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3 Preparations for operation

GE Healthcare

86500-IMG rev 3

3.4.2

Insertion and removal of compression paddles

3.4.2.1

Insertion

Insert the required paddle into the holes on the compression arm

and push the paddle horizontally until it locks. Insert the paddle so

that the longer pin of the two slides into the right-hand hole.

The inserted compression paddle looks like this.

FOR

TRAINING

PURPOSES

ONLY!

NOTE:

Once

downloaded,

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UNCONTROLLED,

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Always

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CDL).

Summary of Contents for Diamond

Page 1: ...eration Instructions 86500 IMG rev 3 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 2: ...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 3: ...permission of GE Healthcare Windows is trademark of Microsoft Corporation in the United States of America and other countries HyperTerminal is a trademark of Hilgraeve Inc Monroe MI USA The original l...

Page 4: ...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 5: ...2 Compression force display selection 18 4 3 ParkBack 18 4 4 ProForm Synchro Buckies 19 4 5 PaddleLogic 19 5 Operating procedures 21 5 1 Anatomic C Arm Rotation ACR 21 5 2 Vertical movement up and do...

Page 6: ...ic exposure modes 49 6 1 Operation in Auto kV mode 49 6 2 Operation in Auto Time mode 50 6 3 Operation in Manual mode 50 6 3 1 Adjustment of the mAs values in Manual mode 50 6 4 Automatic compression...

Page 7: ...charts 85 12 2 Anode heating and cooling curves 86 12 3 Housing heating and cooling curves 86 12 4 Single load ratings 87 12 4 1 Constant Potential 50 Hz 87 12 4 2 Constant Potential 60 Hz 88 12 5 Des...

Page 8: ...thcare 86500 IMG rev 3 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 sou...

Page 9: ...om The exposure button is located on the compact control panel All functions of the unit are controlled by a microprocessor and the operator is informed of error conditions on the control panel displa...

Page 10: ...mpression paddle Diamond is CE marked in accordance with MDD 93 42 EEC and its design complies with IEC 60601 1 Diamond fulfills the EMC requirements of IEC 60601 1 2 2 ed The Diamond breast imaging u...

Page 11: ...manual may have the following markings NOTE Contains useful information for the reader about the unit and its usage CAUTION Contains important instructions If these instructions are not observed malfu...

Page 12: ...GE Healthcare 86500 IMG rev 3 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 valida...

Page 13: ...mpression paddle 14 Pre programmable C Arm angle buttons 6 Cassette holder 15 Mains switch automatic trip switch at the rear 7 Manual compression wheels 16 User power On Off switch 8 Compression paddl...

Page 14: ...l button for menu operations 6 mAs display 17 Menu and Set button for menu operations 7 mAs selection 18 LCD display 8 Density display 19 Function key 1 and LED indicator 9 Density selection 20 Functi...

Page 15: ...ual compression wheel 9 AEC detector selector buttons 3 C Arm rotation buttons 10 AutoPoint detector button and LED indicator 4 Vertical movement buttons 11 Breast thickness display 5 Compression forc...

Page 16: ...7 Top down The tube head cover with C Arm rotation buttons 11 Vertical movement buttons 12 and ParkBack buttons 13 FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and the...

Page 17: ...SWITCHING ON THE UNIT Make sure that the mains switch is on Then switch ON the mains power with the user power ON OFF switch The following will appear on the on control panel display screen with facto...

Page 18: ...on input Use the Cancel button to go back one step in the menu without selecting an option or to cancel a selection Use the SET button to accept selections and to proceed to the next step in the menu...

Page 19: ...he corresponding Buckies because it does not apply compression to the whole breast being imaged especially to the upper quadrant of the breast in oblique and lateral views However it can be used to ex...

Page 20: ...mpression arm and push the paddle horizontally until it locks Insert the paddle so that the longer pin of the two slides into the right hand hole 2 The inserted compression paddle looks like this FOR...

