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Shimadzu Bransist Alexa, Operation Manual

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Shimadzu Bransist Alexa Operation Manual Download Page 27

27

4

Fluoroscopy/ Radiography

 Horizontal movement or raising/lowering of catheterization table.

1

Horizontal Movement of Catheterization Table

Move the table manually while pressing the unlocking switch.

CyberGrip

Grip Switch

Table Console

2

Raising of Catheterization Table

Press   (Up) switch.

  Tabletop rises.

CyberGrip

Table Console

3

Lowering of Catheterization Table

Press   (Down) switch.

  Tabletop lowers.

CyberGrip

Table Console

Operation of Catheterization Table

Summary of Contents for Bransist Alexa

Page 1: ...Guide BRANSIST alexa Digital Angiography System M517 E190D Digital Angiography System BRANSIST alexa Read this manual thoroughly before you use the product Keep this manual for future reference Operat...

Page 2: ...a potentially hazardous situation which if not avoided may result in minor to moderate injury or equipment damage NOTE Emphasizes additional information that is provided to ensure the proper use of t...

Page 3: ...Change Settings of Injection Delay 31 Recording Fluoroscopy Image 32 Adjusting Image 33 Adding Deleting and Displaying Reference Images 35 Related Operation for Study 36 Measuring and Analyzing 37 Ope...

Page 4: ...Tube Collimator IVR NEO Catheterization Table CyberGrip or Cyber Console Local Console Foot Switch Examination Room Acquisition Monitor Review Monitor C arm Indicator C arm 1 System Components Examin...

Page 5: ...r side of the grip C arm Rotation Selector Switch Direct Memory Switches C arm Travel Selector Switch FPD SID Switch Cyber Console Field of View Switch Center Reset Switch C arm Rotation Travel FPD SI...

Page 6: ...h Direct Memory Switches Operate the C leaf of the Collimator by moving up and down Operates the H V Collimation The Collimator opens up when this is pressed down Operates the Compensation Filter in t...

Page 7: ...Direct Memory Switches Operate the C leaf of the Collimator by moving up and down Operates the H V Collimation Operates the Compensation Filter in the Collimator Leaves Oper Switch The Collimator ope...

Page 8: ...ct a button from and 2 Select the location of the C arm from this area 3 Press and hold to move the C arm to memory position Type B 1 Select a button from 2 Select the location of the C arm from this...

Page 9: ...ype A 1 Select a button from and 2 Select the location of the C arm from this area 3 Press and hold to move the C arm to memory position Type B 1 Select a button from 2 Select the location of the C ar...

Page 10: ...Comment ON Comment menu displayed Add Reference Image ON can add Reference Image Fluoro Record Last N Seconds mode ON can record the latest uoro loop unavailable for Direct Fluoro Record mode Recordin...

Page 11: ...select mode LIVE ON display DSA LIVE image Linkage with C arm Positioning ON send projection angle of currently displayed image to the C arm Image Filter ON lter and display the projection angle of i...

Page 12: ...12 Review Monitor X ray Generator Console Foot Switch Acquisition Monitor Keyboard Digital Operation Cabinet Mouse C arm Remote Console Control Room...

Page 13: ...scopy Density Button IBS Button BH Filter Number C arm Information X ray OFF Button Setting Button Accumulated Fluoroscopy Time Reset Button Warm up Button Tool menu C arm Collision Indicator Focus Sw...

Page 14: ...isplayed in reference mode Side Menu displayed when the mouse pointer is put on the left edge of the screen Parameters Acquisition Active Image Selector Status Messages Programs Comment Cine Control E...

Page 15: ...Side Menu Image Viewer Probe Signal Digital Program Menu is displayed in reference mode Status Messages Programs Comment Cine Control Exit Button Modes Info Network Activity Study Information Study I...

Page 16: ...16 Startup Be sure to perform daily inspection before patient use Daily Inspection P 21 NOTE X ray Generator Console 1 Press ON Starting up whole system Power ON Button 2 System Startup and Shutdown...

Page 17: ...at the park position even though the uoroscopy at park position setting is set to OFF In this setting X ray exposure by the foot switches and the hand switch is not available NOTE X ray Generator Con...

