Siremobil Iso-C 3D Navigation Installation Startup
Siremobil Iso-C 3D Navigation Installation Startup
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SIREMOBIL Iso-C 3D
SP
3D Navigation
© Siemens AG 2002
The reproduction, transmission or use
of this document or its contents is not
permitted without express written
authority. Offenders will be liable for
damages. All rights, including rights
created by patent grant or registration
of a utility model or design, are
reserved.
Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise
authorized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated
with or authorized by Siemens or one of its affiliates are directed to contact one of the
local offices of Siemens or one of its affiliates before attempting installation or service pro-
cedures.
Safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Notes and symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3D Navigation with the SIREMOBIL Iso-C 3D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Procedure in collaboration with the navigation systems vendor BrainLAB . . . . . . . . . 9
Procedure in collaboration with all other navigation systems vendors . . . . . . . . . . . 10
Overview - flow chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Tools and materials required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Updates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Testing the 3D software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Systems with imaging system PC: CELSIUS C650 part no. 71 29 013 . . . . . . . . . . 15
Systems with imaging system PC: CELSIUS C444 part no. 77 14 145 . . . . . . . . . . 15
Function check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Licensing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Loading the license . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
DICOM Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
System network configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Navigation DICOM nodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Systems equipped with a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Systems not equipped with a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Checking the positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Image quality test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Testing procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Measurement run . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Checking 3D high resolution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Notify BrainLAB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Concluding steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
NOTICE
! CAUTION CAUTION used with the safety alert symbol indicates a risk of
danger that leads to slight or moderate physical injury and/ or
damage to property.
NOTICE NOTICE used without the safety alert symbol indicates a risk of
danger that if disregarded leads or may lead to a potential
situation which may result in an undesirable result or state other
than death, physical injury or property damage.
NOTE
• Steps to be performed are preceded by a bullet point.
- Indented text under the activity to be performed contains
general information.
¹ Results and events are indented and preceded by an
arrow.
NOTE Once the "Save" button has been selected in the individual
screens, the message "..... successfully saved" appears following
a successful save. Please:
• Select "OK".
NOTE If any problems arise when making changes in the Service UI, at-
tempt to resolve them first by powering the system completely off
and then powering it on again.
The 3D navigation kit is a universal HW and SW interface which controls navigation sys-
tems provided by different navigation systems vendors.
The navigation system itself is not provided by Siemens, but always by a navigation sys-
tems vendor.
Fig. 2: Cooperation
NOTE When BrainLAB receives the fax form, they contact the customer,
schedule the service call for installation and startup of the naviga-
tion system, and perform all required steps. A SIEMENS technician
is no longer required to be on site for this phase.
There is a time overlap involving the Siemens technician and the navigation sys-
tems vendor's technician
In such cases, the Navilink interface installation can be only partially performed by a SIE-
MENS technician. Some tasks must be carried out in close cooperation with a technician
from the navigation systems vendor.
This means that the SIEMENS technician requires two service calls to integrate the navi-
gation system.
After installation is completed, stow the navigation system test body (included in the
Navilink kit) in the monitor trolley.
Inform the customer about the storage location and use of the test body.
The navigation systems vendor turns the navigation system over to the customer and per-
forms the necessary customer briefing.
The overlapping work time of the two technicians is approx. 5 hours.
NOTE The older calibration phantom, material no. 71 39 947 G5486, can-
not be used in combination with a navigation system!
Tool kit
Allen wrench set
Insulating tape
Service PC
Several blank CD-ROMs
Several floppy disks
References 0
• Check to see whether all necessary system updates have been performed.
• Perform any necessary updates.
Systems with imaging system PC: CELSIUS C650 part no. 71 29 013 0
• After system start-up, press the key combination "Ctrl-D" on the MEMOSKOP key-
board to switch over to 3D operation.
¹ syngo screen appears on right-hand monitor
• Click "Help"
• Click “About ISO-C 3D...”
• Check to see whether the software “VB00D” appears under “3DSW”.
• If the 3D software “VB00D” is installed, continue with the "function control" item
• If the 3D software “VB00D” is not installed, install it according to the instructions found
in the document “Software Description SPR2-230.815.01.xx.xx”.
• Close the window
Systems with imaging system PC: CELSIUS C444 part no. 77 14 145 0
• After system start-up, press the key combination "Ctrl-D" on the MEMOSKOP key-
board to switch over to 3D operation.
¹ syngo screen appears on right-hand monitor
• Click "Help"
• Check to see whether the software “VC00B” appears under “3DSW”.
• If the 3D software “VC00B” is installed, continue with the "function control" item
• If the 3D software “VC00B” is not installed, install it according to the instructions found
in the document “Software Description SPR2-230.815.01.xx.xx”.
• Close the window
Function check 0
Fig. 4: I.I._1
Fig. 5: I.I._2
Fig. 6: I.I._3
• Carefully remove grid from grid holder. The gaskets are no longer needed.
