As a radiology student, this video was very informative. I've worked surgery before with my CI and he gave me a basic rundown, but this clears up a lot of questions for me. Thank you.
THANKS!!!! IM A SECOND YEAR AND I HAVE NOT HAD A STRONG STABLE USE OF C ARM ADN I DO NOT WANT TO LOOK UNPROFESSIONAL, EVERYONE IS SO BUSY TO TAKE THE TIME AND I DONT WISH TO BOTHER THEM , BUT WHEN YOU ARE RUNNING FROM ONE CASE TO ANOTHER IT IS HARD TO COMPLETLY GRASP IT.
Thanks for the video. I need all the help I can get with the c-arm. I’ve been working in a clinic for 2 years since I graduated and recently took a job at a hospital and I haven’t touched a c-arm since I was an X-ray student. I’m struggling at my new job with ortho surgeries. Hopefully I’ll get comfortable eventually.
Thank you so much!!! I am currently learning how to use the C Arm. This video helps me a lot. Can you also do a video on how to look at the images and figure out how to fix your centering as well as getting a perfect true lateral or ap projections.
This was very helpful. I’ve been a tech for 21 years but mostly in clinics and shifts that don’t do much OR stuff (graveyard). I’m going to be moving back to days which makes me anxious because my C-arm skills are beyond rusty lol. A good refresh of what all those buttons do was helpful. GE hasn’t changed the basic design of the OEC for at least 25 years lol.
it is great video. i am rad tech student. this video help me a lot. can u post how to process x-ray image, like coping and other features on DR. also how to end (paperwork) after end the exam.
In surgery, we fire it up and it's on "auto" by default. Pix are great, like high res, but if we can technique it, the dose is SIGNIFICANTLY lower. A few button pushes for non-live fluoro is close to 10-seconds, seven being the norm for a "quickie" but I've done RFL's with a ton of "fire in the hole" shots b/c the spine was so osteopenic, scoliotic, spurred...esp. at C-2 and lower. Surgery has us just plug in and go. At my Pain Mgt facility, we technique it. Images are great, occasional RES for habitus, but live fluoro coupled with probe placement "snapshots", we can do a 5-minute RFL with fluoro time of 6 seconds, where an ortho case, with less "firing" time will be 22-30 seconds. But the pix are great. I can technique an ORIF but Uro cases, I can see where auto is optimum. If there's a way to track and move the C-Arm to follow contrast up the ureter to the calyces using techniquing, I'd love to hear it! Tissue density, contrast, metal instruments on a blue-draped body make it rough! Nicely done and great for new Fluoro/surg tech's!
This machine was aquired in June 2009. I've seen newer versions of the 9900 (we bought two more last year) that don't include the other profiles in the list. That particular C-Arm has the vascular MTS package. No cardiac though.
Awesome, Nice job- As a reseller of C-arms..I like your demo. The OEC 9900 is a great system, but its interesting how you have a cardiac scan on the worklist, but your system doesnt look like it has a vascular /Cardic pkg??
thanks for putting this up... i haven't been in a OR since school 1.5 yr ago. I got another job that requires me to go to surg. So, I'm freaking out and I hope there isn't a student with me lol, or maybe they can help me.
Has anyone else here get yelled at by a Doctor for not moving fast enough in the OR, those locks take time to undo and to swing the arm around. I take my time to do this and still get yelled at. So unprofessional.
You work for some fucked up people. Get the ISBN-13: 978-1-4963-2896-0 or ISBN-10: 1:4963-2896-5 . Intraoperative Imaging in Fracture Surgery. Great book, we need to put pressure on ASRT to include the modality of the OR. The current model is not serving the needs of all. CV , MRI, CT, and Mammogram certificates only cover those models. The Operating Room has no Model other than go in and learn the chit the old Fashioned Way. But.... peeps I’m here to tell you, we need to get more technologist on board with support in the OR. (Damn it!)
Juniperus Ashei 369 hey I need your comments and you people! I’m a tech and have a crazy story but anyway this just helps me not give up . What Ive read
THANK THE LORD THAT THING WAS NOT DAMAGED. EEEK. Now what setting would you have it on for like GI?? for example, receiving a barium swallow patient wouldn't want to use Cardiac, Vascular, or Spine.
