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Chapter A1: Detector Overview

Definium AMX 700 X-Ray System

5161515-1EN

Rev. 6 (10 February 2008)

A1-6

Operator Manual

© 2008 General Electric Company. All rights reserved.

Electro-magnetic Interference

The detector has been designed and tested to meet all IEC regulations in regard to electro-magnetic (EM)
susceptibility (and EMC).
However, there are no regulations for low frequency EM fields. All flat panel detectors have some
susceptibility to these EM fields.
This detector is robust to EM fields up to 0.1mG over a broad low frequency range (DC - 250kHz).
It has been found that some common equipment in clinical environments can generate EM fields well
over 0.1mG. Some measurements have shown 4mG field strengths which can cause artifacts on x-ray
images.
EM fields are reduced by the square of the distance between the EM source and the detector. Thus,
moving the EM source twice as far away will reduce the field strength by 4 times.

General suggestions:
• Keep IV pumps, patient monitoring, feeding pumps 1 meter or more away from any detector surface.
• Consider turning off equipment that cannot be moved.
• Change the patient or detector orientation /position to maximize distance from any equipment.

Possible sources of EM fields:
• IV pumps
• Monitors
• Feeding pumps
• Patient monitors
• ECG equipment
• EMG equipment
• Infusion pumps
• RF ablators
• Powered surgical equipment
• Heaters
• Air conditioners
• Refrigerators

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Summary of Contents for 5151481-3

Page 1: ... Rev 6 10 February 2008 2008 General Electric Company All rights reserved FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 2: ...EC 60601 1 Classifications 2 6 Applicable Symbols 2 6 Chapter 3 Hardware Overview Unit Features 3 1 Control and Display Panel 3 5 Hand Switch 3 6 TechSwitch 3 7 Test the Battery 3 9 Replace Transmitter Battery 3 9 Clean Transmitter Cradle 3 9 Options and Accessories 3 9 Dose Area Product DAP Meter 3 9 External CD Drive 3 10 Chapter 4 Moving and Positioning Turn Unit On 4 1 Drive the Unit 4 1 Posit...

Page 3: ... Chapter 7 Maintenance and Service Cleaning the Unit 7 1 Periodic Maintenance by Service Personnel 7 1 Qualified Service Available 7 2 Maintenance Schedule 7 2 Chapter 8 Messages on Display Appendix A GE Portable DR Detector Operating Instructions A1 Detector Overview Detector Functions A1 2 Description A1 2 Panel A1 3 Electronics A1 3 Physical Appearance Finish A1 3 Nameplates and Markings A1 3 D...

Page 4: ...7 Log Off A2 7 Wireless Network Connection A2 7 Software Reset A2 8 System Reset A2 9 Lead Markers A2 9 System Status and Messages A2 10 Expose Hold A2 10 System Status Area A2 10 Message Log A2 11 A3 Worklist Overview A3 1 Patient List Columns A3 6 Manage List Find Procedures A3 7 Search A3 7 Sort by Column A3 7 Filter List A3 8 Refresh A3 11 Manual Refresh A3 11 Auto Refresh A3 11 Select Procedu...

Page 5: ...t Images to View A5 5 Change Image Display A5 6 Adjust Images A5 7 Annotate and Mask Images A5 9 Customize System Annotations A5 12 Add Image Annotations A5 13 Delete Image Annotations A5 15 Adjust Image Shutter Crop Image A5 15 Automatic Shutter A5 16 Re process Images A5 17 Determine if Images should be Retaken DEI A5 18 Corrective Actions A5 20 Exceptions to Corrective Actions A5 20 Change Poin...

Page 6: ...erences System A7 2 Network Connections A7 2 Add or Edit Network Host A7 3 Remove Network Host A7 6 Perform C Echo Test A7 7 Printers A7 7 Add or Edit DICOM Printers A7 8 Remove DICOM Printer A7 12 Worklist A7 13 Default Query A7 13 Auto Refresh A7 15 Preset Names A7 15 Add Preset Names A7 16 Edit Preset Names A7 16 Remove Preset Names A7 17 Image Management A7 18 Copy Exam A7 18 Auto Tag Quality ...

Page 7: ... Protocol Database A7 41 Add or Edit Category A7 42 Add or Edit Exam A7 43 Add or Edit View A7 44 Protocol Editor Copy Functions A7 49 Copy Category A7 49 Copy Exam A7 50 Copy View A7 50 A8 Quality Assurance Process and Maintenance Types of Quality Tests A8 1 When to Perform Quality Tests A8 2 Detector Check A8 2 QAP A8 2 Quality Test Preparation A8 2 Perform Detector Check A8 3 Failed Detector Ch...

Page 8: ...oups B 4 Assign Privileges to Groups B 5 Remove Groups B 5 Show Protected Groups B 5 Working with Users B 7 Add Users B 7 Assign Users to Groups B 8 Change User Password B 8 Remove Users B 9 Show Protected Users B 9 Viewing the Audit Log B 11 Administering System Configuration B 12 Change Display Settings and Enable Enterprise Authorization B 12 Configure Enterprise Authorization B 13 Configure Au...

Page 9: ...ake changes in the content of it without notify any person of such revision or changes European registered place of business GE Medical Systems Europe Quality Assurance Manager BP 34 F 78533 BUC CEDEX Green QSD 1990 Standard issued by MDD Medical Devices Directorate Department of Health UK Medical Device Good Manufacturing Practice Manual issued by the FDA Food and Drug Administration Department o...

Page 10: ...n United States address GE Healthcare 3000 N Grandview Ave Waukesha WI 53188 1696 US Phone number United States 262 544 3011 International 1 262 544 3011 Web address www gehealthcare com FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 11: ...Power Circuit Breaker information from the Maintenance and Service chapter Figure 6 5 replaced 7 1 Switched order of Maintenance and Messages chapters 7 2 Updated descriptions of Battery Too Low and Charge Required messages in table 7 1 8 1 Updated approved cleaning chemical list A1 5 Added weight in kilograms caution in Figure A1 3 A1 6 Updated table A1 2 detector status lights A1 7 updated list ...

Page 12: ...s and wireless network connection status rows to table A6 1 A7 7 Added wireless network connection trouble shooting steps to Failed C echo Test A7 30 Updated steps 2 4 A7 32 Added Enable or Disable Technical Mode section A7 33 Added Exam section A7 35 Updated step 6 A8 3 Updated note at top of page Added last bullet to list under Quality Test Preparation A8 4 Updated step 2 A8 7 Added paragraph an...

Page 13: ... A7 50 Removed Unpaired as an option for Laterality B 13 Changed text in table B 1 row Inactivity Timeout Added that this function is not implemented and that changing the settings may cause conflicts with system software Removed most of the description 4 29 Sep 2006 All Miscellaneous typographical and grammatical corrections 3 4 Deleted information from table 3 1 row 15 regarding opening and clos...

Page 14: ... table A8 1 removed information about testing factors A8 5 14 Replaced all figures with new images A8 11 Corrected failed QAP information A8 14 Removed most text from Cleaning section and replaced it with a cross reference to Chapter A1 Detector Overview Cleaning 5 17 Nov 2006 A5 4 A5 21 22 A7 30 32 Changed Dose Exposure Indicator to Dose Exposure Index 6 10 Feb 2008 7 1 Added Bleach 50 solution t...

Page 15: ...h the same quality as a full scale x ray room Figure 1 1 Definium AMX 700 in use Safety Information Please refer to Chapter 2 Safety and Regulatory in this Learning and Reference Guide The Safety chapter describes the safety information you and the physicians must understand thoroughly before you begin to use the system Note that you will find additional safety information throughout your Learning...

Page 16: ... or radial buttons Choosing an option from a drop down list Activating a tab Highlighting text Highlighting row items Press START EXAM Pressing a button on a workstation screen In the Matrix text box The name of text box in which you can select or type text or the name of a drop down list from which you select an option Type DICOMAE in the Text you enter into a text box Select Preferences Worklist...

Page 17: ...NING Warning is used to identify conditions or actions for which a specific hazard is known to exist which may cause severe personal injury death or substantial property damage if the instructions are ignored CAUTION Caution is used to identify conditions or actions for which a potential hazard may exist which will or can cause minor personal injury or property damage if the instructions are ignor...

Page 18: ...porates 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 practical design compel the operator to take adequate precautions to prevent the possibility of any persons carelessly exposing themselves or others to radiation It is important that everyone having anything to do with x radiation be proper...

Page 19: ...nd exposure switch at not less than 2 meters from the focal spot and the x ray beam The full extended spiral cable length of the hand switch is approximately 4 meters CAUTION The x ray beam may extend beyond the primary protective shielding Use lead backed cassettes or digital detector Do not stand behind the receptor and or in line with the x ray beam CAUTION There should be no people other than ...

Page 20: ...quency interference to other medical and non medical devices and radio communications To provide reasonable protection against such interference the Definium AMX 700complieswithemissionslimitsforaGroup1 ClassAMedicalDevicesasstatedinEN60601 1 2 However there is no guarantee that interference will not occur in a particular installation If this equipment is found to cause interference which may be d...

Page 21: ...ed by authorized personnel only WARNING Electric shock hazard To prevent possible electric shock do not insert fingers inside the RJ 45 connector Ethernet port Refer to Chapter 3 Hardware Overview Unit Features p 3 1 for more information about the location of the Ethernet port CAUTION Always be alert to safety when you operate this equipment You must be familiar enough with the equipment to recogn...

Page 22: ...romagnetic interference affecting or caused by the unit call service Portable and mobile RF communications equipment can affect medical electrical equipment CAUTION This equipment is not rated for use in the presence of flammable gases Good Operating Practices Wear a lead apron while performing an x ray exam Step back at least 6 feet 1 8 meters from the tube or to the full extension of the hand sw...

Page 23: ...efinition This symbol on the equipment means that the accompanying operating instructions should be consulted to assure safe operation Store and operate the detector within the range of 0 to 50 C 32 122 F to avoid damage To avoid damage do not place a load in excess of 160kg 350lb on the detector In accordance with UL 60601 1 the Definium AMX 700 is classified as Type B Equipment Class I Equipment...

Page 24: ... off This does not remove mains voltage Battery power on This does not apply mains voltage Indicates radiographic control Indicates non ionizing radiation is present Indicates ionizing radiation is present X ray emission X ray tube head is emitting x rays Take adequate precautions to prevent the possibility of any persons carelessly unwisely or unknowingly exposing themselves or others to radiatio...

