AGFA 5420/100 User Manual Download Page 38

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DX-D 400

User Manual

0232F EN

20191213

Illustration 2-3
Distribution of Stray Radiation with the Receptor in Vertical Position.

HEIGHT

ABOVE

FLOOR

)

STRAY RADIATION (

Gy/h)

100

120

140

160

180

200

SID

100

X--Ray Receptor

Patient Support

Wall

Protective Device

CHEST UNIT

Phantom

Focal Spot

SIGNIFICANT ZONE OF OCCUPANCY

AT THE LEFT SIDE OF THE CHEST UNIT

SIGNIFICANT ZONE OF OCCUPANCY

AT THE RIGHT SIDE OF THE CHEST UNIT

X-RAY TUBE

Summary of Contents for 5420/100

Page 1: ...DX D 400 User Manual type 5420 100 Technical Publication 0232F EN 20191213 ...

Page 2: ......

Page 3: ...ed parts warning IEC fouth Edition table Emergency Stop images new pedal overlay images Tilting Wall Stand Images o E JUN 27 2019 Handle color changes to Grey and Angle indicator change when tilting to 61o F DEC 12 2019 New ON OFF Box and tethered Detector handling This Document is the English original version edited and supplied by the manufacturer The Revision state of this Document is indicated...

Page 4: ...AL INJURY OR DEATH ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT HEEDED OR AVOIDED COULD CAUSE SERIOUS PERSONAL INJURY OR CATASTROPHIC DAMAGE OF EQUIPMENT OR DATA Advise of conditions or situations that if not heeded or avoided could cause personal injury or damage to equipment or data Note Alert readers to pertinent facts and conditions Notes represent information that is important to know but w...

Page 5: ...toring of Personnel 16 2 6 safety symbols 17 2 7 Regulatory Information 22 2 7 1 Certifications 22 2 7 2 Environmental Statement on the Cycle of the Equipment or System 22 2 7 3 Mode of Operation 22 2 7 4 Protection Against Electric Shock Hazards 23 2 7 5 Protection against Harmful Ingress of Water or Particulate Matter 23 2 7 6 Protection against Hazards of Ignition of Anaesthetic Mixtures 23 2 7...

Page 6: ...l SID Reference Label 54 4 1 3 DX D 400 Digital Control Panel 55 4 1 4 Ralco Manual Collimator R225 R225 DHHS 58 4 1 5 Ralco Automatic Collimator R225ACS 59 4 2 Dosemeter Device optional 60 4 3 RAD Table 60 4 3 1 RAD Table Fixed Height Table 60 4 3 2 RAD Table Elevating Table 62 4 3 3 Hand Grips Optional 65 4 3 4 Compression Band Optional 66 4 3 5 Lateral Detector Holder Optional 67 4 3 6 Lateral ...

Page 7: ...le Receptor Assembly with non Rotating Tray 87 4 6 6 Grids 90 4 6 7 Using and Maintaining the Digital Detector 91 4 7 X ray Beam Alignment with Respect to Patient 92 5 DX D TOUCH SCREEN CONSOLE 93 5 1 Radiography and General Controls 96 5 1 1 Power ON OFF 96 5 1 2 Service Mode 96 5 1 3 Workstation Selection 97 5 1 4 Focal Spot Indicator 98 5 1 5 Radiographic Parameters 99 5 2 Automatic Exposure Co...

Page 8: ... Termination 129 6 3 Anatomical Programmer APR Optional 129 6 4 Exposure Controls and Indicators 132 6 5 X Ray Handswitch 133 6 6 Heat Units 133 6 7 Exposure Counters 133 6 8 Self Diagnosis Indicators 134 6 9 Error Codes 135 7 OPERATING SEQUENCES 139 7 1 Start UP Routine 139 7 2 X Ray Tube Warm Up Procedure 139 7 3 Radiographic Operation 140 7 4 AEC Operation 141 7 4 1 How to Verify the Proper Fun...

Page 9: ...ated to Radiation 148 9 2 3 Physical Characteristics 148 9 3 X Ray Generator 158 9 3 1 Factors 158 9 3 2 Range of Radiographic Parameters 158 9 3 3 Duty Cycle 158 9 3 4 Physical Characteristics 159 9 4 X Ray Tubes 160 9 5 Collimators 160 APPENDIX A GUIDELINES FOR PEDIATRIC APPLICATIONS A 1 APPENDIX B ANATOMICAL PROGRAMMER MATRIX B 1 B 1 Available Language Matrix B 2 B 2 Record of the APR Loading F...

Page 10: ...DX D 400 User Manual vi 0232F EN 20191213 ...

Page 11: ...uipment to the X ray Generator Unit Basically the Rad System consists of the following associated subassemblies Tube Support with variable height X ray Tube Collimator RAD Table and RAD Wall Stand The RAD Table and the RAD Wall Stand can house AR Analog Radiography CR Computed Radiography or DR Digital Radiography The Control Panel of the Column is ergonomically built equipped with controls and in...

Page 12: ... frequency waveform Generators including lower patient dose shorterexposure times and greater accuracy and consistency The Generator is controlled by multiple microprocessors providing increased exposure consistency efficient operation and extended Tube life A high level of self diagnosis greatly increases serviceability and reduces down time 1 1 GENERAL FEATURES The main features of the X Ray Sys...

Page 13: ...weights G Vertical motion of Receptor G Ion Chamber connection optional G Fixed or Removable Grids G Right or left load as per customer order G Accessories Hand Grips and Arm Support RAD Wall Stand Manual Tilting optional G RAD Wall Stand Receptor Assembly adjusted with internal counterweights G Vertical motion of Receptor G Tilting Receptor 90o 20o G Ion Chamber connection optional G Fixed or Rem...

Page 14: ...ore them for later use G Automatic Exposure Control AEC G Rapid Termination function G Fail safe function for the detection of the correct alignment of the Tube Collimator Receptor with respect to the selected workstation G Two Buckys or DR Detectors can be directly connected to the Generator G Self diagnosis indicators identify malfunctions in the system G Tube protection circuitry prolongs Tube ...

Page 15: ...e some identification labels attached to them which provide the following manufacturer and product information Product Model Volts V Line Phases Frequency Hz and Power kVA kW Date of manufacture Serial number Reference Manufacturer Place of manufacture Certification Illustration 1 2 Identification Labels ...

Page 16: ... immobilized or shocked This DX D 400 contributes to the metrics of imaging performance ensuring the efficient use of radiation As example of X ray image receptors types that can be used Cassette with Film CR Computed Radiography or Digital Detector 1 3 2 NORMAL USE The Normal Use of this equipment is defined as the Intended Use plus the Maintenance and Service tasks 1 3 3 CONTRAINDICATIONS Do not...

Page 17: ...tion This RAD equipment includes the following Applied Parts Tabletop of the RAD Table Tabletop of the RAD Wall Stand Hand Grips optional Arm Support optional Compression Band optional Lateral Cassette Holders optional Other accessories BEAR IN MIND THAT SOME APPLIED PARTS MAY HEAT UP TO 48oC 118 4oF WHEN THE AMBIENT TEMPERATURE FOR OPERATION IS ON THE LIMIT THIS IS COMPLETELY NORMAL AND DOES NOT ...

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Page 19: ...ANUAL CAREFULLY INSTRUCTIONS HEREIN SHOULD BE THOROUGHLY READ AND UNDERSTOOD BEFORE ATTEMPTING TO PLACE THE EQUIPMENT IN OPERATION ESPECIALLY THE INSTRUCTIONS CONCERNING SAFETY REGULATIONS DOSAGE AND RADIATION PROTECTION KEEPTHIS OPERATING MANUAL WITH THE EQUIPMENT AT ALL TIMES AND PERIODICALLY REVIEW THE OPERATING AND SAFETY INSTRUCTIONS TECHNICAL INSTRUCTIONS FOR SERVICE PERSONNEL SUCH AS PRE IN...

Page 20: ...HODS INCLUDING CLINICAL WORKING EXPERIENCE AND AS PART OF MANY COLLEGE AND UNIVERSITY RADIOLOGIC TECHNOLOGY PROGRAMS IN ACCORDANCE WITH LOCAL LAWS OR REGULATIONS SERVICE PERSONNEL MUST HAVE SUFFICIENT KNOWLEDGE TO COMPETENTLY PERFORM THE SERVICE TASKS RELATED TO X RAY DEVICES AND PARTICULARLY TO THE EQUIPMENT DESCRIBED IN THIS MANUAL THIS KNOWLEDGE IS ACQUIRED THROUGH A VARIETY OF EDUCATIONAL METH...

Page 21: ... 2 PATIENT SUPPORT movable without articulated joints including stationary layers 1 7 1 7 PATIENT SUPPORT with radiolucent panel having one articulated joint 1 7 1 7 PATIENT SUPPORT with radiolucent panel having two or more articulated joints 2 3 2 3 PATIENT SUPPORT cantilevered 2 3 2 3 Note 1 Devices such as RADIATION DETECTORS are not included in the item listed in this table Note 2 Requirements...

Page 22: ...PATIENTS OR PERSONNEL TO X RAY RADIATION GENERATED BY THIS EQUIPMENT WHICH IS A RESULT OF POOR OPERATING TECHNIQUES OR PROCEDURES NO RESPONSIBILITY WILL BE ASSUMED FOR ANY EQUIPMENT THAT HAS NOT BEEN SERVICED AND MAINTAINED IN ACCORDANCE WITH THE MANUFACTURER INSTRUCTIONS OR WHICH HAS BEEN MODIFIED OR TAMPERED WITH IN ANY WAY IT IS THE RESPONSIBILITY OF THE OPERATOR TO ENSURE THE SAFETY OF THE PAT...