Hi, I am a mom whose child had a closed procedure on his elbow. I got my child's full medical records, but he has no imagery. This is odd, because the surgeon gave us paper pictures at discharge, though we did not get a lateral post surgery image. For a closed procedure, how does one get the imagery? I feel like it must be saved somewhere, but I am told me son has no imagery from day of surgery. Aaahh, where is this stuff stored?
The surgeon may have used a mini c-arm (instead of the full sized one seen in this video) for your son’s surgery. From what I have seen, many doctors operate the mini c-arm on their own and it is up to them to save the images. Sometimes even the image printing is done at the time when a particular X-ray is shot, but not saved. That’s because the save and print buttons are usually separate and different. Some doctors do the printing on the fly and some do it after the case while reviewing the images. As for why there are no images in the medical record, it could be possible that the surgeon didn’t save the images or the images are saved to a server (called PACS or Picture Archival and Communication System) that medical records didn’t have access to. The best place to ask for the images (if they were saved) is the radiology department. If it is not in PACS, then it maybe still in the Mini C-Arm and either radiology or surgery departments can help you retrieve that. Best of luck and I hope you can get your images!
Luckily no that time. I have seen the C-Arm's collimators go out of alignment as a result of collisions though.... Its probably a lot safer when you're not positioning the C-arm with one hand (and the other holding the camera)! As for table I could've cared less, the room equipment was dismantled a short time later.
Typically when you get this type of message, it means the x-ray tube is getting hot. It usually comes on when the tube has reached 50-75% tube heat capacity. For obvious reason we do not want to overheat the tube. On some of the OEC C-arms, there is a fan and vent on the tube end which will used for cooling. It could also blow out the hot air and potentially burn any user near that vent. I've never seen this happen but it is possible. Normally the C-Arm would prevent or stop any fluoro until the tube has cooled down as well. So, when you start seeing tube overheat warnings or alerts or even tube WARM, you should consider minimizing the use of the fluoro until the message has gone away. you could also use single shots if permitted. If constant fluoro is still required, considering using pulse modes (and choose a pulse per second (PPS) that works well for the situation). Essentially you need to slow down the tube heating by reducing the amount of fluoro time or even taking a break (for you, patient, doctor and the machine :) ) if possible. Now I''m pretty positive that you're getting these warnings when using a combination of digital subtraction and fluoro for special procedures. The trick really is to limit the about of digital subtraction and use the fluoro as much as possible. If you haven't noticed already, under digital subtraction runs, the mA on the C-Arm can soar up to 125mA! Normal fluoro is roughly 1-6mA. Digital subtraction runs are many times the major heat generator and long fluoro times/runs can do so too.
Holly Crofton Saturation may come from the IGBTs on top of the HV tank. During the generator calibration you check and adjust the dead time. There is a set technique maybe 40kv and .2mA, anyway during fluoro you look at the high frequency firing of the IGBTs. It needs to be short enough for correct output but cannot be too short (less than 1.5 micro seconds) or the 2 sets will conduct at the same time. If that happens there might be a loud bang and you will need the check book. (It cannot be too long either) Read and understand the directions if unsure.Since you are calibrating with an O-scope increase the time to see many pulses and that none are missing. There are 4 test points for this; I only have a 2 channel scope so I have to do this twice. Always check the sticks for arc marks, (all 4 ends), low voltages. Hot? if it is the anode temp then you can look in the patient dose summary and see if they were on it too long. Like Kelvin said it can be just what they were doing during the procedure. Filters do get plugged with lint. If they bag the tube it may not breath enough. Even the fuse for the tube fan can give up, I have gotten a wire into the fan during reassembly once and stopped it from turning. If you do the 10R/min and 20R/min test and calibration you may get the Anode Warm/Hot message depending how fast you are. Good Luck
Hey Russell, Are you looking to run the loop for a Subtracted run, or are you looking to record standard fluoro. What system do you have? If you are doing a DSA or Subtracted run, the loop will automatically play back if you go into the blue button named SET UP on the upper far right of the keyboard. Under WORKSTATION make sure the AUTO PLAYBACK FOR CINE is checked. That will play back your DSA. If you are looking to record standard fluoro, go into Cine, and then CIne Setup, and place a "X" next to Fluoro, or HLF, and you will notice on the status bar that there will be a FPS next to either FLUORO or HLF depending on where you put the "X". What this will do is record whenever you press the EYE or the EYE PLUS exposure button. Just remember that when you are done to remove the X in Cine Setup. Placing the "X" next to HLF and using low dose will give you the option to have standard fluoro still functional without recording. Hope this helps.
