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Siemens AXIOM Iconos R200 Operator'S Manual Download Page 6

AXIOM Iconos R200

Overall Table of Contents

2 

/ 4

AXD3-340.620.13.01.02

Operator Manual

Chapter: Functional and Safety Check

................................................................................................. 9

Daily tests  ............................................................................................................................................. 9
Monthly tests ...................................................................................................................................... 10
Legally required tests .......................................................................................................................... 10

Chapter: System Settings

...................................................................................................................... 11

General notes ...................................................................................................................................... 11
Moving the X-ray system longitudinally  .............................................................................................. 14
Tabletop .............................................................................................................................................. 15
Tube assembly stand .......................................................................................................................... 17
Tabletop .............................................................................................................................................. 18
Compression device (optional) ............................................................................................................ 21
Tomographic equipment (optional)  ..................................................................................................... 22
Manual tube assembly rotation ........................................................................................................... 24
Moving the grid into / out of the beam path  ....................................................................................... 24
Setting the source-image distance  ..................................................................................................... 25

Chapter: Setting the Image Geometry

............................................................................................... 27

Limiting the radiation field (collimation)  .............................................................................................. 27
CAREPOSITION (optional)  .................................................................................................................. 29
Additional Cu filter ............................................................................................................................... 30
Image reversal  .................................................................................................................................... 30
Switching over the image intensifier format ....................................................................................... 31

Part: Examination

Chapter: Transferring and Positioning the Patient

............................................................................ 5

General information  .............................................................................................................................. 5
Positioning the patient  .......................................................................................................................... 5

Chapter: Fluoroscopy

................................................................................................................................ 7

Fluoroscopy operating modes  .............................................................................................................. 7
Selecting the fluoroscopy operating mode  ........................................................................................... 7
Changing the selection of the fluoroscopy operating mode  ................................................................. 7
Releasing fluoroscopy ........................................................................................................................... 9
Fluoroscopic data .................................................................................................................................. 9
Automatic fluoroscopic control  ........................................................................................................... 10
Fluoroscopy time limit ......................................................................................................................... 11
Fluoroscopy warning signal ................................................................................................................. 11
Automatic format collimation in fluoroscopy  ...................................................................................... 11
Fluoroscopy programs  ........................................................................................................................ 11
Dose reduction .................................................................................................................................... 12

Chapter: Cassette Exposures in the Spotfilm Device (optional)

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

Automatic format collimation in radiography  ...................................................................................... 13
Cassette program  ............................................................................................................................... 14
Loading / unloading the spotfilm device  ............................................................................................. 16

Summary of Contents for AXIOM Iconos R200

Page 1: ...3 mm AXD3 340 620 13 01 02 AXD3 340 620 13 01 02 AXD3 340 620 13 01 02 AXD3 340 620 13 01 02 Drucknummer zum Aufkleben AXIOM Iconos R200 with fixed table height Operator Manual AXIOM Iconos R200 with fixed table height Operator Manual AXIOM Iconos R200 with fixed table height Operator Manual AXIOM Iconos R200 with fixed table height Operator Manual ...

Page 2: ......

Page 3: ...olutions AX Wittelsbacherplatz 2 Siemensstrasse 1 DE 80333 Muenchen D 91301 Forchheim Germany Germany Phone 49 9191 18 0 Internet www medical siemens com Safety System Overview System Operation Examination Generator Digital Image Processing Interventional Application Stands Tube Supports Bucky Wall Unit System Configuration Options Accessories Exposure Table Addendum Current Information Technical ...

Page 4: ...ccordance with Appendix IX of the Directive 93 42 EEC this device is assigned to class II b The CE marking applies only to medical devices which have been put on the market according to the above mentioned EC Directive Unauthorized changes to this product invalidate this declaration The original version of this manual was written in English Please observe the Safety Operator Manual Important infor...

Page 5: ...anical safety 15 Safety relevant parts subject to wear 22 Maintenance intervals 22 CAREWATCH 22 Chapter Operating and Display Elements 25 System remote control console 25 Generator on off console 32 Foot switch for fluoroscopy and radiography in the control room 33 Tableside control panel 33 LCD Monitor 35 Primary collimator 36 Part System Operation Chapter On Off Emergency Stop 5 Switching the sy...

Page 6: ... CAREPOSITION optional 29 Additional Cu filter 30 Image reversal 30 Switching over the image intensifier format 31 Part Examination Chapter Transferring and Positioning the Patient 5 General information 5 Positioning the patient 5 Chapter Fluoroscopy 7 Fluoroscopy operating modes 7 Selecting the fluoroscopy operating mode 7 Changing the selection of the fluoroscopy operating mode 7 Releasing fluor...

Page 7: ...nning 30 Peristepping optional 34 DR Scanning optional 40 Chapter Free Cassette Exposure 49 Collimation on exposure 49 Selecting the exposure technique 49 Releasing an exposure 50 Chapter Cassette exposures with wall stand 51 Collimation during exposure 51 Selecting the exposure technique 51 Releasing the exposure 52 Part POLYDOROS SX 65 80 Chapter Integrated Control Console 3 Application 3 Config...

Page 8: ...Lateral cassette holder 29 Foot switch assemblies for fluoroscopy and radiography 33 Armrest 35 Lateral radiation shield 36 Holder for BABIX cradles 38 BABIX cradles 40 BABIX hanger 42 Holder for pediatric cradle manual 43 Patient positioning mattress 43 Compression cones 44 Radiation protection for tableside examinations 47 Radiation protection for the upper body 49 Compensating filters 51 Holdin...

Page 9: ... Position and size of the main operating area 12 Stray radiation in the main operating area according to DIN EN 60601 1 3 14 Mechanical safety 15 Danger zones with unit in horizontal position 15 Danger zones with unit in vertical position 16 Warning signs 16 Grip locations 17 Danger zones 17 Patient positioning 18 Patient positioning with unit in vertical position 19 Remote compression optional 19...

Page 10: ...al 28 Additional filter 28 Collimator settings 28 Semitransparent filters 29 Radiation release 29 Stop button 29 General operating elements 29 Preselection functions 30 Operating modes 30 Segmentation program 31 Generator on off console 32 Foot switch for fluoroscopy and radiography in the control room 33 Tableside control panel 33 Displays 33 System settings 34 Image intensifier formats 35 Collim...

Page 11: ...System Overview Table of Contents AXIOM Iconos R200 AXD3 340 620 13 01 02 3 44 Changing the bulb of the laser light localizer 41 Testing the fit of the new bulb 43 Accessories and auxiliary devices 43 ...

Page 12: ...System Overview Table of Contents 4 44 AXD3 340 620 13 01 02 Operator Manual ...

Page 13: ...on angiography optional Tabletop cassette exposures Bed side exposures Exposures onto the wall stand optional Product description ICONOS R200 universal X ray diagnostic unit with swivelling overtable X ray tube assembly oblique projection and tomography in all table positions and gently starting and braking system movements Two stage setting of the source image distance Table tilt 90 to 17 with so...

Page 14: ...nten sifier VIDEOMED DH TV system with DSA or DHC without DSA OPTITOP X ray tube assembly POLYDOROS SX X ray generator Primary collimator Monitor trolley or ceiling suspension system 44 cm or 54 cm monitor s FLUOROSPOT Compact with DICOM Send and Storage Commitment Footswitch for fluoroscopy and radiography Options DICOM functions Get Worklist and MPPS Query Retrieve Print Reference image monitor ...

Page 15: ...nerator ON OFF console 3 Monitor trolley optional 4 System remote control console 5 FLUOROSPOT Compact keyboard 6 Foot switch for fluoroscopy and radiography 7 Desk optional for operating consoles 8 Tableside control console with foot switch for fluoroscopy and radiography optional 9 Bucky wall unit optional 4 3 1 5 7 9 8 6 AXIOM 2 ...

Page 16: ...ompression cone continuously adjustable compression force 7 Collimator with automatic format collimation and numerical format indication with integrated motor driven additional Cu filters motor driven adjustable semi transparent filters optional 8 X ray tube assembly air cooled partly enclosed can be swivelled 9 Handle for swivelling the tube assembly 10 Tube assembly stand on the longitudinal car...

Page 17: ...alizer 13 Tabletop with flat accessory rails motor driven longitudinal and transverse travel 14 Footboard adjustable for use as seat with attachment points for foot restraints can be changed over from foot end to head end 15 Table frame motor driven adjustable in height can be tilted 90 17 16 Unit base with tilting drive on installation plate ...

Page 18: ...System Overview System Description 10 44 AXD3 340 620 13 01 02 Operator Manual ...

Page 19: ...completely excluded Risk of failure during interventions Consider therefore the need to establish emergency procedures in such cas es Caution Use of harsh cleaning agents liquids or sprays Risk of electrical hazard or damage to the system Use only substances for cleaning and disinfection which are recommended Do not let cleaning liquids seep into the openings of the system e g air openings gaps be...

Page 20: ... Protective Measures 12 44 AXD3 340 620 13 01 02 Operator Manual Radiation protection zones Position and size of the main operating area Horizontal patient table Main operating area Dimensions in cm x 60 60 107 90 200 ...

Page 21: ...System Overview Protective Measures AXIOM Iconos R200 AXD3 340 620 13 01 02 13 44 Vertical patient table Main operating area Dimensions in cm x x 60 60 107 40 140 200 ...

Page 22: ... Tolerance of the air kerma measurements 5 Characteristic A and C continuous fluoroscopy 63kV 0 8mA antiisowatt Characteristic B and D continuous fluoroscopy 110kV 3mA Patient table horizontal Patient table vertical 0 1 2 3 4 5 6 0 50 100 150 200 cm mGy h Height above floor Air kerma A B 0 1 2 0 50 100 150 200 cm mGy h Height above floor Air kerma C D ...

Page 23: ...asures AXIOM Iconos R200 AXD3 340 620 13 01 02 15 44 Mechanical safety Danger zones with unit in horizontal position The places marked in the illustrations show possible danger zones at which the patient or operator can be injured ...

Page 24: ...ossible risk of injury by crushing for the pa tient and or examiner This warning sign shows the position of the patient table in cardiopulmonary re animation CPR with pressure compression up to 500N 50kg 1 Between 90 and 90 depending on the system version x Danger zone If the patient is located in the danger zone it must always be ensured that the operating personnel are in the room and within rea...

