background image

 No. 

2A201-519EN*A 

 

 

©

 TOSHIBA MEDICAL SYSTEMS CORPORATION 2005-2006 

ALL RIGHTS RESERVED 

 

SITE PLANNING MANUAL 

FOR 

TOSHIBA SCANNER 

 

MODEL   TSX-101A 

(2A201-519EN*A)

 

Summary of Contents for Aquilion TSX-101A/H Series

Page 1: ...No 2A201 519EN A TOSHIBA MEDICAL SYSTEMS CORPORATION 2005 2006 ALL RIGHTS RESERVED SITE PLANNING MANUAL FOR TOSHIBA SCANNER MODEL TSX 101A 2A201 519EN A ...

Page 2: ...ark are not used in this manual IMPORTANT 1 No part of this manual may be copied or reprinted in whole or in part without written permission 2 The contents of this manual are subject to change without prior notice and without our legal obligation 3 The contents of this manual are correct to the best of our knowledge Please inform us of any ambiguous or erroneous descriptions missing information et...

Page 3: ...No 2A201 519EN A 3 REVISION RECORD REV DATE REASON PAGE SER DOC MM YY AUTHOR CHANGED No PRODUCT INI 07 05 Mr Shinno KD WPX A 03 06 Addition of grounding for 72 kW system transformer Mr Mizuno P 37 ...

Page 4: ...tuation which if not avoided will result in death or serious injury WARNING Indicates a potentially hazardous situation which if not avoided could result in death or serious injury CAUTION Indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury CAUTION Indicates a potentially hazardous situation which if not avoided may result in property damage In a...

Page 5: ...ded for this system at the cubicle output stage Otherwise this system may adversely affect other facilities or equipment 2 Use only noise filters manufactured by Toshiba The noise filter of this system is designed taking into account extreme phenomena such as lightning If a noise filter made by a manufacturer other than Toshiba is used the system may not be protected adequately 3 Although two diff...

Page 6: ...of Work to Be Executed by the Customer 20 6 2 Scope of Work to Be Executed by Toshiba 20 7 BUILDING CONSTRUCTION WORK 21 7 1 Entrance Used to Bring in the Unit 21 7 2 X ray Shielding in the Scanning Room 22 7 3 Support 22 7 4 Floor Structure of the Scanning Room 22 7 4 1 Floor leveling work using epoxy resin 22 7 4 1 1 Tools and materials required 23 7 4 1 2 Application area 24 7 4 1 3 Work proced...

Page 7: ... 8 1 4 Voltage regulation 40 8 1 5 Countermeasures against high frequency electromagnetic radiation 40 8 2 Power Distribution Board 41 8 3 Grounding 41 8 4 Electrical Equipment 42 8 5 Illumination 42 8 6 Cable Connections Between the Units 42 8 7 Installing a Public Telephone Line Jack for InnerVision 49 9 AIR CONDITIONING WATER SUPPLY AND DRAINAGE WORKS 50 9 1 Air Conditioning 50 9 2 Water Supply...

Page 8: ...tallation work 3 SYSTEM COMPOSITION 1 Standard composition Gantry X ray high voltage generator mounted type 1 set Patient couch 1 set Console CPU chassis CPU BOX REC BOX monitors 2 keyboards 2 mice 2 1 set Accessories 1 set Operation manual 1 set 2 Miscellaneous Desks such as for the console and patient observation system and chairs are not included in the system configuration The desks and chairs...

Page 9: ...type of X rays Fan beam continuous X rays X ray tube voltage 80 100 120 135 kV 3 X ray tube current 10 mA to 50 mA 3 mA 50 mA to 500 mA 5 50 mA to 600 mA 5 1 Scan time 0 32 0 5 0 75 1 0 1 5 2 0 3 0 s 0 32 s is for half scan 1 When high power X ray generator kit option is incorporated 3 X ray tube leakage dose X ray tube leakage dose 1 0 mGy or less per hour or 2 58 10 5 C kg H 100 mR or less X ray...

Page 10: ...ondensation 2 Scan control room Console 8 0 28 827 8 0 28 827 8 0 21 600 8 0 21 600 16 C to 28 C 40 to 80 No condensation 1 Maximum heat generation is the heat that is generated when continuous scanning is performed at the maximum output rating of the unit 2 Normal heat generation is the heat that is generated when scanning is not performed 3 1 kW 860 kcal h 1 cal 4 19 J 4 A temperature from 0 C t...

