130.620.06.01.02
 Memoskop

Roam
If images are displayed in zoom mode, only the centers of the images are visible,
the margins are not visible. Scrolling of an image to display other areas not readily
visible is called roaming.
Radiation must be switched off to enable roaming.

◆ Enable the zoom mode with the zoom key.

The enlarged center of the image is displayed.

◆ Move the zoomed image in the desired direction with the arrow keys.
Each time the arrow key is activated, the image is shifted 5 pixels
(not zoomed) in the desired direction.
The margin areas of the image now become visible.
The Zoom as well as the Roam functions are available for both monitors.

◆ Disabling Roam.
If you deselect the Zoom mode and reselect it again, previous roaming is deleted
and the image center is displayed again.

Positive/negative image display

◆ By pressing the CTRL and R keys at the same time, you can switch from
positive to negative image display and vice versa.
The function is available for both monitors.
CTRL R
You can also select the positive or negative image display in the Subtraction or
Roadmap mode programs.

SIREMOBIL
SPR2-130.620.06.01.02 59 of 88
Memoskop

Roadmap mode 0

The Roadmap procedure enables the user to position a catheter precisely in a

blood vessel under fluoroscopy.
In the first step, the Max OP (min. OP) image is created as mask from a normal
subtraction. In the second step, the vascular display in which the catheter is in-
tended to be positioned, is superimposed by the current fluoroscopic images.

Roadmap procedure
◆ Position the region to be examined.

ROAD
◆ Check the collimation.
MAP
◆ Select Roadmap.
◆ Release radiation via the hand or foot switch (left pedal) and hold the switch
down.

During Roadmap, the edge enhancement can only be operated from the
monitor trolley.

❏ The live image is displayed on the left monitor.

❏ After a few seconds, the "inject" display appears on the monitor (upper cen-
ter).
◆ Now inject the contrast medium.

Continue holding the fluoro switch down until a continuous filling of the blood
vessel with contrast medium is visible.

◆ End fluoroscopy by releasing the switch.

Using the catheter

◆ Release radiation with the hand switch or the left foot switch.
◆ Position the guide wire or catheter under fluoroscopic control (in the Roadmap
mode).
❏ Monitor A displays the fluoroscopic image,
monitor B shows the subtracted roadmap image with the catheter.
❏ You can repeat fluoroscopy as often as needed while you insert the catheter.
❏ If you select Roadmap again, start a new roadmap scene.

Operator Manual
60 of 88 SPR2-130.620.06.01.02
 Memoskop

User programs 0

The user programs make it possible to adjust the system to the applications
which are used most frequently. User programs are available in all operating
modes.

Before the start of an operation, you must ensure that the examination settings
in the operating modes are correct.

Starting the user menu 0

Program selection is carried out with the keyboard keys.

◆ Press the "CTRL" and "U" key at the same time to start the user program.
The main menu "User Setup Menu" is displayed.
CTRL U

User Setup Menu 0

USER SET UP MENU

Software Version
A. Mode Parameters
B. VCR output (Mon A)
C. Documentation (Mon A)
D. Text monitor (Mon A)
E. Split Screen (Horizontal)
F. Display of time (Yes)
G. Set Date/Time
H. Hospital name
I. Storage of dose on disk (Yes)
K. Dose on hardcopy output (Yes)
L. SMPTE Test Pattern
M. Rename
N. Erase Unprotected Patients

SIREMOBIL
SPR2-130.620.06.01.02 61 of 88
Memoskop

User Setup Menu

Menu
Function/text on the monitor Available parameters
item

1 Fluoroscopy 1, 2, 3, 4, 5
2 Pulsed Fluoroscopy 1, 2, 3, 4, 5
3 DR 1, 2, 3, 4, 5
4 Roadmap 1, 2, 3, 4, 5
5 Subtraction 1, 2, 3, 4, 5

C System Configuration
L LUT
E External storage (CD)

Before deleting images the user must be certain that the images have been
correctly archived.

◆ Select a menu item by pressing the respective key.

◆ Press the "Home" key to exit.

Operator Manual
62 of 88 SPR2-130.620.06.01.02
 Memoskop

Standard programs 0

A standard program was pre-installed for each operating mode.

SIREMOBIL
SPR2-130.620.06.01.02 63 of 88
Memoskop

Operator Manual
64 of 88 SPR2-130.620.06.01.02
 Memoskop

Changing the user programs 0

Fluoroscopy 0

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Text on the monitor Available parameters

FLUOROSCOPY 1, 2, 3, 4, 5
PROGRAM X
Program name Can be entered
Dose low, medium, high
Sirematic normal S1, S2, LD, HC1, HC2, IOD
Sirematic push S1, S2, LD, HC1, HC2, IOD
Noise reduction-low 1, 2 ,4 ,8 ,16 , 32,
MD1, MD2
Noise reduction-high 1, 2, 4, 8, 16, 32,
MD1, MD2
Auto LIH disk transfer Click the checkbox
Disk transfer rate 0, 0.5, 1, 2, 3, 4, 5, 6 f/s
Activate program Click the checkbox

◆ Select the desired program with the arrow keys.

◆ Press "Return" to confirm.

SIREMOBIL
SPR2-130.620.06.01.02 65 of 88
Memoskop

Select the desired menu item with the arrow keys.

◆ Depending on the type of the field you can now enter text in the
"Program name" field, select between predefined values (within dropdown
menu) or activate functions (checkbox selected/not selected).
◆ You can activate the dropdown list with the return key and choose between
the predefined values or functions (checkbox selected/not selected).

When exiting the input mask you have the opportunity to save your entries or to
discard them.

◆ Confirm your entries by pressing the "Return" key.

◆ Press the "Home" key to exit, the entries are not saved.

Pulsed fluoroscopy 0

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Operator Manual
66 of 88 SPR2-130.620.06.01.02
 Memoskop

Text on the monitor Available parameters

PULSED FLUOROSCOPY 1, 2, 3, 4, 5
PROGRAM X
Program name Can be entered
Dose low, medium, high
Sirematic normal S1, S2, LD, HC1, HC2, IOD
Sirematic push S1, S2, LD, HC1, HC2, IOD
Noise reduction-low 4, 8, 16
Noise reduction-high 4, 8, 16
Dose reduction-low low, medium, high
Dose reduction-high low, medium, high
Auto LIH disk transfer Click the checkbox
Auto disk transfer Click the checkbox
Activate program Click the checkbox

For possible settings, see basic system "Pulsed fluoroscopy" under frame rate.

◆ Select the desired program with the arrow keys.

◆ Press "Return" to confirm.

Select the desired menu item with the arrow keys.

◆ Depending on the type of the field you can now enter text in the "Program
name" field, select between predefined values (within dropdown menu)
or activate functions (checkbox selected/not selected).
◆ You can activate the dropdown list with the return key and choose between
the predefined values or functions (checkbox selected/not selected).

When exiting the input mask you have the opportunity to save your entries or to
discard them.

◆ Confirm your entries by pressing the "Return" key.