Page 25: ...es of the patient table Not intended as gripping point The handle for turning the tube assembly must not be used as grip location or hold for the patient Danger zones The dotted areas mark the danger zone where no objects must be located during tilting Prior to activating any movements of the unit especially tilting of the unit make sure that there are no objects such as stairs steps stands waste ...

Page 26: ... or the longitudinal carriage are moving Do not grasp in the loading shaft of the spotfilm device because of the risk of crushing Patient positioning All safety related equipment must be installed and operable In particular the handgrip strips head end and lateral handgrip footboard foot restraints compression belt and shoulder supports The patient s hands arms legs head and hair must not extend u...

Page 27: ... the applied compression forces especially in the case of frail e g infants sick and elderly patients Observe especially that both an increased risk of crushing for the patient with consequential injury and considerable mechanical shearing forces with risk of damage can occur between the compression cone and attached accessories e g shoulder supports lateral support optional or motor driven infant...

Page 28: ...pment damage Before activating system movements especially tilting the table make sure that the movement range is free of obstructions Move especially monitor support systems operating consoles gurneys beds and instrument tables out from the tilting range of the table and remove chairs steps stands waste containers and similar objects from the move ment area No collision monitoring Do not place an...

Page 29: ...sinterpretation of exposures When storing contrast medium in the cup holder on the compression carriage use only cups with a maximum volume of 0 25 liter made of unbreakable ma terials i e under no circumstances glass or porcelain Remove contrast medium traces immediately Measures for avoiding unwanted radiation Before starting system movements make sure that the foot switch for fluo roscopy and r...

Page 30: ...splay of the prefilter in fluoroscopy 2nd line Display of the prefilter in radiography With the area dose product meter optional 1 3rd line Area dose product in cGycm 4th line During fluoroscopy Display of the patient entrance dose2 in mGy min In the radiation pauses the percentage of the patient entrance dose reached related to a config urable limit1 of 0 5 to 5 Gy or the accumulated patient entr...

Page 31: ...23 44 Resetting the area dose product Once the examination is finished actuate the reset button at the integrated generator control console The displays for the area dose product and the patient entrance dose are reset to zero Refer to the Operator Manual of Fluorospot Compact ...

Page 32: ...System Overview Protective Measures 24 44 AXD3 340 620 13 01 02 Operator Manual ...

Page 33: ...ol lights up orange Generator is busy indicator Symbol lights up orange Indicators in the display2 Oblique projection angle Table tilt angle 1 User interface is identical for the optional mobile tableside control console Start DR 1 2 3 1 2 3 R R 1 50 1 15 STOP DR DR DR 2 depending on the operating mode DR 1 5 1 0 8 0 1mm 2 5 3 m m 5 2 1 s 2 1 0 4 E 4 7 1 L o g e l g n ...

Page 34: ...lm device Current position and maximum possible exposure positions in Peristepping optional Fulcrum height axial oblique projection isocenter or tomographic height optional Selected tomographic program angle time E474 Error message Longleg Scanning technique DR scanning selected or 30 cm 24 cm Display of the cassette size System settings Compression device optional decompress compress without func...

Page 35: ... cassette into unloading position only with cassette spotfilm device Source image distance with cassette spotfilm device 115 cm 150 cm Source I I distance with I I image receptor unit 115 cm 150 cm Automatic stop for tilt 0 on off Move to automatic position of all system movements for patient transfer Start position for various system settings in the operating modes Tomography optional Periscannin...

Page 36: ...cally mirrored Top bottom image reversal horizontally mirrored Additional filter Select additional Cu filter 0 1 mm 0 2 mm 0 3 mm Collimator settings Coordinate switch for adjusting the primary collimator by motor drive open close Rectangular collimation Iris octagonal collimation in fluoroscopy and DR Select rectangular or iris octagonal primary collimator for manual collimation Switch light loca...

Page 37: ...ath Coordinate switch for right wedge filter patient related a p projection and double wedge filter Move in out Turn to the right left Coordinate switch for left wedge filter patient related a p projection and double wedge filter Move in out Turn to the right left Radiation release Exposure release button with pre and main contact Stop button Red emergency stop button General operating elements Ro...

Page 38: ...with seriolography LED lights up series Selection of fast series for exposure technique with cassette and cassette segmentation only with cassette spotfilm device LED lights up fast series Operating modes Bucky mode1 with temporary automatic format collimation DR exposure technique digital fluororadiography with image intensifier Periscanning exposure technique native angiographic bolus tracking P...

Page 39: ...election of tomographic program for DR or cassette1 optional Exposure technique with without scattered radiation grid LED lights up grid in the beam path Segmentation program1 Full format Format segmented 2 on 1 Format segmented 3 on 1 Format segmented 4 on 1 1 only with cassette spotfilm device ...

Page 40: ...e 1 System OFF button 2 System ON button 3 Radiation indicator 4 Radiation release in Vertix bucky wall stand and Iconos Bed free exposure mode All other generator control functions are integrated in the FLUOROSPOT Com pact imaging system For more information refer to the FLUOROSPOT Compact Operator Manual 1 2 3 4 ...

Page 41: ...Iconos DFR and Iconos Cassette mode without precontact 2 Switch for fluoroscopy only with cassette spotfilm device Tableside control panel Displays Table tilt angle or Display of a flashing E for an error message Oblique projection angle max 40 or Display of a flashing E for an error message 1 optional in the examination room without mobile tableside control panel 1 2 1 2 3 1 50 1 15 P ...

Page 42: ...115 cm 150 cm Fulcrum height for oblique projection isocenter Tomographic height setting above tabletop optional without function Tilt table up down Coordinate switch for moving tabletop longitudinally transversely Move X ray system longitudinally Move cassette into the unloading position only with cassette spotfilm device Move to automatic position of all system movements for patient transfer Byp...

Page 43: ... close Rectangular primary collimator Iris primary collimator Switch light localizer of the primary collimator on off LCD Monitor Operating elements The buttons for adjusting the LCD monitor are located in the housing The necessary settings are made at start up No operation is required during op eration Power on off The unit has a power switch on the bottom which you must operate only if the LCD m...

Page 44: ...ator Control elements and displays at the front 1 Accessory rails 2 Button for full field light localizer and laser light localizer switches off automatically after 10 90 s configurable 3 Manual setting of width and height of the radiation field Turning to the right opens the collimator Turning to the left closes the collimator 4 Motorized prefilter selection button 5 Display field 6 Selection of ...

Page 45: ... ACSS PBL with automatic format collimation Manual without automatic format collimation 3 Ready system ready for exposure 4 Display of the selected prefilter in mmCu if prefilter is selected using a button or via remote control Nothing is displayed in this field if the collimator is equipped with a manual filter unit 5 Format display height x width in cm or inches 1 6 Display of SID in cm or inche...

Page 46: ...igurable 2 Laser line light localizer with slider to cover the outlet opening 3 Crosshairs in the light localizer window 4 Locking spring for accessories Laser line light localizer 2 The laser line light localizer projects the axis mark for longitudinal centering which is aligned with the centering mark on the receptor If necessary the laser radiation exit of the laser line light localizer can be ...

Page 47: ...er and the full field light localizer cannot be switched independently of one another Locking spring The locking spring is located on the left guide rail at the underside of the collimator The locking spring locks the compensating filters templates etc inserted in the accessory rails of the collimator thus securing them against falling out To remove the accessories press the locking spring to the ...

Page 48: ...display Manual prefilter selection2 Manual prefilter selection is performed using two levers 1 on the left side of the multileaf collimator Four combinations of lever positions are possible 0 0 mm Cu no prefilter Set both levers to the left 0 1 mm Cu prefilter Set the upper lever to the right and the lower lever to the left 0 2 mm Cu prefilter Set the upper lever to the left and the lower lever to...

Page 49: ...you can continue working with less brightness we recommend to change the bulb as soon as possible To change the bulb proceed as follows Switch the system off at the generator ON OFF console If necessary turn the collimator to get better access Refer to the description in the according system Operator Manual Lamp cover at the backside of the collimator Loosen the 3 screws on the lamp cover using a ...

Page 50: ...fingers it can be very hot Insert the new bulb using a cloth and make sure both contacts 3 are touching the frame stop position Do not touch the bulb with your bare fingers Insert the heat shield to the stop position and tighten the screws 1 Attach the lamp cover Heat shield might be very hot Please let it cool down before removing it 1 2 3 Caution Lamp breaks Patient and or user injured by glass ...

Page 51: ... the fit of the new bulb An incorrect position of the new bulb is visible by a mismatch of crosshairs and laser line Accessories and auxiliary devices Correct position Incorrect position The maximum permissible weight of accessories and auxiliary devices attached to the collimator must not exceed 7 kg ...

Page 52: ...System Overview Operating and Display Elements 44 44 AXD3 340 620 13 01 02 Operator Manual ...

Page 53: ...d standby power supply optional 6 Red Emergency STOP button 7 Patient rescue 8 Chapter Functional and Safety Check Daily tests 9 After switching the system on 9 Prior to the examination 9 During the examination 10 Monthly tests 10 Legally required tests 10 Chapter System Settings General notes 11 Collision protection Safety areas 11 Operating elements for system positions 11 Object dependent syste...

Page 54: ...n device optional 21 Using the compression device 21 Reading the compression level 22 Tomographic equipment optional 22 Setting the fulcrum height 22 Switching on the fulcrum height light localizer 23 Reading the fulcrum height 23 Manual tube assembly rotation 24 Moving the grid into out of the beam path 24 Setting the source image distance 25 Chapter Setting the Image Geometry Limiting the radiat...

Page 55: ...System Operation Table of Contents AXIOM Iconos R200 AXD3 340 620 13 01 02 3 32 Image reversal 30 Switching over the image intensifier format 31 ...

Page 56: ...System Operation Table of Contents 4 32 AXD3 340 620 13 01 02 Operator Manual ...

Page 57: ... the tableside con trol panel no displays flash Emergency stop no red emergency stop button is activated In the case of a fault of the safety test program switch the system off and back on within 10s The system again starts with the automatic safety test program As a rule the fault is rectified by this If this is not the case switch the system off After the image system has auto matically switched...