Page 21: ...Accessory Catalog 86503 IMG for complete listing of Buckies and order codes Synchro Bucky 18x24cm or ROC Synchro Bucky 18x24cm Synchro Bucky 24x30cm or ROC Synchro Bucky 24x30cm Multichoice magnifica...

Page 22: ...on has an arbitrary angle and thus produces no image on the film but only reduces the contrast in the final image Separate Buckies are available for both 18x24cm and 24x30cm film formats 3 4 4 Inserti...

Page 23: ...eld The face shield is used to keep the patient s face or ear lobes out of the X ray beam during exposure Insertion Install or remove the face shield with a single horizontal movement along the groove...

Page 24: ...m cassettes are used The Film marker kit refer to Diamond Accessory Catalog 86503 IMG for the order code for various languages stores some information on the patient examination on to the film The Alp...

Page 25: ...the edge of the film The AutoPoint Detector has two modes of operation automatic and manual In the automatic mode the system selects the most appropriate detector to measure the radiation coming thro...

Page 26: ...e or continuously depending on the country specific regulations for motorized movements Pressing any button will stop all movements NOTE The moving tube head may alarm the patient Please inform the pa...

Page 27: ...al cassette removal in the event of power failure or system malfunction All Buckies are daylight type DIN cassette The ProForm Synchro Bucky consists of a one part carbon fiber cover with rounded corn...

Page 28: ...stics 20 GE Healthcare 86500 IMG rev 3 FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against...

Page 29: ...n its use Check periodically that the emergency buttons work correctly Press one of the emergency buttons and check that no such motorized movement is allowed that affects the patient Tube head ECS Z...

Page 30: ...ical position 0 Various control buttons are provided for convenience to drive the rotation movement These are located together with the vertical movement control buttons at the Position Control Center...

Page 31: ...angle on the opposite side passing the CC position of the C Arm The OBL buttons drive the C Arm to a predefined default angle that may afterwards be fine tuned to the required angle Pressing the othe...

Page 32: ...matically select the most appropriate X ray beam filter All filters are motorized and the beam filters can be used automatically if Auto Filter is switched on Molybdenum and Rhodium are used in the kV...

Page 33: ...compression pedal is pressed down the tube head is being driven forward or the collimator light switch is pressed inactive when the tube head is in the back in the park position The light is switched...

Page 34: ...printed onto the acrylic part of each paddle to the extent the size of the paddle acrylic allows Paddles are attached with a straight horizontal movement and removed by first pressing either one of th...

Page 35: ...n tunnel is used to apply the compression to the breast against the stationary paddle 4 REL When the REL foot switch is pressed the C Arm is driven towards the image receptor to its rest position and...

Page 36: ...he maximum force that can be applied to the breast The left key decreases and the right key increases maximum compression force limit The compression force limit is programmable by the service technic...

Page 37: ...natural mobility of the breast to increase the clinical image quality and patient comfort ECS makes it easier to elevate the breast and open the infra mammary fold thereby maximizing the amount of bre...

Page 38: ...Fig 5 7 Positioning data display 5 7 PATIENT POSITIONING NOTE Always advise the patient not to use deodorant prior to a mammographic examination Certain deodorants can mimic micro calcifications on t...

Page 39: ...ace the cassette into the cassette holder 2 Make sure that the C Arm is in the upright position 0 by pressing the CC key Adjust the image receptor height using the vertical height control so that pati...

Page 40: ...pression 6 Position a film marker on the image receptor to the side of the lateral aspect of the breast Turn the patient s head away from the X ray beam 7 Take note of the compression thickness displa...

Page 41: ...blique position Rotate the patient towards the image receptor and place their breast onto the cassette holder so that it totally covers at least one of the AutoPoint AEC detectors 5 Select the most ap...

Page 42: ...lean towards the unit 4 Place the breast on the cassette holder so that the breast totally covers at least one of the AutoPoint AEC detectors This can be achieved by gently pulling the breast away fr...

Page 43: ...o insert the cassette into the cassette holder by inserting the lower left corner of the cassette to the Bucky Push then the cassette towards the front of the Bucky so that the upper left corner slide...