SIREMOBIL
SPR2-130.620.06.01.02 67 of 88
Memoskop

◆ Press the "Home" key to exit, the entries are not saved.

Digital radiography 0

In order to ensure sufficient image quality, images are completely acquired after
start of acquisition, even if no more radiation is released. The effective acquistion
time depends on the preset integration factor and is a maximum of 1.8 seconds.
After complete image acquisition, radiation is automatically switched off, even if
the radiation release key remains pressed.

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Text on the monitor Available parameters

DIGITAL RADIOGRAPHY 1, 2, 3, 4, 5
PROGRAM X
Program name Can be entered
Dose medium, high
Noise reduction-low 1, 2, 4, 8, 16, 32

Operator Manual
68 of 88 SPR2-130.620.06.01.02
 Memoskop

Text on the monitor Available parameters

Noise reduction-high 1, 2, 4, 8, 16, 32

Auto disk transfer Click the checkbox
Activate program Click the checkbox

◆ Select the desired program with the arrow keys.

◆ Press "Return" to confirm.

Select the desired menu item with the arrow keys.

◆ Depending on the type of the field you can now enter text in the
"Program name" field, select between predefined values (within dropdown
menu) or activate functions (checkbox selected/not selected).
◆ You can activate the dropdown list with the return key and choose between
the predefined values or functions (checkbox selected/not selected).

When exiting the input mask you have the opportunity to save your entries or to
discard them.

◆ Confirm your entries by pressing the "Return" key.

◆ Press the "Home" key to exit, the entries are not saved.

SIREMOBIL
SPR2-130.620.06.01.02 69 of 88
Memoskop

Subtraction 0

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Text on the monitor Available parameters

SUBTRACTION PROGRAM X 1, 2, 3, 4, 5
Program name Can be entered
Subtraction min, max
Dose medium, high
Landmark WITHOUT, 10%, 20%, 30%
Duration of Phase B1 0...100 s
Disk transfer rate 0, 0.5, 1, 2, 3, 4, 5, 6 f/s **
(Framerate)
Memory transfer rate for phase B1 0, 0.5, 1, 2, 3, 4, 5, 6 f/s **
Activate program Click the checkbox
Negative image display Click the checkbox
Negative image display in Click the checkbox
documentation

** Notice: Storage transfer rate "0" must not be set.

Operator Manual
70 of 88 SPR2-130.620.06.01.02
 Memoskop

◆ Select the desired program with the arrow keys.

◆ Press "Return" to confirm.

Select the desired menu item with the arrow keys.

◆ Depending on the type of the field you can now enter text in the
"Program name" field, select between predefined values (within dropdown
menu) or activate functions (checkbox selected/not selected).
◆ You can activate the dropdown list with the return key and choose between
the predefined values or functions (checkbox selected/not selected).

When exiting the input mask you have the opportunity to save your entries or to
discard them.

◆ Confirm your entries by pressing the "Return" key.

◆ Press the "Home" key to exit, the entries are not saved.

SIREMOBIL
SPR2-130.620.06.01.02 71 of 88
Memoskop

Roadmap 0

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Text on the monitor Available parameters

ROADMAP PROGRAM X 1, 2, 3, 4, 5
Program name Can be entered
Subtraction min, max
Dose medium, high
Landmark WITHOUT, 10%, 20%, 30%
Activate program Click the checkbox
Negative image display Click the checkbox
Negative image display in Click the checkbox
documentation

◆ Select the desired program with the arrow keys.

◆ Press "Return" to confirm.

Operator Manual
72 of 88 SPR2-130.620.06.01.02
 Memoskop

Select the desired menu item with the arrow keys.

◆ Depending on the type of the field you can now enter text in the
"Program name" field, select between predefined values (within dropdown
menu) or activate functions (checkbox selected/not selected).
◆ You can activate the dropdown list with the return key and choose between
the predefined values or functions (checkbox selected/not selected).

When exiting the input mask you have the opportunity to save your entries or to
discard them.

◆ Confirm your entries by pressing the "Return" key.

◆ Press the "Home" key to exit, the entries are not saved.

Windowing 0

Making different shades of grey visible within a window section is called window-
ing.
Manual windowing
For Subtraction and Roadmap you can set 4096 values for 6 different LUTs
(look-up tables) in the Window Level menu.

By selecting extreme pixel values, the result is limited and thus image informa-
tion gets lost. For this reason, select the values carefully.

SIREMOBIL
SPR2-130.620.06.01.02 73 of 88
Memoskop

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM

05.11.98 05.11.98 0 3 3 T
Müller Marcus S. 05.11.98 0 7 7 D
Schmitt Peter M. 05.11.98 2 15 56 R
Fischer Stephan H. 05.11.98 5 32 137 P

Text on the monitor Available parameters

LUT Program X Can be entered (1...6)

Window 0...4095
Level 0...4095

◆ Select the desired LUT.

◆ Press "Return" to confirm.

◆ Select the desired menu item with the arrow keys.

◆ Enter the values via the keyboard.

When exiting the input mask you have the opportunity to save your entries or to
discard them.
◆ Confirm your entries by pressing the "Return" key.

◆ Press the "Home" key to exit, the entries are not saved.

Operator Manual
74 of 88 SPR2-130.620.06.01.02
 Memoskop

CD Export menu 0

only available with CD option

Menu
Parameter/text on the monitor Available parameters
item

CD Export menu
S Store on CD Patient Browser
R Restore
D Format/Delete CD

SELECTION OF WORKLIST PARAMETERS

1. Scheduled station AE title:

2. Station name........:
3. Modality.......:
4. Date start...: <current date, DD.MM.YYYY>
5. Date stop.....: <current date, DD.MM.YYYY>
6. Time start....: 00:00
7. Time stop......: 23:59

Press to exit
Press to confirm
Enter selection:

S, R, D ◆ Select a menu item by pressing the respective key.

S You can save individual images of a patient as well as the entire patient on CD.

Storing the whole patient on CD

The patient directory is displayed.
◆ Select the desired patient.
◆ Start saving all patient images with "Enter".
– The status of the burn process is displayed temporarily. At the end an info
window is displayed and the CD is ejected automatically.

SIREMOBIL
SPR2-130.620.06.01.02 75 of 88
Memoskop

Saving individual images of a patient on CD

The "Transfer all images of the patient" checkbox is activated as a general rule.
◆ Deselect the checkbox with "Enter".
◆ Select the "S" key.
– The patient directory is displayed.
◆ Select the desired patient and confirm with "Enter".

◆ Select the desired images.

PRINT

◆ Start saving the selected patient images on CD with "Enter".

– The status of the save process is displayed temporarily. At the end an info
window is displayed and the CD is ejected automatically.

During data transfer to or from the CD, radiation is not possible!

R You can restore images from the CD to the hard disk of the SIREMOBIL
(only DICOM format).

D You can format the CD and/or delete it.

The further procedure is displayed based on menus.