Page 11: ...ransformer 800 770 980 550 1 The dimensions of the console are those when a recommended table is used 9 Maximum cable length See subsection 8 6 Cable Connections Between the Units 10 Installation altitude The installation altitude should be no more than 1000 m above sea level Prior consultation is required for installations higher than 1000 m 11 Transport and storage conditions Observe the followi...

Page 12: ... installations or locations Medical Locations 3 The definition of Group 1 is Medical location where applied parts are intended to be used as follows externally invasively to any part of the body except where Group 2 applies The definition of Group 2 is Medical location where applied parts are intended to be used in applications such as intracardiac procedures operating theatres and vital treatment...

Page 13: ... gantry and patient couch are installed in the scanning room 1 Installation of the gantry The following space is required for installation and maintenance of the gantry and inward outward movements of the couch top 2330 960 B C A Rear Front Top view 3830 or more Gantry A 800 mm or more B 700 mm or more C 1470 mm or more For patient couch CBTB 019A 1170 mm or more For patient couch CBTB 019B 2 X ra...

Page 14: ...the gantry includes components such as detectors or electronic circuits which permit high precision measurement air conditioning is required to maintain high precision For details refer to subsection 9 1 Air Conditioning 6 Illumination Illumination should be adjustable because it is easier to specify the desired scan slice position using the positioning projectors when illumination is decreased 7 ...

Page 15: ...t monitoring A curtain should be provided for the window facing the outside 2 Entry Doors should be provided at both the corridor and scanning room Take extreme care for X ray leakage from the scanning room door 3 Illumination For easy image reading install freely adjustable or two step adjustable illumination 4 Receptacles At least two standard outlets should be provided near the console for inst...

Page 16: ... Console in control room CPU BOX Liquid crystal monitors Keyboards Mice 5 Patient observation system This is not included in the system configuration In this example layout the patient observation monitor is provided by the hospital 6 PC for InnerVision 1 650 3 6 4 2 Scanning room Control room 5 Unit mm Figure 5 3 1 Room layout example for patient couch CBTB 019A ...

Page 17: ...crystal monitors Keyboards Mice 5 Patient observation system This is not included in the system configuration In this example layout the patient observation monitor is provided by the hospital 6 PC for InnerVision 650 5 1 2 4 6 3 470 630 Scanning room Control room Unit mm Figure 5 3 2 Room layout example for patient couch CBTB 019B ...

Page 18: ...ion 3 Provide a clearance of at least 800 mm for service 4 Provide a clearance of at least 700 mm for servicing the servo amplifier etc 5 Provide a clearance of at least 400 mm from the rear edge of the patient couch for servicing the patient couch 6 Provide a clearance of at least 500 mm with the CPU BOX pulled out toward the front for servicing the console 7 Provide a clearance of at least 500 m...

Page 19: ... to static electricity In actual hospitals not all systems meet the standards Systems such as laser surgical unit microwave accelerator microwave thermal therapy system etc emit high level electromagnetic waves due to their characteristics This system may adversely affect ultrasound systems which use faint signals With regard to static electricity the level may easily exceed the level specified in...

Page 20: ...rcement for floor load D Wiring pit and ducting E Interior finish work of the building 2 Electrical work Refer to section 8 A Power supply system B Power distribution board C Grounding D X ray on indication lamp during X ray exposure piping and wiring E Interior illumination and dimmers F Installation of a public telephone line jack for InnerVision 3 Air conditioning and plumbing system Refer to s...

Page 21: ... to disassemble the system to reduce the external dimensions or mass for any reason consult Toshiba in advance 2 External dimensions and mass The following figure shows the external dimensions and mass of the gantry and the required size of the bringing in entrance Recommended values Height of the door 2050 mm or more Width of the door 1100 mm or more Load of the elevator 2 tons Mass 1720 kg Figur...

Page 22: ... that appropriate X ray shielding be provided according to the ICRP advisory in countries and regions where there are no legal requirements concerning X ray protection 7 3 Support The rooms in which the units are to be installed must be able to withstand the load of the units For the mass of each unit see item 8 External dimensions and mass of section 4 7 4 Floor Structure of the Scanning Room The...

