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90

 

 

0473

  

 

    

90001

 

Rev

 

07.26.13

 

Effective Dose to Patient Measurements (Micro Sieverts): 

 

 

 

 

 

 

 

 

 

 

 

 

 

Report

 

on

 

CurveBeam

 

CBCT

 

Foot

 

Dosimetry

 

John

 

Ludlow,

 

DDS,

 

MS,

 

FDS

 

RCSEd

 

Methods:

  

A

 

custom

 

tissue

 

equivalent

 

anthropomorphic

 

phantom

 

of

 

the

 

foot

 

and

 

ankle

 

was

 

constructed

 

(The

 

Phantom

 

laboratory,

 

Salem,

 

NY).

  

The

 

model

 

was

 

constructed

 

in

 

25

 

mm

 

horizontally

 

sliced

 

layers

 

allowing

 

separation

 

and

 

specific

 

localization

 

of

 

dosimeters

 

within

 

each

 

layer.

 

 

Slots

 

were

 

drilled

 

in

 

the

 

upper

 

surface

 

of

 

the

 

layers

 

to

 

accommodate

 

placement

 

of

 

NanoDot

 

OSL

 

dosimeters.

  

Slots

 

were

 

located

 

in

 

and

 

on

 

tissues

 

included

 

in

 

the

 

weighted

 

tissues

 

used

 

in

 

the

 

2007

 

ICRP

 

calculation

 

of

 

effective

 

dose.

  

Twenty

‐

one

 

dosimeter

 

locations

 

were

 

utilized.

 

pedCAT

 

Scan:

  

Imaging

 

Procedure

  

Effective

 

Dose

 

in

 

Micro

 

Sieverts

 

(µSv)

 

Medium

 

Field

 

of

 

View

 

(partial

 

single

 

foot)

 

     

Adult

 

(18+)

  

100

 

kVp

 ‐ 

120

 

kVp

 

1

 ‐

2

     

Child

 

(around

 

10)

  

100

 

kVp

 

–

 

120

 

kVp

 

4

 ‐

7

Large

 

Field

 

of

 

View

  

     

Adult

 

(18+)

 

100

 

kVp

 

–

 

120

 

kVp

 

               

Single

 

Foot

 

2

 ‐

3

               

2

 

Feet

 

3

 ‐

5

     

Child

 

(around

 

10)

  

100

 

kVp

 

–

 

120

 

kVp

 

               

Single

 

Foot

 

5

 ‐

9

               

2

 

Feet

   

9

 ‐

14

Содержание pedCAT

Страница 1: ... 13 Computed Tomography Imaging X ray System Operator s Manual 175 Titus Ave Suite 300 Warrington PA 18976 Ph 267 483 8081 Fax 267 483 8086 info curvebeam com www curvebeam com CurveBeam Technical Support 267 483 8081 ...

Страница 2: ...ct Information 12 Chapter 3 Safety Items 26 Chapter 4 Calibration Quality Assurance Procedures 40 Chapter 5 Radiation Environmental Survey 79 Chapter 6 Operations Acquiring a Scan 92 Chapter 7 Using the Viewing Software CubeVue 111 Appendix I Installation Instructions 143 Appendix II Troubleshooting 156 ...

Страница 3: ...ughly including all cautions and warnings This guide uses the following conventions to describe situations that are potential hazards to the Patient or Operator potential loss of data or potential damage to the equipment WARNING Warnings are intended to alert the user that failure to follow the procedure could cause fatal or serious injury to the user Patient or any other person or result in a mis...

Страница 4: ...tem To avoid personal injury from electrical shock do not operate the system with any covers open or cables removed WARNING This device may cause detrimental interaction with active implantable medical devices and body worn active medical devices Consult the manufacturer of such devices for more information WARNING Closing of the Gate doors creates a pinch point Keep hands and feet clear when clos...

Страница 5: ... not use the System in the presence of explosive gases or vapors including anaesthetic gases Use of this system in an environment for which it is not designed can lead to fire or explosion WARNING This unit is not suitable for use in a flammable air mixture environment If hazardous substances are detected while the system is turned on do not attempt to turn off the system Evacuate the area and the...

Страница 6: ...all patients wear a protective shielding full wrap apron We recommend that patients less than 21 years old small size patients under 100 pounds and children also wear a gonad and ovarian front and back protective shield Sample shielding products or similar Supplier Marshield Full Wrap Apron MS SP1 Supplier Universal Medical Inc Diaper 14 x 20 800 Wear a PEN dosimeter and or film badge If you are r...

Страница 7: ...witches and or emergency stop switches can be connected as long as the devices are connected in series The entire circuit must be a closed loop when all of the doors are closed and or emergency stop switches are in their normally closed state Whenever the door switch or switches are opened or emergency stop button s pressed the X ray power will be turned off X ray power cannot be turned on when th...

Страница 8: ...om the system before a scan is completed please follow these steps 1 Press the EMERGENCY STOP button This will halt the X ray as well as the motors to the machine functions and all power to the machine The message below will display on screen and will terminate the CB Scanning Device Acquisition software 2 Open the Gate doors manually with your hands by using the slots at the top of each door to g...

Страница 9: ...rver Operator s Console and Viewing Console The system provides for patient s to be imaged in weight bearing standing position as well as seated position for one or both feet Viewing Console 1 Viewing and post processing of data Operator Console 1 Access import and enter patient information 2 Select Scan Options 3 Initiate Acquisition of Images Machine 1 Capture Images 2 Transfer Raw Data to Exter...

Страница 10: ...W thin client terminal or the QA Station thin client terminal RECON VM accessed via the Remote Desktop Connection icon on the ACQ thin client terminal Database VM accessed via the Remote Desktop Connection icon on the ACQ thin client terminal Major Device Components Patient Support Handle Bars X Ray Source Main Circuit Breaker rear of machine Image Detector Embedded Controller HV X Ray Power Suppl...

Страница 11: ...ystem 50 15 24 m o Door interlock shorting plug o Operator Control Box Assembly 50 15 24 m o Exposure Scan Switch Assembly 10 3 05 m coil cord Ethernet Cable CAT6 gray 50 15 24 m QTY 2 Ethernet cable CAT 6 green 50 15 24 m Ethernet cable CAT6 red 50 15 24 m Power cord 10 3 05 m Varian Panel 3030D X Ray tube assembly HV power supply About the Operators Manual This documentation describes the safe a...

Страница 12: ...per maintenance Damage from improper electrical connection or supply Damage caused by any other abuse misuse mishandling or misapplication Damage to internal or external computer software or operating system caused by Unauthorized additions or changes Viruses spyware or gaming software Damage caused by Network or Operating Engineers Damage from the use of this machine or computer for any other pur...

Страница 13: ...81 8 kg Power Requirements 1150VA Scan time is defined as the duration in which the exposure alarm buzzer is ON and X ray ON light is illuminated Procedure time is included Scan time plus filament warm up doors opening etc X ray Source Tube Voltage 100 120 kVp eff Tube Current 3 5 mA Voltage Wave Shape Constant Potential Focal Spot 0 0197 inches 0 5 mm Duty Cycle 3 Source to Sensor distance 28 896...