Hey Russell, In order to run a loop using standard fluoro, you must first have Cine capabilities. Any vascular system will allow you to record standard or live fluoro. On the right monitor you will see a MODE button on the left side, and a CINE button on the right side of the monitor. Go into the CINE button, and then the CINE SETUP button. From there you can tell the system when you would like to record something or create a CINE. Subtract should always be checked, and you can select either Fluoro, or HLF and put a check in the box. When you do this you will then notice that there will be the letters FPS on the status bar next to the FLUORO or HLF. Status Bar is on the bottom of the right monitor. I would recommend using HLF to record cine and use low dose to cut the exposure dose in half. This way you still have the ability to do single shots using FLUORO. Hope this helps.
21:01 NOT GOOD. EEK. When it hit the table, did any damage get done? These C-Arms are VERY VERY dellicate. EEEK. GREAT VIDEO. That collision did NOT sound good!!
They are not that delicate. Yes ideally you want to avoid banging it around but it happens *a lot*. You have dozens of people using it, it’s going to get banged around. Our C-Arms are over 4 years old and they are covered with scrapes, scratches, and signs of abuse. Still works great.
the wig wag is the most overrated lock. I can go 2 years without ever using it. I tell our students to ignore the wigwag. If u do everything else correctly u wont need it. approach the patient and center perpindicular to long axis of the anatomy of interest. Also good centering comes with lots of practice and experience. It's tough to teach that part of it.
9 year old comment but here goes. I use Wig Wag every single day in spine surgery lol. No patient spine is perfectly square. Each individual level can have a custom wig wag needed to properly superimpose the pedicles or end plates over each other for a true lateral image. Wig Wag is a vital adjustment. No way I’m going to angle my wheels and play that annoying game when I have a simple lock available to make my life silky smooth.
This is a GREAT video for anyone going into their OR portion of their clinicals. It took me a while to find this, but I am so glad I did!
As a radiology student, this video was very informative. I've worked surgery before with my CI and he gave me a basic rundown, but this clears up a lot of questions for me. Thank you.
THANKS!!!! IM A SECOND YEAR AND I HAVE NOT HAD A STRONG STABLE USE OF C ARM ADN I DO NOT WANT TO LOOK UNPROFESSIONAL, EVERYONE IS SO BUSY TO TAKE THE TIME AND I DONT WISH TO BOTHER THEM , BUT WHEN YOU ARE RUNNING FROM ONE CASE TO ANOTHER IT IS HARD TO COMPLETLY GRASP IT.
Thanks for the video. I need all the help I can get with the c-arm. I’ve been working in a clinic for 2 years since I graduated and recently took a job at a hospital and I haven’t touched a c-arm since I was an X-ray student. I’m struggling at my new job with ortho surgeries. Hopefully I’ll get comfortable eventually.
Same here good luck to the both of us been 6 years for me
Hopefully you are getting the hang of the OEC product. Is there anything in particular that you would like to know about the system?
I'm starting clinicals soon & I'm terrified of the c-arm & getting yelled at by surgeons. It's the one machine I'm not comfortable with. Any advice?
Thank you so much!!! I am currently learning how to use the C Arm. This video helps me a lot. Can you also do a video on how to look at the images and figure out how to fix your centering as well as getting a perfect true lateral or ap projections.
Awesome help for me as a beginner to use this machine. Thank you. 👍🏼
I'm about to start my program and this is very instructional. Thanks for the helpful info!