Page 23: ...D THE OVEREXPOSURE OR THE NEED OF PERFORMING A NEW EXAM TO THE PATIENT MAKE SURE THAT THE X RAY TUBE IS SET IN WORKING POSITION WITH THE REFERENCE AXIS X RAY BEAM POINTING TO THE RECEPTION AREA 2 3 MAXIMUM PERMISSIBLE DOSE MPD Before operation people qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protec...

Page 24: ...tend over a period of months or years The best safety rule for an X ray operator is Avoid exposure to the primary beam at all times Any object in the path of the primary beam produces secondary scattered radiation The intensity of secondary radiation depends on the energy and intensity of the primary beam and the atomic number of the object material struck by the primary beam Secondary radiation m...

Page 25: ...of interest will be completely exposed and the X ray field does not exceed the area of interest Select a Focal Spot to patient skin distance SID as large as possible to keep the absorbed dose for the patient as low as reasonably possible The radiation dose decreases or increases according to the Focal Spot to patient skin distance SID the greater the SID distance the lower the radiation dose The r...

Page 26: ...ns where the operator or any portion of the body may be exposed Exposure must never exceed the accepted tolerable dose A frequently used but less accurate method of determining the amount of exposure is the placement of film at strategic locations After a specified period of time develop the film to determine the amount of radiation A common method of determining whether personnel have been expose...

Page 27: ...ult accompanying documents Safety Symbol Follow instructions for use especially those instructions identified with Advisory Symbols to avoid any risk for the Patient or Operator Only applies to Standard IEC 60601 1 2005 and IEC 60601 1 2005 AMD1 2012 Manufacturer Date of Manufacture Medical Device Catalogue Number Model reference Serial Number Model Configuration ...

Page 28: ...armful ingress of water or particulate matter IP Classification Ordinary Ionizing radiation Non ionizing electromagnetic radiation Radiation of Laser apparatus Do not stare into beam Only applicable to equipment with Laser Pointer Dangerous voltage General warning caution risk of danger Warning Ionizing radiation ...

Page 29: ...tween mobile and fixed parts of the equipment it may cause serious injuries to patient or operator As well make sure the patient extremities are correctly positioned into limit areas during operation movement of parts may cause serious damages to patient Electrostatic sensitive devices No pushing No sitting No stepping on surface Do not handle ...

Page 30: ...005 and IEC 60601 1 2005 AMD1 2012 ON power OFF power ON OFF push push Each position ON or OFF is a stable position Alternating current Three phase alternating current Three phase alternating current with neutral conductor N Connection point for the neutral conductor on Permanently Installed equipment ...

Page 31: ...with local or country laws The letters below the symbol indicate whether certain elements Li Lithium PB Lead CD Cadmium Hg Mercury are contained in the battery All batteries removed from the equipment must be properly recycled or disposed Please contact an authorized representative of the manufacturer or an authorized waste management company for information concerning the decommissioning of your ...

Page 32: ... subchapter J as of the date of manufacture 2 7 2 ENVIRONMENTAL STATEMENT ON THE CYCLE OF THE EQUIPMENT OR SYSTEM This equipment or system contains environmentally dangerous components and materials such as PCBs electronic components used dielectric oil lead batteries etc which once the life cycle of the equipment or system comes to an end becomes dangerous and need to be considered as harmful was...

Page 33: ...AGAINST HARMFUL INGRESS OF WATER OR PARTICULATE MATTER Protection against harmful ingress of water or particulate matter Ordinary IPx0 in accordance with Standard IEC 60601 1 1988 IEC 60601 1 2005 and IEC 60601 1 2005 AMD1 2012 2 7 6 PROTECTION AGAINST HAZARDS OF IGNITION OF FLAMMABLE ANAESTHETIC MIXTURES Degree of Safety in the presence of Flammable Anesthetics Mixture with air or with oxygen or ...

Page 34: ...g normal use shall be provided with means to allow the following control functions from a Protected Area refer to illustration below Selection and control of modes of operation Selection of loading factors for the exposure Actuation of the exposure controls Other necessary controls for the operator during exposure EXAM ROOM Generator PATIENT ENVIRONMENT PROTECTED AREA NO RADIATION AREA OPERATOR CO...

Page 35: ...y for the use of the operator and staff designated as follows Illustration 2 1 Radiographic Examination on the Chest Unit or Front Panel S SIGNIFICANT ZONE OF OCCUPANCY MINIMUM AREA 60 x 60 cm MINIMUM HEIGHT ABOVE THE FLOOR 200 cm S Focal Spot S d Dosimeter 140 cm CHEST UNIT SID 100 cm X Ray Receptor Patient Support Wall Protective Device CHEST UNIT Phantom S1 S2 Focal Spot Focal Spot SIGNIFICANT ...

Page 36: ...GNIFICANT ZONE OF OCCUPANCY AT THE RIGHT SIDE OF THE RAD TABLE ANODE SIGNIFICANT ZONE OF OCCUPANCY AT THE LEFT SIDE OF THE RAD TABLE CATHODE S SIGNIFICANT ZONE OF OCCUPANCY MINIMUM AREA 60 x 60 cm MINIMUM HEIGHT ABOVE THE FLOOR 200 cm SID 100 cm RAD TABLE Phantom X Ray Receptor Patient Support RAD TABLE S Focal Spot S3 S4 S5 Focal Spot S d Dosimeter Focal Spot X RAY TUBE X RAY TUBE ...

Page 37: ... cm Phantom Rectangular water phantom of 25 x 25 x 15 cm or a material having a similar X Ray attenuation coefficient Radiation measuring instrument Low Radiation Dosimeter The results have been obtained with a configuration that is representative of the worst case within the different configurations of the unit Refer to Illustration 2 1 for Receptor in Vertical position and refer to Illustration ...

Page 38: ...FLOOR cm STRAY RADIATION μGy h 0 20 40 60 80 100 120 140 160 180 200 0 1 2 3 4 5 6 7 8 9 10 SID 100 cm X Ray Receptor Patient Support Wall Protective Device CHEST UNIT Phantom S1 S2 Focal Spot SIGNIFICANT ZONE OF OCCUPANCY AT THE LEFT SIDE OF THE CHEST UNIT SIGNIFICANT ZONE OF OCCUPANCY AT THE RIGHT SIDE OF THE CHEST UNIT S1 S2 X RAY TUBE d d ...

Page 39: ...EIGHT ABOVE FLOOR cm S3 S4 S5 0 20 40 60 80 100 120 140 160 180 200 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 SIGNIFICANT ZONE OF OCCUPANCY AT FRONT SIDE OF THE RAD TABLE SIGNIFICANT ZONE OF OCCUPANCY AT THE RIGHT SIDE OF THE RAD TABLE ANODE SIGNIFICANT ZONE OF OCCUPANCY AT THE LEFT SIDE OF THE RAD TABLE CATHODE RAD TABLE S3 S4 S5 Focal Spot X RAY TUBE d d d ...

Page 40: ... problem by one or more of the following measures reorient or relocate the affected device increase the separation between the equipment and the affected device power the equipment from a source different from that of the affected device consult the service engineers for further suggestions To comply with the regulations applicable to an electromagnetic interference for a Group 1 Class A Medical D...

Page 41: ... Group 1 The DX D400 radiographic room uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A The DX D400 radiographic room is suitable for Harmonic emissions IEC 61000 3 2 Class A The DX D400 radiographic room is suitable for use in all establishments other than...

Page 42: ...61000 4 5 1 kV line s to line s 2 kV line s to earth 1 kV 2 kV Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 250 cycles 5 UT 95 dip in UT for 0 5 cycle 5 UT 95 dip in UT for 1 c...

Page 43: ...determined by an electromagnetic site surveya should be less than the compliance level in each frequency rangeb Interference may occur in the vicinity of equipment marked with the following symbol d 1 2 P d 2 3 P 800 MHz to 2 5 GHz d 1 2 P 80 MHz to 800 MHz NOTE 1 At 80MHz and 800MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagat...

Page 44: ... Power Frequency Recommended distance m GMRS device Professional Walkie Talkie 5 W 462 467 MHz 2 7 GSM UMTS cell phone 2 W 850 1700 1900 MHz 3 3 FRS device Amateur Walkie Talkie 500 mW 462 467 MHz 0 9 WiFi Bluetooth devices 100 mW 2400 2500 MHz 0 8 DECT devices modern cordless phones 100mW 1880 1900 MHz 0 8 RFID reader 3 10 mW 125 150 KHz 13 56 MHz 0 12 RFID reader 3 10 mW 902 928 MHz 2400 2500 MH...

Page 45: ...ital environment Surge IEC 61000 4 5 0 5 kV 1 kV line s to line s 0 5 kV 1 kV 2 kV line s to earth 0 5 kV 1 kV line s to line s 0 5 kV 1 kV 2 kV line s to earth Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 0 UT for 0 5 cycle at 0o 45o 90o 135o 180o 225o 270o and ...

Page 46: ...OMMUNICATIONS EQUIPMENT Portable RF communications equipment including peripherals such as antenna cables and external antennas should be used no closer than 30 cm to any part of the equipment including cables specified by manufacturer Otherwise degradation of the performance of this equipment could result Conducted disturbances induced by RF fields IEC 61000 4 6 3 Vrms from 150 kHz to 80 Mhz 6 Vr...

