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Chapter 5: Taking Exposures

Definium AMX 700 X-Ray System

5161515-1EN

Rev. 6 (10 February 2008)

5-4

Operator Manual

© 2008 General Electric Company. All rights reserved.

Table 5-1

Maximum kVp and mAs Ratings

It is important to note that the kVp setting takes precedence over your mAs setting. 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 selected 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
by the equipment, may appear to exceed the tube ratings. The reason for this apparent
discrepancy is that the tube rating charts in Product Data Sheet 2236721-100 are based upon a
25% heated tube assembly (75% heat units remaining), while the actual maximum allowable kVp
and mAs ratings are based upon a cold tube assembly. The Definium AMX 700 generator contains
a proprietary heat loading algorithm which protects the tube assembly for all heat loading
conditions.

kVp

mAs

110 to 125

200

95 to 105

250

50 to 90

320

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Содержание Definium AMX 700

Страница 1: ...Rev 6 10 February 2008 2008 General Electric Company All rights reserved FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Alwa...

Страница 2: ...C 60601 1 Classifications 2 6 Applicable Symbols 2 6 Chapter 3 Hardware Overview Unit Features 3 1 Control and Display Panel 3 5 Hand Switch 3 6 TechSwitch 3 7 Test the Battery 3 9 Replace Transmitter...

Страница 3: ...Chapter 7 Maintenance and Service Cleaning the Unit 7 1 Periodic Maintenance by Service Personnel 7 1 Qualified Service Available 7 2 Maintenance Schedule 7 2 Chapter 8 Messages on Display Appendix A...

Страница 4: ...Log Off A2 7 Wireless Network Connection A2 7 Software Reset A2 8 System Reset A2 9 Lead Markers A2 9 System Status and Messages A2 10 Expose Hold A2 10 System Status Area A2 10 Message Log A2 11 A3...

Страница 5: ...Images to View A5 5 Change Image Display A5 6 Adjust Images A5 7 Annotate and Mask Images A5 9 Customize System Annotations A5 12 Add Image Annotations A5 13 Delete Image Annotations A5 15 Adjust Ima...

Страница 6: ...rences System A7 2 Network Connections A7 2 Add or Edit Network Host A7 3 Remove Network Host A7 6 Perform C Echo Test A7 7 Printers A7 7 Add or Edit DICOM Printers A7 8 Remove DICOM Printer A7 12 Wor...

Страница 7: ...Protocol Database A7 41 Add or Edit Category A7 42 Add or Edit Exam A7 43 Add or Edit View A7 44 Protocol Editor Copy Functions A7 49 Copy Category A7 49 Copy Exam A7 50 Copy View A7 50 A8 Quality Ass...

Страница 8: ...ups B 4 Assign Privileges to Groups B 5 Remove Groups B 5 Show Protected Groups B 5 Working with Users B 7 Add Users B 7 Assign Users to Groups B 8 Change User Password B 8 Remove Users B 9 Show Prote...

Страница 9: ...ke changes in the content of it without notify any person of such revision or changes European registered place of business GE Medical Systems Europe Quality Assurance Manager BP 34 F 78533 BUC CEDEX...

Страница 10: ...United States address GE Healthcare 3000 N Grandview Ave Waukesha WI 53188 1696 US Phone number United States 262 544 3011 International 1 262 544 3011 Web address www gehealthcare com FOR TRAINING P...

Страница 11: ...ower Circuit Breaker information from the Maintenance and Service chapter Figure 6 5 replaced 7 1 Switched order of Maintenance and Messages chapters 7 2 Updated descriptions of Battery Too Low and Ch...

Страница 12: ...and wireless network connection status rows to table A6 1 A7 7 Added wireless network connection trouble shooting steps to Failed C echo Test A7 30 Updated steps 2 4 A7 32 Added Enable or Disable Tec...

Страница 13: ...A7 50 Removed Unpaired as an option for Laterality B 13 Changed text in table B 1 row Inactivity Timeout Added that this function is not implemented and that changing the settings may cause conflicts...

Страница 14: ...table A8 1 removed information about testing factors A8 5 14 Replaced all figures with new images A8 11 Corrected failed QAP information A8 14 Removed most text from Cleaning section and replaced it w...

Страница 15: ...the same quality as a full scale x ray room Figure 1 1 Definium AMX 700 in use Safety Information Please refer to Chapter 2 Safety and Regulatory in this Learning and Reference Guide The Safety chapt...

Страница 16: ...or radial buttons Choosing an option from a drop down list Activating a tab Highlighting text Highlighting row items Press START EXAM Pressing a button on a workstation screen In the Matrix text box T...

Страница 17: ...ING Warning is used to identify conditions or actions for which a specific hazard is known to exist which may cause severe personal injury death or substantial property damage if the instructions are...

Страница 18: ...orates a high degree of protection against x radiation other than the useful beam no practical design of equipment can provide complete protection Nor can any practical design compel the operator to t...

Страница 19: ...d exposure switch at not less than 2 meters from the focal spot and the x ray beam The full extended spiral cable length of the hand switch is approximately 4 meters CAUTION The x ray beam may extend...

Страница 20: ...uency interference to other medical and non medical devices and radio communications To provide reasonable protection against such interference the Definium AMX 700complieswithemissionslimitsforaGroup...

Страница 21: ...d by authorized personnel only WARNING Electric shock hazard To prevent possible electric shock do not insert fingers inside the RJ 45 connector Ethernet port Refer to Chapter 3 Hardware Overview Unit...

Страница 22: ...omagnetic interference affecting or caused by the unit call service Portable and mobile RF communications equipment can affect medical electrical equipment CAUTION This equipment is not rated for use...

Страница 23: ...finition This symbol on the equipment means that the accompanying operating instructions should be consulted to assure safe operation Store and operate the detector within the range of 0 to 50 C 32 12...

