GE AMX4 (+) OperationManual

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GE Medical Systems

Technical
Publications

Direction 2166913−100
Revision 10

AMX−4+ Operation
(Model 2169360, 2236420 & 2275938
Series)
0459

Copyrighte 1996, 1997, 1998, 1999, 2000, 2002, 2003 By General Electric Co.

Operating Documentation
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Direction 2166913−100
Revision 10

AMX−4+ Operation
(Model 2169360, 2236420 & 2275938 Series)

IMPORTANT! . . . X-RAY PROTECTION


X-ray equipment if not properly practical design compel the adequate steps to protect against
used may cause injury. operator to take adequate injury.
Accordingly, the instructions precautions to prevent the
herein contained should be possibility of any persons The equipment is sold with the
thoroughly read and understood carelessly exposing themselves or understanding that the General
by everyone who will use the others to radiation. Electric Company, Medical
equipment before you attempt to Systems Group, its agents, and
place this equipment in It is important that everyone having representatives have no
operation. The General Electric anything to do with x-radiation be responsibility for injury or damage
Company, Medical Systems properly trained and fully which may result from improper use
Group, will be glad to assist and acquainted with the of the equipment.
cooperate in placing this recommendations of the National
Council on Radiation Protection Various protective material and
equipment in use. devices are available. It is urged
and Measurements as published in
Although this apparatus NCRP Reports available from that such materials or devices be
incorporates a high degree of NCRP Publications, 7910 used.
protection against x-radiation other Woodmont Avenue, Room 1016, CAUTION: United States Federal
than the useful beam, no practical Bethesda, Maryland 20814, and of law restricts this device to use by or
design of equipment can provide the International Commission on on the order of a physician.
complete protection. Nor can any Radiation Protection, and take

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AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

If you have any comments, suggestions or corrections to the information in this document,
please write them down, include the document title and document number, and send them to:

GENERAL ELECTRIC COMPANY MEDICAL SYSTEMS


MANAGER − INFORMATION INTEGRATION,
AMERICAS W−622
P.O. BOX 414
MILWAUKEE, WI 53201−0414

CERTIFIED ELECTRICAL CONTRACTOR STATEMENT


All electrical installations that are shall be performed by qualified GE requirements of the applicable
preliminary to positioning of the Medical personnel. The products electrical codes.
equipment at the site prepared for involved (and the accompanying
the equipment shall be performed by electrical installations) are highly The purchaser of GE equipment
licensed electrical contractors. In sophisticated, and special shall only utilize qualified personnel
addition, electrical feeds into the engineering competence is required. (i.e., GE’s field engineers, personnel
Power Distribution Unit shall be In performing all electrical work on of third-party service companies with
performed by licensed electrical these products, GE will use its own equivalent training, or licensed
contractors. Other connections specially trained field engineers. All electricians) to perform electrical
between pieces of electrical of GE’s electrical work on these servicing on the equipment.
equipment, calibrations, and testing products will comply with the

DAMAGE IN TRANSPORTATION
All packages should be closely upon discovery, or in any event, 8*285−3449 immediately after
examined at time of delivery. If within 14 days after receipt, and the damage is found. At this time be
damage is apparent, have notation contents and containers held for ready to supply name of carrier,
damage in shipment" written on inspection by the carrier. A delivery date, consignee name,
all copies of the freight or express transportation company will not pay freight or express bill number, item
bill before delivery is accepted or a claim for damage if an inspection damaged and extent of damage.
signed for" by a General Electric is not requested within this 14 day
representative or a hospital period. Complete instructions regarding
receiving agent. Whether noted or claim procedure are found in
concealed, damage MUST be Call Traffic and Transportation, Section S" of the Policy &
reported to the carrier immediately Milwaukee, WI (414) 827−3449/ Procedure Bulletins.

6/17/94

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AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

REGULATORY REQUIREMENTS

This product conforms with the requirements of Council Directive 93/42/EEC concerning medical
devices when it bears the following CE marking of conformity:

0459
Note: This equipment generates, uses, and can radiate radio frequency energy. The
equipment may cause radio frequency interference to other medical and
non-medical devices and radio communications. To provide reasonable protection
against such interference, the AMX4+ Mobile X−Ray Unit complies with emissions
limits for a Group 1, Class A Medical Devices as stated in EN 60601−1−2.

However, there is no guarantee that interference will not occur in a particular


installation. If this equipment is found to cause interference (which may be
determined by switching the equipment on and off), the user (or qualified service
personnel) should attempt to correct the problem by one or more of the following
measure(s):

D Reorient or relocate the affected device(s).


D Increase the separating space between the equipment and the affected device.
D Power the equipment from a source different from that of the affected device.
D Consult the point of purchase or service representative for further suggestions.

The manufacturer is not responsible for any interference caused either by the use of
interconnect cables other than those recommended, or by unauthorized changes
or modifications to this equipment. Unauthorized changes or modifications could
void the user’s authority to operate the equipment.

To comply with the regulations applicable to an electromagnetic interface for a


Group 1, Class A Medical Device, all interconnect cables to peripheral devices must
be shielded and properly grounded. Use of cables not properly shielded and
grounded may result in the equipment causing radio frequency interference in
violation of the European Union Medical Device directive and FCC regulations.

Setting for Mobile AID


Under certain Electro Static Discharge (ESD) conditions, the optional Automatic Exposure Control
for the AMX 4+ may self−modify its settings. The operator will need to adjust the settings to their
original condition. If the problem cannot be corrected, please call service.