Page 25: ...ting radiation field by using light Collimator blades closed The controlled blades are shown in thicker lines Collimator blades open The controlled blades are shown in thicker lines Symbol Definition FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 26: ...X 700 easily adapted to operating intensive care and emergency room applications Because of a dual motor drive driving and positioning the Definium AMX 700 requires minimum effort And the control panel s cut away design permits optimum visibility for steering down crowded corridors The self stopping bumper one of many built in safety devices helps prevent unwanted mobility the motors stop and the ...

Page 27: ...ch mechanism Locks the tube head down during transport Refer to Chapter 4 Moving and Positioning Latch Lock Release p 4 5 for more information 5 Wireless antenna Connects the unit to the facility network for the transfer of images and HIS or RIS data Refer to Chapter A2 General Information Wireless Network Connection p A2 7 for more information about using the wireless connection 6 Telescopic arm ...

Page 28: ...ges or errors Refer to Control and Display Panel p 3 5 for more information 11 Hand switch for initiating exposures Refer to Hand Switch p 3 6 for more information NOTE Some models may have a wireless TechSwitch in addition to the hand switch Refer to TechSwitch p 3 7 for more information 12 Drive handle Grasp the drive handle and squeeze the release bar to move the unit Refer to Chapter 4 Moving ...

Page 29: ...the exam Refer to Chapter A4 Image Acquisition Conduct a Cassette Exam p A4 10 for more information 16 Front wheels 17 Detector tether holder Provides a place to wrap the tether cord during transport or when being stored 18 Ports 1 USB ports Allow you to connect USB accessory devices such as an external CD drive There are also two USB ports on the back of the unit Refer to item 13 2 Ethernet netwo...

Page 30: ...attery charging cord The cord retracts into the body when moving Refer to Chapter 6 Charging the Batteries for more information 21 Main power circuit breaker Refer to Chapter 6 Charging the Batteries Main Power Circuit Breaker p 6 6 for more information 22 Bumper Automatically activates the brakes and turns off the drive motors upon contact to help prevent accidents Item Description FOR TRAINING P...

Page 31: ...ay have a wireless TechSwitch to be used instead of the hand switch shown in Figure 3 3 Refer to TechSwitch p 3 7 for information Item Description 1 kVp and mAs technique display when in acquisition mode 2 Exposure indicator light Lights up when exposures are taken 3 Battery capacity indicator 4 Battery charging status system status or error message display 5 kVp and mAs technique controls acquisi...

Page 32: ...o the Prep Expose button on top of the hand switch PREP PREP is the next position on the hand switch When it is partially pressed it brings the rotor up to speed and heats the filament PREP also checks the system interlocks and verifies the system is ready to make an exposure The button returns to the OFF position if released EXPOSE The EXPOSE position is when the button on the hand switch is full...

Page 33: ...smitter at the infrared remote sensor 4 To turn on the collimator lamp press the Field Light button on the transmitter optional function 5 To PREP press and release the Prep Expose button on the transmitter When the green Ready indicator light on the X ray machine control panel illuminates you may make an exposure 6 To make an exposure press the Prep Expose button on the transmitter a second time ...

Page 34: ...ns reliably at this range If not a new battery is required This test should be performed quarterly or when a transmitter battery problem is suspected Replace Transmitter Battery Remove the six screws from the gray back cover of the TechSwitch transmitter Place a new 9 volt alkaline battery in the direction shown on the inside of the housing Replace the back cover securing the six screws NOTE The b...

Page 35: ...iewing Backing up the protocol database or other system data The CD drive connects to the unit through a USB port Plug in the CD drive power supply and insert the connection cable into any USB port NOTE The Definium AMX 700 does not have a dedicated space or storage area for the CD drive It is recommended that the CD drive be disconnected and stored before moving the unit FOR TRAINING PURPOSES ONL...

Page 36: ...ostics self tests to make sure everything is working correctly This process takes a few seconds 2 When the technique and battery status displays light up the unit is ready for operation TESTING COMPLETE will also briefly appear on the message display The unit may take 3 minutes for the digital detector software to boot up You may drive the unit before the software finishes booting but you cannot t...

Page 37: ...unit to your destination Figure 4 2 Drive handle WARNING Movement of the Definium AMX 700 x ray unit could cause the horizontal arm to slide and strike an operator or patient if not latched properly Latch telescoping arm properly before moving the unit WARNING Do not drive or position the Definium AMX 700 unless standing directly behind it Figure 4 3 Failure to do this may result in loss of contro...

Page 38: ...ing and maneuvering easily for exact positioning Again grip the drive handle and turn the unit to the desired position Definium AMX 700 maneuvering speed is automatically reduced by 50 percent when the telescoping arm is extended or if the unit is driven when the detector is not in the detector bin Figure 4 4 Arm extended To drive the Definium AMX 700 follow these steps 1 Unplug the unit from the ...

Page 39: ...700 to make it go faster it may stop and display the message RELEASE HANDLE If this happens release the handle to clear the message and then continue with normal operation 7 To stop the unit and activate the brakes release your grip on the drive handle Remember that the self stopping bumper upon impact will turn off the drive motors and activate the brakes To reverse the unit grip the drive handle...

Page 40: ...up Follow these steps to release the latch vertical column and telescoping arm locks from the park transport position Make sure that the unit is turned ON Latch Lock Release 1 Grip the collimator handles to activate the switch You should hear a clicking sound With slight force push the telescoping arm down to release latch and then raise up Note that you only need to grip one of the collimator han...

Page 41: ...mmend that you use the lock release system IMPORTANT Remove the tether from the holder before rotating the column 1 Rotate the arm and vertical column assembly to horizontally position the telescoping arm The vertical column can be rotated 270 degrees clockwise or counterclockwise detent at 0 degree park location See Figure 4 8 2 Raise the arm on the vertical column to the desired height 3 Extend ...

Page 42: ...to activate the high intensity field lamp The cross hair beam shows the field center The field light is timed and automatically turns off 30 seconds after you release the switch To adjust the field light timer contact your service representative To activate the field light for another 30 seconds press the button again when the light goes out You may keep the field light on for up to 4 minutes Afte...

Page 43: ...the field size for a selected SID Dial numbers on the calibrated scale are for a 40 inch 100 cm and 72 inch 180 cm scale SIDs Figure 4 10 Collimator controls 5 You may rotate the collimator about its vertical axis that is to the right or left in two ways by a simple 90 detent method or by a manual lock method for an angle other than 90 90 degree detent method Pull out the knob Figure 4 11 and rota...

Page 44: ...r 3 Shield and collimate as appropriate 4 Select the procedure from the Worklist Refer to Appendix A GE Portable DR Detector Operating Instructions Chapter A3 Worklist for more information 5 Select the anatomy and exam to perform Refer to Appendix A GE Portable DR Detector Operating Instructions Chapter A4 Image Acquisition for more information The default technique selection will appear on the Ac...

Page 45: ...if an exposure has occurred 10 Secure the unit for transport when the exam is complete 11 Park tube and detector Technique Adjustment The software provided with the GE Portable DR Detector contains the recommended default technique settings for both digital and cassette exams Technique adjustment should always be made on the Acquisition screen Refer to Appendix A GE Portable DR Detector Operating ...

Page 46: ...on the message display to alert you IMPORTANT Carefully check the digital display Figure 5 1 before making an exposure to ensure that thefactorsselectedarethosethatareintended Payparticularattentiontotheplacement of the decimal point in the mAs setting to ensure that whole numbers are not mistaken for an intended mAs fractional number The kVp ranges from 50 to 125 kVp in 24 steps 50 52 54 56 58 60...

Page 47: ...tings stated within this operation manual and as allowed by the equipment may appear to exceed the tube ratings The reason for this apparent discrepancy is that the tube rating charts in Product Data Sheet 2236721 100 are based upon a 25 heated tube assembly 75 heat units remaining while the actual maximum allowable kVp and mAs ratings are based upon a cold tube assembly The Definium AMX 700 gener...

Page 48: ...tically performs an extended charge to make sure that all portions of the battery s internal plates get fully charged This extended charge occurs every tenth 10th time the battery is charged To recharge from 10 to 100 during an extended charge typically requires 10 hours The Definium AMX 700 will continue to attempt extended charges until at least half of the extended charge time is complete NOTE ...

Page 49: ...en back on After it has completed its power up tests the Definium AMX 700 will provide enough capacity for approximately 45 seconds of usage before x ray exposures are again inhibited CAUTION In some cases the Definium AMX 700 battery may not provide sufficient voltage for proper operation when EMERGENCY CAPACITY is used Therefore this feature should only be used when absolutely necessary Standby ...

Page 50: ...ium AMX 700 operating modes in a relative basis Figure 6 2 Battery drain As Figure 6 2 demonstrates the majority of the battery pack s capacity is used for drive and idle Thus reducing the amount of drive time by parking the Definium AMX 700 in a central location and turning the system OFF when not in use will make more capacity available for x ray generation and will increase the service life of ...

Page 51: ... a designated battery charging station or to a correctly rated wall outlet Position the unit to within 10 feet of the outlet 2 To plug in firmly grip the plug located on the front of the unit Figure 6 3 and pull the retractable cord straight out until it is fully extended Set the cord by a slow pull release action Plug into the battery charging station Figure 6 3 Battery charging cord Idle Definiu...

Page 52: ...indicator bars are illuminated 5 Unplug the unit from the outlet giving the plug a slight tug to release from take up reel IMPORTANT After unplugging the unit turn the unit on and wait approximately 15 minutes before taking your first exposure to ensure technique accuracy If the unit is plugged into the AC wall outlet for an extended period after the Charge Complete message is displayed the unit w...

Page 53: ...ition If necessary recharge the unit or if the battery is adequately charged try the procedure again If the battery is within operating condition as indicated by the battery status and message displays and power interruptions are frequent there may be a fault in the high voltage system If a fault is indicated have the unit checked by a qualified service representative If the unit does not turn off...

Page 54: ... cleaning the Definium AMX 700 and GE Portable DR Detector Cidex OPA Gigasept FF T Spray Inciden Plus Perasafe Ster Bac Blue Super Sani Cloth Germicidal Wipes TriGene Isopropyl Alcohol 70 maximum solution Bleach 50 solution Refer to Chapter A1 Detector Overview Cleaning p A1 10 for more information about cleaning the GE Portable DR Detector and its accessories Periodic Maintenance by Service Perso...

