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AGFA D2RS, User Manual

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Digital Remote Controlled Table with dynamic flat panel detector 

 

 

 

User’s Manual

 

3 

 

TABLE OF CONTENTS 

 

Note to the user .................................................................................................................................................. 6 

Guarantee conditions .......................................................................................................................................... 7 

Environmental protection .................................................................................................................................... 8 

Safety and protection .......................................................................................................................................... 9 

 

1.  DESCRIPTION ............................................................................................................. 13 

1.1. 

Generalities

 ........................................................................................................................................13

 

1.2. 

Table control console

 ........................................................................................................................14

 

1.2.1. 

Table switching on .............................................................................................................14 

1.2.2. 

Table switching off .............................................................................................................14 

1.2.3. 

Tube movements controls with joystick .............................................................................15 

1.2.4. 

Column reset button ...........................................................................................................15 

1.2.5. 

Collimator shutters controls with joystick ...........................................................................15 

1.2.6. 

Automatic collimation mode ...............................................................................................15 

1.2.7. 

Light beam switching on ....................................................................................................15 

1.2.8. 

Compression controls (option) ...........................................................................................16 

1.2.9. 

Unique control for autopositioning .....................................................................................16 

1.2.10.  Detector IN / OUT (for version with removable detector) ..................................................16 

1.2.11.  Centring controls with joystick ............................................................................................16 

1.2.12.  Tabletop longitudinal movement ........................................................................................17 

1.2.13.  Tabletop height and tilting with joystick .............................................................................17 

1.2.14.  Tabletop reset button .........................................................................................................17 

1.2.15.  Exposure controls ..............................................................................................................17 

1.2.16.  Touch screen display .........................................................................................................18 

1.3. 

Automatic collimator

 .........................................................................................................................19 

1.4. 

Remote handswitch

 ...........................................................................................................................20 

Summary of Contents for D2RS

Page 1: ...OM RCTDRDyn R0a Release in January 2015 Digital Remote Controlled Table with dynamic flat panel detector User s Manual ...

Page 2: ...Digital Remote Controlled Table with dynamic flat panel detector User s Manual 1 REVISIONS HISTORY Revision Date Reason for change 0 30 January 2015 First edition Of reorganisation of the manuals ...

Page 3: ...Digital Remote Controlled Table with dynamic flat panel detector User s Manual 2 Please read the whole documentation before using the medical device ...

Page 4: ...4 Column reset button 15 1 2 5 Collimator shutters controls with joystick 15 1 2 6 Automatic collimation mode 15 1 2 7 Light beam switching on 15 1 2 8 Compression controls option 16 1 2 9 Unique control for autopositioning 16 1 2 10 Detector IN OUT for version with removable detector 16 1 2 11 Centring controls with joystick 16 1 2 12 Tabletop longitudinal movement 17 1 2 13 Tabletop height and t...

Page 5: ...eparation for exposure 26 2 6 Generator interface use 27 Refer to Generator interface User Manual 2 7 Digital system control console use 27 Refer to Digital System User Manual 2 8 Detector use for version with removable detector 27 2 9 Tomography use 28 2 10 Stitching use option 30 2 11 Motorised compression system use option 31 3 TABLE MAINTENANCE 32 3 1 Cleaning and disinfecting 32 3 2 Preventiv...

Page 6: ... Nor can any practical design compel the operator to take adequate precautions to prevent the possibility of any persons carelessly unwisely or unknowingly exposing themselves or others to X radiation It is important that everyone working with X radiation be properly trained and take adequate steps to insure protection against injury The manufacturer assumes that all operator and service personnel...

Page 7: ...ray department has just purchased a Digital Dynamic Remote System with flat panel detector We congratulate you on this choice and are sure you will be fully satisfied with its use and diagnostic capabilities These radiology units offer high quality and advanced technology To become familiar with its operation and make the most of its performance the use of this equipment is conditioned by the init...

Page 8: ...ny in charge with the equipment Refer to Service Manual to obtain pieces of information retated to functioning transport and to storage of the equipment the conditions necessary for installation of the equipment the preparation for use of the equipment the replacement of fuses power supply cords and other parts the circuits diagrams and to the list of components mains isolation The installation an...

Page 9: ...ronic components lead transformers etc that once the life cycle of the equipment or system comes to end becomes dangerous and need to be considered as harmful waste according to the international domestic and local regulations Please contact the manufacturer once the life cycle of the equipment or system comes to end and before remove this equipment or system Label in compliance with 2002 96 EC Eu...

Page 10: ...nventional commercially available equipment to protect yourself and your patient against scattered radiation risks The following instructions must be strictly observed 1 Safety Use only the following accessories supplied by the manufacturer Remote control Compression band and compression winches Footrest Stool Handles Double pedal OPTIONAL ACCESSORIES Triple pedal Cup holder Pair of shoulder rests...

Page 11: ...ormal load of patients should be done when the tabletop is in the central position The system 120 cm tabletop movement works only for patient loading in lying position from stretcher to tabletop In this case the heights of the stretcher and the table must be identical Never let the patient at the end of the tabletop When the tabletop is out do not sit or exert pressure on the tabletop The patient ...

Page 12: ...with the risks associated with ionizing radiation Therefore if the user does not respect safety regulations put in place he can be exposed to a radiation hazard Precautions Two main rules regarding radiation protection are daily implemented justification and optimization The justification lies in the fact that as with any medical procedure the benefit must be greater than the risk Although the ris...

Page 13: ...xtension cord shall be connected to the system Do not connect items which are not specified as part of the system When a non medical electrical equipment which has been supplied as a part of the system is directly connected to the wall outlet the user does not benefit from the specific protections of the system power supply notably concerning the leakage currents When an electric equipment which h...

Page 14: ...xaminations with the patient in any position This multipurpose table is designed for performing following examination on adults children and babies Radiography exams General x ray procedures skull chest abdomen pelvis spine extremities Tomography Extremities skyline patella weight bearing exams Paediatrics baby pelvis Stitching option Dynamic exams Full digestive tract Uro genital system Endoscopy...

Page 15: ...be done on the two consoles whatever locking system position is The secondary console allows triggering the emission of X rays but it is not possible to perform parameter settings Generator interface is not available WARNING The secondary console should only be connected to the power cable located in the table output 1 2 1 TABLE SWITCHING ON 1 I button on the back of the control console switches o...

Page 16: ...de to the right column movement 1 2 4 COLUMN RESET BUTTON 7 Column perpendicular stop 1 2 5 COLLIMATOR SHUTTERS CONTROLS WITH JOYSTICK 8 shutter longitudinal opening 9 shutter longitudinal closing 10 shutter lateral opening 11 shutter lateral closing 1 2 6 AUTOMATIC COLLIMATION MODE 12 selection of automatic collimation mode 1 2 7 LIGHT BEAM SWITCHING ON 13 lighting of beam 3 4 5 6 7 8 9 10 11 12 ...

Page 17: ...e button allows table autopositioning through anatomical programming 1 2 10 DETECTOR IN OUT for version with removable detector 17 Detector IN 18 Detector OUT 1 2 11 CENTRING CONTROLS WITH JOYSTICK 19 Carriage movement on foot side or head side 20 Tabletop lateral movement on column side or opposite 1 2 12 TABLETOP LONGITUDINAL MOVEMENT 21 Head side to the left movement 22 Foot side to the right m...

Page 18: ... thoroughly read and understood before attempting to place this equipment in operation We will be glad to assist and cooperate in placing this equipment in use Although this apparatus is built to the highest safety standards and incorporates a high degree of protection against X radiation other than the useful beam no practical design of equipment can provide complete protection Nor can any practi...

Page 19: ...ith values of SID column and tilting angles height of tabletop regarding floor height of detector centre regarding table foot border shutters opening zoom if selected For the video camera it displays the parameters of table and the image filmed by the camera in real time Refer to the following chapter 2 OPERATION For the generator it displays the interface to modify exposure parameters as kV mA s ...

Page 20: ...or lamp These controls can be used in both Automatic and Manual modes 13 This soft key is used to switch on the collimator lamp It is on for approximately 20 seconds When green LED turns On automatic collimation mode is ready The red LED turns momentarily On when the blades are moving and or the system is NOT ready X rays are inhibited Not used Soft key to select the filtres manually choice betwee...

Page 21: ...console Tabletop longitudinal movement correspond with the controls 21 22 of the main console SID movement correspond with the controls 3 4 of the main console Detector rotation no correspondence with any control of the main console only active for version with removable detector Compression movement optional correspond with the controls 14 15 of the main console Tilting movement correspond with t...

Page 22: ... LCD display lights up the table is ON Then all other equipment in the room When the table main console switches on the following screen is displayed Note in this manual in the corresponding fixed icons the term TABLE is used for the table CAM for the camera and GEN_X for the generator For digital system and generator detector control console and generator interface please refer to corresponding u...

Page 23: ...he first screen The detector is in place inserted in landscape format HEAD table side FOOT table side You can change the orientation by pressing the icon The detector is in place inserted in portrait format You can change the orientation by pressing the icon The detector is inserted but its orientation is not detected Please check if there is any detector positioning trouble firstly by pressing ag...

Page 24: ...place the winch to the desired location and tighten this knob For the second winch repeat the operation and place it symmetrically to the first one Then put each metal end of band inside winch slot and make compression by rotating assymetrically axes of winches thanks to large knobs The footrest can be placed anywhere in the rails of the tabletop except at the center of rails where a slot is put t...

Page 25: ...necessary refer to Digital System User manual for fluoro mode The variable height of the table can be used during examination to fit the optimum height for the doctor Note the table positions vertical and horizontal usually used can be registered during installation for rapid positioning of table before installing the patient Afterwards patient positioning can be adjusted as explained above Note t...

Page 26: ... table positioning regarding the exam to do and user working habits CAUTION Before any table movement overall tilting or tabletop movements make sure there are no obstacles that can collide during movement To prevent injury to the patient ensure that patient s clothing cannot be trapped in the equipment Ensure that the patient remains to the specified handgrips The patient must be correctly and se...

Page 27: ...are collimating Adjust the patient position using the movements described previously in chapter 2 3 It is possible to reduce the X ray field using the collimator shutters manual control joystick After modifying parameters if needed refer to corresponding manuals make the exposure using exclusively the controls on the main table console press the first trigger preparation button and holding down th...

Page 28: ... DETECTOR USE for version with removable detector To remove the detector from its rotating support press Detector OUT button The support moves to Portrait format the tabletop moves laterally to maximum on column side when movements are finished the detector is accessible then release the key Press the latch unplug the detector from the connector on left side and then remove it To insert the detect...

Page 29: ...n mm Fulcrum Increment in mm Press once Decrease Fulcrum Height by 1mm Keep pressed Decrease Fulcrum Height by 5mm Press once Increase Fulcrum Height by 1mm Keep pressed Increase Fulcrum Height by 5mm Press Decrease Fulcrum Increment by 1mm Press Increase Fulcrum Increment by 1mm Tomography time value will be displayed according to the selected speed and angle Press Table exits tomography mode Sel...

Page 30: ...tion is finished you can release the Preparation and Emission buttons If the message Tomography not possible move carriage appears it means that the carriage sensor holder is too close to the head side of the table to allow the tomography movement In this case release the Preparation button press OK move the carriage to the feet side of the table and try again by pressing the Preparation button If...

Page 31: ...eaches its initial position Note the programme is always done from head to toe Adjust the patient position see corresponding chapter using the movements of carriage of tabletop lateral and the video camera and finalizing with fluoroscopy if really necessary It is possible to reduce the X ray field laterally using the collimator shutters manual control joystick After modifying parameters if needed ...

Page 32: ...the patient factory s etting tabletop carriage and incidence movements are inhibited If the table is switched off from mains supply while the patient is under compression you can disengage the compression device manually For motorised compression device manually removable For motorised compression device motor driven removable Turn the handle anticlockwise several times unscrewed as shown below To...

Page 33: ...olvent corrosive or phenol based disinfectants The table and control console must not be exposed to gaseous disinfectants Spray disinfectants are not recommended since they can enter the equipment causing short circuit and or corrosion If the procedure room containing the equipment is to be disinfected by mean of an atomiser it is mandatory to respect the following recommendations Switch off the e...

Page 34: ... Check for correct functioning Weekly All indicators leds Cabling Inspect for kinks cracks and signs of crushing Weekly Emergency stops 3 Check for correct functioning of the three emergency stops Monthly Cone mounted on the collimator Check it is well fixed without any clearance within the fixing rails Monthly Automatic stops Check the automatic stops of each element tube tabletop regarding the f...

Page 35: ...position on foot side TABLE TOP MAX This indicates that the tabletop reaches its end longitudinal position on head side TILTING LEFT LIMIT This indicates that the table reaches its end tilting position in tredelenburg TILTING RIGHT LIMIT This indicates that the table reaches its end tilting position at 90 S I D LOWER LIMIT This indicates that the tube reaches its lower position for minimum SID S I...

Page 36: ...icates that the system detects compression and then forbids any movement of carriage Patient Compression Detected Lat Table Top Disabled This indicates that the system detects compression and then forbids any lateral movement of tabletop Patient Compression Detected Long Table Top Disabled This indicates that the system detects compression and then forbids any longitudinal movement of tabletop TUB...

Page 37: ...G THE CEILING This indicates that the tabletop is reaching a end position at the top regarding layout this limit stops the movement immediately THE TABLE TOP IS TOUCHING THE FLOOR This indicates that the tabletop is reaching a end position at the bottom regarding layout this limit stops the movement immediately THE TABLE IS TOUCHING THE FOOT LEFT SIDE This indicates that the table is reaching the ...

Page 38: ...with the table variable height but allows other movements LONG TABLE TOP TIME OUT This indicates a system failure with the tabletop longitudinal movement but allows other movements S I D TIME OUT This indicates a system failure with the tube movement SID but allows other movements LAT TABLE TOP TIME OUT This indicates a system failure with the tabletop lateral movement but allows other movements T...

Page 39: ...OT This indicates a system failure with the table variable height in lower position and forbids all the movements LONG TABLE TOP EOT This indicates a system failure with the tabletop longitudinal end position on foot side and forbids all the movements LONG TABLE TOP EOT This indicates a system failure with the tabletop longitudinal end position on head side and forbids all the movements S I D EOT ...

Page 40: ... CMDE COMPRES H B LONG TABLE TOP SLIPPING FAULT CARRIAGE INVERTER DEFAULT S I D SLIPPING FAULT COLUMN INVERTER DEFAULT LAT TABLE TOP SLIPPING FAULT TILTING INVERTER DEFAULT DEFAUT GLISSEMENT COMPRES ESCAMOT TABLE HEIGHT INVERTER DEFAULT DEFAUT GLISSEMENT COMPRES H B LONG TABLE TOP INVERTER DEFAULT CODEUR CHARIOT HORS LIMITE LOG CARRIAGE ENCODER DEFAULT CODEUR INCIDENCE HORS LIMITE LOG COLUMN ENCOD...

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