This was very helpful. I’ve been a tech for 21 years but mostly in clinics and shifts that don’t do much OR stuff (graveyard). I’m going to be moving back to days which makes me anxious because my C-arm skills are beyond rusty lol. A good refresh of what all those buttons do was helpful. GE hasn’t changed the basic design of the OEC for at least 25 years lol.
A tech for 21 years???? Don’t you want to do something different now?
Radiography student from Australia here, thanks for the informative video! We call it an II (Image Intensifier) down under!
Thanks, this helps a lot! I'm a student and the tech I'm with explains nothing! Figured I could learn off of RUclips!
it is great video. i am rad tech student. this video help me a lot. can u post how to process x-ray image, like coping and other features on DR. also how to end (paperwork) after end the exam.
I have never used a C arm since my years of practice but this gives me an insight... Thanks...I need more help. Thanks
Great tutorial. I haven't touched a C-arm in 11 yrs. I think I could use one with out any problems just from your tutorial.
I’m terrified of the OR
In surgery, we fire it up and it's on "auto" by default. Pix are great, like high res, but if we can technique it, the dose is SIGNIFICANTLY lower. A few button pushes for non-live fluoro is close to 10-seconds, seven being the norm for a "quickie" but I've done RFL's with a ton of "fire in the hole" shots b/c the spine was so osteopenic, scoliotic, spurred...esp. at C-2 and lower. Surgery has us just plug in and go. At my Pain Mgt facility, we technique it. Images are great, occasional RES for habitus, but live fluoro coupled with probe placement "snapshots", we can do a 5-minute RFL with fluoro time of 6 seconds, where an ortho case, with less "firing" time will be 22-30 seconds. But the pix are great. I can technique an ORIF but Uro cases, I can see where auto is optimum. If there's a way to track and move the C-Arm to follow contrast up the ureter to the calyces using techniquing, I'd love to hear it! Tissue density, contrast, metal instruments on a blue-draped body make it rough!
Nicely done and great for new Fluoro/surg tech's!
I learned on this OEC it maybe old but it's my absolute favorite
This machine was aquired in June 2009. I've seen newer versions of the 9900 (we bought two more last year) that don't include the other profiles in the list. That particular C-Arm has the vascular MTS package. No cardiac though.
hi, sir can show me how they use the noise filtration and what the function is when the time you will use it thank you for your reply.
Great job! My only criticism would be "AP" vs. "PA" - the x-ray source is actually coming from below the patient with a supine patient. Thank you! =)
Thanks - really appreciated this! We have a 9900, 9800 and 2 Ziehms in our OR...fun learning!
Awesome, Nice job- As a reseller of C-arms..I like your demo.
The OEC 9900 is a great system, but its interesting how you have a cardiac scan on the worklist, but your system doesnt look like it has a vascular /Cardic pkg??
Video was very informative!!! Thank you!!!
thanks for putting this up... i haven't been in a OR since school 1.5 yr ago. I got another job that requires me to go to surg. So, I'm freaking out and I hope there isn't a student with me lol, or maybe they can help me.
wooow such a helpful video, thank you.
Hey i was using the brivo oec 715 and the autosave feature has been activated by mistake, do you know how to deactivate it? Thank you
Excellent video
Has anyone else here get yelled at by a Doctor for not moving fast enough in the OR, those locks take time to undo and to swing the arm around. I take my time to do this and still get yelled at. So unprofessional.
You work for some fucked up people. Get the ISBN-13: 978-1-4963-2896-0 or ISBN-10: 1:4963-2896-5 . Intraoperative Imaging in Fracture Surgery. Great book, we need to put pressure on ASRT to include the modality of the OR. The current model is not serving the needs of all. CV , MRI, CT, and Mammogram certificates only cover those models. The Operating Room has no Model other than go in and learn the chit the old Fashioned Way. But.... peeps I’m here to tell you, we need to get more technologist on board with support in the OR. (Damn it!)
Juniperus Ashei 369 hey I need your comments and you people! I’m a tech and have a crazy story but anyway this just helps me not give up . What Ive read
@@JuniperusAshei Could not agree more. Writing a letter to the ASRT as we speak.
Happened to me today actually. That’s why I’m here trying to find helpful videos
Jessica Burkhart reddit has some good help too search for c-arm .