Page 55: ...1519 200 Collimator general inspection and adjustment Every year Refer to Service Documentation CD ROM 5161519 200 Filament and rotor interlocks Every year Refer to Service Documentation CD ROM 5161519 200 X ray tube anode rotation Every year Refer to Service Documentation CD ROM 5161519 200 Column and carriage assembly inspection Every year Refer to Service Documentation CD ROM 5161519 200 mAs ac...

Page 56: ...mage wear etc Every year Refer to GE Portable DR Detector PM Schedule Inspect PC shock mounts for damage wear Every year Refer to GE Portable DR Detector PM Schedule Verify the PC is still mounted securely Every year Refer to GE Portable DR Detector PM Schedule Inspect monitor for damage wear Every year Refer to GE Portable DR Detector PM Schedule Check that the monitor is tightly bolted to the to...

Page 57: ...l Electric Company All rights reserved Table 7 2 Sample chart for technique accuracy tests Technique Selected mAs kVp Primary Volts kVp Time Sec FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 58: ...y the function again If the problem is corrected and no error message is displayed proceed as usual 2 If the error message still displays turn the unit OFF then back ON Diagnostics or self tests are quickly performed when the unit is turned back on When diagnostics are complete the following message displays ERROR XXX OCCURRED WHEN THE UNIT WAS LAST OPERATED PROCEED WITH CAUTION 3 Now try the func...

Page 59: ... unit is plugged in CHARGING The unit is charging DRIVES ONLY All modes are disabled except drive Service is required HEAT WAIT No exposures can be taken while this message appears The length of the delay will vary with the selected technique This message displays while the tube anode is cooling kVp MAX Displayed on the alphanumeric display any time an attempt is made to increase the kVp above125 ...

Page 60: ... but not enabled For Example The ON light is flashing on the Automatic Exposure Control AEC unit This indicates the paddle is not connected Reset the AEC controller The red reset GEN on the Automatic Exposure Control AEC unit is lit This indicates the back up time is too short Reset the AEC controller REVERSE ONLY Forward drive is prevented because the safety bumper is in contact with another obje...

Page 61: ...eing loaded Wait for system to boot completely SHUTTING DOWN System PC is shutting down GOOD BYE System PC has shut down NO DIG RESPONSE Digital Radiography components are not responding TURN OFF SWITCH System PC has shut down Turn Off the unit using the Key Switch Status Messages Description FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the...

Page 62: ...list describes the process of adding procedures to and selecting procedures from the Worklist screen to begin exams Chapter A4 Image Acquisition describes the process of performing exams Chapter A5 Image Viewer describes the features and functions for adjusting and viewing acquired images Chapter A6 Image Management describes the features and functions to find and organize acquired images and exam...

Page 63: ...h p A1 3 Nameplates and Markings p A1 3 Detector Safety Labels p A1 4 Use p A1 5 Detector Alignment p A1 5 Indicator LEDs p A1 5 Electro magnetic Interference p A1 6 Detector Grid p A1 7 Grid Attachment p A1 7 Handling and Cleaning p A1 8 Detector Handling p A1 8 Tether Handling p A1 9 Grid Handling p A1 9 Cleaning p A1 10 Specifications p A1 11 Detector Size and Weight p A1 11 Environmental Const...

Page 64: ...Each pixel is attached to a data acquisition circuit that converts incoming x ray signal to 14 bit digital data The detector is constructed from a metal case The front face contains a graphite x ray imaging window The back face contains the usage instructions and safety warnings Figure A1 1 shows the front of the detector which faces toward the x ray source Figure A1 1 Detector front 1 LED indicat...

Page 65: ...ctronics is to convert the charge into digital image data This data is then transmitted to the system workstation through an ethernet connection Physical Appearance Finish The detector unit is designed to be installable as 1 an external patient access contact surface and 2 a non external patient access contact surface Detector surfaces have been treated with a finish to allow a smooth and easily c...

Page 66: ...accompanying documents CAUTION Do Not Drop CAUTION Device weighs 5 89kg 13 lbs CAUTION Do Not Use a defibrillator while patient remains in contact with detector 2 Type B Applied Part 3 Maximum load CAUTION Maximum load is 160 kg 350 lbs 4 Operating temperature CAUTION Operate and store the detector within the temperature range of 0 50º C 32 122 F FOR TRAINING PURPOSES ONLY NOTE Once downloaded thi...

Page 67: ...scrubs This LED indicates Ready to Image status Table A1 1 shows a list of conditions and how they are communicated by the LED lights Table A1 1 Detector status lights Condition Green LED Red LED Indication Detector Off Off Off Off Off Detector Off or No Power Idle Mode 50 1s Off Off Idle Mode Ready to Image 100 Off Off Ready for X ray Temperature Warning 50 1s Contact Temp exceed warning Temperat...

Page 68: ...mG field strengths which can cause artifacts on x ray images EM fields are reduced by the square of the distance between the EM source and the detector Thus moving the EM source twice as far away will reduce the field strength by 4 times General suggestions Keep IV pumps patient monitoring feeding pumps 1 meter or more away from any detector surface Consider turning off equipment that cannot be mo...

Page 69: ...tor so that the detector LED lights show through the holes in the grid holder Grid Attachment The bottom edge of the detector should be placed into the bottom lip of the grid holder while held in the vertical position with the carbon graphite cover on the front of the detector facing the inside of the grid holder Then press the detector into the top edge of the grid holder Be careful to not pinch ...

Page 70: ... the detector Do not use the detector as a stretcher to lift a patient Do not drop the detector at any time Do not prop the device on an edge against wall or bed Keep detector in cradle bucky or other GE supplied container Do not place other objects or patients on the detector if it is not on a flat surface as shown in Figure A1 5 Do not use unapproved chemical cleaners Do not immerse detector int...

Page 71: ...o not step on the tether Do not run over the tether with the unit cart table or other equipment Do not use the tether as a handle Do not bend or fold the tether sharply especially at the points where the tether connects to the detector and to the unit Grid Handling The grid is a sensitive device containing delicate mechanical structures It is made of very thin pieces of lead Pb and interspersed wi...

Page 72: ...r or grid for more than 60 seconds Let the detector dry at least 60 seconds between cleanings The following chemicals and products have been tested and approved by GE for cleaning the GE Portable DR Detector grid and tether Cidex OPA Gigasept FF T Spray Inciden Plus Perasafe Ster Bac Blue Super Sani Cloth Germicidal Wipes TriGene Isopropyl Alcohol 70 maximum solution Bleach 50 solution FOR TRAININ...

Page 73: ...he tether or grid 6 kg Tether The detector interfaces with the external controller via one tether cable that contains 2 connections communication interface with external controller and power interface with detector power supply The tether is at least 4 5 meters in length Item Operating Environment Constraints Non Operating Environment Constraints This column contains additional operating environme...

Page 74: ... spectrum exceeding the following parameters Type Random Frequency Range 20 to 350 Hz Magnitude 0 006g2 Hz at 10 350 Hz Duration 8 hours axis x y z The detector assembly shall not be exposed to non operating vibration spectrum exceeding the following parameters Type Random Frequency Range 10 to 2000 Hz Magnitude 6 m s2 RMS or 0 02g2 Hz at 10 2000 Hz Duration 15 minutes axis x y z Shipping Storage ...

Page 75: ...obile systems International Language Configuration p A2 3 Software Start Up and Shutdown p A2 4 Start Up p A2 4 Shutdown p A2 4 Login and Log off p A2 5 Invalid Password Message p A2 6 Emergency Login p A2 6 Inactivity Timeout p A2 7 Log Off p A2 7 Wireless Network Connection p A2 7 mobile systems Software Reset p A2 8 System Reset p A2 9 Lead Markers p A2 9 System Status and Messages p A2 10 Expo...

Page 76: ...t box on a screen The virtual keyboard appears 2 Type letters and numbers as appropriate for the text box Letters and numbers appear in the box at the top of the screen as they are pressed a To correct a mistake press the BACKSPACE button to erase the mistake and re type the correct information BACKSPACE will erase one letter at a time b To type capital letters or symbols press either SHIFT key an...

Page 77: ...keyboard will function similarly to a physical keyboard for that country Figure A2 2 The keyboard will provide access to these special characters through use of the SHIFT key and the AltGr key The keyboard may provide a Comp key for adding accents to letters 1 Press the Comp key 2 Press the accent key 3 Press the letter to which you want to add the accent Figure A2 2 Virtual keyboard for French FO...

Page 78: ...the unit is ready for operation TESTING COMPLETE will also briefly appear on the message display The unit may take 3 minutes for the digital detector software to boot up You may drive the unit before the software finishes booting but you cannot take acquisitions until the software is fully booted 3 If SYSTEM XX FAILED is displayed turn the unit OFF then ON again If SYSTEM XX FAILED displays again ...

Page 79: ...f the system is configured for Login ability in the Service User Interface Refer to Appendix B Login Administration for information on administering the login function Standard Login The Login screen Figure A2 5 appears when the system is started reset and after a user logs off The system may also be configured to display the Login screen if the system has been inactive for a specified period of t...

Page 80: ...se sensitive That is aBc is not the same Login Name as Abc 2 Retype your Password carefully Your password is case sensitive that is xYz is not the same password as Xyz 3 Press LOGON Contact your technical support group or system administrator if you still are not able to login Emergency Login Emergency Login is a HIPAA required function to allow quick access to medical systems in the event of an e...

Page 81: ... and returns you to the last screen Wireless Network Connection Wireless is a purchasable option that allows the unit to connect to the facility wireless network without the cable This allows you to update the Worklist or print and send images while the unit is moving or if you are in a location that does not have a cable network port Please contact your GE Service representative to activate this ...

Page 82: ...wireless connection if the cable is not connected if the cable is connected the unit will choose the wired connection NOTE Software reset does not require Shutdown or a System Reset Follow this process to perform a software reset 1 Connect or disconnect the network cable as appropriate 2 On the Worklist or Image Management screen press UTILITIES The System System screen Figure A2 7 appears Figure ...

Page 83: ...n appears As the system resets various screens will appear on the monitor This is normal The system will auto start and either the Login screen or Worklist screen will appear depending on how your system is configured when the system is ready Lead Markers As in any General Radiography procedure lead marker placement is important to ensure markers are properly recorded on the image Place the lead m...

Page 84: ...s they are corrected The Expose Hold button disappears when all errors and interlocks are corrected Figure A2 8 Worklist and Acquisition screen Expose Hold button Figure A2 9 Example system Inhibits list System Status Area System status messages are displayed on the bottom of all main Workstation screens Figure A2 10 System Status messages are displayed when the system detects an irregularity in s...

Page 85: ... Log Figure A2 11 The Message Log shows all status messages since the last system restart The messages are listed in descending chronological order that is the latest message is listed first This screen allows operators and service personnel to display review and analyze system status messages Figure A2 11 Message Log FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED an...

Page 86: ...arge table made of columns and rows Each row in the list is a procedure or exam to be performed A patient may have multiple procedures rows on the Worklist Procedures listed can be classified under two categories Locally entered procedures This category refers to procedures entered directly on the mobile unit or system workstation by manually entering the information Locally entered procedures are...

Page 87: ...ows you to change between the Worklist Image Management and Utilities screens or allows you to logoff the system if applicable The darker color indicates which screen is currently displayed The individual buttons are described below WORKLIST Opens the Worklist screen where patient procedures may be added to the schedule and exams started FOR TRAINING PURPOSES ONLY NOTE Once downloaded this documen...

Page 88: ...x For mobile units Search is only available when the unit is connected to the network Refer to Search p A3 7 for more information KEYBOARD Brings up the virtual keyboard so that you may type text into the Search text box Refer to Chapter A2 General Information Virtual Keyboard p A2 2 for more information REFRESH LIST Updates the Worklist view with new information from the HIS or RIS which shows ch...

Page 89: ... to Add Edit Patient Information p A3 15 for more information ADD PATIENT Allows you to enter patient information and adds the patient to the Patient List Refer to Add Edit Patient Information p A3 15 for more information DELETE or DELETE ALL Switches between DELETE and DELETE ALL to remove procedures from the Worklist DELETE Removes the selected procedure or procedures from the Patient List DELET...

Page 90: ... and signal strength Refer to Chapter A2 General Information Wireless Network Connection p A2 7 for more information system status Displays the last system status message To clear the system status area open the Message Log and close it again Refer to Chapter A2 General Information System Status and Messages p A2 10 for more information MESSAGE LOG Brings up the message log since the last system r...

Page 91: ...iption The procedure ordered for the accession number This is the content of the Procedure Description field on the Add Information screen Physician The name of the physician or technician who performed the exam This is the content of the Performing Physician field on the Add Information screen Modality The modality of the procedure Status The status of the procedure Available options are Schedule...

Page 92: ...refer to Chapter A2 General Information Virtual Keyboard p A2 2 for information on how to use the virtual keyboard to type information into a text box The list automatically goes to the first procedure that matches the entered criteria If the list is long enough it will scroll to the first item so that it appears at the top of the list NOTE The text box is not case sensitive That is it does not ma...

Page 93: ...o only display items corresponding to your chosen criteria e g exams taken only within a specified time period patients whose last names begin with the letter J or patient IDs beginning with the digits 547 Filters cannot be saved For mobile units Filter List is only available when the unit is connected to the network Also mobile units will not be able to retrieve information from other units Press...

Page 94: ...ams in the filter Date Allows you to select the date of exams to filter by All procedures scheduled for any date Range procedures scheduled for a specified range of time Today procedures scheduled for the current date From mm dd yyyy To mm dd yyyy When the Range option is selected for the date allows you to enter dates or pick dates from a calendar screen Patient Information Allows you to filter b...

Page 95: ...lendar closes automatically when a date is clicked 6 Enter any Patient Information you want to filter by You do not need to enter full words or numbers into these text boxes Entering more information into these text boxes will reduce the number of results Entering less or no information into these text boxes will increase the number of results NOTE The Patient Information text boxes are case sensi...

Page 96: ...Refresh Follow this process to manually refresh the Worklist 1 Press REFRESH on the Worklist The Worklist updates with HIS RIS data and removes any filtering NOTE Refresh does not remove locally added procedures NOTE You will not be able to make selections or access Worklist functions while the Worklist is refreshing Auto Refresh The Auto Refresh interval is set on the Preferences Worklist screen ...

Page 97: ...to begin image acquisition NOTE The Patient Name Patient ID and Exam Date must match exactly in order to be selected 1 Sort the Worklist by Patient Name if necessary 2 Press procedure 3 Press another procedure for the same patient 4 Continue pressing procedures until all procedures for the patient are selected 5 Press any other procedure to deselect the procedures Delete Procedures You may remove ...

Page 98: ...tch the button to DELETE A message appears Are you sure that you would like to delete the selected items 3 Press OK to delete the procedures CANCEL retains the procedures and the Worklist appears Delete All Completed Discontinued and Local Procedures 1 Press DELETE ALL If necessary switch the button to DELETE ALL A message appears All Completed Discontinued and locally scheduled exams will be dele...

Page 99: ...Discontinued and proceed with deletion 2 Press COMPLETE or DISCONTINUE COMPLETE changes the Status to of the procedures to Completed If enabled any acquired images are auto pushed auto printed and sent to PACS DISCONTINUE changes the Status to Discontinued Any acquired images are marked as Discontinued and the information is sent to PACS CANCEL closes the message and returns you to the Worklist wi...

Page 100: ...een To view the patient information from the Worklist or Image Management screens select the exam then press PATIENT INFORMATION Patient information is not editable when launched from the Image Management screen To view the patient information from the Acquisition or Image Viewer screens press PATIENT INFORMATION Patient information is not editable when launched from these screens Patient Informat...

Page 101: ...ust be unique Gender Defines the sex of the patient By default Other is selected when the screen first opens Birth Date Identifies the patient s birthday in the format dd mm yyyy If the date is not entered in the correct format the screen will show the date field in red when START EXAM or SAVE is pressed In the above example the year was entered with only 2 digits 45 instead of 1945 Age Identifies...

Page 102: ...nformation screen Completed exams are sent to the PACS where available Discontinued The procedure was opened but no exposures were taken The exam may be started at a later time or the procedure deleted In progress The exam is currently in progress Study ID RAD Displays the procedure ID number Exam Date Sets the scheduled date of the selected exam By default the current date is automatically insert...

Page 103: ... and begin Acquisition Press CANCEL to close the Add Patient screen without saving changes NOTE For a new exam on a existing patient the patient information cannot be edited SAVE Adds the patient to the Worklist or saves changes and closes the Add Patient Patient Information screen If the Save button is selected but all of the data fields have not been filled in a new patient is created anyway If ...

Page 104: ...le procedures are selected the PATIENT INFORMATION button is disabled 1 Select the procedure from the Worklist 2 Press PATIENT INFORMATION The Patient Information screen appears 3 Edit the information as necessary 4 Press SAVE to record the changes and return to the Worklist Pressing CANCEL closes the Patient Information screen without saving changes FOR TRAINING PURPOSES ONLY NOTE Once downloaded...

Page 105: ...n Emergency Exam p A4 12 End Exam p A4 13 Suspend p A4 13 Close p A4 14 Discontinue p A4 14 Overview The Acquisition screen Figure A4 1 is where the exam is set up and exposure details are adjusted This screen appears when you press the START EXAM EMERGENCY EXAM or CASSETTE EXAM buttons on the Worklist or START EXAM from the Add Patient screen NOTE If you pressed the CASSETTE EXAM button the Acqui...

Page 106: ...IENT INFORMATION Displays Patient Information screen for the current procedure Refer to Chapter A3 Worklist Add Edit Patient Information p A3 15 for more information screen switch tab Switches between the Acquisition and Viewer screens NOTE When acquiring multiple images or if you need to retake an image you must switch back to the Acquisition screen in order to record the exposure FOR TRAINING PU...

Page 107: ...cols screen to add remove or change protocols Refer to Select or Change Protocols p A4 7 for more information SUSPEND Ends the exam with the intent of continuing at a later time Does not initiate auto send or auto print if enabled Refer to End Exam p A4 13 for more information CLOSE Closes the procedure If enabled CLOSE sends billing information to the PACS system auto sends and auto prints acquir...

Page 108: ...e receptor for the protocol In order from left to right the options are Free Cassette GE Portable DR Detector NOTE The generator limits exposure time to two 2 seconds for both receptors Reset Technique Resets the technique to the default protocol settings Grid position Shows the recommended grid position for the technique SID Shows the recommended SID for the technique kV Adjusts the kV The up dow...

Page 109: ...plays the recommended patient position relative to the detector network connection status Appears when the Definium AMX 700 is connected to the hospital network wireless network connection status If the wireless network connection is enabled displays the status of the connection and signal strength Refer to Chapter A2 General Information Wireless Network Connection p A2 7 for more information syst...

Page 110: ...m APPEND EXAM creates a new series within the existing exam and opens the Select Protocols screen QAP When the yellow alert icon is present indicates that QAP should be performed to ensure continued image quality NOTE QAP cannot be performed when the Image Acquisition or Image Viewer screens are displayed End the exam before attempting to perform QAP Refer to Chapter A8 Quality Assurance Process a...

Page 111: ...m Protocols must be reselected and techniques must be re set Select or Change Protocols The Select Protocols screen Figure A4 3 appears when you press START EXAM on the Worklist or Add Patient screen or when you press SELECT PROTOCOLS on the Acquisition screen The select protocols screen is divided into two halves Available Protocols on the left and Selected Protocols on the right Available Protoc...

Page 112: ...s to show the available exams Press on the anatomical category name again to close it 3 Press on an exam to select it A checkmark appears in the box to the left of the exam name A checkmark appears next to the category name This indicates that the category has at least one exam selected Figure A4 5 Selected exams The category and exam name appear in the Selected Protocols list 4 Press the exam aga...

Page 113: ...You will be returned to the Worklist 1 If multiple procedures were selected from the Worklist select the procedure from the exam drop down list 2 Select the Exam and View to perform from the protocol list 3 Select the Patient Size The system default is Medium Adult NOTE To optimize processing for the best image quality Patient Size should be confirmed for each view Available options are Medium Ped...

Page 114: ... 10 Have the patient suspend respiration if required 11 Make exposure using the hand switch or TechSwitch The image appears on Image Viewer screen NOTE It takes about 9 seconds for a fully processed image to appear on the Image Viewer screen 12 Press the Acquisition tab to switch back to the Acquisition screen Conduct a Cassette Exam The Cassette Exam function takes an x ray without digital image ...