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GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
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TABLE OF CONTENTS

SECTION TITLE PAGE

REVISION HISTORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

1 BEFORE YOU BEGIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1−1


1−1 Available Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1−2
1−2 How to Use This Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1−2

2 SAFETY FIRST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2−1


2−1 Good Operating Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2−1

3 OPERATING CONTROLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3−1


3−1 Turning the AMX−4 PLUS On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3−4

4 DRIVING THE AMX−4 PLUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4−1

5 X−RAY PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−1


5−1 Mechanical Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−1
5−2 Latch Lock Release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−1
5−3 Adjustment of Column and Telescoping Arm . . . . . . . . . . . . . . . . . . . . . 5−2
5−4 Tube Unit Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−3
5−5 Adjustment of Collimator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−4
5−6 Technique Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−8
5−7 Taking Exposures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5−10

6 CHARGING THE BATTERIES/CAPACITY GAUGE OPERATION . . . . . . 6−1

7 MAINTENANCE AND SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7−1

8 MESSAGES ON DISPLAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8−1

9 SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9−1
9−1 IEC Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9−1
9−2 Earth Leakage Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9−1
9−3 Applicable IEC Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9−1

10 OPTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10−1

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AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

REVISION HISTORY

REV DATE REASON FOR CHANGE


0 Dec. 13, 1996 Initial release.
1 Aug. 22, 1997 Changed Periodic Maintenance Schedule to yearly for all checks.
2 Dec. 1, 1998 Added CE regulatory requirements.
3 Apr. 5, 1999 Added Warning in Section 4.
4 Apr. 12, 1999 Added AMX4+ model 2236420.
5 May 6, 1999 Added yoke mounting screws tighten and replace requirements to Table 7−1.
Add model numbers to charging specs in section 6.
6 July 14, 1999 Removed yoke mounting screws tighten and replace requirements" from Table
7−1.
7 Feb. 29, 2000 Updated first periodic maintenance visit from 12 months to 13 months after
installation to agree with Information Service Letter.
8 Mar. 27, 2002 Added section 10, Options.
9 Sept. 17, 2003 Added circuit breaker notes to section 7. Added new model numbers. Added
caution to section 2.
10 June 24, 2005 Added WEEE symbol definition.

LIST OF EFFECTIVE PAGES

PAGE REVISION PAGE REVISION PAGE REVISION


NUMBER NUMBER NUMBER NUMBER NUMBER NUMBER

Title Page 10

i thru viii 10

1−1 thru 1−4 10


2−1 and 2−2 10
3−1 thru 3−4 10
4−1 thru 4−4 10
5−1 thru 5−10 10
6−1 thru 6−6 10
7−1 thru 7−4 10
8−1 thru 8−4 10
9−1 thru 9−4 10
10−1 and 10−2 10
Back Page −

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GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
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AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 1
BEFORE YOU BEGIN

The instructions in this operation manual are for use with the AMX−4+ Mobile X−
ray Unit,
Models 2169360 2169360−2 2169360−3 2169360−4
2169360−5 2169360−6 2169360−7 2169360−8
2169360−9 2169360−10

Models 2236420 2236420−2 2236420−3 2236420−4


2236420−5 2236420−6 2236420−7
2236420−8 2236420−9 2236420−10

Models 2275938 2275938−2 2275938−3 2275938−4


2275938−5 2275938−6 2275938−7 2275938−8
2275938−9 2275938−10 2275938−12 2275938−13
2275938−14 2275938−15

Your AMX−4+ is designed for ease of operation and years of reliable service. Each
time you push a button, you can depend on the same consistent radiographic quality −
quality comparable to radiographs made in a full scale x−ray room.
ILLUSTRATION 1−1

Since the AMX−4+ is battery operated, there’s no need to plug in your mobile x−ray
unit before taking exposures. Battery operation makes the AMX−4+ easily adapted
to operating, intensive care, and emergency room applications.
Because of a dual−motor drive, driving and positioning the AMX−4+ requires a
minimum of effort. And the control panel’s cut−away design permits optimum visibil-
ity for steering down crowded corridors.

1−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

The self−stopping bumper, one of many built−in safety devices, helps prevent un-
wanted mobility − the motors stop and the brakes activate upon impact with another
object.
Operator controls are microprocessor based, combining the latest technology with
simplicity of design.
The control panel includes three illuminated displays: a kVp and mAs display to re-
flect the technique selected, a battery display for at−a−glance battery status, and a
message display to provide helpful information on the operating status of the
AMX−4+ .
1−1 Available Options
Mobil−Aid Automatic Exposure Control.

For operating instructions, refer to Mobil−Aid Owner’s Manual, Number 69198.

1−2 How to Use This Book


Most sections of your operator manual (see Contents) are organized using two head-
ings:

D Overview, and
D Steps
Overview
Overview, as the name implies, presents general information on a particular operation.
Introductory in nature, the overview is intended to help give you an overall under-
standing of a procedure or capability, quickly and easily.

The word overview is flagged in bold text, like this ...

Overview

and appears in the left margin of the page.

Steps
For specific, detailed information in step−by−step sequence, you’ll refer to the actual
procedure. In this manual, we refer to procedures as steps.

The word steps is flagged in bold text, like this ...

Steps

and also appears in the left margin of the page.

Steps are listed numerically. Any supplemental information (that is, additional infor-
mation you should know, but information that isn’t really necessary to perform the
procedure) is listed under the step in a bulleted D format.

D supplemental information is placed next to a bullet

1−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

We think you’ll find the AMX−4+ portable design performs so easily that it seems to
nearly run itself.

To promote optimum operation of this or any radiographic equipment, however, be


sure to read your operator’s manual carefully.

And, when not in use, store your manual in the cassette tray so that all new users can
easily refer to it when needed.

1−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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1−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 2
SAFETY FIRST

This equipment is to be used by authorized medical personnel only.

Your AMX−4+ is engineered for years of reliable service. To promote optimum


safety, be sure to read this manual carefully, before operating the unit.

Keep the manual with the equipment at all times. When not in use, store it in the
AMX−4+ cassette tray.

Always be alert to safety when you operate this equipment. You must be
CAUTION familiar enough with the equipment to recognize any malfunctions that can
be a hazard. If a malfunction occurs or a safety problem is known to exist,
isolate the unit to avoid unauthorized operation, and do not use this
equipment until qualified personnel correct the problem.

THIS X−RAY UNIT MAY BE DANGEROUS TO PATIENT AND


WARNING OPERATOR UNLESS CORRECT EXPOSURE FACTORS AND
OPERATING INSTRUCTIONS ARE OBSERVED.

ALWAYS PROVIDE NECESSARY RADIATION PROTECTION FOR


WARNING YOUR PATIENT AND YOURSELF WHEN OPERATING ANY X−RAY
SYSTEM.

2−1 Good Operating Practices

D Wear a lead apron while performing an x−ray exam.

D Step back at least 6 feet (1.8 meters) from the tube or to the full extension of the
handswitch cord before making an exposure.

D Always use the proper field sizes and technic factors for each procedure to mini-
mize x−ray exposure and produce the best diagnostic results.

