Siemens Siremobil Compact L Service Manual: A Complete Guide for Professionals

If you are looking for a reliable and versatile C-arm for intraoperative imaging, you might want to consider the Siemens Siremobil Compact L. This compact and ergonomic device supports various surgical applications in general surgery, orthopedics, trauma, pain management and ambulatory care . It is designed for high-quality imaging at low dose, easy handling and positioning, and user-friendly integration into clinical workflows. In this article, we will provide you with a comprehensive service manual for the Siemens Siremobil Compact L, covering its features, specifications, operation modes, image processing, maintenance and troubleshooting.

Features of the Siemens Siremobil Compact L

The Siemens Siremobil Compact L has the following features that make it a compact all-round performer in intraoperative imaging :

• C-arm: The C-arm has a orbital movement of 130° (-40° to + 90°), an angulation of ± 190°, a horizontal movement of 20 cm, an immersion depth of 73 cm, a swivel range of ± 12.5°, and a vertical travel of 45 cm (17.7″) motorized. The source – I.I. distance is 100 cm (39.4″), the free space is 78 cm (30.7″), and the collimator system consists of an iris collimator and a semi-transparent slot diaphragm for concentric and symmetric collimation.
• X-Ray Generator/Tube: The X-ray generator has a converter control frequency of 15 kHz to 30 kHz, a KV range of 40 kV to 110 kV, a fluoroscopy range of 0.2 mA to 8.9 mA, a digital radiography range of 0.2 mA to 12.2 mA, and a cassette exposures range of max. 20mA. The X-ray tube has a single tank with stationary anode, a focal spot nominal value of 0.6, a nominal voltage of 110 kV, an optical anode angle of 9°, and an inherent filtration of ≥ 3 mm AI equivalent.
• TV System: The TV system has a VIDEOMED DC with CCD sensor, a TV standard of 625 lines at 50 Hz or 525 lines at 60 Hz, and a digital image rotation of ± 220°.
• X-Ray Image Intensifier: The X-ray image intensifier has a metal-enamel technology (23cm 9″ l.l.) or a metal-ceramic technology (17 cm, 7″ l.l.) with Mu-metal shield. It has a precision electron optics with minimal image distortion and consistent high resolution across the entire image field, a cesium-iodide input screen for minimum quantum noise and excellent resolution, an anti-glare output screen with scattered light trap for high contrast dynamics and prevention of scattered light effects, and a high-transparency input window. The SIRECON 23-2 HDR-C has a nominal diameter of 23 cm (9″) and a zoom format of 15 cm (6″). The SIRECON 17-2 HDR-C has a nominal diameter of 17 cm (7″) and a zoom format of 10 cm (4″).

Specifications of the Siemens Siremobil Compact L

The Siemens Siremobil Compact L has the following specifications that make it suitable for various surgical applications :

Operation Modes of the Siemens Siremobil Compact L

The Siemens Siremobil Compact L has various operation modes that allow you to perform different types of intraoperative imaging according to your needs . The operation modes are:

• Fluoroscopy with Last Image Hold: This mode allows you to perform continuous X-ray exposure and display the live image on the monitor. You can also freeze the last image by pressing the footswitch or the handswitch. The last image will be displayed until you resume fluoroscopy or switch to another mode.
• Pulsed Fluoroscopy with Last Image Hold: This mode allows you to perform pulsed X-ray exposure and display the live image on the monitor. You can adjust the pulse frequency and duration according to your preference. You can also freeze the last image by pressing the footswitch or the handswitch. The last image will be displayed until you resume fluoroscopy or switch to another mode.
• Digital Radiography: This mode allows you to perform single-shot X-ray exposure and display the image on the monitor. You can adjust the exposure parameters and image processing settings according to your preference. You can also store the image in the internal memory or on an external device.
• Digital Subtraction Angiography: This mode allows you to perform digital subtraction of two images to enhance the contrast of blood vessels. You can perform mask run, live run, subtraction, roadmap, pixelshift, remask, and landmark functions according to your preference. You can also store the images in the internal memory or on an external device.
• Roadmap: This mode allows you to superimpose a subtracted image (roadmap) over a live fluoroscopy image to guide catheterization or other interventions. You can adjust the transparency and position of the roadmap according to your preference.