• Apply some silicon (20 48 981) to the fitting surface of the new metal grid holder (75 51
703), all the way around, orient the grid correctly, and press it onto the grid holder.
Fig. 7: I.I._4
NOTE The new grid holder has a protruding pin. The grid must be insert-
ed and glued in with its label toward the pin. The new grid holder
must be installed with its pin toward the end of the c-arm.
Fig. 8: ID label
• Attach the included label (75 51 828) to the unit as shown in the illustration.
• After system start-up, press the key combination "Ctrl-D" on the MEMOSKOP key-
board to switch over to 3D operation.
¹ syngo screen appears on right-hand monitor
• Open syngo service software
• Click "Configuration".
• Click "Next".
DICOM Configuration 0
What follows is a check to see whether the system already has a network configuration.
Check IP address
• Click the selection window under "IP address".
• If the IP address 192.168.1.1 appears, delete it.
NOTE If no other IP address is displayed, then the system has not yet
been assigned its own IP address, and the following IP address
should be assigned to it.
If the system has already been assigned an IP address, then con-
tinue with the item "Navigation DICOM nodes".
WINS
• Do not enter anything under "Primary WINS server".
• Do not enter anything under "Secondary WINS server".
• Do not enter anything under "Gateways".
DNS
• Do not enter anything under "Domain".
• Do not enter anything under "DNS service search order".
• Click "Save".
• Close the service software.
• Switch the system completely off and then back on.
- This ensures that the configuration is completely saved within syngo.
A default DICOM node will now be configured for the navigation system.
This may be changed in consultation with the navigation systems vendor.
Host properties
• Under "Host name" enter "Navi".
• Under TCP/IP address enter "192.17.3.111".
• Click "Save".
¹ The following is displayed: "Host properties successfully saved".
• Click "OK".
• Select ">".
NOTE Only when the "Logical name" begins with "N_" does the naviga-
tion configuration appear in the calibration screen.
• Click "Home".
¹ The following is displayed: “A restart of application SW is necessary to make
changes valid”
• Click "OK".
• Wait until the application SW has restarted.
• Switch the system completely off and then back on.
- All configuration data is thus saved within syngo.
• Using the light laser localizer, align the C-arm correctly with respect to the markings on
the calibration phantom, first in the vertical and then in the horizontal C-arm position.
• Align the C-arm correctly with respect to the markings on the calibration phantom, first
in the vertical and then in the horizontal C-arm position.
To this end, release a brief exposure and check the position of the C-arm with respect to
the calibration phantom.
• Check that the calibration phantom is positioned in the isocenter. To do so, check both
the horizontal and vertical adjustment at least twice.
¹ When the calibration phantom is positioned correctly, the points of the ball pat-
tern will not be visible at the upper and lower image edges.
See illustration below.
NOTE Here, perform only the calibration without the image intensifier
navigation marker ring.
The calibration with the image intensifier navigation marker ring is
performed by a trained BrainLAB technician.
• Press the key combination "Ctrl-D" on the MEMOSKOP keyboard to switch over to 3D
operation.
• Open syngo service software.
• Click “Calibration Iso-C 3D".
• Select "No".
• Click ">".
• Set C-arm position as given in setting no. 1 = "angulation 0 degrees and orbital -95 de-
grees."
- Take note of the C-arm positions displayed.
• Select "50" as the number of images, as given in setting no. 1.
• Click the "Go" button.
• Press the left footswitch and hold it down until "Calibration successful" is displayed.
¹ The system automatically starts a measurement run.
• Click "OK" after "Calibration successful" is displayed.
• Perform this procedure for each of the settings given in the table below.
Tab. 1
• Click "Home".
• Close the service software.
Preparation 0
Testing procedure 0
• Press the key combination "Ctrl-D" on the MEMOSKOP keyboard to switch over to 3D
operation.
¹ syngo screen appears on right-hand monitor
• Click on a leg.
• Under “Scan protocol”, click “Slow”.
• Under “Navigation marker ring”, select “not mounted”.
• Manually move the C-arm to the end position (into the limit switch).
- X-ray tube located on main unit.
• Manually move the C-arm to the start position (into the limit switch).
- Image intensifier tube located on main unit.
Measurement run 0
Target:
Determine the optimal slice plane for representing the lead strip test in the syngo window.
• If the lead strip test pattern is slanted in relation to the floor plane, correct this by rotat-
ing the slice plane in Free Mode.
• Check the 3D high resolution (1LP/mm). It may be necessary to use the appropriate
mouse button to return to a previous window.
Notify BrainLAB 0
• Create backup.
• File the new CDs and disk in the logbook.
• Remove the old 3D reconstruction license disk, since this is included in the 3D naviga-
tion license.
Added items:
-Configuration
-Calibration
-Image quality test
Added differentiation between navigation systems vendor BrainLAB and other navigation
systems vendors.