Operator Manual
76 of 88 SPR2-130.620.06.01.02
 Memoskop

System configuration 0

SELECTION OF WORKLIST PARAMETERS

1. Scheduled station AE title:

2. Station name........:
3. Modality.......:
4. Date start...: <current date, DD.MM.YYYY>
5. Date stop.....: <current date, DD.MM.YYYY>
6. Time start....: 00:00
7. Time stop......: 23:59

Press to exit
Press to confirm
Enter selection:

Text on the monitor Available parameters

System configuration

Hospital name
System date
System time
VCR output Monitor A, Monitor B
Documentation Monitor A, Monitor B
Text monitor Monitor A, Monitor B, both
Display of time Click the checkbox
Dose on hardcopy Click the checkbox
Storage of dose on disk Click the checkbox

DICOM parameter fields

Station AE title Standard value: SM_COMPACT
Server Port Number Standard value: 104
Station name
Timeout Standard value: 300
Modality Standard value: RF

SIREMOBIL
SPR2-130.620.06.01.02 77 of 88
Memoskop

Select the desired menu item with the arrow keys.

◆ Depending on the type of the field you can now enter text, select between
predefined values (within dropdown menu) or activate functions
(checkbox selected/not selected).

When exiting the input mask you have the opportunity to save your entries or to
discard them.

◆ Confirm your entries by pressing the "Return" key.

◆ Press the "Home" key to exit, the entries are not saved.

Operator Manual
78 of 88 SPR2-130.620.06.01.02
 Memoskop

Dicom option 0

Introduction 0

The following functions are available:

– Selection of three different receiving stations/printer or laser camera
– Selection and sending of all images of a patient to the receiving station
– Selection and sending of single images to the receiving station
– Selection and transfer of all images of a patient to the laser camera/printer
– Selection and transfer of single images of a patient to the laser camera/
printer

System preparations 0

The Compact L should be operated only in a hospital network which is protected

against computer viruses.

The sockets for the DICOM network are accessible at the rear of the monitor trol-
ley.

◆ Connect the network cable (e.g. RJ 45) at the places shown in the figure.

RJ 45

SIREMOBIL
SPR2-130.620.06.01.02 79 of 88
Memoskop

◆ Prior to beginning the data transfer, switch on the network receiving stations,
e.g. Magic View or laser camera/printer and make sure they are operational.

Radiation cannot be released during data transfer!

With the Send function you transfer all or single images of a patient to the receiv-
ing station, with the Print function you transfer all or single images of a patient
to a laser camera or a printer.

Sending patient images 0

Selecting the patient

◆ Select the patient list with the "ALL PAT" key on the monitor trolley (refer
ALL PAT
also to chapter "Patient directory" in the Operator Manual "Memoskop" or
"Digital Image Memory").

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM
05.05.98 05.05.98 0 3 3 T
Müller Marcus S. 05.05.98 0 7 7 D
Schmitt Peter M. 05.05.98 2 15 56 R
Fischer Stephan H. 05.05.98 5 32 137 P

Press “S” to SEND

Press "P" to PRINT
Press to exit

(SUB) means "subtraction scenes", (SGL) means "single images"

(SUM) means sum of the images of a patient
(P) means the images of the patient have been protected
(T) means the images of the patient have been transferred (e.g. into a network)
(D) means the images of the patient have been printed
(R) means the images of the patient have been restored

Operator Manual
80 of 88 SPR2-130.620.06.01.02
 Memoskop

◆ Select a patient using the arrow keys:

– The selected patient is highlighted.
❏ The first image for this patient appears on monitor A.

◆ Press the "Home" key to exit the patient selection at any time.

◆ Press "S" to send.

❏ The selection of the three receiving stations is displayed on the right hand
monitor.

You can have the names of the receiving stations entered by the service
engineer.

DICOM Send

Receiver 1: Magic View 50

Receiver 2: Emergency Room
Receiver 3: Archive

Press to continue

◆ Now select one of the three receiving stations with the respective key.

DICOM Send

Müller S. Marcus
ID:0123 12-05-1958
003/007 images are sent

Transfer to DICOM Bridge in progress

SIREMOBIL
SPR2-130.620.06.01.02 81 of 88
Memoskop

Transfer of the images can be observed on the right hand monitor. During the
transfer, no image can be displayed on the right monitor.

Press the "Home" key if you want to cancel the transfer.

At the end the following message appears:

– All images for this patient have been transferred.

DICOM Send

Müller Marcus S.
ID:0123 12-05-1958
007/007 images are sent

Send done

◆ To exit, confirm the message with the "Enter" key.

After the transfer, you can display the images on the receiving station.

Selection "Send individual images of a patient" 0

After selecting the patient and the receiving station, the following mask appears:

DICOM Send

Müller Marcus S.
ID:0123 12-05-1958

The images of the currently selected patient are displayed on the left hand
monitor.

Operator Manual
82 of 88 SPR2-130.620.06.01.02
 Memoskop

◆ Now you can browse through the images using the "selection" keys.

◆ You can select the contrast adjustment for the images to be transferred:
– The contrast adjustment is manually selectable in 4 levels.
– Auto Window (AUT), i.e. the system automatically calculates the optimal
contrast value (LUT) with reference a region around the center of the
image.

◆ You select the just displayed/selected image with the hardcopy key.

PRINT

◆ You can also select additional images.

The process can be repeated as often as you like.

◆ With the "Return" key all selected images are transferred from the image
memory to the receiving station.

DICOM Send

Müller Marcus S.
ID:0123 12-05-1958
001/007 images were transferred

Transfer to the network active

◆ To exit, press the "Enter" key.

After the transfer, you can display the images on the receiving station.

SIREMOBIL
SPR2-130.620.06.01.02 83 of 88
Memoskop

Transferring patient images to a laser camera/printer 0

Selecting the patient

◆ Select the patient list with the "ALL PAT" key on the monitor trolley (refer
ALL PAT
also to chapter "Patient directory" in the Operator Manual "Memoskop" or
"Digital Image Memory").

PROTECTED(p): 137 FREE SPACE: 763

NAME: Date: SUB SGL SUM
05.11.98 05.05.98 0 3 3 T
Müller Marcus S. 05.05.98 0 7 7 D
Schmitt Peter M. 05.05.98 2 15 56 R
Fischer Stephan H. 05.05.98 5 32 137 P

Press "S" to SEND

Press "P" to PRINT
Press to exit

(SUB) means "subtraction scenes", (SGL) means "single images"

(SUM) means sum of the images of a patient
(P) means the images of the patient have been protected
(T) means the images of the patient have been transferred (e.g. into a network)
(D) means the images of the patient have been printed
(R) means the images of the patient have been restored

◆ Select a patient using the arrow keys:

– The selected patient is highlighted.
❏ The first image for this patient appears on monitor A.
◆ Press the "Home" key to exit the patient selection at any time.
◆ Press "H" to print.
The selection for up to three definable laser cameras/printers is displayed on the
right hand monitor.
You can have the names of the laser cameras/printers entered by the service
engineer.

Operator Manual
84 of 88 SPR2-130.620.06.01.02
 Memoskop

PROTECTED(p): 137 Free Space: 763

NAME: Date: SUB SGL SUM
05.11.98 05.05.98 0 3 3 T
Müller Marcus S. 05.05.98 0 7 7 D
Schmitt Peter M. 05.05.98 2 15 56 R
Fischer Stephan H. 05.05.98 5 32 137 P

Press "S" to SEND

◆ Select the desired laser camera/printer by pressing the respective key.