Page 23: ...es 10 Spatula 1 For caulking 11 Epoxy resin Epichlon 830 1 can 18 liters can 12 Diluted solution Epichlon 520 1 can 18 liters can 13 Winter use hardener Epichlon B 065 1 can 18 liters can 14 Rags 1 bundle 15 Grinder 1 16 Technodisk external diameter 100 mm 1 17 Plastic sheet 2 m 2 m 1 18 Spray lubricant CRC 556 1 Used for epoxy resin finishing 19 Electric mixer BMV 150A manufactured by Toshiba 1 I...

Page 24: ...ge be used for marking and anchor hole drilling work Full scale gauge for Aquilion BSX78 0564 Anchor hole for fine adjustment during installation Use this hole as required or more Unit mm Dimensions in show the dimensions of the epoxy base Figure 7 4 1 Reference figure for levelling using epoxy resin for patient couch CBTB 019A ...

Page 25: ... Anchor hole for fine adjustment during installation Use this hole as required Unit mm Dimensions in show the dimensions of the epoxy base Figure 7 4 2 Reference figure for levelling using epoxy resin for patient couch CBTB 019B ...

Page 26: ...s of the determined installation locations Note Work can be performed efficiently by using the full scale gauge Full scale gauge BSX78 0854 2 Drilling the anchor holes and removing the floor covering 1 Drill the anchor holes at the marked positions using an electric drill with 24 mm and 18 mm bits 2 Cut a slit 10 to 15 mm inside the marking line on the floor using a cutter Marking line 10 to 15 mm...

Page 27: ...plastic L angle plate to secure it Secure with adhesive tape 2 Use the spatula to spread the caulking compound all over the corner inside the L angle plate Caulking compound Adhesive tape 3 Tape outside sections of the corners between the plastic L angle plates 4 Cut out part of the plastic L angle plates for the gantry and the patient couch to make an epoxy resin passageway This job must be perfo...

Page 28: ...surface and the base etc Apply the tape Epoxy resin passageway Combine two plastic L angle plates to form the passageway 3 Wind paper on the anchor a couple of times and fix it using the tape Insert this anchor into the anchor hole and perform caulking Paper Caulking Anchor NOTE The anchor must be well caulked to prevent the epoxy resin from being intruded into the anchor hole The paper wound on t...

Page 29: ... be as follows Mixture proportions by weight Epoxy resin Epichlon 830 64 Diluent Epichlon 520 11 Hardener Epichlon B O65 25 2 Pour the liquid mixture into the frames Since the resin has a certain degree of viscosity the mixture must be poured evenly The amount of mixture poured should be such that the minimum thickness of the resin is about 5 mm 3 Allow about one hour after the start of pouring to...

Page 30: ...n 250 percent of the total sectional area of the cables For the cable interconnections between the units the number of cables and their sectional areas see subsection 8 6 Cable Connections Between the Units Use optical fiber cables for the following connections The pit and duct sizes structure must be larger than 110 mm the minimum permissible bending radius for optical fiber cables Signal cable b...

Page 31: ...tected against flooding 3 The cover should be divided into sections approximately 1 meter in length 100 100 100 100 Floor surface Iron cover Iron sheet Fixed to the floor using bolts Iron sheet Fixed to the floor using bolts Divided into approximately 1 meter sections Figure 7 5 1 Sectional view of a sample wiring pit ...

Page 32: ... Gantry 2 Patient couch 3 Console in scanning room REC BOX 4 Console in control room CPU BOX Monitors Keyboards Mice 5 PC for InnerVision Pit for power cable Pit for signal cable 1 2 3 5 4 Scanning room Control room Figure 7 5 2 Pit layout example ...

Page 33: ...ion due to changing load 5 or less Line voltage variation 2 10 or less 1 The cables between the power receiving transformer and the Aquilion power distribution board must exceed the minimum nominal sectional area obtained from the cable length and the transformer capacity as shown in figures 8 1 1 and 8 1 2 In addition independent cabling is desirable the cable for the X ray system gantry rotation...

Page 34: ...ystems Maximum input current X ray system current gantry rotation section Approximately 240 A or 275 A 1 in three phase and at 200 V Console power supply Approximately 30 A in single phase and at 200 V Power for the gantry stationary section Approximately 30 A in three phase and at 200 V average Power is calculated assuming a power factor of 1 0 1 When high power X ray generator kit option is inco...

