Certegra Applications and Workstation AccessoriesOperation Manual

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Operation Manual i
Certegra® Applications and

Workstation Accessories
Operation Manual
Report any serious incident that has occurred in relation to this device to Bayer (radiology.bayer.com/contact) and
to your local European competent authority (or, where applicable, to the appropriate regulatory authority of the
country in which the incident has occurred).
A glossary of symbols can be found in Section 2 of this manual.
ii Certegra® Applications and Workstation Accessories
Operation Manual iii
1 Introduction ............................................................................................... 1
1.1 Certegra® Workstation............................................................................................................................................................. 1
1.1.1 Workstation Cybersecurity.......................................................................................................................................... 1
1.2 PACS, Speech Recognition (SR) Systems, and RIS .............................................................................................................. 1
2 Symbols ...................................................................................................... 3
2.1 Manufacturing Symbols.......................................................................................................................................................... 3
2.2 Shipper Symbols ........................................................................................................................................................................ 3
2.3 Regulatory Classifications ...................................................................................................................................................... 4
3 Informatics Panel....................................................................................... 5
3.1 Data Flow .................................................................................................................................................................................... 5
3.2 Managing Patient Information ............................................................................................................................................. 5
3.2.1 Add or Edit Patient Information for Next Injection.............................................................................................. 5
3.2.2 Clear All Patient Information for Next Injection................................................................................................... 7
3.2.3 Cancel Edits to Patient Information for Next Injection....................................................................................... 8
3.3 Managing Procedure Information ........................................................................................................................................ 8
3.3.1 Add or Edit Procedure Information for Next Injection......................................................................................... 8
3.3.2 Clear All Procedure Information for Next Injection............................................................................................11
3.3.3 Cancel Edits to Procedure Information for Next Injection ...............................................................................11
3.3.4 Load Defaults into Procedure Information for Next Injection.........................................................................11
3.4 Managing Fluid Information ...............................................................................................................................................11
3.4.1 Add or Edit Fluid Information for Next Injection (Fluid A or Fluid B) ............................................................11
3.4.2 Retrieve Previous Contrast Data (Fluid A Button)...............................................................................................14
3.4.3 Clear All Fluid Information for Next Injection (Fluid A or Fluid B) .................................................................15
3.4.4 Cancel Edits to Fluid Information for Next Injection.........................................................................................16
3.4.5 Load Defaults into Fluid Information for Next Injection ..................................................................................16
3.5 Managing Notes Information..............................................................................................................................................16
3.5.1 Add or Edit Notes Information for Next Injection...............................................................................................16
3.5.2 Clear All Notes Information for Next Injection ...................................................................................................17
3.6 Managing Events Information ............................................................................................................................................18
3.6.1 View Events Information...........................................................................................................................................18
3.6.2 Edit Notes from the Events Panel ...........................................................................................................................19
3.7 Screen Navigation and Layout ............................................................................................................................................20
3.7.1 Informatics Panel........................................................................................................................................................20
3.7.2 Patient Tab....................................................................................................................................................................21
3.7.3 Procedure Tab ..............................................................................................................................................................22
3.7.4 Fluid A and Fluid B Tabs............................................................................................................................................23
3.7.5 Notes Tab .....................................................................................................................................................................24
3.7.6 Events Tab ....................................................................................................................................................................25
iv Certegra® Applications and Workstation Accessories
4 Modality Worklist .................................................................................... 27

4.1 Select a Patient ........................................................................................................................................................................27
4.1.1 Setup the Patient and Study Information for a Contrast Injection................................................................27
4.1.2 Anonymous Patient Entry for a Contrast Injection ............................................................................................28
4.2 Update the Patient Worklist from the Modality Worklist Server................................................................................29
4.3 Find a Patient in the Patient Worklist ...............................................................................................................................30
4.3.1 Sort the Patient Worklist (Applicable to All of the Patient Worklist Column Headers) ............................30
4.3.2 Scroll through the Patient Worklist........................................................................................................................30
4.3.3 Create a Filter on the Worklist.................................................................................................................................30
4.3.4 Remove a Filter on the Worklist ..............................................................................................................................33
4.4 Screen Navigation and Layout ............................................................................................................................................34
4.4.1 Main Patient Worklist ................................................................................................................................................34
4.4.2 Detailed Worklist Entry Screen ................................................................................................................................36
4.4.3 Filter Creation Screen .................................................................................................................................................37
5 Informatics Panel and Modality Worklist Setup Options....................... 39

5.1 Setup Overview ........................................................................................................................................................................39
5.2 Configuring Informatics Panel Defaults ...........................................................................................................................41
5.2.1 Enable or Disable the Display of the Informatics Panel ...................................................................................41
5.2.2 Create a Default Setting for Categories with Specific Values ..........................................................................42
5.2.3 Create a Default Setting for Categories with User-Created Lists....................................................................42
5.3 Configuring User-Created Lists in Categories..................................................................................................................42
5.3.1 Rearrange Values in a User-Created List...............................................................................................................42
5.3.2 Add a Value to a User-Created List.........................................................................................................................43
5.3.3 Delete a Value in a User-Created List ....................................................................................................................43
5.3.4 Hide or Show a Value in a User-Created List .......................................................................................................43
6 Data Confirmation ................................................................................... 45

6.1 Enabling Data Confirmation................................................................................................................................................45
6.2 Data Confirmation Screen ....................................................................................................................................................45
6.3 Updating Exam Information Using Data Confirmation ...............................................................................................47
6.3.1 Update Patient Data...................................................................................................................................................47
6.3.2 Retrieve Contrast Data (Fluid A Button)................................................................................................................49
6.3.3 Update Patient Worklist Selection ..........................................................................................................................49
6.3.3.1 Update Patient Worklist Selection Using Anonymous Patient............................................................50
7 Certegra Manager .................................................................................... 53

7.1 Certegra Manager Login........................................................................................................................................................53
7.2 Compatibility Specifications ................................................................................................................................................54
7.3 Roles and Access .....................................................................................................................................................................54
7.4 Certegra Manager Navigation .............................................................................................................................................55
Operation Manual v
7.4.1 Help Page ......................................................................................................................................................................56
8 Mandatory Fields ..................................................................................... 59

8.1 Configuration and Setup.......................................................................................................................................................59
8.1.1 Login...............................................................................................................................................................................59
8.1.2 Enable Mandatory Fields ..........................................................................................................................................59
8.1.3 Configure Settings for Mandatory Fields ..............................................................................................................60
8.2 Use of Mandatory Fields ......................................................................................................................................................60
8.2.1 Mandatory Fields Pre-Injection (Informatics Panel) ..........................................................................................60
8.2.2 Mandatory Fields Post-Injection (Data Confirmation) ......................................................................................61
9 Multiple Accession Number ..................................................................... 65

9.1 Licensing....................................................................................................................................................................................65
9.2 Enable ........................................................................................................................................................................................65
9.3 Select Accession Numbers ....................................................................................................................................................65
9.3.1 Select Accession Numbers Using Patient Worklist .............................................................................................65
9.3.2 Select Accession Numbers Using Barcode Reader Accessory...........................................................................66
9.4 Edit or Remove Selected Accession Numbers ..................................................................................................................66
9.5 Apply Selected Accession Numbers To Next Injection for Same Patient ..................................................................66
10 Data Manager......................................................................................... 67
10.1 Licensing .................................................................................................................................................................................67
10.2 Security and Compliance Safeguards..............................................................................................................................67
10.3 Roles and Access...................................................................................................................................................................67
10.4 Log In .......................................................................................................................................................................................68
10.5 Edit Injector Details..............................................................................................................................................................68
10.6 Manage Injections................................................................................................................................................................69
10.6.1 Match...........................................................................................................................................................................69
10.6.1.1 Match Additional Studies............................................................................................................................71
10.6.2 Unmatch .....................................................................................................................................................................71
10.6.3 Edit Injection..............................................................................................................................................................73
10.6.4 Transfer .......................................................................................................................................................................74
10.6.5 Hide/Unhide ...............................................................................................................................................................76
10.7 Export.......................................................................................................................................................................................77
10.7.1 Export Injection Summary......................................................................................................................................78
10.7.2 Export Injection Details...........................................................................................................................................79
10.7.3 Export Syringe Usage...............................................................................................................................................82
10.8 Site Management .................................................................................................................................................................83
10.8.1 Backup .........................................................................................................................................................................83
10.8.2 Restore.........................................................................................................................................................................84
10.9 User Management................................................................................................................................................................86
vi Certegra® Applications and Workstation Accessories
10.9.1 Add User ......................................................................................................................................................................86

10.9.2 My Account.................................................................................................................................................................87
10.10 Anonymous Patient ...........................................................................................................................................................87
10.10.1 Enable and Configure Anonymous Patient .....................................................................................................87
10.11 Data Manager Troubleshooting.....................................................................................................................................88
11 Barcode Reader Accessory and Setup.................................................... 89

11.1 Introduction ...........................................................................................................................................................................89
11.1.1 Disclaimers .................................................................................................................................................................89
11.2 Assemble Barcode Reader Accessory ...............................................................................................................................89
11.2.1 Install USB Cable ......................................................................................................................................................89
11.2.2 Assemble Stand .........................................................................................................................................................90
11.2.2.1 Mount Stand (Optional) ..............................................................................................................................91
11.3 Scan Initialization Barcode for System Use ...................................................................................................................91
11.4 Verify Setup and Configuration for Use..........................................................................................................................91
12 Barcode Configuration........................................................................... 93
12.1 Login to Certegra Manager ................................................................................................................................................93
12.2 Enable Barcoding .................................................................................................................................................................93
12.3 Bayer 2D Contrast Barcode ................................................................................................................................................93
12.4 Configure Barcodes & Barcode Patterns for System Use ...........................................................................................94
12.4.1 Configure Contrast Barcode...................................................................................................................................94
12.4.1.1 Non-Bayer 2D Contrast Barcode ...............................................................................................................95
12.4.1.2 Add Contrast Barcode ..................................................................................................................................95
12.4.1.3 Edit Contrast Barcode ..................................................................................................................................96
12.4.1.4 Delete Contrast Barcode .............................................................................................................................97
12.4.1.5 Pre-Configured Contrast .............................................................................................................................97
12.4.2 Configure Barcode Pattern (Expiration Date, Lot/Batch, and Patient/Study)............................................97
12.4.2.1 Add Barcode Pattern ....................................................................................................................................98
12.4.2.2 Configure Barcode Pattern to Hide Characters (Prefix/Suffix)...........................................................99
12.4.2.3 Edit Barcode Pattern ................................................................................................................................. 100
12.4.2.4 Delete Barcode Pattern............................................................................................................................. 100
12.4.3 Configure Technologist Barcode........................................................................................................................ 100
12.4.3.1 Add Technologist Barcode ....................................................................................................................... 101
12.4.3.2 Edit Technologist Barcode ....................................................................................................................... 101
12.4.3.3 Delete Technologist Barcode .................................................................................................................. 101
12.4.3.4 Import Technologist Barcode.................................................................................................................. 102
12.4.3.5 Search for Technologist............................................................................................................................ 102
12.4.3.6 Edit Tech ID Displayed on the Certegra Workstation ....................................................................... 102
12.4.4 Export Barcode Configurations .......................................................................................................................... 102
12.4.5 Import Barcode Configurations ......................................................................................................................... 103
Operation Manual vii
12.5 Configuration Troubleshooting and Notes................................................................................................................. 103
13 General Barcode Information .............................................................. 105

13.1 How to Use the Barcode Reader Accessory ................................................................................................................. 105
13.1.1 Hand-Held Scan ..................................................................................................................................................... 105
13.1.2 Hands-Free Scan .................................................................................................................................................... 105
13.1.3 Beeps and LED Indications .................................................................................................................................. 106
13.2 Scan Barcodes for the Certegra Workstation.............................................................................................................. 107
13.2.1 Scan Barcodes Pre-Injection................................................................................................................................ 107
13.2.2 Scan Barcodes Post-Injection.............................................................................................................................. 108
13.3 Troubleshooting Barcode Reader Accessory............................................................................................................... 109
13.3.1 Reset Default Parameters (Optional)................................................................................................................ 110
13.3.2 Removing the USB Cable If Necessary ............................................................................................................. 110
13.4 Maintenance and Cleaning............................................................................................................................................. 111
13.4.1 General ..................................................................................................................................................................... 111
13.4.2 Daily .......................................................................................................................................................................... 111
13.4.3 Monthly.................................................................................................................................................................... 112
13.5 Required Training .............................................................................................................................................................. 112
13.6 Contraindications .............................................................................................................................................................. 112
13.7 Environmental Specifications......................................................................................................................................... 112
13.8 Options ................................................................................................................................................................................. 112
viii Certegra® Applications and Workstation Accessories
Operation Manual 1-1
1 Introduction
NOTE: The display screens that appear in this document and the data values within them are for
representational purposes only and may vary slightly from what appears on each display.
The Certegra® Applications and Workstation Accessories operation manual provides instructional information on
optional applications and accessories available for the Certegra® Workstation. Except where specifically identified,
the functionality of each application and accessory applies to all supported injector systems.
NOTE: Each application and accessory may be sold separately or optionally turned on. Not all
applications and accessories are available in all markets. Contact a local product representative
for Bayer for more information or check country-specific operating instructions.
NOTE: Screen images in this manual are for illustration purposes only. Actual screens may vary.
1.1 Certegra® Workstation

The Certegra Workstation provides a platform that enables the management of contrast-enhanced injection
information from devices from Bayer as well as the exchange of this information to other devices within the
imaging suite. The system is designed as a scalable platform that hosts multiple licensed applications.
NOTE: Operating specifications, options, accessories, and feature availability may vary by country. Check
with a local product representative for Bayer and country-specific operating instructions.
1.1.1 Workstation Cybersecurity

When Informatics is enabled, the Certegra Workstation hard drive can contain Protected Health Information (PHI).
The security and privacy of this information must be safeguarded by all individuals interacting with the device. Prior
to disposing of the workstation, this information must be removed from the hard drive inside the system. Contact
Bayer or a local authorized dealer for further information. Refer to the back cover of this manual for contact
information.
1.2 PACS, Speech Recognition (SR) Systems, and RIS

PACS, Speech Recognition (SR) Systems, RIS, and other licensable features send information from the injector to
hospital information systems and can update other hospital systems with documentation about the injection when
licensed and enabled. This information includes, but is not limited to: patient, study, injection amount, contrast
name, contrast concentration, and more. The data available for interface is flexible and determined in discussion
with the customer.
These features are enabled via a technical setup performed by Service or an authorized designate. These features do
not have any user interaction or interface on the injector.
Contact a service representative to receive applicable technical documentation (DICOM [84304905] and HL7
[84304891] Conformance Statements) for further information.
1-2 Certegra® Applications and Workstation Accessories
2 Symbols
2.1 Manufacturing Symbols
Authorized Representative in the European Community (ISO 15223-1, 5.1.2)
2.2 Shipper Symbols
Date of Manufacture (ISO 15223-1, 5.1.3)
Temperature range (ISO 15223-1, 5.3.7)
Humidity range (ISO 15223-1, 5.3.8)
Atmospheric pressure range (ISO 15223-1, 5.3.9)
Serial Number (ISO 15223-1, 5.1.7)
Catalog Number (ISO 15223-1, 5.1.6)
This side up (ISO 7000, 0623)
Keep dry (ISO 15223-1, 5.3.4)
Fragile, handle with care (ISO 15223-1, 5.3.1)
Consult instructions for use (ISO 15223-1, 5.4.3)