Page 115: ... reselect the view you wish to perform as shown in step 4 be low recommended Remove the detector from the bin for the duration of the exam Refer to Chapter 3 Hardware Overview Unit Features p 3 1 for more information about the detector bin 1 Press CASSETTE EXAM from the bottom of the Worklist screen NOTE Because a cassette exam does not use digital image storage you do not select procedures from t...

Page 116: ...ate and shield as appropriate for the exam 8 Have the patient suspend respiration if required 9 Make exposure using the hand switch 10 Press CLOSE to end the exam The Worklist appears 11 Process the cassette as necessary depending on the media Conduct an Emergency Exam Emergency Exam is a function that allows a patient to be x rayed without selecting the patient from the Worklist or adding the pat...

Page 117: ...emergency exam 1 Press EMERGENCY EXAM from the bottom left of the Worklist The Select Protocols screen appears Refer to Select or Change Protocols p A4 7 for more information 2 Select the protocols for the exam 3 Press ACCEPT The Acquisition screen appears 4 Select the protocol to perform from the Protocol List 5 Acquire images Refer to Conduct a Digital Exam p A4 9 or Conduct a Cassette Exam p A4...

Page 118: ...rocedure to discontinue an exam 1 Press DISCONTINUE from the bottom of the Acquisition screen A message appears Please select a reason for discontinuing this exam 2 Select the option that best describes why the exam is being discontinued Choose Discontinue for unspecified reason if no other options describe the current situation 3 Press OK The message closes and the Worklist screen opens The statu...

Page 119: ...aken DEI p A5 18 Change Pointer Controls p A5 21 Apply Quality Check Indicator Auto Tag p A5 22 Print Images p A5 22 Send Images p A5 27 Save Changes to Images p A5 27 Overview The Viewer shows all images in the study All series within the study are listed and can be seen in the Viewer The left side of the screen contains all the image selection and adjustment tools Most of the tools are categoriz...

Page 120: ...he Patient Information screen screen switch tab If in an active exam allows you to switch back to the Acquisition screen If viewing images from a completed exam the Acquisition screen tab is disabled NOTE When acquiring multiple images or if you need to retake an image you must switch back to the Acquisition screen in order to record the exposure FOR TRAINING PURPOSES ONLY NOTE Once downloaded thi...

Page 121: ... adjust contrast invert and apply windowing to images Refer to Adjust Images p A5 7 Annotations Mask Contains the tools to annotate and crop images Refer to Annotate and Mask Images p A5 9 Reprocessing Changes the processing settings Refer to Re process Images p A5 17 Print Controls the printing of images Refer to Print Images p A5 22 DEI Detector Exposure Index If enabled displays the dose receiv...

Page 122: ...images are currently saved to the local database and approximately how many more images the database can accommodate system status Displays the last system status message NOTE To clear the system status area open the Message Log and close it again Refer to Chapter A2 General Information System Status and Messages p A2 10 for more information MESSAGE LOG Brings up the message log since the last sys...

Page 123: ...exam always work with processed images The top half of the tool panel shows the different exams and series that are available When you select a series previews or thumbnails of all the images within that series appear in the lower half of the panel The panel shows up to 8 image previews at a time If there are more than 8 images in the series a scrollbar appears on the right to allow you to see the...

Page 124: ...to 9 images at one time Figure A5 4 Format Zoom panel Table A5 2 Zoom tool descriptions Tool Description Zoom One Shows default the image size where one pixel on the detector equals one pixel on the screen Zoom Half Reduces the image to 50 four pixels on the detector equals one pixel on screen Fit To Screen Scales the image to fit within the Image Viewer screen True Size Shows the image in the exa...

Page 125: ...Image Display Tools descriptions Tool Description Contrast Adjusts the differences between dark and light on the selected image Move the slider right for more contrast towards pure black and white Move the slider left for less contrast towards uniform gray Brightness Lightens or darkens the selected image Move the slider right for a lighter image Move the slider left for a darker image Invert Reve...

Page 126: ...ge 180 degrees on the horizontal axis that is switches top for bottom Horizontal Flip Flips the selected image 180 degrees on the vertical axis that is switches left for right Rotate Left Rotates the selected image counter clockwise in 90 degree increments Rotate Right Rotates the selected image clockwise in 90 degree increments Free Rotation Rotates the selected image both clockwise and counter c...

Page 127: ...otations are displayed as text at the corners of the image You may select which annotations appear but you cannot control where the annotations are placed Figure A5 6 Annotations Mask panel Table A5 4 Annotations Mask tool descriptions Tool Description Line Places a line on the image that you may re size move or angle Line specifications are shown in the User Measurements annotation at the bottom ...

Page 128: ...etes the selected image annotation NOTE Deleted annotations cannot be recovered Erase All Deletes all image annotations NOTE Deleted annotations cannot be recovered RL Places a Right or Left marker on the image for reference NOTE RLmarkersareonlyavailablewhentheimageisopeninaliveexam Only one marker may be placed on an image Edit Opens a dialog box to edit or change the selected User Annotation no...

Page 129: ...le measurements for line ellipse and Cobb annotations Display parameters bottom right corner the size of the image and the zoom Partial Displays ONLY the facility name dose information and technical factors None Removes all system annotations from the image System annotations can be re applied by pressing FULL PARTIAL or CUSTOM Custom Brings up a screen Figure A5 7 that allows you to choose which ...

Page 130: ...essary 2 Press CUSTOM The Annotation screen Figure A5 7 appears Figure A5 7 Custom Annotation selections 3 Select check the annotations you want to appear 4 Adjust the Font Size if necessary The available font sizes are 2 smallest 1 N normal 1 2 3 largest 5 Press OK CANCEL closes the screen and leaves the selections unchanged FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTR...

Page 131: ...angle of the annotation as described in Table A5 5 NOTE When resizing annotations make sure that the pointer arrow is inside the square handle and has changed to a sign Figure A5 8 before trying to move the handle Figure A5 8 Active annotation handle Table A5 5 Image annotation instructions Tool Instructions Line Select the line To move Press and drag the middle of the line To change the angle Pre...

Page 132: ...on screen Type your comment Press OK To move Press and drag by the red square on the top left corner of the text box To edit Double tap two touches in quick succession the User Annotation Make your changes on the Text Annotation screen Refer to Chapter A7 Set Preferences Preset Names p A7 15 for more information about configuring the pre set annotation list RL Marker Select the RL marker To move S...

Page 133: ...nformation The Manual Shutter function allows you adjust the automatically applied default shutter for viewing and printing You can only adjust the shutter of images in an active exam or of re processed images NOTE To view hidden areas of the image use the Manual Shutter and drag the red corner handles to the edges of the image Follow this process to adjust the shutter of an image 1 Select the ima...

Page 134: ...y the adjustment If the image does not return to its selected size click the Zoom buttons on the Viewer Display panel to re select the viewing size Refer to Change Image Display p A5 6 for more information Figure A5 12 Image after adjusting shutter 5 Click MANUAL SHUTTER again to edit Automatic Shutter The Intelligent Collimator Edge Detection ICED algorithm relies solely on image information in o...

Page 135: ...g an exam or closing patient in review mode you must select to save changes to images or the re processed images will not remain in the series Refer to Save Changes to Images p A5 27 for more information The initial image processing is determined by the default that is configured for the protocol Refer to Chapter A7 Set Preferences Image Processing p A7 31 for more information Table A5 6 describes...

Page 136: ...lay of the Detector Exposure Index and the DEI ranges are configured from the Image Viewer preferences screen Refer to Chapter A7 Set Preferences DEI Detector Exposure Index p A7 28 for more information Look Changes the processing look Looks are the way an image is processed to be viewed by a radiologist for interpretation Looks are pre defined combinations of brightness contrast edge enhancement ...

Page 137: ... then an exposure taken of the same object assuming identical technique and positioning after setting the speed to 200 will also give a DEI of 1 72 NOTE A higher DEI indicates a higher exposure to the detector It should not be confused with system speed which decreases as the exposure increases Default DEI lower and upper limits are provided as preliminary guidelines These guidelines should not be...

Page 138: ...t individual images or Chapter A7 Set Preferences Image Processing p A7 31 to change the default processing for exams and views NOTE Call for service if the system continues to show low or high DEI Recurring DEI errors may indicate that the system needs calibration or repair Exceptions to Corrective Actions The following conditions may achieve a properly exposed image but still result in a low DEI...

Page 139: ... upon This is the default pointer behavior Pan Image Moves the image within the viewing area Image Magnifying Glass Shows a small part of the image at 3 times magnification Change Image Brightness Contrast Changes the brightness and contrast by dragging the pointer instead of using the Image Display Tools controls Contrast Press and drag the pointer vertically Up is more contrast down is less cont...

Page 140: ...x so that the T disappears To restore the quality check indicator press the white box so that the T reappears Figure A5 17 Quality check indicator Print Images Images can be printed from the system in two ways Manual Print and Auto Print Auto Print The system can be configured to perform an automatic print upon closure of the exam Preferences are accessed from the Utilities screen Refer to Chapter...

Page 141: ... are more images in the series than will fit on the sheet use the Sheet and buttons to configure the printing options for each sheet NOTE You are able to change the number of images for each sheet individually however changing the format will remove any images that already exist on the sheet 3 Drag the image thumbnails from the Images Raw or Images Processed panel Figure A5 20 to the Film Composer...

Page 142: ...le A5 8 for more information 6 Press CLOSE when finished Print Current Image Follow this process to print a single image 1 Select the image from the Images tool palette if necessary 2 Press MANUAL PRINT The Print Images screen appears 3 Adjust the settings as indicated in Table A5 8 4 Press PREVIEW to confirm that the image placement is correct If the image placement is incorrect as shown in Figur...

Page 143: ...or horizontal orientation of the image on film or paper Available options are Landscape Portrait Print Mode Selects what size to print the image Available options are True Size Fit to Film Reduce Size Orthopedic Magnification if enabled Magnification If Reduce Size is selected as the Print Mode allows you to enter the percent by which the image will be reduced The accepted range is between 40 and ...

Page 144: ...lects the magnification type Available options are Cubic None Annotation Selects the amount of annotation to print on the image Available options are Full Partial Custom None Refer to Annotate and Mask Images p A5 9 for more information EDIT If Custom Annotation was selected brings up a screen that allows you to choose the annotation to print on the image Refer to Annotate and Mask Images p A5 9 f...