Страница 14: ... Detector Amorphous Silicon Flat Panel readable area 11 8 30 cm height x 11 8 30 cm width Sensor Front Panel Attenuation Value Less than 1mm of aluminum equivalent information for reference only Gray Scale 14 bit Voxel Size 0 3 0 35 CBCT Image Acquisition 1 or 2 orbits 360 degree rotation maximum CBCT Field of View 7 9 20 cm diameter x 7 9 20 cm height 1 2 or 1 orbit CBCT Extended Field of View of...

Страница 15: ...e Weight 50 to 100 lbs 23 45kg Height Groin area at least 22 56 cm above the floor 100 kVp 5mA Small Patient Large Field 100kVp Weight 101 to 400 lbs 46 181 kg Height Groin area at least 22 56 cm above the floor 120 kVp 5mA Large Field 120kVp Weight 101 to 400 lbs 46 181 kg Height Groin area at least 22 56 cm above the floor 120 kVp 5mA Medium Field 120kVp Weight 101 to 400 lbs 46 181 kg Height Gr...

Страница 16: ...truction Maximum of 5 minutes CBCT Secondary Reconstruction Real Time Gantry Stopping Distance and Angle Total rotation from Home position to limit is 424 degrees Home being 0 degrees Load position gantry aligned for patient to walk in is 25 degrees from home position X ray beam ...

Страница 17: ...100V 10 Amps 115V 5 Amps 200V or 5 Amps 230V Nominal Electrical Input Power to Supply Volume Scan 300W 120kV 5mA Scan Time has no effect on electrical power output Apparent Resistance of Supply Mains For the purpose of obtaining the apparent resistance of supply mains resistance is determined according to the following formula R UO U1 I1 Where U0 is the no load Mains Voltage U1 is the Mains Voltag...

Страница 18: ...rge Protector is recommended Patient Platform Maximum patient weight capacity 400 lbs 181kg Patient Seat Maximum patient weight capacity 300 lbs 136kg Handle Bars Maximum weight capacity 150 lbs 68kg Disposal Follow local regulations on disposal of waste parts The X ray source assembly image sensor and all electronic circuits should be regarded as non environmental friendly waste product The syste...

Страница 19: ...ass A Compliant IEC61000 3 3 Voltage Changes Voltage Fluctuations and Flicker Class A Compliant Immunity Testing 61000 4 2 Electrostatic Discharge 6 kV Contact 8 kV Air Compliant A 61000 4 3 Radiated Immunity 80 MHz 2 5 GHZ 3 V M 80 AM with 1kHz Compliant A 61000 4 4 Electrical Fast Transients 1 kV Power Supply Lines 1 kV Input Output Lines Reduced Level of Compliance A 61000 4 5 Surge Immunity 1 ...

Страница 20: ...table and mobile RF communication equipment Equipment Standards The PedCAT has been designed and evaluated to meet the requirements of the following standards The device has passed all applicable sections of these standards IEC 60601 1 third edition 12 2005 IEC 60601 1 second edition 12 1995 IEC 60601 1 2 third edition 03 2007 IEC 60601 1 3 second edition 01 2008 IEC 60601 1 3 first edition 01 199...

Страница 21: ...lass I Applied part has degree of protection against electric shock Class B Class of equipment against ingress of liquids Ordinary Equipment IPX0 Radiated emissions Class B Regulatory Class Governing Body Classification FDA 2 Health Canada 3 Medical Device Directive 93 42 EEC llb ...

Страница 22: ...WATER ON THE IMAGE RECEPTOR this should only be dusted with a dry cloth For disinfecting use Biocide from Biotrol International or equivalent cleaner and disinfectant Biocide is an Iodophor formulation that kills HIV Tuberculosis and Polio in 10 minutes Moisten a cloth with the disinfectant and then wipe down the area Do not spray disinfectant directly onto the equipment Preventive Maintenance Sch...

Страница 23: ...ower and indicator lights audible alarms for IT IS THE RESPONSIBILITY OF THE USER TO INSURE THAT THE EQUIPMENT IS MAINTAINED IN COMPLIANCE WITH THE MANUFACTURER S RECOMMENDED MAINTENANCE SCHEDULE THE MANUFACTURER AND THE ASSEMBLER INSTALLER ARE RELIEVED FROM RESPONSIBILITY IN THOSE CASES WHERE NON COMPLIANCE WITH THE STANDARD RESULTS FROM THE USER S FAILURE TO HAVE THE MANUFACTURER S RECOMMENDED M...

Страница 24: ...OP Exit the CB Tools program by clicking on the X in the upper right corner With the machine Main Circuit Breaker in the ON position Power Light ON press the EMERGENCY STOP button The Main Circuit Breaker should trip Release the EMERGENCY STOP by turning the knob to the right until it pops up Turn the Main Circuit Breaker to the ON position and re launch the PedCAT ACQ Software Planned Maintenance...

Страница 25: ... and humidity Annually Provide a complete operational test of the system including a monitored battery rundown test to determine if any battery strings or cells are near the end of their useful lives Planned Maintenance Annual Schedule The system requires normal periodic inspection and maintenance Scheduled periodic inspections are necessary to detect problems which can result from excessive wear ...

Страница 26: ...per horizontal to top of the panel Check Panel Pivot Use Centering Tool line centered in panel not on a diagonal Check Panel Centering Panel level to horizontal use adjustment set screws to adjust Check Beam Collimator Alignment Center Collimator Position A right offset Position B left offset Upper Collimator Perform Gain and Air Normalization Calibration Nothing in the field of View Perform Geome...

Страница 27: ...002 230 0 X Ray Power Supply Assembly 4003 0 Embedded Board Assembly 4004 0 Can Bus Breakout Assembly 4006 0 120VAC Breakout Assembly 4007 0 LED Distribution Assembly 4008 0 X Ray Tube head 2007 0 Image Receptor Panel 100100 Ethernet Cable CAT 6 GREEN 50 100105 Ethernet Cable CAT 6 RED 50 100106 Operator s Control Box 5006 0 Scan Exposure Switch 5007 0 Geometric Phantom 2803 QA Phantom 2802 Access...

Страница 28: ...removed Warning System The System is equipped with provisions for warning lights and or audible alarms when X ray power is energized An externally powered Warning System can be connected to the cable provided which is capable of 250 volts 50 60 hertz and 1 amp When X ray power is energized the warning system is also energized Interlock System This System is equipped with provisions for an Interloc...

Страница 29: ...ep bare foot on the patient platform Proper foot protection should be provided After each patient scan clean and disinfect all items which come in contact with the patient Cabling Requirements System cabling connections must be installed away from walkways and doorways It is recommended to run cabling along wall perimeters If there is a chance of mechanical damage due to the cable location then th...

Страница 30: ... to the machine functions and all power to the machine The message below will display on screen and will terminate the CB Scanning Device Acquisition software 2 Open the Gate doors manually with your hands by using the slots at the top of each door to grasp and slide to an open position 3 Carefully assist the patient to step out of the scan platform area 4 Reset the machine Close the PedCAT Acquis...