2.3 Regulatory Classifications
Indicates that this device conforms to the requirements of the European Medical
Device Directive 93/42/EEC.
Tested to comply with FCC standards.
10 Indicates that this product contains certain toxic or hazardous substances or

elements and can be used safely during its environmental protection use period,
indicated by the number in the center of the logo. This product should be recycled
immediately after its environmental protection use period has expired.
20
Taiwan BSMI (Bureau of Standards, Metrology, and Inspection) Registration of

Product Certification (RPC)
R38706
Australian Communications and Media Authority (ACMA) Regulatory Compliance

Marketing (RCM)
KC (Korea Certification) Mark
Indicates separate collection for Electrical and Electronic Equipment per Directive
2002/96/EC. Refer to the following website for additional information:
www.weee.bayer.com
3 Informatics Panel
The Informatics Panel is the left-hand section of the Certegra Workstation user interface and enables the
interaction with the licensed applications and management of informatics. The Informatics Panel manages
information important to injection procedure. Key groups of information managed through the Informatics Panel
include patient information, procedure information, fluid information, procedure notes, and events information.
3.1 Data Flow

The following steps describe the data flow of a typical injection procedure when the Informatics Panel is used in
conjunction with the Certegra Workstation:
1. Prepare the imaging procedure on the modality and prepare the injector.
2. Enter information in the Patient and Procedure tabs.
3. Enter information in the Fluid A and Fluid B tabs.
4. Enter information in the Notes tab.
5. Initiate the injection and the scan.
6. Certegra Workstation captures injector system data as the injection occurs.
7. When the injection completes, the injection information is automatically matched to the patient,
procedure, fluid, and notes information and stored in the Certegra database.
3.2 Managing Patient Information
3.2.1 Add or Edit Patient Information for Next Injection

Prior to the injection, add the patient information to the injection record by using the Patient tab of the Informatics
Panel.
1. Select the Patient area of the Informatics Panel (Figure 3 - 1: Informatics Panel - Patient Information).
Figure 3 - 1: Informatics Panel - Patient Information

2. The Patient tab displays. Enter information into all relevant fields:
a. Patient’s ID, Last Name, First Name
i. Select ID, Last Name, or First Name field (Figure 3 - 2: Patient Tab - Patient ID, Last Name, First
Name Entry).
Figure 3 - 2: Patient Tab - Patient ID, Last Name, First Name Entry
ii. Enter data with the alphanumeric keyboard.
iii. Press Enter to accept changes made to a patient’s ID, last name, or first name, or press Cancel to
ignore changes made.
b. Patient’s Date of Birth
i. Select the DOB field (Figure 3 - 3: Patient Tab - Date Selection).
Figure 3 - 3: Patient Tab - Date Selection

ii. Above the numeric keyboard, select the Month, Day, or Year fields.
iii. Enter the month, day, or year data with the numeric keyboard.
iv. Press Enter to accept changes made to a patient’s date of birth, or press Cancel to ignore changes
made.
c. Patient’s Weight and Height
i. Select the Weight or Height field (Figure 3 - 4: Patient Tab - Weight Selection).
Figure 3 - 4: Patient Tab - Weight Selection

ii. Enter the appropriate data with the numeric keypad.
iii. Press Enter to accept changes made to a patient’s weight or height, or press Cancel to ignore
changes made.
d. Patient’s Gender
i. Select the Gender field (Figure 3 - 5: Patient Tab - Gender Selection).
Figure 3 - 5: Patient Tab - Gender Selection

ii. Select the value from the Gender list. When the value is selected, the Gender field is updated, and
the list disappears.
iii. To clear the current gender, press Clear. To ignore changes made to a patient’s gender, press Can-
cel.
3. Press OK to accept all changes made to patient information, or press Cancel to ignore all changes made to
patient information.
3.2.2 Clear All Patient Information for Next Injection

Prior to the injection, clear patient information from the injection record by using the Patient Tab of the Informatics
Panel.
1. Select the Patient Information area from the Informatics Panel.

2. Press Clear All.
3. A message displays. Press Yes to confirm, or press No to return to the Patient tab.
4. Press OK to save changes made.
3.2.3 Cancel Edits to Patient Information for Next Injection

On the Patient Information tab, cancel any edits to the patient information for the next injection by selecting
Cancel. The changes being made are canceled, and the system returns to the Home screen.
3.3 Managing Procedure Information
3.3.1 Add or Edit Procedure Information for Next Injection

Prior to the injection, add procedure information to the injection record by using the Procedure tab of the
Informatics Panel.
1. Select the Procedure area from the Informatics Panel (Figure 3 - 6: Informatics Panel - Procedure).
Figure 3 - 6: Informatics Panel - Procedure

2. The Procedure tab displays. Enter information into all relevant fields:
a. Technologist ID
i. Select Technologist ID field (Figure 3 - 7: Procedure Tab - Technologist ID Entry).
Figure 3 - 7: Procedure Tab - Technologist ID Entry

ii. Enter technologist ID with the alphanumeric keyboard.
iii. Press Enter to save changes made, or press Cancel to ignore changes made.
b. Injection Site
i. Select Injection Site field (Figure 3 - 8: Procedure Tab - Injection Site Selection).
Figure 3 - 8: Procedure Tab - Injection Site Selection

ii. Select the value from the Injection Site list. When the value is selected, the Injection Site field
updates, and the list disappears.
NOTE: If the correct injection site does not show, but arrows appear, press the Up or Down arrow to show
additional entries. If the Injection Site is not in the entire list, refer to 5.3.4 - Hide or Show a Value
in a User-Created List to show additional entries in the Injection Site list.
iii. Press Clear to clear the existing value, or press Cancel to ignore changes made.
c. Accession Number and Study Description
i. Select Accession Number or Study Description field (Figure 3 - 9: Procedure Tab - Accession Num-
ber/Study Description Entry).
3 - 10 Certegra® Applications and Workstation Accessories
Figure 3 - 9: Procedure Tab - Accession Number/Study Description Entry

iii. Press Enter to save changes made to the accession number or the study description, or press Can-
cel to ignore changes made.
d. Catheter Gauge
i. Select Catheter Gauge field (Figure 3 - 10: Procedure Tab - Catheter Gauge Selection).
Figure 3 - 10: Procedure Tab - Catheter Gauge Selection

ii. Select the value from the Catheter Gauge list. When the value is selected, the Catheter Gauge field
NOTE: If the correct catheter gauge does not appear on the Catheter Gauge list, but arrows appear, press
the Up or Down arrow to show additional entries. If the Catheter Gauge is not in the entire list,
refer to 5.3.4 - Hide or Show a Value in a User-Created List to show additional entries in the
Catheter Gauge list.
3. Press OK to save all changes made to procedure information, or press Cancel to ignore all changes made.
Operation Manual 3 - 11
3.3.2 Clear All Procedure Information for Next Injection

Prior to the injection, clear procedure information from the injection record by using the Procedure tab of the
Informatics Panel.
1. Select the Procedure area from the Informatics Panel.
2. Press Clear All.
3. A message displays. Press Yes to confirm, or press No to return to the Procedure tab.
3.3.3 Cancel Edits to Procedure Information for Next Injection

On the Procedure tab, cancel any edits to the procedure information for the next injection by selecting Cancel. The
changes being made are canceled, and the system returns to the Home screen.
3.3.4 Load Defaults into Procedure Information for Next Injection
NOTE: To configure default procedure information, refer to 5.2 - Configuring Informatics Panel Defaults.
Prior to the injection, load default procedure information into an injection record by using the Procedure tab of the
Informatics Panel.
1. Select the Procedure area from the Informatics Panel.
2. The Procedure tab displays. Press Load Defaults (Figure 3 - 11: Procedure Tab - Load Defaults).
Figure 3 - 11: Procedure Tab - Load Defaults

3.4 Managing Fluid Information
3.4.1 Add or Edit Fluid Information for Next Injection (Fluid A or Fluid B)
Prior to the injection, add patient information to an injection record by using the Fluids area of the Informatics
Panel.
1. Select the Fluid area from the Informatics Panel (Figure 3 - 12: Informatics Panel - Fluids).
Figure 3 - 12: Informatics Panel - Fluids

2. The Fluid A tab displays (Figure 3 - 13: Fluid A Tab).
NOTE: Select Fluid B to open the Fluid B tab.
Figure 3 - 13: Fluid A Tab

3. Enter information into all relevant fields:
a. Source Type: Fluid A
i. Select the Source Type field (Figure 3 - 14: Fluid Source A Selection).
Figure 3 - 14: Fluid Source A Selection

ii. Select the value from the Fluid Source list. When the value is selected, the Fluid Source field
NOTE: If the correct fluid source does not show under the Fluid Source list, but arrows appear, press the
Up or Down arrows to show additional entries.
b. Source Type: Fluid B
i. Select the Source Type field (Figure 3 - 15: Fluid Source B Selection).
Figure 3 - 15: Fluid Source B Selection

ii. Select Saline or Other for fluid source entry. When the value is selected, the Source Type updates,
and the list disappears.
c. Batch
i. Select the Batch field (Figure 3 - 16: Batch Selection).
Figure 3 - 16: Batch Selection

iii. Press Enter to accept changes made to batch information, or press Cancel to ignore changes
made.
d. Expiration Date
i. Select the Expiration Date field (Figure 3 - 17: Date Selection).
Figure 3 - 17: Date Selection

ii. Above the numeric keypad, select the Month, Day, or Year fields.
iii. Enter the month, day, or year with the numeric keypad.
iv. Select Enter to accept changes made to the expiration date, or Cancel to ignore changes made.
4. Press OK to accept changes made to fluid information, or press Cancel to ignore changes made.
3.4.2 Retrieve Previous Contrast Data (Fluid A Button)

Use the Fluid A button to retrieve previous contrast data for the next injection. The Fluid A button stores the last
scanned or manually entered contrast data.
1. On the Certegra Workstation main screen, select Fluid A (Figure 3 - 18: Fluid A Button).
Figure 3 - 18: Fluid A Button

2. The Fluid A window displays with the last scanned or manually entered contrast data (Figure 3 - 19: Fluid
A Window on Home Screen).
Figure 3 - 19: Fluid A Window on Home Screen

3. Select OK to confirm selection of the contrast information displayed, or select Cancel to cancel the
operation and return to the Certegra Workstation home screen.
3.4.3 Clear All Fluid Information for Next Injection (Fluid A or Fluid B)
Prior to the injection, clear fluid information from an injection record by using the Fluid tab of the Informatics
Panel.
1. Select the Fluids area from the Informatics Panel.
2. The Fluid A tab displays.
3. Press Clear All.

4. A message displays. Press Yes to confirm, or press No to return to the Fluids tab.
3.4.4 Cancel Edits to Fluid Information for Next Injection

On the Fluid A or Fluid B tab, cancel any edits to the fluid information for the next injection by pressing Cancel. Any
changes made are canceled, and the system returns to the Home screen.
3.4.5 Load Defaults into Fluid Information for Next Injection
NOTE: To configure fluid information, refer to 5.2 - Configuring Informatics Panel Defaults.
Prior to the injection, load default fluid information into an injection record by using the Fluids tab of the
Informatics Panel.
1. Select the Fluids area from the Informatics Panel.
2. The Fluid A tab displays.
3. Press Load Defaults (Figure 3 - 20: Fluid A Tab - Load Defaults).
Figure 3 - 20: Fluid A Tab - Load Defaults

3.5 Managing Notes Information
3.5.1 Add or Edit Notes Information for Next Injection

Prior to the injection, add notes information to the injection record by using the Notes tab of the Informatics Panel.
1. Select the Patient, Procedure, Fluids, or Events area from the Informatics Panel (Figure 3 - 21: Informatics
Panel - Patient, Procedure, Fluids, and Events).
Figure 3 - 21: Informatics Panel - Patient, Procedure, Fluids, and Events

2. The Patient Information window displays. Select the Notes tab (Figure 3 - 22: Notes Tab).
NOTE: If the Events area from the Informatics Panel was selected, press Edit Notes. A keyboard
automatically displays. Proceed to step 4.
Figure 3 - 22: Notes Tab

3. Press Edit Notes.
4. Enter notes information using the displayed keyboard.
5. Press OK to save changes made to notes, or press Cancel to ignore change made.
6. The Procedure and Events Notes box displays the changes made.
7. To save all changes made, press OK. To cancel all changes made, press Cancel.
3.5.2 Clear All Notes Information for Next Injection

Prior to the injection, clear notes information from an injection record by using the Notes tab of the Informatics
Panel.
1. Select the Patient, Procedure, Fluids, or Events Information area from the Informatics Panel.
NOTE: Notes can be edited from the Events tab but cannot be cleared. If the Events area from the
Informatics Panel was selected, press Cancel to return to the Certegra Workstation home screen.
2. Select the Notes tab.

3. Press Clear All.
4. A message displays. Press Yes to confirm, or press No to return to the Notes Tab.
3.6 Managing Events Information

Occurrences of system-generated events (if any occurred) display under the Events area of the Informatics Panel.
NOTE: Messages of system-generated events that display under the Events area are not captured as part
of the injection record. This information will not be transfered to PACS or RIS.
3.6.1 View Events Information

1. Select the Events area from the Informatics Panel (Figure 3 - 23: Events Tab).
Figure 3 - 23: Events Tab

2. The Events tab displays (Figure 3 - 24: Events Tab Details).
NOTE: A green checkmark represents a successful barcode scan. A successful barcode scan displays with
the name of the field populated and a time stamp of the scan.
NOTE: A red X represents an error message, which can include an unsuccessful barcode scan, a barcode
pattern not configured for use with the system, or any attempt to scan a barcode when scanning
is prohibited by the system.
Figure 3 - 24: Events Tab Details
3.6.2 Edit Notes from the Events Panel
NOTE: Notes can be edited from the Events tab but cannot be cleared. To clear notes, refer to 3.5.2 - Clear
All Notes Information for Next Injection.
1. Select the Events area from the Informatics Panel.

2. The Events tab displays. Select Edit Notes (Figure 3 - 25: Events Tab - Edit Notes).
Figure 3 - 25: Events Tab - Edit Notes

3. Enter notes information using the displayed keyboard.
4. Press OK to save changes made to notes, or press Cancel to ignore change made.
5. The Procedure and Events Notes box displays the changes made.
6. To save all changes made, press OK. To cancel all changes made, press Cancel.
3.7 Screen Navigation and Layout
3.7.1 Informatics Panel
Figure 3 - 26: Informatics Panel

Table 3 - 1: Informatics Panel Screen Navigation and Layout
# Name Description
Q Shows key patient information: Patient Name, ID, Date of Birth,

Weight.
1 Patient Information
Q Enables access to Patient Tab, which contains more detailed patient
information. Refer to 3.7.2 - Patient Tab.
Q Shows key procedure information: Accession Number.

2 Procedure Information Q Enables access to Procedure Tab, which contains more detailed pro-
cedure information. Refer to 3.7.3 Procedure Tab.
Q Shows key fluid identification information for each syringe: fluid

brand and concentration (contrast) and fluid type (saline).
3 Fluids Information Q Enables access to the two fluid tabs, Fluid A and Fluid B, which con-
tain more detailed fluids information. Refer to 3.7.4 Fluid A and
Fluid B Tabs.
Q Displays occurrences of system-generated events if any occurred.

