Technical Man Code 66 80 012 PDF
Technical Man Code 66 80 012 PDF
Technical Man Code 66 80 012 PDF
Technical Manual
EN code 66 80 012
MAIN CONTENTS
PART 0: PREFACE
PART 1: GENERAL DESCRIPTION
PART 2: INSTALLATION
PART 3: ACCEPTANCE
PART 4: ADJUSTMENTS
PART 5: MAINTENANCE
Technical Manual
issued on 01/06/12
series 01
Each part is preceded by its own list of contents, with an indication of the date on
which each paragraph was last revised.
MAIN CONTENTS
code 66 80 012 - Mti 00.doc
TECHNICAL MANUAL
CONTENTS
chapter)
2.2.3.2 Versions 2, 4 (see table 1 on preface
chapter)
2.2.3.3 Version 5 (see table 1 on preface
chapter)
2.2.3.4 Version 6 (see table 1 on preface
chapter)
2.2.4 mAs table
2.2.5 kV/mA correlation
2.2.5.1 Versions 1, 3, 5 (see table 1 on preface
chapter)
2.2.5.2 Versions 2, 4 (see table 1 on preface
chapter)
2.2.5.3 Version 6 (see table 1 on preface
chapter)
2.2.6 Dosage information
2.2.6.1 Indications
2.2.6.2 Reference Air Kerma Rate
Versions 1, 3, 5 (see table 1 on preface
chapter)
2.2.6.3 Reference Air Kerma Rate
Versions 2, 4 (see table 1 on preface
chapter)
2.2.6.4 Reference Air Kerma Rate
Version 6 (see table 1 on preface
chapter)
2.2.7 Optional modules
2.2.7.1 Dose Area Meter
2.2.7.2 Laser localiser
2.2.7.3 Medicap USB200
(video memory versions only)
2.3 Fuses
2.4 Overall dimensions and weights
2.4.1 Overall dimensions and weight of the monitor
unit
2.4.1.1 Version for SBFM video memory
2.4.1.2 Version for SBFM video memory +
Medicap
2.4.1.3 Version for DIP340 video processor
2.4.1.4 Monitor rotation
2.4.2 Overall dimensions and weight of the stand
2.4.2.1 9” version with fixed anode
2.4.2.2 9” version with rotating anode
2.4.2.3 12” version with rotating anode
2.5 Focal spot position
2.5.1 9” version with fixed anode
2.5.2 9” version with rotating anode
2.5.3 12” version with rotating anode
2.6 Dispersed radiation in significant zone of occupancy
2.6.1 Version 1, 3, 5 (see table 1 on preface chapter)
The electro-medical (EM) equipment comes in various versions, the main difference
e being the image
acquisition device installed:
- Versions with VIDEO MEMORY (SBFM) ,
- Versions with VIDEO PROCESSOR (DIP340).
1 Stand
2 X-ray footswitch
3 Monitor station
1 Stand
3 Monitor Unit
2 Footswitch
1 Stand
2 X-ray footswitch
3 Monitor unit
4 Remote control
1 Stand
4 Remote Control
2 Footswitch
3 Monitor Unit
1.1.3 STAND
1 Control panel
2 X-ray monoblock
3 Collimator ; Dose Area Meter (optional)
4 I.I. tube
5 TV camera with CCD sensor
6 Table containing: Control Unit
X-ray generator inverter
Column movement motor
Rear wheel rotation mechanism
Power transformers
7 C-arm sliding grip
8 C-arm sliding brake
9 C-arm rotation brake
10 Horizontal C-arm positioning brake
11 Horizontal C-arm movement grip
12 “Wig-wag” angle brake
13 Guide knob (±90°) for rear wheels and stand parking brake control
14 Handles for moving the stand
15 X-ray command button
16 Emergency button
17 Stand / monitor unit connector
18 Footswitch cable connector
19 Equipotential earth connector
20 Laser light localiser (optional)
7 14 11 12 9
5
20
A
10 17 6 15 18 19
16
13
1.1.4 STAZIONE VISIVA
View from A
1. Work Monitor (W.M.), for viewing live images and the last image acquired (LIH)
2. Reference monitor (R.M.), for viewing saved images
3. ON/OFF key
4. SBFM video memory
5. Printer compartment (optional)
6. Power unit
7. Parking brakes
8. Monitor orientation handles
9. Monitor orientation locking handle
10. Emergency stop button
11. X-ray warning light
12. Steering handles
13. Cable support
14. Magnetothermal switch
15. Power cable
16. Stand cable
1 8
2 9
3 10
4 11
5 12
6 13
14
7
15
16
1. Work Monitor (W.M.), for viewing live images, the last image acquired (LIH) and the images saved to
HD in the video processor
2. Reference monitor (R.M.), for viewing saved images
3. ON/OFF key
4. Touch-pad keyboard
5. Infrared remote control sensor
6. CD/DVD burner
7. USB socket for extracting saved images
8. DIP340 video processor Power unit
9. Printer compartment
10. Power unit
11. Parking brakes
12. Monitor orientation handles
13. Monitor orientation locking handle
14. Ethernet cable connector
15. Emergency stop button
16. X-ray warning light
17. Steering handles
18. Cable support
19. Infrared remote control
20. Magnetothermal switch
21. Power cable
22. Stand cable
1 12
2 13
3 14
4 15
5 16
6 17
7 18
8 19
9 20
10 21
11 22
The equipment allows for acquisition of X-ray images in the following modes:
- CONTINUOUS FLUOROSCOPY
- LOW mA CONTINUOUS FLUOROSCOPY
- HIGH mA CONTINUOUS FLUOROSCOPY (BOOSTED)
- PULSED FLUOROSCOPY
- “ONE SHOT” FLUOROSCOPY
- FLUOROSCOPY WITH AUTOMATIC SAVING TO HD (*)
- SUBTRACTIVE ANGIO FLUOROSCOPY (*)
- ROAD MAPPING (*)
- CASETTE RADIOGRAPHY.
The image processing functions vary: see User Manual for full details.
See Chapter “Technical Data” below for full details of the technical data and characteristics.
a) Acquisition
b) Post-processing
1.3 SAFETY
1.3.1 INTRODUCTION
The EM equipment must be used solely in accordance with the safety instructions contained in this manual
and must never be used for purposes other than those for which it is intended.
Attention:
The equipment must only be used by personnel with proper knowledge of radiation protection
and full training in the use of X-ray equipment.
The equipment must not be used if there are any electrical, mechanical or radiological failures.
Likewise, it must not be used in the event of a faulty alarm or signal.
Prior authorisation must be obtained in writing from ATS before making any modifications to this
equipment or its safety system.
Never remove any parts or covers, as this could compromise the equipment’s electromagnetic
compatibility.
If you wish to use the equipment in combination with other devices, components or modules
whose compatibility is not certain, you must make sure that there are no risks for patients or
operators. Consult the manufacturer of the device in question or an expert.
As with any technical apparatus, the X-ray equipment must be used in a proper manner and
receive regular checks and maintenance as specified in the "Maintenance" section of this
manual.
The monoblock may reach a temperature close to 60 °C after prolonged use. Do not touch the
monoblock or move it near the patient.
Attention:
Avoid knocks.
Never remove the guards unless for the maintenance operations expressly foreseen by and
described in this manual.
Attention:
Unplug the equipment from the mains before cleaning, disinfecting and sterilizing it.
Cleaning products and disinfectants can form explosive gas mixtures. Therefore, only use
products that comply with the relevant safety regulations.
Take care not to spill conducting liquids on the equipment as these could infiltrate and so
damage the equipment and render it unsafe to use.
Protection against electric shock is provided by an earth connection (EM equipment, class I).
Make sure that the electrical plant to which the EM equipment is connected is properly
earthed in compliance with current laws and regulations.
If the equipment suddenly malfunctions, use the emergency button (on the monitor unit or the
stand, as shown in the figure) to stop it and prevent the emission of X-rays.
Always switch the equipment off after use. When in use, always switch the equipment off using
the OFF key on the stand.
To switch the system off completely, use the key switch on the monitor stand, but only after
switching the stand off first.
Unplug at the mains only after first switching the system off using the key switch on the monitor
unit.
If the power cable becomes damaged, carefully remove it (holding it by the plug) and replace
with a new one from the manufacturer.
For maximum patient and medical staff safety, the patient bed must
be earthed using the equipotential earth connector on the stand.
Use a cable with a Multi-Contact POAG-K4 or POAG-K6 connector to
connect this (see detail in figure below).
The equipotential earth connector must not be used for connection to the EARTH.
In order to centre the X-ray beam, the equipment uses 2 laser beam centring devices (optional) with class
1M laser diodes (optional) placed on the I.I. tube.
A special warning plate (see figure) is fixed on the I.I. tube near the flange containing the two centring
devices, in the position shown in the figure below.
The laser diodes used are class 1M laser diodes (IEC/EN standard 60825-1 Ed.2).
The use of this device involves two types of exposure to ionising radiation:
occupational, for operators
diagnostic, for patients being scanned.
Even though the equipment provides a high standard of protection against X-rays, beyond the actual
beam, no occupational measure can guarantee total protection. The operator must, therefore, take all
the necessary safety precautions to avoid the risk of exposure, to himself and others, arising from incorrect
or excessive exposure to radiation.
All operators must receive suitable training and adopt all necessary safety measures to avoid the risk of
harm.
The equipment is sold on the following condition (clause in the sale contract): the Manufacturer, its agents
and representatives cannot be held liable for any loss or injury that may be caused by improper use of the
equipment.
Before carrying out any exposure, make sure that all the necessary radiation protections have
been activated.
During X-ray use, the personnel present in the X-ray room must observe the radiation protection
regulations in force.
Protective aprons
for operators
Ovary protection
for female patients
Distance is the best protection against radiation: always keep as far away from the source of
the X-rays and the exposure objective as possible.
Use the manual switch at least 2 m from the X-ray beam to protect yourself further from the risk
of dispersed radiation.
Accordingly, the coiled cable of the manual switch is about 4 long when fully extended.
Always set the smallest exposure field possible by closing the collimator shutters/iris. In fact,
dispersed radiation depends to a large extent on the volume of the irradiated object.
Use the largest possible skin-focussing distance to minimise the dose absorbed by the patient.
The dose values for the patient shown above (distance from focus = 100 cm and 50 cm) are:
2
⎛ 50cm ⎞
dose" A" = ⎜ ⎟ × dose" B"
⎝ 100cm ⎠
For example, if a patient at a distance of 50 cm from the focus receives a dose of 250uGy (dose “B”), when
that distance becomes 100 cm the received dose is:
2
⎛ 50cm ⎞
dose" A" = ⎜ ⎟ × 250uGy = 62,5uGy
⎝ 100cm ⎠
During every exposure, always make sure that the edge of the iris collimator is visible on the
image: if it is not possible to collimate this correctly, call the ATS Technical Service as there is the
risk that the collimator is not working and remains open at an excessive value.
Make sure that there are no materials within the X-ray beam that could diminish the intensity of
the X-rays and so lead to sub-standard images.
For example, the patient bed must conform to standard EN60601-2-54 table 203.104 (equivalent
aluminium filtration less than 2.3mm).
The EM equipment has been designed and built in full respect of the safety regulations.
Nevertheless, there are still some risks involved in the use of this equipment if it is used incorrectly or the
prescribed safety measures are faulty.
With regard to risks due to improper use of the EM equipment, see the instructions and recommendations
above.
• Patients or operators may be harmed by uncontrolled movement of the monitor unit or the stand due
to excessively fast movement or steep surfaces.
- Never allow the monitor unit or the stand to pick up too much speed during movement.
- Never move the monitor unit or the stand on stairs or inclined surfaces with a gradient of more
than 10°.
- When moving the stand or monitor unit, avoid all obstacles on the ground (e.g. cables and
steps.
• The stand and monitor unit have been tested for stability during movement on inclined surfaces (up to
10° and all other positions on slopes of up to 5°.
- Never use the stand or monitor unit on surfaces with an incline of more than 5° (or 10° during
transit).
- Never try to move the stand or monitor unit when their brakes are engaged.
• In the case of uncontrolled movement of the C-arm, the mechanical structure may hit the patient or
operators.
- Keep the movement of the C-arm under control at all times.
• The monoblock may overheat after continuous and prolonged use of the equipment.
- Never cover the surfaces of the monoblock with material that prevents heat dispersion.
• Inflammable gases may be ignited by electric arcs due to the operation of electrical components.
- Never use the equipment in the presence of anaesthetics or other inflammable products.
- Check that there is a fire extinguisher in the room where the equipment is to be used and that
this is efficient.
With regard to residual risks due to faults in the prescribed safety measures, note that:
• Protection against electric shocks is provided by means of an efficient earth system for all metal parts
covering the equipment.
The full earth circuit (for both internal and external parts and the mains supply) should therefore
be checked for efficiency on a regular basis (see the "Routine Maintenance" schedule
described in this manual).
• If the LCD monitor screen is hit hard enough, it could break and scatter liquid crystal, which is toxic.
- Avoid hitting the monitor with any objects.
• To control the residual risk of X-ray emission in the event of a system fault or incorrect adjustment, we
recommend checking the dose level every day, immediately after switching on the equipment
and before using it on patients (details of this test are given in paragraph 2.7).
Once the EM equipment reaches the end of its useful life, dispose of all its components in accordance with
the European Waste Electrical and Electronic Equipment Directive 2002/96/EC (WEEE).
Some parts of the EM equipment are built using hazardous materials, such as lead.
All flat batteries must be disposed of in accordance with European Waste Electrical and Electronic
Equipment Directive 2002/96/EC (WEEE).
1.3.5 WARNINGS
Live parts
Equipotential pole
Reference index
Switch open
Switch closed
Brake off
Brake on
Radiography
Continuous fluoroscopy
Messages
status and alarms
LOW mA X-ray emission (fluoroscopy) with low mA, The normal mA value is automatically
depending on temperature of the X-ray tube reset as the temperature of the X-ray
or X-ray monoblock tube or monoblock falls
BOOSTED X-ray emission (fluoroscopy) with high mA, for
the time set on the equipment
FLUOROSCOPY PEDAL Continuous fluoroscopy footswitch error: Call Technical Service.
CLOSED already “on” when system switched on.
PULSED PEDAL CLOSED Pulsed fluoroscopy footswitch error: already Call Technical Service.
“on” when system switched on.
1-SHOT PEDAL CLOSED One-shot fluoroscopy footswitch error: Call Technical Service.
already “on” when system switched on.
X-RAY BUTTON CLOSED X-ray command footswitch error: already Call Technical Service.
“on” when system switched on.
LOW DOSE AT MAX kV No image is detected when using the max kV Reboot system and give exposure
setting. command (without patient).
Call Technical Service if the alarm
persists.
kV ERROR I.I. tube voltage during exposure fails to reach Reboot system and give exposure
the set value. command (without patient).
Call Technical Service if the alarm
persists.
SET kV ERROR The kV setting supplied by the X-ray generator Call Technical Service
does not match the value shown on the
control panel (10% outside tolerance)
INVERTER FAULTY Generic X-ray generator inverter error Reboot system and give exposure
command (without patient).
Call Technical Service if the alarm
persists.
TIMER FAULTY Malfunction in the main controller clock in the Call Technical Service.
equipment
DOSE CONTROL FAULTY Malfunction in the X-ray dose reading circuit Call Technical Service.
EEPROM FAULTY Malfunction in the permanent memory of the Call Technical Service.
main controller in the equipment
FILAMENT OFF Problem with the circuit that switches on the Reboot system.
X-ray tube. Call Technical Service if the alarm
persists.
VIDEOP. NOT READY No response from the video processor Reboot system and give exposure
PRONTO command (without patient).
No response from the video memory Call Technical Service if the alarm
MEMORY NOT READY persists.
TV CAMERA OFFLINE TV camera not communicating with the main Reboot system.
controller in the equipment Call Technical Service if the alarm
persists.
THERMAL SAFETY DEVICE The over-temperature thermal safety device Wait for the X-ray monoblock to cool
in the X-ray monoblock has tripped down.
CG-uP376 +24V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
CG-RKMC +15V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
CG-RKMC -15V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
CG-RKMC +24V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
NO X-RAYS No X-ray emission detected after giving the X- Reboot system and give exposure
ray command command (without patient).
Call Technical Service if the alarm
persists.
MANUAL X-RAY STOP The radiography command button has been Assess image quality and repeat
released before exposure has ended. exposure if necessary.
MAX RADIOGRAPHY TIME Radiography exposure has been interrupted Probably due to a big dip in the mains
by the max admissible exposure time-out (5’’) voltage during exposure.
Assess image quality and repeat
exposure if necessary, increasing the
kV.
MAX FLUOROSCOPY TIME Fluoroscopy exposure has been interrupted Reset fluoroscopy timer.
by the accumulated fluoroscopy timer.
COLLIMATOR FAULT The collimator is not connected, incorrectly
connected or does not function properly.
The nominal I.I. tube zoom is automatically Call Technical Service.
selected.
X-ray exposure is permitted in order to finish
the operation.
IRIS FAULT The iris has not reached the right position. Call Technical Service if the alarm
persists.
X-RAY TUBE TOO HOT Radiography exposure is not permitted as the Wait for the X-ray tube to cool down.
X-ray tube is too hot.
DAP NOT CONNECTED Dose Area Product not connected Call Technical Service.
MAX DOSE 999999.9 Warning that the max accumulated dose Reset the DAP.
setting (DAP) has been exceeded
STARTER ANODE FAULTY Problem in the rotating anode circuit Call Technical Service.
X-RAY ORDER FAULTY Video processor makes an X-ray emission Call Technical Service.
request at wrong time
Never remove any parts or covers as this may compromise the electromagnetic compatibility of
the system.
Caution: Portable and mobile communication devices may affect the efficiency of the device.
Table 1
RF emissions Group 1 The system uses RF energy only for its internal function. Therefore,
CISPR 11 its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
Class A The system is suitable for use in all establishments, excluding
domestic establishments and those directly connected to the
Harmonic emissions Not Applicable public low-voltage power supply network that supplies buildings
EN 61000-3-2 used for domestic purposes.
Voltage fluctuation / flicker Not Applicable
emissions
EN 61000-3-3
Table 2
Table 4
Recommended separation
distance:
d = 1.2 √P
150 MHz - 80 MHz
d = 1.2 √P
80 MHz - 800 MHz
d = 2.3 √P
800 MHz - 2.5 GHz
irradiated RF 3 V/m 3 V/m
80 MHz - 2.5 GHz where P is the maximum nominal
EN 61000-4-3 output rate of the transmitter in
Watts according to the
transmitter manufacturer and d
is the recommended separation
distance in metres.
Note 1: These guidelines might not apply to all situations. Electromagnetic wave propagation is influenced by the
absorption and reflection properties of structures, objects and people.
Note 2: The field intensity for fixed transmitters, such as docking stations for radio telephones (mobile phones and
cordless phones), two-way radio transmitters, pagers, amateur radio devices, AM and FM radio transmitters and TV
transmitters, cannot be determined in theory or to any degree of accuracy. A thorough electromagnetic survey of
the site is required to assess the electromagnetic environment caused by fixed RF transmitters. If the intensity of the
field measured in the room where the system is used exceeds the applicable compliance level indicated above,
you need to monitor the normal functioning of the system carefully. Additional measures may be required in the
case of abnormal performance, such as a different orientation or position for the system or use in a boosted RF
shielded environment enclosure.
The system is designed to work in an electromagnetic environment where irradiated RF interference is kept
under control.
The client or system operator can help prevent electromagnetic interference by ensuring a minimum
distance between mobile/portable RF communication devices (transmitters) and the system as indicated
below (with reference to the max output power of the radio-communication devices.
Table 6
Separation distance / Transmitter frequency
Max nominal output
m
power of the transmitter
150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
W
d = 1.2 √P d = 1.2 √P d = 2.3 √P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
Note 1: In the case of transmitters with a max nominal output rate not indicated above, the recommended
separation distance d (in metres) can be calculated by using the correct equation for the transmitter frequency,
where P is the maximum nominal output rate of the transmitter in Watts according to the transmitter manufacturer.