Страница 31: ...30 0473 90001 Rev 07 26 13 System Labels Operator Control Box E Stop Power ON light X ray Ready light X ray ON light Fault light holster for Scan Exposure Switch Operator Exposure Scan Switch Pushbutton ...

Страница 32: ...31 0473 90001 Rev 07 26 13 Rear Connector Panel Voltage Nameplate location System Label location ...

Страница 33: ...32 0473 90001 Rev 07 26 13 Rear Panel Voltage Nameplate for opening in Rear Connector Panel and Rear Panel Voltage Nameplate location System Label location ...

Страница 34: ...33 0473 90001 Rev 07 26 13 Indicator Panel on machine Patient Platform label Patient Seat label ...

Страница 35: ...34 0473 90001 Rev 07 26 13 Handle Bar Label Cleaning Instructions Label Pinch Point Label Laser Label ...

Страница 36: ...35 0473 90001 Rev 07 26 13 Laser Switch Label Circuit Breaker and Fuse Label X ray Protective clothing label located on the handle bar System Label ...

Страница 37: ...36 0473 90001 Rev 07 26 13 Tube Head Label Beam Limiter Label X Ray Power Supply label ...

Страница 38: ...ty for sitting Fault Maximum Weight capacity for standing Interlock Maximum weight capacity for handle bars Fuse T1A250V T time delay 1amp 250volt fuse F250mA250V F fast acting 250mA 250volt fuse Power Circuit ON Power Circuit OFF CE Mark class IIb This product carries the CE Mark The CE Declaration CE Conformity becomes invalid if the product is changed without explicit consent of the manufacture...

Страница 39: ...is a horizontal and vertical in the center of the beam and a horizontal at the top of the beam height The patient alignment laser lights are controlled by a push button on the machine on the left door when open When the button is pushed and held down the lights will illuminate Exposure Control hand held Hand held with coil cord for up to 10 feet away Can be removed from the holster Scan Button for...

Страница 40: ...39 0473 90001 Rev 07 26 13 Laser Lights Button ...

Страница 41: ...er ON This is solid Green when the machine is ON Ready This is the Exposure Ready light and is Green when the machine is in Ready state for exposing This would indicate that it is time to press the exposure button X Ray ON This is an Amber color when the system is exposing emitting X ray Fault This would be Red in color if there was a failure in the system Status Indicator panel on Operator Contro...

Страница 42: ...Scan button or to use the E Stop to stop the x ray in the middle of a calibration If the E Stop is depressed it will cause the power switch on the back of the scanner to shut off Reset the E Stop by rotating it then restart the scanner by flipping on the power switch at the back of the scanner Then restart the calibration at the beginning of the calibration that was interrupted If the scan button ...

Страница 43: ... the Log off button select the arrow to the right of it and select Disconnect to log off the current user Double click on the Acquisition Login icon on the desktop and log in as cbadmin If the cbadmin user isn t visible and expecting a password select the Use another account and enter cbadmin as the user name For the password please contact CurveBeam Technical Support Log off button Current User i...

Страница 44: ... the patient platform was removed There are 2 holes on the metal disc that will fit the two metal prongs at the bottom of the centering tool The Centering Tool will fit in one of two ways either way is acceptable for this procedure Holes in metal disc in the patient platform area with patient platform removed Center tool properly placed Double click on the AlignPanel Shortcut on the desktop to sta...

Страница 45: ...44 0473 90001 Rev 07 26 13 The following will open Place the Centering Tool in the scanner Click on the Find Center OK button in the lower left corner Instruction Status Window Click OK to Start ...

Страница 46: ...cceptable to see if the light is green If the light is green the activities in this tab are completed Notice that the A B Center Distance Measurement tab is now active WARNING The X ray device may be dangerous to the Patient and Operator if you do not observe and follow operating instructions Do not operate this system unless you have received training to perform a procedure A B Center Distance Me...

Страница 47: ...ab Note without a successful Find Center of Rotation calibration this tab will not be active or able to be selected The following will appear Ensure that the Center Tool is still set up in the scanner Click on the Get Align Images OK button in the lower left corner Instruction Status Window Click OK to Start ...

Страница 48: ... image Observe the values in the yellow boxes The left column values for both C B horiz vert and A C horiz vert values should be 600 0 5 pixels The A B horiz vert values in the left column WARNING The X ray device may be dangerous to the Patient and Operator if you do not observe and follow operating instructions Do not operate this system unless you have received training to perform a procedure ...

Страница 49: ...es the location of the red lines relative to the wire scanned should be about the same as below Notice how the red lines intersect at about the same position on all three images Repeat this for the lower intersection of the lines as well If the red lines intersection is not similar to the wire and to each other select the Store offset Values in DB OK button in the lower right corner This will save...

Страница 50: ...in the lower left corner When prompted Press and Hold the Scan button to fire the x ray The x ray will fire 3 single shots of x ray WARNING The X ray device may be dangerous to the Patient and Operator if you do not observe and follow operating instructions Do not operate this system unless you have received training to perform a procedure Instruction Status Window Click OK to Start ...

Страница 51: ...lack edge than the right side again this is desired The Center image if adjusted much further will end up with no more edge on the left and right side therefore the image displayed is desired as well In addition to the images a few values need to be considered as well The first adjustment required is for the Collimator Height The acceptable Collimator Height up down range is 0 5 pixels Instruction...

Страница 52: ...re the current values Then restart this calibration by clicking CollSetup OK again Revisit the images and values as mentioned above Repeat these steps until the images appear as shown above and the values are as presented above Once the images appear to maximize the white image and both the Collimator Height and Collimator Size numeric values are within the ranges specified select Store New Coll V...

Страница 53: ...ter clockwise for easy access to the center of the scanner Click on the Panel Rotation Tab The following should appear For each Search Type listed Centered Field and then Wide Field click on the Get Rotation Vectors OK button in the lower left corner Instruction Status Window Click OK to Start Search Type Selection ...

Страница 54: ...as completed release the scan button The image on the screen will look similar to the below image WARNING The X ray device may be dangerous to the Patient and Operator if you do not observe and follow operating instructions Do not operate this system unless you have received training to perform a procedure ...

Страница 55: ...f adjustments are needed adjust the screws on the mounting plate for the panel as shown below Repeat this calibration for all types listed under the Search Type pulldown Once all Search Types have been completed close the AlignPanel Calibrations by clicking on the STOP button in the lower right corner The Align Panel program will close First loosen this screw Then make the adjustments using this s...

Страница 56: ...till visible in the background Follow the User Instructions for this calibration When the User Instruction state to Select the Start button to continue select the Start Cal button as shown in the image below When going through the instructions the program will require x ray to be fired There will be a prompt to hold the Scan button at which point x ray will be fired It Run Tool OK button Gain Cali...

Страница 57: ...o discharge There is a countdown box that will display the seconds until the panel is ready and then the User Instructions will be updated as to what to do next X ray will be fired THREE times throughout this calibration WARNING The X ray device may be dangerous to the Patient and Operator if you do not observe and follow operating instructions Do not operate this system unless you have received t...