Page 47: ...ty Test Level V m 380 390 Pulse modulation b 18 Hz 27 430 470 FM c 5 kHz deviation 1 kHz sine 28 704 787 Pulse modulation b 217Hz 9 800 960 Pulse modulation b 18Hz 0 3 28 1700 1990 Pulse modulation b 217Hz 0 3 28 2400 2570 Pulse modulation b 217Hz 28 5100 5800 Pulse modulation b 217Hz 9 a For some services only the uplink frequencies are included b The carrier shall be modulated using a 50 duty cy...

Page 48: ... OBTAIN THE QUANTITATIVE INFORMATION Equipment Rad Positioner with Ralco Collimator Instrumentation used Dosimeter Vacudap Dosimeter Unfors Rectangular Phantom made of Polymethyl methacrylate PMMA layers 25 cm x 25 cm x 20 cm Test Details Minimum SID distance 100 cm Maximum SID distance 180 cm Open Collimator size 13 cm x 13 cm min 43 cm x 43 cm max The measurements were made with the exposure par...

Page 49: ... 863 6 629 160 0 012 2 Small 100 2 1 0 016 0 025 7 615 18 691 0 062 100 0 1 10 Small 43 43 11 8 0 090 0 140 5 038 13 354 0 371 200 0 5 100 Large 43x43 107 1 0 862 1 347 9 698 23 798 3 305 40 400 1 400 Large 1 6 391 3 3 166 4 947 17 809 41 228 11 452 40 160 0 012 2 Small 1 6 0 2 0 005 0 006 1 865 4 273 0 014 100 0 1 10 Small 13 13 1 1 0 027 0 034 1 214 3 453 0 096 200 0 5 100 Large 13x13 11 0 257 0...

Page 50: ...83 160 0 012 2 Small 100 7 5 0 048 0 074 22 299 233 322 0 778 100 0 1 10 Small 43 43 40 6 0 265 0 414 14 894 161 562 4 488 200 0 5 100 Large 43x43 389 3 2 691 4 205 30 277 320 682 44 539 60 400 1 400 Large 2 2 1491 3 10 435 16 304 58 696 596 348 165 652 60 160 0 012 2 Small 2 2 0 6 0 014 0 018 5 345 53 374 0 178 100 0 1 10 Small 13 13 3 9 0 078 0 098 3 538 36 438 1 012 200 0 5 100 Large 13x13 39 4...

Page 51: ...0 0 012 2 Small 100 14 3 0 090 0 141 42 391 829 043 2 763 100 0 1 10 Small 43 43 77 0 483 0 754 27 162 553 148 15 365 200 0 5 100 Large 43x43 735 9 4 884 7 632 54 949 1099 409 152 696 80 400 1 400 Large 2 9 2856 2 19 209 30 014 108 049 2111 165 586 435 80 160 0 012 2 Small 2 9 1 4 0 026 0 033 9 931 181 096 0 604 100 0 1 10 Small 13 13 7 2 0 142 0 179 6 462 120 177 3 338 200 0 5 100 Large 13x13 74 ...

Page 52: ...0 012 2 Small 100 21 0 137 0 215 64 362 1829 478 6 098 100 0 1 10 Large 43 43 114 8 0 735 0 140 41 371 1221 809 33 939 200 0 5 100 Large 43x43 1067 6 7 491 1 347 84 277 2346 574 325 913 100 400 1 400 Large 3 6 4373 29 791 4 947 134 061 3901 774 1354 78 100 160 0 012 2 Small 3 6 2 1 0 040 0 006 15 334 396 261 1 321 100 0 1 10 Large 13 13 11 2 0 217 0 034 9 877 263 614 7 323 200 0 5 100 Large 13x13 ...

Page 53: ...l 100 29 7 0 204 0 319 95 666 3558 261 11 861 100 0 1 10 Large 43 43 163 4 1 090 1 704 61 337 2407 617 66 878 200 0 5 100 Large 43x43 1595 2 11 243 17 568 126 489 4963 617 689 391 125 400 1 400 Large 4 5 5679 6 45 270 70 734 127 321 4418 609 2454 783 125 160 0 012 2 Small 4 5 2 9 0 058 0 073 21 923 776 609 2 589 100 0 1 10 Large 13 13 19 1 0 317 0 401 14 449 520 278 14 452 200 0 5 100 Large 13x13 ...

Page 54: ...l 100 38 5 0 262 0 409 122 731 5744 348 19 148 100 0 1 10 Large 43 43 210 7 1 444 2 257 81 244 3862 957 107 304 200 0 5 100 Large 43x43 2124 2 15 252 23 832 171 587 8057 739 1119 130 150 400 1 400 Large 5 4 8581 3 62 748 98 043 141 183 6629 009 4603 478 150 160 0 012 2 Small 5 4 3 8 0 077 0 098 29 337 1208 087 4 027 100 0 1 10 Large 13 13 24 4 0 426 0 539 19 410 819 235 22 757 200 0 5 100 Large 13...

Page 55: ...ilable loading factors for image performance and supply Dose indication which affectto the radiation quality or to the radiation dose rate applied in normal use As indicated in the Quantitative Information Tables the number of exposures needed to reach the previously described maximum radiation values will depend on the selected techniques for each radiographic study 2 11 PRODUCT COMPLAINTS Any he...

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Page 57: ... EMERGENCY FORCIBLY DEPRESS THE X RAY ROOM EMERGENCY OFF SWITCH USUALLY A RED MUSHROOM SHAPED SWITCH THIS SWITCH SHOULD BE LOCATED ON OR NEAR THE X RAY ROOM ELECTRICAL CABINET USUALLY PLACED NEAR THE GENERATOR CONTROL CONSOLE MORE THAN ONE OF THESE SWITCHES MAY BE PLACED AROUND THE ROOM FOR GREATER ACCESSIBILITY TO ISOLATE THE EQUIPMENT FROM MAINS TURN OFF THE SWITCH LOCATED AT THE ROOM ELECTRICAL...

Page 58: ...8 0232F EN 20191213 3 Press the X Ray Generator Control ON button the Green Lamp turns ON 4 Turn ON the NX Workstation Illustration 3 1 Start Up sequence Room Electrical Cabinet 1 2 3 4 NX Workstation X Ray Generator Control ...

Page 59: ...l OFF button the Green Lamp turns OFF 3 Turn OFF the Room Electrical Cabinet Switch with the Emergency Switch in OFF position It is not necessary to turn OFF the Circuit Breaker or the Emergency Off Switch of the Table before turning off the Room Electrical Cabinet Switch Illustration 3 2 Shutdown sequence Room Electrical Cabinet 3 1 2 NX Workstation X Ray Generator Control Note ...

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Page 61: ...S OF THE UNIT OPERATOR SHOULD NEVER MOVE TABLE TOP FROM LATERAL SIDE PATIENT HEAD OR FEET IT MAY CAUSE FINGERPINCH UNDER THE TABLE TOP INTRAVENOUS TUBING CATHETERS AND OTHER PATIENT CONNECTED LINES SHOULD BE ROUTED AWAY FROM MOVING EQUIPMENT 4 1 FLOOR MOUNTED TUBE STAND Operation controls for the Floor Mounted Tube Stand are located at the Control Panel and on the Semicircular Base of the Column 4...

Page 62: ...SID Source ImageDistance withrespecttoRAD Wall Stand Receptor Also this control is used to horizontally position Column with respect to RAD Table Receptor Release button to lock in position VERTICAL MOVEMENT Activate this button to allow vertical movement of the Tube Collimator Assembly in order to achieve the desired SID Source Image Distance with respect to RAD Table Receptor Also this control i...

Page 63: ...as detents at 0o 90o and 90o which are shown on the Angle Display Press this button again to continue with movement TRANSVERSE MOVEMENT Press and hold this button to allow transverse movement of the Tube Collimator Assembly Release this button to lock the Tube Collimator Assembly in position FREE MOVEMENTS Press and hold this button to allow Horizontal Vertical and Rotation movements at the same t...

Page 64: ...es a Vertical SID reference label to provide the operator a quick SID reference The Horizontal Receptor SID reference is indicated as a label stuck in the Column which reference point is the lower part of the Column carriage Illustration 4 2 Vertical SID Reference Label Scale Mark 100 cm 40 The reference mark is the lower part of the carriage ...

Page 65: ...tor Assembly Angle and SID ANGLE DISPLAY Indicates the Angle value of the Tube Collimator Assembly with respect to its vertical axis In case of error this Display flashes the error code to be referenced a e E06 SID DISPLAY Indicates the Source Image Distance SID The SID Display shows when the SID value is not defined that is when the Tube Collimator Assembly is not within the range of 45o with ref...

Page 66: ...e Tube Collimator Assembly in order to achieve the desired SID with respect to RAD Table Receptor Also this control is used to vertically position Tube Collimator Assembly with respect to the RAD Wall Stand Receptor in this case the Display is not showing height Release button to lock in position This movement is provided with a detent at 100 cm 40 shown at SID Display when the distance is adjuste...

Page 67: ...l cause of a system failure They appear on the Digital Control Panel Display and will enable the operator to indirectly convey the possible source of error to service personnel This may preventthe need for a service callor enable service personnel to anticipate corrective actions prior to arriving on site Table 4 1 Error Codes ERROR DESCRIPTION WHAT TO DO E06 Exposure or and Preparation orders are...

Page 68: ... to open the blades according to the SID and X ray field to be used Illustration 4 4 Collimator Controls Collimator Lamp Push button Knobs to open or close the Collimator blades Additional variable filtration with manual settings may be optionally added to the minimum collimator filtration in the form of an aluminium disk 1mm thickness controlled manually from the front panel The disk features a h...