Page 58: ... continuous fluoroscopy is possible in standby operation Pulsed fluoroscopy and all radiography modes are not possible Standby power supply active appears on the integrated generator control con sole in the message line Standby power supply inside the hospital A standby power supply inside the hospital switches on if the line voltage fails However this is not as a rule without interruption and can...

Page 59: ...s the red button on the control unit Press To toggle Power Supply The red lamp on the control unit goes out Switch the system on within the next 6 s If the system is not switched back on within this time then the imaging system is shut down in a controlled manner and subsequently restarted Red Emergency STOP button STOP button on the unit STOP button on the system remote control console If there i...

Page 60: ...ailure proceed as follows Bring accessories into a position which makes rescue possible If the patient is compressed with the cone optional Pull out the knob 1 from the engaged position b and turn it by 90 until it en gages in the deep notch notch position a Lift the cone arm off from the patient until it locks in a position of approx 10 a b 1 Warning If shoulder supports or foot restraints are lo...

Page 61: ...accessories from the system accessory rails and the primary collimator Attach the devices required for patient positioning and immobilization secure ly to the system Attach all safety related accessory parts correctly e g footboard grip protec tion strip handgrip handgrip strip and make sure they are properly secured Clean any contrast agent residues from the patient table protective plate and spo...

Page 62: ... up only if one of the fluoroscopy switches has been pressed or for the duration of an X ray exposure Check the patient positioning devices e g use of the grip protection strip and handgrip Switch system movements on only if there is no danger of injury to the patient or third parties there are no objects blocking the path of system movements Monthly tests Run a functional test of the automatic do...

Page 63: ...movement after 2s Operating elements for system positions Operating elements with deadman functions All operating elements for the system settings are designed as deadman func tion i e system settings are active only as long as the operating element is actu ated Operating elements with LEDs LED lights up function is selected LED does not light up function is deselected LED flashes selected functio...

Page 64: ...d system settings are performed with the Start button depending upon the selected operating mode tomography Periscanning Peristepping scanning technique LED flashes the approved system settings are not yet concluded LED does not light up the approved system settings are concluded General notes on error messages The system is constantly monitored internally during operation When a fault is detected...

Page 65: ...he fault is displayed as an error in the mes sage line of the integrated generator control console and stored Cancelling the fault Briefly press the exposure release button on the generator ON OFF console up to the 1st pressure point and let go again Don t press more The fault is cancelled as a rule by this Actuating the same movement again If the same movement is actuated again and there is a fau...

Page 66: ...unit with image intensifier and spotfilm device System remote control console Actuate the joystick Deflect up down X ray system moves headwards footwards Tableside control panel Press a key The X ray system moves headwards footwards AXIOM Use this operating element primarily during fluoroscopy The speed of the movement increases the further you deflect the joystick The movement takes place at cons...

Page 67: ...op moves longitudinally key above below the tabletop moves transversely Travel range In order to avoid collisions with the floor the system will retract the tabletop automatically as needed if you tilt the table up or down The X ray system follows this movement synchronously if the available travel range is sufficient The object always remains centered in this case If you have tilted the table mor...

Page 68: ...n until the tabletop stops automatically at 120 mm from the floor Release the button and press it once again The tabletop moves maximum to 40 mm from the floor an acoustic signal sounds during the tabletop movement Warning If the tabletop is lowered to less than 12 cm above the floor with the table vertical it is possible for feet to be crushed Make sure before remote operation that no one is in t...

Page 69: ...or each projection angle Press a key cranio caudal projection right key caudo cranial projection left key If the tube assembly stand or the image receptor unit reach the end of their re spective travel range the movement will stop To perform further oblique projections Press the key for oblique projection again The tube assembly stand or receptor unit moves to a position for additional projections...

Page 70: ...rning Avoid a seated working position directly at the system with your legs knees un der the head foot end crossbeam The system monitors the safety distance only with regard to the floor Collisions can occur with other room equipment and mobile objects such as foot switch es steps refuse bins etc Make sure before you actuate movements that no obstructions are present Then control the system with i...

Page 71: ... in the 0 position when tilting up down With the Stop in 0 position function switched on the movement stops even if the tilting down tilting up operating elements are operated in the 0 position You can continue the movement beyond the 0 position by letting go the operat ing element and activating it again Tilting the table up down System remote control console Deflect the joystick to the left righ...

Page 72: ... the display Tableside control panel Read the display in degrees The movement always stop automatically in the 0 position of the tabletop if the Stop in 0 position function is switched on When tilting the table down to a Trendelenburg position 15 the shoulder sup ports supplied or the foot restraints available as optional accessory must be used to secure the patient The weight of the patient must ...

Page 73: ...rescue in case of a power failure see the chapter On Off Emergency Stop You can apply a maximum compression force of 155 N or 80 N1 adjustable in 15 or 81 steps Movements are no longer possible at a compression force of 50 N and higher The cone carriage moves automatically into the park position topmost decom pression position in tomography in Peristepping Periscanning scanning technique when sett...

Page 74: ...n or oblique projection in all unit positions from115 cm SID Reading the compression level System remote control console Read the indication on the display Monitor Read the indication at the bottom right on the monitor Tomographic equipment optional 1 Mirror 2 Scale Setting the fulcrum height The average fulcrum height 120 mm is set automatically when the system is switched on Fulcrum heights of 1...

Page 75: ...ght light localizer on You have 2 possibilities of reading the fulcrum height Direct method light line on the object Look from the right side in the mirror on the system You will see the projection of a red laser light line directly on the patient This light line indicates the set fulcrum height directly on the patient Indirect method on scale Look at the scale next to the mirror on the system You...

Page 76: ...rom 90 to 180 with stop positions every 30 Remove the compression cone if present Pull the handle 1 to the front and hold it firmly Turn the X ray tube assembly to the required position and hold it firmly at rest Press the handle towards the rear and allow it to engage Check for lock in by turning the tube assembly slightly to the left and right Moving the grid into out of the beam path Moving the...

Page 77: ...age distance If a SID is set between the two SID positions of 115 cm and 150 cm then only free exposure technique is possible Press a key Once the selected SID is reached the LED in the key lights up If you release the key before the end position the LEDs in both keys flash SID 115 cm 150 cm 1 50 1 15 ...

Page 78: ...System Operation System Settings 26 32 AXD3 340 620 13 01 02 Operator Manual ...

Page 79: ...nsifier full format the rectangular and iris collimation are retained or the larger field is collimated can be configured On selection of a higher ZOOM level smaller field the collimator always switch es to the smaller field iris collimation Cassette exposure The system switches over automatically to rectangular collimation on selection of the spotfilm device or tabletop cassette exposure techniqu...

Page 80: ...panel Rectangular collimation Press the keys Key above on the left width height collimator blade pair opens Key below on the right width height collimator blade pair closes Iris collimation Press the keys Key on the left or above collimator opens Key below or on the right collimator closes Semitransparent wedge filters optional Operation is exclusively at the system remote control console or the o...

Page 81: ...g turning right1 wedge filter moving turning double wedge filter CAREPROFILE collimation without radiation optional The collimation of the rectangular iris collimators and of the semitransparent fil ters option can be displayed on the LIH image without radiation The collimator position is displayed by a contour line as soon as the position of the collimator is changed Refer to the FLUOROSPOT Compa...

Page 82: ... is displayed on the control units and pri mary collimator Image reversal You can mirror the images on the image monitor horizontally or vertically with these 2 keys If none of the keys is pressed then the image is displayed in the normal position Image mirrored horizontally vertically Warning It is part of the user s duty to pay attention to the correct orientation of the display on the monitor U...

Page 83: ... over the image intensifier format You can switch over the format even during a current examination Press one of the keys LED lights up the function is selected Image intensifier full format Zoom level 1 2 3 1 3 2 Regularly control the function of the format switch over Refer to the maintenance plan ...

Page 84: ...System Operation Setting the Image Geometry 32 32 AXD3 340 620 13 01 02 Operator Manual ...

Page 85: ...ng mode 7 Fluoroscopy with Supervision optional 8 Pulsed fluoroscopy optional 8 Roadmap 8 Releasing fluoroscopy 9 Fluoroscopic data 9 Display of the kV and mA values 9 Display of the fluoroscopic time 9 Display of the area dose product optional 9 Resetting the fluoroscopic data 10 Automatic fluoroscopic control 10 Selecting automatic fluoroscopic control 10 Stop function 10 Fluoroscopic curves 10 ...

Page 86: ...ment 15 Mixed mode 15 Loading unloading the spotfilm device 16 Loading 16 Unloading 17 Exposure measurement for cassette exposures 17 Arrangement of the dominants 17 Selection of the dominants 18 Releasing the exposure 19 Organ programs 19 Single exposures serialography 19 Single exposure 19 Serialography 20 Bucky mode 20 Spotfilming without tomography 20 Tomography optional 21 Tomographic sequenc...

Page 87: ... Programs 29 Creation of programs 29 Temporary changes of programs 29 Periscanning 30 General 30 Selection 30 Deselection 30 Releasing the exposure 31 Examination procedure 31 Preparation 31 Test run 32 Scanning process 33 End of the scene 33 Organ programs 33 Creation of programs 33 Temporary changes of programs 33 Peristepping optional 34 General 34 Programming run 35 Filling run 35 Selection 35...

Page 88: ...s of the spine and orthopedic longleg images 44 Preparation 44 Moving the system and tabletop into the starting position 45 Scanning process 45 End of the scene 45 Organ programs 46 Program suggestions for FLUOROSPOT Compact 46 Peristepping examination sequence for survey images 47 Chapter Free Cassette Exposure Collimation on exposure 49 Selecting the exposure technique 49 Tabletop cassette expos...

Page 89: ...oning aids are secured correctly and are functioning properly Make sure that the body parts of the patient especially arms and legs do not extend over the edge of the tabletop Ensure that the patient uses the grip locations provided Positioning the patient So that you can position the patient comfortably Press this key the system moves into a position favorable for patient transfer Now transfer th...

Page 90: ...Examination Transferring and Positioning the Patient 6 52 AXD3 340 620 13 01 02 Operator Manual ...