Страница 58: ...Rev 07 26 13 When the calibration is completed the Gain Calibration will close and CB Tools will be displayed on the screen Keep CB Tools open Additional window opens behind Calibration Countdown until panel is ready ...

Страница 59: ...r Select the Air Frames Creation tab in CB Tools Then select OK under Run Tool Follow the User Instructions for this calibration When going through the instructions the program will require x ray to be fired There will be a prompt to hold the Scan button at which point x ray will be fired It may take a moment but there will be the sound of x ray being fired and afterwards there will be another Use...

Страница 60: ...itself and then perform the 100kVp calibrations and again fire x ray THREE times There will be a total of SIX times in which x ray will be fired during this Panel Air Normalization Calibration When the calibration is completed the Air Frames Creation Calibration window will close and CB Tools will be displayed on the screen WARNING The X ray device may be dangerous to the Patient and Operator if y...

Страница 61: ... to the Recon VM by clicking on Start then Remote Desktop Obtain Login and Password from CurveBeam Technical Support Once logged into the Recon VM close the Recon Manager program This part of the calibration will be processing four input folders The procedure below will be done four times but with some slightly different parameters for the four different input folders Start the CBGenNormfile appli...

Страница 62: ...hanged and should remain at C Users cbadmin Desktop ReconManager Runtime Normalization Please note if this is the first time the server is running this procedure this Output folder will need to be set But once set the folder should remain as specified above for any future times through this process Enter the following values KV 100 Frame Width 768 Frame Height 768 of frames 128 Click Browse to sea...

Страница 63: ...ady Once all of the gray boxes are filled in and Ready is displayed again in the lower left hand corner of the box this input file is completed This process will need to be completed THREE additional times for three other input folders and some different input values After the gray boxes are all filled in and Ready is displayed in the lower left corner begin processing the second folder Ready is d...

Страница 64: ...atch as the gray ones are calculated as part of the calibration Click Start The values in the gray boxes will be recalculated and again the Ready will change to Loading data then to Analyzing and then back to Ready Once all of the gray boxes are filled in again and Ready is displayed again in the lower left hand corner of the box this input file is completed For the THIRD input folder make the adj...

Страница 65: ...lated and again the Ready will change to Loading data then to Analyzing and then back to Ready Once all of the gray boxes are filled in again and Ready is displayed again in the lower left hand corner of the box this input file is completed For the FOURTH input folder make the adjustments shown below Change the Input Folder to Y Airframes 1368x768x120 Change KV to 120 Frame Width 1368 remains unch...

Страница 66: ... will be recalculated and again the Ready will change to Loading data then to Analyzing and then back to Ready Once all of the gray boxes are filled in again and Ready is displayed again in the lower left hand corner of the box this input file is completed Close the CBGenNormFile application by clicking on the red X in the upper right corner Start the Recon Manager Program The second and final por...

Страница 67: ...tric Phantom on the platform The set screw will need to come up through the hole in the center metal plate at the bottom of the Geometric Phantom Placing the hole at the center of the base of the Geometric Phantom on top of the set screw in the base of the platform positions the phantom in the correct location There will be a slight amount of movement with the phantom on the screw this is perfectl...

Страница 68: ...scan Allow the scan to complete On the Quality tab view the raw frames Scroll through the frames and observe the BB s to see if any appear to jump or move sporadically Close the Acquisition Software Login to the Recon VM Obtain Login and Password from CurveBeam Technical Support Once logged into the Recon VM close the Recon Manager program Open the GeoCal Files folder on the desktop Navigate to th...

Страница 69: ...ing the geocal Patient ID and Name Select the one with the most recent or today s date double click on select Open on this file The screen will then appear similar to the one below Click the System Setup button Under the Acquisition Data heading on the left ensure that the Flipped Horizontal box IS checked and the Flipped Vertical box is NOT checked as shown below the numerical values do not matte...

Страница 70: ...Rotation is set to Clockwise as shown below If either values are not set as expected change to be the expected values by removing the negative sign or clicking on the Clockwise radio button The other numerical values do not matter Click OK to close System Setup box Click the Auto Position button If all BB s are enclosed by a blue box click the Lock Gates button Flipped Horizontal IS checked Nomina...

Страница 71: ... up all of the BB s within the boxes manually using the slider at the bottom of the image Move the slider until all BB s are fully contained within a single box then select Lock Gates Perform this until all BB s are fully enclosed with the yellow circle and green box IsoCal is now ready to calculate the accurate geometry In order to start the process click on the green Play button Auto Position Lo...

Страница 72: ...om green to red and back No problem if that happens occasionally but if it happens too often the IsoCal program will need to be closed and restarted again The boxes change as the cross each other if they were red without being near another box then close the program and restart these instructions from when this program was first opened from the folder on the desktop ...

Страница 73: ...try file to replace the existing one if one is present There will then be a pop up asking to save the results for the Full Fan Short Scans Select Yes to the pop up to save them then navigate to the Desktop then GeoCal Files then the folder with the current version of IsoCal folder for this file as well allow it to overwrite if asked Click on Save IsoCal Results button When prompted for a location ...

Страница 74: ... it as is If it is not 0 0 then change it Just double click on the value and replace it with the value it should be Also under the Volume folder locate zImageEndXtntnPct and ensure this value is set to 100 0 If it is not then set it to 100 0 Additionally under the Volume folder locate SourceAngleAt12oClock and ensure the value is 81 0 and change it if it is not 81 0 Under the folder titled ScanTyp...

Страница 75: ...YYYY_MM_DD xml where YYYY is the current year and MM_DD represents the current today s month and date This will need to be done TWICE once for the Geometry_768 xml and Geometry_1368 xml files in the Configuration folder and once for the same files in the ConfigurationPass2 folder Navigate back to the GeoCal Files folder that has the newly created and edited Geometry files Copy both the Geometry_76...

Страница 76: ...ms provided by CurveBeam These include a QA Line Pair Chamber Phantom and a Water Phantom Image Data will be captured and assessed for acceptable values For Assessments to be completed in CubeVue software please refer to Post Processing of Data in Chapter 6 of this manual Image Quality QA Phantom The items assessed for Image Quality will be High Contrast Spatial Resolution measured via line pairs ...

Страница 77: ...e center of the line pairs height then view the line pairs in the axial window d The expected result should be 9 line pairs per cm or better The line pairs start at 8 line pairs so the second set of line pairs is 9 line pairs per cm third set is 10 line pairs per cm and so forth e Visually verify that there is definition present for each of the lines in pair 9 or higher 4 Evaluate Hounsfield HU Ac...

Страница 78: ...can Zoom into the Axial View s line pairs and make a distance measurement using the Distance Tool from one end of the line pair set to the other end of the line pair set The distance should be between 41 0 42 5 mm Consistency Uniformity Water Phantom To evaluate consistency we will image the Water Phantom Water phantom image may vary from what was delivered with your machine 1 The water phantom sh...