Page 69: ...e Distance 1 Manual Blade Knobs 2 8 9 10 Longitudinal Field Size 1 When pressing the Collimator Lamp push button the Collimator light and an optional Laser light turn on They remain lighting for 30 seconds before they switch Off automatically lighting time can be configured Exposure field on the Receptor is automatically adjusted or when in manual mode by setting the two knobs The Collimator Displ...

Page 70: ...ended information about operation or technical description needed to maintain compliance with Standard IEC 60601 1 3 2008 4 3 RAD TABLE Follow operation instructions for RAD Table Fixed Height Table refer to Section 4 3 1 or for RAD Table Elevating Table refer to Section 4 3 2 depending on the type of table installed at site 4 3 1 RAD TABLE FIXED HEIGHT TABLE The Table Top movement is controlled b...

Page 71: ...FF or when the Emergency OFF Switch is pressed IN THE EVENT OF AN EMERGENCY TURN OFF THE TABLE PRESSING FORCIBLY THE EMERGENCY OFF SWITCH RED MUSHROOM SHAPED SWITCH ON THE TABLE OR AT THE ROOM ELECTRICAL CABINET CIRCUIT BREAKER The Table includes a protective Circuit Breaker located at the lower back cover This breaker should remain in ON position to allow Table operation TABLE TOP LOCK SWITCH Thi...

Page 72: ...tion refer to Section 4 6 4 3 2 RAD TABLE ELEVATING TABLE The RAD Table with its variable height has been designed for easy access from beds wheelchairs or stretchers with patient care and comfort in mind The Table Top travels are controlled with the Pedals located at the Table Base Also the Table incorporates two safety devices and a control for the RAD Table positioning Table Top Motion Pedal Re...

Page 73: ...he Table is powered on it takes twenty seconds start up routine previous to perform any motion CIRCUIT BREAKER The Table includes a protective Circuit Breaker located at the lower back cover This breaker should remain in ON position to allow Table operation TABLE TOP LOCK SWITCH This security switch disables Table Top horizontal movement avoiding any unexpected Table Top motion e g patient steps o...

Page 74: ...elease the pedal and step twice again to continue movement The Service Engineer can modify the configuration of the pedals and change from the single step to release longitudinal and transverse brakes of the Table Top to a double step UP PEDAL Step on Pedal in order to lift Table Top to desired height Release Pedal to stop movement DOWN PEDAL Step on Pedal in order to lower Table Top to desired he...

Page 75: ...bletop edges and make the patient feel safe while the table top is being positioned Insert the Hand Grip in the rails and fix it at the desired position by turning clockwise the Grip USE ALWAYS THE HAND GRIPS TO AVOID INJURIES IN PATIENT HANDS OR FINGERS WHEN THE TABLETOP IS IN MOVEMENT PATIENT SHANDSMUSTBEKEPTAWAYFROM THE TABLETOP EDGES IN EVERY MOMENT ...

Page 76: ...he Compression Band in the Table top rails roll the band in the shaft engage the end of the band in with the hooks and use the lever lock or unlock the Compression Band to get the required tension of the Band Illustration 4 6 Compression Band Operation Lock Lever Compression Band as delivered Insert the Band Support and the opposite Support in the Table top Rails Extend the Band hook one end and o...

Page 77: ...lateral work including knee shoulder skull etc This Lateral Detector Holder is installed directly on the Tabletop rails Insert the Hand Grip in the rail and fix it at the desired position by turning clockwise the Grip It can hold a standard Detector of 24 x 30 cm or 35 x 43 cm Illustration 4 7 Lateral Detector Holder placement ...

Page 78: ...OLDER ON TABLE OPTIONAL The Lateral Detector Holder is used for Table lateral work including knee shoulder skull etc This Lateral Detector Holder is placed directly on the Tabletop It can hold a Detector of 35 x 43 cm Illustration 4 8 Lateral Detector Holder placement ...

Page 79: ... 35x43 cm 14 x17 Illustration 4 9 Lateral Detector Holder 35x43 with Trolley Insert the portable DR Detector in the Support the orientation is always landscape Illustration 4 10 Detector Installation Vertical Lock Lever Make sure that the Vertical Lock is blocked when mounting the Detector to avoid unexpected falls down and damages of the Detector and Support Note ...

Page 80: ...rt Hold the Detector Support during this procedure to avoid unexpected falls down Illustration 4 11 Vertical Lock Lever Release the Lock Activate the Lock 2 Move the Detector up to the desired height 3 Tighten CW the Lever to fix again the Support at its new position The Holder is also mobile it is provided with four wheels and each with its own brake pedal To lock the wheel step the brake pedal I...

Page 81: ... NOT EXCEED 5o INCLINATION RAMPS EXCEEDING THIS ANGLE COULD CAUSE SERIOUS DAMAGE TO THE EQUIPMENT AND BY USING IT UNDER THESECONDITIONS COULD EVENTUALLY REPRESENT A DANGER FOR THE USER HOLD ALWAYS THE VERTICAL BAR TO DRIVE CORRECTLY THIS ACCESSORY EQUIPMENT Do not try to step over any possible obstacle when moving the holder the equipment could fall over ASSEMBLY PROCEDURE Before its first use the...

Page 82: ...CEPTOR ASSEMBLY The Wall Receptor can house a Cassette Film CR or a Digital Detector with the following characteristics Chin Rest Ion Chamber Housing Front Panel with AEC Detector Areas and very low absorption level Fixed or Removable Grid Removable Grid Chin Rest Front Panel AEC Areas Detector Tray handle Loading of Receptor can be adapted at right or left side as per installation requirements Re...

Page 83: ... radiographic operations at different positions within the range of the Vertical Carriage travel adjustable tilting angles as well as rotation of the Receptor Assembly Vertical Carriage Control for Vertical Lock Column Cassette Tray Table Top Control for Vertical Lock Controls for Tilting Lock Lever Lock for Rotation ...

Page 84: ...ing characteristics Chin Rest Ion Chamber Housing Front Panel with AEC Detector Areas Fixed or Removable Grid TILTING AND ROTATION MOVEMENT OF RECEPTOR Refer to Sections 4 5 1 and 4 5 2 for a detailed information about both movements Loading of Receptor can be adapted at right or left side as per installation requirements as well as the Handle Refer to Section 4 6 for extended information on the R...

Page 85: ...the electrical lock and manually tilt the Receptor Assembly Place the hand at the lower part of the Receptor Assembly and push it slightly in opposite direction of the Tilting movement and hold the Receptor Assembly until it reaches the desired Angle The inclination is indicated on both lateral goniometers DRIVE CAREFULLY MOVEMENTS OF THE RECEPTOR ASSEMBLY WHEN RELEASING THE ANGLE LOCKS THE INTERN...

Page 86: ...le Grid is right loading The vertical position is 0o Push the Lever Lock located at the right side of the Receptor Assembly and manually rotate the Receptor Assembly to the desired position The rotation angle is indicated in the goniometer located at the back side Once rotated lock the Lever for Rotation by placing it in its upper position Goniometer for Rotation Lever Lock for Rotation Back of Re...

Page 87: ...Assembly a minimum of 45o Rotate the Assembly and position the Assembly at 0o Attention never do place hands or fingers neither let patient hands or fingers inside the Tilting Assembly as shown below it may cause serious injuries to patient or operator As well make sure that the patient extremities are inside the tabletop or accessories limits during operation movement of parts may cause serious d...

Page 88: ...port In that case the side of the Column Carriage includes an Arm Support holder with a knob Insert the Arm Support in the holder and screw the knob 4 5 4 HAND SUPPORTS OPTIONAL The Wall Stand may include Hand Supports In that case the Assembly will be provided with the corresponding Hand Supports x2 on two sides of it ...

Page 89: ...iently load the Receptor The Receptor Assembly may also house other optional parts such as the Grid Fixed or Removable and the Ion Chamber used for AEC exposures A Cassette size sensing Tray can be adapted for Automatic Collimators Fixed Receptor Assembly in a Rad Table Portable Receptor Assembly in a Wall Stand 4 6 1 TRAVEL OF THE RECEPTOR ASSEMBLY TABLE AND WALL STAND Illustration 4 14 Travel di...

Page 90: ... Brake Buttons Brake Button in Assembly for Fixed Receptor Brake Button in a Portable Receptor Assembly with Non Rotating Tray VERTICAL MOVEMENT OF THE WALL STAND RECEPTOR ASSEMBLY The Receptor is assembled to a carriage that slides vertically along the Column Stand Hold down the Carriage Handle button in order to perform vertical positioning with respect to the patient Release button to stop moti...

Page 91: ... of Receptors Type of Receptors Cassette Film or Computerized Radiography CR with Bucky Assembly Fixed Digital Detector Portable Digital Detector wired Portable Wireless Digital Detector wifi connected For extended Receptor Information refer to the corresponding Receptor Manual provided with the System Manuals Note ...

Page 92: ...e CR Pull out the Tray to load a Receptor according to its size and orientation Place manual clamps at corresponding numbered notch open the automatic clamp and insert the Cassette This Tray accepts all standard Cassette CR sizes Fully open the Tray Set the manual clamps at the corresponding number Lock the Cassette and insert the Tray these pictures correspond to a Table Bucky Assembly but also d...

Page 93: ...ector Detector Cabinet with fixed or removable Grid and Ion Chamber Housing Rad Tables include the Brake Button to move horizontally the Assembly Fixed Detector in a Table Brake Button Wall Stands include the Brake Button in the Carriage to move Vertically the Assembly Fixed Detector in a Wall Stand Brake Button ...