DICOM Print

DICOM Printer: Drystar 2000

A. Film format: STANDARD\1,1

B. Number of copies (01 .. 99): 01
C. Film size: 8INX10IN

Press to continue
Press to exit
◆ Select the desired parameter by pressing the respective key.

Selection A - selecting the film format

◆ By pressing the A key repeatedly, you can select from various film formats,
depending on the camera.

Selecting the copies

◆ Press the + key to increase the number of desired copies.
◆ Press the - key to decrease the number of desired copies.

SIREMOBIL
SPR2-130.620.06.01.02 85 of 88
Memoskop

Selection B - selecting the film size

◆ You can set the different film sizes by repeatedly pressing the B key.

Selection C - selecting the film orientation

◆ By pressing the C key repeatedly, you can choose between portrait and
landscape, depending on the camera.
◆ If all entries are ok, confirm again by pressing the "Return" key.

DICOM Print

Müller Marcus S.
ID:0123 12-05-1958
003/007 images are printed

Transfer to DICOM Bridge in progress

❏ All images for the patient will be transferred.

❏ No image is displayed on monitor B during transfer.

Press the "Home" key if you want to cancel the transfer.

DICOM Print

Müller Marcus S.
ID:0123 12-05-1958
007/007 images are printed

Print done

◆ When printing is completed, press the "Enter" key.

Operator Manual
86 of 88 SPR2-130.620.06.01.02
 Memoskop

Selection "Send individual images"

❏ After selecting the patient and the printer options, the following mask ap-
pears:

DICOM Print

Müller Marcus S.
ID:0123 12-05-1958

❏ The images of the currently selected patient are displayed on the left hand
monitor.

◆ Now you can browse through the images using the "selection" keys.

◆ You can select the contrast adjustment for the images to be transferred:
– The contrast adjustment is manually selectable in 4 levels.
– Auto Window (AUT), i.e. the system automatically calculates the optimal
contrast value (LUT) with reference a region around the center of the
image.

◆ You select the just displayed/selected image with the hardcopy key.
PRINT

◆ You can now select additional images.The process can be repeated as often
as you like.

◆ With the "Return" key all selected images are transferred from the image
memory to the receiving station.

DICOM Print

Müller Marcus S.
ID:0123 12-05-1958
005/007 images are printed

Transfer to the network active

SIREMOBIL
SPR2-130.620.06.01.02 87 of 88
Memoskop

◆ To exit, press the "Enter" key.

Do not switch the system off until data transfer is completed.

❏ After the transfer, the images are printed on your printer.

Operator Manual
88 of 88 SPR2-130.620.06.01.02
Operator Manual
SIREMOBIL Compact L
Technical data
SP

SPR2-130.620.06.01.02
 Please observe the

Safety Operator Manual

It must be studied thoroughly before system startup.

The original version of this manual was written in the German language.

© Siemens AG 2005
All rights reserved

Siemens AG, Wittelsbacher Platz 2, D-80333 Muenchen, Germany Order no.: SPR2-130.620.06.01.02
SP
Contact information: Siemens AG, Medical Solutions, Special Systems
Henkestrasse 127, D-91052 Erlangen, Germany Printed in the Federal Republic of Germany
AG 11/05
 Technical data
Contents

Operator Manual
Technical data

Curves and Diagrams ......................................................................................................... 3

SIREPHOS 2000 ............................................................................................................. 3
Cooling curve of the X-ray tube assembly ................................................................... 3
SIREMATIC curves .......................................................................................................... 4
kV/mA curves for fluoroscopy and pulsed fluoroscopy .................................................... 4
kV/mA curves for digital radiography (DR) ............................................................................. 6
Dose rate at the image intensifier input ............................................................................... 7
Deviation of the dose rate value from the set values at the image intensifier input ....................... 7
Example ............................................................................................................... 7
Setting the dose rate value ....................................................................................... 7

Technical Data .................................................................................................................... 8

Entire system ................................................................................................................. 8
Generation of radiation ..................................................................................................... 9
Image System .............................................................................................................. 10
Unit components .......................................................................................................... 13
Options ....................................................................................................................... 14

Labels ............................................................................................................................... 15
Overview .................................................................................................................... 15
(1) I.I. unit .................................................................................................................... 16
(2) Image intensifier ....................................................................................................... 16
(3) I.I. grid .................................................................................................................... 17
(4) SIREPHOS tube assembly housing ............................................................................... 18
(5) X-ray unit ................................................................................................................. 19
(6) Tube assembly collimator ........................................................................................... 20
(7) Laser light localizer C (optional) .................................................................................... 21
(8) Support arm ............................................................................................................ 23
(9) Cassette holder (optional) ........................................................................................... 23
Monitor trolley .............................................................................................................. 24

SIREMOBIL
SPR2-130.620.06.01.02 1 from 26
Technical data
Contents

For notes

Operator Manual
2 from 26 SPR2-130.620.06.01.02
 Technical data

Curves and Diagrams 0

SIREPHOS 2000 0

Cooling curve of the X-ray tube assembly 0

Heat Unit (HU)

1 200 000

1 000 000

800 000

500 000

30 60 90 120 min

SIREMOBIL Compact L
SPR2-130.620.06.01.02 3 from 26
Technical data

SIREMATIC curves 0

kV/mA curves for fluoroscopy and pulsed fluoroscopy 0

kV
110

90
S-1 HC-1
LD
77
S-2 HC-2

66

57 IOD

50

44

40
0,1 0,2 0,5 1,0 2,0 5,0 10 20 mA

❏ SIREMATIC HC "High Contrast"

– HC-1 max. 4.7 mA
– HC-2 max. 8 mA
❏ SIREMATIC LD "Low Dose"
– LD max. 3 mA
❏ SIREMATIC "IOD1"
– Iodine max. 8.9 mA
❏ SIREMATIC S "Standard"
– S-1 max. 3 mA
– S-2 max. 5 mA
❏ In case of continuous fluoroscopy, a limitation of the characteristic curves
≥ 5 mA due to country-specific regulations is possible.

