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AMX−4+ OPERATION

GE MEDICAL SYSTEMS

(MODEL 2169360, 2236420 & 2275938 SERIES)

REV 10

om 2166913−100

vii

REVISION HISTORY

REV

DATE

REASON FOR CHANGE

Dec. 13, 1996

Initial release.

Aug. 22, 1997

Changed Periodic Maintenance Schedule to yearly for all checks.

Dec. 1, 1998

Added CE regulatory requirements.

Apr. 5, 1999

Added Warning in Section 4.

Apr. 12, 1999

Added AMX4+ model 2236420.

May 6, 1999

Added yoke mounting screws tighten and replace requirements to Table 7−1.
Add model numbers to charging specs in section 6.

July 14, 1999

Removed yoke mounting screws tighten and replace requirements" from Table
7−1.

Feb. 29, 2000

Updated first periodic maintenance visit from 12 months to 13 months after
installation to agree with Information Service Letter.

Mar. 27, 2002

Added section 10, Options.

Sept. 17, 2003

Added circuit breaker notes to section 7. Added new model numbers. Added
caution to section 2.

June 24, 2005

Added WEEE symbol definition.

LIST OF EFFECTIVE PAGES

PAGE

REVISION

PAGE

REVISION

PAGE

REVISION

NUMBER

Title Page

i thru viii

1−1 thru 1−4

2−1 and 2−2

3−1 thru 3−4

4−1 thru 4−4

5−1 thru 5−10

6−1 thru 6−6

7−1 thru 7−4

8−1 thru 8−4

9−1 thru 9−4

10−1 and 10−2

Back Page

−

FOR

TRAINING

PURPOSES

ONLY!

NOTE:

Once

downloaded,

this

document

UNCONTROLLED,

and

therefore

may

not

the

latest

revision.

Always

confirm

revision

status

against

validated

source

(ie

CDL).

Содержание 2169360 2169360-2

Страница 1: ...Operation Model 2169360 2236420 2275938 Series 0459 Copyrighte 1996 1997 1998 1999 2000 2002 2003 By General Electric Co FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 2: ...FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 3: ...ing themselves or others to radiation It is important that everyone having anything to do with x radiation be properly trained and fully acquainted with the recommendations of the National Council on Radiation Protection and Measurements as published in NCRP Reports available from NCRP Publications 7910 Woodmont Avenue Room 1016 Bethesda Maryland 20814 and of the International Commission on Radiat...

Страница 4: ...ely examined at time of delivery If damage is apparent have notation damage in shipment written on all copies of the freight or express bill before delivery is accepted or signed for by a General Electric representative or a hospital receiving agent Whether noted or concealed damage MUST be reported to the carrier immediately upon discovery or in any event within 14 days after receipt and the cont...

Страница 5: ... the equipment from a source different from that of the affected device D Consult the point of purchase or service representative for further suggestions The manufacturer is not responsible for any interference caused either by the use of interconnect cables other than those recommended or by unauthorized changes or modifications to this equipment Unauthorized changes or modifications could void t...

Страница 6: ...75938 SERIES REV 10 om 2166913 100 iv THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 7: ...tup 5 1 5 2 Latch Lock Release 5 1 5 3 Adjustment of Column and Telescoping Arm 5 2 5 4 Tube Unit Rotation 5 3 5 5 Adjustment of Collimator 5 4 5 6 Technique Selection 5 8 5 7 Taking Exposures 5 10 6 CHARGING THE BATTERIES CAPACITY GAUGE OPERATION 6 1 7 MAINTENANCE AND SERVICE 7 1 8 MESSAGES ON DISPLAY 8 1 9 SYMBOLS 9 1 9 1 IEC Classification 9 1 9 2 Earth Leakage Current 9 1 9 3 Applicable IEC Sy...

Страница 8: ...5938 SERIES REV 10 om 2166913 100 vi THIS PAGE IS LEFT BLANK INTENTIONALLY FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 9: ... Updated first periodic maintenance visit from 12 months to 13 months after installation to agree with Information Service Letter 8 Mar 27 2002 Added section 10 Options 9 Sept 17 2003 Added circuit breaker notes to section 7 Added new model numbers Added caution to section 2 10 June 24 2005 Added WEEE symbol definition LIST OF EFFECTIVE PAGES PAGE REVISION PAGE REVISION PAGE REVISION NUMBER NUMBER...

Страница 10: ...5938 SERIES REV 10 om 2166913 100 viii THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 11: ...peration and years of reliable service Each time you push a button you can depend on the same consistent radiographic quality quality comparable to radiographs made in a full scale x ray room ILLUSTRATION 1 1 Since the AMX 4 is battery operated there s no need to plug in your mobile x ray unit before taking exposures Battery operation makes the AMX 4 easily adapted to operating intensive care and ...