Image Processing of the Siemens Siremobil Compact L

The Siemens Siremobil Compact L has various image processing functions that allow you to enhance the quality and clarity of the images according to your needs . The image processing functions are:

• Recursive Filtration, Summation or Motion-Dependent Noise Reduction: These functions allow you to reduce the noise and improve the signal-to-noise ratio of the images. You can select between recursive filtration, summation or motion-dependent noise reduction according to your preference.
• Spatial Frequency Filtration for Edge-Enhanced Image Display, Contrast Enhancement: These functions allow you to enhance the edges and contrast of the images. You can select between spatial frequency filtration for edge-enhanced image display or contrast enhancement according to your preference.
• Digital Image Rotation: This function allows you to rotate the image by ± 220° in steps of 1°. You can use this function to correct for oblique projections or align anatomical structures.
• Positive/Negative Image Version: This function allows you to invert the brightness values of the image. You can use this function to improve the visibility of certain structures or regions of interest.
• Left/Right and Top/Bottom Image Reversal: These functions allow you to flip the image horizontally or vertically. You can use these functions to correct for lateral inversion or mirror effects.
• Zoom, Roam: These functions allow you to magnify and pan a selected region of interest within the image. You can use these functions to focus on a specific area or detail.
• Subtraction, Roadmap, Pixelshift, Remask, Landmark: These functions are specific for digital subtraction angiography mode. They allow you to perform subtraction of two images, superimpose a subtracted image over a live fluoroscopy image, correct for patient motion, redefine the mask image, and mark a reference point on the image.
• Up to 6 Lookup Tables for Contrast Enhancement: These functions allow you to apply different lookup tables (LUTs) to modify the contrast of the images. You can select between up to 6 LUTs according to your preference.
• Three-Stage Edge Enhancement: This function allows you to apply different levels of edge enhancement to sharpen the images. You can select between low, medium or high edge enhancement according to your preference.
• Electronic Shutters, Horizontal and Vertical: These functions allow you to mask out unwanted parts of the image by applying electronic shutters horizontally or vertically. You can use these functions to reduce radiation exposure or improve image quality.

Maintenance of the Siemens Siremobil Compact L

The Siemens Siremobil Compact L requires regular maintenance to ensure its optimal performance and safety. The maintenance should be performed by qualified service personnel according to the manufacturer’s instructions and standards . The maintenance includes the following tasks:

• Visual inspection: This task involves checking the external condition of the device, such as the C-arm, the monitor, the control panel, the cables, the connectors, the wheels, the brakes, and the accessories. Any damage, wear, or defect should be reported and repaired as soon as possible.
• Functional test: This task involves testing the basic functions of the device, such as the power supply, the battery operation, the cooling system, the X-ray generator, the X-ray tube, the collimator system, the TV system, the X-ray image intensifier, and the operation modes. Any malfunction, error message, or deviation from the specifications should be reported and repaired as soon as possible.
• Calibration: This task involves adjusting and verifying the accuracy and consistency of the device’s parameters, such as the KV, mA, exposure time, pulse frequency and duration, image quality, image processing settings, and image storage settings. Any discrepancy or drift should be corrected and documented.
• Cleaning: This task involves cleaning and disinfecting the device’s surfaces and components that come into contact with patients or operators. The cleaning should be done with a soft cloth moistened with a mild detergent or a disinfectant solution approved by Siemens. The cleaning should be done after each use or at least once a week.
• Lubrication: This task involves lubricating the moving parts of the device, such as the C-arm joints, the swivel joints, and the wheels. The lubrication should be done with a grease or oil recommended by Siemens. The lubrication should be done at least once a year or more often if necessary.
• Replacement of parts: This task involves replacing any parts that are worn out, damaged, or expired. The replacement should be done with original spare parts supplied by Siemens. The replacement should be done according to the service instructions manual.

Conclusion

The Siemens Siremobil Compact L is a compact and versatile C-arm that supports various surgical applications in intraoperative imaging. It has a range of features, specifications, operation modes, and image processing functions that make it a reliable and user-friendly device. It also requires regular maintenance to ensure its optimal performance and safety. By following this service manual, you can learn how to operate, maintain, and troubleshoot the Siemens Siremobil Compact L in a professional and efficient manner.

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