Page 18: ...18 If you need to pause warm up during procedure Press to pause warm up Press to resume Press to cancel warm up and press to con rm...

Page 19: ...tion Press and hold the C arm Parking Switch until travel is completed C arm Type B 1 Set the C arm to the center position Press the Center Reset Switch to select the operation Then press and hold the...

Page 20: ...is displayed 4 Con rm the message by clicking X ray Generator Console 5 Press OFF when System Display window is changed Make sure the OFF button is lit To restart the system wait 1 minute after turnin...

Page 21: ...are no abnormal sounds LAO RAO CAUD CRAN operation of the C arm Change the position of the C arm and move the FPD forward backward Up and down operation of Catheterization Table and Tabletop Lock Swit...

Page 22: ...the items with a dot 3 Click Patient information will appear on the upper area of the main window If loops images have not yet been recorded saved study information can be modi ed by clicking on the s...

Page 23: ...e up down direction while pressing C arm rotates according to the direction of the grip 4 C arm Travel Move the grip in the up down direction or twist it in the left right direction while pressing C a...

Page 24: ...on selector switch C arm rotates according to the direction of the lever C arm Rotation Selector Switch upper on the far side 4 C arm Travel Move the C arm rotation travel lever forward backward or in...

Page 25: ...loor mount type No Switch C arm position Home position 0 Femoral position CW45 Peripheral position CW40 Movable range of the C arm rotation is LAO90 RAO 90 in the femoral position however limited to L...

Page 26: ...ended type C arm Working Positions Switch No Switch C arm position Head position Left position Left sheltered position Right position Left diagonal position press simultaneously Right diagonal positio...

Page 27: ...zation Table Move the table manually while pressing the unlocking switch CyberGrip Grip Switch Table Console 2 Raising of Catheterization Table Press Up switch Tabletop rises CyberGrip Table Console 3...

Page 28: ...ppears on the screen To stop the buzzer press alarm stop button Radiography 1 Con rm the radiography program Modify the condition as needed Positioning shall be set by uoroscopy Perform uoroscopy more...

Page 29: ...directory with mouse Selected parameter is set Fluoroscopy Radiography program presets and corresponding parameters are changeable These parameters can be changed at the digital processing system in...

Page 30: ...setting back to normal Flip vertical Click the button again to change the setting back to normal 2 Perform uoroscopy or radiography Reversed image is acquired It is selectable during fluoroscopy or r...

Page 31: ...n Times are set in advance for each acquisition program These values can be changed temporary during study according to the following procedure 1 Click on the review monitor side menu Acquisition Para...

Page 32: ...beforehand NOTE Last N seconds Fluoroscopy Record 1 Perform uoroscopy 2 Click or press on IVR NEO The latest uoroscopy loop will be saved Direct Fluoroscopy Record 1 Click Make sure that selected Fluo...

Page 33: ...click decrease Click both mouse buttons simultaneously 0 Convolution Right click increase Left click decrease Click both mouse buttons simultaneously 0 Negative positive conversion H Flip Images can b...

Page 34: ...Resume forward play same speed as acquisition Press more than 2 seconds Resume backward play same speed as acquisition No Button Function 1 Adjust the loop playback speed Right click increase Left cl...

Page 35: ...ay frame by frame backward according to the speed of joystick angle when paused Larger the tilt angle higher the speed Keyboard IVR NEO Function Add Reference Image Delete Reference Image Go to next l...

Page 36: ...Function 1 New study Start examination 2 Re synchronize the Review monitor display to the acquiring study 3 Open previous study 4 Close the study 5 Display study information 6 Display comment menu Rel...

Page 37: ...nter Perform calibration according to the following procedure if needed To perform calibration display the image of reference object such as a catheter previously acquired with the same magni cation a...

Page 38: ...est part of the stenosed artery The stenosis is measured and indicated on screen 4 Specify the reference value 1 Click button from Manual menu 2 Click points on opposite sides of the part of the un st...

Page 39: ...measured object is located on the ISO center Perform calibration according to the following procedure if needed To perform calibration display the image of reference object such as a ball previously a...