Note 2: These guidelines might not apply to all situations. Electromagnetic wave propagation is influenced by the
absorption and reflection properties of structures, objects and people.
2 TECHNICAL DATA
Degree of safety in the presence of inflammable gases: not suitable for use in the presence of
inflammable gases
Operating mode: intermittent
POWER SUPPLY:
ENVIRONMENTAL CONDITIONS:
- Max X-ray field: 9” I.I. tube version 12” I.I. tube version
(diameter) (diameter)
- Fluoroscopy mode 21cm 28 cm
- Radiography mode 23cm 24 cm
- Class 1M
- Laser diode power < 5mW
- Optical output power 3.8 mW
- Wavelength 635 nm
CASSETTE HOLDER:
- Cassette dimensions 24 x 30 cm
- Cable length 6m
IMAGE INTENSIFIER
GRID
TV CAMERA: CCD100/CA
** optional
TV CAMERA: CCD100/CA
** optional
TV CAMERA: CD1030ca
- Real Time functions: - Noise reduction with recursive filter + movement detection
- Horizontal image flip
- Digital rotation
- Peak Opacification-Road Mapping **
- Subtraction (D.S.A.) **
- Automatic mask pickup **
-LIH
** optional
CONTINUOUS FLUOROSCOPY:
- kVp 40 – 120 kV
PULSED FLUOROSCOPY:
- Focus 0.5 mm
- kVp 40 – 120 kV
- Focus 0.5 mm
- kVp 40 - 120 kV
- mA 0.4 - 10 mA
RADIOGRAPHY:
- Focus 1.5 mm
- kVp 40 - 120 kV
- Utilisation factor 1 : 14
CONTINUOUS FLUOROSCOPY:
- kVp 40 – 120 kV
PULSED FLUOROSCOPY:
- Focus 0.3 mm
- kVp 40 – 120 kV
- Focus 0.3 mm
- kVp 40 - 120 kV
- mA 0.48 - 12 mA
RADIOGRAPHY:
- Focus 0.6 mm
- kVp 40 - 120 kV
- mAs
1 - 250 mAs
- Utilisation factor
1 : 14
- Max mAs
40 - 50 kV: max 250 mAs
51 - 65 kV: max 200 mAs
66 - 80 kV: max 160 mAs
81 - 100 kV: max 130 mAs
101 - 120 kV: max 100 mAs
- Power (isoWatt)
2800W in Standard radiography
4000W in High Power radiography
CONTINUOUS FLUOROSCOPY:
- kVp 40 – 120 kV
PULSED FLUOROSCOPY:
- Focus 0.5 mm
- kVp 40 – 120 kV
- mA
0.1 – 2,5 mA 0,2 - 5 mA
- kV/mA correlation
See continuous fluoroscopy See continuous fluoroscopy
- Nominal working dose
- 1 image every 0.5 s
- 1 image every 1 s 10,5 µR/s (91 nGy/s) 21 µR/s (183 nGy/s)
- 1 image every 3 s 5,2 µR/s (46 nGy/s) 10,5 µR/s (91 nGy/s)
1,7 µR/s (15 nGy/s) 3,5 µR/s (30 nGy/s)
- Focus 0.5 mm
- kVp 40 - 120 kV
- mA 0.4 - 10 mA
RADIOGRAPHY:
- Focus 1.5 mm
- kVp 40 - 120 kV
- Utilisation factor 1 : 14
CONTINUOUS FLUOROSCOPY:
- kVp 40 – 120 kV
- Focus 0.3 mm
- kVp 40 - 120 kV
- mA 1.6 - 40 mA
- Focus 0.3 mm
- kVp 40 - 120 kV
- mA 0.48 - 12 mA
RADIOGRAPHY:
- Focus 0.6 mm
- kVp 40 - 120 kV
- Utilisation factor 1 : 14
R’ 10
mAs values
1.00 10.0 100
1.25 12.5 125
1.60 16.0 160
2.00 20.0 200
2.50 25.0 250
3.20 32.0
4.00 40.0
5.00 50.0
6.30 63.0
8.00 80.0
mA fluoroscopy mA radiography
High Power Standard Max mAs
kV high mA one shot
low mA normal mA radiography radiography radiography
(boosted)
(max 5 mAs) > 5 mAs
40 0.10 0.20 0.32 0.40 100.00 65.00 250.00
41 0.12 0.24 0.38 0.48 97.56 65.00 250.00
42 0.14 0.28 0.45 0.56 95.23 65.00 250.00
43 0.16 0.32 0.51 0.64 93.02 65.00 250.00
44 0.18 0.36 0.58 0.72 90.90 63.63 250.00
45 0.20 0.40 0.64 0.80 88.88 62.22 250.00
46 0.22 0.44 0.70 0.88 86.95 60.86 250.00
47 0.24 0.48 0.77 0.96 85.10 59.57 250.00
48 0.26 0.52 0.83 1.04 83.33 58.33 250.00
49 0.28 0.56 0.90 1.12 81.63 57.14 250.00
50 0.30 0.60 0.96 1.20 80.00 56.00 250.00
51 0.40 0.80 1.28 1.60 78.43 54.90 200.00
52 0.50 1.00 1.60 2.00 76.92 53.84 200.00
53 0.60 1.20 1.92 2.40 75.47 52.83 200.00
54 0.70 1.40 2.24 2.80 74.07 51.85 200.00
55 0.80 1.60 2.56 3.20 72.72 50.90 200.00
56 0.92 1.84 2.94 3.68 71.42 50.00 200.00
57 1.04 2.08 3.33 4.16 70.17 49.12 200.00
58 1.16 2.32 3.71 4.64 68.96 48.27 200.00
59 1.28 2.56 4.10 5.12 67.79 47.45 200.00
60 1.40 2.80 4.48 5.60 66.66 46.66 200.00
61 1.52 3.04 4.86 6.08 65.57 45.90 200.00
62 1.64 3.28 5.25 6.56 64.51 45.16 200.00
63 1.76 3.52 5.63 7.04 63.49 44.44 200.00
64 1.88 3.76 6.02 7.52 62.50 43.75 200.00
65 2.00 4.00 6.40 8.00 61.53 43.07 200.00
66 2.10 4.20 6.72 8.40 60.60 42.42 160.00
67 2.20 4.40 7.04 8.80 59.70 41.79 160.00
68 2.30 4.60 7.36 9.20 58.82 41.17 160.00
69 2.40 4.80 7.68 9.60 57.97 40.57 160.00
70 2.50 5.00 8.00 10.00 57.14 40.00 160.00
71 2.50 5.00 8.00 10.00 56.33 39.43 160.00
72 2.50 5.00 8.00 10.00 55.55 38.88 160.00
73 2.50 5.00 8.00 10.00 54.79 38.35 160.00
74 2.50 5.00 8.00 10.00 54.05 37.83 160.00
75 2.50 5.00 8.00 10.00 53.33 37.33 160.00
76 2.47 4.94 7.90 9.88 52.63 36.84 160.00
77 2.44 4.87 7.79 9.74 51.94 36.36 160.00
78 2.41 4.81 7.70 9.62 51.28 35.89 160.00
79 2.37 4.74 7.58 9.48 50.63 35.44 160.00
80 2.34 4.68 7.49 9.36 50.00 35.00 160.00
81 2.32 4.63 7.41 9.26 49.38 34.56 125.00
82 2.29 4.57 7.31 9.14 48.78 34.14 125.00
83 2.26 4.52 7.23 9.04 48.19 33.73 125.00
84 2.23 4.45 7.12 8.90 47.61 33.33 125.00
85 2.20 4.40 7.04 8.80 47.05 32.94 125.00
86 2.18 4.35 6.96 8.70 46.51 32.55 125.00
87 2.15 4.30 6.88 8.60 45.97 32.18 125.00
88 2.13 4.26 6.82 8.52 45.45 31.81 125.00
89 2.11 4.21 6.74 8.42 44.94 31.46 125.00
90 2.08 4.16 6.66 8.32 44.44 31.11 125.00
91 2.06 4.12 6.59 8.24 43.95 30.76 125.00
92 2.04 4.08 6.53 8.16 43.47 30.43 125.00
93 2.02 4.04 6.46 8.08 43.01 30.10 125.00
94 2.00 3.99 6.38 7.98 42.55 29.78 125.00
95 1.97 3.94 6.30 7.88 42.10 29.47 125.00
96 1.95 3.90 6.24 7.80 41.66 29.16 125.00
97 1.93 3.86 6.18 7.72 41.23 28.86 125.00
98 1.91 3.82 6.11 7.64 40.81 28.57 125.00
99 1.89 3.78 6.05 7.56 40.40 28.28 125.00
100 1.88 3.75 6.00 7.50 40.00 28.00 125.00
101 1.86 3.72 5.95 7.44 39.60 27.72 100.00
102 1.84 3.68 5.89 7.36 39.21 27.45 100.00
103 1.82 3.64 5.82 7.28 38.83 27.18 100.00
104 1.81 3.61 5.78 7.22 38.46 26.92 100.00
105 1.79 3.57 5.71 7.14 38.09 26.66 100.00
106 1.77 3.53 5.65 7.06 37.73 26.41 100.00
107 1.75 3.50 5.60 7.00 37.38 26.16 100.00
108 1.73 3.46 5.54 6.92 37.03 25.92 100.00
109 1.72 3.43 5.49 6.86 36.69 25.68 100.00
110 1.70 3.40 5.44 6.80 36.36 25.45 100.00
111 1.69 3.37 5.39 6.74 36.03 25.22 100.00
112 1.68 3.35 5.36 6.70 35.71 25.00 100.00
113 1.67 3.33 5.33 6.66 35.39 24.78 100.00
114 1.65 3.29 5.26 6.58 35.08 24.56 100.00
115 1.63 3.26 5.22 6.52 34.78 24.35 100.00
116 1.62 3.23 5.17 6.46 34.48 24.14 100.00
117 1.60 3.20 5.12 6.40 34.18 23.93 100.00
118 1.59 3.18 5.09 6.36 33.89 23.73 100.00
119 1.58 3.15 5.04 6.30 33.61 23.53 100.00
120 1.56 3.12 4.99 6.24 33.33 23.33 100.00
FLUOROSCOPY
15,00
10,00
5,00
0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
mA ridotti 0,10 0,20 0,30 0,80 1,40 2,00 2,50 2,50 2,34 2,20 2,08 1,97 1,88 1,79 1,70 1,63 1,56
mA normali 0,20 0,40 0,60 1,60 2,80 4,00 5,00 5,00 4,68 4,40 4,16 3,94 3,75 3,57 3,40 3,26 3,12
alti mA (boosted) 0,32 0,64 0,96 2,56 4,48 6,40 8,00 8,00 7,49 7,04 6,66 6,30 6,00 5,71 5,44 5,22 4,99
one shot 0,40 0,80 1,20 3,20 5,60 8,00 10,0 10,0 9,36 8,80 8,32 7,88 7,50 7,14 6,80 6,52 6,24
kV
RADIOGRAPHY
150,00
100,00
50,00
0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
Standard 65,0 62,2 56,0 50,9 46,6 43,0 40,0 37,3 35,0 32,9 31,1 29,4 28,0 26,6 25,4 24,3 23,3
High pow er 100, 88,8 80,0 72,7 66,6 61,5 57,1 53,3 50,0 47,0 44,4 42,1 40,0 38,0 36,3 34,7 33,3
kV
mA fluoroscopy mA radiography
High Power Standard Max mAs
kV high mA one shot
low mA normal mA radiography radiography radiography
(boosted)
(max 5 mAs) > 5 mAs
40 0.10 0.20 0.40 0.48 100.00 65.00 250.00
41 0.12 0.24 0.48 0.58 97.56 65.00 250.00
42 0.14 0.28 0.56 0.67 95.23 65.00 250.00
43 0.16 0.32 0.64 0.77 93.02 65.00 250.00
44 0.18 0.36 0.72 0.86 90.90 63.63 250.00
45 0.20 0.40 0.80 0.96 88.88 62.22 250.00
46 0.22 0.44 0.88 1.06 86.95 60.86 250.00
47 0.24 0.48 0.96 1.15 85.10 59.57 250.00
48 0.26 0.52 1.04 1.25 83.33 58.33 250.00
49 0.28 0.56 1.12 1.34 81.63 57.14 250.00
50 0.30 0.60 1.20 1.44 80.00 56.00 250.00
51 0.40 0.80 1.60 1.92 78.43 54.90 200.00
52 0.50 1.00 2.00 2.40 76.92 53.84 200.00
53 0.60 1.20 2.40 2.88 75.47 52.83 200.00
54 0.70 1.40 2.80 3.36 74.07 51.85 200.00
55 0.80 1.60 3.20 3.84 72.72 50.90 200.00
56 0.92 1.84 3.68 4.42 71.42 50.00 200.00
57 1.04 2.08 4.16 4.99 70.17 49.12 200.00
58 1.16 2.32 4.64 5.57 68.96 48.27 200.00
59 1.28 2.56 5.12 6.14 67.79 47.45 200.00
60 1.40 2.80 5.60 6.72 66.66 46.66 200.00
61 1.52 3.04 6.08 7.30 65.57 45.90 200.00
62 1.64 3.28 6.56 7.87 64.51 45.16 200.00
63 1.76 3.52 7.04 8.45 63.49 44.44 200.00
64 1.88 3.76 7.52 9.02 62.50 43.75 200.00
65 2.00 4.00 8.00 9.60 61.53 43.07 200.00
66 2.10 4.20 8.40 10.08 60.60 42.42 160.00
67 2.20 4.40 8.80 10.56 59.70 41.79 160.00
68 2.30 4.60 9.20 11.04 58.82 41.17 160.00
69 2.40 4.80 9.60 11.52 57.97 40.57 160.00
70 2.50 5.00 10.00 12.00 57.14 40.00 160.00
71 2.50 5.00 10.00 12.00 56.33 39.43 160.00
72 2.50 5.00 10.00 12.00 55.55 38.88 160.00
73 2.50 5.00 10.00 12.00 54.79 38.35 160.00
74 2.50 5.00 10.00 12.00 54.05 37.83 160.00
75 2.50 5.00 10.00 12.00 53.33 37.33 160.00
76 2.47 4.94 9.88 11.86 52.63 36.84 160.00
77 2.44 4.87 9.74 11.69 51.94 36.36 160.00
78 2.41 4.81 9.62 11.54 51.28 35.89 160.00
79 2.37 4.74 9.48 11.38 50.63 35.44 160.00
80 2.34 4.68 9.36 11.23 50.00 35.00 160.00
81 2.32 4.63 9.26 11.11 49.38 34.56 125.00
82 2.29 4.57 9.14 10.97 48.78 34.14 125.00
83 2.26 4.52 9.04 10.85 48.19 33.73 125.00
84 2.23 4.45 8.90 10.68 47.61 33.33 125.00
85 2.20 4.40 8.80 10.56 47.05 32.94 125.00
86 2.18 4.35 8.70 10.44 46.51 32.55 125.00
87 2.15 4.30 8.60 10.32 45.97 32.18 125.00
88 2.13 4.26 8.52 10.22 45.45 31.81 125.00
89 2.11 4.21 8.42 10.10 44.94 31.46 125.00
90 2.08 4.16 8.32 9.98 44.44 31.11 125.00
91 2.06 4.12 8.24 9.89 43.95 30.76 125.00
92 2.04 4.08 8.16 9.79 43.47 30.43 125.00
93 2.02 4.04 8.08 9.70 43.01 30.10 125.00
94 2.00 3.99 7.98 9.58 42.55 29.78 125.00
95 1.97 3.94 7.88 9.46 42.10 29.47 125.00
96 1.95 3.90 7.80 9.36 41.66 29.16 125.00
97 1.93 3.86 7.72 9.26 41.23 28.86 125.00
98 1.91 3.82 7.64 9.17 40.81 28.57 125.00
99 1.89 3.78 7.56 9.07 40.40 28.28 125.00
100 1.88 3.75 7.50 9.00 40.00 28.00 125.00
101 1.86 3.72 7.44 8.93 39.60 27.72 100.00
102 1.84 3.68 7.36 8.83 39.21 27.45 100.00
103 1.82 3.64 7.28 8.74 38.83 27.18 100.00
104 1.81 3.61 7.22 8.66 38.46 26.92 100.00
105 1.79 3.57 7.14 8.57 38.09 26.66 100.00
106 1.77 3.53 7.06 8.47 37.73 26.41 100.00
107 1.75 3.50 7.00 8.40 37.38 26.16 100.00
108 1.73 3.46 6.92 8.30 37.03 25.92 100.00
109 1.72 3.43 6.86 8.23 36.69 25.68 100.00
110 1.70 3.40 6.80 8.16 36.36 25.45 100.00
111 1.69 3.37 6.74 8.09 36.03 25.22 100.00
112 1.68 3.35 6.70 8.04 35.71 25.00 100.00
113 1.67 3.33 6.66 7.99 35.39 24.78 100.00
114 1.65 3.29 6.58 7.90 35.08 24.56 100.00
115 1.63 3.26 6.52 7.82 34.78 24.35 100.00
116 1.62 3.23 6.46 7.75 34.48 24.14 100.00
117 1.60 3.20 6.40 7.68 34.18 23.93 100.00
118 1.59 3.18 6.36 7.63 33.89 23.73 100.00
119 1.58 3.15 6.30 7.56 33.61 23.53 100.00
120 1.56 3.12 6.24 7.49 33.33 23.33 100.00
FLUOROSCOPY
15,00
10,00
5,00
0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
mA ridotti 0,10 0,20 0,30 0,80 1,40 2,00 2,50 2,50 2,34 2,21 2,08 1,97 1,88 1,79 1,70 1,63 1,56
mA normali 0,20 0,40 0,60 1,60 2,80 4,00 5,00 5,00 4,68 4,41 4,16 3,94 3,75 3,57 3,40 3,26 3,12
alti mA (boosted) 0,40 0,80 1,20 3,20 5,60 8,00 10,0 10,0 9,36 8,82 8,32 7,88 7,50 7,14 6,80 6,52 6,24
one shot 0,48 0,96 1,44 3,84 6,72 9,60 12,0 12,0 11,2 10,5 9,98 9,46 9,00 8,57 8,16 7,82 7,49
kV
RADIOGRAPHY
150,00
100,00
50,00
0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
Standard 65 62,2 56 50,9 46,7 43,1 40 37,3 35 32,9 31,1 29,5 28 26,7 25,5 24,4 23,3
High pow er 100 88,9 80 72,7 66,7 61,5 57,1 53,3 50 47,1 44,4 42,1 40 38,1 36,4 34,8 33,3
kV
mA fluoroscopy mA radiography
High Power Standard Max mAs
kV high mA one shot Pulsed HCF
low mA normal mA radiography radiography radiography
(boosted) fluoroscopy
(max 5 mAs) > 5 mAs
40 0.10 0.20 0.40 0.48 1.60 100.00 65.00 250.00
41 0.12 0.24 0.48 0.58 1.92 97.56 65.00 250.00
42 0.14 0.28 0.56 0.67 2.24 95.23 65.00 250.00
43 0.16 0.32 0.64 0.77 2.56 93.02 65.00 250.00
44 0.18 0.36 0.72 0.86 2.88 90.90 63.63 250.00
45 0.20 0.40 0.80 0.96 3.20 88.88 62.22 250.00
46 0.22 0.44 0.88 1.06 3.52 86.95 60.86 250.00
47 0.24 0.48 0.96 1.15 3.84 85.10 59.57 250.00
48 0.26 0.52 1.04 1.25 4.16 83.33 58.33 250.00
49 0.28 0.56 1.12 1.34 4.48 81.63 57.14 250.00
50 0.30 0.60 1.20 1.44 4.80 80.00 56.00 250.00
51 0.40 0.80 1.60 1.92 6.40 78.43 54.90 200.00
52 0.50 1.00 2.00 2.40 8.00 76.92 53.84 200.00
53 0.60 1.20 2.40 2.88 9.60 75.47 52.83 200.00
54 0.70 1.40 2.80 3.36 11.20 74.07 51.85 200.00
55 0.80 1.60 3.20 3.84 12.80 72.72 50.90 200.00
56 0.92 1.84 3.68 4.42 14.72 71.42 50.00 200.00
57 1.04 2.08 4.16 4.99 16.64 70.17 49.12 200.00
58 1.16 2.32 4.64 5.57 18.56 68.96 48.27 200.00
59 1.28 2.56 5.12 6.14 20.48 67.79 47.45 200.00
60 1.40 2.80 5.60 6.72 22.40 66.66 46.66 200.00
61 1.52 3.04 6.08 7.30 24.32 65.57 45.90 200.00
62 1.64 3.28 6.56 7.87 26.24 64.51 45.16 200.00
63 1.76 3.52 7.04 8.45 28.16 63.49 44.44 200.00
64 1.88 3.76 7.52 9.02 30.08 62.50 43.75 200.00
65 2.00 4.00 8.00 9.60 32.00 61.53 43.07 200.00
66 2.10 4.20 8.40 10.08 33.60 60.60 42.42 160.00
67 2.20 4.40 8.80 10.56 35.20 59.70 41.79 160.00
68 2.30 4.60 9.20 11.04 36.80 58.82 41.17 160.00
69 2.40 4.80 9.60 11.52 38.40 57.97 40.57 160.00
70 2.50 5.00 10.00 12.00 40.00 57.14 40.00 160.00
71 2.50 5.00 10.00 12.00 40.00 56.33 39.43 160.00
72 2.50 5.00 10.00 12.00 40.00 55.55 38.88 160.00
73 2.50 5.00 10.00 12.00 40.00 54.79 38.35 160.00
74 2.50 5.00 10.00 12.00 40.00 54.05 37.83 160.00
75 2.50 5.00 10.00 12.00 40.00 53.33 37.33 160.00
76 2.47 4.94 9.88 11.86 39.52 52.63 36.84 160.00
77 2.44 4.87 9.74 11.69 38.96 51.94 36.36 160.00
78 2.41 4.81 9.62 11.54 38.48 51.28 35.89 160.00
79 2.37 4.74 9.48 11.38 37.92 50.63 35.44 160.00
80 2.34 4.68 9.36 11.23 37.44 50.00 35.00 160.00
81 2.32 4.63 9.26 11.11 37.04 49.38 34.56 125.00
82 2.29 4.57 9.14 10.97 36.56 48.78 34.14 125.00
83 2.26 4.52 9.04 10.85 36.16 48.19 33.73 125.00
84 2.23 4.45 8.90 10.68 35.60 47.61 33.33 125.00
85 2.20 4.40 8.80 10.56 35.20 47.05 32.94 125.00
86 2.18 4.35 8.70 10.44 34.80 46.51 32.55 125.00
87 2.15 4.30 8.60 10.32 34.40 45.97 32.18 125.00
88 2.13 4.26 8.52 10.22 34.08 45.45 31.81 125.00
89 2.11 4.21 8.42 10.10 33.68 44.94 31.46 125.00
90 2.08 4.16 8.32 9.98 33.28 44.44 31.11 125.00
91 2.06 4.12 8.24 9.89 32.96 43.95 30.76 125.00
92 2.04 4.08 8.16 9.79 32.64 43.47 30.43 125.00