Page 91: ...wer temporal resolution is possible Roadmap only with DSA option with standard fluoroscopy with Supervision optional or pulsed fluoroscopy optional Roadmap is a special fluoroscopic mode with subtraction display Selecting the fluoroscopy operating mode All parameters necessary for fluoroscopy are stored in organ programs Select a corresponding organ program on the integrated generator control cons...

Page 92: ... with all fluoroscopic modes There is a corresponding Roadmap Fluoro program for every combination Press this key to select deselect Roadmap Refer to the FLUOROSPOT Compact Operator Manual for information on the operating sequence Fluoro Fluoro You can also switch from one operating mode to another during a fluoroscopic examination 1 Values in brackets apply to VIDEOMED DHC Fluoro Fluoro You can a...

Page 93: ...radiation ON indicators must light up Fluoroscopic data The fluoroscopic data of kV mA time and area dose product optional are dis played on the integrated generator control console Display of the kV and mA values During fluoroscopy Running display of the momentary kV and mA values After the end of fluoroscopy kV and mA mean value of the examination Display of the fluoroscopic time Continuous disp...

Page 94: ... different fluoroscopic curves with the automatic programs You select automatic programs 1 2 or 3 with one of the keys Stop function If the fluoroscopic values kV mA set by the system should remain constant Press the stop key during fluoroscopy If you want to cancel the stop function Select one of the 3 automatic programs by a key or an organ program Fluoroscopic curves Depending upon the system c...

Page 95: ...atic format collimation is also switched on automatically when fluoroscopy is released I e the fluoroscopic field is never larger than the selected image intensifier for mat You can limit the fluoroscopic field to the required size with the corresponding operating elements within this area Fluoroscopy programs All parameters necessary for fluoroscopy are stored in programs The following programs c...

Page 96: ... fluoroscopy or SUPERVISION the fol lowing dose reductions configured in the factory result related to standard fluor oscopy 1 for image receptor input dose rate Automatik programm CAREVISION 15 P s CAREVISION 7 5 P s CAREVISION 3 P s SUPER VISION 1 50 75 90 50 2 33 Deviating factory setting for USA 55 75 50 3 30 50 65 50 ...

Page 97: ...ntation format The collimation is retained during the expo sure Semiautomatic mode is active no LED lights up Fully automatic mode In the fully automatic mode the rectangular diaphragms are limited automatically to the cassette or segmentation format It is possible to collimate arbitrarily within the cassette or segmentation format If the rectangular diaphragms are opened less than the cassette or...

Page 98: ...tfilm device exposure technique at the system remote control console Insert an approved cassette in the spotfilm device Select the required segmentation program by pressing one of the keys The LED in the pressed key lights up The number of free exposures is displayed in the display 18 cm x 24 cm 8 x 10 9 5 x 9 5 24 cm x 30 cm 10 x 12 30 cm x 35 cm 11 x 14 30 cm x 40 cm 35 cm x 35 cm 14 x 14 20 cm ...

Page 99: ...ou wish to skip a seg ment during exposure Mixed mode It is possible to change the segmentation within a cassette as long as the unex posed part of the cassette permits the newly selected segmentation If you have selected a segmentation program which cannot be obtained with the inserted type of cassette then the LEDs in the keys for the selected segmenta tion program flash If 0 is displayed in the...

Page 100: ...ilt the tabletop into the 45 position Press the unloading key briefly a number of times until the cassette appears in the loading slot In a table position of approx 45 to 90 it can happen that if the cassette is not inserted far enough it drops out from the loading shaft again on automatic center ing depending on its make type The formats 20 x 40 cm 18 x 24 cm and 24 x 30 cm inserted in upright fo...

Page 101: ...ce the selected program has been completed i e 0 is displayed in the dis play the cassette will either automatically appear in the loading slot for removal or will be moved to the parking position can be configured Exposure measurement for cassette expo sures Arrangement of the dominants The following sketch shows the arrangement of the dominants in the spotfilm de vice related to the anterior pos...

Page 102: ...ecked on the LIH image by means of brief fluoroscopy A diagram with the position and size of the relevant measuring field is displayed briefly on the monitor Warning Please make sure when changing the selection of the dominants that the correct dominant is always selected If a selected left or right dominant becomes invalid temporarily e g due to colli mation then the middle dominant is selected a...

Page 103: ...rams Refer to the POLYDOROS SX register for further details on the organ programs and their programming Single exposures serialography Single exposure Single exposure selected the LED does not light up Select a suitable segmentation program Possible selection Full format Segmentation 2 on 1 3 on 1 4 on 1 If you now release the exposure you receive one single exposure per exposure release Warning I...

Page 104: ...nts of the primary collimator for collimation Do not release fluoroscopy otherwise Bucky mode is deselected Press this key Spotfilm device exposure technique is selected the LED lights up Press this key Bucky mode is selected the LED lights up Insert a cassette and select a segmentation program Spotfilming without tomography Press this key Spotfilm device exposure technique is selected the LED lig...

Page 105: ... semiautomatic mode Insert a cassette and select the cassette program If the LED in the start key flashes press this key The compression device moves into its park position if present The tube assembly stand moves into the 0 position A source image distance of 115 cm is set The image receptor unit moves into the tomographic area Once the positions are reached the flashing LED goes out Tomographic ...

Page 106: ... and keep it pressed until the tube as sembly stand stops in the foot end position During the exposure the tube assembly stand moves towards the foot end and automatically remains there following the exposure Prepare the next tomographic exposure Set a new tomographic height Press the exposure release button up to the first pressure point The tube assembly stand moves from the foot end position to...

Page 107: ...limit the exposure field to the required size with the cor responding operating elements Exposure measurement in digital radio graphy Arrangement of the dominants The following sketch shows the arrangement of the dominants in the monitor in relation to the a p patient position head end at the left looking onto the patient with the table horizontal 1 Left dominant 2 Right dominant 3 Middle dominant...

Page 108: ...be overexposure because of the inappropriate acquisition of the measured exposure values The position of the measuring field of the measuring field in relation to the object can be checked on the LIH image by means of brief fluoroscopy A diagram with the position and size of the relevant measuring field is displayed briefly on the monitor Warning Please make sure when changing the selection of the...

Page 109: ... in the Serialography organ pro gram single image remains selected in the Single image organ program Frame rate Operation is on the infrared control of the FLUOROSPOT Compact During a native series the programmed frrame rate can be rduced in a maxi mum of 2 stages by pressing the button if the corresponding ruductions have been programmed in the relevant organ program see FLUOROSPOT Com pact DR DR...

Page 110: ...lease button go a full image memory or reaching the programmed maximum scene time ends the exposure series The DSA series is ended and the DSA image from the middle of the series is dis played if you let the exposure release button go You start a new DSA exposure series by pressing the exposure release button again In DSA exposures The system switches automatically to subtraction after a predeterm...

Page 111: ...sponding operating elements Film density Switching over from single image serialography Dominants Cu prefilter Automatic level 1 2 3 Tomography optional Selection Press this key Digital radiography is selected the LED lights up Press this key The LED in the start key flashes if the conditions for tomography are not fulfilled The possible combinations of tomographic angle tomographic time appear in...

Page 112: ...embly stand moves to the head end tomography starting posi tion at the left with the unit horizontal Give the breathing command to the patient Press the exposure release button all the way down and hold pressed until the tube assembly stand stops During the exposure the tube assembly stand moves towards the foot end and automatically remains there following the exposure Prepare the next tomographi...

Page 113: ...e FLUOROSPOT Compact and POLYDOROS SX operating instruc tions for further details on the organ programs and their programming Programs The following programs can be stored Tomography organ programs Creation of programs Refer to the FLUOROSPOT Compact operating instructions Temporary changes of programs For the following parameters stored in the organ program it is possible to change them temporari...

Page 114: ...vement takes place with increasing movement speed of the X ray system longitudinal displacement with finely graduated con trollable adaptation of the speed to the contrast medium flow The max travel speed of the X ray system is increased to 16 cm s Selection Press this key Periscanning is selected the LED lights up Select an organ program for Periscanning Deselection Press this key or select anoth...

Page 115: ...scene time ends the exposure series Examination procedure Preparation Prepare the digital imaging system Move the tube assembly into the 0 position Position the patient Set a nominal source image intensifier distance of 115 cm or 150 cm Bring the X ray system and tabletop into the intended starting position You must ensure that the travel range for the X ray system is sufficient Press this key The...

Page 116: ...epare the injector Connect the injector plug to the electronics cabinet only with radiation syn chronous injector release option Set the injection data and switch to ready for injections Test run The X ray system stands in the starting position for the scanning process Start a test run without radiation Switch the light localizer of the collimator on Deflect the joystick up down or the key to the ...

Page 117: ...or the exposure are stored in organ programs Refer to the FLUOROSPOT Compact Operator Manual and the POLYDOROS SX register for further details on the organ programs and their programming Creation of programs Refer to the FLUOROSPOT Compact Operator Manual Temporary changes of programs For the following parameters stored in the organ program it is possible to change them temporarily with the corres...

Page 118: ...riography have been per formed With this selection the X ray system can be moved only longitudinally in steps and the transverse movement is automatically blocked Peristepping is possible in all unit positions and in the axial direction both to wards the head end and towards the foot end The step length per step is 18 cm with I I 40 1 2 3 4 5 1 2 3 4 5 6 Starting position X ray system End position...

Page 119: ...ote con trol console The last set collimator positions filter positions and dominants are stored auto matically assigned to each step position A maximum of 6 positions 5 steps is possible After the programming run is completed the X ray system must be moved back to the starting position abdomen automatic stop Filling run Initiate the individual steps of the X ray system using the joystick or the k...

Page 120: ...refers to the set maximum frame rate A reduction of the frame rate leads to a corresponding lengthening of the scene time Examination procedure Preparation Prepare the digital imaging system Move the tube assembly into the 0 position Transfer and position the patient Move the X ray system and tabletop into the intended starting position Press this key Peristepping is selected the LED lights up The...

Page 121: ...ominant preset in the organ program is overwritten Prepare the injector Connect the injector plug to the electronics cabinet only with radiation syn chronous injector release option Set the injection data and switch to ready for injections The LEDs in the Peristepping and start keys flash if the conditions for exposure are not fulfilled Start Zoom formats cannot be selected The I I full format of ...