4 Events Information Refer to 3.6 - Managing Events Information.
Q Enables access to the Patient Worklist and Modality Worklist func-

5 Patient Worklist button tionality. Refer to 4 - Modality Worklist.
3.7.2 Patient Tab
2
7
8
3
9
4 5 6
Figure 3 - 27: Patient Tab

Table 3 - 2: Patient Tab Screen Navigation and Layout
# Name Description
1 ID Patient's ID or Medical Record Number (MRN)
2 Last Name, First Name Patient's name: last name and first name
3 DOB Patients date of birth
4 Weight Patient's weight
5 Height Patient's height
6 Gender Patient's gender
Clears all values in all tabbed fields: Patient, Procedure, Fluid A, Fluid B,
7 Clear All button
and Notes.
Accepts all values in all tabbed fields: Patient, Procedure, Fluid A, Fluid
8 OK button
B, and Notes.
Cancels any edits to the information and exits the Patient Information
9 Cancel button
window.
3.7.3 Procedure Tab
3
8
10
4 5 6 7
Figure 3 - 28: Procedure Tab

Table 3 - 3: Procedure Tab Screen Navigation and Layout
# Name Description
1 Injection Site Position on the patient where the IV catheter is placed
2 Technologist ID ID of the technologist performing the procedure
3 Accession Number Accession number for the procedure
4 Study ID ID number associated with the procedure
5 Catheter Gauge Gauge of the catheter used for the procedure
6 Study Description Study description for the procedure
7 Load Defaults button Loads default values into all Procedure Data fields.
8 Clear All button
and Notes.
9 OK button
B, and Notes.
10 Cancel button Cancels any edits and exits the Patient Information window.
3.7.4 Fluid A and Fluid B Tabs
NOTE: Figure 3 - 29: Fluid Tab shows the Fluid A tab. The Fluid B tab is identical to the Fluid A tab.
1
4
2
5
3
6
Figure 3 - 29: Fluid Tab

Table 3 - 4: Fluid A and Fluid B Tab Screen Navigation and Layout
# Name Description
1 Source Type Fluid identification: contrast or saline
2 Batch Batch code of the fluid container
3 Expiration Date Expiration date of the fluid container
4 Load Defaults button Loads default values into all Fluid A data fields.
5 Clear All button
and Notes.
6 OK button
B, and Notes.
7 Cancel button
window.
3.7.5 Notes Tab
5
2
Figure 3 - 30: Notes Tab

Table 3 - 5: Notes Tab Screen Navigation and Layout
# Name Description
1 Procedure and Event Notes View of notes currently entered
2 Edit Notes button Enables edits to the Procedure and Events Notes paragraph.
3 Clear All button
and Notes.
4 OK button
B, and Notes.
5 Cancel button
window.
3.7.6 Events Tab
1
3
Figure 3 - 31: Events Tab

Table 3 - 6: Events Tab Screen Navigation and Layout
# Name Description
Displays a list of both successful and unsuccessful events with time

1 Events Details
stamps. Refer to 3.6.1 - View Events Information.
2 Procedure and Event Notes View of notes currently entered
3 OK button Accepts any edits made in the Procedure and Events Notes paragraph.
4 Cancel button Cancels any edits to the information and exits the Events tab.
5 Edit Notes button Enables edits to the Procedure and Events Notes paragraph.
4 Modality Worklist
The Modality Worklist is an application that enables the use of the department's Modality Worklist server to identify
and select the patient and study for the next contrast injection procedure, and to automatically populate the
patient and procedure information sections in the Informatics Panel. When the application accesses the
department's Modality Worklist server, a set of patient and study records are pulled into the Certegra Workstation's
system to create an internal Patient Worklist.
NOTE: Due to different integrations with the Informatics Panel, the Modality Worklist may not be
applicable to all systems.
4.1 Select a Patient
4.1.1 Setup the Patient and Study Information for a Contrast Injection
To set up the patient and study information for a contrast injection using the Modality Worklist feature on the
Certegra Workstation:
1. Select Patient Worklist from the Certegra Workstation home screen (Figure 4 - 1: Patient Worklist).
Figure 4 - 1: Patient Worklist

2. An active call is made to the facility’s Modality Worklist server. The resulting entries display on the Patient
Worklist screen (Figure 4 - 2: Patient Worklist Main Screen).
Figure 4 - 2: Patient Worklist Main Screen

3. Identify the appropriate patient and study for the next contrast-enhanced study.
4. Select the patient by pressing any of the elements associated with the patient entry row in the Patient
Worklist. This confirms the patient and study selection for the next injection procedure, returns the system
to the Certegra Workstation home screen, and populates the Patient and Procedure tabs with the
appropriate information.
4.1.2 Anonymous Patient Entry for a Contrast Injection

Use the Anonymous Patient button to enter a pre-determined patient name as a placeholder when patient
information is not available. Pressing the Anonymous Patient button populates the first and last name fields with
pre-determined values (for example, “John Doe”) and clears other specific fields.
NOTE: To configure Anonymous Patient values, refer to 10.10.1 - Enable and Configure Anonymous
Patient.
To enter an anonymous patient for an injection:
NOTE: Anonymous patient can also be selected after the injection using Data Confirmation. Refer to
6.3.3.1 Update Patient Worklist Selection Using Anonymous Patient for more information.
1. Select Patient Worklist from the Certegra Workstation home screen.

Worklist screen.
3. Select the Anonymous Patient button (Figure 4 - 3: Anonymous Patient).
Figure 4 - 3: Anonymous Patient

4. The system returns to the Certegra Workstation home screen. The Patient field is populated with a pre-
determined first and last name, and other specific fields are cleared.
4.2 Update the Patient Worklist from the Modality Worklist Server
Open the Patient Worklist by selecting Patient Worklist from the Certegra Workstation home screen. An active call
is made to the department's Modality Worklist server, and the resulting entries display on the Patient Worklist
screen.
To update the Patient Worklist at any time while on the Patient Worklist main screen, press Update (Figure 4 - 4:
Update Patient Worklist).
Figure 4 - 4: Update Patient Worklist

4.3 Find a Patient in the Patient Worklist

To open the Patient Worklist, select Patient Worklist from the Certegra Workstation home screen. An active call is
made to the department's Modality Worklist server, and the resulting entries display on the Patient Worklist screen.
4.3.1 Sort the Patient Worklist (Applicable to All of the Patient Worklist Column Headers)
NOTE: Each Patient Worklist column headers can be sorted.
1. Press the applicable header.

2. A caret appears next to the header name.
3. Press the header again to sort in descending order.
4. Press the header twice to sort in ascending order.
4.3.2 Scroll through the Patient Worklist

Use the scroll bar on the right side of the Patient Worklist to scroll through the Worklist.
Q Selecting the up or down arrow symbols moves the Worklist one entry at a time.
Q Selecting and dragging the scroll bar slider up or down moves the list up or down until the slider is no
longer touched.
Q Pressing and releasing the scroll bar above or below the scroll bar slider moves one page's work of entries
up or down.
Q Pressing and holding the scroll bar above or below the scroll bar slider moves one page’s worth of entries
up or down until the slider reaches the touched point.
4.3.3 Create a Filter on the Worklist

To create a filter on the Patient Worklist:
1. On the Patient Worklist main screen, press Filter (Figure 4 - 5: Patient Worklist Filter).
Figure 4 - 5: Patient Worklist Filter

2. Select the appropriate filter criteria (Figure 4 - 6: Select Filter).
Figure 4 - 6: Select Filter
NOTE: For filter criteria Station Name, ID, Accession Number, Referring Physician, and Study Description,
the system uses the concepts of implicit wildcarding and “starts with” to create a filter that
returns all entries that start with the typed characters.
a. Patient Name
i. Enter filter data with the alphanumeric keyboard.
ii. Press Enter to accept changes made, or press Cancel to ignore changes made.
b. ID
c. Accession Number
d. Date
i. Enter filter data.
ii. Select the Month, Day, or Year fields to change the value for that field (Figure 4 - 7: Patient Work-
list - Select Date).
Figure 4 - 7: Patient Worklist - Select Date

iii. Use the arrows to increase or decrease the value, or press Today to use the current date.
iv. Press OK to accept changes made, or press Cancel to ignore changes made.
e. Station Name
i. Select an entry from the station name list (Figure 4 - 8: Patient Worklist - Select Station Name).
Figure 4 - 8: Patient Worklist - Select Station Name

ii. When the value is selected, the Station Name updates, and the list disappears.
NOTE: If the correct injection site does not show, but arrows do, press the Up or Down arrows to show
additional entries. If the Station Name is not in the entire list, refer to 5.3.2 - Add a Value to a
User-Created List to add entries to the Station Name list.
f. Referring Physician
g. Study Description
3. Filter data is automatically created after selecting the appropriate filter criteria and pressing Enter. The
system applies the selected filter criteria and filter data to the Patient Worklist and displays only those
Patient Worklist records that match the filter.
4.3.4 Remove a Filter on the Worklist

1. Select Filter on the Patient Worklist main screen.
2. Select Clear Filter to remove the filter (Figure 4 - 9: Clear Filter).
Figure 4 - 9: Clear Filter

3. The filter is cleared, and the system returns to the main Patient Worklist screen without a filter applied.
The filter area displays “Filter: None.”
4.4 Screen Navigation and Layout
4.4.1 Main Patient Worklist
11 6 1 8 9
12 13
2 7
3 4
10
Figure 4 - 10: Patient Worklist Main Screen

Table 4 - 1: Areas of Information for Patient Worklist Main Screen
# Name Description
Shows the date range of the studies displayed that have been pulled from
1 Date Range
the Modality Worklist server.
Shows the types of key information that is retrieved from the Modality
Worklist server.
Q Patient Name: Patient's name (last name, first name)
Q DOB: Patient's date of birth
2 Column Headers
Q ID: Patient's ID
Q Time-Date: Time and date of the scheduled study
Q Accession: Accession number assigned to the scheduled study
Q Study Description: Description of the scheduled study
Shows patient information, including the patient’s name, date of birth, and
3 Patient Information
ID.
Shows study information, including schedule date and start time, accession
4 Study Information
number, and study description.
Detailed Worklist Entry Enables access to detailed information about the selected patient and
5
Information Button study as shown in Figure 4 - 11: Detailed Worklist Entry Screen.
# Name Description
Sorting is enabled and highlighted by a caret in the corner of the column:

Q Selecting the “Patient Name” column header toggles between alphabetic sorts
of Patient Names from A to Z and Z to A.
Q Selecting the “DOB” column header toggles between chronological sorts of the
patient's date of birth from earliest to latest and latest to earliest.
Q Selecting the “ID” column header toggles between numeric sorts of the sched-
6 Column Sort ule patient's ID from smallest to largest and largest to smallest.
Q Selecting the “Time-Date” column header toggles between chronological sorts
of the schedule time and date from earliest to latest and latest to earliest.
Q Selecting the “Accession” column header toggles between numeric sorts of the
study's accession number from smallest to largest and largest to smallest.
Q Selecting the “Study Description” column header toggles between alphabetic
sorts of study descriptions from A to Z and Z to A.
Enables movement up and down through the Patient Worklist. Selecting

areas of the scroll bar traverses the Patient Worklist up or down in the
following ways:
Q Selecting the up or down arrow symbols moves the Worklist by one entry at a
time.
7 Scroll Bar Q Selecting and dragging the scroll bar slider up or down moves the Worklist up
or down until the slider is no longer touched.
Q Pressing and releasing the scroll bar above or below the scroll bar slider moves
one page’s worth of entries up or down.
Q Pressing and holding the scroll bar above or below the scroll bar slider moves
one page’s worth of entries up or down until the slider reaches the touched
point.
Enables filtering of Patient Worklist to display only those records that meet
the requirements of the applied filter criteria:
Q Blank - No filter is applied.
Q Patient Name
Q Patient ID
8 Filter Area
Q Start Date
Q Study Description
Q Referring Physician
Q Station Name
Q Accession Number
Displays the data being used for the currently applied filter. The field is
9 Display Filter Data
blank if no filter is applied.
Enables the selection of a patient and study from the Worklist by pressing
10 Selecting a Patient any of the elements associated with a patient entry row in the Patient
Worklist.
Anonymous Patient Populates patient’s first name and last name with pre-configured values
11
button when patient information is not available.
Updates the information in the Patient Worklist by issuing a new query to

12 Update button
the department's Modality Worklist server.
# Name Description
Exits the Patient Worklist screen without selecting a patient and returns the
13 Exit button
system to the Certegra Workstation home screen.
4.4.2 Detailed Worklist Entry Screen

The Detailed Worklist Entry screen displays the complete set of information retrieved from the department's
Modality Worklist server that may not have been displayed in the main Patient Worklist screen.
Figure 4 - 11: Detailed Worklist Entry Screen

Table 4 - 2: Areas of Information for Detailed Worklist Entry Screen
# Name Description
Shows the complete set of patient information retrieved, including:

Q Last Name, First Name
Q ID
1 Patient Information Q DOB
Q Weight
Q Height
Q Gender
Shows the complete set of study information retrieved, including:

Q Accession Number
Q Study Description
Q Time-Date: Scheduled time and date for the study
2 Study Information
Q Referring Physician
Q Study ID
Q Station Name: Scheduled station for the study
Q Modality: Modality (CT or MR) for which the study was studied
Table 4 - 2: Areas of Information for Detailed Worklist Entry Screen
# Name Description
Yes and No buttons confirm or cancel the selection of the patient and study
for the next injection procedure:
Patient Selection Q Pressing Yes confirms the patient and study selection for the next injection
3 procedure, returns the system to the Certegra Workstation home screen, and
Buttons
populates the Patient and Procedure tabs with the appropriate information.
Q Pressing No cancels the patient and study selection for the next injection pro-
cedure and returns the system to the main Patient Worklist screen.
4.4.3 Filter Creation Screen

Create a filter to display only the Patient Worklist entries that meet certain criteria. To create a filter, select the Filter
Area section of the main page of the Patient Worklist (shown as callout number eight in Figure 4 - 10: Patient
Worklist Main Screen).
1 4
2 5
3 6
8
9
Figure 4 - 12: Select Filter

Table 4 - 3: Filter Creation Screen Areas with Navigation Elements
# Name Description
Filters the Worklist and displays only the patient names that meet the filter
1 Patient Name
data criteria.
Filters the Worklist and displays only those patients with patient IDs that
2 ID
meet the filter data criteria.
Filters the Worklist and displays only those patients with studies that have
3 Accession Number
accession numbers that meet the filter data criteria.
Filters the Worklist and displays only those patients with studies that start
4 Date
on dates that meet the filter data criteria.
Filters the Worklist and displays only those patients with studies scheduled
5 Station Name
for the station names that meet the filter data criteria.
6 Referring Physician
the referring physician names that meet the filter data criteria.
Table 4 - 3: Filter Creation Screen Areas with Navigation Elements
# Name Description
7 Study Description
study descriptions that meet the filter data criteria.
8 Clear Filter button Clears any currently applied filter.
Cancels the filter creation and returns the system to the Patient Worklist
9 Cancel button
main screen.
5 Informatics Panel and Modality Worklist Setup Options

The Modality Worklist feature has two configuration components: System Configuration, which is meant to be done
once for a particular facility during system installation and altered infrequently, and Implementation Configuration,
which is done during installation but can also be modified during operation.
5.1 Setup Overview

To setup configurable informatics options from the Informatics Setup:
1. From the launch menu, select Informatics Setup (Figure 5 - 1: Setup Categories).
Figure 5 - 1: Setup Categories

2. Select a Setup category (Figure 5 - 2: Informatics Setup (Page 1) and Figure 5 - 3: Informatics Setup (Page
2)).
NOTE: Select the “>” and “<” buttons to advance to the next page or return to the previous page.
Figure 5 - 2: Informatics Setup (Page 1)

Figure 5 - 3: Informatics Setup (Page 2)