Page 145: ... the unit is connected to the network Save Changes to Images You have the option to save or discard the changes you have made to images when you close the Image Viewer screen or end the exam 1 If in a live exam press CLOSE on the Acquisition screen 2 If in review mode press CLOSE on the Image Viewer screen A message appears Would you like to save the changes made to the images 3 Press YES NO close...

Page 146: ...m Each exam is a row If multiple exams were acquired in the same session each exam has its own row on the list The exam expands to show the series Within each exam are series of images A series is a collection of one or more images acquired in a session Each protocol is a series A new series is created when a completed exam is appended There are two types of image series raw and processed Raw imag...

Page 147: ...A6 1 Image Management screen Table A6 1 Image Management screen functions 1 Selected exam 2 Series in exam 3 Image detail button 4 Images in selected series 5 Preview of selected image Function Description navigation bar Allows you to change between the Worklist Image Management and Utilities screens or allows you to logoff the system if applicable The darker color indicates which screen is curren...

Page 148: ... to Chapter A7 Set Preferences for more information LOG OFF If the Login function is enabled pressing this button logs the current user off of the system Refer to Chapter A2 General Information Login and Log off p A2 5 for more information SELECT MULTIPLE Allows systems with touch screens to select multiple exams to transfer copy to CD or delete NOTE This button only allows the selection of multip...

Page 149: ...splay monitor NOTE ItisnotexpectedthatyouwillneedtoaccesstheSMPTEpattern or test images during the course of normal work Test images are used to calibrate the system or to determine the cause of image quality problems source locations Selects the source of images to view e g the local unit or a CD Refer to Open Exams and Images p A6 9 for more information PATIENT INFORMATION Shows the Patient Info...

Page 150: ... the unit s external CD drive is connected Refer to Copy Exams and Images p A6 9 for more information DELETE Deletes the selected exams series or images from the local database Refer to Delete Exams Series or Images p A6 13 for more information VIEWER Opens the Image Viewer screen and shows the images in the selected series Images may be adjusted on the Image Viewer screen Refer to Chapter A5 Imag...

Page 151: ...ages to another database or disk Delete Exams Series or Images p A6 13 to remove images system status Displays the last system status message Refer to Chapter A2 General Information System Status and Messages p A2 10 for more information MESSAGE LOG Displays the message log since the last system re start Refer to Chapter A2 General Information System Status and Messages p A2 10 for more informatio...

Page 152: ... on a CD 1 Connect the external CD R W drive to the unit 2 Insert the CD with images into the CD drive 3 Press Source CD1 The exam list updates to show the images stored on the CD 4 Select the exams 5 Copy the exams to the Local database Refer to Copy Exams and Images p A6 9 for more information 6 Click the LOCAL Destination button A message appears Selected images will be copied to destination na...

Page 153: ...t 1 Press the button on the Search By drop down list to select the column you want to search If the column you want is already selected begin at step 3 2 Select the column For example Patient ID The list automatically sorts the selected column 3 Type the search criteria into the text box For example you are looking for patients whose names begin with J so you would type j into the text box NOTE Th...

Page 154: ...ages for viewing 1 Press the button to the left of the exam name to open it The series for the exam expands below the exam 2 Press the series to open it or select the series and press to see image details The image detail opens 3 Select the image A preview thumbnail appears 4 Press the image or select the image and press VIEWER The selected series opens on the Image Viewer screen with the selected...

Page 155: ...y Images to Another Exam This process is used to copy images from one exam to another Copying images is used to consolidate images from multiple exams to a single exam and to reconcile patients to exams For example images taken for an emergency exam can be assigned to the patient s real name once the patient s information is known Another example is to assign images that were acquired for the wron...

Page 156: ...opy Exam screen shows all Worklist entries with the status of Scheduled Discontinued or Suspended 4 Search or Filter the exam list to locate the destination exam 5 Select the exam where you want the images copied to 6 Press OK A message appears Images will be copied to the selected exam Images will not automatically be removed from the source exam The destination exam will be marked as Completed 7...

Page 157: ...o the CD Always use a new blank CD 1 Open the CD tray Select Eject from the CD1 drop down list NOTE Pressing the Eject button on the workstation PC does not open the CD tray When working on the Image Management screen always use the Eject option from the CD1 drop down list Figure A6 6 Figure A6 6 CD 1 button drop down list 2 Insert a blank CD into the tray 3 Press Source CD1 to close the CD tray 4...

Page 158: ...he CD 10 Label the CD and store in a safe place Delete Exams Series or Images Exams series and images may be deleted from the local database from the Image Management screen Follow this process to delete exams series and images 1 Select the Local source if necessary NOTE Items cannot be deleted from a CD or network locations 2 Unlock exams if necessary Refer to Lock Exams from Deletion p A6 14 for...

Page 159: ...the locked exams The Unlock button becomes active 2 Press UNLOCK The lock icon is removed from the status column of the selected exams The exams may now be deleted NOTE You are able to lock or unlock multiple exams even if the selected exams are a mixture of locked and unlocked Pressing the LOCK button will lock all selected exams Clicking the button again will unlock all selected exams Make Exam ...

Page 160: ...rocess to make exam images anonymous 1 Select the exams to make anonymous 2 Switch the Image Tools button to DE IDENTIFY if necessary A message appears The selected exams will be copied without patient identification The originals will not be deleted 3 Press OK The Image Management screen updates with copied anonymous exams FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROL...

Page 161: ...r recall Topics covered include Preferences are set on the Utilities screen Figure A7 1 which is accessed by pressing the UTILITIES button on the Worklist System p A7 2 Network Connections p A7 2 Printers p A7 7 Worklist p A7 13 Default Query p A7 13 Preset Names p A7 15 Image Management p A7 18 Copy Exam p A7 18 Auto Tag Quality Check p A7 19 Auto Print p A7 19 Auto Send Auto Push p A7 22 Auto De...

Page 162: ... Connections Network and printer connections are configured through the Utilities System System screen This screen allows qualified service personnel to define the Digital Imaging and COmmunication in Medicine DICOM send destinations Network connections may be added removed or edited from this screen Follow this process to access the Network Connections screen 1 On the Worklist screen press UTILIT...

Page 163: ... Figure A7 3 and Figure A7 4 Table A7 1 and Table A7 2 describe the fields in detail If editing an existing connection select the network host and press EDIT If adding a new connection press ADD 1 Complete requested information for both tabs see Table A7 1 and Table A7 2 and press SAVE to add the network host or save the changes FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCO...

Page 164: ...scores _ to separate words Application Entry Title The DICOM application title IP Address The IP address of the network host Port Number The port number for the network host Query Retrieve Sets the type of information the host will provide on query from another host Available options are No provider Study Patient Storage Commitment Designates if the host will store image data Storage Commitment Ap...

Page 165: ...E Portable DR Detector system name Allows this host to open and display exams from the GE Portable DR Detectorsystem Allow this host to send images to the GE Portable DR Detector system name Allows the host to send images to the GE Portable DR Detectorsystem This network host accepts multiple frame image Allows multiple frame images to be send to this network host Perform de identification anonymo...

Page 166: ...the Acquisition workstation Send MPPS N Create and N Set notification to this network host This node acts as the Destination for receiving the MPPS N Create N Set Notification When configured for MPPS the System sends information like which exam is in progress when a Study is completed how many images were acquired and what was the radiation dose to which the patient was exposed during that sessio...

Page 167: ...e unit is connected to the network Try connecting the unit to a different network port There may be a problem with the port itself For units with wireless connection Check the signal strength Remove any metal that is covering the antenna e g lead apron clip board Move the unit to another area with better reception Try software reset to establish the wireless connection Re try the test at a later t...

Page 168: ... A7 8 Table A7 3 Table A7 4 and Table A7 5 describe the fields in detail 1 If Editing an existing printer s configuration select the printer from the DICOM Printers list and press EDIT If adding a new printer press ADD 2 Complete requested information for all tabs see Table A7 3 Table A7 4 and Table A7 5 and press SAVE to add the printer or save the changes FOR TRAINING PURPOSES ONLY NOTE Once dow...

Page 169: ...underscores _ to separate words Application Entry Title The DICOM application title Network Address The IP address of the printer Port Number The port number of the printer Pixel Depth The resolution of the printer Printer Pixel Size micron Designates the pixel size the printer uses This is specified by the printer manufacturer Configuration Information A place for you to add notes about the print...

Page 170: ...im or not Polarity Available options are Normal Reverse Border Density Sets the color of the image border Available options are Black White Empty Image Density Sets the color of areas that have no image printed Available options are Black White Printer Memory Size Designates the memory size of the printer This is specified by the printer manufacturer Function Description FOR TRAINING PURPOSES ONLY...

Page 171: ...n the page for example 2 images per page may be side by side or one on top of the other Slide formats Selections allow the side formats available for the printer if any Function Description Film sizes 8 x 10in Selects the sizes of film available for the printer Pixel size W width Sets how wide the film is in pixels This value is provided by the printer manufacturer based on what the printer suppor...

Page 172: ...Connections screen select the printer 2 Press REMOVE A message appears Are you sure you want to remove printer name 3 Press YES CANCEL closes the message and returns you to the Network Connections screen without removing the connection The printer is removed FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm rev...

Page 173: ...Worklist screen Default Query The Worklist Default Query controls the amount of HIS RIS information that appears on the Worklist and allows you to enable and configure the auto refresh function 1 Complete or edit the Worklist Default Query screen Figure A7 10 Table A7 6 describes the fields in detail 2 Press SAVE to change the Default Query FOR TRAINING PURPOSES ONLY NOTE Once downloaded this docu...

Page 174: ...ts the date range of scheduled procedures to show on the Worklist Available options are All Current Day Plus previous __ Days __ Hours Shows procedures that are scheduled for the specified time before the selected date range NOTE If the Days value is left blank the worklist query will be based on current time plus the number of hours entered Plus future __ Days __ Hours Shows procedures that are s...

Page 175: ...et Names The Preset Names screen Figure A7 12 allows you to add remove or edit the names that appear on the Add Patient Patient Information screen s Operators Performing Physicians and Referring Physicians drop down lists Figure A7 11 Figure A7 11 Drop down lists on the Add Patient screen 1 Follow the procedures below to Add Edit or Remove Preset Names 2 When finished press SAVE to retain the chan...