Page 122: ...parent wedge filters if option present Release 2nd step and further steps Deflect the joystick above below or press the key to the left right The X ray system moves into the next position The position is displayed on the display in the remote control console e g 3 4 up to max 4 4 The settings of the positions are stored Move to each position one after the other and adapt the radiation field and do...

Page 123: ...flect the joystick briefly up down or press the key to the left right once the optimum contrast medium filling is reached The X ray system moves in each case into the next position The position is displayed on the display in the remote control console e g 2 4 up to max 4 4 End of scene Let the exposure release button go once the required contrast medium filling is reached in the last exposure posi...

Page 124: ...isplay large objects a series of displayed images is combined to give a large format image in the image processor of the workstation The entire exposure area is moved over continuously with the image receptor proceeding from the starting position not in Peristepping After the acquisition the images are sent from the imaging system to the LE ONARDO workstation for processing e g image reconstructio...

Page 125: ...tton in the system remote control console or via the footswitch in the control room or table side option Radiation is released as long as you continue to press the exposure release button The signal lamps for radiation must light up Radiation interruption If you let go of the exposure release button during radiation the exposure is in terrupted immediately Exposure end Letting go of the exposure r...

Page 126: ...argest possible SID Perform the examination e g colon double contrast as usual Press this key The LED in the start key lights up if the conditions for scanning are not ful filled DR scanning is selected I I full format is selected The rectangular height diaphragm moves automatically to the configured value approx 10 12 cm The display shows 3 scanning programs with 2 directions each The selected sc...

Page 127: ...test run without fluoroscopy and correct the starting position Deflect the joystick for X ray system longitudinal movement in the direction of the head until the entire examination area has been scanned Return to the starting position Check the starting position with fluoroscopy switched on Scanning process The X ray system is in the starting position for the scanning process Press the exposure re...

Page 128: ... largest possible SID Press this key The LED in the key lights up if the conditions for scanning are not fulfilled DR scanning is selected I I full format is selected The rectangular height diaphragm moves automatically to the configured value approx 10 12 cm The display shows 3 scanning programs with 2 directions each The selected scanning program is highlighted By pressing the key again the next...

Page 129: ...fluoroscopy and correct the starting position Deflect the joystick for X ray system longitudinal movement up down until the entire examination area has been scanned Return to the start position Check the starting position during fluoroscopy Scanning process The X ray system is in the starting position for the scanning process Actuate the exposure release button until the entire examination area ha...

Page 130: ... and lateral images of the spine with scanning program Spine and direction of scanning headwards 4 cm sec scanning speed Program D Survey image of the colon with scanning program Abdomen and direction of scanning headwards 8 cm sec scanning speed Program suggestions for FLUOROSPOT Compact Organ program A B C D Program name Kidneys Legs Spine ap lat Colon Fluoroscopic mode Fluoro 1 Fluoro 1 Fluoro ...

Page 131: ... 450 276 480 276 480 316 440 Scene length s 10 30 30 10 Frame rate 1 3 2 2 3 Frame rate 2 3 2 2 3 Frame rate 3 3 2 2 3 Edge filter 15 15 15 15 Kernel size 5 5 5 5 Harmonization 30 60 60 30 Harmonization kernel 127 127 127 127 1 Drive grid out for slender patients 2 Use 0 0 mm copper filter for obese patients 3 When a white display is required for the survey images on the LEONARDO workstation acqui...

Page 132: ...Examination Digital Radiography 48 52 AXD3 340 620 13 01 02 Operator Manual ...

Page 133: ...mat freely The limits of the maximum radiation field are determined by the mecha nism of the primary collimator The collimator does not react to a change of the SID The digital display field of the primary collimator shows Manual Selecting the exposure technique Tabletop cassette exposure or free mode Press this key The LED lights up With tabletop cassette exposure or the tube assembly swivelled o...

Page 134: ...imator the set SID with the tape measure on the collimator the central ray on cassette center with the aid of the laser line light localizer on the collimator The radiation ON indicators must light up For safety reasons radiation cannot be released from the system control con sole or the footswitch in this mode Warning If these radiation indicators light up although no switch has been actuated Swi...

Page 135: ...t the table to a vertical position Set the tube assembly to a source image distance of 115 cm or 150 cm Turn the tube assembly horizontally onto the wall stand Place the cassette in the Bucky Position the patient in front of the wall stand Set the wall stand to the object height Adjust the tube assembly to the object using the full field light localizer and positioning laser Collimate in relation ...

Page 136: ...on the multileaf collimator that if the dominants are changed the correct dominant is always selected the central ray onto the cassette center with the aid of the laser line light localizer on the multileaf collimator The signal lamps for radiation ON must light up For safety reasons radiation cannot be released from the system control con sole or the footswitch in this mode Warning If these radia...

Page 137: ...rols 9 Normal inverted display of the controls 9 Functions of the controls 9 Changing the focal spot and tube load 9 Selecting the measuring field dominant 9 Measuring field dominant display 10 Display of the exposure data 10 Messages 10 General error messages 10 Tube load computer 10 General 10 Pause time indication 11 Load data indication 11 Functional and safety checks 12 Daily checks 12 After ...

Page 138: ...ogrammed characteristic curves 16 Selecting direct exposure technique 21 Select 0 point technique 21 Select 1 point technique 22 Select 2 point technique 23 Select 3 point technique 24 Select 3 point technique with IONTOMAT 25 Select mAs tomography 26 Select tomography with Plani IONTOMAT 27 Select tomography with Plani IONTOMAT and mAs preselection 28 Select indirect exposure technique 29 Select ...

Page 139: ...rocessor control and high frequency converter tech nology ensures good X ray images due to the high accuracy of the exposure data Configuration Basic version IONTOMAT PN automatic exposure control IONTOMAT PN automatic exposure control for tomography Tomographic device connection Polymatic incl 0 point technique Programming unit for organ programs RS 232 printer connection Tube load computer Optio...

Page 140: ...OROSPOT Compact screen Menu On the basis of the selected program or operating mode the permissible operat ing functions and operating data are indicated in menus on the integrated gener ator control console Various menus are available depending on the program or operating mode Data menu Displays and controls for radiographic parameters Program menu Display of organ programs ...

Page 141: ...r displaying the load data of the selected X ray tube Message line Displays messages warnings and buttons with specific functions Selection field for organ programming Indicates 0 point technique selected deselected Indicates the selected organ program Switches over to the program menu 100 H U mAs ms kV 66 Program Iconos Cassette 0 0 Iconos Bed ms Iconos DFR Cerv spine oblique 80 D mAs 0 20 ms 3 3...

Page 142: ...uoroscopic data time kV mA and the dose area product cGy cm Operating mode and IONTOMAT data field Symbols indicate that direct radiographic mode is active or indirect radiography is active Indicates that tomographic mode is active Selects the IONTOMAT with 3 point technique Indicates the density compensation Adjusts the density compensation 4 exposure points Selects the film screen combination H ...

Page 143: ...1 kV Indicates the tube voltage Adjusts the kV value 50 mAs Indicates post indicates the mAs value Adjusts the mAs value Changes the exposure technique 280 ms Indicates post indicates the ms value Adjusts the ms value Changes the exposure technique Selects 80 100 tube load Selects small large focal spot mAs ms 100 80 ...

Page 144: ...age line Displays information on operation Program field Selects the organ program Changes the organ program name Switches over to the data menu Trachea 1 F S Esophagus 2 F s DSA 7 5 F s Iconos Cassette Iconos Bed Vertix Carotis 2 F s Edit name Myelo 1 F s Colon 1 F s Cerv spine oblique Abdomen 1 F s Iconos DRF Data Cerv spine oblique NAT Series 2 F s Store 1 2 3 Cerv spine oblique Edit name Data ...

Page 145: ...tep Prolonged button actuation Value increases until the button is released Brief button actuation Value decreases by one step Prolonged button actuation Value decreases until the button is released Changing the focal spot and tube load If the maximum acceptable load of the selected X ray tube is exceeded when switching over from the large to the small focal spot or from 100 to 80 tube load the ge...

Page 146: ...is detected the generator is blocked and the fault is displayed as er ror in the message line and a window with the error message appears on the right side of the monitor screen You can cancel the disable status as follows Acknowledge error message If the error message is still displayed then there is an error in the system Please call the SIEMENS Uptime Service Tube load computer General The tube...

Page 147: ...ease the preset exposure with 80 tube load only after the indicated cooldown time has elapsed Load data indication The load unit counter stores the load data of the connected X ray tube assem blies With the INFO button actuated the load data of the selected X ray tube assembly is indicated in the message line Tube load units BE 1 load unit corresponds to 1 exposure or 1s series ACQ on wait Number ...

Page 148: ...ator It may light up only during the duration of the X ray exposure Monthly checks Perform a functional check of the automatic exposure control as described in Register Safety Legally required checks Obtain information in Register Safety Maintenance intervals Maintenance must be performed annually to maintain the safety and functioning of the generator If you have not concluded a maintenance contr...

Page 149: ...cated acoustically Fluoroscopic data The fluoroscopic data of kV mA time and dose area product are displayed on the integrated generator control console Display of the kV and mA values During fluoroscopy the current kV and mA values are indicated continuously After the end of fluoroscopy the mean value of kV and mA for the examination Display of the fluoroscopic time Continuous display of cumulati...

Page 150: ... several fluoroscopic curves which you can program depending on the system configuration Characteristic curve examples for normal fluoroscopy Characteristic curve examples for high contrast fluoroscopy kV 40 44 50 57 66 77 90 110 mA 0 1 0 2 0 5 1 0 2 0 5 0 10 Dose reduced Antiisowatt kV 40 44 50 57 66 77 90 110 mA 0 1 0 2 0 5 1 0 2 0 5 0 10 20 High Contr PS 2 kW ...

Page 151: ...mbly If possible always select 80 tube load at the generator It is essential that you program 80 tube load in the programs with small focal spot and a tube voltage less than 70 kV Work with the large focal spot below 70 kV tube voltage if possible Keep the prep time short and possibly push through to keep this time short Let go of the exposure release button immediately after the exposure 1 At the...

