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TraumaCad Touch Guide - Voyant Health

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<strong>TraumaCad</strong> <strong>Touch</strong><br />

<strong>Guide</strong><br />

BrainLAB’s<br />

Digital Lightbox


BrainLAB’s Digital Lightbox 2<br />

Contents<br />

Navigation.................................1<br />

Getting Started........................2<br />

Selecting a Procedure...........2<br />

Calibration Tab.........................3<br />

Templates Tab..........................4<br />

Templating Buttons................5<br />

Measurements Tab.................6<br />

Fragments..................................7<br />

OrthoWeb Tab..........................8<br />

<strong>TraumaCad</strong> Buttons...............9<br />

Navigation<br />

There are several finger gestures<br />

to navigate and interact with<br />

<strong>TraumaCad</strong> <strong>Touch</strong> (“TC <strong>Touch</strong>”)<br />

for selecting buttons, tabs or<br />

objects, rotating objects and<br />

zooming & panning images just<br />

as you would using a mouse.<br />

<strong>Touch</strong> / Tap<br />

Similar to left click in mouse<br />

control. When selecting items<br />

on the screen, such as the tabs,<br />

large on-screen buttons, templates<br />

or other objects, simply<br />

touch them with your finger.<br />

Apply some pressure with your<br />

finger pad when touching an<br />

item on the screen. Lift your<br />

finger when completed.<br />

Swipe<br />

To swipe means<br />

to drag your<br />

finger vertically<br />

or horizontally<br />

across<br />

the screen. For<br />

example, to<br />

perform finger<br />

scrolling, such as Implant size<br />

selection, slowly swipe your finger<br />

vertically across the screen<br />

to finger scroll.


Navigation<br />

continued<br />

Multi <strong>Touch</strong><br />

TC <strong>Touch</strong> recognizes a two-finger touch to zoom or to rotate<br />

To zoom in (magnify)<br />

Start with pinched fingers, and<br />

then spread them apart.<br />

To zoom out (make smaller)<br />

Start with separated fingers and<br />

bring them together. You may<br />

also perform these operations<br />

with one finger from each hand,<br />

if that is more convenient.<br />

To rotate an object<br />

<strong>Touch</strong> the object with your<br />

thumb in the location you<br />

would like to define as center<br />

of rotation and apply some<br />

pressure. With your second<br />

finger touch another point of<br />

the object and slide your finger<br />

left or right to rotate the object<br />

around your thumb.<br />

If a larger “turn handle” is desired,<br />

plant one finger at the desired<br />

center of rotation and use<br />

a finger from your other hand,<br />

far away from the first finger, to<br />

simulate a larger turning handle.<br />

This method may often provide<br />

for finer control over rotation.<br />

Slide / Drag<br />

Sliding on the touch-screen also<br />

involves dragging with your<br />

finger, but you need to press<br />

and hold your finger with some<br />

pressure before you start to<br />

drag. While dragging, do not release<br />

your finger until you have<br />

reached the target position. The<br />

following are some instances<br />

when you would use sliding:<br />

• Drag & drop templates into<br />

the image – touch to select<br />

templates from the list on the<br />

left, and slide over into the<br />

image.<br />

• Moving objects (templates<br />

or measurement tools for<br />

instance) from one location to<br />

another.<br />

• Rotating an object – touch the<br />

yellow dot on the top of the<br />

object highlighted box and<br />

slide your finger left or right<br />

to rotate the object around its<br />

center of rotation.<br />

<strong>TraumaCad</strong> <strong>Touch</strong> | <strong>Guide</strong> 1


BrainLAB’s Digital Lightbox 2<br />

Getting Started<br />

To start planning select an image from Digital Lightbox, touch the<br />

<strong>TraumaCad</strong> button to start the application.<br />

Selecting a Procedure<br />

<strong>Touch</strong> the desired surgical or analysis procedure button. The chosen<br />

procedure determines the relevant templates and measurement tools<br />

that will appear in the application.