D Check the digital display carefully before making an exposure: verify that the se-
lected technique is the intended technique. Pay particular attention to the place-
ment of the decimal point in the mAs setting to insure that whole numbers are
not mistaken for an intended mAs fractional number.

D When x−raying bed patients, move them as far as possible from nearby patients.

D Ask visitors to step outside the room during an exposure.

D Use gonadal shields for patients whenever possible.

D Be sure to read and follow the maintenance schedule outlined in the Maintenance
and Service section of this manual.

2−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

D Under most conditions, cumulative radiation dose to the operator will not ex-
ceed recommended maximum permissible levels. However, as with all radia-
tion−producing devices, a qualified radiation expert should evaluate situations
involving frequent exposures using high kVp and mAs technics to determine if
extra protective devices are necessary.

While driving the AMX−4+, keep the film bin closed. A loaded bin may close
CAUTION without warning possibly causing injury.

2−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 3
OPERATING CONTROLS

ILLUSTRATION 3−1
AMX−4+ MOBILE X−RAY UNIT (RIGHT REAR VIEW)

TELESCOPING ARM
Retractable arm supports
collimator and x−ray tube.
TAPE MEASURE
VERTICAL COLUMN
Supports telescoping arm.

CONTROL PANEL
Contains most operator controls
and all displays.

DRIVE HANDLE SKIN SPACER


Grip to activate BARS
drive motors. COLLIMATOR
Adjusts easily.
Calibrated in inches
or cm.
BRAKE RELEASE
Releases brakes if
drive motors fail.
SELF−STOPPING BUMPER
Stops drive motors and activates
brakes on impact.

HANDSWITCH
FILM BIN Controls exposures and automat-
Provides convenient storage ically timed field light.
for ten 14" x 17" cassettes.

3−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

ILLUSTRATION 3−2
AMX−4+ OPERATOR CONSOLE

KEY SWITCH
Turn ON to drive the unit or take
exposures. Turn OFF to remove key.
NOTE:Top of cap key Recharge in ON or OFF positions.
when in OFF
position.
LATCH
Secure the vertical column
in the park / transport position.

KVP AND MAS DISPLAY


PENCIL TRAY Displays kVp and mAs selections.

MESSAGE DISPLAY
X−RAY EXPOSURE INDICATORS Displays status and
error messages.
Light up when exposure is made.

KVP AND MAS CONTROLS


BATTERY STATUS DISPLAY Press the up or down kVp/mAs
Shows relative state of charge. triangle to select the correct
At or near full charge, all segments are exposure setting.
illuminated.

3−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

3−1 Turning the AMX−4+ On

Steps
Be sure to refer to Maintenance and Service in this manual for important information on
the circuit breaker.

1. Turn the keyswitch to the ON position.

ILLUSTRATION 3−3
KEYSWITCH

Keyswitch in
ON position.

D The unit performs diagnostics (self−tests to make sure everything is working cor-
rectly). This process takes a few seconds.

TESTING COMPLETE

2. When the technique and battery status displays light up, the unit is ready for op-
eration. TESTING COMPLETE will also briefly appear on the message display.

3. If TEST −− XX FAILED is displayed, turn the unit OFF then ON again. If TEST
−− XX FAILED displays again, write down the alphanumeric code (XX represents
the code) and contact your service representative.

3−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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3−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
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SECTION 4
DRIVING THE AMX−4+

Overview
A compact design and dual motor assembly makes driving and maneuvering the
AMX−4+ an easy process.

If moving down hallways or just traveling from one room to another, you’ll first make
sure the telescoping arm is properly positioned and securely latched so maximum
speed can be reached.

Then simply grip the drive handle and steer the unit to your destination. (See Illustra-
tion 4−1.)

MOVEMENT OF THE AMX−4+ X−RAY UNIT COULD CAUSE THE


HORIZONTAL ARM TO SLIDE AND STRIKE AN OPERATOR OR
WARNING
PATIENT IF NOT LATCHED PROPERLY. LATCH TELESCOPING ARM
PROPERLY BEFORE MOVING THE UNIT.

DO NOT DRIVE OR POSITION THE AMX−4+ UNIT UNLESS


STANDING DIRECTLY BEHIND IT (SEE ILLUSTRATION 4−1).
WARNING FAILURE TO DO THIS MAY RESULT IN LOSS OF CONTROL CAUSING
SERIOUS INJURY AND EQUIPMENT DAMAGE.

ILLUSTRATION 4−1
DRIVE HANDLE

GRIP THE DRIVE HANDLE


TO ACTIVATE THE MOTORS....
RELEASE YOUR GRIP TO
STOP THE UNIT.

4−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

The drive automatically adjusts to your pace, and can be pushed forward, turned or
pulled in reverse at speeds of up to 3 mph (4.8 km per hour).

A self−stopping bumper at the front of the unit automatically activates the brakes and
turns off the drive motors upon impact, to help prevent accidents. If the bumper is en-
gaged, simply grip the drive handle and pull the unit in reverse. (As with any mobile
equipment, however, when driving the unit be sure to exercise reasonable care.)

With the telescoping arm extended for a patient exam, the AMX−4+ pivots on the
spot, rotating and maneuvering easily for exact positioning. Again, grip the drive han-
dle and turn the unit to the desired position.

AMX−4+ maneuvering speed is automatically reduced by 50 percent when the tele-


scoping arm is extended.

ILLUSTRATION 4−2
ARM EXTENDED

4−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Steps
To drive the AMX−4+, follow these steps:

1. Make sure that the telescoping arm is in the park/transport position and that the
battery charging cord is unplugged and fully retracted.

D In the park/transport position the telescoping arm is:


a.) completely pushed in;
b.) centered over the control panel (collimator skin spacers
within well); and
c.) securely latched. See Illustration 4−3.
ILLUSTRATION 4−3
PARK/TRANSPORT POSITION

2. Turn the keyswitch to ON, if necessary.

OFF

ON

4−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

3. Grip the drive handle to activate the motors and disengage the brakes. Now sim-
ply steer the unit, like a shopping cart, to your destination.

D When climbing inclines or moving over carpeting or other rough surfaces the
drive motors will automatically adjust to the floor surface.
D When descending inclines or pushing the AMX−4+ to make it go faster, it
may stop and display the message RELEASE HANDLE. If this happens, re-
lease the handle to clear the message and then continue with normal opera-
tion.
4. To stop the unit and activate the brakes, release your grip on the drive handle.
Remember that the self−stopping bumper, upon impact, will turn off the drive
motors and activate the brakes.