Страница 79: ... Chapter 6 for instructions on acquiring the scan 4 Once the data is captured it can be evaluated in the CubeVue viewing software Open the dataset to the Review MPR Tab s Axial View Apply the Sharp Filter and change the slab thickness on the axial window to the smallest possible slab size 5 Noise Level Test from the axial view use the large Hounsfield circular measurements from within CubeVue and ...

Страница 80: ...st The incident Absorbed Dose at the detector may be measured using a dosimeter Tests are performed to assess output value and to check for tube output consistency and timer accuracy 1 Attach a dosimeter to the detector such that the sensor is positioned where the vertical and lower horizontal laser lights intersect 2 Perform a Standard scan of 20 cm diameter x 20 cm height 0 3 voxel Procedure Nam...

Страница 81: ...catter at each location These meters were verified to have excellent agreement The integration time for each mode was the entire scan time Scatter intensity drops off approximately in accordance with the inverse square law Scatter measurements were similar to other units of this type given slight variations in kVp mA and rotation time The levels as measured should pose no unusual problems in shiel...

Страница 82: ...ons equidistant from phantom location Ion Chamber Instruments TA TBM IC Mark V S N 11982 Calibrated 7 12 11 TA TBM IC Mark V S N 9404 Calibrated 3 5 11 Scattered dose in the down direction could not be measured due to practical considerations of machine size weight etc Dose in the down direction is conservatively assumed to be the same as in the up direction This is considered conservative as mach...

Страница 83: ...antom location Ion Chamber Instruments TA TBM IC Mark V S N 11982 Calibrated 7 12 11 TA TBM IC Mark V S N 9404 Calibrated 3 5 11 Scattered dose in the down direction could not be measured due to practical considerations of machine size weight etc Dose in the down direction is conservatively assumed to be the same as in the up direction This is considered conservative as machine structural componen...

Страница 84: ...t from phantom location Ion Chamber Instruments TA TBM IC Mark V S N 11982 Calibrated 7 12 11 TA TBM IC Mark V S N 9404 Calibrated 3 5 11 Scattered dose in the down direction could not be measured due to practical considerations of machine size weight etc Dose in the down direction is conservatively assumed to be the same as in the up direction This is considered conservative as machine structural...

Страница 85: ...nstruments TA TBM IC Mark V S N 11982 Calibrated 7 12 11 TA TBM IC Mark V S N 9404 Calibrated 3 5 11 Scattered dose in the down direction could not be measured due to practical considerations of machine size weight etc Dose in the down direction is conservatively assumed to be the same as in the up direction This is considered conservative as machine structural components will attenuate the scatte...

Страница 86: ... above the patient platform which correlates to the smallest patients groin location Two foot phantoms were located in the patient opening for this measurement Pulses per second 30 Field size large mA 5 Pulse duration 0 012 seconds Mode kVp Scan time seconds mR at 56cm Center 100 16 0 83 Offset 100 32 1 53 Mean for 100 1 18 Center 120 16 1 30 Offset 120 32 2 42 Mean for 120 1 86 ...

Страница 87: ...dure option Offset Large Field 120kVp procedure option Dosimetry was determined as described in IEC 60601 2 44 using A 16cm PMMA phantom as described in that document Stated errors are based on the stated calibration error of the dosimetry system used and propagation of that error through the multiple measurements and calculations made to determine CTDIvol Dosimetry system RTI Barracuda S N BC1 04...

Страница 88: ...Size PedCat CTDIvol mGy Dose Measurement by Scan Procedure Protocol DAP Dose Area Product mGy cm PedCAT Procedure Protocol mGy cm Medium FOV 120 kVp 803 Medium FOV 100 kVp 492 Large FOV 120 kVp 1484 Large FOV 100 kVp 897 Dosimetry Meter RadCal PDC patient dose calibrator Monrovia CA Measurements obtained with DAP meter flush to the image receptor TIME Procedure AGE SIZE OF SCAN s mA mAs kVp HEIGHT...

Страница 89: ...4 4 4 Small Patient Medium Field 100kVp 10 11 9 11 Small Patient Large Field 100kVp 1 1 5 0 5 1 5 Small Patient Large Field 100kVp 3 5 4 2 5 4 5 Small Patient Large Field 100kVp 8 4 9 7 4 9 4 All measurements were made on a standard ACR accreditation phantom Limits taken from IEC 61223 3 5 All measurements made with normal reconstruction kernel CT Water Uniformity MTF 0 1 Imaging Center of phantom...

Страница 90: ...installed in the area around the system equipment Below are some other common requirements that may apply to your location The Operations computer server and X ray Operator should be located behind a properly shielded permanent barrier A viewing window should be present to enable the X ray Operator to view the Patient and operate the computer while the exposure is present Operators should consider...

Страница 91: ...ers within each layer Slots were drilled in the upper surface of the layers to accommodate placement of NanoDot OSL dosimeters Slots were located in and on tissues included in the weighted tissues used in the 2007 ICRP calculation of effective dose Twenty one dosimeter locations were utilized pedCAT Scan Imaging Procedure Effective Dose in Micro Sieverts µSv Medium Field of View partial single foo...

Страница 92: ...The SXR 130 20 0 5 insert is a stationary anode glass envelope x ray tube The SXR 130 20 0 5 is an x ray tube originally designed for use in dental CBCT applications The insert should be housed in a unit that allows for insulating media such as high dielectric mineral oil Diala AX or high dielectric pressurized gas such as SFo Sulfur Hexafluoride Cone Beam Computerized Tomography NOTE P ease conta...

Страница 93: ...92 0473 90001 Rev 07 26 13 Beam Path and Angulation ...

Страница 94: ...line is the ON position The 0 is the OFF position The image below shows the scanner in the ON position Power ON is indicated on both the Machine Status Indicator panel and the Operators control box Status indicator panel lights Power ON is lit in Green The machine must be ON for 30 seconds before the Acquisition Software should be launched Optimal Scanning results will be achieved with the machine...

Страница 95: ...ton Once the acquisition software is launched a system Startup window also referred to as the Initialization window will display indicating if various parts of the system are functioning properly or not When the row has two dark buttons that item is still awaiting a status and will eventually change the color from either the dark green to bright green or from dark red to bright red ...

Страница 96: ...tartup lights should be illuminated bright green once diagnostics have been completed successfully If Startup was successful the Startup window will close on its own and the software will automatically display the Patient Worklist Window The following depicts a successful Startup with all lights illuminated bright green Indicator light illuminated bright red Contact Technical Support ...

Страница 97: ...96 0473 90001 Rev 07 26 13 ...

Страница 98: ...ent Information Selecting Scan Procedure Patient Demographic Information can be either imported into the system via a Worklist or can be Added as a New Patient via the PedCAT ACQ software Patient Tab when Add Procedure is selected To add a patient s scan to the Worklist select the Add Procedure button at the bottom of the screen If a procedure is added by mistake or needs to be removed highlight t...

Страница 99: ...and Procedure The ID MUST be unique to this patient The other items are optional The Accession Number field can be manually entered or if left blank one will be auto generated After all the required fields are entered and any optional fields as well select the OK button under Add to add the patient to the worklist Patient Highlighted Patient Information Displayed Select Protocol to Perform Accept ...