Calibration Tab<br />

You must set up the image and calibrate it before starting<br />

templating.<br />

Calibrate image<br />

To use an image for quantitative measurements, the image must be<br />

calibrated to the actual bone size. There are 3 ways to calibrate an<br />

image:<br />

Define image orientation<br />

1. View - AP or LAT<br />

2. Laterality – Left or Right<br />

<strong>TraumaCad</strong> automatically<br />

searched for a metal ball as a<br />

marker. If a marker is detected,<br />

the Automatic calibration will<br />

be the default choice: the ball<br />

should be circled and the size<br />

shown is 25.4mm (1 Inch).<br />

To manually indicate the position<br />

of the marker you can use a<br />

ruler tool.<br />

<strong>Touch</strong> the “Manual” button to<br />

select the manual calibration<br />

and then draw the marker by<br />

dragging your finger on the image.<br />

<strong>Touch</strong> the Marker Size field<br />

to open the virtual keyboard.<br />

Enter the marker size and touch<br />

the OK button or Cancel to close<br />

the keyboard.<br />

You can manually resize the image<br />

by entering a percentage in<br />

the Oversize field.<br />

<strong>Touch</strong> the percentages field<br />

to open the virtual keyboard.<br />

Enter the oversized number<br />

(which represents the typical, or<br />

presumed, magnification) and<br />

touch the OK or Cancel button<br />

to close the keyboard.<br />

<strong>Touch</strong> the<br />

button<br />

when all fields are marked to<br />

your satisfaction.<br />

The calibration status of the image<br />

appears in the lower-right<br />

corner of the image.<br />

Once the image is set up you<br />

can start templating.<br />

<strong>TraumaCad</strong> <strong>Touch</strong> | <strong>Guide</strong> 3


BrainLAB’s Digital Lightbox 4<br />

Templates Tab<br />

Start Templating<br />

1. <strong>Touch</strong> the Manufacturer field<br />

to open the implant manufacturer<br />

list. <strong>Touch</strong> the desired<br />

manufacturer to select it.<br />

2. <strong>Touch</strong> the Types of Implants<br />

field to select the implant<br />

type.<br />

3. A list of implants matching<br />

your selection appears in the<br />

Implants tab.<br />

4. You can also do a free search<br />

for your favorite implants.<br />

<strong>Touch</strong> the Look for text box<br />

to open the virtual keyboard<br />

and enter your search, when<br />

finished touch OK or Cancel<br />

to close the keyboard.<br />

<strong>Touch</strong> the button to start<br />

the search.<br />

Mark the checkbox if looking<br />

for an implant regardless of<br />

the selected procedure.<br />

5. Select a template from the<br />

Implants tab and drag it onto<br />

the image.<br />

6. The template appears on the<br />

image.<br />

Once the template appears in<br />

the image you can:<br />

• <strong>Touch</strong> and drag it with your<br />

finger.<br />

• Rotate it using the two-finger<br />

multi-touch method, or by<br />

sliding the yellow dot.<br />

Template will rotate around<br />

the red pivot point (center<br />

of rotation).


Templating<br />

Buttons<br />

Group and Ungroup<br />

Create a Kit<br />

Attach to Cup and Detach Cup<br />

When a template is selected, it<br />

appears with a highlighted box<br />

surrounding it. Each template<br />

has different attached buttons:<br />

Implant Properties<br />

<strong>Touch</strong> the implant properties<br />

button to open a selection of<br />

properties such as implant, offset,<br />

attachment point, external<br />

or internal diameters, etc. In<br />

case the list is long slowly swipe<br />

your finger vertically across the<br />

screen to scroll.<br />

Appears when more than one<br />

object is selected (template,<br />

fragment or measurement tool).<br />

As you touch the Group button,<br />

the selected objects will be<br />

grouped and can be moved and<br />

rotated as a single object.<br />

The button will change to<br />

Ungroup, in case you wish to<br />

ungroup the objects.<br />

Appears when two or more<br />

templates are selected.<br />

Select two templates and touch<br />

the “Create a Kit” button. A virtual<br />

Keyboard will automatically<br />

open and you can type a name<br />

for your kit. Once you save the<br />

kit’s name it will be added to<br />

your “Kits” tab.<br />

Screw Properties<br />

Appears when a screw is<br />

selected, next to the plate’s<br />

highlighted box but will refer<br />

to the selected screw. <strong>Touch</strong><br />

the “Screw Properties” button<br />

to open a selection of properties<br />

such as: Lock Screw, Unlock<br />

Screw, Remove Screw and<br />

Remove All Screws.<br />

Appears in the Auto-Hip procedure<br />

next to the Stem highlighted<br />

box. <strong>Touch</strong> the button<br />

in order to attach the stem to<br />

the cup.<br />

Once the stem is attached to<br />

the cup, the button will change<br />

to “Detach Cup” and you can<br />

touch it to detach the stem from<br />

the cup.<br />

<strong>TraumaCad</strong> <strong>Touch</strong> | <strong>Guide</strong> 5


BrainLAB’s Digital Lightbox 6<br />

Measurements Tab<br />

Accurate measurements can be taken using a variety of orthopedics<br />

tools provided by <strong>TraumaCad</strong> with detailed illustrations and wizards.<br />

Procedure-specific measurement tools are shown on the<br />

Measurements tab. There is a detailed illustration for every<br />

measurement tool describing how to use it.<br />

The most frequently used tools can also be accessed from the right<br />

toolbar as well.