Страница 24: ...off This does not remove mains voltage Battery power on This does not apply mains voltage Indicates radiographic control Indicates non ionizing radiation is present Indicates ionizing radiation is pre...

Страница 25: ...ing radiation field by using light Collimator blades closed The controlled blades are shown in thicker lines Collimator blades open The controlled blades are shown in thicker lines Symbol Definition F...

Страница 26: ...700 easily adapted to operating intensive care and emergency room applications Because of a dual motor drive driving and positioning the Definium AMX 700 requires minimum effort And the control panel...

Страница 27: ...h mechanism Locks the tube head down during transport Refer to Chapter 4 Moving and Positioning Latch Lock Release p 4 5 for more information 5 Wireless antenna Connects the unit to the facility netwo...

Страница 28: ...es or errors Refer to Control and Display Panel p 3 5 for more information 11 Hand switch for initiating exposures Refer to Hand Switch p 3 6 for more information NOTE Some models may have a wireless...

Страница 29: ...he exam Refer to Chapter A4 Image Acquisition Conduct a Cassette Exam p A4 10 for more information 16 Front wheels 17 Detector tether holder Provides a place to wrap the tether cord during transport o...

Страница 30: ...ttery charging cord The cord retracts into the body when moving Refer to Chapter 6 Charging the Batteries for more information 21 Main power circuit breaker Refer to Chapter 6 Charging the Batteries M...

Страница 31: ...y have a wireless TechSwitch to be used instead of the hand switch shown in Figure 3 3 Refer to TechSwitch p 3 7 for information Item Description 1 kVp and mAs technique display when in acquisition mo...

Страница 32: ...the Prep Expose button on top of the hand switch PREP PREP is the next position on the hand switch When it is partially pressed it brings the rotor up to speed and heats the filament PREP also checks...

Страница 33: ...mitter at the infrared remote sensor 4 To turn on the collimator lamp press the Field Light button on the transmitter optional function 5 To PREP press and release the Prep Expose button on the transm...

Страница 34: ...s reliably at this range If not a new battery is required This test should be performed quarterly or when a transmitter battery problem is suspected Replace Transmitter Battery Remove the six screws f...

Страница 35: ...ewing Backing up the protocol database or other system data The CD drive connects to the unit through a USB port Plug in the CD drive power supply and insert the connection cable into any USB port NOT...

Страница 36: ...stics self tests to make sure everything is working correctly This process takes a few seconds 2 When the technique and battery status displays light up the unit is ready for operation TESTING COMPLET...

Страница 37: ...nit to your destination Figure 4 2 Drive handle WARNING Movement of the Definium AMX 700 x ray unit could cause the horizontal arm to slide and strike an operator or patient if not latched properly La...

Страница 38: ...ng and maneuvering easily for exact positioning Again grip the drive handle and turn the unit to the desired position Definium AMX 700 maneuvering speed is automatically reduced by 50 percent when the...

Страница 39: ...00 to make it go faster it may stop and display the message RELEASE HANDLE If this happens release the handle to clear the message and then continue with normal operation 7 To stop the unit and activa...

Страница 40: ...p Follow these steps to release the latch vertical column and telescoping arm locks from the park transport position Make sure that the unit is turned ON Latch Lock Release 1 Grip the collimator handl...

Страница 41: ...mend that you use the lock release system IMPORTANT Remove the tether from the holder before rotating the column 1 Rotate the arm and vertical column assembly to horizontally position the telescoping...

Страница 42: ...o activate the high intensity field lamp The cross hair beam shows the field center The field light is timed and automatically turns off 30 seconds after you release the switch To adjust the field lig...

Страница 43: ...he field size for a selected SID Dial numbers on the calibrated scale are for a 40 inch 100 cm and 72 inch 180 cm scale SIDs Figure 4 10 Collimator controls 5 You may rotate the collimator about its v...

Страница 44: ...3 Shield and collimate as appropriate 4 Select the procedure from the Worklist Refer to Appendix A GE Portable DR Detector Operating Instructions Chapter A3 Worklist for more information 5 Select the...

Страница 45: ...f an exposure has occurred 10 Secure the unit for transport when the exam is complete 11 Park tube and detector Technique Adjustment The software provided with the GE Portable DR Detector contains the...

Страница 46: ...n the message display to alert you IMPORTANT Carefully check the digital display Figure 5 1 before making an exposure to ensure that thefactorsselectedarethosethatareintended Payparticularattentiontot...

Страница 47: ...ings stated within this operation manual and as allowed by the equipment may appear to exceed the tube ratings The reason for this apparent discrepancy is that the tube rating charts in Product Data S...

Страница 48: ...ically performs an extended charge to make sure that all portions of the battery s internal plates get fully charged This extended charge occurs every tenth 10th time the battery is charged To recharg...

Страница 49: ...n back on After it has completed its power up tests the Definium AMX 700 will provide enough capacity for approximately 45 seconds of usage before x ray exposures are again inhibited CAUTION In some c...

Страница 50: ...um AMX 700 operating modes in a relative basis Figure 6 2 Battery drain As Figure 6 2 demonstrates the majority of the battery pack s capacity is used for drive and idle Thus reducing the amount of dr...

Страница 51: ...a designated battery charging station or to a correctly rated wall outlet Position the unit to within 10 feet of the outlet 2 To plug in firmly grip the plug located on the front of the unit Figure 6...

Страница 52: ...ndicator bars are illuminated 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...

Страница 53: ...tion If necessary recharge the unit or if the battery is adequately charged try the procedure again If the battery is within operating condition as indicated by the battery status and message displays...

Страница 54: ...cleaning the Definium AMX 700 and GE Portable DR Detector Cidex OPA Gigasept FF T Spray Inciden Plus Perasafe Ster Bac Blue Super Sani Cloth Germicidal Wipes TriGene Isopropyl Alcohol 70 maximum solut...