Page 176: ...n Add Preset Names 1 Press ADD for the appropriate group 2 Type the name to add 3 Press ADD Edit Preset Names 1 Select the name to change 2 Press EDIT for the group 3 Edit the name as appropriate 4 Press SAVE FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 177: ...ny All rights reserved Remove Preset Names 1 Select the name to remove 2 Press REMOVE for the group 3 Press OK to remove the name Press NO to keep the name FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 178: ... exams to be copied between the local databases and network hosts It also allows exams to be copied to a CD There is no configuration for this function it is either enabled ON or disabled OFF Follow this process to enable or disable Copy Exam 1 From the Worklist screen press UTILITIES 2 Select Preferences Image Management 3 Press Copy Exam ON to enable the function Copy Exam OFF disables the funct...

Page 179: ... 4 Press CLOSE Auto Print Default Print Auto Print Figure A7 14 allows you to configure your printer parameters This is done so that you do not need to select all the parameters each time you print an image You can select a primary and alternative location as well as how many copies you want each time you print For mobile units Auto Print will begin the next time the unit is connected to the netwo...

Page 180: ...ntation Landscape horizontal film orientation Print Mode Provides options on the size of the image data printed Available options are True Size Fit to Film Reduce Size Orthopedic Magnification if enabled Magnification If Reduced Size is selected as the Print Mode allows you to enter the percent by which the image will be reduced The accepted range is between 40 and 90 If True Size or Fit to Film a...

Page 181: ...Allows you to choose the destinations available for the selected printer Available options are Magazine Processor Magnification Type Allows you to choose the magnification types available for the selected printer Available options are Replicate Bilinear Cubic None Auto Print ON OFF If Auto Tag is enabled turning Auto Print ON will automatically print all images that have the Auto Tag mark when the...

Page 182: ... The Auto Send screen appears 4 Complete the information as described in Table A7 8 5 When finished press SAVE to retain your changes Figure A7 15 Auto Send Table A7 8 Auto Send Functions CANCEL Closes the Auto Print screen without saving your changes Function Description Auto Send ON OFF Turns Auto Send on or off Selecting On allows you to configure the default Auto Send settings Network Host col...

Page 183: ...rs 4 Complete the information as described in Table A7 9 5 When finished press SAVE to retain your changes 6 Press CLOSE Figure A7 16 Auto Delete Auto Send column Allows you to choose which images are sent to each network host You may choose either Raw or Processed both or none Leaving both choices unselected means that no images will be sent to the network host SAVE Saves your selections as the d...

Page 184: ...rocessed image printed Selecting the Print parameter allows auto deletion of images that have been printed Processed image sent Allows auto deletion of processed images with no errors that have been sent to another viewing station Processed image committed Allows auto deletion of processed images that have been sent to a long term device with storage commitment capability Storage commitment for a ...

Page 185: ...ences allow you to add edit or remove pre set annotations Follow this process to configure pre set annotations 1 From the Worklist screen press UTILITIES 2 Select Preferences Viewer 3 Press Pre set Annotation EDIT The Pre set Annotations editing screen Figure A7 18 appears FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Alw...

Page 186: ...dit Pre set Annotation p A7 26 or Remove Pre set Annotation p A7 27 7 When finished press SAVE to retain your changes 8 Press CLOSE Add Pre set Annotation 1 From the Pre set Annotations screen press ADD 2 Enter the text of the annotation 3 Press ADD Edit Pre set Annotation 1 From the Pre set Annotations screen select the annotation 2 Press EDIT 3 Edit the text of the annotation FOR TRAINING PURPOS...

Page 187: ...ve Pre set Annotation 1 From the Pre set Annotations screen select the annotation 2 Press REMOVE A message appears Are you sure you would like to delete the annotation annotation name 3 Press OK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 188: ...pper limits for anatomical views These settings determine how DEI is displayed for all images Follow this process to change the DEI settings 1 From the Worklist screen press UTILITIES 2 Select Preferences DEI 3 Press DEI Preferences EDIT The Detector Exposure Index screen Figure A7 20 appears 4 Continue with Change the DEI Display p A7 29 or Change the Lower and Upper Limits p A7 29 FOR TRAINING P...

Page 189: ...ector Exposure Index screen press an anatomical category to expand it Press the category again to close it 2 Change the lower and upper limits in the text boxes as appropriate for the view No Display In this example there is no DEI information displayed on the Image Viewer screen Numerical In this example only numerical DEI information is displayed on the Image Viewer screen Graphical In this exam...

Page 190: ... checkbox Figure A7 21 indicates if Technical Mode is enabled Check or uncheck the box as appropriate and press SAVE to apply the change and close the screen Figure A7 21 Technical Mode checkbox Export DEI Log The DEI log records the exposure levels of images Medical Physicists in your facility or GE Service Personnel use the log to determine if there is a problem with the detector and to determin...

Page 191: ...p at their next visit GE Service personnel can restore the settings from the backup if necessary Figure A7 22 Preferences Image Processing Change Default Factory Looks for Exams The Default Factory Looks screen Figure A7 23 allows you to change the default processing setting for all 34 representative anatomical views and then map this change to related anatomical views Note that this may over ride...

Page 192: ...o the Default Factory Looks screen Figure A7 23 Default Factory Looks Build Custom Looks Looks are the way an image is processed to be viewed by a radiologist for interpretation Looks are pre defined combinations of brightness contrast edge enhancement and tissue equalization TE Refer to Tissue Equalization Overview p A7 36 for more information Factory Look descriptions Factory Look 1 similar to a...

Page 193: ...ro posterior or lateral 6 Select the Image Type some systems may only have Standard image type available 7 Select the Patient Size Available options are Small Adult Medium Adult Large Adult Small Pediatric Medium Pediatric or Large Pediatric 8 Select the Look Choose the first Undefined Custom look NOTE If a Factory Look is selected parameters are read only Only Custom processing looks can be chang...

Page 194: ...just However forsmall alterations of brightness on a particular image use the Brightness and Contrast controls in the Image Viewer screen Tissue Contrast Controls the general contrast between the thick and thin anatomy Move the slider right to decrease bone soft tissue contrast Move the slider left to increase bone soft tissue contrast Range 0 15 to 0 15 with 0 01 increments NOTE Unlike Tissue Equ...

Page 195: ...se reduction feature suppresses the mottle noise in denser areas of the anatomy while preserving detail in the rest of the image The algorithm takes into account tissue penetration and dose reaching the detector For example if two Chest PA images were acquired on the same patient one with much higher dose than the other noise reduction may only affect the lower dose higher noise image In general t...

Page 196: ... and APPLY TO IMAGE button PREVIEW applies the settings to the currently selected image in the Image Viewer screen so that you can see the effect before saving the changes APPLY TO IMAGE creates a new instance of the image processed with the selected look Figure A7 25 Image processing preferences editor screen opened from the Viewer Tissue Equalization Overview Tissue Equalization TE is an advance...

Page 197: ...rlaying anatomy like the white shoulders Using TE the overlaying anatomy can be made grayer making the underlying spine more visible Figure A7 26 A hand image can similarly be displayed with improved bone contrast This makes TE an invaluable tool in visualizing the entire bone field Figure A7 26 Comparison with and without Tissue Equalization TE Parameters TE uses the information in the image to i...

Page 198: ...n TE is applied to it For example increasing STRENGTH for under penetrated regions such as shoulders makes a white region grayer Increasing STRENGTH for over penetrated regions such as lungs makes a black region grayer In both cases increasing STRENGTH generally makes the region grayer The effect of varying AREA and STRENGTH in TE is demonstrated in Figure A7 28 for under penetrated regions Increa...

Page 199: ...neral contrast between the thick and thin anatomy For example Tissue Contrast can be used in combination with Tissue Equalization to define a Chest PA look that is equalized in the lung fields but with light spine ribs Protocols Protocols preferences allow you to create backup copies of the protocol database retrieve saved backups and create new protocols FOR TRAINING PURPOSES ONLY NOTE Once downl...

Page 200: ... If necessary the old database can be retrieved and used Follow this process to back up the database to a CD NOTE Always use a new blank CD R for each back up DO NOT use re writable CD RW disks The system cannot write to this type of disk 1 If necessary connect the external CD drive to the unit 2 Insert a blank CD into the CD tray 3 From the Worklist screen press UTILITIES The Utilities screen app...

Page 201: ...elect Preferences Protocols 4 Insert the CD with the saved protocols database into the CD tray 5 Press RETRIEVE A message appears Press OK to continue with Protocol Database retrieve 6 Press OK The saved protocol database is loaded onto the system 7 Remove the CD from the CD tray Store the CD in a safe place Edit Protocol Database The Protocol Editor allows you to create custom acquisition protoco...

Page 202: ...s Protocols 3 Press EDIT The Exam Menu appears 4 Continue with Add or Edit Category p A7 42 Add or Edit Exam p A7 43 or Add or Edit View p A7 44 Figure A7 30 Exam Menu Add or Edit Category NOTE The screens and process to edit a category are the same as for adding a category From the Exam Menu FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the...

Page 203: ... the placement of the new category on the category list 4 Press OK 5 Continue with Add or Edit Exam p A7 43 NOTE Examsand views must be added or copied into the new category in order for itto be fully functional Add or Edit Exam NOTE The screens and process to edit an exam are the same as for adding a exam From the Exam Menu 1 Select the category for the new exam 2 Press ADD EXAM or EDIT EXAM The ...

Page 204: ...pulated with new or copied views after creation in order to be fully functional Add or Edit View NOTE The screens and process to edit a view are the same as for adding a view This process has multiple screens From the Exam Menu 1 Expand the Category 2 Select the Exam to add or copy the new view to 3 Press ADD VIEW or EDIT VIEW The Add View or Edit View screen 1 of 2 appears 4 Type a View Name Do n...

Page 205: ...s are available 10 Select the Laterality The selected anatomy determines which laterality options are available If the anatomy is unpaired then Unpaired is the only available selection If the anatomy is paired the available sections are Both Left and Right Paired anatomy enables the Patient Side control on the Image Acquisition screen Refer to Chapter A4 Image Acquisition for more information 11 S...

Page 206: ...ars 13 Select all Patient Sizes you want available for the view The default size will automatically be selected 14 Select Receptors and Modes for each selected receptor 15 Select the Default Receptor cassette or GE Portable DR Detector FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a ...

Page 207: ...Press NEXT The Review screen appears The default patient size is shown with an asterisk to the left of the size indicator 17 Select the patient size to edit 18 Press EDIT TECHNIQUE FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 208: ...er selects values appropriate for the patient size 20 Upon completion for each view press NEXT TECH adjust techniques for the next configured patient size 21 When finished press EXAM MENU The Exam Menu appears 22 Press SAVE A message appears Changes made to the Protocol Database will be saved RESET clears all changes to the database since the last time it was saved 23 Press OK The Preferences Prot...

Page 209: ...ditor Copy Functions Follow this process to access the Protocol Database Editor 1 From the Worklist select UTILITIES 2 Select Preferences Protocols 3 Press EDIT The Exam Menu appears Figure A7 32 Exam Menu 4 Continue with Copy Category p A7 49 Copy Exam p A7 50 or Copy View p A7 50 Copy Category 1 Select the Category to copy 2 Press COPY CAT 3 Enter the new name to use or retype the existing name ...

Page 210: ...t the Exam to copy 2 Press COPY EXAM 3 Enter the new name to use or retype the existing name 4 Select the Category to copy to 5 Select the position on the Exam list 6 Press OK 7 Continue with Copy View p A7 50 Copy View 1 Select the View to copy 2 Press COPY VIEW 3 Enter the Exam Name to use or retype the existing name 4 Select the Copy to Category from the list FOR TRAINING PURPOSES ONLY NOTE Onc...

Page 211: ...Exam from the list 6 Select the Position View from the list 7 Press OK NOTE Remember to back up the database when finished editing Refer to Backup Protocol Database to CD p A7 40 for more information FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 212: ... p A8 1 When to Perform Quality Tests p A8 2 Quality Test Preparation p A8 2 Perform Detector Check p A8 3 Perform QAP p A8 5 Result History p A8 11 Maintenance and Cleaning p A8 12 Types of Quality Tests There are two types of quality tests Detector Check A quick test to check detector quality if the detector was dropped Detector Check does not require making exposures and the pass or fail result...

Page 213: ...chedulingQAPtests plan15 20minutestoperformthetest Oneportionofthetestrequires that the system be powered on and in an idle state i e without exposures for at least 10 minutes The 10 minute idle period is based upon the time from the last exposure prior to performing QAP or system start up The rest of the test requires approximately 5 minutes to complete Figure A8 1 QAP button with alert icon Qual...

Page 214: ...ton at the bottom of the Worklist or Acquisition screen The Image Quality screen appears Figure A8 2 Image Quality screen 2 Select Quality Control Tests from the left side of the screen Figure A8 3 Figure A8 3 QAP selection from left side of screen The Quality Assurance Program screen appears FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the...

Page 215: ...DETECTOR CHECK The Detector Check Tests screen appears Figure A8 5 Detector Check Tests screen 4 Press START to begin the Detector Check 5 Wait for the test to complete The Detector Check result screen appears automatically after tests have been completed FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revisi...

Page 216: ...ction and potential calibration are needed WARNING Image quality may be degraded if you continue to use a detector that has failed the Detector Check tests Figure A8 7 Failed Detector Check results Perform QAP QAP involves tests requiring exposures with the flat field phantom The GE Portable DR Detector QAP kit includes a flat field phantom Figure A8 8 sized to fit the collimator FOR TRAINING PURP...

Page 217: ...e calibration software These techniques are required for proper calibration and should not be changed by the user Figure A8 8 Flat field phantom Follow this process to perform a QAP test 1 Press the QAP button at the bottom of the Worklist or Acquisition screen The Image Quality screen appears Figure A8 9 Image Quality screen 2 Select Quality Control Tests from the left side of the screen Figure A...

Page 218: ...idle state without exposures for at least 10 minutes before the Vertical Bar Calibration portion of the test can begin If the system has not been idle a countdown timer appears on the bottom of the screen and Vertical Bar Calibration will begin automatically when the specified time has been reached Figure A8 12 Vertical Bar Calibration screen 5 Wait for the test to complete The Detector Check Test...

Page 219: ...en a Verify that the detector is out of its holder b Press START and wait for the detector check tests to be completed and results to be displayed The Detector QC Tests screen appears automatically when the Detector Check Tests are complete 7 Follow the instructions on screen to complete this portion of the test FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and ther...

Page 220: ... Flat field Tests The Flat field tests screen appears 9 Follow the instructions on screen to complete this portion of the test a Do not reposition the system b Prep and expose the flat field phantom The acquired preview image automatically appears after exposure 10 Press anywhere on the screen to close the Preview and return to the QAP screen 11 Prep and expose the flat field phantom again The acq...

Page 221: ...ocedure to confirm the failure Check the items listed below when repeating the tests Check collimator blades Make sure that they are fully open and not in the field of view Check that the phantom is correctly positioned Check that no other objects are in the field of view If a single failure is confirmed call to schedule service The system is operational although inspection and potential calibrati...

Page 222: ... values test specifications LSL and or USL and pass fail status A minimum of 25 QAP test results are maintained Follow this process to view the results of previous QAP tests 1 From the left pane press RESULT HISTORY The Result History screen appears 2 Press a test entry in the list to select it 3 Press SELECT The test details appear Figure A8 17 QAP Result History screen FOR TRAINING PURPOSES ONLY...

Page 223: ...the IEC regulations The device is used in accordance with the Operating Instructions Original or authorized spare parts are used If service of the unit is performed the service technician must provide an official service report describing the type and extent of repair This service report must contain all information regarding changes to nominal data and or work range performed at the service visit...

Page 224: ...the patient should be cleaned with an EPA registered low level disinfection or sanitizing agent CAUTION In the event of equipment contacting broken skin or being used with infected or immune compromised patients the equipment should be cleaned using EPA cleared and EPA registered high level disinfecting agents NOTE Be sure to follow the label instructions and pre cautions for use storage and dispo...

Page 225: ... p B 3 Working with Groups p B 4 Add Groups p B 4 Assign Privileges to Groups p B 5 Remove Groups p B 5 Show Protected Groups p B 5 Working with Users p B 7 Add Users p B 7 Assign Users to Groups p B 8 Change User Password p B 8 Remove Users p B 9 Show Protected Users p B 9 Viewing the Audit Log p B 11 Administering System Configuration p B 12 Change Display Settings and Enable Enterprise Authoriz...

Page 226: ... to being able to add procedures to the Worklist conduct exams and manage images Standard and Limited User only allows access to add procedures to the Worklist conduct exams and manage images Groups are categories of users that have certain privileges assigned Users get their privileges from groups A user may be assigned to several groups Groups are created and assigned privileges by a user with G...

Page 227: ...nistrator access a message Figure B 1 appears You have both regular user and admin user privileges To access the admin screen select the check box before continuing with the login otherwise just continue with the login If the message does not appear then you do not have access to the login administration functions 5 Select the Enter admin screen checkbox 6 Click LOGIN The Login Administration scre...

Page 228: ...ies are at the top of the screen columns and the group names are at the left edge of the screen rows Figure B 2 Group and Permissions Mapping tab Add Groups 1 Select the Group and Permissions Mapping tab if necessary 2 Click ADD GROUP 3 Type a name for the group in the text box that appears near the bottom of the screen Figure B 3 Figure B 3 Add group text box FOR TRAINING PURPOSES ONLY NOTE Once ...

Page 229: ...ups and Users p B 2 for definitions of privileges NOTE The Service privilege is protected and cannot be selected Only GE Service personnel can assign a group to the Service privilege 3 Click on a selected checkbox to remove the privilege NOTE You may select or deselect privileges for multiple groups 4 Click APPLY GROUP SETTINGS A message appears Apply group settings 5 Click APPLY NOW Remove Groups...

Page 230: ...y 2008 B 6 Operator Manual 2008 General Electric Company All rights reserved Figure B 4 Protected groups FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 231: ...e available groups are at the top of the screen columns and the user names are on the left edge of the screen rows Figure B 5 Local User Management tab Add Users 1 Select the Local User Management tab if necessary 2 Click ADD USER Five text boxes appear near the bottom of the screen Figure B 6 Figure B 6 Add user text boxes 3 Type a Username FOR TRAINING PURPOSES ONLY NOTE Once downloaded this doc...

Page 232: ...d format or construction however your facility may have password standards that must be followed Ask your facility s System Administrator about password standards and create passwords that conform to those standards 7 Re type the password in the Confirm Password text box NOTE The passwords must match exactly to be accepted 8 Click SUBMIT The new user is added to the table If the Username cannot be...

Page 233: ...standards and create passwords that conform to those standards 4 Re type the password into the Confirm Password field 5 Click SUBMIT Remove Users 1 Click a user name to select it NOTE You cannot delete protected users 2 Click REMOVE GROUP A message appears Remove User xxx 3 Click REMOVE NOW Show Protected Users There is a class of users identified as protected users The privileges assigned to thes...

Page 234: ...y 2008 B 10 Operator Manual 2008 General Electric Company All rights reserved Figure B 8 Protected users FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 235: ...ccessed the system when the system has been accessed and the type of login that is emergency logins The log settings are configured through the Configuration Audit Log tab Refer to Configure Audit Log p B 15 for more information Figure B 9 Log Viewer tab FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revisio...

Page 236: ...s The following sections describe the controls available for each tab Change Display Settings and Enable Enterprise Authorization The Configuration Configuration tab Figure B 10 allows you to set the inactivity timeout period control whether the Emergency Login button appears and to enable enterprise authorization Table B 1 describes each function Figure B 10 Configuration Configuration tab FOR TR...

Page 237: ... splash screen after 10 minutes of inactivity no keyboard entry or mouse movements requiring the user to log in When logging back in the system is returned to its last know state To disable inactivity timeout enter 0 Display Emergency Button Allows the Emergency Login button to be shown on the Login screen If this button is not displayed only those users with a valid account can log onto the syste...

Page 238: ...B 14 Operator Manual 2008 General Electric Company All rights reserved Figure B 11 Configuration Enterprise tab FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Page 239: ... authorization is enabled this tab controls if audit logging is to be enables which hosts will be tracked and the number of events to track Click SUBMIT to apply the settings Figure B 12 Configuration Audit Log tab FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie C...

Page 240: ...eserved Use LDAP Console Lightweight Directory Access Protocol LDAP functions are available from the Configuration LDAP Console tab Figure B 13 Configuration LDAP Console tab FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

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