D To reverse the unit, grip the drive handle and pull backwards. If the self−
stopping bumper is engaged, after a brief pause reverse the unit.
D To turn a sharp corner or rotate the unit, push one side of the drive handle
(to the right or left) and pull on the other. The unit will turn or pivot easily.

If the motors fail press


this button and manually
relocate the unit.

5. If the drive motors should fail, press and hold the BRAKE RELEASE button, lo-
cated just below the DRIVE HANDLE on the left bracket. Manually relocate the
unit, and call service.

4−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 5
X−RAY PROCEDURE

Overview
In this section you’ll learn how to setup and position mechanical components of the
AMX−4+. Steps for mechanical positioning are organized in the following way.
D Adjustment of column and telescoping arm

D Rotation of x−ray tube unit, and

D Adjustment of collimator

You’ll also learn how to select patient parameters (technique selection) and, finally,
how to take an x−ray exposure.

5−1 Mechanical Setup

Steps
Follow these steps to release the latch, vertical column and telescoping arm locks from
the park/transport position.

Make sure that the unit is turned ON.

5−2 Latch Lock Release

1. Grip the collimator handles to activate the switch. (You should hear a clicking
sound.) With slight force, push the telescoping arm down to release latch and then
raise up.

D Note that you only need to grip one of the collimator handles to activate the
lock release system. See Illustration 5−1.

ILLUSTRATION 5−1
LOCK RELEASE MECHANISM

TO RELEASE THE LOCKS,


GRIP BOTH THE COLLIMATOR
HANDLES, OR JUST ONE
HANDLE.

5−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

5−3 Adjustment of Column


and Telescoping Arm

In the following steps you can free the AMX−4+ components for positioning in one
of two ways: by gripping the collimator handle(s) to keep the lock system released or,
whenever necessary, overriding the lock system with slight force.

When possible, we recommend that you use the lock release system.

2. Rotate the arm and vertical column assembly to horizontally position the tele-
scoping arm. The vertical column can be rotated 270 degrees clockwise or coun-
terclockwise (detent at 0 degree park location). See Illustration 5−2.

3. Raise the arm on the vertical column to the desired height.

4. Extend the retractable arm to the desired length and release. See Illustration
5−2.

ILLUSTRATION 5−2

5−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

5−4 Tube Unit Rotation

Because the tube assembly is counterbalanced, no active lock is required. And little ef-
fort is needed to override friction and rotate the tube.

5. Use the collimator handles to position the tube to the desired angle.

D You may rotate the tube in two directions:

a. clockwise and counterclockwise +180 degrees (detents at every 90 de-


grees), or
b. backwards −10 degrees and forwards +100 degrees (detent at 0 de-
gree). See Illustration 5−3.
ILLUSTRATION 5−3
TUBE ROTATION

COLLIMATOR
ROTATION TUBE UNIT
KNOB
RETRACTABLE
ARM

110_
(FORWARD)

...extend the arm and


0_ rotate the tube to the
DETENT desired angle.

−10_
(BACKWARD)

5−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

5−5 Adjustment of Collimator

The AMX−4+ manual collimator limits patient radiation exposure to a desired area
at a given distance from the x−ray tube focal spot.

6. Press the field light button (on either the collimator face or handswitch) to acti-
vate the high−intensity field lamp. See Illustration 5−4.

D The field light is timed and automatically turns off 30 seconds after you re-
lease the switch. To adjust the field light timer, contact your service represen-
tative.
D To activate the field light for another 30 seconds, press the button again when
the light goes out. (You may keep the field light on for up to 4 minutes. After
4 minutes, the field light will turn off for cooling and remain inactive for 5
minutes.)
ILLUSTRATION 5−4

X−RAY
PREP/EXPOSE
BUTTON FIELD−LIGHT
BUTTON

PRESS THE FIELD LIGHT BUTTON, AND


COLLIMATE TO YOUR AREA OF INTER-
EST. THE CROSSHAIR BEAM SHOWS
THE FIELD CENTER.

....YOU MAY TAKE AN EXPOSURE


WHILE THE FIELD LIGHT IS ON; THE
LIGHT WILL AUTOMATICALLY TURN
OFF WHEN AN EXPOSURE IS TAKEN.

5−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

7. Position the collimator and tube using the field light and crosshair shadow as
guides. The crosshair shows the field center. For fine positioning of the collima-
tor, see Step 9.

D Use the tape measure on the side of the collimator to measure the SID
(source−to−image distance).
D Refer to the AMX−4+ Exposure Guide in the holder on the front of the col-
umn for suggested SID and exposure techniques. See Illustration 5−5.
ILLUSTRATION 5−5

AMX−4+
EXPOSURE
GUIDE

5−5
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

8. Collimate by adjusting the size of the field with the two control knobs located on
the front of the collimator. See Illustration 5−6.

D For fine positioning of the collimator, see Step 9.


D The left knob controls the transverse dimension of the blades, and the right
blade knob controls the longitudinal dimension of the blades. (A diagram on
the face of the collimator shows which knob controls which dimension.) See
Illustration 5−6.
D Field sizes from 0x 0 inches up to 17x17 inches (43x43 cm) at a 40 inch
(102 cm) SID can be obtained. The knob selectors indicate the field size for
a selected SID.
D Dial numbers on the calibrated scale are for 40 inch/100 cm and 72 inch/180
cm scale SIDs.
ILLUSTRATION 5−6

S I D / DFF S I D / DFF

5−6
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

9. You may rotate the collimator about its vertical axis (that is, to the right or left)
in two ways: by a simple 90_ detent method or by a manual lock method for an
angle other than 90_.

D 90−degree detent method: Pull out the knob (see Illustration 5−7) and rotate
the collimator to the desired 90_ detent position. The detent will snap in
place and lock.
D Manual lock method: Pull out the knob, position the collimator to the desired
angle (other than 90_ detent), and turn the knob clockwise to secure. (Turn
the knob counterclockwise to unlock the collimator and reposition.)
10. Continue with Technique Selection in Section 5−6.

ILLUSTRATION 5−7

COLLIMATOR
ROTATION
KNOB

5−7
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

5−6 Technique Selection

Be sure to refer to the AMX−4+ Exposure Guide (found in the card holder attached to the
vertical column) for suggested techniques.