93 2.02 4.04 8.08 9.70 32.32 43.01 30.10 125.00
94 2.00 3.99 7.98 9.58 31.92 42.55 29.78 125.00
95 1.97 3.94 7.88 9.46 31.52 42.10 29.47 125.00
96 1.95 3.90 7.80 9.36 31.20 41.66 29.16 125.00
97 1.93 3.86 7.72 9.26 30.88 41.23 28.86 125.00
98 1.91 3.82 7.64 9.17 30.56 40.81 28.57 125.00
99 1.89 3.78 7.56 9.07 30.24 40.40 28.28 125.00
100 1.88 3.75 7.50 9.00 30.00 40.00 28.00 125.00
101 1.86 3.72 7.44 8.93 29.76 39.60 27.72 100.00
102 1.84 3.68 7.36 8.83 29.44 39.21 27.45 100.00
103 1.82 3.64 7.28 8.74 29.12 38.83 27.18 100.00
104 1.81 3.61 7.22 8.66 28.88 38.46 26.92 100.00
105 1.79 3.57 7.14 8.57 28.56 38.09 26.66 100.00
106 1.77 3.53 7.06 8.47 28.24 37.73 26.41 100.00
107 1.75 3.50 7.00 8.40 28.00 37.38 26.16 100.00
108 1.73 3.46 6.92 8.30 27.68 37.03 25.92 100.00
109 1.72 3.43 6.86 8.23 27.44 36.69 25.68 100.00
110 1.70 3.40 6.80 8.16 27.20 36.36 25.45 100.00
111 1.69 3.37 6.74 8.09 26.96 36.03 25.22 100.00
112 1.68 3.35 6.70 8.04 26.80 35.71 25.00 100.00
113 1.67 3.33 6.66 7.99 26.64 35.39 24.78 100.00
114 1.65 3.29 6.58 7.90 26.32 35.08 24.56 100.00
115 1.63 3.26 6.52 7.82 26.08 34.78 24.35 100.00
116 1.62 3.23 6.46 7.75 25.84 34.48 24.14 100.00
117 1.60 3.20 6.40 7.68 25.60 34.18 23.93 100.00
118 1.59 3.18 6.36 7.63 25.44 33.89 23.73 100.00
119 1.58 3.15 6.30 7.56 25.20 33.61 23.53 100.00
120 1.56 3.12 6.24 7.49 24.96 33.33 23.33 100.00
FLUOROSCOPY
15,00
10,00
mA
5,00
0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
mA ridotti 0,10 0,20 0,30 0,80 1,40 2,00 2,50 2,50 2,34 2,21 2,08 1,97 1,88 1,79 1,70 1,63 1,56
mA normali 0,20 0,40 0,60 1,60 2,80 4,00 5,00 5,00 4,68 4,41 4,16 3,94 3,75 3,57 3,40 3,26 3,12
alti mA (boosted) 0,40 0,80 1,20 3,20 5,60 8,00 10,0 10,0 9,36 8,82 8,32 7,88 7,50 7,14 6,80 6,52 6,24
one shot 0,48 0,96 1,44 3,84 6,72 9,60 12,0 12,0 11,2 10,5 9,98 9,46 9,00 8,57 8,16 7,82 7,49
kV
RADIOGRAPHY
150
100
mA
50
0
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
Standard 65 62,2 56 50,9 46,7 43,1 40 37,3 35 32,9 31,1 29,5 28 26,7 25,5 24,4 23,3
High pow er 100 88,9 80 72,7 66,7 61,5 57,1 53,3 50 47,1 44,4 42,1 40 38,1 36,4 34,8 33,3
kV
50,00
40,00
30,00
20,00
10,00
0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
mA ridotti / mA normali 1,60 3,20 4,80 12,8 22,4 32,0 40,0 40,0 37,4 35,2 33,2 31,5 30,0 28,5 27,2 26,0 24,9
kV
2.2.6.1 INDICATIONS
Pulsed HCF
low mA normal mA high mA (boosted) one shot
fluoroscopy
kV Kerma Rate
Kerma Rate Kerma Rate Kerma Rate Kerma Rate
mA mA mA mA mA (mGy /min)
(mGy /min) (mGy /min) (mGy /min) (mGy /min)
at 12i/s
Min Kerma
Rate 40 0.10 0.149 0.20 0.298 0.40 0.596 0.48 0.71 1.60
70 2.50 16.86 5.00 37.72 10.00 75.44 12.00 90.5 40.00
Max Kerma
Rate 120 1.56 28.52 3.12 57 6.24 114 7.49 136.8 24.96
Useful Diameter 72 mm
Power 3.8 mW
Wavelength 635nm
Weight 1.7 kg
USB flash drive / external USB
Supports
fixed drive
Image formats JPEG, TIFF, PNG, DICOM
2.3 FUSES
The equipment is fitted with a magnetothermal switch to protect the power circuit on the monitor unit.
If this trips, reset it.
If the magnetothermal switch trips again immediately after resetting, the system is malfunctioning: call
Technical Service.
ATS
ARCO 14 0F
SERIAL : XX XXX 66 XX
V ia A . V ol ta ,10
2 4060 T or re de ' R over i ( BG ) ,I TAL Y
ATS
ARCO 140R
SER IAL: XX XXX 66 X X
V ia A. Vol ta ,10
240 60 Tor re de' R ov er i (B G) ,I TA LY
ATS
ARCO 140R
S ERIAL : X X XXX6 6 XX
Vi a A . V ol ta ,10
2 406 0 To rre de ' R ov eri (BG), ITA LY
Reference axis
Anode angle
Reference axis
Anode angle
Reference axis
3.1 PACKAGING
The system sits on a pallet and is then covered with a cardboard box, anchored to the pallet by straps
and screws.
A ramp needed to remove the stand and the monitor unit from the pallet is also enclosed.
Follow the unpacking instructions in reverse order should the system need to be repacked n the future
(para. 1.2 of Part 2 of this manual).
3.2 STORAGE
The environmental conditions indicated in the table below should be guaranteed for both storage and
handling.
Part 2 : INSTALLATION
CONTENTS
1 INTRODUCTION
START
** Installation ends with an Acceptance Test (also valid for routine and extraordinary maintenance) and
the filling-in of the relevant "test sheet".
The Acceptance Test is described in Part 3 of this manual.
Apart from the Acceptance Test, each step in the process is described in detail in the following
chapters.
Note: The system is fully adjusted in the factory to suit the user’s specific requirements.
Adjustment may only be necessary when components are replaced (see Part 4 of this manual).
Only qualified and suitably trained personnel should be allowed to install the EM equipment.
The EM equipment requires a mains power supply rated at 230V ± 10% - 50/60 Hz.
The electrical circuit to which the EM equipment is to be connected must conform to IEC
standard 60364 - Part 710 (Electrical plant in medical environments) and be properly Earthed.
1.2 UNPACKING
Fig.1a
- Remove the lid (A) and the screws fixing the cardboard cover (B) to the pallet (C) and then remove
the cardboard by lifting this upwards.
Fig.1b
F1
B1
E2
E1 B2
C D
Fig.1c
- Turn the C-arm as shown in figure 1d by releasing the wig-wag brake (F1 in fig.1c) and the C-arm
rotation brake (F2 in fig.1d), then slide the station down the ramp (S).
F3
S
F2
Fig.1d
- Move the ramp (S) in front of the stand (figure 1e ) and then slide the stand down the ramp after
turning the handle (F3) to release the stand brake, as shown in fig. 1d.
- Remove the grid protection (F).
Fig. 1e
2 MECHANICAL INSTALLATION
The monitor unit is supplied with the monitor support (A) detached in a separate pack. To assemble this:
- fit the monitor support (A) on the tube (B), in the direction shown in figure 1;
V V
Fig. 1
The LCD monitors are installed by fixing them to the support (A) using the 8 M4x16 screws (V), the flat
washer (R) and the plastic spacer (D), all supplied with the equipment.
cable entrance
Fig. 2a
• VIDEO PROCESSOR versions: fit the monitors vertically, with the cable entrance on the left, as seen
from the rear (fig. 2b).
D R
A V
cable entrance
Fig. 2b
revision 0 PART 2 page 2.2
code 66 80 012 - Mti S2 02.doc
TECHNICAL MANUAL
A printer (S) can be fitted, by placing it in the printer compartment on the monitor unit.
See chapter 5 (Annexes) in this part of the manual for details of the electrical connections and printer
setup.
Fig. 3 shows the monitor unit for VIDEO PROCESSOR versions. The measurements are, in any
case, also valid for the VIDEO MEMORY versions.
Fig. 3
3 ELECTRICAL CONNECTIONS
3.1 CONNECTORS
EQUIPOTENTIAL POINT
CP10
(FOOT SWITCH) CM5
fig. 9
(Stand)
EARTH EARTH
MAINS MAINS
fig. 10
(Monitor unit)
Fig. 11a
19” colour monitor
Fig. 11b
19” monochrome monitor
CM2
DIGIT OUT3
CM1
DIGIT OUT2
MAIN
EARTH
Fig. 12 (rack CCD100/CA, with SBFM)
USB: keyboard
to CM5 (stand)
USB: pen-drive
USB: SW Key
to CM5 (stand)
to B6-C1
DVI: reference
Touch-pad
Power Supply
fig. 13
(DIP340)
3.2 CONNECTIONS
The connections required during installation are described in points 3.2.1 and 3.2.2 below. These are the
same for all versions.
Note 1: See the block diagrams in figures 15a and 15b for the default connections for the video
memory / video processor versions respectively.
Note 2: See Annex 6.1 at the end of this part of the manual for details of the printer connections
(optional).
Note 3: See Annex 6.3 at the end of this part of the manual for details of the MEDICAP200 module
connections (optional).
b) Connect the monitor unit to terminal CM5 on the stand (see figure 9 above)
EARTH EARTH
MAINS MAINS
Stand connection
(CM5)
fig. 14
Connect the footswitch cable to terminal CP10 on the stand (see Fig. 9 above).
Note: - VIDEO MEMORY versions: the footswitch has only one pedal
- VIDEO PROCESSOR versions: the footswitch has three pedals
- Connect the Ethernet cable for the DICOM network to connector CM1 on the monitor unit, as shown
in figure 15 (VIDEO PROCESSOR versions only):
Fig. 15
Check that the socket used is rated for 230 V - 16 A and that the electrical plant is earthed.
4 EQUIPMENT SETUP
4.1 INTRODUCTION
The general setup is done directly from the control panel on the stand.
ref.
password setup operations
(paragraphs)
1982
Setup 1
or To set the control panel language Part 2 - Para.4.2
SYSTEM CONFIGURATION
2006
1982
Setup 2 To define the default working
or Part 2 - Para.4.3.1
ANATOMICAL EXAM SETUP parameters for anatomical exams
2006
1982 To define the default working
Setup 5
or parameters for DSA anatomical Part 2 - Para.4.3.2
ANATOMICAL DSA EXAM SETUP
2006 exams
To set the calibration parameters for
the X-ray monoblock and the X-ray
Setup 3 collimator.
2006
SET KV, I-FIL AND RX COLLIMATOR These parameters have already been Part 4 – Chap.2
calibrated in the factory and should
not be changed.
To set the working dose and adjust
the TV camera.
Setup 4
2006 These parameters have already been Part 4 – Chap.4
SET DOSE RX AND TV-CAMERA
calibrated in the factory and should
not be changed.
- Press the coloured setup button after entering the required password to access the setup you
want.
- In the case of setups with more than one page (setup 2, 3 and 5), turn the encoder fully
clockwise to access the next page; turn the encoder anti-clockwise to return to the previous
page.
- To set a parameter:
- Select it on the touch-screen: the “encoder” symbol appears.
- Set the value using the encoder.
- Confirm by pressing the encoder or select another parameter.
- Press the encoder to quit the current setup and return to the main setup selection page.
Press again to quit the setup function completely.
This menu lets you set the language for the messages on the touch-screen control panel.
Option Meaning
All the other fields in the menu refer to factory settings and cannot be accessed.
These define the (hardware and software) options during construction of the equipment.
Option Meaning
0 = 9” I.I. tube
I.I. TUBE 1 = 12” I.I. tube
LASER fitted:
LASER
1 = LASER present
0 = 230V
POWER SUPPLY
1 = 120V
DSA function:
DSA
1= DSA present
The equipment allows for 5 different specialist exam types, by pre-setting the main working parameters.
These parameters are then automatically set by the equipment whenever you select an exam type.
Page 1
Parameter Definition Settings Notes
0 = low dose
Working X-ray dose. You can select either dose
Dose 1 = normal dose
level during an exam.
Enable 0 = disabled
Boosted (high mA) function enabled.
Boosted 1 = enabled
1 = (no filter)
You can change the
Weight of the recursive filter used in 2 = K2
Recurs. weight of the recursive filter
fluoroscopy mode. 4 = K4
Filter during an exam by using
8 = K8
the remote control.
16 = K16 (*)
1 image every:
You can select any of
Def. puls. 0.5s
Pulsed fluoroscopy rate. these rates during an
rate 1s
exam.
3s
Automatic saving to hard disk of the 0 = disabled Even if disabled, you can
Auto
last image in continuous fluoroscopy 1 = enabled manually command the
store
mode (LIH). saving of the LIH to HD.
(*) Note: The recursive filter settings are only K2 or K8 in the case of SBFM video memory versions.
1 2 3 4 5
EXAM
ORTHOPAEDIC HEAD ABDOMEN CHEST USER
DEF. SAVE
12 i/s 12 i/s 6 i/s 6 i/s 3 i/s
RATE
EDGE
1 1 0 0 1
ENHAN.
SMART
0 0 1 1 0
FILTER
AUTO
0 0 1 1 0
CINELOOP
DEF. PULS.
1 1 1 1 1
MODE
DOSE
2 2 3 3 1
ZONE
Page 2
Parameter Definition Settings Notes
Saving rate in continuous fluoroscopy You can select any of
Def. save
to HD mode or pulsed HCF these rates during an
rate 1, 3, 6, 12, 25 (i/s)
fluoroscopy (optional). exam.
0 = disabled You can enable/disable
Edge Edge enhancement of LIH or saved
1 = enabled this function during post-
enhan. images.
processing.
The smart filter is a recursive filter that
prevents dragging on the image by
0 = disabled You cannot change the
eliminating any areas where
Smart 1 = enabled set parameter for the
movement is detected.
Filter exam.
Used only in continuous fluoroscopy
mode.
Automatic starting of the cineloop on
0 = disabled Even if disabled, you can
completing acquisition in continuous
Auto 1 = enabled always command the
fluoroscopy to HD mode or pulsed HCF
Cineloop cineloop manually.
fluoroscopy mode (optional)
Default exposure mode: either
0 = cont. fluoro. to HD
Def. Puls. continuous fluoroscopy to HD or You can select a different
1 = pulsed fluoro.
mode pulsed fluoroscopy (use left pedal on mode during an exam.
footswitch).
0 = 1/5 image
You can select a different
Dose Size of the reading window for 1 = 1/4 image
window size during an
zone automatic dose control. 2 = 1/3 image
exam
3 = 1/2 image
1 2 3 4 5
EXAM
ORTHOPAEDIC HEAD ABDOMEN CHEST USER
DYNAM.
1:3 1:3 1:4 1:4 1:5
RANGE
Page 3
Parameter Definition Settings Notes
To select the Dynamic Range during 1:2, 1:3, 1:4, 1:5,
You cannot change the
Dynamic Range image acquisition 1:6, 1:7, 1:8
pre-set value for the exam.
(see para. 4.3.1 below).
4.3.1 DYNAMIC RANGE (only for version 6 (see table 1 on preface chapter))
The Dynamic Range is the ratio between the average grey level and the max signal level supplied by
the TV camera.
The average grey level is the level of the output signal from the TV camera at the correct dose and with
uniform filtering of the X-ray beam.
The average grey level is always shown on the monitor as a value equal to half the output dynamics
(2048 LSB ±10%).
The optimal Dynamic Range value depends on the type of exam and/or the anatomical part being
irradiated.
If you go from 1:2 to 1:8 the dynamics shown on the screen expand.
For example, if you want to improve an image with glare, you need to increase the Dynamic Range
(e.g. going from 1:2 to 1:8).
The figure below shows the transfer function (LUT) for Dynamic Ranges 1:2 - 1:5 only.
Note: These exams can only be selected when DIP340 video processor versions have the DSA option.
Peripheral User
Vascular DSA
The figures show Pages 1 and 2 with the default parameter values.
6
7
EXAM PERIPH.
USER DSA
VASC.
MAX
120 120
KV
DOSE 1 1
ENABLE
1 1
BOOSTED
RECURS.
K=2 K=2
FILTER
DEF. PULS.
1 sec 1 sec
RATE
AUTO
0 0
STORE
6 6
7 7
EXAM PERIPH. EXAM PERIPH.
