Siemens Healthineers Luminos Agile Max

Syngo Workstation, DICOM Send, Archive, or Printer Communication Failure

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Asset Type

Fluoroscopy / Interventional System

Manufacturer

Siemens Healthineers

Model

Luminos Agile Max

What This Guide Helps With

Troubleshooting syngo workstation, DICOM send, archive, printer, or study transfer failures using external checks before escalation.

Step-by-Step Troubleshooting

Ensure Patient Safety First

Confirm the patient exam is complete or safely paused before troubleshooting image transfer, archive, or printer communication issues.

Do not restart the workstation, acquisition system, or network-connected components during an active fluoroscopy procedure unless clinical leadership confirms it is safe.

Expected outcome: Patient care is not interrupted by workstation or network troubleshooting.

Confirm the Exact Communication Failure

Ask staff what failed and when it occurred.

Identify whether the issue involves:

Expected outcome: The failure is narrowed to workstation, DICOM destination, printer, worklist, or network communication.

Check Whether Imaging and Local Review Still Work

Confirm whether the Luminos Agile Max can still acquire images and whether prior images can be reviewed locally on the syngo workstation.

If images are present locally but not reaching PACS, archive, or printer, the issue is likely communication-related.

If images cannot be acquired, displayed, or saved locally, stop communication troubleshooting and escalate as an acquisition/workstation fault.

Expected outcome: Local image storage and review are confirmed before focusing on external transfer paths.

Verify the Workstation Is Powered and Responsive

Check that the syngo workstation, monitor, keyboard, mouse, and any connected console components are powered and responsive.

Look for frozen screens, login prompts, system warnings, or disconnected peripherals.

If the workstation is frozen, follow site-approved restart procedures only when no patient care is active.

Expected outcome: The workstation is available for queue, destination, and study checks.

Check Network Cable Connections

Inspect accessible Ethernet connections at the syngo workstation, network wall jack, printer, and any local network device used by the imaging room.

Confirm cables are fully seated and not damaged, kinked, unplugged, or pulled tight behind the workstation or printer.

If a loose cable is found, reseat it and retest the failed send or printer function.

If this resolves the issue, stop troubleshooting and document the corrected connection.

Expected outcome: Obvious physical network disconnections are ruled out.

Check Network Link Indicator Lights

If visible and safe to access, check for link/activity lights on the workstation network port, wall-connected device, or printer Ethernet port.

No link light may indicate a disconnected cable, inactive network jack, failed printer network port, or network switch issue.

Expected outcome: Basic physical network activity is confirmed or identified as absent.

Confirm Whether Other Devices in the Area Are Affected

Ask staff whether nearby imaging rooms, printers, PACS workstations, or modality worklists are also having communication problems.

If multiple devices are affected, the issue may involve hospital network, PACS, RIS, print server, or DICOM destination availability.

Expected outcome: The issue is identified as device-specific or part of a larger network/system outage.

Review the DICOM Send or Archive Queue

On the workstation, check the send/archive queue or job status if available to Clinical Engineering.

Look for failed, pending, paused, rejected, or retrying jobs.

Confirm whether failures affect:

Expected outcome: The failed communication path is narrowed by queue behavior.

Retry a Failed Send Only When Appropriate

If the study is present locally and the destination appears available, retry the failed DICOM send according to site workflow.

Do not delete studies or clear queues unless the images are verified safely archived elsewhere and the action is approved by site policy.

If the retry succeeds, stop troubleshooting and document the successful resend.

Expected outcome: A temporary communication interruption is cleared without risking image loss.

Verify Correct Patient and Study Selection

Confirm staff are attempting to send, archive, or print the correct study, series, or image set.

Some issues are workflow-related, such as unsent images, incomplete exams, wrong destination selection, or a study not finalized.

Expected outcome: The failure is not caused by incomplete exam workflow or incorrect destination selection.

Check DICOM Destination Selection

Confirm the intended destination is selected, such as PACS, archive, printer, CD/export station, or another configured DICOM node.

If only one destination fails while others work, the problem may be with that specific destination, routing rule, printer, AE title, IP address, port, or receiving system.

Expected outcome: The affected destination is isolated.

Check RIS or Modality Worklist Behavior

If the complaint involves patient orders not appearing, verify whether the modality worklist is unavailable for all patients or only one order.

Ask staff to confirm the order exists in the scheduling/RIS system and is assigned to the correct modality/location.

If other modalities also cannot retrieve worklists, escalate to PACS/RIS/IT support.

Expected outcome: Worklist failure is separated from image send or printer failure.

Check Printer Status

If the issue involves film or paper printing, inspect the printer for external issues.

Check for:

Correct obvious supply or offline issues if allowed by site policy.

If the printer resumes printing, stop troubleshooting and document the printer condition corrected.

Expected outcome: Printer-side faults are ruled out before blaming the Fluoroscopy / Interventional System.

Confirm Destination Availability with IT, PACS, or Imaging Informatics

If the workstation appears functional and local images are intact, contact the appropriate PACS, network, or imaging informatics team.

Ask them to verify:

Expected outcome: External enterprise system problems are confirmed or ruled out.

Check for Recent Configuration or Network Changes

Ask whether there were recent changes to PACS, network switches, IP addressing, printer replacement, firewall rules, workstation updates, or RIS interface settings.

Communication failures often appear after configuration changes outside the fluoroscopy room.

Expected outcome: Recent changes are identified as possible causes.

Perform a Controlled Restart Only if Safe and Approved

If the workstation is unresponsive or communication services appear stuck, perform a controlled restart only when:

After restart, verify workstation login, local image access, worklist availability, and DICOM send/printer function.

If communication restores after restart, stop troubleshooting and document the result.

Expected outcome: A temporary workstation communication lockup is cleared safely.

Verify Final Function

Confirm the affected workflow now works before returning the room to normal use.

Depending on the issue, verify:

Expected outcome: The failed communication path is verified operational.

If the Problem Persists

If local images are present but DICOM send, archive, worklist, or printer communication still fails after external checks, the common external causes have been ruled out.

The Luminos Agile Max should be:

Knowing when to stop is proper troubleshooting. Do not delete studies, modify DICOM configuration, change network settings, or perform deeper workstation repair unless authorized and trained.

Clinical Use Tip

Do not troubleshoot workstation or network communication during an active fluoroscopy procedure unless the patient is safe and the clinical team approves the interruption. If images cannot be reliably archived, move care to another imaging room or approved downtime workflow.

Work Order Documentation (CCR Method)

CCR = Complaint, Cause, Resolution

Complaint

What was reported by the clinical staff.

Example:
"Technologist reported that Luminos Agile Max fluoroscopy images were stuck in the syngo DICOM send queue and were not appearing in PACS."

Cause

What was observed during troubleshooting.

Example:
"Found local image review working, but the PACS DICOM destination was unreachable while the workstation and room network cable connections appeared secure."

Resolution

What action was taken.

Example:
"Verified images remained stored locally, notified PACS/IT for DICOM destination review, labeled the room limited use per site workflow, and documented final status for follow-up."

Helpful Details to Include (If Known)

Final Thought

For Luminos Agile Max communication failures, protect the patient record first. Confirm images are safely stored, check physical connections and destination status, then escalate to PACS, IT, or vendor support when the issue is beyond external Clinical Engineering troubleshooting. Clear CCR documentation helps prevent repeat work and protects image traceability.

That is successful troubleshooting.

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