ILLUSTRATION 5−8

kVp mAs

... use these keys


... to rapidly scroll
on the control panel
to select your para− through values, press
and hold the control
meters for a patient
exam. key down.

Steps
1. If you’d like to increase the kVp, press the UP kVp arrow. To decrease the kVp
value, press the DOWN kVp arrow. See Illustration 5−8.

2. If you’d like to increase the mAs, press the UP mAs arrow. Press the DOWN mAs
arrow to decrease the value.

ILLUSTRATION 5−9
TECHNIQUE CONSOLE DISPLAY

... your selection 66 16


is shown on two
displays; the kVp/mAs
display, at the
top of the control kVp mAs
panel and the
message display,
just above the
kVp/mAs keys. kVp mAs

kVp 66 mAs 16

5−8
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

D Should you reach a maximum or minimum value, kVp / mAs MAX or kVp /
mAs MIN will briefly appear on the message display to alert you.

Important: Carefully check the digital display (see Illustration 5−9) before making
an exposure to ensure that the factors selected are those that are in-
tended. Pay particular attention to the placement of the decimal point in
the mAs setting to ensure that whole numbers are not mistaken for an in-
tended mAs fractional number.

D The kVp ranges from 50 to 125 kVp, in 24 steps:

50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, 80, 85, 90, 95, 100, 105, 110,
115, 120 and 125.
D The mAs ranges from 0.40 to 320 mAs, in 30 steps:

0.4, 0.5, 0.64, 0.8, 1, 1.25, 1.6, 2, 2.5, 3.2, 4, 5, 6.40, 8, 10, 12.5, 16, 20, 25, 32,
40, 50, 64, 80, 100, 125, 160, 200, 250 and 320. Refer to the chart below for
maximum technique ratings.
Maximum kVp and mAs Ratings

kVp mAs

110 to 125 200

95 to 105 250

50 to 90 320

D It’s important to note that the kVp setting takes precedence over your mAs set-
ting. That is, if your technique would generate too much heat for the x−ray
tube anode, the mAs setting will automatically decrease to permit the se-
lected kVp.

For instance, if kVp is set at 110 then your maximum mAs will not exceed 200.

Note: The maximum allowable kVp and mAs ratings stated within this operation
manual and as allowed by the equipment, may appear to exceed the tube rat-
ings. (Reference Direction 46−017226, Tube Ratings HRT X−ray Tube 50 &
60 Hz or 2236721−100, Product Data Sheet Maxiray 75 TH 11 X−ray Tube).
The reason for this apparent discrepancy is that the tube rating charts in
Direction 46−017226 or Product Data Sheet 2236721−100 are based upon a
25% heated tube assembly (75% heat units remaining), while the actual maxi-
mum allowable kVp and mAs ratings are based upon a cold tube assembly.
The AMX−4+ generator contains a proprietary heat loading algorithm
which protects the tube assembly for all heat loading conditions.

5−9
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

5−7 Taking Exposures

Check the battery status and message displays for battery condition. It’s important to
note that you do not have to raise your kVp or mAs value to compensate for low battery
voltage.

Steps
Once you’ve positioned patient and cassette, selected technique and the proper safety
precautions are taken, follow these steps.

1. Remove handswitch from saddle. Press the handswitch button half way to the
PREP position. Accelerating the rotor to proper speed takes about 2.5 seconds.

READY FOR X−RAY

D READY FOR X−RAY will appear on the message display.

Note: You may, if you wish, press the button all the way down to take an exposure.
The 2.5 second prep cycle is automatic. (If PREP/EXPOSE positions are
pressed simultaneously, READY FOR X−RAY will not display.)

2. Press the PREP/EXPOSE button all the way down to take an exposure. (An audi-
ble tone will sound, and the X−RAY indicator will light up.)

D If an exposure isn’t taken within 30 seconds of pressing PREP, release and


repeat the prep cycle. (Release the PREP/EXPOSE button, and press to
prep position again.)
D If the message WAIT appears, you may still take another exposure. Although,
because of insufficient recovery time, the selected technique may be inaccu-
rate. (Refer to Messages On Display in this manual for a complete description
of all x−ray messages.)
D HEAT WAIT displays when the tube anode is cooling. No exposures can be
taken while this message appears. (The length of the delay will vary with the
selected technique.) If an exposure is attempted while HEAT WAIT is active
X−RAY DISABLED will be displayed.
D The kVp/mAs Numeric Display will flash for about 6 seconds after the re-
lease of the handswitch from the PREP position, if an exposure has oc-
curred.
3. Secure the unit for transport when the exam is complete.

5−10
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 6
CHARGING THE BATTERIES/CAPACITY GAUGE OPERATION
Overview
Battery charging is as easy as driving the AMX−4+ to a correctly rated wall outlet and
plugging the unit in. Ratings are as follows:
D For Models 2169360−7,−8,−9,−10, 2236420−7,−8,−9,−10,
2275938−7,−8,−9,−10:
120 Volts AC, 60 Hz at 6A.

D ForModels 2169360, 2169360−2,−3,−4, 2236420, 2236420−2,−3,−4, 2275938,


2285938−2,−3,−4,−12,−13,−14,−15:
220/240 Volts AC, 50 Hz at 3.15A.

D For Models 2169360−5,−6, 2236420−5,−6, 2275938−5,−6:


100 Volts AC, 50/60 Hz at 6A.

The time required to fully recharge the AMX−4+ batteries will vary according to bat-
tery charge level as indicated on the battery status display.
During recharge the AMX−4+ capacity gauge increases as the unit is charged. To re-
charge from 10% to 100% typically requires 4−5 hours.
Occasionally the AMX−4+ automatically performs an extended charge to make sure
that all portions of the battery’s internal plates get fully charged. This extended charge
occurs every twentieth time the battery is charged.
To recharge from 10% to 100% during an extended charge typically requires 10 hours.
The AMX−4+ will continue to attempt extended charges until at least half of the ex-
tended charge time is complete.

Note: The extended charge will be transparent to the operator. The only indica-
tion that it is in progress is the longer charge time.

Although portable application will vary site to site, under most operating conditions, a
fully charged AMX−4+ is designed to supply enough charge for a typical 8−hour
shift.
The AMX−4+ capacity gauge visually displays the remaining capacity using a 48 seg-
ment bargraph display.