Страница 12: ...ew and D Steps Overview Overview as the name implies presents general information on a particular operation Introductory in nature the overview is intended to help give you an overall under standing of a procedure or capability quickly and easily The word overview is flagged in bold text like this Overview and appears in the left margin of the page Steps For specific detailed information in step b...

Страница 13: ...timum operation of this or any radiographic equipment however be sure to read your operator s manual carefully And when not in use store your manual in the cassette tray so that all new users can easily refer to it when needed FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated...

Страница 14: ...938 SERIES REV 10 om 2166913 100 1 4 THIS PAGE IS LEFT BLANK INTENTIONALLY FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 15: ...PERATING ANY X RAY SYSTEM 2 1 Good Operating Practices D Wear a lead apron while performing an x ray exam D Step back at least 6 feet 1 8 meters from the tube or to the full extension of the handswitch cord before making an exposure D Always use the proper field sizes and technic factors for each procedure to mini mize x ray exposure and produce the best diagnostic results D Check the digital disp...

Страница 16: ...alified radiation expert should evaluate situations involving frequent exposures using high kVp and mAs technics to determine if extra protective devices are necessary While driving the AMX 4 keep the film bin closed A loaded bin may close without warning possibly causing injury CAUTION FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the lates...

Страница 17: ...AL COLUMN Supports telescoping arm TELESCOPING ARM Retractable arm supports collimator and x ray tube TAPE MEASURE SKIN SPACER BARS COLLIMATOR Adjusts easily Calibrated in inches or cm HANDSWITCH Controls exposures and automat ically timed field light SELF STOPPING BUMPER Stops drive motors and activates brakes on impact BRAKE RELEASE Releases brakes if drive motors fail FOR TRAINING PURPOSES ONLY...

Страница 18: ...and mAs selections X RAY EXPOSURE INDICATORS Light up when exposure is made BATTERY STATUS DISPLAY Shows relative state of charge At or near full charge all segments are illuminated KVP AND MAS CONTROLS Press the up or down kVp mAs triangle to select the correct exposure setting MESSAGE DISPLAY Displays status and error messages NOTE Top of cap key when in OFF position FOR TRAINING PURPOSES ONLY N...

Страница 19: ...king cor rectly This process takes a few seconds TESTING COMPLETE 2 When the technique and battery status displays light up the unit is ready for op eration TESTING COMPLETE will also briefly appear on the message display 3 If TEST XX FAILED is displayed turn the unit OFF then ON again If TEST XX FAILED displays again write down the alphanumeric code XX represents the code and contact your service...

Страница 20: ...75938 SERIES REV 10 om 2166913 100 3 4 THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 21: ...stra tion 4 1 MOVEMENT OF THE AMX 4 X RAY UNIT COULD CAUSE THE HORIZONTAL ARM TO SLIDE AND STRIKE AN OPERATOR OR PATIENT IF NOT LATCHED PROPERLY LATCH TELESCOPING ARM PROPERLY BEFORE MOVING THE UNIT DO NOT DRIVE OR POSITION THE AMX 4 UNIT UNLESS STANDING DIRECTLY BEHIND IT SEE ILLUSTRATION 4 1 FAILURE TO DO THIS MAY RESULT IN LOSS OF CONTROL CAUSING SERIOUS INJURY AND EQUIPMENT DAMAGE ILLUSTRATION...

Страница 22: ...nd pull the unit in reverse As with any mobile equipment however when driving the unit be sure to exercise reasonable care With the telescoping arm extended for a patient exam the AMX 4 pivots on the spot rotating and maneuvering easily for exact positioning Again grip the drive han dle and turn the unit to the desired position AMX 4 maneuvering speed is automatically reduced by 50 percent when th...

Страница 23: ...racted D In the park transport position the telescoping arm is a completely pushed in b centered over the control panel collimator skin spacers within well and c securely latched See Illustration 4 3 ILLUSTRATION 4 3 PARK TRANSPORT POSITION 2 Turn the keyswitch to ON if necessary OFF ON FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the lates...

Страница 24: ...ip on the drive handle Remember that the self stopping bumper upon impact will turn off the drive motors and activate the brakes D To reverse the unit grip the drive handle and pull backwards If the self stopping bumper is engaged after a brief pause reverse the unit D To turn a sharp corner or rotate the unit push one side of the drive handle to the right or left and pull on the other The unit wi...

Страница 25: ...teps to release the latch vertical column and telescoping arm locks from the park transport position Make sure that the unit is turned ON 5 2 Latch Lock Release 1 Grip the collimator handles to activate the switch You should hear a clicking sound With slight force push the telescoping arm down to release latch and then raise up D Note that you only need to grip one of the collimator handles to act...