Page 152: ...e kV Exposure mA Exposure kV Exposure mA Focal spot No Type of curve Voltage C1 C2 C3 C4 C5 Plateau whole EP Plateau whole EP Plateau whole EP Plateau whole EP Plateau whole EP 40 0 kV 41 0 kV 42 0 kV 44 0 kV 46 0 kV C6 C7 C8 C9 C10 Plateau whole EP Plateau whole EP Plateau whole EP Plateau whole EP Plateau whole EP 48 0 kV 50 0 kV 52 0 kV 55 0 kV 57 0 kV C11 C12 C13 C14 C15 Plateau whole EP Plate...

Page 153: ...C45 Plateau half EP Plateau half EP Plateau half EP Plateau half EP Plateau half EP 61 5 kV 64 5 kV 68 0 kV 71 5 kV 75 0 kV C46 C47 C48 C49 C50 Plateau half EP Plateau half EP Plateau half EP Plateau half EP Plateau half EP 79 0 kV 83 0 kV 87 5 kV 93 0 kV 99 0 kV C51 C52 C53 C54 C55 Plateau half EP Plateau half EP Plateau half EP Plateau half EP Plateau half EP 105 0 kV 113 0 kV 121 0 kV 129 0 kV ...

Page 154: ...0 kV 68 0 kV C81 C82 C83 C84 C85 Plateau Plateau Plateau Plateau Plateau 68 0 kV 68 0 kV 68 0 kV 68 0 kV 68 0 kV C86 C87 C88 C89 C90 Plateau Plateau Plateau Plateau Plateau 68 0 kV 68 0 kV 68 0 kV 68 0 kV 68 0 kV C91 C92 C93 C94 C95 Plateau Plateau Plateau Plateau Plateau 68 0 kV 68 0 kV 68 0 kV 68 0 kV 68 0 kV C96 C97 C98 C99 C100 Plateau Plateau Plateau Plateau Plateau 68 0 kV 68 0 kV 68 0 kV 68...

Page 155: ... table whereby only the part relevant for the 0 point technique has been listed kV 60 66 73 81 90 102 0 10 20 30 40 117 133 cm Wasserwert WW 50 C60 C61 C62 C63 150 Water value WV Organ kV Characteristic curve Cranium Survey of cranium p a a p Cranium lateral Cranium axial Petrosal bones sagittal Petrosal bones Stenvers Paranasal sinuses p a Optical nerve cavity Rhese 70 66 85 70 70 70 66 C 14 C 13...

Page 156: ...3 C 13 C 14 C 21 or C60 or C62 C 60 C 60 C 62 Spinal column 1st to 3rd cervical vertebrae oral 4th to 7th cervical vertebrae a p 1st to 7th cervical vertebrae lateral 1st to 7th cervical vertebrae oblique Thoracic vertebrae oblique Thoracic vertebrae a p Thoracic vertebrae lateral 1st to 4th lumbar vertebrae a p 1st to 4th lumbar vertebrae lateral 1st to 4th lumbar vertebrae oblique 5th lumbar ver...

Page 157: ...echnique is selected or the ms button 3 point technique is selected With organ program Select an organ program without 0 point technique Exposure data to be set The following exposure data can be set Focal spot Tube load Measuring fields dominants Film screen combination Density compensation Display of the exposure data After the end of the exposure the mAs and ms values in the display are flash i...

Page 158: ...d or the ms button 3 point technique is selected or the IONTOMAT button 3 point technique with IONTOMAT is selected With organ program Select an organ program without 1 point technique Exposure data to be set The following exposure data can be set kV value Focal spot Tube load Measuring fields dominants Film screen combination Film density compensation Display of exposure data After the end of the...

Page 159: ...e a button for film screen combination 1 point technique is selected or a measuring field dominant button 1 point technique is selected or the ms button 3 point technique is selected With organ program Select an organ program without 2 point technique Exposure data to be set The following exposure data can be set kV value mAs value Focal spot Tube load 100 H U mAs ms kV 73 Program Iconos Iconos Ca...

Page 160: ...echnique is selected or a measuring field dominant button 1 point technique is selected or a button for mAs setting 2 point technique is selected or the IONTOMAT button 3 point technique with IONTOMAT is selected With organ program Select an organ program without 3 point technique Exposure data to be set The following exposure data can be set kV value mAs value ms value Focal spot Tube load 100 H ...

Page 161: ... button 1 point technique is selected With organ program Select an organ program without 3 point technique with IONTOMAT Exposure data to be set The following exposure data can be set kV value mAs value ms value Focal spot Tube load Measuring fields dominants Film screen combination Film density compensation Display of exposure data After the end of the exposure the mAs and ms values in the displa...

Page 162: ... program on the unit or Actuate a button for film screen combination Plani IONTOMAT is selected or a measuring field dominant button Plani IONTOMAT is selected or the IONTOMAT button Plani IONTOMAT with mAs preselection is selected Exposure data to be set The following exposure data can be set kV value mAs value Focal spot Tube load 100 H U kV 70 Program Iconos Iconos Cassette Cassette 0 0 Iconos ...

Page 163: ...r film screen combination or a measuring field dominant button Deselection Deselect the tomographic program on the unit or actuate the mAs button mAs tomography is selected or the IONTOMAT button Plani IONTOMAT with mAs preselection is selected Exposure data to be set The following exposure data can be set kV value Focal spot Tube load Measuring fields dominants Film screen combination Density com...

Page 164: ... mAs preselection or a tomographic program on the unit and actuate the IONTOMAT button Deselection Deselect the tomographic program on the unit or actuate the IONTOMAT button Plani IONTOMAT is selected Exposure data to be set The following exposure data can be set kV value Focal spot Tube load Measuring fields dominants Film screen combination Density compensation 100 H U kV 81 Program Iconos Icon...

Page 165: ...election Select DR technique on the unit and an organ program with DR 0 point tech nique Deselection Select an organ program without DR 0 point technique Exposure data to be set Density compensation Measuring fields dominants Display of exposure data After the end of the exposure the mAs and ms values in the display are flash ing kV 66 Program Iconos Cassette 0 0 Iconos Bed Iconos DFR Iconos DFR 3...

Page 166: ...e on the unit and an organ program with DR 1 point tech nique Deselection Select an organ program without DR 1 point technique Exposure data to be set Density compensation Measuring fields dominants Display of exposure data After the end of the exposure the mAs and ms values in the display are flash ing kV 40 Program Iconos Cassette 0 0 Iconos Bed Iconos DFR Iconos DFR 3 4 µGy cm2 Info mA hu kV 45...

Page 167: ...omographic time Exposure cut off by the timer Selection Select DR technique and a tomographic program on the unit Deselection Deselect the tomographic program on the unit Exposure data to be set Density compensation Measuring fields dominants kV 77 Program Iconos Cassette 0 0 Iconos Bed Iconos DFR Iconos DFR ms 630 3 4 µGy cm2 Info mA hu kV 45 0 3 0 min 0 1 Vertix ...

Page 168: ...fields dominants Organ programs A certain number of organ programs has been stored during the initial start up of your system As a maximum 50 organ programs can be generated and stored For DR tomography tomography and Peristepping Perivision 25 organ pro grams can additionally be generated and stored in each case At any time you can tailor these organ programs to your personal needs or generate an...

Page 169: ...rgan program can be edited However you have to distinguish between the temporary change and the permanent storage of a program Temporary change 0 Select the organ program Depending on the activated exposure technique the following exposure data can be edited kV value mAs value ms value Focal spot Tube load Measuring fields dominants Film screen combination Density compensation In the data menu the...

Page 170: ...gan as it is to appear on the button Allowed is a maximum of two lines of 10 characters each Actuate the Store button Iconos DFR Program Trachea 1 F S Esophagus 2 F s DSA 7 5 F s Iconos Cassette Iconos Bed Vertix Carotis 2 F s Edit name Myelo 1 F s Colon 1 F s Cerv spine oblique Abdomen 1 F s Iconos DRF Data Cerv spine oblique NAT Series 2 F s Store Edit name Trachea 1 F S Esophagus 2 F s DSA 7 5 ...

Page 171: ...n programs Following completion of the changes actuate the Edit name button in the pro gram menu for the programming mode Programming is now terminated and the edited program names are stored Actuating the data or the Edit name button takes you back to the program menu without storing the name of the organ program Edit name ...

Page 172: ...POLYDOROS SX 65 80 Integrated Control Console 36 36 AXD3 340 620 13 01 02 Operator Manual ...

Page 173: ...duct 3 Safety 3 Orientation 3 Use of several accessory components 4 Chapter Standard Accessories Grip protection strip 5 Handgrip strip 6 Handgrip 8 Shoulder supports 9 Footboard 10 Chapter Optional Accessories Head support 13 Knee crutches 15 Note on biological compatibility 16 Compression belt 17 Footboard Extension 21 Foot restraint 23 Cup holder 26 ...

Page 174: ...h assemblies for fluoroscopy and radiography 33 Armrest 35 Lateral radiation shield 36 Holder for BABIX cradles 38 BABIX cradles 40 BABIX hanger 42 Holder for pediatric cradle manual 43 Patient positioning mattress 43 Compression cones 44 Radiation protection for tableside examinations 47 Radiation protection for the upper body 49 Compensating filters 51 Holding device for eight filters 53 Three f...

Page 175: ...asized and enclosed in a text box Situations involving the use of accessories which could endanger the patient the operator or the equipment will be emphasized with a WARNING Safety For reasons of safety for patients operators and the equipment only original accessories manufactured and sold by Siemens or Siemens approved accesso ries from another manufacturer may be used Siemens cannot assume any...

Page 176: ... text If you need to work with several components during an examination e g com pression belt and shoulder supports these components must be attached and re moved in the correct sequence because most1 accessory components are attached to the patient table using the accessory rails Example Grip protection strip and footboard are already attached to the patient table You need the shoulder supports i...

Page 177: ...nations in the lateral or prone position Attachment Move the tabletop to the horizontal position Loosen the cap screws 1 on the grip protection strip Insert the grip protection strip up to the stop into the accessory rails at the head end of the patient Tighten 1 the cap screws Check that the grip protection strip is securely attached by pulling and press ing on it 1 ...