6−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

ILLUSTRATION 6−1

BATTERY
CHARGING
PLUG

TO CHARGE THE

Ç
BATTERY, SIMPLY PLUG
THE UNIT INTO ANY
CORRECTLY RATED WALL
OUTLET.

% Charge
AT OR NEAR FULL CHARGE,
ALL SEGMENTS ARE
ILLUMINATED.

The blue battery status display approximates remaining battery charge, and should
only be used to gather information as to the relative state of charge.
% Charge
WHEN BATTERY
CHARGE DIPS BELOW
APPROXIMATELY 10%,
RECHARGE IS
RECOMMENDED.

RECHARGE RECOMMENDED

As the AMX−4+ is used in its various modes of operation, the number of segments lit
will slowly decrease.
It’s important to note that you do not have to raise your kVp and mAs value to compen-
sate for low battery voltage.
Should the battery charge dip below approximately 10% of full capacity, RECHARGE
RECOMMENDED will flash on the message display. (If all segments are extinguished,
the message RECHARGE IMMEDIATELY −− X−RAY INHIBITED displays.)
To ensure maximum battery life, the AMX−4+ should not be recharged until at least
one−half of the bar graph segments have extinguished.
Illustration 6−2 shows how much of the battery’s capacity is used for the various
AMX−4+ operating modes on a relative basis.

6−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

ILLUSTRATION 6−2

56%
RELATIVE PERCENTAGE OF DAILY
BATTERY DRAIN ATTRIBUTED TO
THE VARIOUS AMX−4+
OPERATING MODES (TYPICAL)

26%

ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ
13%

ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ 4%

ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ
1%

ÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎÎ
Drive Idle Field Light X−Ray Prep X−Ray Generation

As Illustration 6−2 demonstrates, the majority of the battery pack’s capacity is used
for drive and idle. Thus, reducing the amount of drive time by parking the AMX−4+
in a central location and turning the system OFF when not in use will make more ca-
pacity available for x−ray generation and will increase the service life of the batteries.

Note: See the Ratings and Specification Section, 9−7 for more detail on how
total AMX−4+ battery capacity is determined.

Bar Graph Display vs Battery Loading


Table 6−1 details the various battery loads and how they affect the bar graph display.
TABLE 6−1

APPROXIMATE TYPICAL DAILY


LOAD MODE DISCHARGE RATE USAGE*

Idle 0.04
(AMX−4+ on but not in use) segments/minute 6 segments

Drive
(Drive handle engaged) 0.4 segments/minute 13 segments

Field Light
(Any time light is ON) 0.3 segments/minute 3 segments

X−Ray Prep
(PREP switch depressed) 0.4 segments/minute 1 segment

X−Ray 0.0005 to 0.8


(High voltage generation) segments/exposure 0 segments

TOTAL DAILY SEGMENTS TURNED OFF: 23 segments (48%)

* − Based on data from a number of actual AMX−4 sites.

6−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Capacity Gauge Features

STUCK AT FULL" FEATURE


After the AMX−4+ charges to 100% (i.e. CHARGE COMPLETE" ), the capacity
gauge will remain stuck−at−full" for a pre−programmed amount of usage before
the number of lit segments begins to decrease. This usage is equivalent to approxi-
mately 10 minutes of drive or 100 minutes of idle. Once this stuck−at−full" capacity
is used, the capacity gauge will update according to Table 1.

EMERGENCY CAPACITY FEATURE


When the AMX−4+ capacity gauge drops to 0%, inhibiting x−ray exposures, it is
possible to access some emergency capacity to finish an exam by turning the
AMX−4+ off and then back on. After it has completed its power−up tests, the
AMX−4+ will provide enough capacity for approximately 45 seconds of usage before
x−ray exposures are again inhibited.

In some cases the AMX−4+ battery may not provide sufficient voltage for
CAUTION proper operation when EMERGENCY CAPACITY is used. Therefore this
feature should only be used when absolutely necessary.

6−1 Application Tip

To insure the greatest reliability, you may decide to establish a battery charging sched-
ule at your particular site, based on past experience and anticipated needs.

Steps
Follow these steps to recharge the batteries.

CAUTION When recharging the batteries, always locate the unit in a well ventilated
area.

1. Drive the AMX−4+ to a designated battery charging station or to a correctly


rated wall outlet. A rating plate is located on the front of the unit, above the bat-
tery plug. (See Illustration 6−3.) Position the unit to within 10 feet of the outlet.

2. To plug in, firmly grip the plug located on the front of the unit, and pull the re-
tractable cord straight out until it is fully extended. Set the cord by a slow pull-re-
lease action. Plug into the battery charging station.

6−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

ILLUSTRATION 6−3

RATING PLATE

BATTERY CHARGING
PLUG

CIRCUIT BREAKER

3. Check the message display to confirm the charging status: the message CHARG-
ING should appear on the display.

CHARGING

D During charging all other controls, driving and x−ray exposures, for in-
stance, are disabled. Note that you may charge the batteries with the KEYS-
WITCH in either the ON or OFF position.

4. When CHARGE COMPLETE appears on the message display, and all blue seg-
ments are illuminated, the batteries are fully charged (at 100% of capacity).

5. Unplug the unit from the outlet, giving the plug a slight tug to release from take−
up reel.

Important: After unplugging the unit, turn the unit on and wait approximately 15
minutes before taking your first exposure to ensure technique accuracy.

D You may leave the unit in the charge position indefinitely, if you wish, with-
out damaging the equipment.
D The prompt BATTERY TOO HIGH may display when the first exposure is
attempted after charging. If this occurs, run the rotor for 15 to 20 seconds and
then make the exposure. This prompt is caused by a normal battery voltage
rise after charging.

6−5
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

THIS PAGE INTENTIONALLY LEFT BLANK.

6−6
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 7
MAINTENANCE AND SERVICE

Cleaning the Unit


We recommend that you clean the AMX−4+ regularly with a soft cloth and a mild,
non−abrasive cleaner. Apply the cleaner to the cloth, not directly to the unit, to safe-
guard against damage to the circuitry. If a corrosive chemical is spilled or splashed on
the unit surface, be sure to clean it off immediately.

Main Power Circuit Breaker


The main power circuit breaker is located on the front right side of the unit. Refer to
Illustration 6−3.

If the battery charge is too low, or in the event of an overload in the high−voltage sys-
tem, the circuit breaker will trip (interrupt power to the x−ray unit).