3. Set and select values as needed. Refer to Table 5 - 1: Informatics Setup Configuration Categories for further
information.
NOTE: Table 5 - 1: Informatics Setup Configuration Categories is a combination of items that control
system defaults and items that manage lists used during the operation of the Informatics Panel.
Table 5 - 1: Informatics Setup Configuration Categories
Configuration
Description Selectable Value
Category
Enables and disables the Informatics

Informatics Panel Panel on the Certegra Workstation user On, Off
interface.
Patient Worklist Default Sets the default sorting method for the
Patient Name, Time, and Date
Sort Patient Worklist.
Sets the default filter type for the Patient Patient Name, Patient ID, Accession
Patient Worklist Default
Worklist. If set, this filter will be applied Number, Date, Station Name, Referring
Filter Type
each time the Patient Worklist is entered. Physician, Study Description, None
Sets the default filter value for the

Patient Worklist Default Patient Worklist. If set, this filter will be
Various
Filter Value applied each time the Patient Worklist is
entered.
Manages the list of available injection

Injection Site Injection Site List
sites for display on this system.
Manages the list of available catheter

Catheter Gauge Catheter Gauge list
gauges for display on this system.
Manages the list of available

Technologist ID technologist IDs for display on this Alphanumeric input needed
system.
Manages the list of available station

Station Name N/A
names for display on this system.
Table 5 - 1: Informatics Setup Configuration Categories
Configuration
Description Selectable Value
Category
List of fluid sources defined for Fluid

Fluid Source A Sets the default value for Fluid A. Source A through the Certegra
Workstation Fluid Delivery Setup screens
Fluid Source B Sets the default value for Fluid B. Saline, Other
Sets the unit of measure for patient

Height Units cm, inch
height.
Enables and disables the Data

Data Confirmation On, Off
Confirmation Feature.
4. Press OK.
5. A message displays. Press Yes to confirm changes made, or press No to return to Informatics Setup.
5.2 Configuring Informatics Panel Defaults
5.2.1 Enable or Disable the Display of the Informatics Panel

1. From the Certegra Workstation launch menu, select Informatics Setup.
2. Press Informatics Panel (Figure 5 - 4: Informatics Panel Configuration Item).
Figure 5 - 4: Informatics Panel Configuration Item

3. Press On or Off to enable or disable the Informatics Panel, respectively.
5.2.2 Create a Default Setting for Categories with Specific Values

2. Select one of the categories to set a default value.
3. Select the desired default value.
5.2.3 Create a Default Setting for Categories with User-Created Lists

2. Select one of the categories to set a default value.
3. Use the Up or Down arrows to scroll through the values displayed.
4. Select and highlight a value to become the default setting.
5. Press Set as Default.
7. Press Yes to confirm changes made.
5.3 Configuring User-Created Lists in Categories
5.3.1 Rearrange Values in a User-Created List

2. Select a category. (As an example, “Catheter Gauge” is selected in Figure 5 - 5: User-Created List of Values.)
Figure 5 - 5: User-Created List of Values

3. Select a value in the list to move. (As an example, “ga 18” is selected in Figure 5 - 6: Move Value Up or
Down List.)
NOTE: If the correct value does not show, but arrows do, press the Up or Down arrows to show additional
entries.
Figure 5 - 6: Move Value Up or Down List

4. Press Move Up or Move Down to move the value within the list.
5. Press OK to make the change.
6. Press Yes to confirm the change made.
5.3.2 Add a Value to a User-Created List

2. Select one of the categories to add a value.
3. Press Add New.
4. Enter the data for the new value.
5. Press OK to make the change.
5.3.3 Delete a Value in a User-Created List

2. Select one of the categories to delete a value.
3. Select the applicable value to delete.
4. Press Delete.
5.3.4 Hide or Show a Value in a User-Created List

2. Select one of the categories to hide or show a value.
3. Select the applicable value.
4. Select Hide or Show.

6 Data Confirmation
Use the Data Confirmation feature to review, edit, and confirm Informatics exam data post-injection to ensure the
correct information is captured as part of the patient’s electronic record and (if configured) sent to external systems.
NOTE: MEDRAD® MRXperion Users Only: This feature must be enabled for the Test Inject and KVO
volumes to be recorded, in addition to the Informatics exam data and injection data.
6.1 Enabling Data Confirmation

To enable Data Confirmation, configure the Data Confirmation button to On from Informatics Setup. Refer to 5.1 -
Setup Overview for more information. By default, Data Confirmation is not enabled.
6.2 Data Confirmation Screen

If Data Confirmation is enabled, the Injection Completed Screen displays with the Review Data button when an
injection is completed (Figure 6 - 1: Injection Completed Screen - Review Data).
Figure 6 - 1: Injection Completed Screen - Review Data

Select the Review Data button to display the Data Confirmation screen (Figure 6 - 2: Data Confirmation Screen).
2
1
4
3
5 9
6 7 8
Figure 6 - 2: Data Confirmation Screen

Table 6 - 1: Data Confirmation Areas of Information
# Name Description
Q Shows patient data for the exam.

1 Patient Data Q Enables access to Patient Tab to edit data.
Q Refer to 3.7.2 - Patient Tab for more information.
Q Shows procedure data for the exam.

2 Procedure Data Q Enables access to Procedure Tab to edit data.
Q Refer to 3.7.3 - Procedure Tab for more information.
Q Shows Fluid A data for the exam.

3 Fluid A Data Q Enables access to the two fluid tabs, Fluid A and Fluid B, to edit data.
Q Refer to 3.7.4 - Fluid A and Fluid B Tabs for more information.
Q Shows Fluid B data for the exam.

4 Fluid B Data Q Enables access to the two fluid tabs, Fluid A and Fluid B, to edit data.
Q Refer to 3.7.4 - Fluid A and Fluid B Tabs for more information.
Q Shows Notes for the exam.

5 Notes Q Enables access to Notes Tab to edit data.
Q Refer to 3.7.5 - Notes Tab for more information.
Q Retrieves contrast data from the last scanned or manually entered contrast data.
6 Fluid A button
Q Refer to 6.3.2 - Retrieve Contrast Data (Fluid A Button) for more information.
Patient Worklist Q Enables access to change the patient and/or the study.
7
button Q Refer to 4.4.1 - Main Patient Worklist for more information.
Q Returns the system to the Injection Completed Screen (Figure 6 - 1: Injection Com-
8 Back button pleted Screen - Review Data). The Injection Completed Screen displays the Review Data
button.
Table 6 - 1: Data Confirmation Areas of Information
# Name Description
Q Records the current exam data, as well as injection data, to the patient’s electronic
record and (if configured) sends the applicable information to external systems.
9 Save button Q Exits the Data Confirmation screen and returns the system to the Injection Completed
screen (Figure 6 - 3: Injection Completed Screen - Next Injection). The Injection Com-
pleted screen displays the Same Patient and New Patient buttons.
After Save is selected on the Data Confirmation screen, the Injection Completed screen displays with the Same
Patient and New Patient buttons (Figure 6 - 3: Injection Completed Screen - Next Injection).
NOTE: Once Save has been selected on the Data Confirmation screen, further modifications to the
patient’s data must be made using the Edit function under Data Manager. Refer to 10.6.3 - Edit
Injection for more information.
Select Same Patient to start the next injection with the same patient, or select New Patient to start the next
injection with a new patient.
Figure 6 - 3: Injection Completed Screen - Next Injection
6.3 Updating Exam Information Using Data Confirmation

NOTE: To update exam information using Data Confirmation, select headers or sub-sections to open the
tab of the selected field. For more information on updating these fields, refer to the applicable
section in 3 - Informatics Panel.
NOTE: For clarity between two similarly named functions, section 6.3.1 - Update Patient Data describes
how to update patient data, and section 6.3.3 - Update Patient Worklist Selection describes how
to select a new patient from the Patient Worklist.
6.3.1 Update Patient Data
NOTE: To change the patient or study displayed, refer to 6.3.3 - Update Patient Worklist Selection.
NOTE: Mandatory fields not filled in appear as red text. Refer to 8 - Mandatory Fields for more
information on mandatory fields.
NOTE: Patient and study information displayed on the Data Confirmation window can be updated using
the barcode reader accessory. Refer to 13.2.2 - Scan Barcodes Post-Injection for more information.
To update exam data using Data Confirmation:

1. Select the Edit Patient Data field (Figure 6 - 4: Edit Patient Data).
Figure 6 - 4: Edit Patient Data

2. The Patient Tab displays. Update the fields as desired.
3. Select OK to accept changes made.
4. The updated patient information displays on the Data Confirmation Screen.
Figure 6 - 5: Updated Data Confirmation Screen

5. Select Save to save changes made and return to the Injection Completed screen.
6.3.2 Retrieve Contrast Data (Fluid A Button)

Use the Fluid A button in Data Confirmation to retrieve contrast data for the completed injection. The Fluid A button
stores the last scanned or manually entered contrast data.
1. Select Fluid A (Figure 6 - 6: Fluid A Button in Data Confirmation).
Figure 6 - 6: Fluid A Button in Data Confirmation

2. The Fluid A window displays with the last scanned or manually entered contrast data (Figure 6 - 7: Fluid A
Window).
Figure 6 - 7: Fluid A Window

3. Select OK to confirm selection of the contrast information displayed, or select Cancel to cancel the
operation and return to Data Confirmation.
6.3.3 Update Patient Worklist Selection

To change patient and/or study using Data Confirmation:
1. Select Patient Worklist (Figure 6 - 8: Patient Worklist Button).
Figure 6 - 8: Patient Worklist Button

2. The Patient Worklist screen displays. Select the proper Worklist item.
3. The newly selected patient information displays on the Data Confirmation screen.
Figure 6 - 9: Informatics Data Confirmation

6.3.3.1 Update Patient Worklist Selection Using Anonymous Patient

Use the Anonymous Patient button to enter a pre-determined patient name as a placeholder when patient informa-
tion is not available. Pressing the Anonymous Patient button populates the first and last name fields with pre-
determined values (for example, “John Doe”) and clears other specific fields.
NOTE: To configure Anonymous Patient values, refer to 10.10.1 - Enable and Configure Anonymous
Patient.
To enter an anonymous patient for an injection:

NOTE: Anonymous patient can also be selected before the injection using Informatics Panel. Refer to
4.1.2 Anonymous Patient Entry for a Contrast Injection for more information.
1. Select Patient Worklist from the Certegra Workstation home screen.

Worklist screen.
3. Select the Anonymous Patient button.
4. The system returns to the Data Confirmation window. The Edit Patient Data field is populated with a pre-
determined first and last name.
7 Certegra Manager
Certegra Manager is a feature of the Certegra platform that manages data management applications and accessory
configurations.
7.1 Certegra Manager Login

Login to the Certegra Manager to access any of the features listed in Table 7 - 2: - Certegra Manager Features and
Functions.
NOTE: Access to the Certegra Manager is restricted to authorized users. A valid username and password
must be entered to log in. Once logged in, all functions in Certegra Manager are accessible.
1. Open a supported web browser on a computer that is on the same network as the Certegra Workstation.
2. Open the Certegra Manager URL.
NOTE: If necessary, contact Service or a local designated contact for the URL.
3. Login to Certegra Manager (Figure 7 - 1: Certegra Manager Login). Refer to the login credentials provided
by Service.
Figure 7 - 1: Certegra Manager Login
NOTE: To retrieve login credentials, contact Service.
NOTE: If the entry of username or password is skipped before Login is selected, the required field
message displays, and the Login button becomes unselectable.
NOTE: If the username or password is not recognized, an error message displays. Contact Service or a
designated site contact.
4. The Home page displays (Figure 7 - 2: Certegra Manager Home Page).

Figure 7 - 2: Certegra Manager Home Page
NOTE: Review the information bar at the top of the screen to ensure the correct injector and modality is
displayed.
NOTE: A license is required to operate certain features within Certegra Manager. If a license is not found,
the icons are grayed out, and an error message displays.
7.2 Compatibility Specifications

Certegra Manager is compatible with:
Q Microsoft IE9 (Internet Explorer version 9) and above
Q Mozilla Firefox version 14 and above
7.3 Roles and Access

User roles and user access to certain functions in Certegra Manager are defined in Table 7 - 1: - Certegra Manager
User Roles and Access.
Table 7 - 1: Certegra Manager User Roles and Access
Certegra Manager
User Administration User
Feature
Data Manager Access Access
Barcode Configuration Access No Access
Mandatory Fields Access No Access
Anonymous Patient Access No Access
Multiple Accession
Access No Access
Number
7.4 Certegra Manager Navigation

The features under Certegra Manager are defined in Table 7 - 2: - Certegra Manager Features and Functions.
Table 7 - 2: Certegra Manager Features and Functions
Home Page Options Features and Functions
Data Manager: Allows hospital personnel to perform data

Data Manager management activities from a supported injection system
when an injection is completed. Refer to 10 - Data Manager.
Listed under System Configuration are the following features

(Figure 7 - 3: System Configuration Options):
Q Mandatory Fields: Requires patient, procedure,
fluid, and/or notes information to be entered for
each injection record. Refer to 8 - Mandatory Fields.
Q Barcode Configuration: Defines and manages bar-
code parameters for the barcode reader. Refer to 12
System Configuration
- Barcode Configuration.
Q Anonymous Patient: Defines a placeholder patient
name when real patient information is not avail-
able. Refer to 10.10 - Anonymous Patient.
Q Multiple Accession Number: Enables assigning
more than one accession number to an injection.
Refer to 9 - Multiple Accession Number.
Figure 7 - 3: System Configuration Options

The information bar at the top of the screen displays the selected injector and modality (Figure 7 - 4: Information
Bar.)
Figure 7 - 4: Information Bar

To navigate through the features within Certegra Manager, use the drop-down menus located within the
information bar. As an example, the drop-down menus in Barcode Configuration are shown in Figure 7 - 5: Drop-
Down Menus.
Figure 7 - 5: Drop-Down Menus

Select any option to open a drop-down menu for a list of additional functions. As an example, Patient/Study Setup is
selected from the Content Setup drop-down menu in Figure 7 - 6: Drop-Down Menu Options.
Figure 7 - 6: Drop-Down Menu Options
7.4.1 Help Page

Use the Help page to view and download the Certegra® Applications and Workstation Accessories operation
manual.
1. Select Help from any page within Certegra Manager (Figure 7 - 7: Help Page).
Figure 7 - 7: Help Page

2. A new window displays with a list of languages for the operation manual (Figure 7 - 8: List of Languages
for Operation Manual).
Figure 7 - 8: List of Languages for Operation Manual

3. To save or view the operation manual, select the PDF button next to the appropriate language.
4. A separate window opens with the appropriate operation manual.
5. To return to Manage Injections page, select X in the corner of the display or close the window.
8 Mandatory Fields
Use Mandatory Fields to require patient, procedure, fluid, and/or notes information to be entered for each injection
record.
NOTE: Enabling Mandatory Fields enables Informatics Panel and Data Confirmation. Disabling
Mandatory Fields does not disable either feature. For more information on Informatics Panel, refer
to 3 - Informatics Panel. For more information on Data Confirmation, refer to 6 - Data
Confirmation.
8.1 Configuration and Setup
8.1.1 Login
Mandatory field parameters are managed under Mandatory Fields. Login to the Certegra Manager to access
Mandatory Fields, listed under System Configurations. If already logged into Certegra Manager, skip to step 2.
1. Login to Certegra Manager. Refer to 7.1 - Certegra Manager Login for instructions.
2. Select System Configuration.
3. Select Mandatory Fields.
4. The Configuration Settings for Mandatory Fields page displays (Figure 8 - 1: Configuration Settings for
Mandatory Fields).
Figure 8 - 1: Configuration Settings for Mandatory Fields
8.1.2 Enable Mandatory Fields