Страница 100: ...d if you need to capture only one foot or a partial area of interest for one foot This procedure time will be approximately 19 seconds Although the procedure time is 19 seconds the actual exposure time is less Medium Field Sharp Filter 120kVp 20 cm diameter x 20 cm height 0 3 voxel Select this option if the patient size is normal large as defined above and if you need to capture only one foot or a...

Страница 101: ...rotocol is highlighted the Accept Next button will become non gray Click Accept Next when the protocol is correct for the patient being scanned to continue with the Acquisition process PROCEDURE Performing the Acquisition The Acquisition will be performed via the Procedure Tab The Procedure Tab will display the current selected Patient Name and Procedure as well as User Instructions and Informatio...

Страница 102: ...ms Radiation Safety section The patient will now need to be positioned in the machine The Door Gates to the machine should now be in OPEN position in order for the patient to step in Be sure to position your patient before clicking the OK button Once the OK button is clicked the Door gates will CLOSE Door Gates Open Door Gates Closed The patient should be instructed to step into the machine and po...

Страница 103: ... feet position as described in the next section Note Please remind the patient to stand in the appropriate weight bearing position and use the handle bars for stability during the scan The handle bars are meant for support only Sitting if the patient cannot achieve standing position or if standing is not required If Seated the patient should step onto the platform turn around and face the doors an...

Страница 104: ...t s feet foot into the field of view The most outer circle is for the Full both feet procedure option 35 cm diameter This is for a scan that needs to include both feet Both feet should be positioned within this circle in order to capture both Sample Results of Full both feet Field of View Positioning Illustrations are intended for Training purposes only ...

Страница 105: ...tioned within this circle in order to capture it So if you require the forefoot then ensure that it is within the inner circle however the hindfoot may not fit and would not be included in the scan and vice versa Smaller foot sizes may capture from Fore to Hindfoot Sample Results of Partial Single Foot Diameter Scan Field of View Forefoot Sample Results of Partial Single Foot Diameter Scan Field o...

Страница 106: ...r of the scan 10 cm height Patient Instructions for a Scan Once the patient is properly positioned in the system the operator should instruct the patient to hold perfectly still for the duration of the scan It is very important for the patient to hold still If the patient moves during the volume scans the results may not be optimal Full Both feet procedure times will be approx 68 seconds Single fo...

Страница 107: ... OK to continue with the scan select Cancel and the doors will open and the software will close and need to be restarted for any future scans 3 Next a message will appear on screen instructing the operator to Press and HOLD Scan button as pictured below WARNING The X ray device may be dangerous to the Patient and Operator if you do not observe and follow operating instructions Do not operate this ...

Страница 108: ...in PedCAT Acquisition CB Scanning Device software The Operator should hold the exposure switch for the duration of the exposure as indicated by sound and lights Software Machine Exposure Control hand held Hand held with coil cord for up to 10 feet away Can be removed from the holster Scan Button for initiating the scan Must be held down for the duration of the capture Emergency Stop Button Press d...

Страница 109: ...s to turn off the power to the X ray and all moving parts in order for the Patient to be safely removed from the machine There is an Operator E stop button on the Operator Control Box and there is a Patient E Stop button on the machine by the seat The Emergency Stop s when activated will remove ALL power from the machine If the machine gates are closed they will have to be opened manually and any ...

Страница 110: ...rd out of the machine If the patient is Sitting instruct the patient to carefully stand and use the handle bars for support while stepping forward out of the machine 9 When the Accept Next button becomes visible click on it 10 Once on the Quality screen wait for all of the QA images to be present Initially the QA screen will appear as in the following image The blue screen on the right indicates t...

Страница 111: ... all images as they were acquired by using the slider below the raw frames or typing in a number to directly view that single frame 12 Once the processing is completed the blue screen on the right side of the screen will display the QA images There will be the Axial slices there at first Axial Slice First Last Button RECON Overview Button Image still processing blue screen Retake Button Raw Frames...

Страница 112: ...oftware locks up during a scan or an emergency arises where it becomes necessary to interrupt a scan and or remove a patient from the system before a scan is completed please follow these steps 1 Press the EMERGENCY STOP button This will halt the X ray as well as the motors to the machine functions and all power to the machine The message below will display on screen and will terminate the CB Scan...

Страница 113: ...n the CubeVue icon The About Screen will appear showing software version details This can also be accessed by selecting Settings About The CubeVue software has the following components to it Patient List for accessing importing exporting patient datasets Review for reviewing and processing the patient datasets PATIENT LIST When CubeVue is launched the Patient List will display the list of patients...

Страница 114: ...ient that needs to be viewed does not exist in the patient list it can be imported from an external location The scan must have been taken using a PedCAT scanner in order to import the patient scan To Import a study from a PedCAT select the Import Icon Once selected a prompt will appear asking for DICOM Study or Raw File DICOM Study would be the option to choose to navigate to the location of the ...

Страница 115: ...yout tools the user can select which way to view the images either both of the scans in a vertical mode select 2x1 or a horizontal mode select 1x2 The limit to the number of scans that can be opened at once is just two scans To remove the scan and load a different second scan close the series to be unloaded and then return to the Patient List Repeat the steps above to load a different series into ...

Страница 116: ... It is possible to view only a subset of the entire Patient List This can be helpful when a portion of their name or ID is known or when trying to locate a patient that was scanned today on a known date or within the last few days To locate a patient in the list using a partial or full name or ID start to type in the Name or ID fields As information is typed in the Patient List will start to decre...

Страница 117: ...ew Tab consists of 4 different Screens for viewing and processing data and a Main Menu Bar The Tabs along the bottom are Combined 3D MPR contains a 3D rendering of the scan plus multiplanar reconstructed slices 3D contains the 3D rendering of the scan only MPR contains the multiplanar reconstructed slices only Each Plane is color coded with Red Green or Blue The Review Main Menu Bar Ribbon 3 Revie...

Страница 118: ... Default cursor To scroll through slices hover the mouse cursor over a desired view and this cursor should be enabled Left Click hold and drag to scroll through slices Alternately each colored line in a Window can be clicked and dragged to scroll through its corresponding colored views The red line that cuts through two images the Coronal and Sagittal is the reference point for the Axial slice tha...

Страница 119: ... to this for horizontal lines or for vertical lines OR click on the Resize Slabs button on the Main Menu Bar This will change the cursor for resizing To move a Slab to a new location click the now toggled Move Slabs button on the Main Menu Bar and the cursor will change to its default which will allow you to move the slab to a new location by dragging the slab Example Increasing the thickness of t...

Страница 120: ... icon and select a window to change the zoom factor on If you drag your mouse up the image will zoom in and appear closer As the mouse is moved down the image will appear further away To deselect the Zoom function click on the Zoom icon a second time Pan To adjust the image to a different location inside the window the Pan function can be utilized To center the section of the image desired in the ...