1 IOD "Iodine-contrast optimized"

Operator Manual
4 from 26 SPR2-130.620.06.01.02
 Technical data

SIREMATIC Fluoroscopy
Characteristic curves Pulsed Fluoroscopy

S -1 Antiisowatt characteristic with max. 3 mA

S -2 Antiisowatt characteristic with max. 5 mA
LD Low dose characteristic curve with high kV values:
i.e. low radiation exposure for the patient, thus particularly suited to pediatrics
– The predominantly high kV values lead to lower image contrast
HC -1 High-contrast characteristic with max. 4.7 mA
HC -2 High-contrast characteristic for applications requiring higher mA values
(max. 8 mA) e.g. spine, hip, skull
IOD Iodine characteristic curve
For special applications using iodine contrast media

SIREMOBIL Compact L
SPR2-130.620.06.01.02 5 from 26
Technical data

kV/mA curves for digital radiography (DR) 0

kV

110

90

77

66
DR 550W
DR 850W
57

50

44

40
0,1 0,2 0,5 1,0 2,0 5,0 10 20 mA

❏ DR1 operation "reduced performance"

– DR 550W max. 8 mA
❏ DR2 operation "normal performance"
– DR 850W max. 12.5 mA

Operator Manual
6 from 26 SPR2-130.620.06.01.02
 Technical data

Dose rate at the image intensifier input 0

The dose rate is set in the factory depending on the I.I. format between
0.11 µGy/s and 0.44 µGy/s; measured behind the scattered radiation grid at the
input of the X-ray image intensifier.
Setting of the dose rate was carried out with a technical phantom in the kV area
between 70 and 80 kV. The iris diaphragm is maximally opened for this.

Deviation of the dose rate value from the set values at the
image intensifier input 0

Depending on the examined object, different fluoroscopy data (kV, mA) are set.
As the amplification of the image intensifier depends on the radiation quality (kV),
the dose rate values at the I.I. input vary for the same luminance at the I.I. output
screen.
When fluoroscopy is carried out for a patient, compared to the phantom there are
additional scattered radiation values which affect the dose rate value at the input
of the X-ray image intensifier.
With the help of the correction value K, see diagram, the deviation from the set
dose rate can be calculated approximately.

K
2,5

2,0

23/17 D-C
1,4

1,0

50 60 70 80 90 100 110 120 130 kV

Prefiltration 3 mm Al; grid Pb 8/40

Example 0

For 70 kV the correction factor is 1.4

i.e.
For a set dose rate value of 022 µGy/s, the actual value is
approx. 0.22 µGy/s x 1.4 equals 0.308 µGy/s.

Setting the dose rate value 0

❏ If desired, the default position can be reprogrammed for the dose rate.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 7 from 26
Technical data

Technical Data 0

Entire system 0

General data
Power line connection: 100 V, 110 V, 120 V, 127 V, 200 V, 230 V, 240 V ± 10 %; 50/60 Hz ± 1 Hz
Nominal rating: 20 A to 127 V∼, 15 A from 200 V∼ corresponds to the nominal value of the
slow-blow fuse in the power input of the product
Internal line resistance: Ri < 0.3 Ohm at 100 - 127 V∼
Ri < 0.8 Ohm at 200 - 240 V∼
Power consumption: max. 2.5 kVA
Weight: Basic unit approx. 257 kg
Monitor trolley with 1 SIMOMED monitor approx. 129 kg
Monitor trolley with 2 SIMOMED monitors approx. 147 kg
Ambient conditions: Temperature range: +10 °C to +37 °C
Rel. humidity: +15 % to +75 %, non-condensing
Barometric pressure: 700 hPa to 1060 hPa

Classification
Protection type: Class I, according to IEC 601-1
Protection category: IP20 according to IEC 529

Radio interference EN 60 601-1-2 (2001) product group 1, limit value class B

protection:
Protection against ignition Class AP (anesthesia test) according to EN 60 601-1
of combustible materials:

Operator Manual
8 from 26 SPR2-130.620.06.01.02
 Technical data

Generation of radiation 0

Generator
Pulsed fluoroscopy: Min. pulse width 7 ms
Pulse rate 15 f/s/23 mA
Max. pulse power 2.3 kW
Fluoroscopy: 40 kV to 110 kV/0.2 to 8.9 mA (max. 550 W)
Digital radiography: 40 kV to 110 kV/0.2 to 12.2 mA (max. 850 W)
Direct exposure: 40 kV to 110 kV/6.9 to 20 mA (max. 1430 W)
mAs values: 1 mAs to 150 mAs in max. 23 levels
Current-Time-Reference 1.6 mAs/102 kV
product:
Tolerances: kV ± 10 % (measured with spectrometric kV method)
mAs ± 10 % ± 0.2 mAs
mA ± 8 % ± 0.1 mA (measured in rectified high voltage circuit)
Fluoroscopic time 1 digit (6 s) ± 5 %
Nominal power: 1.4 kW (102 kV/1.6 mAs)
Exposure times: min. 50 ms at 40 kV 20 mA
max. 10 s

X-ray tube assembly

SIREPHOS single tank Inverter frequency 15 kHz to 30 kHz
high-frequency generator:
Inherent filtration: ≥ 3 mm Al equivalent
X-ray tube: Stationary anode, focal spot nominal value 0.6

SIREMOBIL Compact L
SPR2-130.620.06.01.02 9 from 26
Technical data

Image System 0

MEMOSKOP C-E
Storage capacity: 3 images
Matrix: 512 x 512 (50 Hz)
512 x 444 (60 Hz)
Operating modes: ❏ Fluoroscopy with saving the last image or one image from the current
fluoroscopy
❏ Pulsed fluoroscopy with storage of the last image
❏ Digital fluoroscopy with storage of the last image
Image processing: ❏ Recursive filtration, summation or noise reduction dependent on
movement
❏ Spatial frequency filtration for edge enhanced image display
❏ Contrast enhancement, auto window
❏ Monitor split, horizontal or vertical

MEMOSKOP C-E 100

Storage capacity: 100 images
Matrix: 512 x 512 (50 Hz)
512 x 444 (60 Hz)
Operating modes: ❏ Fluoroscopy with saving the last image or one image from the current
fluoroscopy
❏ Pulsed fluoroscopy with storage of the last image or all images
❏ Digital radiography with storage of the last image or all images
Image processing: ❏ Recursive filtration, summation or noise reduction dependent on
movement
❏ Spatial frequency filtration for edge enhanced image display
❏ Contrast enhancement, auto window
❏ Monitor split, horizontal or vertical
❏ 16-image collage
❏ Shutter
❏ Zoom/Roam

Operator Manual
10 from 26 SPR2-130.620.06.01.02
 Technical data

MEMOSKOP C
Storage capacity: 700 images
Matrix: 512 x 512 (50 Hz)
512 x 444 (60 Hz)
Operating modes: ❏ Fluoroscopy with saving the last image or one image from the current
fluoroscopy
❏ Pulsed fluoroscopy with storage of the last image or all images
❏ Digital radiography with storage of the last image or all images
Image processing: ❏ Recursive filtration, summation or noise reduction dependent on
movement
❏ Spatial frequency filtration for edge enhanced image display
❏ Contrast enhancement, auto window
❏ Monitor split, horizontal or vertical
❏ 16-image collage
❏ Shutter
❏ Zoom/Roam

MEMOSKOP C-SUB
Storage capacity: 900 images
Matrix: 512 x 512 (50 Hz)
512 x 444 (60 Hz)
Operating modes: ❏ Fluoroscopy with saving the last image or one image from the current
fluoroscopy
❏ Pulsed fluoroscopy with storage of the last image or all images
❏ Digital radiography with storage of the last image or all images
❏ Digital angiography
❏ Digital subtraction angiography (DSA)
❏ Roadmap