USER DSA USER DSA
VASC. VASC.
DEF. SAVE MASK
6 i/s 6 i/s 2.0 sec 2.0 sec
RATE DELAY
EDGE DYNAM.
0 0 1:4 1:4
ENHAN. RANGE
SMART
1 1
FILTER
AUTO
1 1
CINELOOP
DEF. PULS.
1 1
MODE
DOSE
3 3
ZONE
There are the same parameters as described in the paragraph above plus the following parameter:
Page 2
Parameter Definition Settings Notes
After selecting the exam,
Delay in the automatic mask pickup
Mask delay 0 - 20.0 sec. you can still change the set
after the start of X-ray emission.
time delay.
Note: The DYNAM. RANGE parameter is only shown in DIP340HR video processor versions with the HCF
option.
5.1 INTRODUCTION
The setup procedure for the video processor is described below, with details of the parameters that can
be changed to suit specific installation needs.
The table below shows the various operations involved in each stage of setup, to be performed in the
order given:
ref
setup stage operations menus used
(paragraph)
General system - definition of the archive directory - General Settings 5.2
setup - definition of the hospital name
Parameter settings - parameters for all acquisition modes - Hardware Settings 5.3
for each - image acquisition process settings
acquisition mode
Windows XP - Windows XP settings for network - Windows XP network 5.4
network setup connection settings
(DICOM option - network connection test
only)
5.1.1 SWITCHING-ON
On opening a new study, the two monitors display a test image that lets you adjust their brightness and
contrast.
The monitors are correctly adjusted when you can:
- see the grey box in the black square (position A),
- see the grey box in the white square (position B).
A B
See paragraph 4.5 in Part 4 of this manual for details on how to adjust the brightness and contrast
correctly.
If one of the monitors fails to display the test image and has the message “No signal on analog
VGA” instead, you should:
- check the video cable connection,
- restore the default monitor setup (see paragraph 6.3 in this part of the manual).
You can access the General Settings menu from both the closed archive and the study list by selecting
Setup / General Settings and entering the password “TechService”.
Electronic Circle
Settings Notes
Circle Diameter Pixel value of the diameter of Recommended value:
the image on the monitor. 1010
(900 - 1024)
Display Settings
Settings Notes
Institution Name The names only appear
Hospital name Enter the hospital name
on the monitor, not the
Station Name Equipment name Select the name of the print-outs
equipment
Startup
Settings Notes
Start with Unnamed Exam The equipment lets you go Select this option if you Option disabled if
directly to the working frame of want to go directly to the DICOM MPPS option is
a new exam (“Unnamed exam”) working frame of a new present.
immediately after switching it exam after switching the
on, instead of displaying the equipment on.
Study List.
Settings Notes
Enable Horizontal Flip Check to flip the image Normally not selected for
horizontally. DIP340HR.
Enable Vertical Flip Check to flip the image Normally selected for
vertically. DIP340HR.
Workstation Mode
Settings Notes
Workstation The video processor works OFF LINE (no Do not select. Select only for system
communication with the Main Controller demonstration
and the TV camera). purposes.
Access the Hardware Settings menu from either the closed archive or the Study List by selecting Setup /
General Settings and then enter the password “TechService”.
This menu has several setup cards for each function and acquisition mode.
After changing the parameters in these cards, you must close the archive and open it again
to activate the new parameters.
General settings
General
Settings Notes
Acquisition Select one of the special working Fluoro On HD + Pulse: The equipment is
Technics Selection techniques instead of normal both functions possible. supplied with the
continuous fluoroscopy: Fluoro On HD + Pulse
Fluoro On HD Only: option enabled.
Fluoro On HD: continuous fluoroscopy continuous fluoroscopy
with automatic saving of images to with automatic saving to
HD. HD only.
Enable Dose Study dose management using the Check if equipment is Set in the factory to suit
Dose Area Product. fitted with the DAP. the DAP option.
Settings for :
- fluoroscopy with image saving to HD,
Fluoro On HD - DSA fluoroscopy with image subtraction
DSA is optional.
Settings Notes
Rec Filter Weight Choice of recursive filter weight Possible settings: The equipment is
for each saving to HD rate. supplied with these
- 1i/s: K= 1, 2, 4, 8, 16 default settings:
- 3 i/s: K= 1, 2, 4, 8, 16 1 i/s = 16
- 6 i/s: K= 1, 2, 4, 8 3 i/s = 8
- 12 i/s: K= 1, 2, 4 6 i/s = 4
- 25 i/s: K= 1, 2 12 i/s = 2
25 i/s = 1
Sub Log Logarithmic curve applied Accepted range: The equipment is
during acquisition for subtracted (0 - 9) supplied with this
images (DSA, optional). factory setting:
6.
Level L level of subtracted images This parameter cannot be The equipment is
(DSA, optional). set, but is calculated supplied with this
automatically to suit the calculated value:
Window: 3584.
(L+ W/2) = 4096
Window W window of subtracted images Accepted range: The equipment is
(DSA, optional). (50 - 8192) supplied with this
calculated value:
1024.
Rx Impulse Length of X-ray pulse. Fixed parameter. Impossible
to change.
AutoMask Delay Time delay for the automatic Accepted range: The equipment is
mask pickup after the start of X- (0 - 10 sec) supplied with this
ray emission. factory setting: 0.
0 = Automask disabled
The equipment uses the
delay setting set for
DSA exams.
Dynamic Range Dynamic range for acquisition. Fixed setting: This value depends on
the general equipment
1:3 adjustments and must
not be changed.
Display Dose Zone Image zone display set for Select to view zone. Normally only selected
automatic X-ray dose control. during equipment
calibration.
Scroll Vertical centring of the image. Accepted range: The equipment is supplied
(-8...+7) without correction (0).
Notes
Maintenance
Save As Default Save current parameters as default. Parameters are normally saved as default after
changing these during setup.
Restore Default Button to restore the previously saved
default settings.
The video processor is supplied with the factory ETHERNET settings. It is up to the company’s network manager
to alter these to suit the network to which it will be connected.
Name NIC1 NIC2 Name Name Pin Cable Color Pin Name
You need to access the system as the network administrator in order to set the system up.
To do this, with processor already running:
- Then select Log Off Operator in the page that now appears and press OK.
Note: To return to normal operator mode, repeat the above steps, selecting Log Off Administrator and entering:
- User name: operator
- Password: operator.
- Select Properties.
- Then select
Internet Protocol (TCP/IP).
- Click on Properties.
After entering and confirming the network settings, you must test the connections.
- Enter the command PING followed by the IP Address (provided by the network administrator) of
another device in the network at the DOS prompt and then press Enter.
- We recommend repeating the PING command for the other devices in the network.
- If, however, the page below appears, there is a setup error and so you need to check both the cable
and the network settings.
After making the local network connections, the DICOM network setup procedure involves the following
operations:
Store CD ROM
Select Network in the DICOM Spooler menu and then enter the password “TechService”.
The DICOM Setup frame opens. This lets you define the devices connected to the video processor, using
these cards:
• Local
• Rem 1, 2, …
These provide an example of the setup possibilities. You can add (or remove) a device using these
commands:
Add Remote To add a remote device to the network, thus creating its own card.
Remove Remote To remove a remote device from the network by removing its card.
Verify To check that the video processor and a selected remote device are connected
correctly.
Note: The connection test in the DicomSpooler menu requires that you enter the name specified in
the Local AE Title for quick remote verification field (see below).
• Set the default devices for each DICOM mode in the Local card:
Default Remote Storage Enter the name of the default DICOM device (if any) that acts as the Server for exam
AE Title archiving. When you use the DICOM STORE command in the working frame, the
exams are automatically sent to the server specified here.
Default Remote Printer Enter the name of the default DICOM device (if any) that acts as the Printer Server
AE Title when printing exams. When you use the DICOM PRINT command in the working
frame, the exams are automatically sent to the server specified here.
Default Worklist Server Enter the name of the default DICOM device (if any) that acts as the Worklist Server.
AE Title The Worklist Server is the DICOM device that sends the list of exams required.
Default MPPS Server Enter the name of the default DICOM device (if any) that acts as the default MPPS
AE Title Server. The MMPS server is informed of the performance and completion of the study
received from the Worklist in order to update the status of the programmed exams.
Local AE Title for quick Enter the Local AE Title (name of the device in the DICOM network) already entered
remote verification in the DICOM setup (see paragraph 5.5.1 above).
UL Protocol Do not change the data already entered (usually those shown in the figure above).
Max non-Jpeg Store Size Set 100 MB
• You need to define the parameters for each device using the relevant Rem card:
Rem card:
Custom Name Standard name of the DICOM device (held by the installer).
Printer Model ID (type / model) of the DICOM printing device (PRINT devices only).
General Default settings, to be agreed with the installer of the DICOM printer.
The images to be sent are initially placed in a transmission queue in a dedicated memory area on the
HD.
The DicomSpooler application then picks up the images from this area and sends them to the network.
Alarm area To clear any alarms To confirm settings and To hide the application
close the application without closing it
- To open the Spooler Settings menu: select Setup / Options and enter the password “TechService”.
This menu lets you set the transmission queue by using the parameters defined in 4 panels:
• Spool directory:
• Retry:
After This specifies the time (seconds) between two transmission attempts.
Usual value: 180 seconds
Note: After 3 failed transmission attempts the transmission is “failed”.
• Failed items: this specifies the type of images whose transmission has failed for whatever reason.
Keep till manually deleted To keep the exams in the transmission queue until manually removed.
Keep for XX days To keep the exams in the transmission queue for the set number of days, after which
they are automatically deleted.
• Warning setup: to select the alarms that will cause the Dicom Spooler frame to open.
Warn if spooldir level Alarm warning that the transmission queue is too full. Usual value: 80%.
greater than xx %
Warn if queue disabled Alarm warning that transmission queue filling has been stopped.
Warn if there is not enough Alarm warning that there is not enough space in the transmission queue.
spooldir space
Warn if error in item Alarm warning that there are errors in the transmission queue.
insertion
Warn if item processing Alarm warning that the transmission of the image has failed.
fails
Warn if there are in list Alarm warning that images have been in the transmission queue for more than xx
items older than xx days days.
Warn if there are in list Alarm warning that more than xx images are in the transmission queue.
more than xx items
Warn if there are in list Alarm warning that more than xx images are in the transmission queue whose
more than xx failed items transmission has failed.
Check warning status at To enable the alarm check when the application is opened and, if there are alarms,
startup the DICOM Spooler frame opens showing these.
Show spooler on warning To enable the display of the DICOM Spooler frame every time an alarm is generated
activation (recommended option).
Note: The DICOM Spooler menu also lets you manage any images in the transmission queue. See next
paragraph below.
The DicomSpooler application lets you manage any images left in the transmission queue.
The Status panel shows the status of the images in the transmission queue:
These commands let you manage the images left in the transmission queue:
Enable/Disable
Operations
- Use the Enable/Disable panel buttons to reverse this status and so enable the Operations panel
commands:
Status Queue: Disabled
Status Spool: Disabled
- Using the Operations commands you can delete the images in the queue (Delete) or manage a new
transmission request (Reschedule):
- Restore the normal operating status by using the Enable/Disable buttons to get:
Status Queue: Enabled
Status Spool: Enabled
IHE compliance (Integrating Healthcare Environment) lets you integrate the DICOM functions available
for the equipment with the other DICOM components to which it is connected.
This function is only possible with the following DICOM services: Worklist, MPPS, Store and Storage
Commitment.
There are certain rules provided in the official documents (IHE Radiology Technical Framework) that
apply here, as well as others from the manufacturer (IHE Integration Statement).
Use the IHE Settings command in the Dicom Setup menu to open the IHE Setup menu. This defines the
various options:
SWF:
MWL Replace Item if Same Access Num. To replace an old patient with a new one having the same Accession
Number in the Worklist every time you use the GetList command.
If you enable the SWF profile, it will be impossible to change some data as these are fixed by the IHE
standard. For example, when you use the keys to access the Code Sequence, this will open in “read-
only” mode.
The Study Data dialog box will look like this when the SWF options are enabled:
The Study Data dialog box will look like this when the SWF options are disabled:
The Worklist Settings command in the Dicom Setup menu opens the Dicom Worklist Setup menu used to
define the available options:
Build description from procedure text To copy the contents of the DICOM Procedure field in the exam
Description.
Build description from step text To copy the contents of the DICOM Step field in the exam Description.
Insert Pr. and St. in description To copy the two prefixes Pr. and St. in the exam Description (i.e. first the
contents of the DICOM Procedure field and then the contents of the
DICOM Step field).
● Study Create - Identifiers to define the conformation of the DICOM MPPS TAGS from the DICOM
WORKLIST TAGS.
Performed Procedure Type Description When sending data to the MPPS service, the contents of the
- Enable copy from “Requested Procedure Requested Procedure Description field received from the Worklist
Description” are copied in the Performed Procedure Type Description field.
Performed Procedure Code Sequence When sending data to the MPPS service, the contents of the
- Enable copy from “Requested Procedure Requested Procedure Code Sequence field received from the
Code Sequence” Worklist are copied in the Performed Procedure Code Sequence
field.
Performed Procedure Step ID
- Enable copy from “Scheduled Procedure Step - When sending data to the MPPS service, the contents of the
ID” Scheduled Procedure Step ID field received from the Worklist are
copied in the Performed Procedure Step ID field.
The MPPS Settings command in the Dicom Setup menu opens the MPPS Setup menu used to define the
available options:
General Settings:
Enable Server Notification To enable communication with the MPPS server. If disabled, the MPPS
objects can be created and edited locally, but never sent.
Enable MPPS On New Studies To enable the MPPS server upon creating a new study.
Dicom Direct Print is Dicom Transfer The management of the MPPS server treats a DICOM Print command
exactly as a DICOM Store command.
Dicom Direct Media Write is Dicom The management of the MPPS server treats the sending of an image to
Transfer the CD recorder exactly as a DICOM Store command.
On Open study if MPPS already Exists To enable the sending of the MPPS N-CREATE message upon opening
a study if the MPPS server was already associated to this in a previous
session.
On New Image Acquisition To enable the sending of the MPPS N-CREATE message on completion
of image acquisition.
Before Image Dicom Transfer To enable the sending of the MPPS N-CREATE message or the N-SET
message immediately before sending to a DICOM STORE or PRINT
device or to the CD recorder.
After Image Dicom Transfer To enable the sending of the MPPS N-CREATE message or the N-SET
message immediately after sending to a DICOM STORE device.
Note: MPPS messages never send images to a DICOM PRINT device or
CD recorder.
After Image Storage Commitment: N.A.
On Image Modification To enable the sending of the MPPS N-CREATE message immediately
after editing an image.
On Close Study (N-Create + N_Set): To send the MPPS N-CREATE message after closing a study (if not
already sent).
This is a general option. Details of the MPPS function on closing an
exam are explained below: see On Close Study N-SET Notification.
Auto if New Acquired Images The MPPS N-SET message is only sent automatically if new images have
been acquired.
Auto if Dicom Transferred Images The MPPS N-SET message is only sent automatically if images have
been sent to a DICOM STORE device.
Auto if MPPS already Created on Server The MPPS N-SET message is only sent automatically if the MPPS N-
CREATE message has already been sent.
Ask Operator if No Auto Conditions The operator is asked to confirm sending of the MPPS N-SET message.
MPPS Contents:
Performed Procedure Step ID (If Empty The Study ID field is used to provide the value for the Performed
enable copy from Study ID): Procedure Step ID field, if this is empty on receipt from the Worklist and
the operator has not added any value manually.
Dose Comment To add a comment to the dose value in the MPPS message.
The Query/Retrieve Settings command in the Dicom Setup menu opens the Query/Retrieve Setup menu
used to define the options available:
Calling AE Title To specify the AE Title the video processor will use for the Query / Retrieve (can
be the same as the Local AE Title set in the DICOM SETUP frame).
Default Called AE Title To specify the AE Title of the remote device offering the Query / Retrieve
service.
Move Store Server Port TCP port of the device offering the Query / Retrieve service.
Saved File-set Character set Type of character used to send DICOM parameters.
Base Retrieve Folder To specify the directory on the video processor HD to contain the exams
received from the remote Query / Retrieve device (typically C:\Retrieve)
Viewer Command Line To specify the path needed to run the DICOM viewer for the exams received
from the Query / Retrieve server.
Typically C:\ProgramFiles\Digitec\DgViewer\Bin\DgViewer.exe
View Study On Retrieve If checked, the study is automatically shown on the screen after receipt, using
the specified DICOM viewer.
If not checked, the exam needs to be opened manually (see User Manual).
Close Q/R On View Study If checked, the Query / Retrieve window closes automatically when the
selected study is opened.
If not checked, the window remains open and ready for a new search.
The Storage Commitment Settings command in the Dicom Setup menu opens the Storage Commitment
Settings menu used to define the options available:
General:
Enable Storage Commitment con The Storage Commitment function is automatically associated to a new study.
new Studies If disabled, the images in a study enabled for Storage Commitment are
marked as “auto-committed”.
Spooler Notifications:
Enable Spooler Notifications on Stg To activate the spooler notification mechanism inside the video processor for
Cmt Disabled Studies studies not enabled for Storage Commitment.
A symbol appears in the image frame showing the operator the spooler store
result (see table):
Store OK
Store FAIL
Autocommit OK
SCT N-EVENT_REPORT Wait T.O. (3-60 Timeout for N-EVENT_REPORT response after sending the N-ACTION
sec) message.
SCT Expiration Time Timeout for waiting for the SCT confirmation.
(1-7 days)
SCT Max Retry Count Max number of SC retries (sending of the N-ACTION message and receipt
(1 – 5) of the N-EVENT-REPORT response).
SCT Retry Delay Interval between one SC attempt and the next (min time between
(5-300 sec) sending any two N-ACTION messages).
Image deleting:
Non Stored Images To define what to do on receipt of an image deletion request when the images
concerned have yet to be sent to the spooler.
Always Enabled Deletion always permitted.
Never Enabled Deletion never permitted.
Warn & Ask Operator Deletion only permitted after confirmation.
Store Pending / To define what to do on receipt of an image deletion request when the images
Stg Cmt Pending Images concerned have already been sent to the spooler, but the SCT (Storage
Commitment Transaction) is still pending.
Never Enabled Deletion never permitted.
Warn & Ask Operator Deletion only permitted after confirmation.
Stg Cmt Failed Images Deletion if images where the Storage Commitment has failed.
The Storage Commitment request can be sent to any Store server in the network.
For this reason, you can associate a Storage Commitment periphery to each Store server using the
remote periphery option in the Spooler setup menu.
St.Cmt AE Title: The AE Title for the Store device is used if this field is left blank.
If you specify the AE Title, you also need to set this in the DICOM device Setup
menu by using the St.Cmt enabled flag.
After installing the system we recommend that you save the video processor setup data by making a
copy of the system hard disk via the creation of a back-up CD/DVD (ghost disk), to be kept by the
Technical Service.
The back-up guarantees fast resetting of the system functions and settings in the event of a hardware
problem with hard disk or corruption of the data held on the HD.
The procedure for saving the data is explained in Part 5, para. 6.1:
- Creating a back-up CD/DVD for the video processor.
6 ANNEXES
The 230V AC power supply for the printer comes from connector CP11 (pin 1-3) on board ASPS 00 (B20),
at the rear of the monitor unit (see layout):
The video signal is picked up by the DIGIT OUT 1 connector on rack CCD100/CA (see figure below):
There is a USB port on the rear of the video processor rack for connecting the printer:
Access the system as Administrator (see para. 4.4.2 above) in order to set up the printer. Then:
- Press Start in the applications bar and select Settings / Printers and Faxes:
- Press Next.
The video processor is supplied as standard with the following monitor setup:
- Switch off the processor: click on START in the Windows task-bar and select Shut Down > Shut
Down.
- Select the Scheme Options command in the main application page (Display Devices menu) as
shown below:
- Select the required setting in the Select a Scheme menu: “configurazione monitor dip340” and
press OK.