Should the circuit breaker trip, the control panel lights will go out and you’ll be pre-
vented from operating the unit. To resume operation, flip the circuit breaker up to the
ON position.If necessary, recharge the unit or (if the battery is adequately charged) try
the procedure again.

If the battery is within operating condition (as indicated by the battery status and mes-
sage displays) and power interruptions are frequent, there may be a fault in the high
voltage system. If a fault is indicated, have the unit checked by a qualified service rep-
resentative.

If the unit does not turn off when the keyswitch is turned off, isolate the unit to prevent
unauthorized operation, use the circuit breaker to remove power from the unit, and
have the unit checked by a qualified service representative.

Periodic Maintenance by
Service Personnel
To insure the continued safe performance of your AMX−4+ portable x−ray unit, es-
tablish a periodic maintenance program with a qualified service representative.

Periodic maintenance checks are required thirteen months after installation and every
year thereafter. A periodic maintenance schedule and a sample mAs/kVp accuracy
chart are provided on the following pages.

Qualified Service Available


GE Medical Systems, and its associates maintain a worldwide organization of service
personnel specially trained on medical x−ray equipment. Consult your GE represen-
tative to find out more about all the available service programs.

7−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

TABLE 7−1
PERIODIC MAINTENANCE SCHEDULE

Maintenance/Checks Frequency

Replace counterweight cable Every 5 years


Inspect counterweight cable Every year (Refer to Appendix 6 of 2173227−100, AMX−4+
Periodic Maintenance)
Verify no movement between collimator and tube unit Every 12 months, verify that there is no movement between the
collimator and X−ray tube. If any movement is detected, you
MUST remove the collimator and inspect all related fasteners.
Refer to Direction 2173225−100, AMX−4+ Service for additional
information.
Extension arm inspection Every year (Refer to Section 3−3 in Direction 2173224−100,
AMX−4+ Functional Check)
Collimator general inspection and adjustment Every year (Refer to Section 3−4 in Direction 2173224−100,
AMX−4+ Functional Check)
Filament and rotor interlocks Every year (Refer to Section 3−5, Direction 2173224−100,
AMX−4+ Functional Check)
X−ray tube anode rotation Every year (Refer to Section 3−5, Direction 2173224−100,
AMX−4+ Functional Check)
Column and carriage assembly inspection Every year (Refer to Section 3−3 in Direction 2173224−100,
AMX−4+ Functional Checks)
mAs accuracy Every year (Refer to Appendix 4, Direction 2173227−100,
AMX−4+ Periodic Maintenance)
kVp accuracy Every year (Refer to kVp Accuracy and Indirect Linearity" (Test
3−3) in Tab 3 of Direction 46−013894, System Field Test
for HHS)
Operator displays Every year (Refer to Generator Operator Indicators" (Test 3−1) in
Tab 3 of Direction 46−013894, System Field Test for HHS)
Cross hair Every year (Refer to Appendix 3, Direction 2173227−100,
AMX−4+ Periodic Maintenance)
Collimator alignment Every year (Refer to Appendix 3, Direction 2173227−100,
AMX−4+ Periodic Maintenance)
Field size indicator Every year (Refer to Appendix 3, Direction 2173227−100,
AMX−4+ Periodic Maintenance)
Rotational detent Every year (Refer to Section 3−4, Direction 2173224−100,
AMX−4+ Functional Check)
Exposure tone is audible and x−ray on indicators light Every year
up when handswitch depressed to expose position
Auxiliary items (battery charger, HV cables, etc.) Every year

Equipment and Serial Number:


Date of Inspection: _
Maintenance Check Performed By:

7−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

TABLE 7−2
SAMPLE CHART FOR TECHNIQUE ACCURACY TESTS

Technique Selected

mAs kVp Primary Volts kVp Time (Sec.)

7−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

THIS PAGE INTENTIONALLY LEFT BLANK.

7−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 8
MESSAGES ON DISPLAY
Two kinds of messages can appear on the message display on the control cover: status
messages and error messages.
Status messages simply inform you of the operating condition of the AMX−4+, and
look something like this.

READY FOR X−RAY

Another type of message, called an error message, may appear should a problem occur
with the equipment. An error message looks something like this.

ERROR 100
CHARGE FAULT

Note that an error message includes an alphanumeric code, and will display one line at
a time.

If an error message appears, follow these steps.

1. Try the function again. If the problem is corrected, and no error message is dis-
played, proceed as usual.

2. If the error message still displays, turn the unit OFF then back ON.

D Diagnostics or self−tests are quickly performed when the unit is turned back
on.
D When diagnostics are complete, the following message displays:
ERROR XXX
OCCURRED WHEN
THE UNIT WAS
LAST OPERATED −−
PROCEED WITH
−−− CAUTION −−−

3. Now try the function once more. If the problem is corrected, and no error mes-
sage is displayed, proceed as usual.

4. If the problem persists, call your service representative, and report the code and
message shown on the display. This will prepare service for the type of problem
encountered and the service required.

On the following pages, we’ll list the status messages and include a brief explanation of
each one.

8−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Status Messages Description

AUTO CAL LIMIT If this message displays, the unit is at its automatic calibration limit. A service call is
recommended to ensure accurate technique and radiographic results. Exposures are
not inhibited.

BATTERY TOO HIGH This message may appear when attempting to take a high technique exposure im-
VOLTAGE RECOVERY mediately after removing the unit from charge. Exposure is prevented. Operating
IS REQUIRED the field lamp or driving the AMX−4+ will assist in stabilizing the battery voltage so
that the exposure may be made.

BATTERY TOO LOW This message may appear when attempting to expose while only a few segments
CHARGE REQUIRED remain on the battery charge indicator. Exposure is prevented. Recharging the batter-
ies will eliminate the message and allow exposures.

CHARGE COMPLETE The charge process is complete, and the battery is fully recharged.

CHARGING The unit is charging.

DRIVES ONLY All modes are disabled except drive. Service is required.

HEAT WAIT No exposures can be taken while this message appears (The length of the delay will
vary with the selected technique). This message displays while the tube anode is cool-
ing.

kVp MAX Displayed on the alphanumeric display any time an attempt is made to increase the
kVp above 125.

kVp MIN Displayed on the alphanumeric display any time an attempt is made to decrease the
kVp below 50.