SIREMOBIL Compact L
SPR2-130.620.06.01.02 11 from 26
Technical data

Image processing: ❏ Recursive filtration, summation or noise reduction dependent on

movement
❏ Spatial frequency filtration for edge enhanced image display
❏ Contrast enhancement, auto window
❏ Monitor split, horizontal or vertical
❏ 16-image collage
❏ Shutter
❏ Zoom/Roam

MOD
only available for Memoskop C and Memoskop C-SUB
MOD: ❏ Magneto-optical disk 3.5"
approx. 900 images
❏ DICOM or TIF format

MEMOSKOP CX 200
Storage capacity: 200/2000/5000 images
Matrix: 512 x 512 (50 Hz)
512 x 444 (60 Hz)
Operating modes: ❏ Fluoroscopy with saving the last image or one image from the current
fluoroscopy
❏ Pulsed fluoroscopy with storage of the last image or all images
❏ Digital radiography with storage of the last image or all images
❏ Digital angiography (depending on configuration level)
❏ Digital subtraction angiography (DSA), depending on configuration level
❏ Roadmap (depending on configuration level)
Image processing: ❏ Recursive filtration, summation or noise reduction dependent on
movement
❏ Spatial frequency filtration for edge enhanced image display
❏ Contrast enhancement, auto window
❏ Shutter
❏ Zoom/Roam

CD-RW ❏ CD-R/CD-RW
❏ DICOM format incl. viewer

Operator Manual
12 from 26 SPR2-130.620.06.01.02
 Technical data

Unit components 0

C-arm
C-arm orbital movement: 130° (-40° to +90°)
C-arm angulation: ± 190°
C-arm horizontal 20 cm
movement:
C-arm immersion depth: 73 cm
C-arm swivel range: ± 12.5°
C-arm vertical lift: 45 cm, motorized
Source-to-I.I. distance: 100 cm
Cone-I.I. distance: 78 cm

Image intensifier
Sirecon 17-2HDR-C: Nominal diameter 17 cm (7")
Format switch: 17 cm/10 cm (7"/4")
Sirecon 23-2HDR-C Nominal diameter 23 cm (9")
Format switch: 23 cm/15 cm (9"/6")

Scattered radiation
grid at the I.I. input
Round grid: Pb 8/40, fo90
System attenuation factor: m = 1.5

Collimator system:
Collimator system Iris diaphragm for concentric collimation and semi-transparent slot diaphragm
for unlimited rotatable collimation

Imaging chain
VIDEOMED DC 50/60 Hz, 625/525 lines
CCD sensor 470 000 pixels at 50 Hz, 410 000 pixels at 60 Hz

Monitors
TFT monitors Flicker-free flat screen monitors
15" monitor; 1024 x 768 pixels; max. luminance 250 cd/m2
17" monitor; 1280 x 1024 pixels; max. luminance 250 cd/m2
18" monitor; 1280 x 1024 pixels; max. luminance 600 cd/m2

SIREMOBIL Compact L
SPR2-130.620.06.01.02 13 from 26
Technical data

Options 0

Cassette holder
Cassette holder: Format 24 cm x 30 cm (10 inch x 12 inch) with grid Pb r17 N70, fo90
MULTISPOT 2000
Film format: 8" x 10"
Film segmentation: 2-fold or overview/4-fold

Operator Manual
14 from 26 SPR2-130.620.06.01.02
 Technical data

Labels 0

Overview 0

The labels shown below are attached permanently to the following sub-assem-
blies:

er

d
(1) I.I. unit
(2) Image intensifier
(3) Grid
(4) SIREPHOS tube assembly housing
(5) X-ray unit
(6) Tube assembly collimator
(7) Laser light localizer (optional)
(8) Support arm
(9) Cassette holder (optional)
Equipotential bonding

SIREMOBIL Compact L
SPR2-130.620.06.01.02 15 from 26
Technical data

(1) I.I. unit 0

(1) Identification label of the manufacturer

(2) Image intensifier 0

(1) Identification label of the manufacturer

(2) Approval label

(3) Approval label

Operator Manual
16 from 26 SPR2-130.620.06.01.02
 Technical data

(4) Approval label

(3) I.I. grid 0

(1) Grid identification label

SIREMOBIL Compact L
SPR2-130.620.06.01.02 17 from 26
Technical data

(4) SIREPHOS tube assembly housing 0

(1) Special ID label with radiation input

(2) Approval label

(3) Tube ID label

(4) Revision status label

(5) Supplemental ID label

Operator Manual
18 from 26 SPR2-130.620.06.01.02
 Technical data

(5) X-ray unit 0

(1) Identification label of the manufacturer

(2) Approval label

(3) Approval label

(4) Approval label

(5) Revision status label

SIREMOBIL Compact L
SPR2-130.620.06.01.02 19 from 26
Technical data

Reg. No:
(6) for China ID label only

(7) for China ID label manufacturer only

(6) Tube assembly collimator 0

(1) Identification label of the manufacturer

(2) Approval label

(3) Supplemental ID label

Operator Manual
20 from 26 SPR2-130.620.06.01.02
 Technical data

(7) Laser light localizer C (optional) 0

(1) Identification label of the manufacturer

(2) Supplemental ID label

(3) for USA/Canada approval label

(4) for USA/Canada warning label

SIREMOBIL Compact L
SPR2-130.620.06.01.02 21 from 26
Technical data

(5) for USA/Canada/UK warning label

(6) Countries outside of USA/Canada warning label

(7) Countries outside of USA/Canada warning label

Operator Manual
22 from 26 SPR2-130.620.06.01.02
 Technical data

(8) Support arm 0

(1) for Canada warning label only

(2) attached for Germany only

(9) Cassette holder (optional) 0

24x30cm
10x12 ins

SIREMOBIL Compact L
SPR2-130.620.06.01.02 23 from 26
Technical data

Monitor trolley 0

(1)

Identification label of the manufacturer (monitor)

(2)

for USA/Canada warning label

Identification label of the manufacturer (trolley)

Approval label

Operator Manual
24 from 26 SPR2-130.620.06.01.02
 Technical data

Approval label

Supplemental ID label country-specific connection data

ID label risk of explosion for USA and Canada

SIREMOBIL Compact L
SPR2-130.620.06.01.02 25 from 26
Technical data

For notes

Operator Manual
26 from 26 SPR2-130.620.06.01.02
Operator Manual
SIREMOBIL Compact L
Maintenance
SP

SPR2-130.620.06.01.02
 Please observe the

Safety Operator Manual

It must be studied thoroughly before system startup.

The original version of this Operator Manual was written in the

German language.