Страница 26: ...you use the lock release system 2 Rotate the arm and vertical column assembly to horizontally position the tele scoping arm The vertical column can be rotated 270 degrees clockwise or coun terclockwise detent at 0 degree park location See Illustration 5 2 3 Raise the arm on the vertical column to the desired height 4 Extend the retractable arm to the desired length and release See Illustration 5 2...

Страница 27: ...he tube in two directions a clockwise and counterclockwise 180 degrees detents at every 90 de grees or b backwards 10 degrees and forwards 100 degrees detent at 0 de gree See Illustration 5 3 ILLUSTRATION 5 3 TUBE ROTATION COLLIMATOR ROTATION KNOB TUBE UNIT RETRACTABLE ARM 0_ DETENT 10_ BACKWARD 110_ FORWARD extend the arm and rotate the tube to the desired angle FOR TRAINING PURPOSES ONLY NOTE On...

Страница 28: ...rvice represen tative D To activate the field light for another 30 seconds press the button again when the light goes out You may keep the field light on for up to 4 minutes After 4 minutes the field light will turn off for cooling and remain inactive for 5 minutes ILLUSTRATION 5 4 FIELD LIGHT BUTTON X RAY PREP EXPOSE BUTTON PRESS THE FIELD LIGHT BUTTON AND COLLIMATE TO YOUR AREA OF INTER EST THE ...

Страница 29: ...tep 9 D Use the tape measure on the side of the collimator to measure the SID source to image distance D Refer to the AMX 4 Exposure Guide in the holder on the front of the col umn for suggested SID and exposure techniques See Illustration 5 5 ILLUSTRATION 5 5 AMX 4 EXPOSURE GUIDE FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revi...

Страница 30: ...mension of the blades A diagram on the face of the collimator shows which knob controls which dimension See Illustration 5 6 D Field sizes from 0x 0 inches up to 17x17 inches 43x43 cm at a 40 inch 102 cm SID can be obtained The knob selectors indicate the field size for a selected SID D Dial numbers on the calibrated scale are for 40 inch 100 cm and 72 inch 180 cm scale SIDs ILLUSTRATION 5 6 S I D...

Страница 31: ... to the desired 90_ detent position The detent will snap in place and lock D Manual lock method Pull out the knob position the collimator to the desired angle other than 90_ detent and turn the knob clockwise to secure Turn the knob counterclockwise to unlock the collimator and reposition 10 Continue with Technique Selection in Section 5 6 ILLUSTRATION 5 7 COLLIMATOR ROTATION KNOB FOR TRAINING PUR...

Страница 32: ...u d like to increase the kVp press the UP kVp arrow To decrease the kVp value press the DOWN kVp arrow See Illustration 5 8 2 If you d like to increase the mAs press the UP mAs arrow Press the DOWN mAs arrow to decrease the value ILLUSTRATION 5 9 TECHNIQUE CONSOLE DISPLAY kVp 66 mAs 16 kVp mAs kVp mAs 66 16 your selection is shown on two displays the kVp mAs display at the top of the control panel...

Страница 33: ...ant to note that the kVp setting takes precedence over your mAs set ting That is if your technique would generate too much heat for the x ray tube anode the mAs setting will automatically decrease to permit the se lected kVp For instance if kVp is set at 110 then your maximum mAs will not exceed 200 Note The maximum allowable kVp and mAs ratings stated within this operation manual and as allowed b...

Страница 34: ...e An audi ble tone will sound and the X RAY indicator will light up D If an exposure isn t taken within 30 seconds of pressing PREP release and repeat the prep cycle Release the PREP EXPOSE button and press to prep position again D If the message WAIT appears you may still take another exposure Although because of insufficient recovery time the selected technique may be inaccu rate Refer to Messag...

Страница 35: ...ypically requires 4 5 hours Occasionally the AMX 4 automatically performs an extended charge to make sure that all portions of the battery s internal plates get fully charged This extended charge occurs every twentieth time the battery is charged To recharge from 10 to 100 during an extended charge typically requires 10 hours The AMX 4 will continue to attempt extended charges until at least half ...

Страница 36: ...nts lit will slowly decrease It s important to note that you do not have to raise your kVp and mAs value to compen sate for low battery voltage Should the battery charge dip below approximately 10 of full capacity RECHARGE RECOMMENDED will flash on the message display If all segments are extinguished the message RECHARGE IMMEDIATELY X RAY INHIBITED displays To ensure maximum battery life the AMX 4...

Страница 37: ...atteries Note See the Ratings and Specification Section 9 7 for more detail on how total AMX 4 battery capacity is determined Bar Graph Display vs Battery Loading Table 6 1 details the various battery loads and how they affect the bar graph display TABLE 6 1 LOAD MODE APPROXIMATE DISCHARGE RATE TYPICAL DAILY USAGE Idle AMX 4 on but not in use 0 04 segments minute 6 segments Drive Drive handle enga...