Страница 55: ...519 200 Collimator general inspection and adjustment Every year Refer to Service Documentation CD ROM 5161519 200 Filament and rotor interlocks Every year Refer to Service Documentation CD ROM 5161519...

Страница 56: ...age wear etc Every year Refer to GE Portable DR Detector PM Schedule Inspect PC shock mounts for damage wear Every year Refer to GE Portable DR Detector PM Schedule Verify the PC is still mounted secu...

Страница 57: ...Electric Company All rights reserved 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 doc...

Страница 58: ...the function again If the problem is corrected and no error message is displayed proceed as usual 2 If the error message still displays turn the unit OFF then back ON Diagnostics or self tests are qu...

Страница 59: ...unit is plugged in CHARGING The unit is charging DRIVES ONLY All modes are disabled except drive Service is required HEAT WAIT No exposures can be taken while this message appears The length of the de...

Страница 60: ...but not enabled For Example The ON light is flashing on the Automatic Exposure Control AEC unit This indicates the paddle is not connected Reset the AEC controller The red reset GEN on the Automatic E...

Страница 61: ...ing loaded Wait for system to boot completely SHUTTING DOWN System PC is shutting down GOOD BYE System PC has shut down NO DIG RESPONSE Digital Radiography components are not responding TURN OFF SWITC...

Страница 62: ...ist describes the process of adding procedures to and selecting procedures from the Worklist screen to begin exams Chapter A4 Image Acquisition describes the process of performing exams Chapter A5 Ima...

Страница 63: ...p A1 3 Nameplates and Markings p A1 3 Detector Safety Labels p A1 4 Use p A1 5 Detector Alignment p A1 5 Indicator LEDs p A1 5 Electro magnetic Interference p A1 6 Detector Grid p A1 7 Grid Attachmen...

Страница 64: ...ach pixel is attached to a data acquisition circuit that converts incoming x ray signal to 14 bit digital data The detector is constructed from a metal case The front face contains a graphite x ray im...

Страница 65: ...tronics is to convert the charge into digital image data This data is then transmitted to the system workstation through an ethernet connection Physical Appearance Finish The detector unit is designed...

Страница 66: ...ccompanying documents CAUTION Do Not Drop CAUTION Device weighs 5 89kg 13 lbs CAUTION Do Not Use a defibrillator while patient remains in contact with detector 2 Type B Applied Part 3 Maximum load CAU...

Страница 67: ...crubs This LED indicates Ready to Image status Table A1 1 shows a list of conditions and how they are communicated by the LED lights Table A1 1 Detector status lights Condition Green LED Red LED Indic...

Страница 68: ...G field strengths which can cause artifacts on x ray images EM fields are reduced by the square of the distance between the EM source and the detector Thus moving the EM source twice as far away will...

Страница 69: ...or so that the detector LED lights show through the holes in the grid holder Grid Attachment The bottom edge of the detector should be placed into the bottom lip of the grid holder while held in the v...

Страница 70: ...the detector Do not use the detector as a stretcher to lift a patient Do not drop the detector at any time Do not prop the device on an edge against wall or bed Keep detector in cradle bucky or other...

Страница 71: ...not step on the tether Do not run over the tether with the unit cart table or other equipment Do not use the tether as a handle Do not bend or fold the tether sharply especially at the points where t...

Страница 72: ...or grid for more than 60 seconds Let the detector dry at least 60 seconds between cleanings The following chemicals and products have been tested and approved by GE for cleaning the GE Portable DR De...

Страница 73: ...e tether or grid 6 kg Tether The detector interfaces with the external controller via one tether cable that contains 2 connections communication interface with external controller and power interface...

Страница 74: ...ectrum exceeding the following parameters Type Random Frequency Range 20 to 350 Hz Magnitude 0 006g2 Hz at 10 350 Hz Duration 8 hours axis x y z The detector assembly shall not be exposed to non opera...

Страница 75: ...bile systems International Language Configuration p A2 3 Software Start Up and Shutdown p A2 4 Start Up p A2 4 Shutdown p A2 4 Login and Log off p A2 5 Invalid Password Message p A2 6 Emergency Login...

Страница 76: ...box on a screen The virtual keyboard appears 2 Type letters and numbers as appropriate for the text box Letters and numbers appear in the box at the top of the screen as they are pressed a To correct...

Страница 77: ...eyboard will function similarly to a physical keyboard for that country Figure A2 2 The keyboard will provide access to these special characters through use of the SHIFT key and the AltGr key The keyb...

Страница 78: ...he unit is ready for operation TESTING COMPLETE will also briefly appear on the message display The unit may take 3 minutes for the digital detector software to boot up You may drive the unit before t...

Страница 79: ...the system is configured for Login ability in the Service User Interface Refer to Appendix B Login Administration for information on administering the login function Standard Login The Login screen F...

Страница 80: ...e sensitive That is aBc is not the same Login Name as Abc 2 Retype your Password carefully Your password is case sensitive that is xYz is not the same password as Xyz 3 Press LOGON Contact your techni...

Страница 81: ...and returns you to the last screen Wireless Network Connection Wireless is a purchasable option that allows the unit to connect to the facility wireless network without the cable This allows you to up...

Страница 82: ...ireless connection if the cable is not connected if the cable is connected the unit will choose the wired connection NOTE Software reset does not require Shutdown or a System Reset Follow this process...

Страница 83: ...appears As the system resets various screens will appear on the monitor This is normal The system will auto start and either the Login screen or Worklist screen will appear depending on how your syst...

Страница 84: ...they are corrected The Expose Hold button disappears when all errors and interlocks are corrected Figure A2 8 Worklist and Acquisition screen Expose Hold button Figure A2 9 Example system Inhibits li...

Страница 85: ...Log Figure A2 11 The Message Log shows all status messages since the last system restart The messages are listed in descending chronological order that is the latest message is listed first This scree...