- Check that the two monitors are correctly set, as shown below (main page):
Note: The Primary Device is the WORKING MONITOR connected to the VGA port, while the Secondary
Device is the REFERENCE MONITOR connected to the DVI port via a DVI/VGA video adapter.
- Press Apply.
- Select the Display Settings menu and check that the two monitors are correctly set (in the
Monitor and Digital Television pages):
- Reboot the video processor: press START in the Windows task-bar and then select:
Shut Down > Restart.
- Once the video processor is switched on again, make sure that the video format is loaded
correctly. If not, repeat the above procedure.
6.3 INSTALLATION OF THE MEDICAP USB200 MODULE (OPTIONAL FOR VIDEO MEMORY VERSIONS)
Use the main menu to access the MediCap USB200 settings and options.
Press the Menu button on the front panel to view the main menu. Use the Next and Back buttons to
explore the various submenus. Use the Select button to select a menu option.
Menu
MAIN MENU
• Setup: to set the clock, language and input option. This menu can also be used to enable and
set up the “Patient Information” function that lets you enter the patient data.
• Advanced: to select the advanced options. You can also view all the current settings and restore
the default factory settings.
• Volume: N.U.
SETUP:
Clock
Date / Time stamp
Choice of language
Patient data
• Date / Time: Use this menu to set the internal clock. You can also select an option that lets you
view the “date/time stamp” on the images.
Note: A question mark will appear in the top right-hand corner of the Setup
Menu if you fail to set the clock.
• Language: Use this menu to select the language you want to use for the menus.
• Input Options: Use this menu to select the video input type (Composite BNC) and the video
system (PAL).
• Patient Information: Use this menu to enable and set up the Patient Information function, letting you
enter the patient data at the start of each new imaging session. You can also
include the data in the names given to the image files and print these on the
images.
• Add Info to file name? – This lets you specify which patient information (if any) you want to include
automatically in the name of the card and files. The options here are:
o None No patient information will be added to the card and file names
o Name To add the patient’s name
o ID To add the patient ID
o Name+ID To add both the patient’s name and the patient ID
• Add Info Stamp to images? – This lets you print the patient info on each photo (not on films). Options:
o None
o Top left, Top right, Bottom left, Bottom right, (patient info appears in the relevant area).
The following information appears on the images: Name, surname, sex and patient ID.
IMAGE OPTIONS:
Format
Resolution
Anti-blurring option
Multi-shot option
Use the Image Options menu to set the image acquisition mode.
• Format: Use this submenu to select the image format when saving photos (JPG, TIFF, PNG or
DICOM). Recommended setting: JPG.
• Resolution: Use this submenu to select the resolution (pixels) for acquired images (Natural, 1024 x
768, 800 x 600 or 640 x 480). Recommended setting: Natural.
• Anti-Blur: Use only if the image is blurred due to shifting (Active / Not active). Recommended
setting: Not active.
• Multi-Shot: Use this submenu to enable/disable multi-shot acquisition (Active / Not active). A
single photo is acquired when you press the Capture Photo button if the “Multi-Shot”
function is not active; three photos are acquired if active. Recommended setting:
Not active.
VIDEO OPTIONS:
Quality
Time Limit
Sound Recording
Format
Use the Video Options menu to set the film acquisition mode.
• Quality: Use this submenu to select the video quality. Possible levels:
• Low (DVD-): 352 x 240 pixel, 1.5 Mbps variable bit rate (VBR)
• Normal (DVD): NTSC (720 x 480 pixels) / PAL (720 x 576 pixels), 3.5 Mbps VBR
• High (DVD+): NTSC (720 x 480 pixels) / PAL (720 x 576 pixels), 8 Mbps VBR
Note: The size of the format file is directly proportional to the video quality.
• Time Limit: Use this submenu to set the time limit for the films: if not “Unlimited”, the film will
automatically stop recording after a specified time (Unlimited, 5 sec.,..)
• Format: MPEG2.
Part 3 : ACCEPTANCE
CONTENTS
2 ANNEX: X-RAY DOSE AND IMAGE QUALITY CHECKS 2.1 to 2.13 0 01/06/12
2.1 Checking the X-ray dose intensity in continuous
fluoroscopy
2.2 Checking the automatic X-ray dose control mode
2.3 Grey scale
2.4 Spatial resolution
2.5 Image uniformity
2.6 Image distortion
2.7 Noise level
2.8 Minimum contrast
2.9 Resolution with low contrast and MTF curve
2.10 I.I. tube conversion factor
2.11 Dose Area Meter efficiency test
2.12 Checking the Kerma and Kerma Ratio indications
1 ACCEPTANCE TEST
The acceptance test covers all the checks and tests listed in the TEST SHEET.
The various checks described below are split into the following groups:
- Cable and connector checks.
- Mechanical checks.
- Electrical checks.
- Image quality and system checks.
Visually check each cable and connector for signs of damage or crushing:
Check:
- Movement: all movement must be smooth and easy.
- Brakes: brakes must be efficient and easy to engage/release.
- Component fixing: check for play, indicating loose screws (panels, monitor, X-ray warning
light).
- Safety devices: check for breakage or dents that may affect the efficiency and/or safety of the
equipment.
The table below sets out the full procedure, with the individual checks that appear in the Test Sheet.
version
operations code
SBFM DIP340
Remove the panels on the stand, on the TV camera, on the I.I. tube and on
the monitor power unit.
Check the state of the keyboard + touchpad on the monitor unit (dirt and C.1 X
corrosion).
Check the state of the monitor unit power unit components (dirt and corrosion). C.2 X X
Check the state of the boards and components in the stand rack (dirt and C.3 X X
corrosion).
- Return and fix the panels. X X
Connect the stand to the monitor unit, connect the footswitch and connect the
monitor unit to the electricity mains.
- Switch the monitor unit on. X X
Check that the 2 fans on the rear of the monitor unit start. C.4 X
Check that the LED for the ON button on the stand control panel lights up. C.5 X X
Check that the UNNAMED patient image frame appears correctly on the working C.6 X
monitor.
Return to the Study List frame using the touchpad. C.7 X
- Switch the stand on. X X
Check (after the pause) that the square marker appears on both monitors (top C.8 X
left-hand corner) and the number 1 appears on the reference monitor.
Check the successful completion of the initialising test: all the LEDs on the control C.9 X X
panel should light up (one at a time) and then the word READY should appear on
the display, together with the radiological parameters.
Make sure that the monoblock fans come on (check via the ventilation panels). C.10 X X
Press the emergency button on the monitor unit and check that the entire C.11 X X
equipment switches off.
- Reset the emergency button and then start the equipment again. X X
Press the emergency button on the stand and check that the entire equipment C.12 X X
switches off.
- Reset the emergency button and then start the equipment again. X X
- Use all 4 stand column control keys and check that: X X
The column moves up and down smoothly. C.13 X X
Check that the speed at which the column moves is that indicated in Part 5, X X
para.1.2.3 C.38
- Select continuous fluoroscopy, collimator fully open, normal I.I. field. X X
- Place one of the provided copper filters (2 mm thick) in the X-ray beam (near the X X
collimator).
- Give the X-ray command and check that: X X
The X-ray warning light comes on. C.14 X X
The image appears on the monitor. C.15 X X
The word FLUOROSCOPY and the radiological parameters appear on the stand C.16 X X
control panel.
The FLUORO icon appears in the image frame and the word LIVE also appears C.17 X
during exposure, replaced by LIH at the end of exposure.
The kV on the display are the same (or within the tolerance) as those indicated C.18 X X
on the "X-ray Dose Check" sheet supplied with the equipment.
Below is a list of the steps needed to assess the state of the system. See the Annexes in this part of
the manual if there are any problems.
operations code
Reference value: ATS has used an X-ray dose of 35 µR/s at 66 kV with 2 mm Cu filter.
Reference value: Adjustment of the radiological parameters (kV and/or mA) must be fast,
progressive and repeatable.
Reference value: ATS has adopted the LEEDS test GS 2, following the instructions contained in the
paper "The Leeds Test Objects - 11/84".
All grey levels must be legible on the monitor.
Reference value: ATS has used an 18" FUNK resolution test phantom. Check that the values
obtained during the test are close to those indicated in the Test Report
attached to the system.
Reference value: ATS has used a LEEDS test MS1, MS3 or MS4 phantom (according to the
instructions in the "The Leeds Test Objects - 11/84" publication).
The images must be uniform across their entire area.
Reference value: ATS has used a "LEEDS test N3" phantom, with 1 mm Cu filter.
ATS accepts noise levels that allow for "reading" of the targets with a minimum
contrast percentage of no more than 2%.
Reference value: ATS has used a "Nuclear Associates mod. 07-645" phantom, with 2 mm Cu filter.
ATS accepts a minimum contrast percentage of no more than 3.5%.
Reference value: ATS has used a "LEEDS test TO 10" phantom. Check that the values obtained
during the test are close to those indicated in the Test Report attached to the
system.
Reference value: A loss in the I.I. tube conversion factor causes a rise in the X-ray dose needed
to get the right video signal level.
The reference value for the X-ray dose is indicated in point D1 (X-ray dose
intensity) above.
A "blank" copy of the acceptance test attached to this manual as one of the “loose pages”.
The various controls and checks are identified by an alphanumerical code, which refers to the
paragraphs above, listing the operations with a brief description.
Reference value: ATS has used an X-ray dose value of 35 µR/s, under the following conditions.
Note: See para. 4.3.3.1 in Part 4 of this manual for details of the video level measuring
procedure.
Reference value: Adjustment of the radiological parameters (kV and/or mA) must be fast,
progressive and repeatable.
Note: See para. 4.3 in Part 4 of this manual for details of the automatic dose control procedure.
The grey scale is checked in all acquisition modes (continuous, pulsed and one-shot fluoroscopy), using
a LEEDS test GS2 phantom, with:
Procedure:
Acquire images in continuous fluoroscopy and check that all grey levels of the phantom are visible on
the monitor.
GS2
test object
Spatial resolution is measured in continuous, pulsed and one-shot fluoroscopy mode with:
- FUNK resolution test, type 18 (or equivalent) at 45° on the I.I. tube (as shown in the figure below).
- No X-ray beam filtering
- Automatic X-ray dose control.
- Recursive filter with weight k = 4.
Acquire images in all modes and read the line pair number on the monitor.
Resolution
test object
The table below shows the typical values (common for all modes: continuous fluoroscopy, pulsed
fluoroscopy, one shot).
Note: Check that the values are close to those indicated in the Test Report attached to the system.
If the max resolution is lower, check the focus (see para. 3.1 in Part 4 of this manual).
The uniformity of the image is checked by using LEEDS test MS1, MS3 and MS4 phantoms with:
- 9” I.I. field.
- No X-ray filtering.
- Automatic dose control.
- Recursive filter with weight k = 4.
- Leeds test MS1 / MS3 / MS4 phantoms on the face of the I.I. tube.
Acquire an image in continuous fluoroscopy and check that the image is uniform right across its area.
MS1
test object
Possible image distortion on the monitor is tested for in continuous fluoroscopy mode using a LEEDS test
M1 phantom, with:
Procedure:
with
D1 D2
M1
test object
The noise level is checked in continuous fluoroscopy mode using the LEEDS test N3 phantom.
[This test is based on the use of a phantom with 19 circular targets having the same diameter but
different contrast: the lowest contrast target visible indicates the actual noise level.]
Measuring conditions:
- LEEDS test N3 phantom on the centre of the surface of the I.I. tube.
- 9” I.I. field.
- Automatic X-ray dose control.
- 1 mm Cu filter on the X-ray collimator.
- Recursive filter with weight k = 4.
Procedure:
N3
test object
The table below shows the acceptable limits for the system.
N° details
9” field 15
N° targets
9” field 15
The min contrast is measured in continuous fluoroscopy mode using the Nuclear Associates test, model
07-645.
[This test involves the use of 2 phantoms (“A” and “B”), with 9 round targets of differing contrast levels
on each of these; the contrast levels of the targets on phantom “B” are in-between those of
phantom “A”.]
Measuring conditions:
Procedure:
- In continuous fluoroscopy:
- acquire images using test phantom A and find the target with the lowest level of contrast
on the monitor and make a note of its identifying number.
Make a note of the working kV;
- acquire images using test phantom B and find the target with the lowest level of contrast
on the monitor and make a note of its identifying number.
Make a note of the working kV;
- Using the lowest of the 2 numbers, use the table below and the working kV to find the
corresponding percentage of min visible contrast.
Note 1: The phantoms are marked with the letters A and B; marks 1 and 3 are needed to position
the phantom in order to number the targets (the numbering system is indicated in figures Q9a
and Q9b below).
1 3 1 3
2 1.5
7 9 6.5 8.5
5 4.5
4 6 3.5 5.5
8 7.5
1 3 0.5 2.5
A B
Note 2: - Under test conditions, the system normally selects 66 kV; we have, therefore, only provided the
portion of the table for 60 kV and 70 kV. Interpolate the figures to get the intermediate values.
The table below shows the acceptable limits for the system.
Percent Contrast
9” field 2.9%
Percent Contrast
9” field 2.9%
- ATS considers minimum contrast sensitivity values of not more than 3.5% to be acceptable.
The low contrast resolution and the construction of the MTF curve (modulation transfer) are tested in
continuous fluoroscopy mode using a LEEDS test TO10 phantom.
Measuring conditions:
Procedure:
- Acquire images in continuous fluoroscopy mode and find the number of visible details on the monitor
(each series is indicated by different letters with 9 details).
E
F
A G
Note: The figure here shows the form of the H
J
phantom. B
C
K
L
TO 10 M
test object
Visible details
Series of details (typical values)
Nominal field
A 7
B 7
C 7
D 8
E 7
F 6
G 7
H 6
J 6
K 5
L 3
M 1
Visible details
Series of details (typical values)
Nominal field
A 8
B 8
C 7
D 8
E 7
F 6
G 7
H 6
J 6
K 6
L 4
M 3
On a regular basis, at least once every 12 months, you need to check and, if necessary, compensate
for the loss of the I.I. tube conversion factor (response).
Reference value: ATS has used an X-ray dose value of 35 µR/s, under the following conditions:
Warning: if this test is carried out by measuring the dose on top of the grid, you
must take into account the absorption factor of the grid (see Test
Report).
Procedure:
- Compare the current dose value with those in previous tests.
- Assess the loss in the tube conversion factor on the basis of the increase in the dose.
This check is important to allow the system to adjust the X-ray dose automatically to suit the reading of
the I.I. tube light output: thus the loss of the I.I. tube conversion factor leads to an increase in the X-ray
dose.
The loss of the conversion factor can be compensated for, where possible, in three ways:
3 Increasing (if necessary) the X-ray dose to the local legal limits.
When the above operations fail to have the required effect, replace the I.I. tube.
The performance test for the Dose Area meter (DAM) involves comparing the value of the dose per
surface on the working monitor (mGy*cm2) with that calculated by reading a dosimeter.
- Place a dosimeter on the cover of the monoblock, with the collimators fully open, having a
sensitive area wider than the complete X-ray beam at that point.
The diameter of the X-ray beam at the monoblock cover should be approximately:
- 7 cm for the 9” I.I. tube,
- 8 cm for the 12” I.I. tube.
- Set the reference dosimeter for mGy.
- Select manual continuous fluoroscopy at 60 kV.
- Clear the dosimeter and reset the dose indication.
- Give the fluoroscopy command for about 10 seconds and then note the reading on the dosimeter.
- Multiply the dosimeter reading (mGy) by the value of the nominal sensitive area of the dosimeter
(in m2).
- Check that the difference between the calculated “dose*area” value and that shown on the
control panel display is not greater than 20%.
The Reference Air Kerma and the Reference Air Kerma Rate values shown by the EM equipment are
automatically calculated on the basis of the set kV and mA. These values are used to define the patient
input reference point.
The Reference Air Kerma and the Reference Air Kerma Rate values cannot be adjusted.
THE PATIENT INPUT REFERENCE POINT is found along the X-ray beam, 30cm from the I.I.
tube under the measuring conditions specified by the standard EN 60601-2-54 (para.
203.6.3.102)
For details of the min and max Reference Air Kerma Rates for each acquisition mode, see:
- TECHNICAL SPECIFICATIONS. Dose metering information.
Part 4 : ADJUSTMENTS
CONTENTS
1 GENERAL INFORMATION
1.1 INTRODUCTION
This equipment is fully adjusted in the factory and so only needs to be installed and checked.
The information given in this section of the manual is needed to adjust the equipment during
maintenance.
The following abbreviations will be used, where possible, in this manual for the boards:
2 X-RAY ADJUSTMENTS
2.1 INTRODUCTION
Access the adjustments menu using the Setup 3 menu on the console touch screen (SET KV, I-FIL and RX
COLLIMATOR) as explained in para. 4.1 of Part 2 above.
PAGE 1: PAGE 2:
The table below lists the possible adjustments in Set-Up 3 and the accepted ranges for each parameter:
SETUP 3 - Page 1
FUNCTION VALUE
minimum TYPICAL maximum
REAL SET kV detected by the equipment
SET KV SET 40 kV 450 506 550
SET 120 kV 1500 1540 1600
0.2 mA (40 kV) 200 382 500
I-FIL 1 Contin. fluoroscopy
5 mA (70kV) 300 476 600
65 mA (40kV) 400 618 800
I-FIL 2 Standard radiogr.
28 mA (100kV) 350 564 750
SET I-FIL
100 mA (40kV) 450 644 750
I-FIL 3 High power radiogr.
40 mA (100kV) 400 580 700
1.6 mA (40kV) 350 442 600
I-FIL 4 HCF (optional)
40 mA (70kV) 450 568 700
SETUP 3 - Page 2
FUNCTION VALUE
minimum TYPICAL maximum
IRIS REAL Iris aperture detected
IRIS MIN 15 35 50
ZOOM 2 "iris min" 110 255
IRIS
ZOOM 1 "zoom 2" 145 255
RX NORMAL "zoom1" 195 255
COLLIMATOR FILM RAD "normal" 205 255
SHUT REAL Shutter aperture detected
SHUT MAX 80 185 255
SHUTTER
SHUT ANG. -90 0 +90
SHUT ORIENT. 0 1 1
You must enter the technical password to access these stages in the setup procedure: “2006”.
Note1: Press the encoder dial twice to confirm the new settings and quit the Setup procedure: the first
time you press this, you confirm the parameter settings; the second time, you close the setup
menu.
Note 2: See the Annex in para. 5.4 of this part of the menu if the EM equipment uses 120 V AC.
Attention
The procedure requires that the voltage is measured at the points shown below:
- To measure the SET kV: connect an oscilloscope or digital voltmeter (DC) between CP1-10 (+)
and Tp5 (-) on inverter board PSM05.
The format is 1V = 20kV.
- To measure the real kV connect an oscilloscope (DC) between Tp3 (+) and Tp5 (-) on inverter
board PSM05.
The format is 1V = 20kV.
- To measure the anode mA in fluoroscopy connect an oscilloscope (DC) between Tp2 (+) and
Tp5 (-) on inverter board PSM05.
The format is 1V = 1mA.
- To measure the anode mA in radiography connect an oscilloscope (DC) between Tp4 (+) and
Tp5 (-) on board PSM05.
The format is 1V = 10 mA.
- To measure the anode mA in pulsed HCF fluoroscopy (optional), connect an oscilloscope (DC)
on board PSM05.
- mA<10 between Tp2 (+) and Tp5 (-). The format is 1V = 1 mA.
- mA>10 between Tp4 (+) and Tp5 (-). The format is 1V = 10 mA.
- To measure the SET filament voltage connect an oscilloscope or digital voltmeter (DC) between
Tp13 (+) and Tp8 (-) on board B3.
The format is 1V ≅ 100mA (filament).
- To measure the Filament current (Ifilament) connect a TRUE RMS reading ammeter in the place of
jumper B3 - CM3: 1-3 (scale limit: ≥1A AC).
Measuring points
SET kV PSM05: CP1-10, Tp5
real kV PSM05: Tp3, Tp5
mA continuous fluoro / pulsed HCF fluoro for i<10 mA PSM05: Tp2, Tp5
mA radiography / pulsed HCF fluoro for i>10 mA PSM05: Tp4, Tp5
SET I-FIL B3: Tp13, Tp8
IFilament B3 - CM3: 1-3
BOARD PSM05
BOARD B3
(RkFS 00)
- Check the position of jumpers J2A and J2B (2-3) on board PSM05: this sets the max safe value for the
inverter at 120 kV.
• Connect a digital voltmeter (DC) to inverter board PSM05 between CP1-10(+) and Tp5(-);
• Confirm the new parameter setting and quit the Setup procedure (press twice on the encoder).
Select all the intermediate kV values in the FLUOROSCOPY frame and check that the voltage
shown on the voltmeter is: V=kVset/20 ± 25mV
(e.g.: at 100 kV you should get V = 5 V ± 25 mV).
The “SET kV ERROR” appears if the REAL kV value differs from the set value by more than ±6 kV
during X-ray emission.
b) Adjustment of the filament current in the envisaged working modes to get the required anode mA
values.
The table below shows, in steps of 10 kV, the values for the anode mA associated to the typical kV and
the filament current* (detected on a test monoblock).
* Note: By filament current we mean the current in the primary circuit in the filament transformer.
[V] [kV] [mA] [mA] [mA] [mA] [mA] [mA] [mA] [mA]
2 40 0.2 206 65.0 368 100.0 386 1.6 278
2.5 50 0.6 228 56.0 359 80.0 373 4.8 301
3 60 2.8 262 46.6 351 66.6 363 22.4 337
3.5 70 5.0 275 40.0 344 57.1 356 40.0 353
4 80 4.6 273 35.0 338 50.0 349 37.4 350
4.5 90 4.1 269 31.1 333 44.4 345 33.2 345
5 100 3.7 267 28.0 328 40.0 340 30.0 342
5.5 110 3.4 264 25.4 325 36.3 336 27.2 339
6 120 3.1 262 23.3 322 33.3 333 24.9 337
Attention: The safety device stops the equipment. Switch off and reboot to continue working.
Attention: The safety device stops the equipment. Switch off and reboot to continue working.
• Give the X-ray command in standard radiography and adjust the parameter to get
6.5V (±5%) at Tp4, corresponding to 65mA (1V = 10mA).
• Give the X-ray command in standard radiography and adjust the parameter to get
2.8V (±5%) at Tp4, corresponding to 28mA (1V = 10mA).
• Give the X-ray command in radiography and adjust the parameter to get 10.0V (±5%)
at Tp4, corresponding to 100mA (1V = 10mA).
• Give the X-ray command in radiography and adjust the parameter to get 4.V (±5%)
at Tp4, corresponding to 40mA (1V = 10mA).
4. Adjusting the Filament Current in pulsed HCF fluoroscopy (I-FIL 4) – version 6 only:
After adjusting the mA, you need to check the kV value (i.e. the real kV) and the inverter mA.
The precision tolerances foreseen by standard EN 60601-2-7 are ±5% for the kV and ±10% for the mA.
If the kV is not correct, repeat the above adjustments.
ALL VERSIONS
kV mA
set accepted range theoretical accepted range
on PSM05-Tp3,Tp5 on PSM05-Tp2,Tp5
[1V = 20kV] [1V = 1mA]
40 38 - 42 0.20 0.18 - 0.22
70 66.5 - 73.5 5.00 4.50 - 5.50
120 114 - 126 3.12 2.81 - 3.43
ALL VERSIONS
kV mA
ALL VERSIONS
kV mA
set accepted range theoretical accepted range
on PSM05-Tp3,Tp5 on PSM05-Tp2,Tp5
[1V = 20kV] [1V = 1mA]
40 38 - 42 100.0 90.0 - 110.0
70 66.5 - 73.5 57.1 51.3 - 62.8
120 114 - 126 33.3 29.9 - 36.6
• Remove the panel covering the I.I. unit (see para. 5.1.2 in Part 5 of this manual).
• Loosen focussing ring nut (G) marked FOCUS.
• Give the X-ray command.
• Using a suitable pin or small screwdriver in one of focussing holes (F), turn the focussing ring nut to get
the maximum resolution of the image in the smallest field on the monitor.
• Close the ring nut (G) to fix the position of the focus.
Fig. 1
CD100ca TV camera
Fig. 2
CD1030ca TV camera
Monitor
Acquisition matrix
Image
Fig. 3
• Remove the panel covering the I.I. unit (see para. 5.1.2 in Part 5 of this manual).
- Make sure the horizontal flip function is disabled.
- Place a suitable reference object (e.g. a washer or disk) in the centre of the leading edge of the I.I.
tube.
- Give the fluoroscopy command and check the centring on the monitor.
• Loosen the 3 screws (V) (fig.4) fixing the “TV camera + lens” unit to the I.I. tube plate.
• Give the X-ray emission command and mechanically centre the camera in small steps until the
image of the reference object sits on top of the centre of the electronic circle (or centring cross).
• Fix the lens by tightening the 3 screws (V).
Fig. 4
If the mechanical centring is not perfect, you can make a small electronic adjustment using rotary
switch SW1 on board SBFM07 (see fig. 5): this gradually moves the image sideways.
SW1
Fig. 4
Fig. 5
If the mechanical centring is not perfect, you can make a small electronic adjustment by adjusting the
Pan and Scroll parameters in the Setup menu - SETUP / HARDWARE SETTINGS / CCD CAMERA (see para.
5.3.10 in Part 2 of this manual):
Fig. 6
To centre the collimator you need to adjust the position of these two items.
We recommend adjusting first the shutters and then the iris.
// //
Shutter area
• Position the C-arm so that the X-ray axis is vertical and the monoblock is lowered.
• Remove the front cover on the monoblock (see paragraph 5.1.1 in Part 5).
• Remove the collimator cover (see paragraph 5.2.2.1 in Part 5).
• Select manual fluoroscopy, and set 40 kV.
• Select the nominal I.I. field.
• Give the command to open the iris completely.
• With X-ray emission, give the command to rotate the shutters until these are vertical and then adjust
their aperture so that the image on the monitor is about 2 cm from the edge of the electronic circle.
• If the image is asymmetrical, loosen the 3 bolts “A” (Fig. 8a and 8b) used to centre the shutters and
move the unit until the image is symmetrical.
• After centring the shutters vertically, rotate them horizontally, give the X-ray emission command and
check their position on the image.
• If you need to correct the centring: gradually move the shutter unit to get the best compromise
between its vertical and horizontal positions.
• Secure the shutter unit in position by tightening the 3 bolts “A”.
A
Shutter unit
Fig. 8a
Fig. 8b
Note: The figures above show the X-ray collimator without its cover and the supports used for the dose
meter.
The above instructions are still valid even when the dose meter is fitted.
Check the image of the iris on the monitor, after centring the shutters.
Fig. 9
With the same measuring conditions as above (centring the shutters):
Iris unit
B Fig. 10
Note: The figures above show the X-ray collimator without its cover and the supports used for the dose
meter.
The above instructions are still valid even when the dose meter is fitted.
You need to adjust the speed at which the stand column moves up and down and set the max current
for the motor.
• Start by adjusting:
- potentiometer P2 (CURRENT LIMITATION) by turning it fully clockwise to disable current
limitation,
- potentiometers P1 (UP SPEED) and P3 (DOWN SPEED) fully clockwise (min speed).
• Then adjust potentiometer P1 to get a column up speed of about 1 cm/s (column takes at least 45
seconds to rise completely).
• Adjust potentiometer P3 to get a column down speed of about 1 cm/s (column takes at least 45
seconds to rise completely).
You must set the max current for the motor (and thus the max force of the motor) at the min value
needed to get the column to rise and so that guarantee safe movement in the event of accidental
collisions between the column and other objects.
• With the longitudinal slide of the arc fully forwards, adjust P2 to the min current value that allows the
system to complete the up movement smoothly and without stopping.
Note: Motor absorption increases as the column approaches the top limit stop.
Typical motor current values:
- up: max 5 A
- down: max 1 A
P1 P3 P2
Fig. 11
board B4
4.1 INTRODUCTION
Definitions:
Mean grey level: the signal level leaving the CCD detector, obtained using the nominal
X-ray dose on the face of the I.I. tube and a homogeneous filter.
Dynamic range: the ratio between the mean grey level and the max level supplied by
the CCD detector. The adjustment procedure described in this manual
foresees using a dynamic range of 1:3 (γ = 0.6).
4.2 VIDEO ADJUSTMENTS FOR VERSIONS 1, 2 (see table 1 on preface chapter) - Video Memory
4.2.1 PRESETTINGS
X-Ray
TUBE ASSEMBLY
Measuring conditions:
- Nominal I.I. field.
- 2 mm Cu filter on X-ray beam.
- Collimator fully open.
- Remove the grid on the I.I. tube and place the Filter
(2 mm Cu)
detector probe (dosimeter) on the leading edge of
the I.I. (see figure 1 on the right).
- Select manual fluoroscopy. Grid
- Set the kV to get an X-ray dose of 35 µR/s.
Dosimeter
IMAGE INTENSIFIER
Fig. 1
• Connect an oscilloscope at TP10 and set 0V at TP7 on board CCD-Board (see figure 4).
• Loosen grub screw "F" (marked IRIS) to rotate iris adjustment shaft “G”.
• Give the X-ray command at the correct dose.
• Use a pin or small screwdriver to turn shaft “G” until you get a reading of 250 mV on the oscilloscope.
• Tighten grub screw "F" to fix the position of the iris.
F G (iris adjustment)
Fig. 2
The CD100ca TV camera is pre-set in the factory. You may, however, need to adjust this again if the I.I.
tube or the lens unit has been replaced. Adjustment may also become necessary after correcting a loss
in the I.I. tube conversion factor.
Fig. 3
TP7
P3 (Video Gain)
TP10
TP5
Fig. 4
CCD board
The video signal reading area needs to be adjusted for correct automatic X-ray dose control.
• Set the reading area size you want using jumpers JP9 JP9 JP10 Reading area size
and JP10 on board SBFM07 as shown in the table on OFF OFF Max = 117 mm (c.)
the right: OFF ON Large = 102 mm (c.)
ON OFF Small = 93 mm (c.)
ON ON Min = 84 mm (c.)
Note 1: Press the centring cross enabling button in setup mode to view the reading area.
Note 2: The equipment is supplied with the reading area at the min setting (JP9, JP10= ON).
Measuring conditions: Oscilloscope with probe (A) on TP5 (board CCD-B1) and probe (B) on M7-J3-3 (0V
at M7-J3-1) (see figures 4 and 7).
ADC adjustments:
• Without giving the X-ray command, adjust M7-PT2 (fig. 7) (BLANK LEVEL) to get a video signal with
blanking level 0 mV at M7-J3-3.
• Give the manual continuous fluoroscopy command and adjust the kV to get a signal of 700 mV at
TP5 (board CCD-B1) and then adjust M7-PT1 (GAIN) to get a signal of 2.8 V (MAX PEAK) at M7-J3-3.
• Save an image and then release the X-ray command.
DAC adjustments:
• Move probe B on the oscilloscope to M6-TP1-1 (0 V at M6-TP1-3) and insert the 75 Ω terminal in
connector DIG OUT1.
• Give the manual continuous fluoroscopy command at the same kV level as before and:
- Adjust potentiometer M6-PT1 (GAIN) to get an output signal of 700 mV from the D/A converter
(see figures 5 and 8).
- Move the oscilloscope to M6-TP2-1 (0 V at M6-TP2-3).
- Adjust potentiometer M6-PT2 (GAIN) to get an output signal of 700 mV from the D/A converter
(see figures 5 and 8).
- Move the oscilloscope to M6-TP3-1 (0 V at M6-TP3-3).
- Adjust potentiometer M6-PT3 (GAIN) to get an output signal of 700 mV from the D/A converter
(see figures 5 and 7).
700 mV
Fig. 5
Fig. 6
M7 (SBFM07 board)
Fig. 7
M6 (SBFM06 board)
Note: The dose must be measured on the face of the I.I. tube. Given that the I.I. tube is fitted with a
grid, you must first remove the grid to in order to place the dosimeter probe to sit under it (see
figure 8) and then return the grid to its original position.
Measuring conditions:
- Nominal I.I. field.
X-Ray
- 2 mm Cu filter on X-ray beam. TUBE ASSEMBLY
- Collimator fully open.
- Detector probe on the leading edge of the I.I. tube
without grid, holding it at the edge (see figure 8).
- Select µR/s on the dosimeter.
Filter
- Select manual fluoroscopy.
(2 mm Cu)
Grid
Dosimeter
IMAGE INTENSIFIER
Fig. 8
This table lists the adjustments and the accepted range of settings for each parameter:
Settings Notes
REAL DOSE Light level read by TV camera, This is the value of the detected
proportional to the X-ray dose. in the set reading area (see
para. 4.1 in this Part of the
manual) using the 8 bit format (0
- 255).
REFER. DOSE To set the reference dose in Accepted range: Set the corresponding value for
continuous and pulsed 0 - 255 Normal Dose.
fluoroscopy modes
Typically: 135
FLUORO HYST. To set the hysteresis for Accepted range: Automatic control is stable when
automatic dose control in 5 - 30 the detected dose falls within
continuous fluoroscopy. the hysteresis interval.
Typically: 12
Procedure:
• Give the X-ray command and set the kV to get a dose of 35 µR/s on the
dosimeter.
• Read the REAL DOSE value during X-ray emission and then set this value in the
REFER. DOSE field.
Typical parameter settings: 100 - 150.
- There may be fluctuations around the required kV value if the parameter setting is too low.
- If set too high, dose control will only be approximate and so lead to variations in the video signal.
Typical parameter setting: 12.
4.3 VIDEO ADJUSTMENTS FOR VERSIONS 3, 4, 5 (see table 1 on preface chapter) - Video Processor
4.3.1 PRESETTINGS
X-Ray
TUBE ASSEMBLY
Measuring conditions:
- Nominal I.I. field.
- 2 mm Cu filter on X-ray beam.
- Collimator fully open.
- Remove the grid on the I.I. tube and place the Filter
detector probe on the leading edge of the I.I. (see (2 mm Cu)
figure 9 on the right).
- Select manual fluoroscopy. Grid
- Set the kV to get an X-ray dose of 35 µR/s.
Dosimeter
IMAGE INTENSIFIER
Fig. 9
F G (iris adjustment)
Fig. 10
Use the Pixel View Manager function to check the video signal level: enable this function using the
Overlay Manager function in the Post Processing group in the working frame on the working monitor:
The Neighbor field in the Statistics menu lets you select the part of the image whose values you want to
read. You can measure the levels in four differently sized squares:
- 7x7 pixels
- 9x9 pixels
- 15x15 pixels
- 31x31 pixels
Take the touch-pad pointer to the part of the image in question and check the value shown in the
Mean field.
4.3.3 ADJUSTING THE TV CAMERA (625 LINES) - FOR VERSIONS 3, 4 (see table 1 on preface chapter)
The CD100ca TV camera is pre-set in the factory. You may, however, need to adjust this again if the I.I.
tube or the lens unit has been replaced. Adjustment may also become necessary after correcting a loss
in the I.I. tube conversion factor.
Fig. 11
TP7
P3 (Video Gain)
TP10
TP5
Fig. 12
CCD board
4.3.4 ADJUSTING THE TV CAMERA (1K x 1K) - FOR VERSION 5 (see table 1 on preface chapter)
The CD100ca TV camera is pre-set in the factory. You may, however, need to adjust this again if the I.I.
tube or the lens unit has been replaced. Adjustment may also become necessary after correcting a loss
in the I.I. tube conversion factor.
VALUE
FUNCTION
minimum TYPICALLY maximum
OFFSET 0 45 100
GAIN 0 38 100
NRF 0 0 3
TEST 0 0 2
These tests are useful when you want to check the efficiency of the TV camera connection cable and
the video processor reception/acquisition circuits.
You can run these tests in any image acquisition mode (continuous, pulsed or one shot fluoroscopy).
• Use Test1: the TV camera is forced to provide a constant video signal level at the output.
• Give the manual continuous fluoroscopy command at min kV and then check that the video levels
fall within the following range: 1364 - 1370 LSB (DR= 1:2).
Note: Use the Pixel View Manager function to read the video level (see para. 4.3.2.1 above).
• Use Test2: the TV camera is forced to provide a constant video signal level at the output.
• Give the manual continuous fluoroscopy command at min kV and then check that the video levels
fall within the following range: 2730 - 2736 LSB (DR= 1:2).
Follow the TV camera Setup procedure if you need to adjust the OFFSET or GAIN.
These adjustments are the same for all acquisition modes (continuous fluoroscopy, pulsed fluoroscopy or
one shot fluoroscopy).
a) Offset:
• Acquire images in manual continuous fluoroscopy mode at 40kV, making sure that the TV camera
cannot receive any light (close the collimators and insert a suitable metal filter to block the X-ray
beam).
• Adjust the Offset parameter to get a video level of between 1 and 100 LSB.
Note: Use the Pixel View Manager function to read the video level (see para. 4.3.2.1 above).
b) Gain:
The fixed value (typically 38) can be altered, if required, during subsequent adjustments.
Note: If the gain value is too low, the dynamics of the TV camera may be reduced.
Note: The filter lowers both the TV camera noise and the bandwidth. We only recommend using this if
you have no special resolution requirements.
The video signal reading area needs to be adjusted for correct automatic X-ray dose control.
• Set the reading area size you want using the Dose Zone parameter in the SETUP / HARDWARE
SETTINGS / PRE-PROCESSING menu (see para. 4.3.7 in Part 2 of this manual).
Fig. 13
Note 1: Enable the DISPLAY DOSE ZONE flag to view the reading area.
Note 2: The equipment is supplied with the reading area set as 1/3 image (Value 2).
You can change the size of the reading area directly from the working frame by using the
corresponding command in the toolbar:
• Select once and the reading area currently used appears in the
centre of the image:
• Press again to change the reading area size, each time making it bigger (i.e. from the smallest
possible size to the largest).
Note: The dose must be measured on the face of the I.I. tube. Given that the I.I. tube is fitted with a
grid, you must first remove the grid to in order to place the dosimeter probe to sit under it (see
figure 14) and then return the grid to its original position.
Measuring conditions:
- Nominal I.I. field.
X-Ray
- 2 mm Cu filter on X-ray beam. TUBE ASSEMBLY
- Collimator fully open.
- Detector probe on the leading edge of the I.I. tube
without grid, holding it at the edge (see figure 8).
- Select µR/s on the dosimeter.
Filter
- Select manual fluoroscopy.
(2 mm Cu)
Grid
Dosimeter
IMAGE INTENSIFIER
Fig. 14
This table lists the adjustments and the accepted range of settings for each parameter:
Procedure:
• Give the X-ray command and set the kV to get a dose of 35 µR/s on the
dosimeter.
• Read the REAL DOSE value during X-ray emission and then set this value in the
REFER. DOSE field .
Typical parameter settings: 100 - 150.
- There may be fluctuations around the required kV value if the parameter setting is too low.
- If set too high, dose control will only be approximate and so lead to variations in the video signal.
Typical parameter setting: 12.
4.4.1 PRESETTINGS
X-Ray
TUBE ASSEMBLY
Measuring conditions:
- Nominal I.I. field.
- 2 mm Cu filter on X-ray beam.
- Collimator fully open.
- Remove the grid on the I.I. tube and place the Filter
(2 mm Cu)
detector probe on the leading edge of the I.I. (see
figure 15 on the right).
- Select manual fluoroscopy. Grid
- Set the kV to get an X-ray dose of 35 µR/s.
Dosimeter
IMAGE INTENSIFIER
Fig. 15
The CD100ca TV camera is pre-set in the factory. You may, however, need to adjust this again if the I.I.
tube or the lens unit has been replaced. Adjustment may also become necessary after correcting a loss
in the I.I. tube conversion factor.