Does this count towards my CE credits? ;)
thank you for doing this!!! Can you post a video of how process the images/also print
THANK YOU!!!!! This was helpful for the basics!!
thank you great explanation
Can you help me I have a problem when opening the notes show me a problem SDK4_ERR_TIMEOUT
How can I make ii tube regenerate
what C arm model is that?, thanks for the video it helps alot
Hey Kelvin !
Thanks for the video
I really appreciate !
It's very much useful.
Hello sir
I need Service manual for GE OEC MINIVIEW 6800 PLZ?
Hi, Kelvin
Thank you for this great video. Great Job!
Thank you sharing this video, its real quite amazing
GREAT INTRODUCTION VIDEO
THANK THE LORD THAT THING WAS NOT DAMAGED. EEEK. Now what setting would you have it on for like GI?? for example, receiving a barium swallow patient wouldn't want to use Cardiac, Vascular, or Spine.
Hi, I am a mom whose child had a closed procedure on his elbow. I got my child's full medical records, but he has no imagery. This is odd, because the surgeon gave us paper pictures at discharge, though we did not get a lateral post surgery image. For a closed procedure, how does one get the imagery? I feel like it must be saved somewhere, but I am told me son has no imagery from day of surgery. Aaahh, where is this stuff stored?
The surgeon may have used a mini c-arm (instead of the full sized one seen in this video) for your son’s surgery. From what I have seen, many doctors operate the mini c-arm on their own and it is up to them to save the images. Sometimes even the image printing is done at the time when a particular X-ray is shot, but not saved. That’s because the save and print buttons are usually separate and different. Some doctors do the printing on the fly and some do it after the case while reviewing the images.
As for why there are no images in the medical record, it could be possible that the surgeon didn’t save the images or the images are saved to a server (called PACS or Picture Archival and Communication System) that medical records didn’t have access to. The best place to ask for the images (if they were saved) is the radiology department. If it is not in PACS, then it maybe still in the Mini C-Arm and either radiology or surgery departments can help you retrieve that. Best of luck and I hope you can get your images!
Luckily no that time. I have seen the C-Arm's collimators go out of alignment as a result of collisions though....
Its probably a lot safer when you're not positioning the C-arm with one hand (and the other holding the camera)!
As for table I could've cared less, the room equipment was dismantled a short time later.
when the C-Arm says saturation fault or hot. What do you think or could be?
Typically when you get this type of message, it means the x-ray tube is getting hot. It usually comes on when the tube has reached 50-75% tube heat capacity. For obvious reason we do not want to overheat the tube. On some of the OEC C-arms, there is a fan and vent on the tube end which will used for cooling. It could also blow out the hot air and potentially burn any user near that vent. I've never seen this happen but it is possible. Normally the C-Arm would prevent or stop any fluoro until the tube has cooled down as well.
So, when you start seeing tube overheat warnings or alerts or even tube WARM, you should consider minimizing the use of the fluoro until the message has gone away. you could also use single shots if permitted. If constant fluoro is still required, considering using pulse modes (and choose a pulse per second (PPS) that works well for the situation). Essentially you need to slow down the tube heating by reducing the amount of fluoro time or even taking a break (for you, patient, doctor and the machine :) ) if possible.
Now I''m pretty positive that you're getting these warnings when using a combination of digital subtraction and fluoro for special procedures. The trick really is to limit the about of digital subtraction and use the fluoro as much as possible. If you haven't noticed already, under digital subtraction runs, the mA on the C-Arm can soar up to 125mA! Normal fluoro is roughly 1-6mA. Digital subtraction runs are many times the major heat generator and long fluoro times/runs can do so too.
Holly Crofton Saturation may come from the IGBTs on top of the HV tank. During the generator calibration you check and adjust the dead time. There is a set technique maybe 40kv and .2mA, anyway during fluoro you look at the high frequency firing of the IGBTs. It needs to be short enough for correct output but cannot be too short (less than 1.5 micro seconds) or the 2 sets will conduct at the same time. If that happens there might be a loud bang and you will need the check book. (It cannot be too long either) Read and understand the directions if unsure.Since you are calibrating with an O-scope increase the time to see many pulses and that none are missing. There are 4 test points for this; I only have a 2 channel scope so I have to do this twice. Always check the sticks for arc marks, (all 4 ends), low voltages.