Page 94: ...ECEPTOR ASSEMBLY WITH ROTATING TRAY Illustration 4 16 Portable Receptor Assembly in the Rad Table Handle Bar Tray Digital Detector Grid Tabletop Assembly Lock Button Illustration 4 17 Portable Receptor Assembly with Rotating Tray in the Wall Stand Handle Bar Tray Digital Detector Grid Tabletop Chin Rest AEC Areas ...

Page 95: ...ape position and can be manually rotated to Portrait position The Handle of the Assembly includes a Bar for extracting the Tray In the RAD Tables the Brake Button also allows the horizontal movement of the Receptor Assembly Loading of Receptor can be adapted at right or left side as per customer order requirements The Rotating Tray includes two main detents in its horizontal movement Fully Inserte...

Page 96: ...r centered on the Tray and insert it in the tray Push slightly the end stops with the Detector end until it is fitted in the frame of the tray Illustration 4 18 Tray Loading 3 To unload de Receptor fully extract the tray 4 Push the Detector towards the end Stop and carefully lift and remove the Detector with both hands Illustration 4 19 Tray unloading 2 1 1 2 ...

Page 97: ...Cabinet all body parts and objects must be clear of possible Pinch Areas between the Detector Cabinet and the Rotating Tray 4 6 5 2 PORTABLE RECEPTOR ASSEMBLY WITH NON ROTATING TRAY The Portable Receptor Assembly with Non Rotating Tray is designed to conveniently house a Portable Detector an Ion Chamber and a Grid The Operator can load the Digital Detector in Portrait or Landscape position The Han...

Page 98: ...ab the Handle and pull the Tray until it is completely out 2 Then place the Detector centered in the Tray and push slightly the end stops with the Detector until it is fitted in the four stops of the tray Illustration 4 21 Detector Loading 3 Guide outside the Detector Cable if applicable to avoid cable jams Use the Cable Clips to guide the cable out safely and fully insert the Tray 4 To unload the...

Page 99: ...h external connection of the Detector it is recommended to use a Extensible Cable Hanger not included in the System located in a convenient place of the ceiling between the Table and the Wall Stand or any other type of positioners to avoid damages to the Detector Cable Illustration 4 22 Cable to the Horizontal and Vertical Positioner Extensible Cable Hanger Digital Detector Cable Digital Detector ...

Page 100: ...0 150 cm 59 or 180 cm 70 Use the corresponding Grid according to the SID Source to Image Distance When inserting the Grid in the Grid Slot pay special attention to the type of focalization distance of each Grid Check the correct insertion of the Grid in the slot with the label side facing the Tube A click sound means that the Grid is in place Handle the Grid with care Dropping the Grid could cause...

Page 101: ...densation During exposure do not use the Detector near devices generating a strong magnetic field For Wireless Detectors do not cover the IR Data Port with hands or other parts of the body and do not use the selected frequency channel 2 4 GHz band for other wireless devices After every examination wipe with a cloth slightly damped the patient contact surfaces as well as the handle and Grid with di...

Page 102: ... the Collimator Light centering marks and the laser line on the receptor handle if applicable 3 Position the patient for the examination 4 Turn ON the Collimator Lamp and adjust the field size with the Collimator controls 5 Perform any adjustment in the patient position in the receptor or in the tube collimator assembly to assure that the X Ray beam is correctly positioned Illustration 4 23 Patien...

Page 103: ...ICULARLY POSITIONED WITH RESPECT TO THE TUBE COLLIMATOR ASSEMBLY IN CASE OF EXAMS WHERE THE IMAGE RECEPTOR IS NOT PERPENDICULARLY POSITIONED WITH RESPECT TO THE TUBE COLLIMATOR ASSEMBLY THE X RAY BEAM AXIS DOES NOT COINCIDE WITH THE REFERENCE AXIS OF THE PLANE OF INTEREST AND IT IS NOT ORTHOGONAL WITH RESPECT TO THE PLANE OF INTEREST THEREFORE THE RESULTING IMAGE WILL BE DEFORMED IT IS THE OPERATO...

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Page 105: ... operations Use the operating controls as described in this manual Any other non indicated combination may result in the incorrect operation of the equipment Illustration 5 1 General Controls 1 2 3 8 Exposure Indicators 9 Service Mode Access 10 Heat Units Indicator 11 Dosimetry 12 Information Area 13 Reset Error 1 Power Off 2 Workstation 3 Radiographic Values 4 Parameter Selectors 5 Focal Spot 6 A...

Page 106: ...rns off if Preparation is not activated The proper way for switching OFF the Generator and Console must be by touching on the OFF button on the Touch Screen never use the ON OFF Switch of the Console IN THE EVENT OF AN EMERGENCY FORCIBLY DEPRESS THE X RAY ROOM EMERGENCY OFF SWITCH USUALLY A RED MUSHROOM SHAPED SWITCH THIS SWITCH SHOULD BE LOCATED ON OR NEAR THE X RAY ROOM ELECTRICAL CABINET USUALL...

Page 107: ...ber etc Each button selects its respective Workstation only the selected button is highlighted The Workstations are directly selected by touching the respective button Write down the configuration of the Workstation assigned to each button in the table BUTTON ICON WORKSTATION Tube Device Ion Chamber etc 1 2 3 4 5 6 Note Workstation data such as Icon X ray Tube Receptor Ion Chambers etc must be reg...

Page 108: ...wer space charge etc When a Focal Spot is selected it sets the highest mA value available for the selected FocalSpotandthe respectiveExposure Timein orderto keepconstant mAs If the highest mA value available coincides with the maximum mA station of the Generator it sets one mA station below of the maximum mA station of the Generator The Focal Spot change can be done whenever the present conditions...

Page 109: ... Prep button has not been released Time DISPLAY can show The Time value in seconds selected for the technique When an exposure is made with AEC it shows the back up Time during the exposure and the actual Time at the end of the exposure whenever the Prep button has not been released RAD Displays can also show the values blinking of the actual Time the calculated mAs and the selected kVp and mA rad...

Page 110: ...e directly selected by clicking on its position on the bar When this indicator is positioned over a value not allowed it comes back to the previous position and the parameter value does not change Bar Indicator for value selection Increase Button Decrease Button kVp Selects the X ray Tube voltage mA Selects the X ray Tube current The Focal Spot selection can be changedwhenthemAvalueis selectedwith...

Page 111: ... to its maximum value while mA value may automatically decrease as long as mAs value is kept constant Space Charge If a variation of the kVp or mA values means that the space charge limit will be reached in the selected Tube the parameter is blocked the kVp and mA Displays flash accompanied by an information message Maximum Energy 60 kJ Only in AEC mode if a variation of the parameters means that ...

Page 112: ...Maximum mA Generator limit configured for each Focal Spot Min mAs X Minimum mAs Generator limit Max mAs X Maximum mAs 500 mAs Regulatory limit for AEC Min ms X Minimum Exposure Time Generator limit Max ms X Maximum Exposure Time Generator limit Min ms Min mA X X Minimum Exposure Time and minimum mA Generator limit Max ms Max mA X X Maximum Exposure Time and maximum mA Generator limit Max Power X X...

Page 113: ...ntil none of them is selected In AEC mode the back up time or back up mAs MUST BE SET MANUALLY by the operator using the Console controls The value of the back up time or mAs must be set at a greater value than the previously considered for the exposure time or mAs A value above 50 of the considered value is the recommended Very extreme values of back up time or mAs should be avoided to prevent pa...

Page 114: ...d until the AEC function is reset by touching the AEC Reset button When the Generator is in Prep mode the AEC function can not be reset Before the exposure if the message Wrong AEC Selection is shown on the Console it means that the selected kVp value AEC Density and or Film Screen Combination set a technique that is out of the operative range with AEC and the nextexposure willbe inhibited Change ...

Page 115: ... common for all the patient sizes of each Anatomical View These techniques may be modified and stored anew into non volatile memory by the operator The APR techniques are intended only as a guide line they are only starting points that can be replaced by more specific protocols developed by the operator Accurate exposure factors are dependent among other things on grid factors table top absorption...

Page 116: ...he AEC controls if applicable related to the APR technique To go back to the previous level touch on the right lower APR selector Up PATIENT SIZE APR is activated when one of the three Patient Size small medium or large size is selected These buttons are used to adapt the APR technique chosen according to patient size Six patient sizes are available The three right hand buttons select Small Medium...

Page 117: ...File and can be recalled for future examinations This procedure only changes the technique values of the selected Patient Size if necessary repeat the procedure for other Patient Sizes If an APR technique is to be stored with AEC parameters a suitable back up Time or mAs MUST be stored by the operator for this APR technique Since Store modifies the data stored in the APR Working File according to ...

Page 118: ... touch OK The APR module will show the following options Restore Default Edit and Exit EXIT Touch this button to exit from the Modify options and go back to the Main APR screen RESTORE DEFAULT Touch this button to delete all the modifications made by the operator in all the APR techniques and restore all of them with the values and selections stored in the APR Backup File Restore Default requires ...

Page 119: ... delete the APR techniques or change the operator password Exposures are inhibited when the Edit menu is shown on the Console Anatomical Views Projections Body Regions Patient Size Pediatric Modify a Label name Delete a Label Create a new label Set the parameters selections for the selected APR Technique Exit from Edit menu Change Operator Password Note ...

Page 120: ... Touch this button to exit from the Edit options and go back to the previous screen Restore Default Edit Exit CHANGE PASSWORD After touching this button the Console shows a Panel for entering the new Operator Password Follow the Change Password procedure and enter twice the new Password four digits then touch OK to close this option Now the default Password 1111 is replaced by the new Password ...