Page 178: ...l to assist in posi tioning the patient Attachment Move the patient table to the horizontal position Loosen the right and left cap screws 1 on the handgrip strip Insert the handgrip strip in the accessory rail and push it into position Warning The grip protection strip is intended for the safety of the patient in the prone po sition To prevent injury to the hands when moving the tabletop make sure...

Page 179: ...out of the accessory rail We recommend placing the handgrip strip on the far side of the user Warning The handgrip strip provides additional safety for the patient To prevent injury to the patient s hands when moving the tabletop make sure that the patient uses the handgrip strip not the cap screw and does not hold onto the head end or the side edge of the patient table If required an additional h...

Page 180: ...1 Slide the handgrip onto the edge of the accessory rail and move it into posi tion Tighten the handgrip Check that the handgrip is secure by pulling on it Removal Move the patient table into the horizontal position Loosen the handgrip Pull the handgrip out of the accessory rail 1 Warning The handgrip provides additional safety for the patient To prevent injury to the patient s hands when moving t...

Page 181: ...th supports Move the supports into position on both accessory rails Pull the shoulder pads out up to the middle of the patient s shoulders Tighten the cap screws 1 Check the shoulder supports Loosen the cap screws 2 for the shoulder pads Adjust the height of the shoulder pads for secure and comfortable positioning Tighten both cap screws 2 Removal Move the patient table into the horizontal positio...

Page 182: ...s the two red buttons 1 must be visible Insert the footboard anywhere in the acccessory rail at any place of the table top in the head foot range first on one side and then on the other Move the footboard to the desired position lock in position Release the handgrip strips and shift the footboard slightly back and forth until it locks in the two red buttons must be flush with the handgrip Check th...

Page 183: ...o prevent influx of contrast medium into the sockets the pedal must be covered with absorbent fleece material Warning Be sure to check that the footboard has locked into position before allowing pa tients to sit or stand on it If you want to tilt the patient table from the horizontal position to the Trendelenburg position you must secure the patient with the shoulder supports or the foot restraint...

Page 184: ...Accessories Standard Accessories 12 54 AXD3 340 620 13 01 02 Operator Manual ...

Page 185: ...wing cap screws as indicated to permit adjustment of the 2 position from side to side 3 height 4 lateral tilt from 0 to 90 depending on the height setting 5 pads 6 to the width of the patient s head turn to the left Set the position from side to side Tighten the cap screw 2 Push and pull the head support to ensure that it is seated properly Assist the patient in positioning his her head in the hea...

Page 186: ...le to the horizontal position Loosen the cap screw 4 Turn the patient s head to the 0 position Open the stabilizing arms using the cap screws 5 Assist the patient in removing his her head from the support Assist the patient in stepping down from the patient table Loosen the cap screws 1 Remove the head support from the accessory rails Warning To avoid injury to the patient s head ensure that the s...

Page 187: ...horizontal position Loosen both cap screws 1 Slide flanges A onto the accessory rails Insert both molded leg supports B into the holders at the cap screws 2 Position the patient on the patient table Slide the knee crutches along the accessory rails to the examination position Tighten the cap screws 1 Open the securing straps on the molded leg supports Position the patient s lower legs on the molde...

Page 188: ...s lower legs Position the straps around the patient s lower legs Tighten the straps appropriately Removal Move the patient table to the horizontal position Release the straps Lift the patient s legs from the leg supports Wrap the straps around the leg supports If necessary remove the leg supports by loosening the cap screws 2 Loosen the cap screws 1 Remove the flanges from the accessory rails Note...

Page 189: ...atients Attachment Move the patient table to the horizontal position Position the patient on the table Push the tensioning part of the compression belt into the required position over the front accessory rail Make sure that all traces of contrast medium have been removed from the com pression belt Otherwise the X ray image will show artifacts The compression belt is made of transparent plastic and...

Page 190: ...ed Lift the holder with the belt across the patient Push the holder over the back accessory rail Make sure that the compression belt attaches straight across the tabletop and not at an angle 2 2 3 1 For very obese patients the belt holder is easier to secure if you are standing at the back of the patient table In this case and for very restless or frail patients we recommend that someone assist yo...

Page 191: ...nsion is optimal Check the belt tension on the patient once again Loosening the compression belt Move the patient table to the horizontal position Press the ratchet handle 1 back Turn the cap screw 3 on the tensioning roller toward the left The compression belt will loosen Using the ratchet handle set a lower belt tension Removal Move the patient table to the horizontal position Press the ratchet ...

Page 192: ...e compression belt halfway using the cap screw Place the belt holder next to the tensioning roller Press both levers 2 inward on the tensioning roller Pull the tensioning roller from the front accessory rail Assist the patient in stepping down from the patient table Using the cap screw 3 roll up the belt on the tensioning roller Radiation protection value The attenuation equivalent of the compress...

Page 193: ...he 80 posi tion Move the tabletop headwards Place the footboard extension on the rear end of the footboard Push the locking lever 1 on the rear of the footboard in the direction of the arrow While exerting pressure on the extension board fit the metal pegs of the ex tension into the holes of the footboard The footboard extension is not monitored by the collision computer Therefore proceed with car...

Page 194: ...e stop in the direction of the arrow Make sure the footboard is attached firmly by pushing and pulling it Removal Move the tabletop to approximately the 80 position Move the tabletop headwards Push the locking lever 1 on the rear of the footboard in the direction of the arrow and hold it Remove the footboard extension Release the locking lever 1 1 ...

Page 195: ...patient table to the horizontal position Push the footboard into the working position Check that the footboard is locked by pulling on it Position the patient in the prone or supine position with his her feet on the footboard Attach the foot restraint snugly around the ankles Tighten the straps Warning If you are using only the foot restraint to secure the patient on the patient table the locking ...

Page 196: ...he hole on the footboard pro vided for this purpose When positioned correctly the patient s heels or toes should touch the pa tient table slightly Release the locking handle Check that the device is locked by pulling on the foot restraint 1 2 Warning To avoid spinal compression or in cases where the patient must be turned the shoulder supports cannot be used The patient is held secure by the foot ...

Page 197: ... at regular intervals of approx 2 months Check especially the firm seating of the fastening rivets of supporting belts and closing belts as well as the completeness of their seams and the condition of the leather for cracks and porous places Before using the foot restraint always check that the safety device 3 is present If this safety device is not present then the foot restraint must not be used...

Page 198: ...ts Diameter 5 5 cm to 7 0 cm Maximum fill quantity 250 ccm 0 25 liter Maximum fill height 8 5 cm Material Rigid plastic or similar material no porcelain or glass Inserting the cup The cup holder is permanently mounted on the left side of the compression carriage It can swing in and out Fill the cup with contrast medium fluid Insert the cup in the holder Removing the cup Remove the cup from the cup...

Page 199: ... contrast agent during the radiolog ical examinations Attachment Move the patient table to the horizontal position Loosen the cap screw 1 Position the IV holder at the treatment position and clip it onto the accessory rail or slide it onto the accessory rail Tighten the cap screw Push and pull on the IV holder to ensure it is seated properly 2 1 1 ...

Page 200: ... adjustable rod is seated properly and secure Hang one or more IV s on the loops Removal Move the patient table to the horizontal position Remove the IV s Push the fixing ring 2 at the removable upper section of the IV holder upward and move the upper section downward Release the fixing ring 2 Ensure that the upper section and extension rod are secured Loosen the cap screw 1 Lift the base of the I...

Page 201: ...he cassette holder 1 with variable positioning 2 without variable positioning Cassette holder with variable positioning Application For lateral exposures with a second X ray tube to hold the cassette upright in all table positions including Trendelenburg Maximum cassette format 35 cm in height width is unrestricted e g 35 cm x 43 cm horizontal is possible Minimum cassette formats 13 x 18 cm vertic...

Page 202: ...lower holder Slide the tensioning device downward Ensure that the cassette is seated properly in the holder Loosen the cap screw 2 to permit adjustment of the height and the cap screw 3 to permit lateral adjustment With the patient positioned for the examination adjust the height and lateral tilt of the cassette Tighten the cap screws 2 and 3 Ensure that the patient is stabilized and comfortable 4...

Page 203: ...lication For lateral exposures with a second X ray tube to hold the cassette upright with the tabletop in the horizontal position For all cassette formats horizontal and vertical Attachment Move the patient table to the horizontal position Position the patient Ensure that the patient is comfortable and stabilized Warning Use this cassette holder only if the patient table will remain in the horizon...

Page 204: ...location ap propriate for the examination Ensure that the cassette holder is stable Removal Remove the cassette from the bracket of the cassette holder Remove the cassette holder from the tabletop Assist the patient in stepping down from the tabletop Have the patient place his her hands on the grip protection strip the grip strip or the handgrip depending on the examination procedure This will inc...

Page 205: ...tronics cabinet Turn the locking ring of the plug to the right until the connector is seated prop erly Route the cable along the floor appropriately Position the patient Caution Route the cable carefully to avoid safety hazards e g tripping Do not permit the wheels of transport devices such as carts and wheelchairs to run over the pedals of the foot switch assembly since this could cause inadverte...

Page 206: ...radiography Step on the left pedal foot switch for radiography Continue to press down on the pedal until the exposure has ended The exposure has ended when the radiation ON indicator on the remote con trol console goes out Let go of the pedal Removal Turn the locking ring on the cable plug to the left Remove the plug from the receptacle Roll up the foot switch cable Store the foot switch and cable...

Page 207: ...ontal position Position the patient Open the clamping lever 1a Place the armrest onto the front or rear accessory rail and slide it into position Close the clamping lever 1b Push and pull on the armrest to ensure it is seated properly Loosen the cap screw 2 Move the padded armrest to a comfortable position Tighten the cap screw 2 Ensure that the armrest is seated properly Place the patient s arm o...

Page 208: ...le to the horizontal position Pull the clamp upward and loosen the strap Raise the patient s arm from the armrest Open the clamping lever 1a Remove the armrest from the accessory rail Lateral radiation shield Application For additional radiation protection during tableside operation of exposures Attachment Move the patient table to the horizontal position Position the patient Loosen the right and ...