Page 44: ...e to correct position at the front edge of the cassette holder ready for exposure In case the cassette is inside but in the back of the Bucky pulling the cassette latch towards the front of the Bucky...

Page 45: ...different film screen combinations 4 Rhodium use for very dense breasts 6 cm or greater No need to increase kV 5 Magnification views increase technique by 2 3 kVp if exposure time exceeds 5 seconds F...

Page 46: ...ession release By default Diamond releases compression automatically after exposure The automatic release can be disabled from the control panel When performing a manual biopsy procedure compression m...

Page 47: ...the exposure button is pressed before the cooling time has elapsed the timer display will indicate the remaining cooling time If the Ready Light does not turn on 50 seconds after an exposure refer to...

Page 48: ...o a printer In this way printed film identification labels can be produced One of two printer label sizes can be selected by your service technician 36 7 x 101 mm 26 0 x 101 mm For each of the four ro...

Page 49: ...port i e only either one of the devices may be connected at one time CAUTION When connecting Diamond to a printer or a similar combination make sure that connection conforms to IEC60601 1 1 The leakag...

Page 50: ...studies the Diamond uses the MultiChoice magnification tunnel One tunnel is used for all magnification factors 1 6x 1 8x and 2 0x The factor is a user preference and can be changed by the user The fi...

Page 51: ...image quality However positioning using spot compression is more difficult to achieve X ray beam should be collimated to the compressed area This reduces scattered radiation to the image area so impr...

Page 52: ...fferent types of biopsy paddles available for use with Diamond each with different openings These openings are available as holes with a diameter of 18mm holes with a diameter of 9mm and as rectangula...

Page 53: ...the side Apply compression using the foot pedal or manual controls Take care that the patient s nipple is in profile and no skin folds are present Do not compress the breast quite as much as in a rou...

Page 54: ...CT option 5 10 8 FNA procedure In the FNA procedure a sample of the breast tissue is taken for cytological analysis of the lesion In lesion marking the lesion is marked for surgical biopsy either with...

Page 55: ...e 2 Check the location of the wire end with an exposure If required the location of the wire is altered and checked with another exposure Correct steel wire localization can be determined after insert...

Page 56: ...riate AEC detector for the examination ensuring that it is totally covered by the breast when under the compression paddle After selecting the paddle the AEC system operates only within the defined ar...

Page 57: ...ed manually with a filter selection button When Auto Filter mode is selected as ON Diamond chooses the Molybdenum or Rhodium filter automatically depending upon the breast thickness When AutoFilter is...

Page 58: ...3 OPERATION IN MANUAL MODE 1 Select required kV and mAs The system will select the correct exposure time which depends on the selected mAs value 2 Change the filter selection if necessary Fig 6 3 The...

Page 59: ...compression paddle indicate the size and location of each detector Testing the AEC 1 Expose at 28 kV and 40mm acrylic 2 Develop the film 3 Measure the O D 6 6 SELECTION OF MAS VALUE During the exposu...

Page 60: ...A mAs mA 15 250 53 175 18 16 250 59 200 20 17 300 64 200 22 18 300 69 200 23 19 350 74 200 24 20 350 78 250 25 21 400 81 250 26 22 400 85 250 28 23 450 90 300 30 24 450 95 250 29 25 500 100 250 28 26...

Page 61: ...mpts for a check of the film processing system The IQC test is done with a phantom exposure After the exposure the film is developed and its density checked with a densitometer If the measured optical...

Page 62: ...ssary in order to visualize all objects in the phantom However if the IQC results vary from procedure to procedure check that the phantom does not allow direct radiation to enter the AEC detector the...

Page 63: ...m processor 2 Press the middle button Accept to accept the value The following screen appears The screen display shows the new IQC coefficient with the remark Pass to indicate that it is within the ac...

Page 64: ...e 1 2 name max 8 characters Auto kV change limit AutoPoint coefficient If the pre programmed mode is renamed max 8 characters the name of the mode will be displayed in left upper corner of the Control...

Page 65: ...s and contrast of the LCD display with the Down Next and Up keys in the Display screen The control panel display screen brightness and contrast can each be set in the range from 0 to 5 After completin...

Page 66: ...GE Healthcare 86500 IMG rev 3 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 valida...

Page 67: ...d after power failure Release the compression paddle by turning the manual compression control handwheel counter clockwise In some circumstances this may require some force to be exerted on the contro...

Page 68: ...ge another filter If problem persists call service Er0015 Collimator plate movement back up time reached Clear and try again If problem persists call service Er0022 Compression motor back up time reac...

Page 69: ...try again If problem persists call service Er0048 C Arm rotation back up time reached Clear and try again If problem persists call service Er0051 C Arm angle measurement failure Drive to predefined an...

Page 70: ...l service Er0067 Device not ready for exposure Clear and try again If problem persists call service Er0068 Delta 32 PC refused to receive exposure Clear and try again If problem persists call service...

Page 71: ...own blocked when the C arm angle exceeds 122 1 For C Arm angles over 120 drive the tube head to the front position For lowest Z position drive drive the tube head is in front position 2 Drive the C ar...

Page 72: ...4 GE Healthcare 86500 IMG rev 3 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 vali...

Page 73: ...ishes or waxes on parts that come into contact with the patient Proprietary disinfectant solutions meeting the above limitations are suitable provided that the manufacturer s instructions are stringen...

Page 74: ...re with a faulty detector Vertical Movement Check that the carriage moves smoothly and in both directions Compression force Check that the compression force has not changed Compression release when po...

Page 75: ...compress manually with hand wheels Once a year Procedure Section in Diamond Installation Instructions 86501 IMG kV mAs preheat tests Perform test 7 2 10 X ray and light fields Perform tests 7 2 2 and...

Page 76: ...sed with Diamond Emergency buttons Verify that all electronically controled movements vertical c arm rotation compression are disabled when emergency button is pressed down All motorized movements sho...

Page 77: ...hototimer Reproducibility Monthly Daily mobile installation Acrylic phantom Radiographer Technologist Physician Film Screen Contact Semi annually Contact test tool Physicist or Service Technician kVp...

Page 78: ...ld bulb lamp pull it out 4 Insert a new bulb Avoid touching the bulb with your fingers Use a protective plastic bag around the bulb dependent on the bulb manufacturer or cotton gloves 5 Slide the lamp...

Page 79: ...d is a cord connected device delivered without a plug in some markets Depending upon local electrical code requirements it may be either hard wired or plugged into an outlet Please consult your electr...

Page 80: ...00 mbar 1060 mbar Generator Manufacturer GE Healthcare Finland Oy Type MGHV 300 Frequency 40 100 kHz Power Max 2 6 kW kV range 15 39 kV in 1 kV increments Accuracy 1 5 kV kV ripple 4 mA range Focus 0...

Page 81: ...0 10 instrument inaccuracy Tube loading chart for Diamond X ray tube M113SP kV M113SP mA SF M113SP mA LF kV M113SP mA SF M113SP mA LF 15 18 53 28 25 85 16 20 59 29 24 85 17 22 64 30 23 80 18 23 69 31...

Page 82: ...m 50Hz 3600rpm 60Hz Focal spot sizes M113SP 0 1 0 3 IEC60336 Port material beryllium Reference axis 42 mm M113SP from chest wall edge tube angle 4 Diamond Filtration Molybdenum Rhodium Aluminum 0 025...

Page 83: ...Tissue dose in Screen Film Mammography Wu Xizeng Wu X Barnes Gary T Tucker Douglas M Radiology 1991 179 143 148 Normalized Average Glandular dose in Molybdenum Target Rhodium Filter and Rhodium Target...

Page 84: ...ent criteria for exposure time Exposure time Consists of beginning and ending points as measured by a calibrated x ray monitor at 70 of the peak radiation waveform kV The high voltage mean value recei...