Hot? if it is the anode temp then you can look in the patient dose summary and see if they were on it too long.
Like Kelvin said it can be just what they were doing during the procedure.
Filters do get plugged with lint. If they bag the tube it may not breath enough. Even the fuse for the tube fan can give up, I have gotten a wire into the fan during reassembly once and stopped it from turning.
If you do the 10R/min and 20R/min test and calibration you may get the Anode Warm/Hot message depending how fast you are. Good Luck
Nice video, congrats.
Nice work buddy
Thank you I have to comp this and a fluoro study before the semester over I have no idea how to work this machine lol
I'm assuming you've figured it out by now, ha. I'm a current student & am so nervous about using this machine and getting yelled at by the surgeon.
where my techs at ! hollaaaa!
How much math is used in every day work life.
How would u run a loop video on the monitor for the physician after doing live flouro?
Hey Russell, Are you looking to run the loop for a Subtracted run, or are you looking to record standard fluoro. What system do you have? If you are doing a DSA or Subtracted run, the loop will automatically play back if you go into the blue button named SET UP on the upper far right of the keyboard. Under WORKSTATION make sure the AUTO PLAYBACK FOR CINE is checked. That will play back your DSA. If you are looking to record standard fluoro, go into Cine, and then CIne Setup, and place a "X" next to Fluoro, or HLF, and you will notice on the status bar that there will be a FPS next to either FLUORO or HLF depending on where you put the "X". What this will do is record whenever you press the EYE or the EYE PLUS exposure button. Just remember that when you are done to remove the X in Cine Setup. Placing the "X" next to HLF and using low dose will give you the option to have standard fluoro still functional without recording. Hope this helps.
Hey Russell, In order to run a loop using standard fluoro, you must first have Cine capabilities. Any vascular system will allow you to record standard or live fluoro. On the right monitor you will see a MODE button on the left side, and a CINE button on the right side of the monitor. Go into the CINE button, and then the CINE SETUP button. From there you can tell the system when you would like to record something or create a CINE. Subtract should always be checked, and you can select either Fluoro, or HLF and put a check in the box. When you do this you will then notice that there will be the letters FPS on the status bar next to the FLUORO or HLF. Status Bar is on the bottom of the right monitor. I would recommend using HLF to record cine and use low dose to cut the exposure dose in half. This way you still have the ability to do single shots using FLUORO. Hope this helps.
Thank you so much
Very educational
please make more videos sir
thank you
good information
Thank you!!! :)
Pretty good
wig-wag. Cheers Pedro
super!
Eye+ is for cine.....
Good
Thanks sir
excelente, podria tener su correo electronico personal , le agradesere mucho
Bro! My name is Kelvin Too!
:D
Kelvin is such a powerful name!
Let's just skip the buttons we don't know..nice.
This red button at 1:57 is not red, it's yellow.
Airazz he’s probably color blind
ممتاز جدا
21:01 NOT GOOD. EEK. When it hit the table, did any damage get done? These C-Arms are VERY VERY dellicate. EEEK. GREAT VIDEO. That collision did NOT sound good!!
They are not that delicate. Yes ideally you want to avoid banging it around but it happens *a lot*. You have dozens of people using it, it’s going to get banged around. Our C-Arms are over 4 years old and they are covered with scrapes, scratches, and signs of abuse. Still works great.
the wig wag is the most overrated lock. I can go 2 years without ever using it. I tell our students to ignore the wigwag. If u do everything else correctly u wont need it. approach the patient and center perpindicular to long axis of the anatomy of interest. Also good centering comes with lots of practice and experience. It's tough to teach that part of it.
9 year old comment but here goes. I use Wig Wag every single day in spine surgery lol. No patient spine is perfectly square. Each individual level can have a custom wig wag needed to properly superimpose the pedicles or end plates over each other for a true lateral image. Wig Wag is a vital adjustment. No way I’m going to angle my wheels and play that annoying game when I have a simple lock available to make my life silky smooth.