Страница 121: ... Reset Pan Zoom icon is selected the image will appear as it did when the study was originally first loaded Splits Reset Splits The individual windows can also be moved to allow for a larger window for any of the four windows So that if the user would like to see a full screen of the Axial image mouse click on the center of the four windows and adjust the window sizes so that the Axial image takes...

Страница 122: ...the software scan was freshly opened Invert Grayscale The Invert Grayscale icon will invert the grayscale on all the images except the 3D image Click the Invert Grayscale icon again to revert back to normal grayscale Text Overlay and Privacy The overlay on the images is most of the informative text on the image If the user does not want to display the information there are two options available Th...

Страница 123: ...r each pixel the most dense valued pixel in the depth of the selected slab which means it will display the brightest pixel voxel Below is a comparison of a thick slice slab as a Radiographic projection vs an MIP projection Radiograph MIP To alternate between Radiograph and MIP click the Proj Mode icon It will display to you which mode it is currently toggled to Filters There are 3 filter options a...

Страница 124: ...terest ROI on the bone in order to obtain a density value reading For example if circle is selected a circular ROI can be drawn by point click and drag Then click a final time to anchor the ROI The measurement reading will display in the upper right hand corner of the image window A maximum of 10 measurements can be made in one image window This tool will remain enabled until disabled by clicking ...

Страница 125: ...obb and Correlate Cobb Simple Angle Select Simple to enable the Simple angle tool The Simple Angle has 3 points of reference Point click move click move click to finish 3 clicks This will result in an angle in degrees and the measurement will display in the upper right hand corner of the window A maximum of 4 measurements can be made in one image window This tool will remain enabled until disabled...

Страница 126: ...where the 2 yellow dotted lines intersect These 2 lines are drawn when Cobb is enabled 4 clicks The calculated angle measurement is where these 2 lines intersect These 2 sets of Cobb lines are drawn when Cobb is enabled Then select Correlate Cobb to calculate the angle measurement where the resulting 2 yellow dotted lines intersect ...

Страница 127: ...surements All measurements can be removed by hovering over the values in the corner and right clicking on them This will display a pop up window Select either Remove measurement which will remove the last one drawn on or Remove all measurements which will remove all from both the corner and the illustration on the image Ruler Settings Also Note that there is a Ruler Tool that can be displayed on t...

Страница 128: ...cted the cursor now allows the user to draw a cut line on any of the 3 MPR images in order to display a customized slice in any direction in the lower right hand corner Window The cut line can be straight or curved For a straight cut line click in 2 spots then double click to complete the sequence For a curved cut line make multiple clicks in a curved direction MPR Straight Cut Plane Created in th...

Страница 129: ...128 0473 90001 Rev 07 26 13 MPR Curved Cut Plane Created in the sagittal view The resulting cut displays in the lower right corner ...

Страница 130: ...D MPR Rotation button When this button is clicked on the MPR images will snap to the rotation angle of the current 3D rendering rotation 3D MPR Rotation Volume Rotation Volume Tilt The default image planes of MPR views are as the scan was taken However if you wish to rotate or tilt the MPR images to different planes this can be achieved using the 3D rendering and the Sync 3D MPR functionality Belo...

Страница 131: ...up slightly Observe how the upward tilt of the 3D rendering is now reflected in the MPR views The first metatarsal is now on the same horizontal plane For fine control of the X Y and Z rotations of the 3D rendering press the associated keyboard letter and HOLD while rotating the 3D image ...

Страница 132: ...y down and move the mouse up or down on the 3D rendering This will tilt the rendering in an even up down plane Y key Hold the key down and move the mouse left or right on the 3D rendering This will tilt the rendering in an even side to side plane ...

Страница 133: ...132 0473 90001 Rev 07 26 13 Z key Hold the key down and move the mouse in an up or down direction and this will move the 3D rendering clockwise or counterclockwise ...

Страница 134: ...both the Combined 3D MPR Tab and the 3D Tab The combined allows the user to scroll through MPR slices for Viewing Planning as well as edit and manipulate 3D renderings The 3D Tab only displays the 3D renderings However the 3D Tools are similar for each Combined 3D MPR Tab 3D Tab ...

Страница 135: ...ctions Render Function offset gain These tools adjust the thresholding for the 3D rendering Drag the slide bar to adjust from soft tissue to bone and vice versa To reset both back to zero click the Reset Offset Gain button To Fine Tune the thresholding in small increments when the slide bar is highlighted in light blue color use the keyboard arrow keys left and right A B Slide to adjust thresholdi...

Страница 136: ...r a quick rotation of the Rendering to a desired view View Directions A P Anterior Posterior Up looking up into bottom of foot feet P A Posterior Anterior Down looking down onto top of foot L L Left Lateral C A P Conventional Anterior Posterior down 15 degrees from vertical R R Right Lateral ...

Страница 137: ...the Manage Cut Planes tools will be enabled in the 3D Tools area Original Rendering After clicking on Cut plane icon A cut plane will Auto drop into the center of the volume and cut out half the 3D rendering Manage Cut Plane Tools will also be enabled To Insert the Cut Plane in any direction Utilize the Direction buttons in the Manage Cut Planes Tool area In this sample we clicked on the Front But...

Страница 138: ...ore peeling away or restored more by holding down the SHIFT key on the keyboard and moving the mouse up and down This cut plane was rotated to a sagittal plane by clicking the Left button to cut through the foot from the medial side NOTE The angle of direction of the cut plane can be adjusted to any angle by holding down the CTRL key and dragging the mouse in any direction ...

Страница 139: ...the 3D Rendering that was just designed to the other 3D Window click on the Transfer Cut Planes to all 3D Windows button Otherwise the other 3D window will be a fresh rendering Cut From Slabs Another method of cutting a 3D Rendering is to Cut From Slabs In order to Cut from Slabs you must first create Slabs in the MPR image s Then use the Cut From Slab Buttons to make the cut s on the 3D image For...

Страница 140: ...Or you can cut from 2 or all 3 slabs In this example below a slab was created in all 3 MPR views and the All button was clicked Note to restore the original 3D rendering click on the Hide Cut Planes button under Manage Cut Planes ...

Страница 141: ...ray When one of these options is selected that render type will display in the 3D Render window Now you can adjust the rendering by using the Render function tools and dragging the slide bars The most effective change of renderings will come from the slide bar Saving Sessions and Series Tab Functions When a study is loaded the Patient Series Tab will display that current study name The dataset can...

Страница 142: ...ct Save As a New Session for the Session Manager Dialog Box Enter in an appropriate Session Name over the Type a Description Session Description Click inside this text box to enable the cursor for typing Click OK to close the Session Manager Then at any time a Saved Session can be accessed and loaded by selecting Load Session from the Drop Down Menu This will open the Session Manager where you can...

Страница 143: ...its pre worked state And a Dataset Study can also be unloaded from this drop down menu as well Output Saving Images as JPG images To save any one individual image as a JPG click it to highlight and then click on the Save JPG icon Then you will be prompted to Select a Save Location Browse to a desired location and enter a file name ...

Страница 144: ...143 0473 90001 Rev 07 26 13 ...

