AGFA DR Full Leg Full Spine User Manual Download Page 9

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Introduction to the Full Leg Full Spine

application

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System Documentation

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Accuracy of Measurements

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Product Complaints

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Labels

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Cleaning and Disinfection

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Maintenance

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Environmental protection

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Safety Directions

DR Full Leg Full Spine | Introduction to the Full Leg Full Spine application |

0179E EN 20210708 1527

Summary of Contents for DR Full Leg Full Spine

Page 1: ...DR Full Leg Full Spine User Manual 0179E EN 20210708 1527...

Page 2: ...c Workflow using the DX Full Leg Full Spine Stand 27 Retrieve the patient info 28 Select the exposure 28 Prepare the Full Leg Full Spine configuration 29 Prepare the examination 32 Prepare the X Ray s...

Page 3: ...aking measurements 63 Problem solving 65 Anatomical stitching is not optimal 66 Stitching fails 67 Full Leg Full Spine examination is interrupted 68 Part of the image is masked by the black border 69...

Page 4: ...and services may not be available for your local area Please contact your local sales representative for availability information Agfa NV diligently strives to provide as accurate information as poss...

Page 5: ...Introduction to this Manual Topics Scope of this Manual About the safety notices in this document Disclaimer DR Full Leg Full Spine Introduction to this Manual 5 0179E EN 20210708 1527...

Page 6: ...lowing accessories DX Full Leg Full Spine Stand DX FLFS Horizontal Overlay DR 600 FLFS Horizontal Overlay DX FLFS Horizontal Overlay and DR 600 FLFS Horizontal Overlay are further referred to as FLFS...

Page 7: ...CAUTION A caution safety notice indicates a hazardous situation which can lead to a potential minor injury to a user engineer patient or any other person An instruction is a direction which if it is n...

Page 8: ...may appear in this document To improve reliability function or design Agfa reserves the right to change the product without further notice This manual is provided without warranty of any kind implied...

Page 9: ...ser Configuration Compliance System Documentation Accuracy of Measurements Product Complaints Labels Cleaning and Disinfection Maintenance Environmental protection Safety Directions DR Full Leg Full S...

Page 10: ...y The patient should not move during the examination to allow accurate alignment of the X ray images The DX Full Leg Full Spine Stand and the FLFS Horizontal Overlay are tools to align multiple X ray...

Page 11: ...ally handle the equipment as well as the persons having authority over the equipment Before attempting to work with this equipment the user must read understand note and strictly observe all warnings...

Page 12: ...e DX Full Leg Full Spine Stand 2 Handle of the DX Full Leg Full Spine Stand 3 Removable footstep 4 Collapsable footstep 5 Floor mount lock 6 Vertical ruler 7 Horizontal ruler 8 Patient belt 9 Knobs fo...

Page 13: ...Figure 2 Protection shield 2 2 1 1 Stitching grid 2 Ruler Figure 3 FLFS Horizontal Overlay DR Full Leg Full Spine Introduction to the Full Leg Full Spine application 13 0179E EN 20210708 1527...

Page 14: ...nd DX FLFS Horizontal Overlay and DR 600 FLFS Horizontal Overlay have been designed in accordance with Regulation EU 2017 745 on medical devices MDR 14 DR Full Leg Full Spine Introduction to the Full...

Page 15: ...ibed may have been purchased or licensed on a particular piece of equipment Refer to the System User Documentation before using the Full Leg Full Spine application User Manual of the DR system and rel...

Page 16: ...s 0 2 cm The accuracy applies to the difference between the size of the projection of the object on the stitching grid and that measured with the product on these conditions The image is stitched base...

Page 17: ...the use of this device or as a result of its use a serious incident has occurred please report it to the manufacturer and or its authorised representative and to your national authority Manufacturer a...

Page 18: ...ormat The most recent version of this docu ment is available on http www agfa healthcare com global en library index jsp Table 1 DX Full Leg Full Spine Stand type 6001 100 Label Meaning Figure 4 Examp...

Page 19: ...l Meaning Figure 5 Example of the type label Type label 300 Maximum patient weight Handle with care Tube side Top side according to pa tient orientation Bottom side according to patient orientation DR...

Page 20: ...urfaces of the DX Full Leg Full Spine Stand or of the FLFS Horizontal Overlay using disinfectants such as ethanol 70 to prevent the risk of infection Do not spray the equipment directly with disinfect...

Page 21: ...intenance The DX Full Leg Full Spine Stand and the FLFS Horizontal Overlay do not require maintenance DR Full Leg Full Spine Introduction to the Full Leg Full Spine application 21 0179E EN 20210708 15...

Page 22: ...d can be taken out and disposed separately For more detailed information about disposal of this product please contact your local Agfa service organization 22 DR Full Leg Full Spine Introduction to th...

Page 23: ...ination can cause serious damage to the equipment and represents a danger for the user and the patient WARNING Handle the FLFS Horizontal Overlay with care to avoid damage WARNING Do not use the FLFS...