© Siemens AG 2005
All rights reserved

Siemens AG, Wittelsbacher Platz 2, D-80333 München, Germany Order no.: SPR2-130.620.06.01.02
SP
Contact information: Siemens AG, Medical Solutions, Special Systems Printed in the Federal Republic of Germany
Henkestraße 127, D-91052 Erlangen, Germany AG 11/05
 Maintenance
Contents

Operator Manual
Maintenance

Functional and Safety Checks ............................................................................................ 3

Daily checks ................................................................................................................... 3
Monthly checks .............................................................................................................. 4
Maintenance plan for checking the system ........................................................................... 5

Cleaning and Disinfection ................................................................................................... 6

Cleaning ........................................................................................................................ 6
Disinfection ................................................................................................................... 7
Monitor trolley ................................................................................................................ 8

SIREMOBIL Compact L
SPR2-130.620.06.01.02 1 of 8
Maintenance
Contents

For notes

Operator Manual
2 of 8 SPR2-130.620.06.01.02
 Maintenance

Functional and Safety Checks 0

To ensure that the system is ready for operation and all safety-relevant unit func-
tions are working properly, perform functional and safety tests regularly.

Daily checks 0

Checks before the examination 0

◆ Check functioning of the foot brakes, control of the unit and of the monitor
trolley.
◆ Check weight compensation after releasing the brakes.
◆ Check that all radiation indicators are functioning properly.
◆ Check the housing of the I.I. unit and the single tank.

Checks for open heart or open skull examinations 0

◆ Establish an additional connection between the unit and a point in the equipo-
tential bonding, e.g. the tabletop.

Checks during the examination 0

◆ Establish an additional connection between the unit and a point in the equipo-
tential bonding, e.g. the tabletop.
◆ When moving the unit, please make sure that the wheels do not bump into
any obstacles.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 3 of 8
Maintenance

Monthly checks 0

Functional check of the dose rate control 0

You can check the function of the dose rate control without an object using the
simple procedure described below. A kV value of ≤ 45 kV must be stabilized:
◆ Open the iris and slot diaphragm fully.
◆ Press the Stop function of the dose rate control.
◆ Select 110 kV with the +/- keys.
◆ Release radiation.
– The monitor image is overexposed.
◆ Press the key again to cancel the Stop function.
◆ Release radiation.
– The monitor image is not overexposed.

Checking the EMERGENCY STOP function for motor-driven unit

movements 0

◆ Switch the system on.

◆ Move the lifting column.
◆ Press the EMERGENCY STOP button.
– The lifting column cannot be moved.
– Message appears on the monitor.
◆ Unlock the EMERGENCY STOP button again.

Operator Manual
4 of 8 SPR2-130.620.06.01.02
 Maintenance

Maintenance plan for checking the system 0

The tests or inspections required according to national laws or regulations, such

as DHHS regulations or RoeV (constancy tests), are not part of the activities listed
in this maintenance plan.
If national rules or regulations specify more frequent checking and/or mainte-
nance, this must be observed.
Maintenance should be performed only by trained skilled personnel. To keep the
system in an optimum condition, we recommend conclusion of a maintenance
contract. In the case of questions relating to maintenance/maintenance contract
please contact our Siemens Customer Service.

Please observe the statements in the "Maintenance and checking" chapter in

the "Safety" register in this regard.

Checking the system 0

Processes to be performed Function Interval

Mechanical safety Damage of the housing, 12 months
system movements and options
(e.g. laser light localizer, cassette holder)
Electrical Safety Protective conductors, voltage discharge rub- 12 months
ber, cables, and plugs
Functional check Emergency stop device and lifting column 12 months
Image Quality Check Image display and image processing 12 months

The stated functions are minimum requirements.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 5 of 8
Maintenance

Cleaning and Disinfection 0

Always disconnect the SIREMOBIL Compact L from the power supply and
switch it off before cleaning or disinfecting it.

Cleaning 0

Prior to the examination, clean all parts which come into contact with the patient.

Caution
Cleaning agents or liquids get into the unit's interior.
These can cause risks or damage to the unit.
Never spray the unit!

◆ Use a damp cloth to clean the unit parts.

◆ For moistening, use water or a lukewarm, diluted aqueous solution consisting
of water and a household cleaning agent.
◆ Do not use scouring cleaning agents or organic solvents or cleaning agents
such as benzine, pure alcohol, spot remover etc. because of possible material
incompatibility.

Operator Manual
6 of 8 SPR2-130.620.06.01.02
 Maintenance

Disinfection 0

To disinfect surfaces, we recommend aqueous solutions of commercially

available aldehyde and/or amphotenside-based surface disinfectants such as
Tensodur 103, Korsolin, Cidex.
Certain substituted phenol-based or chlorine-splitting disinfectants can attack
materials and are therefore not recommended. The same restrictions apply to un-
diluted solutions with a high alcohol content, for example, for disinfecting hands.

Caution
The spray of disinfectant sprays gets into the unit's interior.
Sprays cause damage to electronic components or they form a flammable
mixture of air and solvent.
Disinfectant sprays must never be used!

◆ Please also observe the instructions of use of the disinfectant.

Some substances contained in disinfectants are known to be hazardous to

health. The concentration of such substances in the air must not exceed the
statutorily defined limit. We recommend that you follow the manufacturers’
operating instructions for these products.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 7 of 8
Maintenance

Monitor trolley 0

Monitor screens/TFT displays 0

You should clean the monitor screens at least every two months.

Caution
Acids or alkaline solutions get to the monitor screen.
This can damage the screen.
Screens with an antireflection coating that is sensitive to scratching must only
be cleaned with a soft cloth.

◆ Clean the monitor screen with a cotton cloth dampened with water.
◆ Remove stubborn stains with a mixture of 2/3 water and 1/3 alcohol.
◆ Immediately dry off the monitor screen with a soft cotton cloth.
◆ It is best to wipe off contrast medium splashes immediately.

Keyboard 0

◆ Wipe the keyboard only with a clean, damp cloth.

◆ Use only a solution of 2/3 water and 1/3 alcohol for moistening.
Do not pour/spray the solution over the keyboard.

Operator Manual
8 of 8 SPR2-130.620.06.01.02
Operator Manual
SIREMOBIL Compact L
Accessories
SP

SPR2-130.620.06.01.02
 Please observe the

Safety Operator Manual

It must be studied thoroughly before system startup.

The original version of this Operator Manual was written in the

German language.

© Siemens AG 2005
All rights reserved

Siemens AG, Wittelsbacher Platz 2, D-80333 Muenchen, Germany Order no.: SPR2-130.620.06.01.02
SP
Contact information: Siemens AG, Medical Solutions, Special Systems Printed in the Federal Republic of Germany
Henkestrasse 127, D-91052 Erlangen, Germany AG 11/05
 Accessories
Contents

Operator Manual
Accessories

Accessories ........................................................................................................................ 3
Spacer .......................................................................................................................... 4
Sterile cover of the C-arm ................................................................................................. 4
Overview of C-arm keyboard ............................................................................................. 7
Cassette holder .............................................................................................................. 7
Video printer ................................................................................................................ 11
Ground wire ................................................................................................................. 12
Laser light localizer at single tank ..................................................................................... 12

SIREMOBIL Compact L
SPR2-130.620.06.01.02 1 of 12
Accessories
Contents

For notes

Operator Manual
2 of 12 SPR2-130.620.06.01.02
 Accessories

Accessories 0

Anyone who connects additional equipment to the medical device configures

the system and is therefore responsible for ensuring that the system configura-
tion in its current version complies with the relevant standards (e.g. system
standard IEC/EN 60601-1-1 and/or other applicable standards).
If in doubt please consult your local contact person.