Page 121: ...al Views When an Anatomical View has been selected its label is highlighted on the screen and the Projection level shows all its respective Projections if the Anatomical View has different Projections When the APR selection is finished the Console shows the Workstation its respective parameters RAD Displays and the AEC controls if applicable related to the APR technique The maximum number of label...

Page 122: ...related to that Region View Projection and touch the button Set Technique If an APR technique is to be stored with AEC parameters a suitable back up Time or mAs MUST be stored by the operator for this APR technique SET TECHNIQUE Touch this button to assign the selected Patient Size Radiographic Parameters and Selections Workstation and AEC if available to the new or existing Region View Projection...

Page 123: ...egion press on New and write the name of the new Region Repeat this procedure in order to assign Views and Projections to the new created Region 4 Then select the Parameters AEC selections and Workstations for the New Region View Projection 5 Touch on Set Tech button to set the selected parameters AEC Selections Workstations 7 Touch on Quit button 6 Touch on Save button to save the data 1 2 3 4 5 ...

Page 124: ...ent size to select an APR Technique 2 Touch on the selector of the Region View Projection to be modified 3 Modify the parameter and or AEC selection and or workstation 4 Touch on Store button The system requires the operator password and the confirmation This change is saved in the APR Working File 1 2 3 3 3 4 OK ...

Page 125: ...ure High Speed Generators can be configured so that the anode remains running for approximately one minute when Prep is pressed three consecutive times in intervals shorter than 30 seconds EXP When the Ready indicator is ON completely pressing the Handswitch commences the exposition Releasing the button before the Generator completes the selected time or AEC time willcause the exposure to prematur...

Page 126: ...the X ray Tube cool X ray Tube has not been sufficiently warmed up TUBE OVERLOAD Indicates that either the technique selected is beyond the X ray Tube ratings or present conditions of the X ray Tube inhibit the exposure anode overheated Parameters for next exposure may be temporally limited by the Generator change the exposure values or wait for the X ray Tube to cool Check that heat units availab...

Page 127: ...posures the Heat Units are calculated and totalled The Heat Units Display shows the percentage of the thermal capacity of the Tube that is used For example a display of 0 would indicate thatall the Heat Units capacity of the X ray Tube remains 5 7 DOSIMETRY OPTIONAL The Dose Display shows the accumulated radiation value of the X ray Tube related to the selected Workstation The radiation value of e...

Page 128: ...e error cause and keep touched the Reset button until the Console indication disappears Refer to Table 5 1 All these error codes are preceded by the letter E i e E01 and they will enable the operator to indirectly convey the possible source of error to service personnel This may prevent the need for a service call or enable service personnel to anticipate corrective actions prior to arriving on si...

Page 129: ... be also shown making a high power and long exposure with the X ray tube cool X ray Tube has not been warmed up It is not necessary to touch the Reset button the error indication will disappear automatically If the error code persists turn the Generator OFF and wait 30 minutes before turning it ON again If the equipment remains inoperative turn it OFF and call Field Service E10 E11 System failure ...

Page 130: ...r is open when the X ray equipment is in use It is not necessary to touch the Reset button the error indication will E36 Heat Units error The X ray Tube thermostat pressurestat is open due to the Tube housing being overheated housing is too hot wait for the housing to cool or a thermostat pressurestat mal function housing is cool Heat units may raise to any value It is not necessary to touch the R...

Page 131: ...OFF and call Field Service E51 to E93 System failure related to High Speed Rotor Controller E95 Exposure aborted by the Rapid Termination Touch the Reset button Select the correct Ion Chamber or modify parameters Repeat the exposure If the equipment remains inoperative turn it OFF and call Field Service E97 X ray order not acknowledged The Receptor Digital Detector did not receive or acknowledge t...

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Page 133: ...nual any other non indicated combination may cause an incorrect operation of the equipment Illustration 6 1 Rad Console 7 Radiographic Values 8 AEC Density Values 9 Patient Size Selection APR Optional 10 Body Regions Anatomical View Selection APR Option al 11 Focal Spot Indicators and Selectors 12 Exposure Indicators and Controls 1 Power On 2 Power Off 3 Workstations Selection 4 AEC Reset 5 AEC Fi...

Page 134: ...t only turns off if Preparation is not activated IN THE EVENT OF AN EMERGENCY FORCIBLY DEPRESS THE X RAY ROOM EMERGENCY OFF SWITCH USUALLY A RED MUSHROOM SHAPED SWITCH THIS SWITCH SHOULD BE LOCATED ON OR NEAR THE X RAY ROOM ELECTRICAL CABINET USUALLY PLACED NEAR THE GENERATOR CONTROL CONSOLE MORE THAN ONE OF THESE SWITCHES MAY BE PLACED AROUND THE ROOM FOR GREATER ACCESSIBILITY TO ISOLATE THE EQUI...

Page 135: ...the Small Focal Spot of the X ray Tube has been selected FOCAL SPOT SELECTORS Each push button selects the related Focal Spot of the X ray Tube keeping kVp and mAs constant maximum mA available and minimum Exposure Time The Focal Spot change can be done whenever the present conditions of the X ray Tube allow it The mA station set for the Focal Spot change is configured by the field engineer during...

Page 136: ... value until the AEC Reset push button is pressed to reset the error condition mA DISPLAY Shows the radiographic mA value selected for the technique Time DISPLAY can show The Time value in seconds selected for the radiographic technique When an exposure is made with AEC it shows the back up time during the exposure and the actual Time at the end of the exposure whenever the Prep push button has no...

Page 137: ...x mA is reached by increasing the mA up to a maximum possible value the mA value is blocked Flashing values on kV and mA Displays will alert operator about the situation If required kV could be increased up to its maximum value while mA value may automatically decrease as long as mAs value is kept the same Space Charge If a variation of the kV or mA induces to reach space charge limit in the selec...

Page 138: ...back up time or mAs should be avoided to prevent patient from excessive exposure when a control error is produced FIELD SELECTION Each push button indicates its related physical location of the selected field in the AEC Exposure Detector and it may be selected or deselected by pressing it Any combination of fields can be selected and the push buttons illuminate when active FILM SCREEN COMBINATION ...

Page 139: ... ms of exposure both conditions have to be fulfilled Whenever the AEC is ON itis recommended to selectan exposure back up time higher than 100 ms for improved operation of Rapid Termination The Error Code related to the Rapid Termination is E95 6 3 ANATOMICAL PROGRAMMER APR OPTIONAL Anatomical Programmer APR module is comprised of the controls which selectthe PatientSize and DisplaySelectors The p...

Page 140: ...ee right hand push buttons select Small Medium and Large adult sizes one only illuminated when selected The left hand pediatric push button changes the function of the right hand three push buttons from adult patient size to pediatric patient size In this mode the pediatric push button and one of the other three buttons may be illuminated at the same time ANATOMICAL VIEW SELECTORS Each push button...

Page 141: ...ue are at the required values 3 Store the new technique by first pressing the selected Patient Size and without releasing it press the Projection selected Refer to Illustration 6 2 The newly selected technique is now stored in memory and can be recalled for future examinations This procedure only changes the technique values of the selected patient size repeat the procedure for other patient sizes...

Page 142: ...lected on the Console and the patient is ready for the exposure High Speed Generators can be configured so that the anode remains running for approximately one minute when Prep is pressed three consecutive times in intervals shorter than 30 seconds EXP After the Ready indicator is illuminated press this push button to start a X ray exposure If the push button is released before the Generator compl...

Page 143: ...otalled To view the remaining Heat Units press the On push button The kVp Display shows the percentage of Heat Units that remain preceded by the letter H For example a display of H75 would indicate that 75 of Heat Units capacity of the X ray Tube remains H indicates that all the capacity remains The kVp Display reverts to its normal function after releasing the On push button 6 7 EXPOSURE COUNTERS...

Page 144: ...h the X ray Tube cool X ray Tube has not been warmed up TUBE OVERLOAD Indicates that either the technique selected is beyond the X ray Tube ratings or the present conditions of the X ray Tube inhibit the exposure anode overheated Parameters for next exposure may be temporally limited by the Generator change the exposure values or wait for the X ray Tube to cool Check that heat units available are ...

Page 145: ...en detected blades are full open or in movement during exposure etc In this case the indicator lights continuously 6 9 ERROR CODES Error codes indicate the potential cause of a system failure Error codes are shown on the kVp Display at the same time an audio signal is emitted Correct the error cause and keep pressed the AEC Reset push button till the Console indication disappears Refer to Table 6 ...

Page 146: ...ing a high power and long exposure with the X ray tube cool X ray Tube has not been warmed up This error does not require to press the AEC Reset push button its indication disappears automatically If the error code persists turn the Generator OFF and wait 30 minutes before turning it ON again If the equipment remains inoperative turn it OFF and call Field Service E10 E11 System failure Press the A...

Page 147: ...oom door is open when the X ray equipment is in use These errors do not require to press the AEC Reset push button theirs E36 Heat Units error The X ray Tube thermostat pressurestat is open due to the tube housing is overheated housing is too hot wait for the housing to cool or a thermostat pressurestat mal function housing is cool Heat units may raise to any value These errors do not require to p...

Page 148: ... Field Service E51 to E93 System failure related to High Speed Rotor Controller E95 Exposure aborted by the AEC Rapid Termination Press the AEC Reset push button Select the correct Ion Chamber or modify parameters Repeat the exposure If the equipment remains inoperative turn it OFF and call Field Service E97 X ray order not acknowledged The Receptor Digital Detector has not received or acknowledge...