Page 24: ...Strictly observe all warnings cautions notes and safety markings within this document and on the product 24 DR Full Leg Full Spine Introduction to the Full Leg Full Spine application 0179E EN 2021070...

Page 25: ...ted Topics Basic Features Basic Workflow using the DX Full Leg Full Spine Stand Basic Workflow using the FLFS Horizontal Overlay Advanced Operation DR Full Leg Full Spine Getting started 25 0179E EN 2...

Page 26: ...Full Spine image Stitching is applied based on grid markers in the stitching grid of the DX Full Leg Full Spine Stand or the DX FLFS Horizontal Overlay and a correction is applied based on the alignme...

Page 27: ...the exposure Prepare the Full Leg Full Spine configuration Prepare the examination Prepare the X Ray system for the examination Check the exposure settings Execute the exposure Perform a quality cont...

Page 28: ...or the exam 2 Start the exam Select the exposure In the operator room at the NX workstation 1 In the Image Overview pane of the Examination window select the thumbnail for the DR Full Leg Full Spine F...

Page 29: ...fault position of the X ray tube is such that the touch screen console is easy to reach 3 Position and fixate the DX Full Leg Full Spine Stand Before moving the stand from its parking position release...

Page 30: ...imum height approx 10 cm Remove the top footstep and put the bot tom footstep in its collapsed position Medium height variable Unfold the bottom footstep if needed Slide the top footstep into one of t...

Page 31: ...ion of interest 1 On DX D 300 the region of interest on the vertical ruler cannot go lower than 40 cm 2 On DX D 600 the region of interest on the vertical ruler cannot go lower than 25 cm 3 On DR 600...

Page 32: ...p and may need help to step on the DX Full Leg Full Spine Stand Positioning instructions 1 The patient should use the handles to obtain a stable position 2 Use the patient belt to stabilize the patien...

Page 33: ...the DX Full Leg Full Spine Stand and the plane in which measurements are to be made from the horizontal ruler on the handle of the DX Full Leg Full Spine Stand This distance is used for calibrating di...

Page 34: ...g the patient and cause the stand to collide with the X ray system during the examination If needed let the patient step down from the stand and repeat the positioning of the stand and of the patient...

Page 35: ...splayed on the console is suitable for the examination Figure 10 Settings for patient size Setting the patient size only affects exposures with AEC 2 If other exposure values are required edit the set...

Page 36: ...2 Confirmation button Figure 11 Edit exposure settings for partial images 36 DR Full Leg Full Spine Getting started 0179E EN 20210708 1527...

Page 37: ...ination has finished The partial images are sent to the NX workstation WARNING During exposure ionizing radiation is emitted by the X ray system To indicate the presence of ionizing radiation the radi...

Page 38: ...ing parameters are displayed on the right side of the image Table 4 Stitching parameters Button Parameter 0 0 Vertical correction in respect to the stitching grid for the align ment of the anatomical...

Page 39: ...of the movement of the patient during the examination To perform quality control 1 If required adjust the stitching 2 Click Accept Depending on the configuration settings the stitching parameters are...

Page 40: ...ed N Indication that no patient movement is detected Figure 13 Example of a text annotation containing stitching parameters 3 Prepare the image for diagnosis by using e g L R markers or annotations 4...

Page 41: ...to step down from the DX Full Leg Full Spine Stand 2 Put the bottom footstep in its collapsed position 3 Unlock the DX Full Leg Full Spine Stand by pushing the lower lever of the floor mount locks 4...

Page 42: ...the Full Leg Full Spine configuration Prepare the examination Prepare the X Ray system for the examination Check the exposure settings Execute the exposure Perform a quality control Finalize the exam...

Page 43: ...or the exam 2 Start the exam Select the exposure In the operator room at the NX workstation 1 In the Image Overview pane of the Examination window select the thumbnail for the DR Full Leg Full Spine F...

Page 44: ...the X ray tube is such that the touch screen console is easy to reach 3 Position the FLFS Horizontal Overlay on the radiographic table If the patient is positioned with the head on the left side the v...

Page 45: ...5 FLFS Horizontal Overlay Figure 14 FLFS Horizontal Overlay on radiographic table DR Full Leg Full Spine Getting started 45 0179E EN 20210708 1527...

Page 46: ...to the patient caused by unit movements Patient hands must be kept away from mobile components of the unit Intravenous tubing catheters and other patient connected lines should be routed away from mo...

Page 47: ...LFS Horizontal Overlay and the horizontal plane in which measurements are to be made This distance is used for calibrating distance measurements on the image in NX If no calibration is required enter...

Page 48: ...the Set button 2 Press and hold the button that moves the X ray system to the automatic position The X Ray system moves to the starting position for the examination When the position is reached the po...

Page 49: ...splayed on the console is suitable for the examination Figure 17 Settings for patient size Setting the patient size only affects exposures with AEC 2 If other exposure values are required edit the set...