Страница 86: ...rge table made of columns and rows Each row in the list is a procedure or exam to be performed A patient may have multiple procedures rows on the Worklist Procedures listed can be classified under two...

Страница 87: ...ws you to change between the Worklist Image Management and Utilities screens or allows you to logoff the system if applicable The darker color indicates which screen is currently displayed The individ...

Страница 88: ...For mobile units Search is only available when the unit is connected to the network Refer to Search p A3 7 for more information KEYBOARD Brings up the virtual keyboard so that you may type text into...

Страница 89: ...to Add Edit Patient Information p A3 15 for more information ADD PATIENT Allows you to enter patient information and adds the patient to the Patient List Refer to Add Edit Patient Information p A3 15...

Страница 90: ...and signal strength Refer to Chapter A2 General Information Wireless Network Connection p A2 7 for more information system status Displays the last system status message To clear the system status are...

Страница 91: ...ption The procedure ordered for the accession number This is the content of the Procedure Description field on the Add Information screen Physician The name of the physician or technician who performe...

Страница 92: ...efer to Chapter A2 General Information Virtual Keyboard p A2 2 for information on how to use the virtual keyboard to type information into a text box The list automatically goes to the first procedure...

Страница 93: ...only display items corresponding to your chosen criteria e g exams taken only within a specified time period patients whose last names begin with the letter J or patient IDs beginning with the digits...

Страница 94: ...ms in the filter Date Allows you to select the date of exams to filter by All procedures scheduled for any date Range procedures scheduled for a specified range of time Today procedures scheduled for...

Страница 95: ...endar closes automatically when a date is clicked 6 Enter any Patient Information you want to filter by You do not need to enter full words or numbers into these text boxes Entering more information i...

Страница 96: ...efresh Follow this process to manually refresh the Worklist 1 Press REFRESH on the Worklist The Worklist updates with HIS RIS data and removes any filtering NOTE Refresh does not remove locally added...

Страница 97: ...o begin image acquisition NOTE The Patient Name Patient ID and Exam Date must match exactly in order to be selected 1 Sort the Worklist by Patient Name if necessary 2 Press procedure 3 Press another p...

Страница 98: ...ch the button to DELETE A message appears Are you sure that you would like to delete the selected items 3 Press OK to delete the procedures CANCEL retains the procedures and the Worklist appears Delet...

Страница 99: ...iscontinued and proceed with deletion 2 Press COMPLETE or DISCONTINUE COMPLETE changes the Status to of the procedures to Completed If enabled any acquired images are auto pushed auto printed and sent...

Страница 100: ...en To view the patient information from the Worklist or Image Management screens select the exam then press PATIENT INFORMATION Patient information is not editable when launched from the Image Managem...

Страница 101: ...st be unique Gender Defines the sex of the patient By default Other is selected when the screen first opens Birth Date Identifies the patient s birthday in the format dd mm yyyy If the date is not ent...

Страница 102: ...formation screen Completed exams are sent to the PACS where available Discontinued The procedure was opened but no exposures were taken The exam may be started at a later time or the procedure deleted...

Страница 103: ...and begin Acquisition Press CANCEL to close the Add Patient screen without saving changes NOTE For a new exam on a existing patient the patient information cannot be edited SAVE Adds the patient to th...

Страница 104: ...e procedures are selected the PATIENT INFORMATION button is disabled 1 Select the procedure from the Worklist 2 Press PATIENT INFORMATION The Patient Information screen appears 3 Edit the information...

Страница 105: ...Emergency Exam p A4 12 End Exam p A4 13 Suspend p A4 13 Close p A4 14 Discontinue p A4 14 Overview The Acquisition screen Figure A4 1 is where the exam is set up and exposure details are adjusted Thi...

Страница 106: ...ENT INFORMATION Displays Patient Information screen for the current procedure Refer to Chapter A3 Worklist Add Edit Patient Information p A3 15 for more information screen switch tab Switches between...

Страница 107: ...ols screen to add remove or change protocols Refer to Select or Change Protocols p A4 7 for more information SUSPEND Ends the exam with the intent of continuing at a later time Does not initiate auto...

Страница 108: ...receptor for the protocol In order from left to right the options are Free Cassette GE Portable DR Detector NOTE The generator limits exposure time to two 2 seconds for both receptors Reset Technique...

Страница 109: ...lays the recommended patient position relative to the detector network connection status Appears when the Definium AMX 700 is connected to the hospital network wireless network connection status If th...

Страница 110: ...APPEND EXAM creates a new series within the existing exam and opens the Select Protocols screen QAP When the yellow alert icon is present indicates that QAP should be performed to ensure continued im...

Страница 111: ...Protocols must be reselected and techniques must be re set Select or Change Protocols The Select Protocols screen Figure A4 3 appears when you press START EXAM on the Worklist or Add Patient screen o...

Страница 112: ...to show the available exams Press on the anatomical category name again to close it 3 Press on an exam to select it A checkmark appears in the box to the left of the exam name A checkmark appears nex...

Страница 113: ...ou will be returned to the Worklist 1 If multiple procedures were selected from the Worklist select the procedure from the exam drop down list 2 Select the Exam and View to perform from the protocol l...

Страница 114: ...10 Have the patient suspend respiration if required 11 Make exposure using the hand switch or TechSwitch The image appears on Image Viewer screen NOTE It takes about 9 seconds for a fully processed im...

Страница 115: ...reselect the view you wish to perform as shown in step 4 be low recommended Remove the detector from the bin for the duration of the exam Refer to Chapter 3 Hardware Overview Unit Features p 3 1 for m...

Страница 116: ...te and shield as appropriate for the exam 8 Have the patient suspend respiration if required 9 Make exposure using the hand switch 10 Press CLOSE to end the exam The Worklist appears 11 Process the ca...