1. Login to Certegra Manager and navigate to the Mandatory Fields page. Refer to 8.1.1 - Login for
instructions.
2. To enable Mandatory Fields, select the check box next to Enable Mandatory Fields until the check mark
appears (Figure 8 - 2: Enable Mandatory Fields).
Figure 8 - 2: Enable Mandatory Fields
NOTE: To disable Mandatory Fields, select the check box next to Enable Mandatory Fields until the check
mark disappears.
8.1.3 Configure Settings for Mandatory Fields

1. Login to Certegra Manager and navigate to the Mandatory Fields page. Refer to 8.1.1 - Login for
instructions.
2. Configure the mandatory field settings. Under each category, select the check box next to the appropriate
field(s). Refer to Table 2 - Configuration Settings for Mandatory Fields for a list of all mandatory fields.
Table 8 - 1: Configuration Settings for Mandatory Fields
Categories Specific Mandatory Fields
Q First Name
Q Last Name
Q Patient ID
Patient Information Q Patient DOB
Q Patient Height
Q Patient Weight
Q Patient Gender
Q Study ID
Study Information Q Study Description
Q Accession Number
Q Tech ID
Injection
Q Catheter Gauge
Information
Q Injection Site
Q Source Type (Brand)

Fluid A (Contrast) Q Batch/Lot
Q Expiration Date
Q Source Type (Brand)

Fluid B (Saline) Q Batch/Lot
Q Expiration Date
Notes Q Notes
3. Select Save to save changes made, or select Cancel to cancel changes made.
8.2 Use of Mandatory Fields
8.2.1 Mandatory Fields Pre-Injection (Informatics Panel)

On the Certegra Workstation home screen, white asterisks next to patient, procedure, and/or fluid information
indicates a mandatory field that is missing required information.
NOTE: Leaving mandatory fields empty does not prevent the injector from arming or the injection from
starting and completing.
To add information to a mandatory field pre-injection using the Informatics Panel:

1. Select the applicable area on the Informatics Panel (Figure 8 - 3: Informatics Panel - Missing Mandatory
Fields).
Figure 8 - 3: Informatics Panel - Missing Mandatory Fields

2. The selected field tab displays with the missing mandatory fields indicated by an asterisk and highlighted
in red (Figure 8 - 4: Missing Mandatory Fields).
Figure 8 - 4: Missing Mandatory Fields

3. Update the missing mandatory fields. Refer to 3 - Informatics Panel for more information on adding and
editing patient, procedure, and fluid information.
4. Press OK to accept changes made, or press Cancel to ignore all changes made.
5. Select Save to save changes made to patient, procedure, and/or fluid information and return to the
Certegra Workstation home screen.
8.2.2 Mandatory Fields Post-Injection (Data Confirmation)

If Data Confirmation is enabled, the Injection Completed Screen displays with the Review Data button when an
injection is completed. Select the Review Data button to display the Data Confirmation screen.
Figure 8 - 5: Data Confirmation Screen

On the Data Confirmation screen, red asterisks and red text indicates a mandatory field that is missing required
information (Figure 8 - 6: Missing Mandatory Fields).
NOTE: The save button is disabled until all mandatory fields are filled in.

To enter missing information in a mandatory field from the Data Confirmation screen:
1. Select the applicable field (Figure 8 - 7: Data Confirmation - Missing Mandatory Fields).
Figure 8 - 7: Data Confirmation - Missing Mandatory Fields

2. The selected field tab displays with the missing mandatory fields indicated by an asterisks and highlighted
in red (Figure 8 - 8: Missing Mandatory Fields).

3. Update the missing mandatory fields. Refer to 3 - Informatics Panel for more information on adding and
editing patient, procedure, and/or fluid information.
4. Press OK to accept changes made, or press Cancel to ignore all changes made.
5. Once all mandatory fields have been populated, the exam information can be saved. Select Save to save
the changes made and return to the Data Confirmation screen.
9 Multiple Accession Number

Use Multiple Accession Number to assign more than one accession number to an injection.
NOTE: Enabling Multiple Accession Number enables Informatics Panel and Data Confirmation. Disabling
Multiple Accession Number does not disable either feature.
9.1 Licensing
A license is required to enable the Multiple Accession Number feature. Contact Bayer for more information.
9.2 Enable
Login to the Certegra Manager to enable Multiple Accession Number, listed under System Configurations.
3. Select Multiple Accession Number.
4. Select the check box next to Enable Multiple Accession Number.
9.3 Select Accession Numbers

Multiple accession numbers can be selected before starting or after completing the injection. The following steps
apply to both scenarios.
9.3.1 Select Accession Numbers Using Patient Worklist

1. Select Patient Worklist from the Certegra Workstation home screen or the Data Confirmation screen.
Worklist screen.
3. Select the appropriate patient.
4. If more than one accession number is associated with the patient, the Multiple Accession Number screen
displays with the accession numbers assigned to the patient (Figure 9 - 1: Multiple Accession Number).
Figure 9 - 1: Multiple Accession Number

5. Select the applicable accession number(s), and press OK.
6. If one or more accession numbers are selected, the number of accession numbers assigned to the injection
displays in parenthesis under the procedure.
9.3.2 Select Accession Numbers Using Barcode Reader Accessory

If an MRN or accession number barcode is scanned using a barcode reader accessory, an active call is made to the
facility’s Modality Worklist server to find the applicable patient record. If more than one accession number is
associated with the patient, the Multiple Accession Number screen appears with the accession numbers tied to the
patient (Figure 9 - 1: Multiple Accession Number).
NOTE: If an MRN barcode is scanned, the Patient Worklist displays first. Select the applicable patient,
and the Multiple Accession Number screen appears with the accession numbers assigned to the
patient.
Select the applicable accession number(s), and press OK. If one or more accession numbers are selected, the number
of accession numbers assigned to the injection displays in parenthesis under the procedure.
9.4 Edit or Remove Selected Accession Numbers

Selected multiple accession numbers can be edited or removed before starting or after completing the injection. The
following steps apply to both scenarios.
If more than one accession number is associated with the patient, the Multiple Accession Number button appears
next to Accession Number under the Procedure tab (Figure 9 - 2: Multiple Accession Number Button).
NOTE: To access the Procedure tab, select the Procedure area from the Informatics Panel, or select the
Edit Procedure Data field on the Data Confirmation screen.
Figure 9 - 2: Multiple Accession Number Button

Select the Multiple Accession Number button, and the Multiple Accession Number screen appears with the
accession numbers assigned to the patient (Figure 9 - 1: Multiple Accession Number). Select or deselect the
applicable accession number(s), and press OK.
9.5 Apply Selected Accession Numbers To Next Injection for Same Patient
Selecting Same Patient on the Data Confirmation screen applies the accession numbers selected for the previous
injection to the next injection for the same patient.
NOTE: Adding new or removing accession numbers for the next injection does not change the accession
numbers assigned to the previous injection for the same patient.
10 Data Manager
Data Manager is a key feature of the Certegra platform that allows hospital personnel to perform data
management activities from a supported injection system when an injection is completed. These activities are as
follows:
Q Injection Capture: Transfer injection information from an injection system to Data Manager. The captured
data are stored in a local database.
Q Access: Access injection data, stored in the database.
Q Matching: Create a link between an injection and study data.
Q Unmatching: Remove a link between an injection and study that was automatically matched by the
injector system.
Q Edit Injection: Edit patient, procedure, and fluid data of a selected injection.
Q Transfer: Transfer injection records to PACS or RIS/VR.
Q Hide/Unhide: Hide or unhide injection records for further processing in the system.
Q Export: Export injection information to a spreadsheet for data analysis and presentation.
Q Backup: Backup the entire Certegra database to a database backup file.
Q Restore: Restore a previously backed-up Certegra database from a database backup file.
Q User Management: Add a user and access account information.
10.1 Licensing
Data Manager is a licensable feature; therefore, a license is required to access this application.
10.2 Security and Compliance Safeguards

The following security and compliance safeguards are built into Data Manager:
Q Authentication: User credentials (username and password) are required to access the injection records
through Certegra Manager.
Q Audit Control: Modification of any ancillary data through Data Manager is audited. The Audit feature
tracks all modifications to records and captures the login credentials, the date of the change, and the
changes made to the record.
10.3 Roles and Access

User roles and user access to certain functions in Data Manager are defined in Table 10 - 1: Data Manager User
Roles and Access.
Table 10 - 1: Data Manager User Roles and Access
User
Data Manager Feature Feature Function User
Administration
Manage Access Access

Injections
Export Access Access
Backup Access No Access

Site Management
Restore Access No Access
Table 10 - 1: Data Manager User Roles and Access
User
Data Manager Feature Feature Function User
Administration
My Account Access Access

User Management
User Management Access No Access
10.4 Log In
Login to Certegra Manager to access Data Manager. If already logged into Certegra Manager, skip to step 2.
2. Select Data Manager.
3. The Manage Injections page displays (Figure 10 - 1: Certegra Data Manager - Manage Injections).
Figure 10 - 1: Certegra Data Manager - Manage Injections
10.5 Edit Injector Details

When logged into Data Manager, the facility name, suite name, and injector name of the selected injector are
displayed in the navigation bar. Edit injector details on any page within Data Manager.
To edit the facility name, suite name, or injector name:
1. On the navigation bar, select the Edit button (Figure 10 - 2: Edit Facility, Suite, or Injector Name).
Figure 10 - 2: Edit Facility, Suite, or Injector Name

2. Enter information into the Facililty, Suite, and/or Injector fields.
3. Select the Confirm button to save changes made, or select the Cancel button to cancel the operation
(Figure 10 - 3: Confirm or Cancel Injector Details).
Confirm Button
Cancel Button
Figure 10 - 3: Confirm or Cancel Injector Details

4. A confirmation window displays the updated names for review (Figure 10 - 4: Confirmation Window).
a. Select Confirm to save changes made, or
b. Select Cancel to discard changes made.
Figure 10 - 4: Confirmation Window

5. If changes were successfully updated, the message “Injector/Suite details successfully updated” displays.
6. Select Close to return to Data Manager.
10.6 Manage Injections

When logged into Data Manager, the Manage Injections page displays. Manage Injections can also be accessed by
selecting Manage under the Injections drop-down menu.
Under Manage Injections, perform any of the following tasks:
Q Match
Q Unmatch
Q Edit
Q Transfer
Q Hide/Unhide
10.6.1 Match
NOTE: Only one injection can be matched at a time unless Multiple Accession Number is enabled.
To match a specific injection record with study data:

1. Under the Injections drop-down menu, select Manage.
2. Under Manage Injections, select Match (Figure 10 - 5: Match Injection Record).
Figure 10 - 5: Match Injection Record

3. Search for a specific injection record using the provided search criteria.
NOTE: Specifying a start and end date is required.
4. Select Search.
5. Under Search Results, a list of injections based on the search criteria displays (Figure 10 - 6: List of
Injections to Match).
Figure 10 - 6: List of Injections to Match

6. Select Match next to the appropriate injection record.
7. A window displays the selected injection record and a list of study records that can be matched to the
selected injection record (Figure 10 - 7: Match Selected Injection Record).
NOTE: By default, all of the study data matching the injection start date displays. Either edit the date
range or search by accession number to retrieve relevant study records.
Figure 10 - 7: Match Selected Injection Record

8. Select Match next to the appropriate injection record to match the injection with any study listed, or select
Cancel to cancel the operation.
9. If Match is selected, a confirmation message displays.
NOTE: If the incorrect injection record was matched to a study, unmatch the incorrect injection record
(refer to 10.6.2 - Unmatch) and re-match the correct injection record.
10.6.1.1 Match Additional Studies

If Multiple Accession Number is enabled, multiple studies with the same MRN number can be matched to an injec-
tion record.
When Match Search Results display, select Match Add’l Studies. A window displays the selected injection record
and a list of study records with the same MRN number. Select a study record by selecting the box under the "Match"
column; multiple study records can be matched at once.
NOTE: Studies already matched are noted as such and cannot be selected.
Select Match to match the selected study records to the injection record.
10.6.2 Unmatch
NOTE: Only one injection can be unmatched at a time unless Multiple Accession Number is enabled.
To unmatch a study from a specific injection record:

2. Under Manage Injections, select Unmatch (Figure 10 - 8: Unmatch Injection Record).
Figure 10 - 8: Unmatch Injection Record

4. Select Search.
Injections to Unmatch).
NOTE: If Multiple Accession Number is enabled, the Search Results display injection records grouped and
sorted by injection start date. Each injection record lists studies matched to that injection record.
Figure 10 - 9: List of Injections to Unmatch

6. Select Unmatch next to the appropriate injection record to unmatch the injection with the study listed.
7. A summary displays (Figure 10 - 10: Unmatch Summary).
Figure 10 - 10: Unmatch Summary

8. Select Confirm to proceed with the unmatch, or select Cancel to cancel the operation.
9. If Confirm is selected, a confirmation message displays.
NOTE: If the incorrect injection was unmatched from a study, re-match the injection to the correct study
(refer to 10.6.1 - Match) and unmatch the incorrect injection.
NOTE: Unmatching an injection does not automatically remove it from any PACS/RIS system to which
the record may have been transferred. To update or delete, necessary adjustments within the
interfaced system(s) need to be made.
10.6.3 Edit Injection

To edit patient, procedure, and fluid data for the selected injection:
2. Under Manage Injections, select Edit (Figure 10 - 11: Edit Injection Record).
Figure 10 - 11: Edit Injection Record

4. Select Search.
5. Select Edit next to the appropriate injection record (Figure 10 - 12: List of Injections to Edit).
Figure 10 - 12: List of Injections to Edit

6. The Edit Injection Detail window displays for editing patient data (Figure 10 - 13: Patient Tab), procedure
details (Figure 10 - 14: Study Tab), and fluid details (Figure 10 - 15: Contrast Tab).
List of editable fields:

Q Patient Tab (Patient Data)
Q Patient ID/MRN
Q Patient Name
Q Date of Birth
Q Gender
Q Patient Height
Q Patient Weight
Figure 10 - 13: Patient Tab

Q Study Tab (Procedure Details)
Q Injection Site
Q Catheter gauge
Q Technologist
Q Accession Number
Q Study Number
Q Study UID
Q Study Description
Q Study Date
Q Study Time
Q Notes
Figure 10 - 14: Study Tab
NOTE: If Multiple Accession Number is enabled, all studies associated with the injection will display.
Q Contrast Tab (Fluid Details)

Q Expiration Date
Q Lot Number / Batch
Q Brand
Q Concentration
Q Vial Volume
Q Dosage
(MR modality only)
Figure 10 - 15: Contrast Tab
NOTE: All fields are editable, except when used with Connect.CT. Under Connect.CT, the Edit function
would follow the Modality Worklist rules for editable/non-editable fields.
7. Edit injection information.