Page 209: ...ll on the radiation shield to ensure that it is seated properly Tilt the radiation shield into a protective position The radiation shield can be tilted inward on the accessory rail as well as out ward and all the way down Removal Move the patient table to the horizontal position Tilt the radiation shield to the vertical position Loosen both cap screws Remove the lateral radiation shield from the f...

Page 210: ...e hook along the front or rear accessory rail to the center of the patient table and move it to the exposure position Tighten the cap screw Pull and push the holder to ensure that it is seated properly Warning Tighten the cap screw and ensure that it is secure Remember that the BABIX holder is the sole means of support for the hanging BABIX cradle Securing the cap screw properly ensures that the B...

Page 211: ...cradle on the hook of the BABIX holder The maximum permissible load of the BABIX holder is 15 kg Removal Remove the BABIX cradle from the BABIX holder Take the BABIX cradle with the infant out of the examination room and attend to the infant Loosen the cap screw Remove the BABIX holder from the accessory rail ...

Page 212: ...of the infant must be firmly enclosed in a straight posture Only in connection with the holder for BABIX cradles BABIX Flat This shape is suitable for pelvic and spinal examinations The flat cradle can be placed safely on the table in the horizontal position The infant can be secured above and below the knees through the slit in the back of the cradle The infant can be secured in the abdominal reg...

Page 213: ...ant into the examination room Hang the BABIX U cradle on the hook of the holder and position it for the ex amination Place the BABIX Flat cradle on the horizontal patient table in the examination position Removal Remove the BABIX U from the holder Take the BABIX cradle with the infant out of the examination room and attend to the infant Hang the BABIX cradle on the corresponding BABIX rack and sto...

Page 214: ...l check the defective parts have to be replaced if necessary or the entire BABIX cradle has to be disposed of The tensile shear strength of the welded chains brackets and fittings has been designed so as to ensure a safety factor of 20 If any external damage can be seen on these parts they must be replaced Cleaning The BABIX cradles can be cleaned using commercially available detergents and disinf...

Page 215: ...red X ray room for the examination Keeping BABIX cra dles Remove the infant from the cradle and attend to the infant Carry the cradle to the BABIX hanger of suitable shape and length Hook the cradle on the wooden hook with the opening towards the hanger Press the cradle at the two longitudinal sides into the slot of the hanger Check for firm seating of the BABIX cradle in the BABIX hanger Holder f...

Page 216: ... The cones are highly radiotransparent The cone is made of stable aluminum die casting In the uppermost position of the compression carriage the compression cones permit a shadow free field coverage even of the largest cassette formats or I I diameters Radiation protection value The attenuation equivalent is 0 25 mm AL pyramid optional pointed cone optional flattened cone standard ...

Page 217: ...orizontal Insert the pins of the cone arm into the opening in the compression carriage up to the stop The locking lever 1 locks into place Pull on the cone arm and check for firm seating of the cone arm Position the patient Move the cone into the compression position Removal Move the patient table to the horizontal position Move the compression carriage one notch upward The cone must no longer tou...

Page 218: ...as follows Pull out the knob 2 and turn it by 90 until it locks into the deep locking notch lock in position a Lift the cone arm off from the patient until it locks in position at approx 10 Release the cone arm lock again Press the cone arm slightly upwards and hold it Pull out the knob 2 and turn it by 90 until it locks into the flat locking notch lock in position b Let the cone arm move down slo...

Page 219: ...nd lower the table to minimum height Push the bar 1 into the upper groove of the accessory rails up to the stop When in position in the stop a spring lever in the left profile rail engages in a notch of the bar Check for the firm seating of the bar on the collimator Warning Use this radiation protection only with the tabletop practically horizontal up to max 10o At a greater tilt there is a danger...

Page 220: ...m on the side do not kink them Pull the bars out from the accessory rails of the collimator Store the accessory in a suitable place Radiation protection value The lead equivalent of the double layer lead rubber apron is 0 5 mm Pb at 80 kV Do not exceed the maximum permissible additional weight of 70N or 7kg This means that at the most 2 lead rubber aprons may be hooked onto the bar The lead rubber...

Page 221: ...ises the following parts Ceiling rail Carriage with stand Support arm with window pane Brake handle with brake shoe Lead equivalent The lead equivalent value is 0 5 mm according to DIN 6813 Handling The radiation protection window should be positioned so that it protects the examiner s eyes and thyroid Positioning If the radiation protection window is mounted on the ceiling rail and can be moved i...

Page 222: ...glass pane with a lukewarm detergent solution and a soft cloth Heavy dirt and grime should be wiped off with a linen cloth moistened with alco hol and then rinsed with clear water Bloodstains are best treated with cold water contrast medium residue with warm water Use disinfectants commercially available for medical use to disinfect the radiation protection device Then wipe it off with clear water...

Page 223: ...nsating filters Use For absorption compensation in exposures of Thoracic spine and lumbar spine Pelvis Foot Infant skull Skull Shoulder Left thoracic spine lat and right thoracic lumbar spine lat Left pelvis and right foot BWS lateral SIEMENS BWS a p BWS lateral SIEMENS SIEMENS SIEMENS ...

Page 224: ... 02 Operator Manual Left infant skull and right skull Shoulder SIEMENS SIEMENS Pädiatrie SIEMENS Please be very careful with the compensating filters and three field templates They are thin sensitive to scratching and can become useless if handled carelessly ...

Page 225: ...ensating filters from the packaging Turn the filters so that the designation on the filters can normally be read from above Place the filters in the upward inclined compartments Using the compensating filters Remove the required compensating filter from the wall holder Push the locking lever on the left collimator accessory rail to the left Slide the filter into the collimator accesssory rails in ...

Page 226: ...0cm 130cm SID 130cm 175cm SID 175cm 220cm Using the three field templates Push the locking lever on the left accessory rail to the left Slide the template into the collimator accessory rail in the correct direction for exposing the ionization chamber The locking lever on the accessory rail springs to the right Check that the template sits firmly in the collimator Expose the ionization chambers To ...

Page 227: ...IOM Iconos R200 AXD3 340 620 13 01 02 1 12 Operator Manual Technical Description Chapter Identifying Labels Position of the labels 3 Primary collimator 4 Backside 4 Bottom 4 Chapter Technical Data System 5 Unit 6 Components 8 X ray generator 11 ...

Page 228: ...Technical Description Table of Contents Operator Manual 2 of 12 AXD3 340 620 13 01 02 ...

Page 229: ...AXIOM Iconos R200 AXD3 340 620 13 01 02 3 12 Technical Description Identifying Labels Position of the labels 1 Image intensifier 2 Primary collimator 3 X ray tube assembly 4 Table 1 2 3 4 AXIOM ...

Page 230: ...Technical Description Identifying Labels 4 12 AXD3 340 620 13 01 02 Operator Manual Primary collimator Backside Bottom Caution read Operator Manual M ...

Page 231: ...erence suppression EMC EN 60 601 1 2 Protection type Protection class I according to IEC 601 1 Degree of protection Type B Floor space required max 3 80 m x 2 32 m without restrictions to movement traffic area and safety distances min 2 80 m x 2 32 m with restrictions to movement max SID 1 15 m at 90 without traffic area and safety distances Weight Unit approx 1300 kg system remote control console...

Page 232: ...erse movement to the front 7 5 cm Trendelenburg position max 45 with patient secured with shoulder supports and foot restraints 0 kg to 150 kg no restrictions of the table longitudinal and transverse movement In addition 50 kg for cardiac massage CPR in the table mid position The permitted nominal patient weights were defined with 4 times the test load according to IEC 601 Longitudinal travel 160 ...

Page 233: ...uoroscopy radiographt 1s 15 without filter positioning grid movement 1 35 s 15 with oscillating grid Series technique With multiple segmentation and DFR Tabletop film distance 7 8 cm minimum Tabletop I I distance 11 8 cm minimum I I image receptor cas sette spotfilm device optional Scattered radiation grid Stationary 17 1 70 lines cm f0 125 cm Oscillation for CR cassettes configurable by Uptime Se...

Page 234: ...I I automatic positioning of object and image receptor in the working area Tomographic angle tomographic time combinations 8 with 0 4 s 0 8 s working area 57 5 cm 20 with 0 6 s 1 2 s working area 42 5 cm 40 with 1 2 s 2 5 s working area 11 0 cm Tomographic angle at 300 mm fulcrum height SID 115 cm Fulcrum height 10 to 300 mm above tabletop adjustable millimeter by millimeter at 0 5 cm s Laser line...

Page 235: ...ontrol Constant image brightness through automatic gain control TV standard 72 Hz progressive scanning independent of frequency Monitor SIMOMED HM high line with flicker free display 72 Hz 44 cm or 54 cm screen diagonal SIMOMED HC 1024 lines flicker free display 72 Hz 44 cm screen diagonal LCD monitor 18 46 cm screen diagonal Tube assembly OPTITOP 150 40 80HC 100 cover with fan Focal spot nominal ...

Page 236: ...n lamp Only original Siemens replacement lamps may be used 24 V 150 W part no 8375545 G2107 Inherent filtration 1 0 mm Al at 70 kV Additional filters 0 1 mm 0 2 mm 0 3 mm Cu manual filter selection Radiation protection depending on regulations up to max tube voltage of 150 kV Brightness of full field light localizer 160 lux measured at a distance of 1m if original Siemens three field templates and...

Page 237: ... Nominal load at 400 V 34 6 kVA at 440 V 38 0 kVA at 480 V 41 5 kVA Radio interference suppression EMC EN 60 601 1 2 Type of protection Protective class I according to IEC 601 1 Degree of protection IP 20 according to IEC 529 Ambient conditions operation Temperature range 10 C to 40 C Relative humidity 20 to 75 not condensing Atmospheric pressure 70 kPa to 106 kPa Weight Maximum expansion 290 kg H...

Page 238: ...s to 800 mAs In steps of half Siemens exposure points EP or 1 EP configurable Switching time 1 point technique 1 ms to 5 s with mAs and time postindication 2 point technique 2 ms to 5 s depending upon kW mAs and kV 3 point technique 20 ms to 5 s depending upon kW mAs and kV in 49 steps In steps of half Siemens exposure points Tube assembly connection 2 Siemens double focus tube assemblies Number o...

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