Страница 117: ...mergency exam 1 Press EMERGENCY EXAM from the bottom left of the Worklist The Select Protocols screen appears Refer to Select or Change Protocols p A4 7 for more information 2 Select the protocols for...

Страница 118: ...ocedure to discontinue an exam 1 Press DISCONTINUE from the bottom of the Acquisition screen A message appears Please select a reason for discontinuing this exam 2 Select the option that best describe...

Страница 119: ...ken DEI p A5 18 Change Pointer Controls p A5 21 Apply Quality Check Indicator Auto Tag p A5 22 Print Images p A5 22 Send Images p A5 27 Save Changes to Images p A5 27 Overview The Viewer shows all ima...

Страница 120: ...e Patient Information screen screen switch tab If in an active exam allows you to switch back to the Acquisition screen If viewing images from a completed exam the Acquisition screen tab is disabled N...

Страница 121: ...adjust contrast invert and apply windowing to images Refer to Adjust Images p A5 7 Annotations Mask Contains the tools to annotate and crop images Refer to Annotate and Mask Images p A5 9 Reprocessing...

Страница 122: ...mages are currently saved to the local database and approximately how many more images the database can accommodate system status Displays the last system status message NOTE To clear the system statu...

Страница 123: ...xam always work with processed images The top half of the tool panel shows the different exams and series that are available When you select a series previews or thumbnails of all the images within th...

Страница 124: ...o 9 images at one time Figure A5 4 Format Zoom panel Table A5 2 Zoom tool descriptions Tool Description Zoom One Shows default the image size where one pixel on the detector equals one pixel on the sc...

Страница 125: ...mage Display Tools descriptions Tool Description Contrast Adjusts the differences between dark and light on the selected image Move the slider right for more contrast towards pure black and white Move...

Страница 126: ...e 180 degrees on the horizontal axis that is switches top for bottom Horizontal Flip Flips the selected image 180 degrees on the vertical axis that is switches left for right Rotate Left Rotates the s...

Страница 127: ...tations are displayed as text at the corners of the image You may select which annotations appear but you cannot control where the annotations are placed Figure A5 6 Annotations Mask panel Table A5 4...

Страница 128: ...tes the selected image annotation NOTE Deleted annotations cannot be recovered Erase All Deletes all image annotations NOTE Deleted annotations cannot be recovered RL Places a Right or Left marker on...

Страница 129: ...e measurements for line ellipse and Cobb annotations Display parameters bottom right corner the size of the image and the zoom Partial Displays ONLY the facility name dose information and technical fa...

Страница 130: ...ssary 2 Press CUSTOM The Annotation screen Figure A5 7 appears Figure A5 7 Custom Annotation selections 3 Select check the annotations you want to appear 4 Adjust the Font Size if necessary The availa...

Страница 131: ...ngle of the annotation as described in Table A5 5 NOTE When resizing annotations make sure that the pointer arrow is inside the square handle and has changed to a sign Figure A5 8 before trying to mov...

Страница 132: ...n screen Type your comment Press OK To move Press and drag by the red square on the top left corner of the text box To edit Double tap two touches in quick succession the User Annotation Make your cha...

Страница 133: ...formation The Manual Shutter function allows you adjust the automatically applied default shutter for viewing and printing You can only adjust the shutter of images in an active exam or of re processe...

Страница 134: ...the adjustment If the image does not return to its selected size click the Zoom buttons on the Viewer Display panel to re select the viewing size Refer to Change Image Display p A5 6 for more informa...

Страница 135: ...an exam or closing patient in review mode you must select to save changes to images or the re processed images will not remain in the series Refer to Save Changes to Images p A5 27 for more informati...

Страница 136: ...ay of the Detector Exposure Index and the DEI ranges are configured from the Image Viewer preferences screen Refer to Chapter A7 Set Preferences DEI Detector Exposure Index p A7 28 for more informatio...

Страница 137: ...hen an exposure taken of the same object assuming identical technique and positioning after setting the speed to 200 will also give a DEI of 1 72 NOTE A higher DEI indicates a higher exposure to the d...

Страница 138: ...individual images or Chapter A7 Set Preferences Image Processing p A7 31 to change the default processing for exams and views NOTE Call for service if the system continues to show low or high DEI Rec...

Страница 139: ...upon This is the default pointer behavior Pan Image Moves the image within the viewing area Image Magnifying Glass Shows a small part of the image at 3 times magnification Change Image Brightness Cont...

Страница 140: ...so that the T disappears To restore the quality check indicator press the white box so that the T reappears Figure A5 17 Quality check indicator Print Images Images can be printed from the system in...

Страница 141: ...are more images in the series than will fit on the sheet use the Sheet and buttons to configure the printing options for each sheet NOTE You are able to change the number of images for each sheet indi...

Страница 142: ...e A5 8 for more information 6 Press CLOSE when finished Print Current Image Follow this process to print a single image 1 Select the image from the Images tool palette if necessary 2 Press MANUAL PRIN...

Страница 143: ...r horizontal orientation of the image on film or paper Available options are Landscape Portrait Print Mode Selects what size to print the image Available options are True Size Fit to Film Reduce Size...

Страница 144: ...ects the magnification type Available options are Cubic None Annotation Selects the amount of annotation to print on the image Available options are Full Partial Custom None Refer to Annotate and Mask...

Страница 145: ...the unit is connected to the network Save Changes to Images You have the option to save or discard the changes you have made to images when you close the Image Viewer screen or end the exam 1 If in a...

Страница 146: ...Each exam is a row If multiple exams were acquired in the same session each exam has its own row on the list The exam expands to show the series Within each exam are series of images A series is a co...

Страница 147: ...6 1 Image Management screen Table A6 1 Image Management screen functions 1 Selected exam 2 Series in exam 3 Image detail button 4 Images in selected series 5 Preview of selected image Function Descrip...

Страница 148: ...to Chapter A7 Set Preferences for more information LOG OFF If the Login function is enabled pressing this button logs the current user off of the system Refer to Chapter A2 General Information Login a...