VALUE
FUNCTION
minimum TYPICAL maximum
OFFSET 0 45 100
GAIN 0 38 100
NRF 0 0 3
TEST 0 0 2
These tests are useful when you want to check the efficiency of the TV camera connection cable and
the video processor reception/acquisition circuits.
You can run these tests in any image acquisition mode (continuous, pulsed or one shot fluoroscopy).
• Use Test1: the TV camera is forced to provide a constant video signal level at the output.
• Give the manual continuous fluoroscopy command at min kV and then check that the video levels
fall within the following range: 1364 - 1370 LSB (DR= 1:2).
Note: Use the Pixel View Manager function to read the video level (see para. 4.4.4.3 below).
• Use Test2: the TV camera is forced to provide a constant video signal level at the output.
• Give the manual continuous fluoroscopy command at min kV and then check that the video levels
fall within the following range: 2730 - 2736 LSB (DR= 1:2).
Follow the TV camera Setup procedure if you need to adjust the OFFSET or GAIN.
These adjustments are the same for all acquisition modes (continuous fluoroscopy, pulsed fluoroscopy or
one shot fluoroscopy).
a) Offset:
• Acquire images in manual continuous fluoroscopy mode at 40kV, making sure that the TV camera
cannot receive any light (close the collimators and insert a suitable metal filter to block the X-ray
beam).
• Adjust the Offset parameter to get a video level of between 1 and 100 LSB.
Note: Use the Pixel View Manager function to read the video level (see para. 4.4.4.3 below).
b) Gain:
The fixed value (typically 38) can be altered, if required, during subsequent adjustments.
Note: If the gain value is too low, the dynamics of the TV camera may be reduced.
Note: The filter lowers both the TV camera noise and the bandwidth. We only recommend using this if
you have no special resolution requirements.
The video signal reading area needs to be adjusted for correct automatic X-ray dose control.
- Set the reading area size you want using the Dose Zone parameter in the SETUP / HARDWARE SETTINGS
/ PRE-PROCESSING menu (see para. 4.3.7 in Part 2 of this manual).
Fig. 16
Note 1: Enable the DISPLAY DOSE ZONE flag to view the reading area.
Note 2: The equipment is supplied with the reading area set as 1/3 image (Value 2).
You can change the size of the reading area directly from the working frame by using the
corresponding command in the toolbar:
• Select once and the reading area currently used appears in the
centre of the image:
• Press again to change the reading area size, each time making it bigger (i.e. from the smallest
possible size to the largest).
FLUORO HYST. To set the hysteresis for automatic Accepted range: Automatic control is stable when
dose control in continuous 5 - 30 the detected dose falls within
fluoroscopy. Typically: 12 the hysteresis interval.
HCF HYST. To set the hysteresis for automatic Accepted range: Automatic control is stable when
dose control in pulsed HCF 5 - 30 the detected dose falls within
fluoroscopy. Typically: 12 the hysteresis interval.
Typically: 8
FLUORO 1:2 Max iris aperture in continuous Accepted range: Max aperture is linked to
fluoroscopy mode. “FLUORO 1:5” - 255. Dynamic Range 1:2
Typically: 175
FLUORO 1:5 Min iris aperture in continuous Accepted range: Min aperture is linked to
fluoroscopy mode. 5 - “FLUORO 1:2” Dynamic Range 1:5
Typically: 145
HCF 1:2 Max iris aperture in pulsed HCF Accepted range: Max aperture is linked to
fluoroscopy mode. “HCF 1:5” - 255 Dynamic Range 1:2
Typically: 140
HCF 1:5 Min iris aperture in pulsed HCF Accepted range: Min aperture is linked to
fluoroscopy mode. 5 - “HCF 1:2” Dynamic Range 1:5
Typically: 115
• Select pulsed HCF fluoroscopy at 12 i/s, manual kV adjustment and normal dose.
• Give the X-ray emission command in pulsed HCF fluoroscopy and set the kV to get a dose of 4
µR/frame.
• Select iris adjustment parameter HCF 1:2.
• Adjust this parameter over the course of several emissions to get a video level of 2048 LSB (±10%) in
the centre of the monitor. Typical values: 140 - 190.
• Check that the REAL DOSE value is the same as that for continuous fluoroscopy (±10%) during X-ray
emission with video signal 2048 LSB 2048 LSB (±10%).
• Select HCF 1:5 and adjust to get a video level of 2048 LSB (±10%) in the centre of the monitor.
Typical values: 110 - 160.
• Check the speed and constancy of the kV adjustments in automatic pulsed fluoroscopy.
If necessary adjust the HCF HYST. Parameter: this alters the hysteresis value for automatic kV
correction:
- There may be fluctuations around the required kV value if the parameter setting is too low.
Typical parameter setting: 13.
Note: The system requires that the kV set by the automatic dose control in pulsed fluoroscopy mode is
the same (±1 kV) as that for continuous fluoroscopy. If this is not the case, check that the mA
adjustments are correct (for continuous and/or pulsed fluoroscopy).
Use the Pixel View Manager function to check the video signal level: enable this function using the
Overlay Manager function in the Post Processing group in the working frame on the working monitor:
The Neighbor field in the Statistics menu lets you select the part of the image whose values you want to
read. You can measure the levels in four differently sized squares:
- 7x7 pixels
- 9x9 pixels
- 15x15 pixels
- 31x31 pixels
Take the touch-pad pointer to the part of the image in question and check the value shown in the
Mean field.
You must check the brightness and contrast of the monitors at regular intervals.
For this reason, a test pattern appears every time you open a new study.
- Adjust the brightness and contrast on both monitors to view the entire grey scale (the brightness % is
shown in each square) More specifically, you should be able to see:
A B
The entire adjustment procedure is shown below, with details of the controls needed if a monitor is
replaced.
Control knob
3) Select:
- Analog VGA if the monitor is connected via VGA
connector,
- or Analog BNC if the monitor is connected via
BNC connector.
5 ANNEXES
• The two primary windings on transformer TR1 must be connected in parallel to board ASPS 00:
- point A to point B
- point C to point D
When fed with 120 V AC, the equipment works in basically the same manner, except for the fact that:
• The power of X-ray emission in pulsed HCF fluoroscopy mode is halved (version 6 - see table 1 on
preface ):
o 40kV – 0.8mA and 70kV – 20mA
The adjustments needed for the reduced rate of X-ray emission are described below.
Access the adjustment options by opening the Setup3 menu on the touch screen panel (SET KV, I-FIL
and RX COLLIMATOR) as described in para. 4.1 in Part 2 of this manual.
PAGE 1: PAGE 2:
The table below shows the necessary adjustments and the accepted range for each parameter:
You must enter the technical password to access these stages in the setup procedure: “2006”.
Note1: Press the encoder dial twice to confirm the new settings and quit the Setup procedure: the first
time you press this, you confirm the parameter settings; the second time, you close the setup
menu.
Attention
The procedure requires that the voltage is measured at the points shown below:
- To measure the SET kV: connect an oscilloscope or digital voltmeter (DC) between CP1-10 (+)
and Tp5 (-) on inverter board PSM05.
The format is 1V = 20kV.
- To measure the real kV connect an oscilloscope (DC) between Tp3 (+) and Tp5 (-) on inverter
board PSM05.
The format is 1V = 20kV.
- To measure the anode mA in fluoroscopy connect an oscilloscope (DC) between Tp2 (+) and
Tp5 (-) on inverter board PSM05.
The format is 1V = 1mA.
- To measure the anode mA in radiography connect an oscilloscope (DC) between Tp4 (+) and
Tp5 (-) on board PSM05.
The format is 1V = 10 mA.
- To measure the anode mA in pulsed HCF fluoroscopy (optional), connect an oscilloscope (DC)
on board PSM05.
- mA<10 between Tp2 (+) and Tp5 (-). The format is 1V = 1 mA.
- mA>10 between Tp4 (+) and Tp5 (-). The format is 1V = 10 mA.
- To measure the SET filament voltage connect an oscilloscope or digital voltmeter (DC) between
Tp13 (+) and Tp8 (-) on board B3.
The format is 1V ≅ 100mA (filament).
- To measure the Filament current (Ifilament) connect a TRUE RMS reading ammeter in the place of
jumper B3 - CM3: 1-3 (scale limit: ≥1A AC).
Measuring Points
SET kV PSM05: CP1-10, Tp5
real kV PSM05: Tp3, Tp5
mA continuous fluoro / pulsed HCF fluoro for i<10 mA PSM05: Tp2, Tp5
mA radiography / pulsed HCF fluoro for i>10 mA PSM05: Tp4, Tp5
SET I-FIL B3: Tp13, Tp8
IFilament B3 - CM3: 1-3
BOARD PSM05
BOARD B3
(RkFS 00)
- Check the position of jumpers J2A and J2B (2-3) on board PSM05: this sets the max safe value for the
inverter at 120 kV.
• Connect a digital voltmeter (DC) to inverter board PSM05 between CP1-10(+) and Tp5(-);
• Confirm the new parameter setting and quit the Setup procedure (press twice on the encoder).
Select all the intermediate kV values in the FLUOROSCOPY frame and check that the voltage
shown on the voltmeter is: V=kVset/20 ± 25mV
(e.g.: at 100 kV you should get V = 5 V ± 25 mV).
The “SET kV ERROR” appears if the REAL kV value differs from the set value by more than ±6 kV
during X-ray emission.
b) Adjustment of the filament current in the envisaged working modes to get the required anode mA
values.
The table below shows, in steps of 10 kV, the values for the anode mA associated to the typical kV and
the filament current* (detected on a test monoblock).
* Note: By filament current we mean the current in the primary circuit in the filament transformer.
[V] [kV] [mA] [mA] [mA] [mA] [mA] [mA] [mA] [mA]
2 40 0.2 206 32.0 50.0 0.8
2.5 50 0.6 228 28.0 40.0 2.4
3 60 2.8 262 23.3 33.3 11.2
3.5 70 5.0 275 20.0 28.5 20.0
4 80 4.6 273 17.5 25.0 18.7
4.5 90 4.1 269 15.5 22.2 16.6
5 100 3.7 267 14.0 20.0 10.0
5.5 110 3.4 264 12.7 18.1 13.6
6 120 3.1 262 11.6 16.6 12.4
Attention: The safety device stops the equipment. Switch off and reboot to continue working.
Attention: The safety device stops the equipment. Switch off and reboot to continue working.
• Give the X-ray command in standard radiography and adjust the parameter to get
3.2V (±5%) at Tp4, corresponding to 32mA (1V = 10mA).
• Give the X-ray command in standard radiography and adjust the parameter to get
1.4V (±5%) at Tp4, corresponding to 14mA (1V = 10mA).
• Give the X-ray command in radiography and adjust the parameter to get 5.0V (±5%)
at Tp4, corresponding to 50mA (1V = 10mA).
• Give the X-ray command in radiography and adjust the parameter to get 2.0V (±5%)
at Tp4, corresponding to 20mA (1V = 10mA).
4. Adjusting the Filament Current in pulsed HCF fluoroscopy (I-FIL 4) – version 6 only:
After adjusting the mA, you need to check the kV value (i.e. the real kV) and the inverter mA.
The precision tolerances foreseen by standard EN 60601-2-7 are ±5% for the kV and ±10% for the mA.
If the kV is not correct, repeat the above adjustments.
ALL VERSIONS
kV mA
set accepted range theoretical accepted range
on PSM05-Tp3,Tp5 on PSM05-Tp2,Tp5
[1V = 20kV] [1V = 1mA]
40 38 - 42 0.20 0.18 - 0.22
70 66.5 - 73.5 5.00 4.50 - 5.50
120 114 - 126 3.12 2.81 - 3.43
e) CHECKING THE kV AND mA IN PULSED HCF FLUOROSCOPY (for version 6 - see table 1 on preface)
Part 5 : MAINTENANCE
CONTENTS
1 ROUTINE MAINTENANCE
The equipment requires regular checks and maintenance. The following recommendations are aimed
at maintaining good operating and safety conditions.
The equipment contains mechanical parts subject to wear and tear as a result of their use. After a
prolonged period of use, it is possible that safety will be reduced due to wear and tear of the
components.
Regular inspections and maintenance are also needed to protect patients and operators from injury
arising from broken mechanical parts.
Correct adjustment of the electromechanical and electronic modules directly affects equipment
efficiency levels, image quality, electrical safety and the radiation exposure level to which both hospital
personnel and patients are subject.
The maintenance program, described in the paragraphs below, consists of checks and preventive
measures which are the responsibility of the owner and which should be carried out by expressly
authorised personnel.
Always use original spare-parts only whenever you need to substitute parts that may affect
machine safety.
Do not use cleaning products that have a high alcohol content to clean the surfaces of the equipment.
Do not use corrosive detergents, abrasive products or solvents.
Adopt only methods that fully comply with existing safety standards (disinfecting and explosion
prevention procedures) to disinfect the equipment.
If using disinfectants that form explosive fumes, make sure that these have had a chance to
disperse before using the equipment again.
To avoid problems with microbe contamination for patients and operators, the user must ensure that
those parts of the equipment that could come into contact with the patient ( I.I. tube, monoblock and
the C-arm) are protected using disposable sterile sheets, or sheets that can be sterilised.
Operators must receive special training to carry out the daily and weekly checks detailed in the table
below.
The other checks (see paragraph below) should only be carried out by qualified personnel authorised
to do so by the Technical Service.
Every day : - Check that the signals, displays, laser localizer and LEDs are working.
- Check that the warning and danger signs are not damaged.
- Check the efficiency of the fans at the rear of the monitor unit (VIDEO PROCESSOR
versions only)
- Check the X-Ray dose level (see para. 1.3.1, below).
- Check the max aperture of the X-ray collimator (see para. 1.3.2, below).
- Check the safe up/down movement of the stand column (see para. 1.3.3, below).
- Check the adjustment of the two monitors (see para. 1.3.4, below).
Once a week: - Check for oil leaks coming from the monoblock.
- Check the state of the cable sheaths.
- Check the state of the power connectors, the X-ray command footswitch and the
connections between the stand and the monitor unit.
In order to prevent residual risks linked to X-ray emission should the system malfunction, or is not correctly
adjusted, we recommend carrying out the following check on the dose level on a daily basis,
immediately after switching on the equipment and before starting to scan patients.
C
- Check that the kV automatically set by the system
are equal (or within the tolerance) to those
indicated in the “X-ray dose verification” sheet
supplied with the filters.
b) In the same way, make a second fluoroscopy exposure using the filters supplied with the equipment
(total 4 mm Cu):
- Check that the kV automatically set by the system are equal (or within the tolerance) to those
indicated in the “X-ray dose verification” sheet supplied with the filters.
kV Tolerance
2 mm Cu 65 ±1kV
4 mm Cu 81 ±1kV
With the iris fully open, make sure that it can just be seen around the edge of the image. This
guarantees that there is no risk of incorrect calibration or the malfunctioning of the collimator.
We recommend checking the electrical safety circuit that prevents any uncontrolled movements of C-
arm every day, within 20 seconds of switching the equipment on.
To do this:
• Press an “up” and a “down” button at the same time and keep pressed for a few seconds.
The column should not move when you release these buttons.
If, however, the column does move (first up and then down by about 1 cm), then there is a fault in the
electrical circuit.
You also need to check the speed at which the C-arm moves:
- Use the “down” button on the stand to lower the C-arm completely.
- Now press the “up” button on the stand to raise the C-arm and make a note of the time it
takes to reach its top position. This should take more than 40 seconds; if not, adjust the speed
on the board, as explained in paragraph 3.4 in Part 4 of this manual.
There might be a fault in board B4 if you are unable to adjust the column speed. Replace this
board immediately to avoid unnecessary risks.
The two monitors display a test image every time you open a new study. Use this to check their
brightness and contrast levels (see para. 4.5 in Part 4 of this manual).
B
A
Carry out the complete Acceptance Test procedure once every 6 months or, in any case, in line with
current safety regulations.
Make a note of the results on the TEST SHEET (see para. 1.1 of Part 3 “ACCEPTANCE TEST”) together with
details of any action taken.
2 EXTRAORDINARY MAINTENANCE
2.1 TROUBLE-SHOOTING
The troubleshooting tables below give indications of the most common malfunctions plus their most
probable causes.
9 Stand reads: During radiography the effective kV Check the mains voltage.
kV ERROR are 85% less than the set kV. Check the apparent resistance of the
mains circuit.
10 Stand reads: Fluoroscopy has exceeded 5'. Reset time with reset key on stand.
MAX FLUORO TIME
11 Stand reads: Monoblock overheated. Do not command X-rays and wait for
THERMAL SAFETY the monoblock to cool.
12 Stand reads: Inverter fuses F1 and F2 have blown. Replace fuses F1 and F2.
NO X-RAYS Inverter fuse broken. Check/Replace inverter fuse.
Note: The manufacturer undertakes to supply, upon request, full information (wiring diagrams,
component lists, calibration instructions, etc.) to assist qualified technical personnel in repairing
any equipment components that the manufacturer feels can be repaired.
The equipment is fully adjusted and set in the factory; simply install and check upon delivery.
Every time a component is replaced, a series of checks and adjustments are required.
Consult the table below which covers the most common situations.
Note: Unless otherwise indicated, all chapter/paragraph references are to Part 4 of this manual
(Adjustments).
- B2 -- General equipment
In the case of equipment fitted with VIDEO MEMORY (SBFM76/0 or SBFM76/110), the jumpers on boards
SBFM-07 and SBFM-06 are used to configure the boards (see tables below).
● BOARD SBFM-07
Jumper position
JP5 OFF
JP8 OFF
JP11 OFF
JP12 OFF
JP13 OFF
JP14 OFF
● BOARD SBFM-06
Jumper position
JP1 2-3
JP6 OFF
JP7 OFF
JP1, JP2, JP3, JP4, JP5, JP6, JP7, JP8, JP9, JP10, JP11 JP12, JP13, JP14
SBFM-07 board
SBFM-06 board
The 2 boards SBFM 06 and SBFM 07 need to be adjusted after replacing the VIDEO MEMORY.
The table below sums up the adjustments required, already described in Part 4 of this manual (see
relevant paragraphs).
Reference
Board Function Adjustment
in Part. 4
SBFM07 Correcting the horizontal image centring Para. 3.2.2 Dip-switch SW1
Adjustment of reading area for dose control Para. 4.2.4 Jumpers JP9 and JP10
Correcting the video input gain Para. 4.2.5.1 Potentiometer PT1
Correcting the video input offset Para. 4.2.5.1 Potentiometer PT2
SBFM06 Adjusting the D/A conversion gain for 50 Hz output Para. 4.2.5.1 Potentiometer PT1
Adjusting the D/A conversion gain for 100 Hz output Para. 4.2.5.1 Potentiometer PT2
to Working Monitor
Adjusting the D/A conversion gain for 100 Hz output Para. 4.2.5.1 Potentiometer PT3
to Reference Monitor
Check the following after replacing board B1 (in the rack on the stand):
TB3
Fig. 1
B1 board
TB3
Fig. 2
B5 board
Note: The voltage only needs to be adjusted if the I.I. tube power unit has been replaced.
The grid voltage of the I.I. tube needs to be calibrated at the manufacturer’s default setting (Thales) for
the specific I.I. tube.
EXAMPLE
Fig. 3
The table below shows which voltage rates need to be adjusted using the relevant test points:
Voltage U3: adjust with trimmer G3 to define the size of the input image to suit the selected zoom
Voltage U2: adjust with trimmer G2 to get the best resolution in the centre of the image
Voltage U1: adjust with trimmer G1 to get the best resolution at the edge/in the centre of the
image
Ratio
Test point Unit
(V test point / V grid)
TP1 for voltage U1 0.01± 2% V/V
TP2 for voltage U2 1± 3% V/kV
TP3 for voltage U3 0.1± 6% V/kV
Setup procedure:
After replacing the power unit and connecting all the connectors from the I.I. tube, switch the
equipment and carry out the following operations:
Select the nominal field and adjust the voltage rates as shown in the Test Report for Normal Mode:
- measure at TP2 and adjust voltage U2 with trimmer G2 = typically 600 mV.