Page 35: ...A Coefficient of variation Voltage 200 V 100 kVA Actual lead 99 kVA 600 V IV wire used Conduit wiring Nominal sectional area for the wiring cables mm2 Transformer capacity 150 kVA Distance between the power receiving transformer and the power distribution board unit m Figure 8 1 1 Power supply system ...

Page 36: ...cient of variation Voltage 200 V 100 kVA Actual lead 99 kVA 600 V CV wire used Conduit wiring Nominal sectional area for the wiring cables mm2 Transformer capacity 150 kVA Distance between the power receiving transformer and the power distribution board unit m Figure 8 1 2 Power supply system ...

Page 37: ...condary side circuit connected to the gantry rotation section If the secondary side circuit is floating ungrounded the X ray high voltage generator inside the gantry may not start normally When the secondary side uses a Y connection the neutral point or one of the phases must be grounded When the secondary side uses a Δ connection one of the phases must be grounded Power supply for the gantry rota...

Page 38: ... resistance of the human body and its insensitivity to high frequency electromagnetic radiation As the result the high frequency of 10 kHz is reduced by approximately a factor of ten Therefore the current may differ from that running through the ground cable in normal use R1 10k R2 1k C1 0 015 F CT system Ground cable Measuring device 2 Leakage current in normal use In addition to the standard tes...

Page 39: ...ve been taken in the leakage detector of the recommended breaker therefore the effects of the high frequency elements are eliminated The actual characteristics are shown in figure 8 1 3 For the leakage alarm as well as for the breaker investigate countermeasures to reduce high frequency electromagnetic radiation Since the 50 Hz element is small if the high frequency element is reduced it becomes p...

Page 40: ...c radiation The original alternating current is in the form of a sine wave but the input current of an inverter etc is in the form of a wave with step like distortions General electric appliances such as TV sets personal computers air conditioners etc generate high frequency electromagnetic radiation Elevators or other motor driven device can also generate high frequency radiation Since CT systems...

Page 41: ...requirements for medically used electrical equipment 2 Route the grounding wires used exclusively for this system into the power distribution board and connect to the grounded busbar 3 The grounded busbar must have grounding terminals for this system E3 15 mm pitch M6 tap hole Tin coating to the copper board thickness of 5 mm or more 15 mm or more Figure 8 3 1 Grounded busbar 4 The grounding lines...

Page 42: ... with the X ray exposure start operation Route the cable near the gantry use the X ray system duct for cabling Lamp type Incandescent 2 100 VAC outlet for maintenance and inspection Provide two to four 100 VAC outlets each in the scanning room operating room and machine room for use during maintenance and to supply power to facility tools 8 5 Illumination Freely adjustable or two step adjustable i...

Page 43: ...3 CNN5 TB1 CN456 CNN380 CN408 CGGT COLOR BLUE DAS1 CBTB S01 S04 S02 S03 S05 S06 P04 P01 P02 E01 P03 FCS12 FCP40 FCE01 FCS46 SPEAKER INTERCOM GTS XC TB6 S CONT2 CONT IDD S CONT1 CONT FC AL CS03 CS04 CP01 CS02 CS01 TB2 CNN8 CNN1 CNN2 POWER DISTRIBUTION BOARD SPEAKER C ROOM TB1 DAS2 DAS3 DAS4 S CONT1 S CONT2 CONT IDD CONT FC AL RTB1 CKCN CPU BOX CKCN REC BOX CP02 COLOR BLACK TB2 COLOR WHITE COLOR WHI...

Page 44: ...2 P04 P Gantry Console CPU BOX 19 14 17 12 1 5 while connecting to 1 0 5 while connecting to 2 19 6 cores 0 75 11 5 Solderless contact while connecting to 1 Connector 28 21 28 plus solderless contact P00 P Power distribution board System trans 5 3 1 5 while connecting to 1 0 5 while connecting to 2 7 3 cores 35 35 2 Solderless contact while connecting to 2 E01 P Power box Gantry 15 11 12 8 1 5 whi...

Page 45: ...while connecting to 1 1 5 while connecting to 2 19 18 pairs 0 08 shielding 7 1 Connector 62 20 52 while connecting to 1 Connector 40 12 42 while connecting to 2 a Gantry 19 14 16 11 0 5 while connecting to 1 19 3 pairs 0 18 shielding 4 2 Connector φ29 52 while connecting to 1 S03 S Console CPU BOX b Speaker Gantry 19 14 16 11 2 0 while connecting to 2 a 19 2 pairs 0 5 shielding 5 1 Connector φ25 4...