Page 85: ...127 2 3 F3 Fuse 6 3x32 mm 15ASB 250V F4 Fuse 5x20 mm 0 8AT IEC127 2 3 F5 Fuse 13 32 20AF 600VAC Bussmann KTK 20 AMD 32305 F1 Fuse 6 3x32 mm 10AT 250V Diamond fuses used by Delta 32 On PCB located in t...

Page 86: ...tablishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Table 10 1 Electromagnetic emissions IEC 60601 1 2 The Diamo...

Page 87: ...equency magnetic fields are at levels characteristic of a typical location in a typical commercial and or hospital environment NOTE Un is the a c mains voltage prior to application of the test level T...

Page 88: ...Interference may occur in the vicinity of equipment marked with the following symbol Field strengths from fixed transmitters such as base stations for cellular telephones and land mobile radios amate...

Page 89: ...aration Distance meters 800 MHz to 2 5 GHz Separation Distance meters 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 74 1 1 17 1 17 2 34 10 3 69 3 69 7 38 100 11 67 11 67 23 34 Table 10 4 Recommended Separation...

Page 90: ...2 GE Healthcare 86500 IMG rev 3 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 vali...

Page 91: ...itional information refer to tube specification sheets Operating parameters Maximum Deviation of Peak Tube Potential from Indicated Value 1 5 kV instrumentation inaccuracies 1 5 of the reading 600 V a...

Page 92: ...er is activated Tube protection counter Anode Heating kV x mAs Joule increased only during exposures Cooling 30 Joule sec decreased continuously Housing Heating kV x mAs Joule increased only during ex...

Page 93: ...are included in the latest revision of 5708 M113SP Rotating Anode Tube by Varian Medical Systems 12 1 M113SP FILAMENT EMISSION CHARTS 3 Full Wave FOR TRAINING PURPOSES ONLY NOTE Once downloaded this d...

Page 94: ...12 2 ANODE HEATING AND COOLING CURVES 12 3 HOUSING HEATING AND COOLING CURVES FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revisio...

Page 95: ...lthcare 87 12 4 SINGLE LOAD RATINGS 12 4 1 Constant Potential 50 Hz FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always co...

Page 96: ...denum anode disc cathode grounded The M113SP metal center section X ray tube is for use in Mammography systems The use of a metal center section tube eliminates arcing due to metal deposition on glass...

Page 97: ...U L Approved Yes Class I Type B Maximum Peak Voltage 52 kV Anode to Ground 52 kV Cathode to Ground 0 kV Housing Heat Storage Capacity 370 KJ 500 kHU Housing Cooling Rate 100 Watts 135HU sec Weight 10...

Page 98: ...hift 2 Phase 3 Common 4 Housing Ground 5 Grid 6 Not used 7 Small Filament 8 Filament Common 9 Large Filament Focal spot Volts Amperes 0 1 3 8 7 3 3 0 4 8 0 3 6 0 10 5 3 6 5 2 Starting 115 V 230 V Ampe...

Page 99: ...ay tube housings 12 12FOCAL SPOT MEASUREMENT METHOD M113SP small focus Measured at 25kV 20mA with one degree star pattern or a slit focal Maximum focal spot size 0 15W x 0 15L mm M113SP large focus Me...

Page 100: ...sheets 92 GE Healthcare 86500 IMG rev 3 FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status agains...

Page 101: ...ls are copyrighted Unauthorized copying of the software including software that has been modified merged or included with other software or other written materials is expressly forbidden You may be he...

Page 102: ...ment 94 GE Healthcare 86500 IMG rev 3 FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against...

Page 103: ...n keys at the top C Arm angle display Vertical movement keys Compression thickness display Filter selection button Tube park keys The unit is CE marked if the unit contains CE mark according to the Me...

Page 104: ...nd certified according to UL CSA file E218408 This symbol if marked indicates that waste electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected s...

Page 105: ...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 106: ...ing to market as GE Healthcare World Headquarters GE Healthcare P O Box 414 Milwaukee Wisconsin 53201 U S A European Headquarters GE Healthcare Europe Paris France Fax 33 1 30 70 94 35 Asia Pacific GE...

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