Страница 149: ...play monitor NOTE ItisnotexpectedthatyouwillneedtoaccesstheSMPTEpattern or test images during the course of normal work Test images are used to calibrate the system or to determine the cause of image...

Страница 150: ...the unit s external CD drive is connected Refer to Copy Exams and Images p A6 9 for more information DELETE Deletes the selected exams series or images from the local database Refer to Delete Exams Se...

Страница 151: ...ges to another database or disk Delete Exams Series or Images p A6 13 to remove images system status Displays the last system status message Refer to Chapter A2 General Information System Status and M...

Страница 152: ...on a CD 1 Connect the external CD R W drive to the unit 2 Insert the CD with images into the CD drive 3 Press Source CD1 The exam list updates to show the images stored on the CD 4 Select the exams 5...

Страница 153: ...1 Press the button on the Search By drop down list to select the column you want to search If the column you want is already selected begin at step 3 2 Select the column For example Patient ID The li...

Страница 154: ...ges for viewing 1 Press the button to the left of the exam name to open it The series for the exam expands below the exam 2 Press the series to open it or select the series and press to see image deta...

Страница 155: ...Images to Another Exam This process is used to copy images from one exam to another Copying images is used to consolidate images from multiple exams to a single exam and to reconcile patients to exam...

Страница 156: ...py Exam screen shows all Worklist entries with the status of Scheduled Discontinued or Suspended 4 Search or Filter the exam list to locate the destination exam 5 Select the exam where you want the im...

Страница 157: ...the CD Always use a new blank CD 1 Open the CD tray Select Eject from the CD1 drop down list NOTE Pressing the Eject button on the workstation PC does not open the CD tray When working on the Image M...

Страница 158: ...e CD 10 Label the CD and store in a safe place Delete Exams Series or Images Exams series and images may be deleted from the local database from the Image Management screen Follow this process to dele...

Страница 159: ...he locked exams The Unlock button becomes active 2 Press UNLOCK The lock icon is removed from the status column of the selected exams The exams may now be deleted NOTE You are able to lock or unlock m...

Страница 160: ...ocess to make exam images anonymous 1 Select the exams to make anonymous 2 Switch the Image Tools button to DE IDENTIFY if necessary A message appears The selected exams will be copied without patient...

Страница 161: ...recall Topics covered include Preferences are set on the Utilities screen Figure A7 1 which is accessed by pressing the UTILITIES button on the Worklist System p A7 2 Network Connections p A7 2 Print...

Страница 162: ...Connections Network and printer connections are configured through the Utilities System System screen This screen allows qualified service personnel to define the Digital Imaging and COmmunication in...

Страница 163: ...Figure A7 3 and Figure A7 4 Table A7 1 and Table A7 2 describe the fields in detail If editing an existing connection select the network host and press EDIT If adding a new connection press ADD 1 Comp...

Страница 164: ...cores _ to separate words Application Entry Title The DICOM application title IP Address The IP address of the network host Port Number The port number for the network host Query Retrieve Sets the typ...

Страница 165: ...Portable DR Detector system name Allows this host to open and display exams from the GE Portable DR Detectorsystem Allow this host to send images to the GE Portable DR Detector system name Allows the...

Страница 166: ...he Acquisition workstation Send MPPS N Create and N Set notification to this network host This node acts as the Destination for receiving the MPPS N Create N Set Notification When configured for MPPS...

Страница 167: ...unit is connected to the network Try connecting the unit to a different network port There may be a problem with the port itself For units with wireless connection Check the signal strength Remove an...

Страница 168: ...A7 8 Table A7 3 Table A7 4 and Table A7 5 describe the fields in detail 1 If Editing an existing printer s configuration select the printer from the DICOM Printers list and press EDIT If adding a new...

Страница 169: ...nderscores _ to separate words Application Entry Title The DICOM application title Network Address The IP address of the printer Port Number The port number of the printer Pixel Depth The resolution o...

Страница 170: ...m or not Polarity Available options are Normal Reverse Border Density Sets the color of the image border Available options are Black White Empty Image Density Sets the color of areas that have no imag...

Страница 171: ...the page for example 2 images per page may be side by side or one on top of the other Slide formats Selections allow the side formats available for the printer if any Function Description Film sizes...

Страница 172: ...onnections screen select the printer 2 Press REMOVE A message appears Are you sure you want to remove printer name 3 Press YES CANCEL closes the message and returns you to the Network Connections scre...

Страница 173: ...orklist screen Default Query The Worklist Default Query controls the amount of HIS RIS information that appears on the Worklist and allows you to enable and configure the auto refresh function 1 Compl...

Страница 174: ...s the date range of scheduled procedures to show on the Worklist Available options are All Current Day Plus previous __ Days __ Hours Shows procedures that are scheduled for the specified time before...

Страница 175: ...t Names The Preset Names screen Figure A7 12 allows you to add remove or edit the names that appear on the Add Patient Patient Information screen s Operators Performing Physicians and Referring Physic...

Страница 176: ...Add Preset Names 1 Press ADD for the appropriate group 2 Type the name to add 3 Press ADD Edit Preset Names 1 Select the name to change 2 Press EDIT for the group 3 Edit the name as appropriate 4 Pre...

Страница 177: ...y All rights reserved Remove Preset Names 1 Select the name to remove 2 Press REMOVE for the group 3 Press OK to remove the name Press NO to keep the name FOR TRAINING PURPOSES ONLY NOTE Once download...

Страница 178: ...exams to be copied between the local databases and network hosts It also allows exams to be copied to a CD There is no configuration for this function it is either enabled ON or disabled OFF Follow th...

Страница 179: ...4 Press CLOSE Auto Print Default Print Auto Print Figure A7 14 allows you to configure your printer parameters This is done so that you do not need to select all the parameters each time you print an...