Fragments<br />

Fragments can help you<br />

simulate your operation results,<br />

for instance in osteotomies or<br />

fracture reductions.<br />

1. <strong>Touch</strong> to select the “Define<br />

Fragment” button in the left<br />

toolbar.<br />

2. Make a series of clicks along<br />

the outline of the fragment.<br />

3. Tap twice to close the outline<br />

drawing of the fragment.<br />

4. You have now created a<br />

closed shape that can be<br />

dragged to a new position.<br />

5. You can reshape the fragment<br />

outline by dragging<br />

any of the red points on the<br />

outline.<br />

6. <strong>Touch</strong> the yellow dot and<br />

slide it right or left to rotate<br />

the fragment around its<br />

center of rotation .<br />

You can also drag this pivot<br />

point to a new location and<br />

then rotate the fragment<br />

around it. The rotation angle<br />

appears next to the fragment<br />

highlighted box. Multi-touch<br />

rotation is also possible.<br />

7. Reset fragment – Return a<br />

manipulated fragment to its<br />

original position and location<br />

by touching the button.<br />

<strong>TraumaCad</strong> <strong>Touch</strong> | <strong>Guide</strong> 7


BrainLAB’s Digital Lightbox 8<br />

OrthoWeb Tab<br />

Login to OrthoWeb<br />

Insert your login and password<br />

and touch the “Login” button<br />

to login to your OrthoWeb<br />

account. Once you are loggedin<br />

you can view your OrthoWeb<br />

cases and upload cases to your<br />

account.<br />

Easy Access login<br />

1. Insert Easy Access Key to DLB<br />

2. Enter your PIN number in the<br />

virtual keyboard<br />

3. Easy Access will be blocked<br />

after 3 consecutive mistrials.<br />

4. Pulling Easy Access key will<br />

log you out from your<br />

account.<br />

OrthoWeb is a highlysecure,<br />

web-based environment<br />

allowing you to<br />

bypass the technical issues<br />

often encountered when<br />

moving images around to<br />

different locations—<br />

the clinic, the home, the<br />

hospital, or the operating<br />

room.<br />

If you do not have an<br />

OrthoWeb account, contact<br />

Global Support Center:<br />

support@traumacad.com.<br />

Learn more about<br />

OrthoWeb on the web:<br />

www.orthoweb.com


<strong>TraumaCad</strong><br />

Buttons<br />

Redo<br />

Repeats last cancelled<br />

step<br />

Exit<br />

Exits the application<br />

Line<br />

Draws a line between two<br />

points on the image<br />

Change Procedure<br />

Changes the procedure<br />

selected for surgery or<br />

analysis<br />

Clear Image<br />

Clears image from<br />

planning<br />

Transpose<br />

Transposes implant’s<br />

orientation between<br />

AP and LAT views<br />

Text Annotation<br />

Adds textual annotation<br />

to the image<br />

Save Case<br />

Saves <strong>TraumaCad</strong> Case<br />

Delete<br />

Deletes a selected measurement<br />

tool or implant<br />

Copy Implant<br />

Duplicates a selected<br />

implant<br />

Free Hand Line<br />

Draws a curved line<br />

on the image<br />

Download Templates<br />

Downloads templates<br />

from Orthocrat global<br />

server<br />

Image Mode<br />

Zooms the image in or<br />

out, and pans it<br />

Window/Level<br />

Adjusts the brightness/<br />

contrast of the image<br />

Multi Selection<br />

Selects two or more<br />

objects in the image<br />

Undo<br />

Cancels last step<br />

Invert Image<br />

Reverses the areas of<br />

black/white on the image<br />

Fit to Screen<br />

Fits the image to full<br />

window size<br />

Flip Horizontal<br />

Flips the image<br />

horizontally<br />

Flip Vertical<br />

Flips the image vertically<br />

About Us<br />

Flip Implant<br />

Flips the selected implant<br />

or fragment left/right<br />

Ruler<br />

Measures the distance<br />

between two points<br />

Angle<br />

Measures an angle<br />

Circle<br />

Measures the diameter<br />

of any round object<br />

Interline Angle<br />

Measures the angle<br />

between two lines<br />

Reset Fragment<br />

Returns a manipulated<br />

fragment to its original<br />

position<br />

Duplicate Fragment<br />

Duplicates a fragment<br />

of the image<br />

Define Fragment<br />

Draws a line around a<br />

fragment and cut it<br />

<strong>TraumaCad</strong> <strong>Touch</strong> | <strong>Guide</strong> 9<br />

© 2009. All Rights Reserved | Orthocrat, Ltd. | OC138001 | 111 August 2009


www.orthocrat.com<br />

Baltimore | Tampa | London | Tel Aviv<br />

Orthocrat<br />

Bridge your orthopedic<br />

workflow gap<br />

US: 866-717-0272<br />

UK: 0800-4048204<br />

Europe: 00-800-9290-9290<br />

International: +972-3-929-0929

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