8. Select Confirm to accept changes made, or select Cancel to discard changes made.
9. If Confirm is selected, a confirmation message displays.
10.6.4 Transfer
To transfer injection data to assigned PACS or RIS:
2. Under Manage Injections, select Transfer (Figure 10 - 16: Transfer Injection Record).
Figure 10 - 16: Transfer Injection Record

3. Search for specific injection record(s) using the provided search criteria.
4. Select Search.
5. Under Search Results, a list of injection records displays based on the search criteria (Figure 10 - 17: List of
Injections to Transfer).
Figure 10 - 17: List of Injections to Transfer

6. Select the check box next to the injection or injections to schedule for transfer.
NOTE: Transfer multiple injections by selecting the associated checkbox for each injection record.
NOTE: If Multiple Accession Number is enabled, all studies associated with a selected injection will also
be selected.
7. Choose the destination for transfer by selecting To PACS and/or To RIS/VR. The Destination column
highlights PACS, RIS/VR, or both, based on the transfer status.
8. Select Transfer.
9. Select Confirm to confirm changes made, or select Cancel to discard changes made (Figure 10 - 18:
Transfer Injection(s) Summary).
Figure 10 - 18: Transfer Injection(s) Summary

10. If Confirm was selected, a confirmation message displays.
10.6.5 Hide/Unhide
NOTE: Hidden injections cannot be managed or exported.
To hide or unhide a specific injection record:

2. Under Manage Injection, select Hide/Unhide (Figure 10 - 19: Hide/Unhide Injection Record).
Figure 10 - 19: Hide/Unhide Injection Record

4. Select Search.
Injections to Hide/Unhide).
Figure 10 - 20: List of Injections to Hide/Unhide

6. Select Hide next to the appropriate injection record to hide the injection, or select Unhide next to the
appropriate injection record to un-hide the injection.
7. A summary screen, with the selected injection details and selected operation (Hide / Unhide), displays
(Figure 10 - 21: Hide/Unhide Summary Screen).
NOTE: If Multiple Accession Number is enabled, all studies associated with the selected Injection will be
displayed and included in the selected operation (Hide / Unhide).
Figure 10 - 21: Hide/Unhide Summary Screen

8. Select Confirm to confirm changes made, or select Cancel to discard changes made.
9. If Confirm was selected, a confirmation message displays.
10.7 Export
NOTE: Exports will not contain hidden injection records.
Export injection details into a Comma Separated Value (CSV) file for use in spreadsheet and database applications
and for more detailed data analysis and presentation.
Choose the level of detail exported:
Q Injection Summary: Consolidated summary of the injections within a specified date range.
Q Injection Details: Injection details and history records that meet specific search criteria provided.
Q Syringe Usage: Syringe usage details for injections within a specified date range.
10.7.1 Export Injection Summary

To export the injection summary for a given date range:
1. Under the Injections drop-down menu, select Export.
2. Select Injection Summary (Figure 10 - 22: Injection Summary Screen).
Figure 10 - 22: Injection Summary Screen

3. Enter the appropriate date range in the Start Date and End Date fields.
4. Select Export Injections.
5. Select Download to download the exported injection summary as a CSV file (Figure 10 - 23: Injection
Summary for Download).
Figure 10 - 23: Injection Summary for Download

6. A sample injection summary file, cropped into four parts, is shown in Figure 10 - 24: Samples of Injection
Summary.
Figure 10 - 24: Samples of Injection Summary
10.7.2 Export Injection Details

To export injection details and injection history records for a given date range:
2. Select Injection Details (Figure 10 - 25: Injection Details).
Figure 10 - 25: Injection Details


4. Select Search.
5. A list of injections based on the search criteria displays (Figure 10 - 26: List of Injections to Export).
Figure 10 - 26: List of Injections to Export

6. Select the check box next to the injection or injections to export.
NOTE: If Multiple Accession Number is enabled, all studies associated with a selected Injection will also
be selected.
7. Select Export Injection Details to export the file(s) selected.

8. Select Download to download the exported injection details as a CSV file (Figure 10 - 27: Injection Details
for Download).
Figure 10 - 27: Injection Details for Download

9. A sample injection details download file is shown in Figure 10 - 28: Samples of Injection Details.
Figure 10 - 28: Samples of Injection Details

10.7.3 Export Syringe Usage

To export syringe usage for a given date range:
2. Select Syringe Usage (Figure 10 - 29: Syringe Usage).
Figure 10 - 29: Syringe Usage

3. Enter the appropriate date range in the Start Date and End Date fields.
4. Select Export Syringe Usage.
5. Select Download to download the syringe usage summary as a CSV file (Figure 10 - 30: Syringe Usage for
Download).
Figure 10 - 30: Syringe Usage for Download

6. A sample export syringe usage download file is shown in Figure 10 - 31: Sample of Syringe Usage.
NOTE: Each row in the syringe usage export shows when a syringe is attached, when a syringe is
detached, the total time a syringe is on the injector, and the number of injections performed while
a syringe is attached.
Figure 10 - 31: Sample of Syringe Usage

10.8 Site Management
10.8.1 Backup
NOTE: After the backup has started, any other activity within Data Manager cannot be performed until
the backup is complete.
To back up all of the injection records to the local system:

1. Under the Site Management drop-down menu, select Backup.
2. Select Backup (Figure 10 - 32: Backup Database).
Figure 10 - 32: Backup Database

3. The Database Activity Monitor display opens and monitors the progress of the backup (Figure 10 - 33:
Database Activity Monitor).
Figure 10 - 33: Database Activity Monitor

4. When the backup is complete, a completion message displays (Figure 10 - 34: Operation Complete).
Figure 10 - 34: Operation Complete

5. Select Close to resume using Data Manager.
6. Select Download Backup File to download the backup database file (Figure 10 - 35: Download Backup
File).
NOTE: The backup database file must be saved only to the hospital network.
Figure 10 - 35: Download Backup File
10.8.2 Restore
NOTE: The injector head must be powered off before restoring injection records.
NOTE: After the restore has started, any other activity within Data Manager cannot be performed until
the restore is complete.
NOTE: A warning message displays regarding the unavailability of Data Manager until database restore
operation is complete.
To restore all injection records using a backup file on the local system:
1. Under the Site Management drop-down menu, select Restore.
2. Select Browse (Figure 10 - 36: Restore Database).
Figure 10 - 36: Restore Database

3. Select the appropriate Certegra database backup file, and select Open (Figure 10 - 37: Select Backup File).
Figure 10 - 37: Select Backup File

4. Select Restore.
5. The Database Activity Monitor opens and monitors the progress of the restore (Figure 10 - 38: Database
Activity Monitor).
Figure 10 - 38: Database Activity Monitor

6. After successfully restoring the injection records, a message to restart the device displays (Figure 10 - 39:
Restore Succeeded).
Figure 10 - 39: Restore Succeeded

7. Select OK. The system logs off and redirects to the login page.
10.9 User Management
10.9.1 Add User

To add a new user:
1. Under the User Management drop-down menu, select Add User.
2. Enter the required user information to create the new user account (Figure 10 - 40: Add User).
Figure 10 - 40: Add User

3. When creating a password, the Password Policy explains how to create a secure password (Figure 10 - 41:
Password Policy). Select Close when finished.
NOTE: To modify the Password Policy, contact Service or a designated site contact.
Figure 10 - 41: Password Policy

4. Select Save to create the new user account, or select Cancel to cancel the operation.
10.9.2 My Account
To access account information:
1. Under the User Management drop-down menu, select My Account.
2. The account information screen displays the user name and associated account information (Figure 10 -
42: Account Information).
Figure 10 - 42: Account Information

3. To change the current password, fill in the fields under Change Password. The Password Policy explains
how to create a secure password. Select Close when finished.
NOTE: To modify the Password Policy, contact Service or a designated site contact.
NOTE: If the old password is lost or forgotten, contact Bayer or create a new user account.
10.10 Anonymous Patient

Use the Anonymous Patient button to enter a pre-determined patient name as a placeholder when patient
information is not available. For example, use the Anonymous Patient button when the scan cannot wait until
patient information is available. Pressing the Anonymous Patient button populates the first and last name fields
with pre-determined values (for example, “John Doe”) and clears other specific fields.
NOTE: Refer to 4.1.2 - Anonymous Patient Entry for a Contrast Injection for more information on
entering Anonymous Patient pre-injection.
NOTE: Refer to 6.3.3.1 - Update Patient Worklist Selection Using Anonymous Patient for more
information on entering Anonymous Patient post-injection.
10.10.1 Enable and Configure Anonymous Patient

Anonymous Patient values are defined and managed under Anonymous Patient in Certegra Manager. Anonymous
Patient must be enabled before Anonymous Patient values are defined. Login to the Certegra Manager to access
Anonymous Patient, listed under System Configurations. If already logged into Certegra Manager, skip to step 2.
3. Select Anonymous Patient.
4. Select Enable Anonymous Patient (Figure 10 - 43: Configuration Settings for Anonymous Patient).
Figure 10 - 43: Configuration Settings for Anonymous Patient

5. Enter the Anonymous Patient values in First Name and Last Name Fields (for example, “John Doe”).
6. Select Save to save changes made, or select Cancel to cancel changes made.
10.11 Data Manager Troubleshooting

Table 10 - 2: Data Manager Troubleshooting
Error Corrective Action
Q Ensure the address in the browser window is correct.

Q Ensure the Certegra Workstation, including the con-
nected injection system, is powered on and is opera-
tional.
Data Manager is not available from viewing station.
Q Verify Certegra Workstation is connected to the hospi-
tal network.
Q Follow any procedures associated with the specific
hardware used with Certegra.
Q Contact Service or a local designated site contact to

Cannot login. create a new users account or reset the password of an
existing account.
Q Ensure the parameters for the search criteria are cor-

Data not found. rect or use alternative criteria.
Q Verify the network location for the backup and restore

is accessible from the viewing station.
Cannot backup or restore data.
Q Confirm sufficient storage capacity exists on the tar-
get backup location.
Q Verify appropriate licenses are associated with the

Cannot access certain functions. users’ login.
Q Increase Maximum Attempts per Query setting.

Queries may continuously be timing out.
Q Verify configurable setting for retry wait time.
Q Verify PACS is online.

PACS Transfer failure Q Verify the injection has auto-matched and there is a
value for Study UID.
RIS/VR Transfer failure Q Verify RIS/VR is online.

11 Barcode Reader Accessory and Setup

11.1 Introduction
The barcode reader accessory (or barcode reader) is a data-entry efficiency tool available on multiple injector
platforms. The barcode reader allows for the population of data fields on the Certegra Workstation by scanning
barcodes associated with:
Q contrast identification (brand, expiration date, and lot/batch information),
Q chart identifiers (patient ID/medical record number [MRN] or accession number), and
Q technologist identification.
The barcode reader performs data entry operations and has no effect on the operation of injection procedures.
LED
Scan window
Trigger
Figure 11 - 1: Barcode Reader
NOTE: The images of the barcode reader and accompanying stand are for representational purposes only
and may vary slightly from each accessory.
All of the following must be completed before the barcode reader can be used with the Certegra Workstation:
Q Scan initialization barcode (11.3 - Scan Initialization Barcode for System Use),
Q Enable barcoding (12.2 - Enable Barcoding), and
Q Configure barcodes and barcode patterns using Barcode Configuration (12.4 - Configure Barcodes &
Barcode Patterns for System Use).
11.1.1 Disclaimers
To operate the barcode reader with the Certegra Workstation, the Certegra Workstation software must be at version
4.5 or higher.
Connecting the barcode reader to an unsupported injection system is an unintended use of the barcode reader.
The barcode reader is not compatible with the black Certegra Workstation.
11.2 Assemble Barcode Reader Accessory
11.2.1 Install USB Cable

1. Insert the USB connector clip into the cable interface port on the barcode reader. Cable will click when
correctly inserted into the port.
Bottom of scanner
Cable interface port
USB cable connector USB cable connector clip
Figure 11 - 2: Installing the USB Cable

2. If applicable, remove the rear cover on the Certegra Workstation using a #2 Phillips screwdriver.
NOTE: If necessary, carefully tilt the face of the Certegra Workstation onto a flat service for better access
to both the rear cover and the USB ports.
3. Connect the USB end of the cable into the Certegra Workstation. Cable must be plugged into the Certegra
Workstation to power on.
Figure 11 - 3: Connect USB Cable to Certegra Workstation

4. The barcode reader emits low/medium/high beeping sounds to indicate it is operational.
5. If the rear cover on the Certegra Workstation was removed, reinstall the rear cover using a #2 Phillips
screwdriver.
11.2.2 Assemble Stand

To assemble the barcode reader stand for hands-free scanning:
1. Unscrew the wing nut from the bottom of the stand “neck.”
2. Fit the bottom of the flexible neck into the opening on the top of the stand base.
One piece scanner “cup”

with flexible “neck”
Scanner window
Stand base
Wingnut
Figure 11 - 4: Assembling the Stand

3. Secure the “cup” and neck piece to the base by tightening the wing nut underneath.
4. Bend the neck as necessary for optimal scanning.
11.2.2.1 Mount Stand (Optional)

The stand base can be mounted in a fixed position on a flat surface using two screws (not provided).
For screw mounting:
1. Position the assembled base onto a flat surface.
2. Screw one #10 screw (not provided) into each screw-mount hole until the base of the stand is secure. Use
an appropriate screwdriver that fits the screw selected.
11.3 Scan Initialization Barcode for System Use

To set up the barcode reader for use with the injector system:
1. Scan the barcode in Figure 11 - 5: - Initialization Barcode.
NOTE: Refer to 13.1 - How to Use the Barcode Reader Accessory for instructions on how to scan barcodes
using the barcode reader.
Figure 11 - 5: Initialization Barcode

2. The barcode reader immediately emits high/low/high/low beeps to confirm the setup between the barcode
reader and the injector system was successful.
3. If not already completed, define barcodes for injector system use (12 - Barcode Configuration) before using
the barcode reader with the Certegra Workstation.
11.4 Verify Setup and Configuration for Use

NOTE: If configuration has not yet been completed, refer to 12 - Barcode Configuration.
1. Scan a Bayer pre-configured or configured barcode.
NOTE: Barcode cannot be scanned when the injector is armed or injecting.
NOTE: If Multiple Accession Number is enabled and an MRN or accession number barcode is scanned,
refer to 9.3.2 - Select Accession Numbers Using Barcode Reader Accessory.
2. If the barcode is successfully scanned:

a. The barcode reader emits a short high beep;
b. The scanned data will automatically appear in the applicable field(s); and
c. A green checkmark appears under the Events area of the Informatics Panel (Figure 11 - 6: - Events Tab
- Barcode Scans).
3. If the barcode is unsuccessfully scanned:
a. A red X appears under the Events area of the Informatics Panel (Figure 11 - 6: - Events Tab - Barcode
Scans). This error message denotes either an unsuccessful barcode scan, a barcode pattern not
configured for use with the system, or any attempt to scan a barcode when scanning is prohibited by
the system.
Figure 11 - 6: Events Tab - Barcode Scans

4. Review the information populated to confirm it has been inputted correctly.
5. For additional information on using the barcode reader with the system, refer to 13.2 - Scan Barcodes for
the Certegra Workstation.
12 Barcode Configuration
12.1 Login to Certegra Manager
Barcodes and barcode patterns are defined and managed using Barcode Configuration within Certegra Manager. To
access Barcode Configuration:
1. Login to Certegra Manager. Refer to 7.1 - Certegra Manager Login for login instructions.
3. Select Barcode Configuration.
4. The Contrast Setup page automatically displays (Figure 12 - 4: - Contrast Setup).
12.2 Enable Barcoding

3. Select Barcode Configuration.
4. Under the Management drop-down menu, select Barcode Configuration.
a. If Barcode Configuration is not enabled, the Barcode Configuration Setup page displays with a
message.
Figure 12 - 1: Barcode Configuration Not Enabled

5. Select Enable Barcode Configuration. A checkmark appears in the box.
NOTE: Selecting Enable Barcode Configuration enables Informatics Panel and Data Confirmation.
Disabling Barcode Configuration does not disable either feature.
Figure 12 - 2: Barcode Configuration Enabled