Страница 180: ...tation Landscape horizontal film orientation Print Mode Provides options on the size of the image data printed Available options are True Size Fit to Film Reduce Size Orthopedic Magnification if enabl...

Страница 181: ...llows you to choose the destinations available for the selected printer Available options are Magazine Processor Magnification Type Allows you to choose the magnification types available for the selec...

Страница 182: ...The Auto Send screen appears 4 Complete the information as described in Table A7 8 5 When finished press SAVE to retain your changes Figure A7 15 Auto Send Table A7 8 Auto Send Functions CANCEL Closes...

Страница 183: ...s 4 Complete the information as described in Table A7 9 5 When finished press SAVE to retain your changes 6 Press CLOSE Figure A7 16 Auto Delete Auto Send column Allows you to choose which images are...

Страница 184: ...ocessed image printed Selecting the Print parameter allows auto deletion of images that have been printed Processed image sent Allows auto deletion of processed images with no errors that have been se...

Страница 185: ...nces allow you to add edit or remove pre set annotations Follow this process to configure pre set annotations 1 From the Worklist screen press UTILITIES 2 Select Preferences Viewer 3 Press Pre set Ann...

Страница 186: ...it Pre set Annotation p A7 26 or Remove Pre set Annotation p A7 27 7 When finished press SAVE to retain your changes 8 Press CLOSE Add Pre set Annotation 1 From the Pre set Annotations screen press AD...

Страница 187: ...e Pre set Annotation 1 From the Pre set Annotations screen select the annotation 2 Press REMOVE A message appears Are you sure you would like to delete the annotation annotation name 3 Press OK FOR TR...

Страница 188: ...per limits for anatomical views These settings determine how DEI is displayed for all images Follow this process to change the DEI settings 1 From the Worklist screen press UTILITIES 2 Select Preferen...

Страница 189: ...ctor Exposure Index screen press an anatomical category to expand it Press the category again to close it 2 Change the lower and upper limits in the text boxes as appropriate for the view No Display I...

Страница 190: ...checkbox Figure A7 21 indicates if Technical Mode is enabled Check or uncheck the box as appropriate and press SAVE to apply the change and close the screen Figure A7 21 Technical Mode checkbox Export...

Страница 191: ...at their next visit GE Service personnel can restore the settings from the backup if necessary Figure A7 22 Preferences Image Processing Change Default Factory Looks for Exams The Default Factory Loo...

Страница 192: ...the Default Factory Looks screen Figure A7 23 Default Factory Looks Build Custom Looks Looks are the way an image is processed to be viewed by a radiologist for interpretation Looks are pre defined c...

Страница 193: ...o posterior or lateral 6 Select the Image Type some systems may only have Standard image type available 7 Select the Patient Size Available options are Small Adult Medium Adult Large Adult Small Pedia...

Страница 194: ...ust However forsmall alterations of brightness on a particular image use the Brightness and Contrast controls in the Image Viewer screen Tissue Contrast Controls the general contrast between the thick...

Страница 195: ...e reduction feature suppresses the mottle noise in denser areas of the anatomy while preserving detail in the rest of the image The algorithm takes into account tissue penetration and dose reaching th...

Страница 196: ...and APPLY TO IMAGE button PREVIEW applies the settings to the currently selected image in the Image Viewer screen so that you can see the effect before saving the changes APPLY TO IMAGE creates a new...

Страница 197: ...laying anatomy like the white shoulders Using TE the overlaying anatomy can be made grayer making the underlying spine more visible Figure A7 26 A hand image can similarly be displayed with improved b...

Страница 198: ...TE is applied to it For example increasing STRENGTH for under penetrated regions such as shoulders makes a white region grayer Increasing STRENGTH for over penetrated regions such as lungs makes a bl...

Страница 199: ...eral contrast between the thick and thin anatomy For example Tissue Contrast can be used in combination with Tissue Equalization to define a Chest PA look that is equalized in the lung fields but with...

Страница 200: ...If necessary the old database can be retrieved and used Follow this process to back up the database to a CD NOTE Always use a new blank CD R for each back up DO NOT use re writable CD RW disks The sys...

Страница 201: ...lect Preferences Protocols 4 Insert the CD with the saved protocols database into the CD tray 5 Press RETRIEVE A message appears Press OK to continue with Protocol Database retrieve 6 Press OK The sav...

Страница 202: ...Protocols 3 Press EDIT The Exam Menu appears 4 Continue with Add or Edit Category p A7 42 Add or Edit Exam p A7 43 or Add or Edit View p A7 44 Figure A7 30 Exam Menu Add or Edit Category NOTE The scr...

Страница 203: ...the placement of the new category on the category list 4 Press OK 5 Continue with Add or Edit Exam p A7 43 NOTE Examsand views must be added or copied into the new category in order for itto be fully...

Страница 204: ...ulated with new or copied views after creation in order to be fully functional Add or Edit View NOTE The screens and process to edit a view are the same as for adding a view This process has multiple...

Страница 205: ...are available 10 Select the Laterality The selected anatomy determines which laterality options are available If the anatomy is unpaired then Unpaired is the only available selection If the anatomy i...

Страница 206: ...rs 13 Select all Patient Sizes you want available for the view The default size will automatically be selected 14 Select Receptors and Modes for each selected receptor 15 Select the Default Receptor c...

Страница 207: ...ress NEXT The Review screen appears The default patient size is shown with an asterisk to the left of the size indicator 17 Select the patient size to edit 18 Press EDIT TECHNIQUE FOR TRAINING PURPOSE...

Страница 208: ...r selects values appropriate for the patient size 20 Upon completion for each view press NEXT TECH adjust techniques for the next configured patient size 21 When finished press EXAM MENU The Exam Menu...

Страница 209: ...itor Copy Functions Follow this process to access the Protocol Database Editor 1 From the Worklist select UTILITIES 2 Select Preferences Protocols 3 Press EDIT The Exam Menu appears Figure A7 32 Exam...