LIGHT DISABLED If the field light is on for over 4 minutes, the light will be automatically turned off to
FOR COOLING prevent the collimator from overheating. You may activate the field light in about 5
minutes.

mAs MAX Displayed on the alphanumeric display any time an attempt is made to increase the
mAs above 320 or above the acceptable energy limit for the x−ray tube anode. The
acceptable heat limit is based on the kVp you selected. Note that the kVp setting will
always take precedence over the mAs setting. That is, if the technique selected would
generate too much x−ray tube heat, the maximum mAs will automatically decrease to
permit the selected kVp.

mAs MIN Displayed on the alphanumeric display any time an attempt is made to decrease the
mAs below 0.40.

8−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Status Messages Description

READY FOR X−RAY The prep cycle has successfully completed, and an exposure may be taken within the
next 30 seconds. (If an exposure is attempted after 30 seconds, the prep cycle must be
repeated.)

RECHARGE The estimated usable battery capacity is near 0%. No more exposures may be
IMMEDIATELY − taken. Although charge is too low to complete an x-ray exam, you’ll have enough
X-RAY INHIBITED energy to drive the unit to a correctly rated wall outlet for recharge.

RECHARGE The remaining battery capacity is approximately 10% or less.


RECOMMENDED

RELEASE HANDLE The AMX−4+ was moving faster than the drive motors allow. Release the Drive Han-
dle to clear the message, and then continue with normal operation. This may happen if
you push the AMX−4+ too hard when driving down a ramp.

RELEASE PREP SW The prep switch is still depressed (five seconds after an exposure or beyond the
30−second timeout). If taking an exposure, repeat the prep cycle: 1) release the prep
switch, and 2) when the message WAIT is no longer displayed, press to prep position
again.

RESET AEC CNTROL Reset the AEC controller. AEC is on, but not enabled.

For Example:
The (ON) light is flashing on the Automatic Exposure Control (AEC) unit. This indi-
cates the paddle is not connected. Reset the AEC controller.

The red reset (GEN) on the Automatic Exposure Control (AEC) unit is lit. This indi-
cates the back−up time is too short. Reset the AEC controller.

REVERSE ONLY Forward drive is prevented because the safety bumper is in contact with another ob-
ject. Reverse the unit before proceeding.

TESTING COMPLETE Power−up diagnostic testing is finished.

WAIT Wait before taking another exposure. (Displayed when the tube anode has cooled, but
before the battery has recovered from the previous exposure.) Although radiographs
can be taken, because of low battery voltage they may not achieve the desired kVp
technique accuracy.

WAIT/ACT−XX .X After an AEC exposure the XX.X field will display the actual exposure mAs.

X−RAY DISABLED This message appears if an attempt to make an exposure occurs while HEAT WAIT is
displayed.

X−RAY TUBE PARKED No exposures can be taken with the x−ray tube in the park/transport position.

8−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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8−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 9
SYMBOLS

9−1 IEC Classification

In accordance with International Safety Standard IEC 601, the AMX−4+ Mobile
X−ray Unit is classified as Type B Equipment, Class I Equipment, Internally Powered
Equipment, Ordinary Equipment and continuous operation.

Type B Equipment provides an adequate degree of protection against electric shock,


in particular regarding:
D allowable leakage current,

D reliability of the protective earth connection.

In accordance with International Safety Standard IEC 601, the manufacturer is not
responsible for any consequences caused by unauthorized modification of this equip-
ment.

This equipment is not suitable for use in the presence of flammable gas.

There are no user replaceable parts in this unit. This would include the cord reel, as
well as any other mains or secondary part.

9−2 Earth Leakage Current


The AMX−4+ Mobile X−ray Unit complies with (Class I − Type B) standards.

9−3 Applicable IEC Symbols


Protective earth (ground). Identifies any terminal which is intended for connection of
an external protective conductor to protect against electrical shock in case of a fault.

This symbol on the equipment means that the accompanying operating instructions
should be consulted to assure safe operation.

Dangerous voltage. Indicates an avoidable dangerous high voltage hazard.

Functional Earth (ground) Terminal. Terminal directly connected to a point of a


measuring supply or control circuit or to a screening part which is intended to be
earthed for functional purposes.

9−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Indicates non−ionizing radiation is present.

Indicates radiographic control.

Indicates ionizing radiation is present.

X−ray emission. X−ray tube head is emitting x−rays. Take adequate precautions to
prevent the possibility of any persons carelessly, unwisely, or unknowingly exposing
themselves or others to radiation.

Battery power on. This does not apply mains voltage.

Battery power off. This does not remove mains voltage.

Indicates positioning lock or brake release.

Indicates terminal and receptacle location for hand−held radiographic and light field
control.

9−2
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

Control for indicating radiation field by using light.

Collimator blades closed. The controlled blades are shown in thicker lines.

Collimator blades open. The controlled blades are shown in thicker lines.

Alternating Current. Indicates equipment that is suitable for alternating current only.

This symbol indicates that the waste of electrical and electronic equipment must not
be disposed as unsorted municipal waste and must be collected separately. Please
contact an authorized representative of the manufacturer for information concerning
the decommissioning of your equipment

9−3
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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9−4
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

SECTION 10
OPTIONS

10−1 Dose Area Product (DAP) Meter

Full field ion chamber with an integral display unit. The display unit contains
electronics controlling total dose area product, system reset and system test.

D Provides easy to read real time information on patient dose.

D Allows for simple manual transcription of this information into patient records.

10−2 Mobil−AID TM Automatic Exposure Control


(AEC)
A fully integrated automatic exposure control option is available with the AMX−4+.
Mobil−AID TM further simplifies use by automatically controlling radiographic
exposures.

10−3 Remote Control Handswitch


AMX−4+ is available with TechSwitchTM, a cordless handswitch option that enables
even greater procedural flexibility and radiation protection to the Technologist.

10−1
AMX−4+ OPERATION
GE MEDICAL SYSTEMS (MODEL 2169360, 2236420 & 2275938 SERIES)
REV 10 om 2166913−100

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10−2
GE Medical Systems

GE Medical Systems: Telex 3797371


P.O. Box 414, Milwaukee, Wisconsin 53201 U.S.A.
(Asia, Pacific, Latin America, North America)
GE Medical Systems  Europe: Telex 698626
283, rue de la Miniére, B.P. 34, 78533 Buc Cedex
France

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