The following accessories are released for the Compact L:

Accessories Part Number Manufacturer

Fabric cover 3780967/3780959 Karl Dieckhoff GmbH
Set of clips 3778359 NPW Schubert GmbH &
Co.KG
Cassette holder 3780355/3780363 Arnold AG
I.I. laser light localizer 3099988 Z-Laser Optoelektronik
GmbH
Sterile disposable 5139837 Raguse GmbH
cover for I.I. and
I.I. laser light localizer
Ground wire 2171767 Nicolay Services GmbH
DHHS cap 8611030 MED CO IDB
Sterile covers 9717083 Moelnlycke Health Care
GmbH
Disposable cover 8080462 Microtek Medical B.V.
C-transparent
Metal clamp C 8080454 Fritz Pscherer Nachf.
GmbH

SIREMOBIL Compact L
SPR2-130.620.06.01.02 3 of 12
Accessories

Spacer1 0

The source-to-tube-unit-cover distance (possible source-to-skin) is 202.5 mm for

the standard unit.
If, according to country-specific requirements (e.g. DHHS regulation
21 CFR 1020.32(f)), a larger source-to-skin distance of 300 mm, for example,
is required, the unit is equipped with a spacer for minimum source-to-skin
distance of 302.5 mm.
If this source-to-skin distance is too large for certain surgical examinations,
the spacer can be removed by removing 3 knurled screws (1).
The spacer must be remounted after these special examinations to ensure a
reduced skin dose again for the larger source-to-skin distance.

Sterile cover of the C-arm 0

The C-arm with image intensifier and X-ray tube assembly can be covered with a
three-part, sterile disposable cover made of transparent plastic.

1 Corresponding to country-specific requirements

Operator Manual
4 of 12 SPR2-130.620.06.01.02
 Accessories

◆ Move the metal bracket into the transparent disposable cover.

◆ The metal bracket is tensioned into the C-arm with the disposable cover.
.

◆ Pull the plastic cover over the X-ray tube assembly.

– The plastic cover is fixed with an elastic cord.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 5 of 12
Accessories

◆ Pull the other plastic cover over the image intensifier.

– The plastic cover is fixed with an elastic cord.

The C-arm completely covered.

Operator Manual
6 of 12 SPR2-130.620.06.01.02
 Accessories

Overview of C-arm keyboard 0

Please place the magnetic foil with the printed overview of the C-arm keyboard
at the position on the unit shown in the figure.

Cassette holder 0

The cassette holder may only be attached in one specific position at the image
intensifier. In this position the positioning pins at the cassette holder (1) must
lock into the recesses in the image intensifier ring.
Observe the instructions on the warning label on the cassette holder!

SIREMOBIL Compact L
SPR2-130.620.06.01.02 7 of 12
Accessories

Cassette size 0

Exclusively 24 cm x 30 cm (10 inch x 12 inch).

Exposure grid 0

An exposure grid measuring the same as the cassette format can be inserted into
the cassette holder with the cassette.
The exposure grid is supplied as standard with the cassette holder.
Always insert the exposure grid up to the end stop in the cassette holder.

Attaching the cassette holder 0

2 3 1

◆ Attach the cassette holder right (seen from the front) to the image intensifier
so that the positioning pins (1) lock into the recesses in the front ring of the
image intensifier.
◆ Now open the spring (2) and lift it over the front ring at the image intensifier.

Operator Manual
8 of 12 SPR2-130.620.06.01.02
 Accessories

Warning
Springs and positioning pins (3) must be locked securely to keep the cassette
holder in place. Both positioning pins must be locked in the recesses.

Inserting the cassette 0

◆ Always insert the cassette up to the end stop in the cassette holder
(switch 4 is automatically activated).

Selecting direct exposure 0

When inserting the cassette, the switch (4) is activated. The mA indicator in the
exposure data field switches to mAs. The LED for the deselected operating mode
goes out.

Collimations for cassette exposure or saving the diaphragm position 0

❏ When inserting the cassette, the slot diaphragm as well as the iris diaphragm
opens fully.

– The LED in the "Open iris diaphragm" key is on.

If the diaphragm setting selected for fluoroscopy, pulsed fluoroscopy, DR or SUB

is to be saved, proceed as follows before inserting the cassette:

◆ Press both keys simultaneously.

– The position of the iris diaphragm is saved.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 9 of 12
Accessories

◆ Press both keys simultaneously.

– The position and collimation of the slot diaphragm is saved.

◆ Press both keys simultaneously.

– The position and collimation of the slot diaphragm is saved.

❏ An acoustic signal sounds when the system has stored the positions.

Deleting the saved diaphragm position 0

◆ If you want to delete the diaphragm storage again, press one of the diaphragm
keys and the diaphragm opens completely when the cassette is inserted.

Setting the exposure data 0

The SIREMOBIL Compact L does not have automatic exposure control for
cassette technique

If, after restarting the system a cassette is inserted again for the first time,
only lines are displayed in the kV and mAs field.
You cannot release an exposure, as this is only permissible after setting the
required kV and mAs values.
When you now press one of the kV or mAs +/- keys, 40 kV and 5 mAs are dis-
played as preferred values on the display. You can change these.
If you carry out fluoroscopy in the meantime, the previously used cassette kV
and mAs values are used when inserting a cassette again.

Display of kV values
kV

Setting of kV values

mAs Display of mAs values

mA

Setting of mAs values

Operator Manual
10 of 12 SPR2-130.620.06.01.02
 Accessories

Releasing exposure 0

◆ You release direct exposure with the release switch on the hand switch.
❏ The radiation indicators light up during the exposure. The radiation indicators
light up a little longer for very short exposure times so that radiation is clearly
indicated.
❏ During the exposure or after ending the exposure, an acoustic warning
signal sounds (configurable).

Removing the cassette 0

❏ After removing the cassette, the exposure data remains until another operat-
ing mode is selected.

Removing the cassette holder 0

◆ Hold the springs.

◆ Gently push the cassette holder downward, lifting it over the front ring to
remove it.

Switching to another operating mode 0

You must remove the cassette before changing over to another operating
mode.

◆ Select the desired operating mode.

Or
◆ Release radiation without operating mode selection.
– In this case, the system reverts to the operating mode selected prior to
the cassette exposure mode.

Video printer 0

A video print from the video printer is not suitable for diagnosis.

SIREMOBIL Compact L
SPR2-130.620.06.01.02 11 of 12
Accessories

Ground wire 0

Ground wire for equipotential bonding according to DIN 57107/VDE 0107 for
rooms of user group 2E (heart catheter).

Laser light localizer at single tank 0

Warning
Do not look directly into the laser beam!

If there is a laser light localizer on the single tank, it is switched on or off with this
key.
If no laser light localizer is available on the single tank, this key has no function.

❏ During or after system startup or Reset, the laser light localizer on the single
tank is switched off.
❏ After 5 minutes, the laser light localizer on the single tank is switched off
automatically.

Operator Manual
12 of 12 SPR2-130.620.06.01.02