Page 149: ...ray Tube warm up at the start of each day and when the Tube selected has not been in use for approximately one hour This warm up procedure is used for a typical X ray Tube Consult the X ray Tube manufacturer instructions for the actual Tube in use comparing its recommendations with this procedure If there is conflict with this procedure comply with the Tube manufacturer s instructions Perform X ra...

Page 150: ...D examination sequence is as indicated below 1 Make sure that the X ray Tube to be used is properly warmed up 2 Position the patient for the examination 3 Select the workstation and technique parameters using the RAD controls on the NX Station or on the DX D Console 4 Instruct patient to maintain the required position Prepare the X ray Tube by pressing the handswitch button to the Prep position an...

Page 151: ...technique parameters back up time mAs using the RAD controls on the Console 6 Continue with the radiographic operation Refer to Section 7 3 step 4 7 4 1 HOW TO VERIFY THE PROPER FUNCTIONING OF THE AEC This procedure is not mandatory it is only a method so that the operator can verify the proper functioning of the Automatic Exposure Control 1 Ensure that X ray Tube has been properly warmed up 2 Ali...

Page 152: ... must not be aborted by the AEC back up timer that is the AEC Reset push button is not flashing 10 The noted Exposure mAs and time have to be equal 10 between all three Ion Chambers If not contact Service 11 Repeat the above steps changing the Density and or the homogeneous phantom e g a bucket with 5 cm of water Compare the Exposure mAs and time between each Ion Chamber and between the values not...

Page 153: ...ections can be directly modified by the operator 6 Continue with the normal procedure for a typical RAD examination Refer to Section 7 3 step 4 7 6 FAIL SAFE FUNCTION The Fail Safe function inhibits X ray exposures when the removable Receptor Portable Detector CR Film has not been replaced or inserted by the operator after an exposure or the Workstation selected by the operator is not the Workstat...

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Page 155: ... month intervals Heavy duty installations more than125 patients per day require a regular six 6 month maintenance The manufacturer undertakes to have available spare parts for this equipment at least for ten 10 years after the unit manufacturing NEVER ATTEMPT TO PERFORM MAINTENANCE TASKS WHILE THE ME EQUIPMENT IS IN USE WITH A PATIENT 8 1 OPERATOR TASKS The tasks of this periodic maintenance shall...

Page 156: ...nd When it is needed to disinfect any surface clean it with a cloth impregnated with isopropyl alcohol Do not apply directly any liquid on the surfaces nor use cleaners containing bleach ammonia or any other abrasive or solvent liquid it could cause damage to the equipment 8 2 SERVICE TASKS Only service personnel specifically trained on this medical X ray equipment should work on service tasks ins...

Page 157: ...do not include the Digital Detector Refer to the Digital Detector Documentation 9 2 X RAY SYSTEM POSITIONERS 9 2 1 POWER LINE REQUIREMENTS EQUIPMENT VOLTAGE FREQUENCY MINIMUM INPUT POWER REQUIRED POWER OUTPUT BRAKE POWER SUPPLY RAD TABLE ELEVATING TABLE 110 230 VAC Single Phase 50 60 Hz 0 6 kVA 0 18 kW RAD TABLE FIXED HEIGHT TABLE 110 230 VAC Single Phase 50 60 Hz 0 4 kVA 0 18 kW RAD WALL STAND Se...

Page 158: ...ht 345 kg Maximum Height of X ray Tube focus vertical position 2020 mm SID from horizontal axis of X Ray Tube facing the RAD Table Fixed Height maximum 1270 mm SID from horizontal axis of X Ray Tube facing the RAD Table Elevating Table maximum 1620 mm Distances from vertical axis of X Ray tube facing the RAD Wall Stand Minimum height 400 mm Maximum height 1900 mm SID from Horizontal axis of X Ray ...

Page 159: ... 800 mm Weight 190 kg Dimensions of Floating Table Top 2200 x 800 mm Maximum Patient Weight supported 350 kg Table Top Receptor distance 85 mm Table Top Attenuation 1 0 mm Al eq Longitudinal motion of Table Top 1100 mm Transverse motion of Table Top 240 mm Longitudinal motion of Receptor 510 mm Ion Chamber Claymount SSMC 617 Cassettes sizes from 18 to 43 cm ...

Page 160: ...m Height 500 mm Width 2200 mm Length 800 mm Weight 280 kg Dimensions of Floating Table Top 2200 x 800 mm Maximum Patient Weight supported 350 kg Table Top Receptor distance 85 mm Table Top Attenuation 1 0 mm Al eq Longitudinal travel of Table Top 1100 mm Transverse travel of Table Top 240 mm Ion Chamber Claymount SSMC 617 Cassettes sizes from 18 to 43 cm ...

Page 161: ...ht 145 kg Dimensions of Receptor Assembly 657 x 570 mm Table Top Dimensions 559 x 485 mm Table Top Receptor distance 46 5 mm 2 Table Top Attenuation 0 8 mm Al eq Height from horizontal axis of receptor Minimum height 360 mm Maximum height 1860 mm Receptor vertical motion 1500 mm Ion Chamber Claymount SSMC 617 Cassettes sizes from 18 to 43 cm ...

Page 162: ...Dimensions of Receptor Assembly 657 x 570 mm Table Top Dimensions 559 x 485 mm Table Top Receptor distance 46 5 mm 2 Table Top Attenuation 0 8 mm Al eq Height from horizontal axis of receptor Minimum height 360 mm Maximum height 1860 mm Receptor Vertical and Horizontal Travel 1500 mm Tilting Angle 90o 20o Ion Chamber Claymount SSMC 617 Cassette sizes from 18 to 43 cm ...

Page 163: ...r Wall Stand 1 m 215 lines inch 12 1 Carbon Fibre 1 3 m 215 lines inch 8 1 Carbon Fibre 1 8 m 215 lines inch 12 1 Carbon Fibre Configurations with removable static grid Grids for Table 1 m 132 lines inch 10 1 Carbon Fibre Grids for Wall Stand 1 m 132 lines inch 10 1 Carbon Fibre 1 5 m 132 lines inch 10 1 Carbon Fibre 1 8 m 132 lines inch 10 1 Carbon Fibre ...

Page 164: ...DX D 400 User Manual 154 0232F EN 20191213 Illustration 9 1 Dimensions of the Equipments in the X ray System RAD Table Elevating Table 1106 5 43 6 1626 64 8 9 225 1267 50 o 135 180 o ...

Page 165: ...DX D 400 User Manual 0232F EN 20191213 155 Illustration 9 2 Dimensions of the Equipments in the X ray System RAD Table Fixed Height Table 1267 50 1106 5 43 6 1626 64 8 9 225 135 180 o o ...

Page 166: ...DX D 400 User Manual 156 0232F EN 20191213 Illustration 9 3 Dimensions of the RAD Wall Stand 2235 88 1500 59 1860 73 2 360 14 1 657 25 8 381 15 200 7 8 559 22 485 19 ...

Page 167: ...llustration 9 4 IDimensions of the RAD Wall Stand Manual Tilting 1500 59 2155 84 8 399 15 7 582 22 9 1500 59 655 25 7 693 27 2 90º 20º 1860 73 2 360 14 1 2235 88 180 7 1 512 20 1 559 22 485 19 Receptor Assembly 657 25 8 Table top 980 35 570 22 4 ...

Page 168: ... with lines at 208 VAC or below an Auxiliary Boost Transformer is required to adequate the line voltage to 230 240 VAC For 80 kW Generators operating with lines at 400 415 440 VAC an auxiliary boost transformer is required to adequate the line voltage to 480 VAC 9 3 2 RANGE OF RADIOGRAPHIC PARAMETERS PARAMETER RANGE PARAMETER RANGE kVp From 40 kVp to 150 kVp in 1 kV steps mA From 10 mA to 800 mA t...

Page 169: ...tor Control 32 mm 165 mm 131 mm 0 6 kg DX D Touch Screen Console 360 mm 290 mm 114 mm 8 kg DX D Overlay Console and DX D Overlay Console with APR 430 mm 290 mm 50 mm 6 kg Illustration 9 5 Dimensions DX D TOUCH SCREEN CONSOLE THESE CONSOLES CAN BE MOUNTED ON A TABLE SUPPORT WALL SUPPORT OR PEDESTAL DX D OVERLAY CONSOLES PEDESTAL TABLE SUPPORT WALL SUPPORT 568 Cable Access 690 GENERATOR Cable Access...

Page 170: ...hour 150 kVp 4800 mAs Inherent Filtration of X ray Source Tube Collimator refer to Identification Label E7869XX High Speed Rotating Anode Focal Spots 0 6 mm 1 2 mm Anode kHU kVp 600 kHU 150 kVp Target Angle 12 Maximum Specified Energy Input in 1 hour 150 kVp 5189 mAs Inherent Filtration of X ray Source Tube Collimator refer to Identification Label 9 5 COLLIMATORS Model R225 R225 DHHS MANUAL R225 A...

Page 171: ...c procedures while maintaining acceptable clinical image quality will benefit patients Please review the following link and reduce pediatric technique factors accordingly http www pedrad org associations 5364 ig As a general rule next recommendations shall be observed in pediatrics X Ray Generator must have short exposures times AEC must be used carefully preferably use manual technique setting ap...

Page 172: ...ientific literature regarding pediatric radiosensitivity GROSSMAN Herman Radiation Protection in Diagnostic Radiography of Children Pediatric Radiology Vol 51 No 1 141 144 January 1973 http pediatrics aappublications org cgi reprint 51 1 141 Technique factors You should take steps to reduce technique factors to the lowest possible levels consistent with good image acquisition For example if your a...