Select zoom 1 and adjust the voltage rates as shown in the Test Report for Magn.1:
- measure at TP3 and adjust voltage U3 with trimmer G3 = typically 650 mV.
- measure at TP2 and adjust voltage U2 with trimmer G2 = typically 500 mV.
Select zoom 2 and adjust the voltage rates as shown in the Test Report for Magn.2:
- measure at TP2 and adjust voltage U2 with trimmer G2 = typically 700 mV.
G3
G2
G1
0V
Note: If you cannot find the Test Report, adjust the voltage rates at the typical values shown above
and then correct manually to get the best image. We recommend adjusting voltage U2 last, as the
central resolution of the image is affected by the other adjustments.
The video processor is a PC-based device: it may, therefore, "crash", in which case you need to reset
the system disk.
As a result, the video processor is supplied with a back-up CD/DVD (exact copy of the system hard disk
upon delivery), and a CD containing the application that lets you make the back-up CD/DVD.
Note: If the OS or an application has been upgraded after delivery and installation of the module, you
need to install these upgrades again after resetting the system disk; alternatively you can ask for
an updated ghost CD/DVD.
The ghost disk can be created by following the procedure described in Part 5, paragraph. 6.1
using the CD/DVD writer on the video processor.
- Insert the ghost disk in the CD/DVD driver on the monitor stand and restart the video processor.
- Once the system is running, press “Del” to enter the BIOS SETUP UTILITY.
- Select the Boot tab. The following page appears:
- Check that the first Boot device is the DVD USB recorder and then press EXIT to quit.
- The system now restarts with the new configuration: the CD/DVD automatically loads the software
for the system disk restore (Acronis True Image).
- Click on “Next”.
- Select the file with the .tib extension on the CD/DVD and click on “Next”.
- Select the disk used as the system hard disk “System (C:) [IDE Primary Master]”
(e.g.: Disk1) and click on “Next”.
- Select: “Yes, I want to delete all the partitions ...” and then click on “Next”.
- Click on “Next”.
- System disk restore: the Current operation progress bar shows you the status.
- The system disk restore procedure is now complete. Extract the CD/DVD, click on OK and quit the
application.
The video processor now automatically restarts with the restored system disk.
The BIOS on the video processor CPU board may be lost as the result of a fault in the buffer battery on
the board, electrical interference in the mains network or a system hardware fault.
- Start the video processor and switch the system on, keeping key Del pressed in order to enter the BIOS
SETUP UTILITY:
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
- Check the fields shown in the figure and then press EXIT to quit.
Attention: Make sure you have all the necessary components close to hand before starting this
upgrade procedure.
Components required:
- IBM compatible PC, with RS-232 serial port and WINDOWS 98, NT, 2000, ME or
XP operating system (not supplied).
- SUB F/F 9-pin serial cable plus Gender Changer M/M (supplied)
- Flash Eraser application (supplied).
- Terminal application (supplied).
- File 68376.trm with TERMINAL application settings (supplied).
- File BASE.0 containing the new software.
Update procedure:
2) Connect the PC to the serial port used by board B2 - uP376 (CM8 connector - RS-232 SETUP) using
the F/F + Gender Changer cable:
3) Switch on the monitor unit and the stand. Run the FLASH ERASER application on the PC:
4) Select a serial communication port on the PC (e.g.: COM1) and connect by using the “OPEN
CONNECTION” command.
5) Check that the (green) word “ONLINE” appears in the Connection Status window.
7) The application asks you to confirm that you want to delete the program on the flash memory:
confirm with OK.
Attention: On doing this you can no longer use the Main Controller software on the flash memory.
8) Serial communication with the processor now stops; the Connection Status window reads “OFFLINE”
(red). The flash memory can now be upgraded with the new firmware.
9) Close the Flash Eraser application and run the TERMINAL program to open the setup file 68376.trm:
10) Switch the stand off and then back on again. Check that the Terminal window now reads: “DO
ERASING SECTORS?”.
11) Click on the ERASE FLASH button to complete the deletion of the memory. Check that the messages
confirming successful deletion of the FLASH-EPROM memory banks appear.
12) When prompted to send the new software (message “SEND S RECORD”), select “Send Text File...” in
the “Transfers” menu.
13) Select the path for the BASE.0 file for the new Main Controller software and confirm with OK.
14) Check that the SW has been uploaded correctly (the progress-bar in the Terminal program slowly
fills with a series of dots).
15) Switch the stand off and back on again after uploading.
16) Close the Terminal application. The software has now been upgraded.
To upgrade these:
• To upgrade the SW DGViewer software (needed to view DICOM images and included on each burnt
CD/DVD):
- Access the new directory and copy the file DGViewer.exe to directory:
“C:\Program Files\Digitec\DicomViewer”.
You need to check the video processor configuration after upgrading the software: see
paragraph 4.4 in Part 2.
If the manuals are updated after installation of the system, you need to replace the obsolete pages.
The manuals are supplied on CD.
- Insert the CD with the new manuals in the CD/DVD drive on the equipment,
- Give these a new name (e.g. by adding “old” to their name) if you want to keep them.
Copy the new manuals to the same directory and give them the same names as the previous
versions:
operatormanual.pdf User Manual,
technicalmanual.pdf Technical Manual.
With use, the power cable could become worn or damaged (cuts, scratched).
Only authorised technical personnel should be permitted to replace this, when necessary.
Cable characteristics:
- Length 6m
- Form 2 conductors (blue-brown) + earth (G/V) cross-section 3 x 4mm2
- Ext. Sheath colour Grey
- Outside diameter 13mm
- Mixture PVC
Follow the steps below to ensure the cable is connected and secured properly.
• Undo the 2 screws (V1) and the 2 screws (V2). You will need to remove the 2 plugs (T) to access the
screws (V2).
• Remove the front panel “C1”.
(Fig.26)
T
V2
C1
V1
- Undo the plastic ring nut (cable passage) at the rear of the monitor stand, as shown below:
- Extract the old cable through the cable passage and then replace with a new cable (supplied by the
manufacturer, code: 550 16 002).
- Repeat the above steps in reverse order to connect and secure the new cable.
3 SPARE-PARTS
10 Laser Localiser:
for 9” 44 10 000
for 12” 44 12 800
Single Laser Diode 44 10 012
Cassette holder:
11A for 9” 19 12 100
11B for 9” with Laser Localiser on tube side 66 09 300
for 12” 19 12 200
for 12” with Laser Localiser on tube side 66 12 300
Monitor Unit:
12A Keyboard + touchpad IU 59 002
12B Power unit 19 28 100
Isolating transformer 3KVA 17 10 120A
Board B20 (ASPS) 17 10 110A
B21 (IRR) 49 28 550
13 Monitor:
LCD 19” b/n IVL-GEV955IMI Part. No: FPM1152 MO 19 004
LCD 19” colore IVL-GEV955IMI Part. No: FPM1165 MO 19 003
14 Video Memory:
board SBFM76/4 60 03 034
15 Video processor:
DIP340MR SD 49 001
DIP340HR SD 49 002
5A
11A
5B 10
11B
5 9
6B 6A
13
13
14
12A
15
8A 8B
12B
12B
4 SCRAPPING
When scrapping the device, special care must be taken when handling the following components as
these can be hazardous when scrapped:
- The I.I. tube contains a vacuum tube which, should it break, can send shards of glass flying and
disperse powder and gas that may be toxic; it also contains lead that must be considered a
toxic material.
- The LCD monitor contains a screen which, should it break, can send shards of glass flying and
disperse substances that may be toxic.
- The monoblock contains a vacuum tube which, should it break, can send shards of glass flying;
it also contains lead that must be considered a toxic material; it also contains exhaust oil which
must be disposed of in accordance with the current local regulations.
- The X-ray collimator contains lead: this is a toxic material and must be treated as such.
- The equipment contains printed circuit boards which contain a certain amount of lead: this is a
toxic material and must be treated as such.
- The batteries must be disposed of in accordance with European Directive 2002/96/EC (Waste
Electrical and Electronic Equipment = WEEE standards).
These parts are not considered to be a potential source of hazards when scrapping the device.
All parts should be disposed of in accordance with the prevailing regulations in each country
at the moment of scrapping.
The symbolon the right appears on the equipment to remind you that the equipment
meets the European Environmental Directives (2002/95/EC, 2002/96/EC,
2003/108/EC) and so must be scrapped in accordance with the relevant laws for
separated waste disposal.
This equipment must not be disposed of as normal urban solid waste: it must be taken
to an expert waste disposal centre or returned to the dealer, should you wish to
replace it with a new model.
Before attempting to assemble or remove any components, you must switch the EM equipment off
and unplug it at the mains.
V
V
Fig. 1
Repeat the above steps in reverse order to remount the panels on the monoblock.
Fig. 2
Repeat the above steps in reverse order to remount the cover on the I.I. tube.
Note: Figure 2 refers to the 9” I.I. tube, but the instructions are valid for the 12” version, except for the fact that
this has 3 side screws (V).
Fig. 3a
R
V
T
Fig. 3b
Repeat the above steps in reverse order to remount the cover on the stand.
5.2.1 MONOBLOCK
Attention: - Before dismantling the monoblock, you must rotate the C-arm as shown in figure 4a (with
the I.I. tube fully extended: see arrow in figure) and engage brake “F” on the C-arm
support, making sure that this stops the C-arm correctly.
You also need to place a wooden wedge under the stand (see fig. 4a) to prevent the
equipment from toppling over when the monoblock is removed.
wooden wedge
Fig. 4a
D
D
R D
D D
V1
V1
A D D
D P
V1
V2 S Fig. 4b
V2
revision 0 PART 5 page 5.4
code 66 80 012 - Mti S5 05.doc
TECHNICAL MANUAL
5.2.2.1 COLLIMATOR
Note: If the equipment is fitted with a dose area meter, this must be removed first before attempting to
remove the collimator (see paragraph 5.2.2.3 below).
C2
F
C1
V2
V1
V1
V1
Fig. 5
Note: Remember to check the centring of the collimator (see paragraph 3.3 in Part 4).
The dose area meter (D) is fitted on a support plate (S) fixed to the column (C) by 4 screws (V1) .
V1
V1
S
D
V1
V1 G
Fig. 6
P C
D1
V2
V2
CD100ca TV camera:
To remove the TV camera head board (A) and the lens (O) from the image system unit:
Engage the C-arm locking brake before attempting to remove the image system components.
Take care not to allow the C-arm to move unexpectedly when removing the components, as the
weights are no longer balanced.
• Remove the I.I. tube cover (C) (see paragraph 5.1.2 above).
• Remove the counterweight unit (B) by undoing the 3 nuts (D) to make things easier.
Note. These counterweights are only found on the 9” I.I. tube + rotating anode model.
• Disconnect the video cable and the power cable from the TV camera.
• Remove the 3 screws (V1) and their washers to remove the lens (O).
• Remove the 3 screws (V2) for the camera head board (A).
D
A O
D
C
D
V2
Fig. 7a
V1
O
A
V1
V1
V2
Repeat the above steps in reverse order to return the TV camera and the lens again.
Note: The figure above shows a 9” I.I. tube, but the instructions are normally valid for the 12” version.
You can normally remove the TV camera and the lens in a 12” version without having to remove the
counterweights (smaller in size).
TV camera CD1030ca:
To remove the TV camera (A) and the lens (O) from the image system unit:
Engage the C-arm locking brake before attempting to remove the image system components.
Take care not to allow the C-arm to move unexpectedly when removing the components, as the
weights are no longer balanced.
• Remove the I.I. tube cover (C) (see paragraph 5.1.2 above).
• Remove the counterweight unit (B) by undoing the 3 nuts (D) to make things easier.
Note. These counterweights are only found on the 9” I.I. tube + rotating anode model.
• Disconnect the video cable and the power cable from the TV camera.
• Remove the 4 screws (V1) and their washers from the TV camera and then remove this from the lens (O).
• Remove the 3 screws (V2) and their washers to remove the lens (O).
B O
D A
D
C
D
V2
V1 V1 Fig. 7b
A V1 V1
V2
V2
Repeat the above steps in reverse order to return the TV camera and the lens again.
Note: The figure above shows a 9” I.I. tube, but the instructions are normally valid for the 12” version.
You can normally remove the TV camera and the lens in a 12” version without having to remove the
counterweights (smaller in size.
Attention: Before removing the I.I. unit, you must rest the rear of the stand on a suitable block (see
figure 8a). You must also turn the C-arm as shown in figure 8b, ensuring that the
monoblock rests on a suitably strong surface.
wedge
Fig. 8a Fig. 8b
To remove the I.I. tube (follow the same instructions in reverse order to remount this, taking special care that
the cables are positioned correctly without damaging them):
9” I.I. Tube
V2 A
T
V1
A
Fig. 8c
V2
V1
A
C
Fig. 9d
A V1
G
V3 V2
C
B
V2
V3
V3 V2
V1
V3
Fig. 10
If the braking system should fail, check the state of the brake pads “P” on the 2 side wheels. If you find that the
problem is due to these being worn, follow the steps below to replace the worn pads:
• Remove the cover on the leg of the stand (see paragraph 5.4.2 below).
• Raise the leg slightly so you can place a plank of wood under this, lifting the wheel from the ground (at
least 2 men should be used to do this).
• Remove the 2 screws (V) and their washers (R) fixing the hub covers (C); then remove the covers.
• Remove the nut (D) and extract the pin (P) from the wheel.
• Extract the wheel (A).
• Extract the pin (S) fixing the pad (P) and then remove the pad itself.
• Insert a new pad and then repeat the above steps in reverse order.
Fig. 11a
S
P
V
R P
C
D
R V
C
A
Fig. 11b
a) To tighten the tension of the lower chains responsible for rotating the rear wheels:
• Remove the cover on the leg (C2) by undoing the 2 screws (V) and their washers (under the leg).
Remove the rear stand cover (C) for better access to tie-rods (T), as explained in paragraph 5.1.3
above.
C2
C1
Fig.12a
V V
• Loosen the counternut (D) and tension the chain using tie-rod (T).
Attention: Repeat the operation on both tie-rods symmetrically to avoid altering the direction of the
wheels.
Fig.12b
b) To remove and replace the upper chain responsible for rotating the wheels:
• Remove the rear cover on the stand (see paragraph 5.1.3 above).
• Unscrew the tie-rod (T) and extract the chain to be replaced.
• Insert the new chain, connect it to the tie-rod and tighten to get the right tension.
• Check the system works correctly using steering knob (M).
• Return the cover.
Fig.12c
F3
F2
F4
F4
F1
T
Fig. 11a
• Take the C-arm to the position shown in fig.11b in order to align one of the holes (F4) with the eccentric pin
on one of the bearings (C1), while the holes (F1) are lined up with the grub screws locking the pins.
• Using a 2.5 mm Allen wrench in the hole (F1), loosen the grub screw (G1) on the eccentric pin (P1).
Adjust the play of the bearing by using a 5 mm Allen wrench in the hole (F4).
• Fix the position of the bearing by tightening the grub screw (G1).
P1
F4
F1
Fig. 11b
C1 G1
• Take the C-arm to the position shown in fig.11c so that one of the holes (F4) is lined up with the eccentric
pin in the bearings (C2) .
• Adjust the play as explained above for bearings (C1).
F4
F1
C2 Fig. 11c
• Take the C-arm to the position shown in fig.11d so that the hole (F2) is lined up with the eccentric pin (P3)
on bearing (C3), while the holes (F3) are aligned with the grub screws (G3) fixing the pins.
• Using a 2.5 mm Allen wrench in the hole (F3), loosen the grub screw (G3) on the eccentric pin (P3).
Adjust the play of the bearing by using a 5 mm Allen wrench in the hole (F2) in the eccentric pin.
• Fix the position of the bearing by tightening the grub screw (G3).
P3
G3
F2
Fig. 11d
F3
F3
C3
C4
C5
C6
Fig. 11e
Switch the equipment off and unplug at the mains. Wait at least 5 minutes before accessing the
inverter to replace the fuse (LIVE PARTS: you must give the inverter time to discharge completely).
• Remove the right-hand rear panel on the stand (see paragraph 5.1.3 above).
• Remove the inverter from its support by undoing the 2 nuts (D1) and the screw (V1) (fig.19a).
• Remove the inverter cover by undoing the 4 screws (V2) (fig.19a).
• Remove the board (S) by undoing the 2 nuts (D2) in order to access board PSM03 holding the fuse (F1)
(fig.19b).
• Undo the 2 nuts (D3) to access the fuse (F1) (fig.19c).
Note You need to detach the inverter connections to fit/remove the fuse. Take care to reconnect
everything correctly after replacing the fuse.
V2
V2
V1
D1 D1
Fig. 19a
S F1
D2 D3
D2
D3
V1
C1
Fig. 20
T V3
C2
A
Fig. 21
V4
A V4
V4
V4
Fig.22
V5
Fig.23
• Open the front and rear covers as explained in para. 5.5.1 above.
• Disconnect the power cable and the USB cable at the back of
the CD/DVD drive.
• Loosen the 2 screws (V7) and extract
the CD/DVD drive (M) .
• Disconnect the power cable
from the rear of the power
unit. M Fig.25
• Loosed the 2 screws (V8)
to extract the power unit
(A) on the CD/DVD drive. V7
A V7
V8 V8
• Undo the 2 screws (V1) and the 2 screws (V2). You need to remove the 2 plugs (T) to access these screws.
• Remove the front cover (C1) (Fig. 26).
V2
C1
• You also need to remove the rear unit cover (C2) to access the power unit.
To do this: undo the 2 screws (V3) and their washers, as well as the 2 nuts (D). V1
Watch out for the cables connecting the power unit to the cover (with the
connectors fixed to these). (Fig.27) Fig.26
D
C2 D
V3
V4
V4 V4 V3
V4
Fig.27
5.5.5 MONITORS
See the installation instructions (para. 2.2 of Part 2 of this manual) for details of how to remove the monitors
from their trolley.
• Remove the front cover (C2) (see paragraph 5.5.1 and Fig.21 above).
• Disconnect the cables at the back of the MEDICAP 200 device (A).
• Loosen the 2 screws (V1) and their washers.
• Extract the MEDICAP 200 device (A).
V1
Fig.28
6 ANNEX
We recommend creating a ghost image disk after any significant software upgrades or changes to the
system settings (e.g. DICOM settings, network settings).
Note: You need one or more unused CDs (or one DVD) to create the ghost CD/DVD.
This procedure creates a CD/DVD containing the full image of the system HD, i.e.:
- WINDOWS XP operating system,
- video processor hardware drivers,
- system working parameters,
- DICOM and local network communication settings.
The video processor CD/DVD drive is used for this procedure (on the front of the monitor unit).
3) Click on “Backup”.
4) Click on “Next”.
8) Select the location and name of the back-up file. The DVD burner should normally be selected as
the location. The figure here shows an example of the name given to the ghost file: DIP340_XXX
(where XXX is the video processor serial number).
11) Select the “Media components” menu and enable the first option: “Place Acronis True Image (Full
version) on media”.
12) Select the “Additional settings” menu and enable both options.
Confirm the data and continue by clicking on “OK”.
13) In the Archive Comments page you can add notes on the back-up file (e.g. system serial number
and SW release).
Confirm the data and continue by clicking on “Next”.
15) Insert the CD or DVD to be used as the back-up. Wait a few seconds and then click on “OK”.
16) Creation of the back-up file. The Current operation progress bar indicates the progress during
creation of this file.
17) Once the ghost file has been created, insert the CD/DVD in the drive again.
Click on “Retry”.
18) The burnt ghost CD/DVD is now checked. The Current operation progress bar shows the progress of
the file verification process.
19) The back-up process is complete once the back-up file has been verified.
20) Extract the DVD/CD, close the application and restart the system as “User”.
ACCEPTANCE TEST:
The acceptance test involves all the checks listed in the TEST SHEET below:
The test sheet should be filled in by the user:
- immediately after installing the equipment,
- during routine maintenance,
- after all extraordinary maintenance.
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TECHNICAL MANUAL: Annex
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