Страница 145: ...s carbon fiber platform plate accessories 1 De skidding the machine The machine first needs to be unbolted from the skid The shipping mount bolts are in the front of the machine Then the rear cover should be removed before attempting to slide the machine off the crate or else it will be damaged Once the rear cover is removed the back of the unit should be slid to the edge of the skid so the 2 rear...

Страница 146: ...rform the following This Clamp should first be removed The underside of the machine has 2 securing cable ties on each side under each door motor which lock down the doors for shipping And the top of the machine has securing cable ties to help keep the gantry secure These all must be snipped and carefully removed ...

Страница 147: ...antry 3 The back Power Panel has been placed in a Shipping position to secure during shipping This needs to be adjusted to its operational position Remove the top 2 screws The remaining 2 mounting screws are stored below the panel Shipping position of back Power Panel Remove these 2 top screws The 2 remaining mounting screws are stored here below the panel ...

Страница 148: ...ve some room in the back in order to plug in all cables and for securing the rear cover before placing the machine into its final spot There are a total of 4 adjustment feet to the machine one at each corner There is also a center foot that has no adjustment The machine should sit on the center foot and lean back onto the 2 back feet The 2 front feet should not yet be touching the floor at this ti...

Страница 149: ... control box c Door interlock connector d X ray warning connector e 2 CAT 6 ethernet cables that feed to the server One will be labeled Red for the Red cable and one will be labeled Green for the Green cable Control Box b 6 Check All connections on boards circuits etc in the system Ensure that all are seated a b c d e ...

Страница 150: ...nut should be removed from its location then attach the ground cable and re attach the Ground nut c Attach the Panel with 4 Plate screws The Load position of the panel is in the Gantry B position which is centered Begin by securing the first 2 screws vertically and then manually move the panel to the Gantry Home position which is rotated to the right with your hands and secure the other 2 screws v...

Страница 151: ...mounting The pivot may need to be fine tuned during the panel alignment procedure that will be completed at completion of installation If the pivot requires adjustment use the pivot adjustment screws on the panel mount 8 Mount the X Ray tube head There is only one twist lock connector and 4 screws for mounting ...

Страница 152: ... be checked by pulling pushing the gantry towards away from the center of rotation there should be no play If there is play you must tighten the screw underneath The patient platform must be removed to get to this screw The machine should be leveled for left right and front back Place a level on the patient platform area without the plastic platform plate in place Adjust each of the 2 back feet up...

Страница 153: ...tform center screw as depicted in the below image If not adjust it via the adjustment screw on the vertical laser light mechanism to achieve proper location circled in the below image Horizontal Laser Lights The lower light should be 10 cm above the platform The upper laser light should be 20 cm above the platform If not adjust each adjustment screw on the horizontal laser light mechanisms to achi...

Страница 154: ...ntained in a case that also has a UPS unit on the left hand side The first step will be to plug in the UPS Battery Plug located beneath the UPS cover UPS unit Server Remove the left cover from the bottom clip Connect the battery plug Turn the UPS ON with the button below the plug and verify that it is powered Replace the cover ...

Страница 155: ...er to the UPS unit 1 Power cord HUB switch for the thin client terminals Turn ON the server and verify that all VM s are powered ON You must remove the right hand side cover to access the ON button to the server Connect the ACQ Thin Client Terminal to the HUB and connect the HUB cable to the server Plug in the Thin Client Terminal box Monitor and mouse Turn the Thin Client Terminal box ON ...

Страница 156: ...o the ACQ Desktop launch the PedCAT ACQ CB Scanning Device software from the icon Verify StartUp Initialization has completed Each of the on screen lights should light up During the startup initialization observe the machine for any vibration unexpected performance or deterioration of performance The StartUp sequence is designed to run diagnostics to ensure that all components of the systems are f...

Страница 157: ...sition If there is a StartUp issue please re check all connections re boot the machine and attempt again If an issue continues please contact CurveBeam Technical Support 17 Follow ALL the Alignment Calibration QA procedures outlined in Chapter 4 of this manual INSTALLATION is NOT COMPLETE until all these procedures are successfully completed ...

Страница 158: ...r firmware software version is the correct version to operate with unit If an unsupported version number firmware software resides on the embedded controller then the following error message will display and the Acquisition software will terminate In the event of this error message please contact CurveBeam technical support Temperature Monitoring Warnings The system is designed to send a Warning m...

Страница 159: ...tup Screen and the temperature monitor has detected temperature out of range the warning message will display during the Startup sequence Scan If in the Procedure Tab and the temperature monitor has detected temperature out of range the warning message will display once the OK button is clicked Internal Temperature Gage ...

Страница 160: ...sition program to terminate and disallow any scanning In the event of such Failure message the user should re start the system via the Circuit Breaker ON OFF switch and then re launch the CB Scanning Device Acquisition software If the message still displays the user should contact CurveBeam technical support The Failure Message reads Startup Note that there is an Internal Temperature gage in the S...

Страница 161: ...a stall or jam or switches that control the movement of the beam collimator mechanism This message can display at Startup screen or in the Procedure Tab as the system sets up for the scan Panel Position Mechanism Failure The Panel Position Mechanism is a motorized mechanism which selects its position dependent on the scan procedure selected An error message will display if there are any issues wit...

Страница 162: ...reen or in the Procedure Tab as the system sets up for the scan An error in Gantry Rotation during a scan would result in a communication error of the receptor panel to the server so if this even occurs the following Panel Readout error message would display Gate Drive Mechanism Failure The Gate Drive Mechanism is a motorized mechanism which opens and closes each door at the appropriate times An e...

Страница 163: ...y or has suffered some damage or if the panel does not properly produce frames The CB Scanning Device Acquisition software will terminate Check cables and Restart the system Communication Error between the Firmware and the Server If there is any loss of communication between the embedded controller firmware the following error message will display on screen Loss of communication can be caused by a...

Страница 164: ...on screen Click OK and restart the system If the error occurs again contact CurveBeam Technical Support Scan Button Released Error Message If the operator releases the scan button BEFORE completion of an exposure the X ray will turn off and the below error message will display notifying the user of the error If this occurs the operator should review the reconstructed data to determine if the data ...

Страница 165: ...r these checks The Warning message reads Startup When the monthly calibration and checks are due the message will display during the Startup sequence The user should click OK and then should contact CurveBeam technical support who will assist in the calibration and checks via remote access This message will repeat at Startup until the procedures are completed Once the procedures are completed the ...

Страница 166: ...rt who will assist in the calibration and checks via remote access This message will repeat at Scan time until the procedures are completed Once the procedures are completed the warning message will be reset by CurveBeam technical support QA Service and Maintenance Warnings The system calls for annual QA procedures and system maintenance as outlined in this manual An annual Warning message will ap...

Страница 167: ...eted Once the procedures are completed the warning message will be reset by CurveBeam technical support Scan When the annual service is due the message will display in the Procedure Tab when the OK button is clicked When the message displays the user should click OK and then should contact CurveBeam technical support who will schedule the service and maintenance This message will repeat at Scan ti...

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