User Manual - Patient-specific solutions for orthopaedics
Contents
1. Verify you haven t entered any text in the search field Remove the text to view all cases How do I know what action in a step needs to be completed You can browse through the different steps Completed actions are marked with a checkmark for each step The most current action is the first white item without a checkmark I see an issue in either the uploaded images the 3D model the surgical plan or the designed guide s Contact your Materialise representative as soon as possible Small issues can be communicated via the messages panel in SurgiCase Connect For important issues call your Materialise representative to take immediate action 29 SurgiCase 14 Connect Instructions for Use of SurgiCase Guides and Models The following information is related to SurgiCase Guides and SurgiCase Models which are considered as an accessory to the software these components together make one package Contraindications Do not use in the case of active infection of the surgical area where the surgery will be performed Warnings The user should be aware of possible allergic reactions to materials used in the guide or model The patient should be informed about this matter by the user These are patient specific single use disposable guides or models Do not attempt to reuse or recondition the guides or models Do not alter the guides or models in any way SurgiCase Guides are to be used by a trained physician in the perf2. Materi alise gt User Manual SurgiCase Connect 1 01 C Document version 1 3 September 29 2011 1639 SurgiCase Connect Indications for Use SurgiCase Connect is intended for use as a software interface for the transfer of medical data from a medical scanner and as pre operative software for simulating evaluating implant placement and surgical treatment options SurgiCase Guides are intended for single use only SurgiCase Connect uick Help A Case from Start to Finish Your Cases How to get an overview How to process your of your cases next case using SurgiCase Connect Page 13 Page 11 Your Account Contact Us Creating an account How to reach your and changing your Materialise account and representative preferences Page 21 Page 3 Error Bookmark not defined and 24 SurgiCase Connect Contents EE OO OE 1 WAGIGATIOINS TOR AE EA EE EA EE 1 ICI TAS IO aes atee sare E a n a 2 COMES eee E E E E EE E E ee E ee 3 1 Introduction a naaaaaaaaaaaaaaaaaaaannananananannnannannnnnnnnnnnnannannnnnnnnannannnnnnannnnaannannnannannanaannannnanna 4 2 MNS VAG SUC GaSe OO EO es RE EE EE EE GEE EE pre eect esc ee sees 6 35 Greating aM ACCOUN EE EE EE EE EE EE OE EE OE EP EN 7 de LOGA EE EE EE EE EE EE 9 5 The Welcome SOC RE EE OE EE OE p kj 10 O ie VAS AE EE EE EE OE EE N 11 dj Afd Elri AO FISH es EE ee Ee Ee Ee RE 13 8 Viewing the 3D
3. Phone Materialise Belgium Materialise USA Materialise OBL 132 16 396 666 1 734 259 6669 33 1 46 56 31 52 Email CMF cmf materialise com Orthopaedics ortho materialise com OK Contact Us ames Account Sign Out 21 SurgiCase Connect Messages SurgiCase Connect allows you to exchange messages concerning your case Click the Messages button in the Case Details screen to view the messages sent between you and your Materialise representative The messages panel allows you to send new messages to your Materialise representative In addition this messages transcript also logs events such as rejecting a surgical plan and shipment information Dr Lenaerts said 11 27 10 06 2010 Thank you for uploading your images We will now review them and start the 3D reconstruction irae Materialise IS reconstructing the 3D model Add Messages M mi d MELT 4 Preparation Materialise is reconstructing the 3D model 22 SurgiCase Connect E mail During the workflow e mail messages will automatically be sent to inform you about important changes or to inform you about cases requiring attention Web Meetings While SurgiCase Connect offers tools to communicate about the surgical plan the actual Surgical planning is done in our advanced planning software SurgiCase CMF or SurgiCase Orthopaedics by your Materialise representative During web meetings you ll connect to your Materiali
4. Model ee Re RE ee AE ee Ee AE ee Re ee ee ee ee ee ee ee ee ee ee ee ee eed ee 19 2 d ie ea ER AE OE EE OE EE EE OE EE ET AE 21 O is NE N N EE N A EE 24 11 Mouse and Keyboard Control 2aiaaaaaaaaaaaaananannnaananannnnannannunannananaannnnnanaaanuaaanaan 25 12 System FHEGUIFEMCING ss EE DE ee GE EE 26 ON TOULES NOOU AR EE EE EE EE EE EE EE OE ER EE RE 27 14 Instructions for Use of SurgiCase Guides and Models ies ee ee Re ee 30 156 COn ie d oie du lei N EE EE EA EE EG 32 SurgiCase Connect 1 Introduction SurgiCase Connect is your window to the CMF and Orthopedic services provided by Materialise SurgiCase Connect allows you to upload CT MRI images which Materialise uses to reconstruct a 3D model We then collaborate with you for the surgical plan and communicate the results through SurgiCase Connect Finally Materialise designs and produces surgical guides to transfer the surgical plan to the operation room This entire workflow can be tracked In SurgiCase Connect SurgiCase Connect Surgeon Z Materialise lt driving your innovations Upload CT MRI images SurgiCase Connect 2 Installing SurgiCase Connect First go to the SurgiCase Connect website and click the Install button Your browser will offer to download the setup exe installer file click accept and run the installer The Application Install Window will then appear Confirm the installation by clicking Install The
5. first time the program starts the End User License Agreement EULA is shown SurgiCase Connect can only be used after the EULA Is accepted SurgiCase Connect should now be installed on your computer and will start automatically If it doesn t click the SurgiCase Connect icon on your desktop to start the application Always up to date SurgiCase Connect will always be up to date Upon starting SurgiCase Connect first checks whether an update is available and if this is the case the latest version is downloaded and installed automatically SurgiCase Connect 3 Creating an Account In order to use SurgiCase Connect a user account needs to be created To do this start SurgiCase Connect and click Create A New Account It s FREE and only takes a minute of your time Let Materialise help you to make your job easier Create A New Account I already have an account SurgiCase Connect In the new account panel that pops up fill in your contact and login information All fields are mandatory Your login credentials will be your email address and your chosen password You can change this password later on if you like The email address you provide will also be used for correspondence Click Submit to register your account An email will be send to the given email address to verify your account Greate A New Account First Name Last Name Surgical Field Medical Center Address City Zip Posta
6. B Hip 14 dcm 192 46 KB Hip 15 dcm 192 46 KB Hip 16 dcm 192 46 KB Hir j los L E F D Je gt IW 4 MedData Per 4 TrainingData iji DCOM SSS sl sl sl ss ls se else ha LEN OT Upload Click Upload to start uploading the images to our server Depending on the size of the image set and your internet connection speed this may take a while Once the images are uploaded you can go back to the Case Overview screen and continue working Meanwhile Materialise will review the images and start reconstructing the 3D model You will be notified once the 3D model is ready SurgiCase Connect The 3D Reconstruction The 3D model is a reconstruction segmentation based on the uploaded CT MRI images See page 19 for more details about controlling the view for the 3D model Discussing the Surgical Plan The surgical planning will happen in our advanced planning products via personal or web based meetings and the results will be available in SurgiCase Connect for inspection SurgiCase Connect provides several tools for communicating about the surgical plan visually Angle measurement Eraser Select Edit Show Hide objects Distance measurement Text annotation These tools stay active until you click them again To edit a measurement or annotation press the mouse arrow tool in the top left corner Alternatively the Esc button can be used to deactivate the cu
7. be notified you might want to call them when the surgery is set to a much earlier date to ensure the surgical guides will be delivered in time 27 SurgiCase Connect I don t know which CT MRI images need to upload CT MRI images are usually DICOM images dcm made available on a CD You can select the top folder on the CD to upload Uploading CT MRI images is slow The size of the images can addd up to a high volume and this can take a while to upload depending on your internet connection When the total size exceeds 1 GB consider sending Materialise a hard copy CD by mail I cannot open or save a case Verify you are connected to the internet SurgiCase Connect stores your cases online I can t see a 3D model Verify that 3D Reconstruction done is checked in step 1 of the bottom bar in the Case Details screen If not Materialise hasn t completed the reconstruction yet The 3D model may lie out of view Click the central button of the move buttons see page 19 This will centralize the model again Check the Show Hide panel see page 20 Make sure at least one item has an active eye icon If no items are listed there s no 3D model available I received an email telling me the status of a case has changed but see no difference in SurgiCase Connect s Try logging out and in again The case list should then refresh 28 SurgiCase Connect Not all my cases are shown in the case list
8. giCase 12 Connect System Requirements To run SurgiCase Connect you need at least the following system requirements Intel Pentium 4 2 4GHZ or equivalent 512 MB RAM 1 GB of free disk space Graphics card amp screen supporting at least 1024x768 resolution with true color visual 24 or 32 bit and 256MB of memory Three button optical mouse with scroll wheel 1 5MBit s internet connection Microsoft Windows 7 Vista or XP Service Pack 2 or higher NET 3 5 SP1 Adobe Reader 7 0 or higher 26 SurgiCase Connect 13 Troubleshooting If you run into trouble while using the software refer to the list of solutions below If you cannot find an appropriate answer contact your Materialise representative I cannot log in Double check your email address and password Verify that you activated your account by clicking the link in the activation mail sent right after creating your account Verify you are connected to the internet My email address is will not be valid anymore Contact your Materialise representative He she will change your email address I don t know the surgery date yet Estimate a possible surgery date anyway This date can be changed once you know the exact date The surgery date needs to be changed Open the specific case and click the Patient Information button Click Edit Case Details and adjust the surgery date Even though your Materialise representative will automatically
9. ign materials can result in an inflammatory response or allergic reaction 31 SurgiCase Connect 15 Contact Information www materialise com SurgiCase Europe Headquarters Manufactured by Materialise NV Technologielaan 15 3001 Leuven Belgium Phone 32 16 39 66 11 ortho materialise be cmf materialise be USA Materialise 44650 Helm Court Plymouth MI 48170 United States Phone 1 734 259 6669 ortho materialise com cmf materialise com 32 SurgiCase Connect Disclaimer SurgiCase Materialise and other names mentioned in this document are registered trademarks and or trade names either owned by or licensed to Materialise No user has any right title or interest in those marks or names not previously expressly granted in writing to such user by Materialise 33
10. l Code Country State Province Phone Number Your email address will be your login Email Address Retype Email Address Password Retype Password Password Strength Submit SurgiCase Connect 4 Logging In Type the email address and password that you registered in your SurgiCase Connect account Materialise VZ driving your innovations 1 R SurgiCase Connect is an online tool internet access is required in order to log in and see your cases SurgiCase Connect 5 The Welcome Screen After signing in the Welcome Screen provides directions for finding your way in SurgiCase Connect In this screen you can Add anew Case Go to the Case Overview screen and view all your cases Find the contact information for your Materialise representative Get help includingthis help document and more s Edit your account information Sign out Welcome Dr Lenaerts 7 E sign Out What woul d you like todo A Add Case FEE View Cases H a Contact Us 2 Get Help Create a new case and upload View all your cases and open Find our contact information Find documentation on CT MRI images a specific one e mail and phone numbers SurgiCase Connect O In the future show my cases immediately Plan to perfection f y SurgiCase di 7 SurgiCase Connect 6 Your Cases Your cases are sorted in the Case Overview screen By default upcoming cases that require your attention the mos
11. model will rotate move or zoom The buttons in the middle will bring you back to the default viewing angle position or zoom level Alternatively the mouse can be used to rotate move or zoom the 3D model To do this place the mouse cursor on the 3D model Press the right mouse button and drag the mouse to rotate the 3D model Press the middle mouse button and drag the mouse to move the 3D model Use the scroll wheel to zoom into or out of the 3D model To view the model sideways click the arrow pointing to the corresponding side of the cube SurgiCase Connect Show Hide Parts The 3D model usually consists of several parts such as different bones implants guides et cetera These parts can be shown or hidden individually by clicking the eye button eo View Radius Preop Bone Parti Right Ulna Drill Holes Bone Parti Moved Bone Part3 Bone Part2 20 SurgiCase Connect 9 Communication A Materialise representative will be assigned to you when you create an account SurgiCase Connect provides several ways to communicate with your representative To find the name and contact information of your Materialise representative click the Contact Us button in the Welcome screen or in the Case Overview screen Here you can also find general contact information for Materialise Welcome Dr Surgeon k G ntact tf Your Representative Orthopaedics Department spamd4lou gmail com
12. n just a few easy steps 1 Image Upload and 3D Reconstruction 2 Surgical Planning 3 Guide Design and Production 4 Shipment 1 2 3 4 Preparation Planning Production Shipment Creating a Case To create a new case click the Add Case button in the Welcome screen or the Case Overview screen Click the Create Case button The new case will be created online and you will be transferred to the Case Details screen where you can upload the CT MRI images SurgiCase Connect Uploading your CT MRI Images Click the Upload Images button in the flow bar at the bottom of the screen 1 Upload your images Upload Images Preparation In the next panel click the Add Folder button and select the folder containing the CT MRI images CT MRI images are usually delivered on a CD After the CT MRI images are loaded into SurgiCase Connect you can exclude certain images or entire folders from the dataset Multiple folders can be added by clicking the Add Folder button again SurgiCase Connect Upload Images Select one or more folders o containing the CT MRI images OoOo rs a VY gt CAMedData TrainingData DICOM 19 92 MB Hip_O dem 192 46 KB Hip_1 dcm 192 46 KB Hip 10 dcm 192 46 KB Hip 100 dcm 192 46 KB Hip 101 dcm 192 45 KB Hip 102 dem 192 46 KB Hip 103 dem 182 46 KB Hip 104 dem 182 46 KB Hip 105 dem 192 46 KB Hip 11 dcm 192 46 KB Hip 12 dcm 192 46 KB Hip 13 dcm 192 46 K
13. ormance of a surgery Be aware that these patient specific guides and models have been manufactured based on CT MRI scans of the patient If the patients anatomy has changed Significantly since the time of the CT MRI scan the guides or models should not be used The guides and models should be properly cleaned before sterilization Do not use if the guides are broken cracked or are visibly contaminated or if the stainless steel tubes if present are not tightly secured 30 SurgiCase Connect s The guides and models provided are non sterile The guides and models must be sterilized prior to use Precautions It is advised to use the guide or model within 6 months after performing the CT MRI scans on which they are based If the patient s anatomy has changed significantly since the time of the CT MRI scan the guide or model should not be used even if the 6 months have not expired Do not apply excessive force on the guides or place heavy objects on top of them Markings on guides used for indicating anatomical references and case information must be legible These include lines indicating anatomical directions and identifiers with case information such as a case identifier see below Notify your Materialise representative if the markings are not legible or if the identifiers do not correspond to the intended patient or surgeon Possible Adverse Effects Infection following the surgical procedure Introduction of fore
14. rrent tool SurgiCase Connect Once Materialise has finished the surgical plan click the Approve button in the flow bar to approve the surgical plan and move on to the design of the surgical guides 7 V Planning done e Approve the surgical plan Approve Planning In the case that you disagree with the proposed surgical plan click the Reject button and provide a reason for the rejection in the message box Your Materialise representative will contact you to discuss your issues with the surgical plan Guide Design and Production Using the approved surgical plan Materialise will start designing the surgical guide s which transfer the surgical plan to the operation room 3 Surgical guides in progress Production Once the surgical guides are ready they can be previewed in SurgiCase Connect Guide production can then be tracked in the flow bar 17 SurgiCase Connect Shipment Once the guides are produced we prepare them for shipment As soon as the guides are shipped the flow bar in SurgiCase Connect will show this A Shipment Package tracking information can be found in the messages panel SurgiCase Connect amp Viewing the 3D Model SurgiCase Connect provides intuitive controls for viewing the 3D model from different angles To the right of the 3D model three circular controls provide ways to rotate move and zoom the 3D model The longer you press the arrows the faster the
15. se representative who will share their screen to collaborate on the surgical plan 23 SurgiCase Connect 10 Preferences To change your SurgiCase Connect preferences click the Account button in the Welcome or Case Overview screen Immediately view cases after sign in Skip the Welcome screen after signing in and go directly to the Case Overview screen Hide patient information Hide private patient information Always show help annotations Show tips indicating important elements in the workflow of SurgiCase Connect Neeejtinie ieeiicities Preferences O immediately view cases after sign in D Hide patient information V Always show help annotations Cancel 24 SurgiCase Connect 11 Mouse and Keyboard Control In most SurgiCase Connect screens the mouse buttons behave the same as in other software applications e g browsers email However when viewing the 3D model of a specific case extra functionality is added to be able to move rotate and zoom the 3D model Likewise there are some keyboard shortcuts Mouse Button Action Left Mouse Button Behavior is dependent on the selected tool see page 19 Right Mouse Button Rotates the 3D model Middle Mouse Button Moves the 3D model Scroll Wheel Zooms in or out the 3D model Keyboard Key Action Esc Deselects the current tool Enter Sends the message Accepts the text annotation Ctrl Enter Creates a new text line 25 Sur
16. t are displayed at the top Your account information and the contact information for your Materialise representative are available in the Case Overview screen Welcome Dr Lenaerts Case Overview Patient Code FVAN TL 0566 O BADRI TL 0947 O TTEST TL 0506 O FLENA TL 0708 O CVAND TL 0283 O Plan to perfection SurgiCase Surgery Type Malunion Osteotomy Malunion Osteotomy Leg Osteotomy Other Reduction Malunion Osteotomy Surgery Date 20 10 2010 27 08 2010 30 08 2010 24 09 2010 23 09 2010 30 07 2010 Contact Us E Sign Out Status Upload your Images 3D Reconstruction in Progress Surgical Plan in Progress Surgical Plan in Progress Production in Progress Shipped C Add Case iad i J e Materialises La driving your innovations N our inne f SurgiCase Connect is an online tool internet access is required to see your cases SurgiCase Connect Search Use the search field at the top right to instantly search for a specific case in your list The list is automatically adjusted according to your search term To discard the search results simply remove the search term or click the x button W Contact Us F Account 4 Sign Out 2 cases match your search X Surgery Date status 24 09 2010 Surgical Plan in Progress 23 09 2010 Production in Progress M SurgiCase Connect 7 A Case from Start to Finish SurgiCase Connect takes you through the process i
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