6. Select Save.
12.3 Bayer 2D Contrast Barcode

Contrast from Bayer could include a 2D barcode, which can store information for the following: contrast brand,
concentration, vial size, expiration date, and lot/batch. Refer to Figure 12 - 3: - Examples of 2D Contrast Barcodes.
These 2D barcodes are automatically configured with the Certegra Workstation and do not need to be defined in
Barcode Configuration. Scan the Bayer 2D barcode to populate contrast information into the appropriate fields.
If only Bayer 2D contrast barcodes will be used at the site, further configuration of contrast barcodes and barcode
patterns applicable to contrast is not required. Refer now to 11.4 - Verify Setup and Configuration for Use.
Figure 12 - 3: Examples of 2D Contrast Barcodes
12.4 Configure Barcodes & Barcode Patterns for System Use

Defining contrast barcodes and barcode patterns aids the barcode reader to recognize encoded barcode information
as specific identifiers. Contrast barcodes are defined as fixed alphanumeric characters that represent contrast
information. Barcode patterns are templates that identify the variable information within the barcode (expiration
date, lot/batch, or patient/study).
NOTE: It is recommended to configure barcodes or barcode patterns that appear on the primary/vial
packaging instead of the outer packaging.
NOTE: Content embedded within barcodes vary and are driven by the manufacturer or the local hospital
IT department. Contact either as appropriate for questions about barcode content.
Once configuration has been completed, refer to 11.4 - Verify Setup and Configuration for Use.
12.4.1 Configure Contrast Barcode

Barcodes on the primary package normally represent the combination of contrast brand, concentration, and vial
size. Contrast barcodes can be configured to identify all of this information. Combinations of this information
should be configured separately.
Table 12 - 1: Example Contrast Barcodes
Code Example Contrast Barcode Barcode Value Entered Content
302700445403 Q Brand
NDC Q Vial size
NOTE: Do NOT enter “N” or
dashes. Q Concentration
0110302641482557 Q Brand
Q Vial size
NOTE: Do NOT enter any
GTIN qualifier text such as Q Concentration
“NDC NO” or
parentheses.
Table 12 - 1: Example Contrast Barcodes
Code Example Contrast Barcode Barcode Value Entered Content
Q (01):
Q Brand
01303027070991671714099010 Q Vial size
123456L Q Concentration
GS1 Q (17):
Do NOT enter parentheses. Enter
all letters and numbers under the Q Expiration
barcode. Date
Q (10):
Q Lot/Batch
NOTE: In the case of the GS1 code, the system will save the relevant GTIN (01) portion and then be
configured to read the remaining portions.
To configure contrast barcodes within Barcode Configuration, go to Contrast Setup within Barcode Configuration.
To locate this page, select Contrast Setup under the Content Setup drop-down menu.
Figure 12 - 4: Contrast Setup
12.4.1.1 Non-Bayer 2D Contrast Barcode

To configure 2D contrast barcodes on contrast not manufactured by Bayer, contact the manufacturer to retrieve the
information stored in the 2D barcode. This information must then be configure as if separate 1D barcode patterns.
12.4.1.2 Add Contrast Barcode

1. Select Add within the Contrast header (Figure 12 - 4: - Contrast Setup).
2. A window displays. Fill in the required fields, and select Add when finished.
Figure 12 - 5: Contrast Barcode (CT Left; MR Right)

Table 12 - 2: Contrast Barcode Fields and Functions
Information Field Function
Brand Name Identify the contrast brand name.
Concentration Identify the contrast concentration.
Vial Size Identify the contrast vial size.
Dosage* Identify the contrast dosage.
Barcode Identify the barcode numbers and/or characters.
Patient Minimum
Define the minimum patient weight possible for contrast use.
Weight*
Patient Maximum
Define the maximum patient weight possible for contrast use.
Weight*
Patient Minimum
Define the minimum age possible for contrast use.
Age*
* MR only
12.4.1.3 Edit Contrast Barcode

1. Select an entry under Contrast (Figure 12 - 4: - Contrast Setup).
2. A window displays. Edit fields as necessary.
3. Select Update when finished.
12.4.1.4 Delete Contrast Barcode
NOTE: Deleting a contrast barcode in Barcode Configuration also removes this information from use in
1. Select an entry under Contrast (Figure 12 - 4: - Contrast Setup).

2. A window displays.
3. Select Delete.
4. A prompt displays to confirm. Select Yes to delete the barcode.
To remove the contrast barcode from use but keep the contrast information, follow the steps in 12.4.1.3 - Edit
Contrast Barcode and delete the barcode listed. This keeps the contrast for use in the system but disables any access
through the barcode.
12.4.1.5 Pre-Configured Contrast

When enabled, Barcode Configuration will automatically be linked to the Certegra Workstation and share saved
information. If contrast was already programmed on the Certegra Workstation, such information will automatically
be added to Barcode Configuration.
Such entries in Barcode Configuration will not contain barcode information; add barcode information, and select
Update to save the pre-configured contrast.
NOTE: Deleting contrast barcodes in Barcode Configuration also removes this information from use in
12.4.2 Configure Barcode Pattern (Expiration Date, Lot/Batch, and Patient/Study)

Barcode patterns are configured to identify:
Q Contrast expiration date,
Q Contrast lot/batch information, or
Q Chart identifiers (patient MRN or accession number).
The barcode pattern assigned to each of these three items will be unique in its combination of length, character,
and symbol. But for any one pattern, all instances of length, character, and symbol should be identical.
NOTE: If the patterns are the same for multiple contrast brands, they only need to be configured once.
For example, if multiple contrast brands contain the same expiration date template, only one
expiration date barcode pattern would need to be configured.
NOTE: If contrast packaging does not provide an expiration date or lot/batch barcode, the applicable
pattern cannot be configured.
NOTE: For troubleshooting, refer to 12.5 - Configuration Troubleshooting and Notes.
To configure barcode patterns within Barcode Configuration, select any of the following under the Content Setup
drop-down menu.
Table 12 - 3: Where to Configure Barcode Pattern
Content Setup Drop-Down

Barcode Pattern Configuration Section
Menu Option
Contrast Barcode Pattern Setup

Contrast Setup Q Expiration Date Barcode Pattern
Q Lot/Batch Barcode Pattern
Table 12 - 3: Where to Configure Barcode Pattern
Content Setup Drop-Down

Barcode Pattern Configuration Section
Menu Option
Patient Barcode Pattern Setup

Patient Barcode Pattern Setup
Q Patient/Study Setup
12.4.2.1 Add Barcode Pattern

1. Select Add within the header of the appropriate section.
Figure 12 - 6: Example Patient/Study Barcode Pattern

Table 12 - 4: Barcode Pattern Fields and Functions
Name the barcode pattern. For example, “Expiration Pattern 1” or the pattern itself
Pattern Name
(“MMYYYY”).
Identify the number of alphanumeric characters under the barcode. This information is
used to determine the number of fields needed for “Barcode Pattern”. For example, the
Barcode Length barcode length of “112020” is 6.
NOTE: Do not count dashes, slashes, or parentheses.

Identify the barcode pattern as patient MRN or accession number.

Q A Medical Record Number (MRN) is a primary hospital identification number
or code for the patient.
DICOM Tag* Q An Accession Number is a series of numbers that hospitals use to identify a
specific study or procedure.
The DICOM tag is associated with the patient/study barcode, which the system uses to
query the Modality Worklist for patient and study information.
Identify the barcode pattern using characters and symbols:

Q Y – One digit year (if not a prefix or suffix)
Q M – One digit month (if not a prefix or suffix)
Q D – One digit day (if not a prefix or suffix)
Q # – One digit numeric character (0-9)
Barcode Pattern Q @ – One digit alphabetic character (a-z or A-Z)

Q * – One digit alphanumeric character (0-9, a-z, A-Z)
Q 0-9, a-z, A-Z – alphanumeric character itself (case sensitive; manual entry only)
NOTE: Entering specified characters (e.g., “1” or “A”)—instead of variable

symbols or characters (e.g., “#” or “@”)—will limit the barcode
pattern to what has been defined. A barcode that deviates from the
pattern will not be successfully scanned.
Use the "Prefix" field to hide characters that appear at the beginning of a barcode. Refer
Prefix (Optional)
to 12.4.2.2 - Configure Barcode Pattern to Hide Characters (Prefix/Suffix).
Use the "Suffix" field to hide characters that appear at the end of a barcode. Refer to
Suffix (Optional)
12.4.2.2 - Configure Barcode Pattern to Hide Characters (Prefix/Suffix).
* Patient/Study only
12.4.2.2 Configure Barcode Pattern to Hide Characters (Prefix/Suffix)
NOTE: Not every barcode contains a prefix and/or suffix. Configure prefix and/or suffix as needed.
(Optional) Configure a prefix and/or suffix in a barcode pattern to hide characters that appear at the beginning or
end of the barcode. For example, a patient MRN at a hospital may always begin with “MRN”; if these three extra
characters are determined to be unnecessary, the barcode can be configured to remove them.
A prefix and/or suffix can be defined for the following barcode patterns:
Q Expiration Date: Defining a prefix and/or suffix eliminates parts of the encoded barcode data from the
value that appears as the expiration date in the Fluid A tab of the Informatics Panel.
Q Lot/Batch: Defining a prefix and/or suffix eliminates parts of the encoded barcode data from the value
that appears as the lot/batch in the Fluid A tab of the Informatics Panel.
Q Patient/Study: Defining a prefix and/or suffix eliminates parts of the encoded barcode data from the value
that is used to query the Modality Worklist for patient and study information.
Enter the barcode length and barcode pattern first, then configure the preix/suffix as needed.
NOTE: Using characters or symbols that do not match the “Barcode Pattern” field results in an error
message.
NOTE: When configured, the prefix and/or suffix will be grayed out in the “Barcode Pattern” field.
In Figure 12 - 7: - Prefix/Suffix, the barcode pattern established is “**###@.” In this example, the “**” and the “@”
was determined to be unnecessary; therefore, these values are configured as prefix and suffix, respectively, in order
to remove this information from the barcode.
Figure 12 - 7: Prefix/Suffix
12.4.2.3 Edit Barcode Pattern

1. Select an entry under the appropriate section.
12.4.2.4 Delete Barcode Pattern

1. Select an entry under the appropriate section.
3. Select Delete.
12.4.3 Configure Technologist Barcode

Technologist barcodes are configured to identify the technologist. Technologist barcodes should not vary; therefore,
the barcode value will always be tied to the technologist configured in Barcode Configuration.
To configure technologist barcodes within Barcode Configuration, select Technologist Setup under the Content
Setup drop-down menu.
Figure 12 - 8: Technologist Setup
12.4.3.1 Add Technologist Barcode

1. Select Add within the Technologist header.
Figure 12 - 9: Technologist
Badge Barcode Identify the barcode numbers and/or characters.
Tech ID Identify the name of the technologist.
12.4.3.2 Edit Technologist Barcode

1. Select an entry under Technologist.
12.4.3.3 Delete Technologist Barcode

1. Select an entry under Technologist.
3. Select Delete.
12.4.3.4 Import Technologist Barcode

Under the Import section, select Overwrite or Append Unique. Select Browse, and choose the specified file for
upload. Select Open, and the file path appears in the Import window. Select Import.
NOTE: Selecting Overwrite replaces the existing technologist information with new data being
imported. Selecting Append Unique both adds new technologist information being imported and
keeps the existing technologist information.
12.4.3.5 Search for Technologist

Type either the badge barcode or Tech ID into the Search tool. Search results display under the Technologist section.
12.4.3.6 Edit Tech ID Displayed on the Certegra Workstation

Under the Technologist section, select BADGEBARCODE to display the badge barcode for the technologist or TECHID
to display the Tech ID for the technologist. Select Save when finished.
12.4.4 Export Barcode Configurations

To export CT or MR barcode configurations:
1. Under the Management drop-down menu, select Export.
2. Select Export.
Figure 12 - 10: Export

3. When barcode configurations are successfully exported, a confirmation appears. The Result box provides a
summary of the types and number of files exported.
Figure 12 - 11: Export Successful

4. Select Download to download the file.
12.4.5 Import Barcode Configurations
NOTE: If importing configurations from a differing modality (CT or MR), Barcode Configuration
automatically blocks conflicting contrast information. Contrast information not conflicting will
be imported.
To import CT or MR barcode configurations:

1. Under the Management drop-down menu, select Import.
Figure 12 - 12: Import

2. Under the Import section, select Overwrite or Append Unique.
NOTE: Selecting Overwrite replaces the existing barcode configurations with new data being imported.
Selecting Append Unique both adds new barcode configurations being imported and keep the
existing barcode configurations.
3. Select Browse.
4. Choose the specified file for upload, and select Open.
5. The file path appears in the Import window. If the correct file is selected, select Import.
6. When barcode configurations are successfully imported, the Result box provides a summary of the barcode
configurations that were successfully and unsuccessfully exported.
7. To copy the summary of the types and number of files exported, select Click to copy to clipboard.
8. To verify configuration data was successfully imported, browse the barcode patterns listed under Content
Setup. if the import was successful, imported barcode patterns appears.
12.5 Configuration Troubleshooting and Notes

The following errors can occur when configuring barcode patterns:

Q Duplicate Barcode Pattern Name: An error message occurs if adding or editing a barcode pattern with the
same name as an existing pattern. If this error occurs, rename the barcode pattern.
Q Duplicate Barcode Pattern: An error message occurs if adding or editing a barcode pattern that is a
duplicate of an existing pattern. A barcode pattern needs only to be configured once.
Q Overlapping Patterns: An error message occurs if adding or editing a barcode pattern with the same
number of characters as an existing pattern. The barcode reader will not differentiate between two
separate barcode patterns with the same number of characters. Select Cancel to disregard the changes, or
delete the overlapping pattern and re-enter the new pattern.
NOTE: On-screen error messages can occur and instruct in resolving data-entry issues. If unable to
resolve the issue following the instructions that appear, contact Service.
The following are general notes for consideration when configuring barcodes and barcode patterns:
Q Unidentified Barcode: The barcode or barcode pattern cannot be configured if a barcode is not
accompanied by any numbers or characters. Contact the manufacturer to retrieve the information stored
in the barcode.
Q Missing Barcode: The barcode or barcode pattern cannot be configured if the contrast packaging or label
does not provide a barcode for specific information. Contact the manufacturer.
Q Required Fields: Certain information fields are required. An error message displays if no information is
entered for these fields when Add or Update is selected.
Q Tip Window: Information fields can be accompanied by a symbol to indicate additional information is
available. Select the symbol to view the tip.
Figure 12 - 13: Tip Window

13 General Barcode Information

13.1 How to Use the Barcode Reader Accessory
13.1.1 Hand-Held Scan

1. Pick up the barcode reader. An aiming dot displays.
NOTE: The aiming dot is smaller when the barcode reader is closer to the barcode and larger when it is
farther away from the barcode. Barcodes with smaller bars or elements should be scanned closer
to the reader, whereas barcodes with larger bars or elements should be scanned farther from the
reader.
2. Ensure the aiming dot is centered on the barcode.
Figure 13 - 1: Centering Aiming Dot

3. Press and hold the trigger until either:
a. The barcode is read. The reader beeps, the LED flashes, and the aiming dot turns off.
NOTE: If the Initialization barcode (11.3 - Scan Initialization Barcode for System Use) has not yet been
scanned, the barcode reader emits four low beeps. The barcode reader must be configured for use
with the injector system before any barcode information can be read and recognized by the
Certegra Workstation. Refer to 11 - Barcode Reader Accessory and Setup.
b. Or the barcode is not read, in which case the aiming dot turns off.
13.1.2 Hands-Free Scan

When placed in the stand, the barcode reader operates continuously. This allows for automatic barcode scanning
when a barcode is presented in the barcode reader’s field of view.
When the barcode reader is not being used for a predetermined period of time, the reader enters a low-power mode,
and the LED dims.
To operate the barcode in its stand:
1. Ensure the USB cable is properly connected to the barcode reader. Refer to 11.2.1 - Install USB Cable for
connection instructions.
2. Insert the barcode reader into the stand. Ensure the front of the reader is properly placed into the stand
“cup.”
Figure 13 - 2: Insert Scanner into Stand

3. Adjust the scan angle by bending the stand neck as necessary.
4. Place barcode into the reader’s field of view.
5. If the barcode has been successfully scanned, the reader emits a short high beep, and the LED momentarily
shuts off.
13.1.3 Beeps and LED Indications

The barcode reader emits a series of both beeps and colored LED lights to indicate either the status of the barcode
reader or the barcode scan.
Table 13 - 1: Barcode Reader Beeps
Tone Sequence Explanation
Low/medium/high beep Barcode reader powering up
Short high beep Barcode successfully scanned.
Transmission error. Refer to Table 13 - 4:

4 long low beeps
Troubleshooting for more information.
Initialization barcode successfully scanned.