Page 46: ...or 22 8 25 Minimum permissible bending radius 110 mm Cables attached to the gantry Cable No Wiring pit Connected to 1 Connected to 2 Standard length m Effective length m Retract length m Maximum length m Number of cores section area mm2 Outer cable diameter mm Connector diameter mm Remarks FCS12 S Gantry Patient couch 25TP 0 08 shielding 8 1 Connector 73 19 47 while connecting to 2 1 connected ins...

Page 47: ...onnector 22 8 25 Minimum permissible bending radius 110 mm CS02 CONSOLE CPU BOX CONSOLE REC BOX 20 20 0 4 2 pairs 0 38 shielding 12 3 Connector 52 4 39 12 7 CS03 CONSOLE CPU BOX CONSOLE REC BOX 20 20 0 4 2 pairs 0 38 shielding 12 3 Connector 72 9 49 19 CS04 CONSOLE CPU BOX CONSOLE REC BOX 20 20 0 4 2 pairs Optical fiber 11 Connector 22 8 25 Minimum permissible bending radius 110 mm CP01 CONSOLE CP...

Page 48: ...tem transformer 5 12 18 Power distribution board Speaker Scanning room Gantry Patient couch Unit m Distance between the units Cable length Retract length Refer to tables 8 1 and 8 2 Values in parentheses indicate distances between units when the maximum length cable is used Figure 8 6 2 Inter unit distances ...

Page 49: ...nformation over the public telephone line thus ensuring privacy and improving security Installation of the medical equipment a service processor and a single public telephone line for connection to the TAC Technical Assistance Center computer should be completed within the warranty period including the period of installation of the equipment 1 Operating conditions 1 InnerVision remote support serv...

Page 50: ...r out the temperature can be outside the tolerance for a short time approximately 3 minutes The appropriate temperature however should be restored until scanning of the next patient is started In addition since air intake to the gantry is performed at a position near the floor surface attention must be paid to prevent the temperature of the floor surface from becoming excessively high Is there a b...

Page 51: ...red for this system however it is recommended that a washstand be provided 10 OUTLINE DRAWINGS 1 Gantry and patient couch Figures 10 1 and 10 2 2 Grounding and anchoring positions of the gantry and the patient couch Figures 10 3 and 10 4 3 Layout drawing top view of the gantry and the patient couch Figures 10 5 and 10 6 4 Gantry Figure 10 7 5 Console Figure 10 8 6 Speaker Figure 10 9 7 System tran...

Page 52: ...No 2A201 519EN A 52 or more A BODY SCAN B HEAD SCAN 1472 COUCH TOP COUCH TOP 328 HORIZONTAL SCAN AREA Unit mm Figure 10 1 Gantry and patient couch for patient couch CBTB 019A ...

Page 53: ...No 2A201 519EN A 53 or more A BODY SCAN B HEAD SCAN 1172 COUCH TOP COUCH TOP 328 HORIZONTAL SCAN AREA Unit mm Figure 10 2 Gantry and patient couch for patient couch CBTB 019B ...

Page 54: ...φ18 120 ANCHOR A DETAIL A Anchor hole for fine adjustment during installation Use this hole as required or more Unit mm Figure 10 3 Grounding and anchoring positions of the gantry and the patient couch for patient couch CBTB 019A ...

Page 55: ...φ18 120 ANCHOR A DETAIL A Anchor hole for fine adjustment during installation Use this hole as required or more Unit mm Figure 10 4 Grounding and anchoring positions of the gantry and the patient couch for patient couch CBTB 019B ...

Page 56: ...No 2A201 519EN A 56 Unit mm Figure 10 5 Layout drawing of the gantry and the patient couch for patient couch CBTB 019A ...

Page 57: ...No 2A201 519EN A 57 Unit mm Figure 10 6 Layout drawing top view of the gantry and the patient couch for patient couch CBTB 019B ...

Page 58: ...No 2A201 519EN A 58 2320 1950 1016 2330 960 380 580 2057 TILT ANGLE 30 30 Unit mm Figure 10 7 Gantry ...