Page 50: ...2 Confirmation button Figure 18 Edit exposure settings for partial images 50 DR Full Leg Full Spine Getting started 0179E EN 20210708 1527...

Page 51: ...ination has finished The partial images are sent to the NX workstation WARNING During exposure ionizing radiation is emitted by the X ray system To indicate the presence of ionizing radiation the radi...

Page 52: ...ing parameters are displayed on the right side of the image Table 6 Stitching parameters Button Parameter 0 0 Vertical correction in respect to the stitching grid for the align ment of the anatomical...

Page 53: ...of the movement of the patient during the examination To perform quality control 1 If required adjust the stitching 2 Click Accept Depending on the configuration settings the stitching parameters are...

Page 54: ...ed N Indication that no patient movement is detected Figure 20 Example of a text annotation containing stitching parameters 3 Prepare the image for diagnosis by using e g L R markers or annotations 4...

Page 55: ...patient step down from the radiographic table The patient may need help to step down from the radiographic table 2 Remove the FLFS Horizontal Overlay from the radiographic table and store it DR Full L...

Page 56: ...l Overlay on the hook on the wall or on a flat surface When the overlay stays askew at a wall or is not fully supported on a table the overlay will be bent after some time A bent overlay cannot be use...

Page 57: ...dvanced Operation Topics Manually adjusting a DR Full Leg Full Spine image Rejecting a DR Full Leg Full Spine image Making measurements DR Full Leg Full Spine Getting started 57 0179E EN 20210708 1527...

Page 58: ...g button to rotate 90 counterclockwise Figure 22 Rotate counterclockwise To stitch a set of partial images To stitch a set of partial images 1 In NX go to the Examination window 2 In the Image Overvie...

Page 59: ...orizontal and vertical correction are set to zero Next to the stitching areas the following label is displayed 0 0 0 1 Figure 24 Stitching tools align partial images To align the partial images based...

Page 60: ...0 0 1 Figure 26 Stitching tools align partial images via anatomical information To manually align two partial images To manually align two partial images 1 Click the Alignment button Figure 27 Alignme...

Page 61: ...lick the Revert button Figure 29 Revert button The relative position of the partial images compared to their initial relative position is illustrated by two crosshairs displayed in the image each of w...

Page 62: ...can be used to create another DR Full Leg Full Spine image Rejecting a DR Full Leg Full Spine image By rejecting an image you indicate that the image is not suitable for diagnosis and that a retake i...

Page 63: ...surement tools To modify the Estimated Radiographic Magnification Factor see the NX User Manual on Adding an Estimated Radiographic Magnification Factor ERMF 5 1 4 6 8 10 7 3 9 2 1 X ray tube 2 Patien...

Page 64: ...the plane in which the measurement is made the stitching grid the DR Detector and the X ray tube are used to calculate the Estimated Radiographic Magnification Factor to calibrate the distance measure...

Page 65: ...ching is not optimal Stitching fails Full Leg Full Spine examination is interrupted Part of the image is masked by the black border Bright area where partial images overlap DR Full Leg Full Spine Prob...

Page 66: ...ation in the image is suspicious because of possible movement of the patient during the examination this icon is displayed in the Stitching pane Cause The patient has changed position during the exami...

Page 67: ...use the grid markers in the stitching grid are not visible in the parti al images Cause The stiching grid was not used for the examination Brief Solution Click Cancel in the Stitching pane No DR Full...

Page 68: ...eased by the user before the complete examination has finished Brief Sol ution If you release the exposure button by accident you can press it again to continue the examination If the exposure button...

Page 69: ...problem use the ROI detection exposure techniques as described in Working with collimation Solution Steps To show hide black borders 1 The Image Detail pane in the Examination window has a set of butt...

Page 70: ...window from the first drop down list in the Image Processing tool section select the icon below 3 Click to define the starting point 4 Move the pointer and click to define each corner 5 Click the sta...

Page 71: ...hed image may show a bright area where the partial images overlap Cause The increased brightness is a result of the image processing that is applied when combining the partial images Brief Solu tion T...

Page 72: ...Technical Data Topics DX Full Leg Full Spine Stand DX FLFS Horizontal Overlay DR 600 FLFS Horizontal Overlay 72 DR Full Leg Full Spine Technical Data 0179E EN 20210708 1527...

Page 73: ...ding packaging Mylar Back X ray Absorption 0 1 mm Al Max allowable patient weight 200 kg Environmental requirements Room temperature recommended 20 C to 25 C allowed 15 C to 30 C Maximum temperature c...

Page 74: ...X ray Absorption 0 1 mm Al Maximum patient weight 300 kg Environmental requirements Room temperature 5 C to 40 C Maximum temperature change 0 5 C min Relative humidity 5 to 85 Environmental requiremen...

Page 75: ...Back X ray Absorption 0 1 mm Al Maximum patient weight 300 kg Environmental requirements Room temperature 5 C to 40 C Maximum temperature change 0 5 C min Relative humidity 5 to 85 Environmental requi...

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