Page 40: ...rve passing through clicked points is created Move a point by clicking and dragging it to a new position Delete a point by clicking it with the left and right mouse buttons simultaneously 3 Once the o...

Page 41: ...n 3 Create peak hold image 4 Set ROI of MAP 5 Resetting mask image 6 Executing reregistration Shift the mask image 7 Create a contour enhanced blood vessel image from DSA image No Button Function 1 2...

Page 42: ...42 1 Click and select Printer dialog will appear 2 Setting any required items such as 3 Add images with 4 Click Printing is started 1 Click from Study menu Printing Images Closing Study...

Page 43: ...the search target set by the System and Drives buttons plus all search criteria 2 View Displays the selected study or studies in the Image Viewer window 3 RDSR Available if there is dose report Displa...

Page 44: ...he con rmation window appears click OK Sending Studies No Button Function 6 Info Displays detailed information about the selected patient 7 Delete Permanently deletes the unprotected studies selected...

Page 45: ...writer 3 Insert a blank disk Media Writing dialog box appears Volume name is changeable Select the writing item from Images RDSR or Both 2 Click Writing is started To cancel a media write click on the...

Page 46: ...information display to ensure normal operation NOTE Safety Switch Touch sensors are mounted on the FPD front cover and the collimator cover When these sensors are tripped the movement of C arm and cat...

Page 47: ...procedure Digital Operation Cabinet Control Room 1 Press and hold the Power button for at least 5 seconds The power goes off Cabinet Equipment Room 2 Open the switch cover in front of the cabinet and...

Page 48: ...on the power After the application screen is displayed on both acquisition and review monitors shut down the system again by standard procedure and then restart the system NOTE Digital Angiography sys...

Page 49: ...ll Modes in the Calibration Type list 4 Click Progress messages are displayed during calibration Completion message is displayed when calibration is completed 5 Click Click if you terminate the calibr...

Page 50: ...er failure occurs or the longer one once shut down the system and then re activate the system according to the Startup procedure P 16 or Chapter 3 on DAR 9500f Operation Manual M517 E181 The system is...

Page 51: ...An error occurred during cache space reservation If CD R or DVD R media are used as patient data archive archive all unsaved patient data to new CD R or DVD R No available cache Cannot retrieve media...

Page 52: ...system monitor errors in the following list are also displayed Stop study immediately and contact Shimadzu service representative Action Message Description Sensor Temperature error Cooling Unit Wate...

Page 53: ...the focus is switched to normal one if this message appears after rebooting the X ray high voltage generator contact Shimadzu service representative No Filament S L Both Abnormal lament If this messa...

Page 54: ...aphy is not possible while this message is displayed Action Message Description HU Over Predicted Value predicted to go out of range Continuing radiography with present setting will cause heat unit ov...

Page 55: ...ing displays Starter is not working The starter is in standby status Contact Shimadzu service representative Error Messages at Power ON Action Message Description Contact Shimadzu service representati...

Page 56: ...ntact Shimadzu service representative Motor Error XXX Motor command fail to drive the motor Camera Rotation Error Error of FPD rotation potentiometer Collimator Error XXX Error of the collimator poten...

Page 57: ...Error Break in the stop switch circuit is detected One of the doubled circuits is out of order Although the equipment is available for the temporary use contact Shimadzu service representative immedi...

Page 58: ...of next Fluoro acquisition Rad Rad Program Associated prede ned Rad mode selected upon selection Toggle Rad Mode Biplane only Change the plane in order of Frontal Bi and Lateral Set Rad Mode BiPlane B...

Page 59: ...Zoom level decreases slightly upon selection Flip image Horizontal Flip an acquisition image horizontally Flip image Vertical Flip an acquisition image vertically Play Play Sync Play ON Play Single Lo...

Page 60: ...utton Function A R Annotations Show Annotation Properties Annotations properties shown upon selection Pointer Pointer tool selected upon selection A relevant to Acquisition monitor R relevant to Refer...

Page 61: ...http www shimadzu com...

Page 62: ...Operation Guide BRANSIST alexa Digital Angiography System...

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