Page 173: ...e language pack of the factory pre programmed APR techniques is configured according to the customer order and it can not be changed by the operator refer to Section B 1 APR language packs available are CONSOLE TYPE ENGLISH FRENCH SPANISH ENGLISH FRENCH GERMAN ENGLISH FRENCH POLISH ENGLISH FRENCH TURKISH DX D OVERLAY CONSOLE WITH APR p p p p In accordance with Standard IEC 60601 2 54 2009 Tables i...

Page 174: ...QUE PARANASAL SINUSES SCAPULA AP PA LATERAL OBLIQUE L5 S1 AP LATERAL SELLA LATERAL CLAVICLE AP PA SACRUM AP LATERAL NOSE LATERAL ABDOMEN AP PA LATERAL DECUBITUS STANDING FEMUR AP LATERAL SHOULDER AP SEMIAXIAL OBLIQUE KIDNEY AP KNEE AP LATERAL HUMERUS AP LATERAL KIDNEY URETER AP PATELLA LATERAL AXIAL ELBOW PA LATERAL ABDOMEN PELVIS GALL BLADDER AP OBLIQUE LOWER EXTREMITIES LOWER LEG AP LATERAL UPPE...

Page 175: ...LATE AP PA LATERAL OBLIQUE L5 S1 AP LATERAL SELLA LATERAL CLAVICLE AP PA SACRUM AP LATERAL NEZ LATERAL ABDOMEN AP PA LATERAL DECUBITUS DEBOUT FEMUR AP LATERAL EPAULE AP SEMIAXIAL OBLIQUE REINS AP GENOU AP LATERAL HUMERUS AP LATERAL URETERE AP ROTULE LATERAL AXIAL COUDE PA LATERAL ABDOMEN BASSIN VES BIL AP OBLIQUE EXTREMITES INFERIEUR JAMBE INF AP LATERAL EXTREMITES SUPERIEUR BRAS INF PA LATERAL PE...

Page 176: ...PULA AP PA LATERAL OBLICUO L5 S1 AP LATERAL SILLA TURCA LATERAL CLAVICULA AP PA SACRO AP LATERAL NARIZ LATERAL ABDOMEN AP PA LATERAL DECUBIT0 CARGA FEMUR AP LATERAL HOMBRO AP SEMIAXIAL OBLICUO RIÑON AP RODILLA AP LATERAL HUMERO AP LATERAL RIÑON URETRA AP ROTULA LATERAL AXIAL CODO PA LATERAL ABDOMEN PELVIS VESICULA BILIAR AP OBLICUO EXTREMIDADES INFERIORES PIERNA INFERIOR AP LATERAL EXTREMIDADES SU...

Page 177: ... LATERAL OBLIQUE L5 S1 AP LATERAL SELLA LATERAL CLAVICUL AP PA SAKRUM AP LATERAL NASE LATERAL ABDOMEN AP PA LATERAL DECUBIT STEHEND O SCHENKEL AP LATERAL SCHULTER AP HALBAX OBLIQUE NIERE AP KNIE AP LATERAL OBERARM AP LATERAL NIERE UR AP PATELLA LATERAL AXIAL ELLENBOGEN PA LATERAL ABDOMEN BECKEN GALLEN BLASE AP OBLIQUE UNTERER EXTREM U SCHENKEL AP LATERAL OBERER EXTREM UNTERARM PA LATERAL BECKEN AP...

Page 178: ...DZ AP BOCZNE SKOS ZATOKI LOPATKA AP PA BOCZNE SKOS C L5 S1 AP BOCZNE SIODELKO BOCZNE OBOJCZYK AP PA K KRZYZ AP BOCZNE NOS BOCZNE J BRZUSZ AP PA BOCZNE BOK LEZ BOK STOJ UDO AP BOCZNE BARK AP POLOSIOWE SKOS NERKI AP KOLANO AP BOCZNE RAMIE AP BOCZNE P MOCZ AP RZEPKA BOCZNE OSIOWE LOKIEC PA BOCZNE J BRZUSZ P ZOLCI AP SKOS KONCZ D GOLEN AP BOCZNE KONCZ G PRZEDR PA BOCZNE MIEDNICA AP BOCZNE STAW ZK AP B...

Page 179: ...BLIK SIN PAR SKAPULA AP PA LATERAL OBLIK L5 S1 AP LATERAL SELLA LATERAL KLAVICU AP PA SAKRUM AP LATERAL BURUN LATERAL BATIN AP PA LATERAL DEKUBIT AYAKTA FEMUR AP LATERAL OMUZ AP SEMIAKS OBLIK BÖBREK AP DIZ AP LATERAL KOL AP LATERAL ÜRINER AP PATELLA LATERAL AKSIYAL DIRSEK PA LATERAL BATIN PELVIS SAFRA K AP OBLIK A EXTREM CRURAL AP LATERAL Ü EXTREM ÖN KOL PA LATERAL PELVIS AP LATERAL A BILEGI AP LA...

Page 180: ...DX D 400 User Manual Appendix B B 8 APR MATRIX RUSSIAN VERSION ...

Page 181: ... kV mAs mA s AP PA LATERAL SKULL SEMIAXIAL AXIAL SPECIAL ORBITA PETROUS BONES STENVERS MASTOID PARANASAL SELLA LATERAL NOSE LATERAL BODY REGION PATIENT SIZE APR LOADING FACTORS BODY REGION ORGAN PROJECTION PEDIATRIC SMALL PEDIATRIC MEDIUM PEDIATRIC LARGE SKULL kV mAs mA s kV mAs mA s kV mAs mA s AP PA LATERAL SKULL SEMIAXIAL AXIAL SPECIAL ORBITA PETROUS BONES STENVERS MASTOID PARANASAL SELLA LATER...

Page 182: ... UPPER RIBS OBLIQUE AP PA LOWER RIBS OBLIQUE LATERAL STERNUM OBLIQUE AP PA SCAPULA LATERAL OBLIQUE CLAVICLE AP PA BODY REGION PATIENT SIZE APR LOADING FACTORS BODY REGION ORGAN PROJECTION PEDIATRIC SMALL PEDIATRIC MEDIUM PEDIATRIC LARGE THORAX kV mAs mA s kV mAs mA s kV mAs mA s AP THORAX LATERAL AP PA UPPER RIBS OBLIQUE AP PA LOWER RIBS OBLIQUE LATERAL STERNUM OBLIQUE AP PA SCAPULA LATERAL OBLIQU...

Page 183: ...RAL OBLIQUE AP T SPINE LATERAL OBLIQUE AP L SPINE LATERAL OBLIQUE L5 S1 AP L5 S1 LATERAL SACRUM AP SACRUM LATERAL BODY REGION PATIENT SIZE APR PARAMETERS BODY REGION ORGAN PROJECTION PEDIATRIC SMALL PEDIATRIC MEDIUM PEDIATRIC LARGE SPINE kV mAs mA s kV mAs mA s kV mAs mA s ODONTOID AP AP CSSPINE LATERAL OBLIQUE AP T SPINE LATERAL OBLIQUE AP L SPINE LATERAL OBLIQUE L5 S1 AP L5 S1 LATERAL SACRUM AP ...

Page 184: ...N DECUBITUS STANDING KIDNEY AP KIDNEY URETER AP AP GALLBLADDER OBLIQUE AP PELVIS LATERAL AP HIP MED LATERAL AXIAL BODY REGION PATIENT SIZE APR PARAMETERS BODY REGION ORGAN PROJECTION PEDIATRIC SMALL PEDIATRIC MEDIUM PEDIATRIC LARGE ABDOMEN PELVIS kV mAs mA s kV mAs mA s kV mAs mA s AP PA LATERAL ABDOMEN DECUBITUS STANDING KIDNEY AP KIDNEY URETER AP AP GALLBLADDER OBLIQUE AP PELVIS LATERAL AP HIP M...

Page 185: ...L PATELLA AXIAL LOWER LEG AP LOWER LEG LATERAL AP ANKLE LATERAL OBLIQUE AP FOOT LATERAL OBLIQUE TOES AP LAT OBLIQ BODY REGION PATIENT SIZE APR PARAMETERS ORGAN PROJECTION PEDIATRIC SMALL PEDIATRIC MEDIUM PEDIATRIC LARGE LOWER EXTREMITIES kV mAs mA s kV mAs mA s kV mAs mA s FEMUR AP FEMUR LATERAL KNEE AP KNEE LATERAL PATELLA LATERAL PATELLA AXIAL LOWER LEG AP LOWER LEG LATERAL AP ANKLE LATERAL OBLI...

Page 186: ...LBOW LATERAL FOREARM PA FOREARM LATERAL AP WRIST LATERAL OBLIQUE AP HAND LATERAL OBLIQUE FINGER AP FINGER LATERAL BODY REGION PATIENT SIZE APR PARAMETERS ORGAN PROJECTION PEDIATRIC SMALL PEDIATRIC MEDIUM PEDIATRIC LARGE UPPER EXTREMITIES kV mAs mA s kV mAs mA s kV mAs mA s AP SHOULDER SEMIAXIAL OBLIQUE HUMERUS AP HUMERUS LATERAL ELBOW PA ELBOW LATERAL FOREARM PA FOREARM LATERAL AP WRIST LATERAL OB...

Page 187: ......

Page 188: ...at 27 B 2640 Mortsel Belgium This product bears a CE marking in accordance with the provisions of the 93 42 EEC MDD dated June 14 1993 as amended by 2007 47 EC dated September 5 2007 Published by Agfa N V B 2640 Mortsel Belgium 0413 ...

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