Страница 38: ...de sufficient voltage for proper operation when EMERGENCY CAPACITY is used Therefore this feature should only be used when absolutely necessary 6 1 Application Tip To insure the greatest reliability you may decide to establish a battery charging sched ule at your particular site based on past experience and anticipated needs Steps Follow these steps to recharge the batteries When recharging the ba...

Страница 39: ... at 100 of capacity 5 Unplug the unit from the outlet giving the plug a slight tug to release from take up reel Important After unplugging the unit turn the unit on and wait approximately 15 minutes before taking your first exposure to ensure technique accuracy D You may leave the unit in the charge position indefinitely if you wish with out damaging the equipment D The prompt BATTERY TOO HIGH may...

Страница 40: ...75938 SERIES REV 10 om 2166913 100 6 6 THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 41: ...battery status and mes sage displays and power interruptions are frequent there may be a fault in the high voltage system If a fault is indicated have the unit checked by a qualified service rep resentative If the unit does not turn off when the keyswitch is turned off isolate the unit to prevent unauthorized operation use the circuit breaker to remove power from the unit and have the unit checked...

Страница 42: ... inspection Every year Refer to Section 3 3 in Direction 2173224 100 AMX 4 Functional Checks mAs accuracy Every year Refer to Appendix 4 Direction 2173227 100 AMX 4 Periodic Maintenance kVp accuracy Every year Refer to kVp Accuracy and Indirect Linearity Test 3 3 in Tab 3 of Direction 46 013894 System Field Test for HHS Operator displays Every year Refer to Generator Operator Indicators Test 3 1 i...

Страница 43: ... 3 TABLE 7 2 SAMPLE CHART FOR TECHNIQUE ACCURACY TESTS Technique Selected mAs kVp Primary Volts kVp Time Sec FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 44: ...75938 SERIES REV 10 om 2166913 100 7 4 THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 45: ...error message is dis played proceed as usual 2 If the error message still displays turn the unit OFF then back ON D Diagnostics or self tests are quickly performed when the unit is turned back on D When diagnostics are complete the following message displays ERROR XXX OCCURRED WHEN THE UNIT WAS LAST OPERATED PROCEED WITH CAUTION 3 Now try the function once more If the problem is corrected and no e...

Страница 46: ...n while this message appears The length of the delay will vary with the selected technique This message displays while the tube anode is cool ing kVp MAX Displayed on the alphanumeric display any time an attempt is made to increase the kVp above 125 kVp MIN Displayed on the alphanumeric display any time an attempt is made to decrease the kVp below 50 LIGHT DISABLED If the field light is on for ove...

Страница 47: ... press to prep position again RESET AEC CNTROL Reset the AEC controller AEC is on but not enabled For Example The ON light is flashing on the Automatic Exposure Control AEC unit This indi cates the paddle is not connected Reset the AEC controller The red reset GEN on the Automatic Exposure Control AEC unit is lit This indi cates the back up time is too short Reset the AEC controller REVERSE ONLY F...

Страница 48: ...75938 SERIES REV 10 om 2166913 100 8 4 THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 49: ...no user replaceable parts in this unit This would include the cord reel as well as any other mains or secondary part 9 2 Earth Leakage Current The AMX 4 Mobile X ray Unit complies with Class I Type B standards 9 3 Applicable IEC Symbols Protective earth ground Identifies any terminal which is intended for connection of an external protective conductor to protect against electrical shock in case of...

Страница 50: ... any persons carelessly unwisely or unknowingly exposing themselves or others to radiation Battery power on This does not apply mains voltage Battery power off This does not remove mains voltage Indicates positioning lock or brake release Indicates terminal and receptacle location for hand held radiographic and light field control FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UN...

Страница 51: ...equipment that is suitable for alternating current only This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment FOR TRAINING PURPOSES ONLY NOTE Once downloaded this docu...

Страница 52: ...75938 SERIES REV 10 om 2166913 100 9 4 THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 53: ...rmation into patient records 10 2 Mobil AIDTM Automatic Exposure Control AEC A fully integrated automatic exposure control option is available with the AMX 4 Mobil AIDTM further simplifies use by automatically controlling radiographic exposures 10 3 Remote Control Handswitch AMX 4 is available with TechSwitchTM a cordless handswitch option that enables even greater procedural flexibility and radia...

Страница 54: ...5938 SERIES REV 10 om 2166913 100 10 2 THIS PAGE INTENTIONALLY LEFT BLANK FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 55: ...FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 56: ...c Latin America North America GE Medical Systems Europe Telex 698626 283 rue de la Miniére B P 34 78533 Buc Cedex France FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

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