Страница 210: ...the Exam to copy 2 Press COPY EXAM 3 Enter the new name to use or retype the existing name 4 Select the Category to copy to 5 Select the position on the Exam list 6 Press OK 7 Continue with Copy View...

Страница 211: ...xam from the list 6 Select the Position View from the list 7 Press OK NOTE Remember to back up the database when finished editing Refer to Backup Protocol Database to CD p A7 40 for more information F...

Страница 212: ...p A8 1 When to Perform Quality Tests p A8 2 Quality Test Preparation p A8 2 Perform Detector Check p A8 3 Perform QAP p A8 5 Result History p A8 11 Maintenance and Cleaning p A8 12 Types of Quality Te...

Страница 213: ...hedulingQAPtests plan15 20minutestoperformthetest Oneportionofthetestrequires that the system be powered on and in an idle state i e without exposures for at least 10 minutes The 10 minute idle period...

Страница 214: ...on at the bottom of the Worklist or Acquisition screen The Image Quality screen appears Figure A8 2 Image Quality screen 2 Select Quality Control Tests from the left side of the screen Figure A8 3 Fig...

Страница 215: ...ETECTOR CHECK The Detector Check Tests screen appears Figure A8 5 Detector Check Tests screen 4 Press START to begin the Detector Check 5 Wait for the test to complete The Detector Check result screen...

Страница 216: ...tion and potential calibration are needed WARNING Image quality may be degraded if you continue to use a detector that has failed the Detector Check tests Figure A8 7 Failed Detector Check results Per...

Страница 217: ...calibration software These techniques are required for proper calibration and should not be changed by the user Figure A8 8 Flat field phantom Follow this process to perform a QAP test 1 Press the QA...

Страница 218: ...dle state without exposures for at least 10 minutes before the Vertical Bar Calibration portion of the test can begin If the system has not been idle a countdown timer appears on the bottom of the scr...

Страница 219: ...n a Verify that the detector is out of its holder b Press START and wait for the detector check tests to be completed and results to be displayed The Detector QC Tests screen appears automatically whe...

Страница 220: ...Flat field Tests The Flat field tests screen appears 9 Follow the instructions on screen to complete this portion of the test a Do not reposition the system b Prep and expose the flat field phantom Th...

Страница 221: ...cedure to confirm the failure Check the items listed below when repeating the tests Check collimator blades Make sure that they are fully open and not in the field of view Check that the phantom is co...

Страница 222: ...values test specifications LSL and or USL and pass fail status A minimum of 25 QAP test results are maintained Follow this process to view the results of previous QAP tests 1 From the left pane press...

Страница 223: ...he IEC regulations The device is used in accordance with the Operating Instructions Original or authorized spare parts are used If service of the unit is performed the service technician must provide...

Страница 224: ...he patient should be cleaned with an EPA registered low level disinfection or sanitizing agent CAUTION In the event of equipment contacting broken skin or being used with infected or immune compromise...

Страница 225: ...p B 3 Working with Groups p B 4 Add Groups p B 4 Assign Privileges to Groups p B 5 Remove Groups p B 5 Show Protected Groups p B 5 Working with Users p B 7 Add Users p B 7 Assign Users to Groups p B 8...

Страница 226: ...to being able to add procedures to the Worklist conduct exams and manage images Standard and Limited User only allows access to add procedures to the Worklist conduct exams and manage images Groups ar...

Страница 227: ...istrator access a message Figure B 1 appears You have both regular user and admin user privileges To access the admin screen select the check box before continuing with the login otherwise just contin...

Страница 228: ...es are at the top of the screen columns and the group names are at the left edge of the screen rows Figure B 2 Group and Permissions Mapping tab Add Groups 1 Select the Group and Permissions Mapping t...

Страница 229: ...ps and Users p B 2 for definitions of privileges NOTE The Service privilege is protected and cannot be selected Only GE Service personnel can assign a group to the Service privilege 3 Click on a selec...

Страница 230: ...2008 B 6 Operator Manual 2008 General Electric Company All rights reserved Figure B 4 Protected groups FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may...

Страница 231: ...available groups are at the top of the screen columns and the user names are on the left edge of the screen rows Figure B 5 Local User Management tab Add Users 1 Select the Local User Management tab...

Страница 232: ...format or construction however your facility may have password standards that must be followed Ask your facility s System Administrator about password standards and create passwords that conform to t...

Страница 233: ...tandards and create passwords that conform to those standards 4 Re type the password into the Confirm Password field 5 Click SUBMIT Remove Users 1 Click a user name to select it NOTE You cannot delete...

Страница 234: ...2008 B 10 Operator Manual 2008 General Electric Company All rights reserved Figure B 8 Protected users FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may...

Страница 235: ...cessed the system when the system has been accessed and the type of login that is emergency logins The log settings are configured through the Configuration Audit Log tab Refer to Configure Audit Log...

Страница 236: ...The following sections describe the controls available for each tab Change Display Settings and Enable Enterprise Authorization The Configuration Configuration tab Figure B 10 allows you to set the i...

Страница 237: ...splash screen after 10 minutes of inactivity no keyboard entry or mouse movements requiring the user to log in When logging back in the system is returned to its last know state To disable inactivity...

Страница 238: ...14 Operator Manual 2008 General Electric Company All rights reserved Figure B 11 Configuration Enterprise tab FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefo...

Страница 239: ...authorization is enabled this tab controls if audit logging is to be enables which hosts will be tracked and the number of events to track Click SUBMIT to apply the settings Figure B 12 Configuration...

Страница 240: ...served Use LDAP Console Lightweight Directory Access Protocol LDAP functions are available from the Configuration LDAP Console tab Figure B 13 Configuration LDAP Console tab FOR TRAINING PURPOSES ONLY...

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