High/low/high/low beep Refer to 11.3 - Scan Initialization Barcode for
System Use for more information.
Table 13 - 2: Hand-Held Scanning Indications
LED Indication Explanation
Barcode reader is on and ready to scan, or no

Off
power to barcode reader
Green Barcode successfully scanned.

Red
Table 13 - 3: Hands-Free Scanning Indications
LED Indication Explanation
Off No power to barcode reader
Green Ready to scan
Off momentarily Barcode successfully scanned.

Red
13.2 Scan Barcodes for the Certegra Workstation

NOTE: Follow all steps outlined in 11 - Barcode Reader Accessory and Setup before using the barcode
reader with the Certegra Worsktation.
13.2.1 Scan Barcodes Pre-Injection

NOTE: Barcodes can be scanned in any order.

b. The scanned data will automatically appear in:
i. the Informatics Panel if the barcode is scanned from the Certegra Workstation main screen, or
ii. the applicable field(s) if the barcode is scanned with the Patient Information window open; and
c. A green checkmark appears under the Events area of the Informatics Panel (Figure 13 - 3: - Events Tab
- Barcode Scans). The field displays the name of the populated field and a time stamp of the scan.
3. If the barcode is unsuccessfully scanned:
a. A red X appears under the Events area of the Informatics Panel (Figure 13 - 3: - Events Tab - Barcode
Scans). This error message denotes either an unsuccessful barcode scan, a barcode pattern not
configured for use with the system, or any attempt to scan a barcode when scanning is prohibited by
the system.
Figure 13 - 3: Events Tab - Barcode Scans
NOTE: For more information, select the Events area on the Informatics Panel to display the Events tab.
Figure 13 - 4: Events Tab Details - Barcode Scans
13.2.2 Scan Barcodes Post-Injection

Patient and procedure information displayed on the Data Confirmation window can be updated post-injection
using the barcode reader. Refer to 6 - Data Confirmation for more information on Data Confirmation.
1. After the injection has completed, the Data Confirmation window displays.
Figure 13 - 5: Data Confirmation Window

NOTE: Barcodes can be scanned in any order.

b. The scanned data will automatically appear in:
i. the applicable field(s) on the Data Confirmation window, or
ii. the applicable field(s) if the Patient Information window is open. Select OK to accept changes
made, or select Cancel to cancel changes made.
4. On the Data Confirmation window, select Save to save changes made.
13.3 Troubleshooting Barcode Reader Accessory

NOTE: On-screen error messages can occur and instruct in resolving data-entry issues. If unable to
resolve the issue following the instructions that appear, contact Service.
Table 13 - 4: Troubleshooting
Error Explanation
Q No power to barcode reader. Connect the barcode reader to power supply.

Q Holding the trigger on the barcode reader for 10 seconds turns off the aiming dot.
Release the trigger to make the aiming dot reappear.
Aiming dot does not appear.
Q Holding the trigger on the barcode reader for 15 seconds sets the barcode reader
to vibrate mode. To revert the vibration setting back to audio feedback, hold the
trigger on the barcode reader for 15 seconds.
Table 13 - 4: Troubleshooting
Error Explanation
Q USB cable is loose. Reconnect the USB cable.

Q Barcode is unreadable. Ensure the barcode is not defaced by scanning a test bar-
Barcode reader scans barcodes
code of the same barcode type.
but does not transmit data.
Q Barcode reader is not configured properly. Refer to 11 - Barcode Reader Accessory
and Setup.
Q Barcode reader is not programmed for barcode type. The error appears as a red X
on the Events area of the Informatics Panel. Refer to 3.6.1 - View Events Informa-
Barcode reader does not scan tion for more information.
barcode.
Q Barcode is out of aiming dot area. Refer to Figure 13 - 1: - Centering Aiming Dot to
move the aiming dot correctly over the barcode.
Q Barcode is unreadable. Ensure the barcode is not defaced by scanning a test bar-
code of the same barcode type.
Q Check Certegra Workstation configuration. Refer to 11 - Barcode Reader Accessory
Scanned data does not display and Setup.
on Certegra Workstation.
Q Reset to factory settings. Refer to 13.3.1 - Reset Default Parameters (Optional).
Q If re-configuring the system and resetting the barcode reader to factory settings
does not work, contact Service.
Q Check to make sure defined barcode configurations are correct. Refer to 12.4 -
Configure Barcodes & Barcode Patterns for System Use.
Scanned data displayed on Q Check Certegra Workstation configuration. Refer to 12 - Barcode Configuration.
Certegra Workstation is
incorrect. Q Reset to factory settings. Refer to 13.3.1 - Reset Default Parameters (Optional).
Q If the problem persists after attempting the above three suggestions, contact Ser-
vice.
13.3.1 Reset Default Parameters (Optional)

1. To reset default parameters, scan the barcode in Figure 13 - 6: - Reset Default Parameters Barcode.
Figure 13 - 6: Reset Default Parameters Barcode

2. The barcode reader must be re-initialized for use with the injector system. Refer to 11.3 - Scan Initialization
Barcode for System Use for further instruction.
13.3.2 Removing the USB Cable If Necessary
NOTE: The barcode reader will not be powered if the cable is not plugged into the Certegra Workstation.
1. If applicable, remove the rear cover on the Certegra Workstation using a #2 Phillips screwdriver.
NOTE: If necessary, carefully tilt the face of the Certegra Workstation onto a flat service for better access
to both the rear cover and the USB ports.
2. Remove the USB cable from the Certegra Workstation.

3. Using a slotted or flat-blade screwdriver, press the USB cable’s connector clip through the access slot
located at the base of the barcode reader.
Figure 13 - 7: Removing the USB Cable

4. Carefully slide out cable.
5. To reconnect the USB cable to the barcode reader, refer to 11.2.1 - Install USB Cable.
6. If not reattaching the barcode reader to the Certegra Workstation, reinstall the rear cover if removed using
a #2 Phillips screwdriver.
13.4 Maintenance and Cleaning
13.4.1 General
This section contains recommended procedures for maintenance and cleaning of the barcode reader. Routine
maintenance and inspection will ensure continued performance of the barcode reader and reduce the possibility of
equipment malfunction.
The barcode reader must be properly maintained to ensure it is in peak operating condition. The individual
maintenance schedule depends upon how the barcode reader is used and the frequency of use. In general:
Q Do not allow abrasive material to touch the window.
Q Remove any dirt particles with a damp cloth.
Q Wipe the window using a tissue moistened with an approved cleaner (listed below).
Q Do not spray water or other cleaning liquids directly onto the window.
The manufacturer has tested and approved the following cleaning agents:
NOTE: Cleaners that contain active ingredients not listed below should not be used on the barcode
reader.
Q Isopropyl alcohol
Q Bleach/sodium hypochlorite
Q Hydrogen peroxide
Q Gentle dish soap and water
13.4.2 Daily
1. Dampen a cloth with one of the approved cleaning agents listed in 13.4.1 - General or use pre-moistened
wipes.
2. Gently wipe all surfaces, including the front, back, sides, top, and bottom of the barcode reader. Never
apply liquid directly to the scanner. Be careful not to let liquid pool around the scanner window, trigger,
cable connector, or any other area.
3. Clean the trigger and in-between the trigger and the housing. Use a cotton swab to reach tight or
inaccessible areas.
4. With a soft, non-abrasive cloth, immediately dry the scanner window after cleaning to prevent streaking.
5. Allow the unit to air dry before use.
13.4.3 Monthly
Keep a regular comprehensive cleaning routine to remove the natural build-up of dirt that occurs with everyday use
on connectors, the scanner window, and the main surface of the barcode reader.
1. Housing: Follow the instructions in 13.4.2 - Daily.
2. Scanner window: Wipe the scanner window with a lens tissue or other material suitable for cleaning
optical material, such as eyeglasses.
3. Scanner connector:
a. Dip a cotton swab in isopropyl alcohol.
b. Rub the cotton swab back-and-forth across the connector on the scanner. Do not leave any cotton res-
idue on the connector.
c. Repeat at least three times.
d. Use the cotton swab to remove any grease and dirt near the connector area.
e. Using a dry cotton swab, repeat steps b, c, and d. Do not apply alcohol as directed in any of these
steps.
13.5 Required Training

The barcode reader is intended for users and other clinicians certified in performing CT or MR scans (e.g.
Technologists) and trained in the use of all equipment used for performing such scans.
The Barcode Configuration feature under the Certegra Manager website may be used by either clinical or non-
clinical users (e.g. Administrators or IT/Biomed Technicians) responsible for configuration tasks in support of the
system’s operation.
13.6 Contraindications
None known.
13.7 Environmental Specifications
Operating Temperature: 32° F to 122° F (0° C to 50° C)
Storage Temperature: -40° F to 158° F (-40° C to 70° C)
Humidity: 5% to 95%, non condensing
13.8 Options
Catalog Number Description
MEDRAD® Stellant with Certegra®

BCRSCWS
Workstation Barcoding Accessory
Catalog Number Description
BCRMRXP MEDRAD® MRXperion Barcoding Accessory
MEDRAD® Stellant FLEX with Certegra®

BCRFLEX
Workstation Barcoding Accessory
1 - ii Certegra® Applications and Workstation Accessories
Bayer reserves the right to modify the specifications and features described herein or to discontinue any product or service
identified in this publication at any time without prior notice or obligation. Please contact your authorized Bayer representative for
the most current information.
All patient data that appear in this document are fictitious. No actual patient information is shown.
Bayer, the Bayer Cross, Certegra, MEDRAD, MRXperion, MEDRAD MRXperion, Stellant, MEDRAD Stellant, Stellant FLEX, MEDRAD
Stellant FLEX, P3T, VirtualCare, Ultravist, and Magnevist are trademarks owned by and/or registered to Bayer in the US and/or other
countries. Other trademarks and company names mentioned herein are properties or their respective owners and are used herein
solely for informational purposes. No relationship or endorsement should be inferred or implied.
© 2017-2018 Bayer. This material may not be reproduced, displayed, modified, or distributed without the express prior written
consent of Bayer.
Excerpted from DS4308/DS4308P Digital Scanner Product Reference Guide, Zebra Technologies Corporation, pp. 1-3, 1-4, 2-1, 2-2, 2-
4, 2-6, 2-7, 2-8, 2-11, 3-1, 3-2, 3-3, 3-4, 3-8, 3-9, 4-5, 6-6, 10-2. Copyright 2016 by Symbol Technologies LLC. Reprinted with
permission.
85552473 Rev. C August 14, 2018
Barcode reader hardware

distributed by:
To provide feedback or Manufacturer Authorized European Authorized Japanese
request support, please use Bayer Medical Care Inc. Representative Representative
the contact form provided on 1 Bayer Drive Bayer Medical Care B.V. バイエル

radiology.bayer.com/contact Indianola, PA 15051 Horsterweg 24 〒530-0001
U.S.A. 6199 Maastricht Airport 2-4-9
Phone: +1-412-767-2400 The Netherlands
+1-800-633-7231 Phone: +31(0)43-3585601 :+81(0) 6-6133-6250
Fax: +1-412-767-4120 Fax: +31(0)43-3656598 Fax: +81(0) 6-6344-2395

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Certegra® Applications and

4 Modality Worklist .................................................................................... 27

5 Informatics Panel and Modality Worklist Setup Options....................... 39

6 Data Confirmation ................................................................................... 45

7 Certegra Manager .................................................................................... 53

7.4.1 Help Page ......................................................................................................................................................................56

8 Mandatory Fields ..................................................................................... 59

9 Multiple Accession Number ..................................................................... 65

10.9.1 Add User ......................................................................................................................................................................86

11 Barcode Reader Accessory and Setup.................................................... 89

12.5 Configuration Troubleshooting and Notes................................................................................................................. 103

13 General Barcode Information .............................................................. 105

1.1 Certegra® Workstation

1.1.1 Workstation Cybersecurity

1.2 PACS, Speech Recognition (SR) Systems, and RIS

Authorized Representative in the European Community (ISO 15223-1, 5.1.2)

2.2 Shipper Symbols

Date of Manufacture (ISO 15223-1, 5.1.3)

Temperature range (ISO 15223-1, 5.3.7)

Humidity range (ISO 15223-1, 5.3.8)

Atmospheric pressure range (ISO 15223-1, 5.3.9)

Serial Number (ISO 15223-1, 5.1.7)

Catalog Number (ISO 15223-1, 5.1.6)

This side up (ISO 7000, 0623)

Keep dry (ISO 15223-1, 5.3.4)

Fragile, handle with care (ISO 15223-1, 5.3.1)

Consult instructions for use (ISO 15223-1, 5.4.3)

2.3 Regulatory Classifications

Tested to comply with FCC standards.

10 Indicates that this product contains certain toxic or hazardous substances or

Taiwan BSMI (Bureau of Standards, Metrology, and Inspection) Registration of

Australian Communications and Media Authority (ACMA) Regulatory Compliance

KC (Korea Certification) Mark

3.1 Data Flow

3.2 Managing Patient Information

3.2.1 Add or Edit Patient Information for Next Injection

Figure 3 - 1: Informatics Panel - Patient Information

Figure 3 - 3: Patient Tab - Date Selection

Figure 3 - 4: Patient Tab - Weight Selection

Figure 3 - 5: Patient Tab - Gender Selection

3.2.2 Clear All Patient Information for Next Injection

1. Select the Patient Information area from the Informatics Panel.

3.2.3 Cancel Edits to Patient Information for Next Injection

3.3 Managing Procedure Information

3.3.1 Add or Edit Procedure Information for Next Injection

Figure 3 - 6: Informatics Panel - Procedure

Figure 3 - 7: Procedure Tab - Technologist ID Entry

Figure 3 - 8: Procedure Tab - Injection Site Selection

Figure 3 - 9: Procedure Tab - Accession Number/Study Description Entry

Figure 3 - 10: Procedure Tab - Catheter Gauge Selection

3.3.2 Clear All Procedure Information for Next Injection

3.3.3 Cancel Edits to Procedure Information for Next Injection

3.3.4 Load Defaults into Procedure Information for Next Injection

Figure 3 - 11: Procedure Tab - Load Defaults

3.4 Managing Fluid Information

Figure 3 - 12: Informatics Panel - Fluids

NOTE: Select Fluid B to open the Fluid B tab.

Figure 3 - 13: Fluid A Tab

Figure 3 - 14: Fluid Source A Selection

Figure 3 - 15: Fluid Source B Selection

Figure 3 - 16: Batch Selection

Figure 3 - 17: Date Selection

3.4.2 Retrieve Previous Contrast Data (Fluid A Button)