Page 59: ...sk is used A desk must be prepared at the site Cable length CPU BOX Keyboard 2 m Maximum length 6 m CPU BOX Monitor 1 5 m Maximum length 6 m Keyboard Mouse 1 8 m For both the S con and D con the monitor and the keyboard are connected to the CPU BOX 1 1st monitor 2 Mice 3 1st keyboard 4 2nd monitor 5 2nd keyboard 6 CPU BOX 7 REC BOX ...

Page 60: ...No 2A201 519EN A 60 200 135 R900 135 R 4 0 0 INPUT 145 32 86 Approx 2 kg 200 140 Figure 10 9 Speaker ...

Page 61: ...No 2A201 519EN A 61 800 770 980 PL NFB 30 TRS Metal screen Only two sides Weight 550 kg Figure 10 10 System transformer Option CETF005C ...

Page 62: ... produced by the latter Possible routes of transmission of EMI noise are listed below 1 EMI noise is radiated from the CT system CT cables etc to the air in the form of the electric wave and enters the ultrasound system via the ultrasound system cable or some other unit connected with the ultrasound system which plays the role of an antenna This is called radiation noise 2 EMI noise transmits thro...

Page 63: ... been taken the scanning room must be shielded using sintered ferrite or a rubber material that absorbs the noise causing signals Conduction noise via the power supply line Turn OFF the power of the CT system and check whether there is any change in the noise characteristics of the ultrasound system Insert an EMI filter in the power supply line For this system the filter is already installed Condu...

Page 64: ...ables are the noise routes and perform the following countermeasure Since several cables may be noise routes check all the cables Use power supply filters with the power supplies of the optional units from which the cables serving as the noise entry routes come Insert a core and filter between the ultrasound system and each of the cables serving as a noise entry route For the BNC cable of the imag...

Page 65: ...ce of static electricity and required countermeasures 1 What is static electricity The Static Electricity Handbook of the Static Electricity Institute published by Ohm Inc defines static electricity as electricity where the spatial movement of electric charges is small and the effects of the magnetic field due to the slight spatial movement of electric charges are negligible in comparison to the e...

Page 66: ... 500 Film resistors 300 to 3 000 Bipolar transistors 380 to 7 000 ECL 500 to 1 500 SCR 680 to 1 000 Schottky TTL 1 000 to 2 500 The level of static electricity that can cause damage differs depending on the type of device Damage may be result from static electricity levels of less than 100 V as shown in the above table This system conforms to EMC standards IEC60601 1 2 and therefore is not damaged...

Page 67: ...o 90 PH Walking on a carpet 35 000 1 500 Walking on a vinyl floor 12 000 250 Working at a work table 6 000 100 Storing removing work instructions in from a vinyl cover 7 000 600 Picking up an ordinary polyethylene bag from a work table 20 000 1 200 Sitting on a work chair with a polyurethane foam cushion 18 000 1 500 The voltage can be reduced to less than 1 10 by increasing the humidity Table A 1...

Page 68: ...measures using conductive materials are outlined below An example comparing conductive shoes with normal shoes is presented 500 1000 1500 0 1 2 Walking in place Standing 2 Normal shoes 1 IC shoes conductive shoes Time min Static electricity voltage V 500 1000 1500 0 1 2 Walking in place Standing 2 Normal shoes 1 IC shoes conductive shoes Time min Static electricity voltage V Figure A 1 2 2 Noncond...

Page 69: ...anning to prevent damage due to static electricity caused by users or service personnel Materials and manufacturers are listed below Reference manufacturer Achilles Inc Conductive floor Conductive floor tiles SKY 11 Conductive slippers ICS 0100 Conductive shoes ICM0100 for men ICM0230 for women The installation area of the conductive floor is shown in the attachment Refer to figure A 1 2 4 Room la...

Page 70: ... Connect the ground cable of the conductive floor to the patient couch 5 Gantry rear side service space Connect the ground cable of the conductive floor to the gantry 6 Console REC BOX service space Connect the ground cable of the conductive floor to the console REC BOX ground 7 Console control room service space Connect the ground cable of the conductive floor to the console ground Unit mm 1600 8...

Page 71: ...1385 SHIMOISHIGAMI OTAWARA SHI TOCHIGI KEN 324 8550 JAPAN Made for life is a trademark of Toshiba Medical Systems Corporation ...

Reviews: