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TABLE OF CONTENTS

CHAPTER

TITLE

PAGE

REVISION HISTORY

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

LIST OF EFFECTIVE PAGES

xvi

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INTRODUCTION

1–1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 1 – PRESENTATION

1–1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 2 – DESCRIPTION

1–3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1

X-ray System

1–5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1–1

Tube-Support Arm

1–7

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1–2

Receptor-Support Arm

1–9

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–1–3

Film-Holder Assembly

1–13

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–2

Power Supply Cabinet

1–17

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–3

Accessories

1–18

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–4

Optional Accessories

1–19

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–5

Control Console

1–21

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2–5–1

Control Keyboard

1–23

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 3 – CONTROL KEYBOARD

1–25

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–1

Lefthand Section of Control Keyboard

1–25

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2

Central Section of Control Console Keyboard

1–29

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–3

Righthand Section of Control Keyboard

1–33

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PREPARING AN EXAMINATION

2–1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 1 – PREPARING THE EQUIPMENT

2–1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 2 – PATIENT POSITIONING

2–3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SECTION 3 – EXPOSURE MODE

2–4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–1

AOP Mode

2–4

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2

AEC Mode

2–5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2–1

Standard Exposures

2–5

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2–2

Magnification

2–6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–2–3

Examination of Chest Wall

2–6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–3

Manual Mode

2–6

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–3–1

Standard Exposures

2–7

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–3–2

Magnification

2–8

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3–3–3

Examination of Chest Wall

2–8

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

FOR

TRAINING

PURPOSES

ONLY!

NOTE:

Once

downloaded,

this

document

UNCONTROLLED,

and

therefore

may

not

the

latest

revision.

Always

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CDL).

Содержание SENOGRAPHE DMR+

Страница 1: ...E DMR om Operator Manual do not duplicate CopyrightE 2005 GE Medical Systems 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: ...precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others to its radiation Before operation persons qualified and authorized to operate this equipment should be familiar with the Recommendations of the International Commission on Radiological Protection contained in Annals Number 60 of the ICRP and with applicable nation...

Страница 3: ...1st Avenue Suite 350 FORT LAUDERDALE FL 33309 USA ASIA NIPPON Japan GEMSA Headquarters Tel 81 426 48 2940 GE Medical Systems Asia Fax 81 426 48 2905 67 4 Takakura Hachioji TOKYO 192 0033 JAPAN REST OF ASIA GE Pacific Pte Ltd GEMS Asia Tel 65 291 8528 South East Asia Pacific Operations SEAPO Fax 65 291 7006 298 Tiong Bahru Road 15 01 06 Tiong Bahru Plaza SINGAPORE 0316 FOR TRAINING PURPOSES ONLY NO...

Страница 4: ...0 40 283 rue de la Minière BP34 F 78533 BUC CEDEX HELLAS Greece GE Medical Systems Hellas Tel 30 1 93 24 582 41 Nikolaou Plastira Street Fax 30 1 93 58 414 GR 171 21 NEA SMYRNI ITALIA Italy GE Medical Systems Italia Tel 39 02 64 22 01 Viale Fulvio Testi 28 B Fax 39 02 64 22 0401 20126 MILANO NEDERLAND Netherlands GE Medical Systems Nederland B V Tel 31 73 6 457 457 Hambakenwetering 1 Fax 31 73 6 4...

Страница 5: ...St Eriksgatan 117 Tlx 12228 CGRSWES S 113 85 STOCKHOLM SCHWEIZ SUISSE Switzerland GE Medical Systems Schweiz AG Tel 155 6958 gebührenfrei Sternmattweg 1 Fax 41 41 421859 CH 6010 KRIENS TÜRKIYE Turkey GE Medical Systems Turkiye A S Tel 90 212 75 5552 Mevluk Pehliran Sodak Fax 90 212 211 2571 Yilmaz Han No 24 Kat 1 Gayretteppe ISTANBUL UNITED KINGDOM IGE Medical Systems Coolidge House Tel 44 753 874...

Страница 6: ... Blank page 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: ...actice Manual issued by the FDA Food and Drug Administration Department of Health USA D Underwriters Laboratories Inc UL an independent testing laboratory D Canadian Standards Association CSA D International Electrotechnical Commission IEC international standards organiza tion when applicable D USA HHS United States Federal law restricts this device to use by or on the order of a physician D Gener...

Страница 8: ...ect cables or by unauthorized changes or modifications to this equipment Unauthorized changes or modifications could void the users authority to operate the equipment All interconnect cables to peripheral devices must be shielded and properly grounded Use of cables not properly shielded and grounded may result in the equipment causing radio frequency interference Do not use devices which intention...

Страница 9: ...cell batteries transformer oil etc Please consult your local GEMS representative before discarding these products Packing materials The materials used to pack our equipment are recyclable They must be collected and processed in accordance with the regulations in force for the country where the machines or accessories are unpacked FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNC...

Страница 10: ... Blank page 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: ...rol Keyboard 1 25 3 2 Central Section of Control Console Keyboard 1 29 3 3 Righthand Section of Control Keyboard 1 33 2 PREPARING AN EXAMINATION 2 1 SECTION 1 PREPARING THE EQUIPMENT 2 1 SECTION 2 PATIENT POSITIONING 2 3 SECTION 3 EXPOSURE MODE 2 4 3 1 AOP Mode 2 4 3 2 AEC Mode 2 5 3 2 1 Standard Exposures 2 5 3 2 2 Magnification 2 6 3 2 3 Examination of Chest Wall 2 6 3 3 Manual Mode 2 6 3 3 1 St...

Страница 12: ...nfirm Return to APPLICATION Menu 3 18 4 3 Arm Compressive Force 3 19 4 3 1 Access to Programming Mode 3 19 4 3 2 Selecting a Function 3 19 4 3 3 Confirm Return to APPLICATION Menu 3 20 4 4 Arm Automatic Decompression 3 21 4 4 1 Access to Programming Mode 3 21 4 4 2 Selecting a Function 3 21 4 4 3 Confirm Return to APPLICATION Menu 3 22 4 5 Arm Beep 3 23 4 5 1 Access to Programming Mode 3 23 4 5 2 ...

Страница 13: ... Output excluding tube 4 6 2 1 5 Duty Cycle The generator is always limited by the tube 4 6 2 1 6 Line Conditioner Resonance Frequency 4 7 2 1 7 Generator Power excluding tube 4 7 2 1 8 Maximum Tolerance of Displayed Constants with and without AEC or AOP 4 7 2 1 9 Measurement Conditions 4 7 2 2 Filters 4 8 2 3 Beam limiting Devices 4 9 2 4 Special Material Specifications 4 10 SECTION 3 ENVIRONMENT...

Страница 14: ...xii Blank page 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: ... designed to supply all the information required for the correct use of this equipment 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 16: ...xiv Blank page 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 17: ... 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 18: ...nt it is mandatory to use the Master File 2309392 2 800 as the Interleaf source This Master File contains a Read me which explains how to proceed 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 19: ...he molybdenum Mo track provides high quality mammography images in all other cases Standard or magnification examinations can be performed with each track Focal spot sizes are 0 3 for contact exams and 0 1 for magnification exams Two modes of automatic exposure are available Automatic Exposure Control AEC Mode controls density mAs and provides exposures of constant optical density Automatic Optimi...

Страница 20: ... 1223 45 16 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: ...78 Note The CE marking label is located on the bottom left hand side of the power supply cabinet 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 22: ... 1223 45 16 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 23: ...ylinder and 2 a telescoping cylinder which elevates the Positioning Arm A readout located on top of the Telescopic Column indicates D Magnification factor D Compression force and compressed breast thickness D Field size D Tube Support Arm angle Angle is displayed when pressing the brake release button After releasing the brake button angle remains displayed for 2 seconds before to come back to def...

Страница 24: ... 1223 45 16 0 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 25: ... large collimator format 24 x 30 or 18 x 24 is 30 seconds D Face protection is removed from the front of the X ray Tube and Tube Housing Assembly Push Bar Push to tilt the X ray Tube Arm relative to the Receptor Support Arm when using the tridimensional Stereotix 2 locating device D Four angles are available 15 degrees and 15 degrees for making exposures in stereotaxy 27 degrees and 27 degrees to ...

Страница 26: ... 1223 45 16 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 27: ...reotix 2 or Senovision Stereotactic positioner exposure is inhibited and a warning message appears on the console readout D The Magnification Plate is installed by latching the plate onto the Receptor Arm in the holes provided for the selected magnification and located on either side of the Receptor Arm To unlock the magnification plate press the lever located on the left of the mag plate and pull...

Страница 28: ... 1223 45 16 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 29: ...event of a power cut If such a power cut occurred during an examination a force of around 5 daN could remain on the compression paddle To disengage the patient the paddle should be gently raised to counteract this compression force Note Pressing the compression pedals and moving the thumbwheels illuminates the centering light Note Optional 4 switch pedal Optional 4 switch pedal is available with b...

Страница 30: ... 1223 45 16 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 31: ...e AEC D The Bucky and cassette holder for magnification are installed on top of the Film Holder Assembly 0 A 0 A A Note B 9 4 A C 0 1 2 34 5 6 5 7 8572 97 6 5 7 7 8 6 6 34 5 6 5 8 4 5 6 8 4 7 5 7 7 34 5 6 8 8 B 1 B 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 C...

Страница 32: ... 1223 45 16 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 33: ...ntrol Buttons in rotation Up Down are located at the top and bottom of each handrail A protecting rim prevents patient access to the buttons The Film Holder Assembly can travel 761 mm thru 1451 mm at a focal distance of 660 mm Rotation thru 360 degrees 180 degrees thru 180 degrees is available Note I86 warning message will appear if the compression paddle is touched during rotation of the position...

Страница 34: ... 1223 45 16 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 35: ...nerator and the system management electronics The Cabinet consists of the following components D 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 36: ...on D Square spot compression paddle D 18 x 24 cm compression paddle D Protective screen D Magnification stand D Face protection D Operator Manual D Technical documentation 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 37: ... paddle for two dimensional biopsy D Data Flash for recording and printing all exam and patient data directly onto the film D Small round spot compression paddle D Examination chair D Accessories storage unit D Remote handswitch D Axillary compression paddle D Set of Film markers FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revis...

Страница 38: ...ard production from february 2002 Control Console CDRH 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 39: ... The following optional moveable accessory is available for the Console 4 C 4 To use the Control Console refer to Section 3 Note The symbol located on the control panel means that you must read the appropriate chapter in the operator manual before taking any action FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revision Always conf...

Страница 40: ...rward production from february 2002 Control Console CDRH 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: ...of the following 6 45 C 9 4 E6 F 6 45 C 9 4 E6 F 3 236 9 9 9 9 8 D 5 D 5 56 5 9 2 6 8 1 4 A 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 42: ...rward production from february 2002 Control Console CDRH 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 43: ...Note Access and description of all these parameters is given in Chapter 3 Maintenance 5 8 D The upper line displays warning messages and fault messages D The lower line displays selected parameters focal spot focal track filter FDC and SFC Note In SET UP mode the operator can move within the menus and modify technical parameters refer to Chapter 3 Maintenance Note FDC Film Density Control SFC Scre...

Страница 44: ...dicates the type of focal track molybdenum or rhodium Note In AOP mode selection is automatic pressing the key has no effect 7 D In AEC and manual mode the key selects one of the three filters D The readout indicates the type of filter Mo molybdenum Rh rhodium or Al aluminum Note Some filter focal track pairs are inhibited as a function of kV values The program automatically selects an authorized ...

Страница 45: ... press key to select screen film combination speed D The cycle turns on the number of SFCs calibrated at installation D A maximum of five SFCs can be calibrated D The name of the SFC specified at installation appears on the readout Note Pressing this key in manual mode has no effect FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest re...

Страница 46: ...ard production from february 2002 Control Console CDRH 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 47: ... readout displays the kV values selected The kV readout displays the first letter of the code of the selected mode C D or S and the mAs readout displays the mAs values output D In AEC mode the readout displays the kV values selected by the operator and the mAs values output preceded by the letter A D In manual mode the readout displays the kV and mAs values selected by the operator 2 7 D D 5 8 8 D...

Страница 48: ...ward production from february 2002 Control Console CDRH 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: ...lowing can be selected via their keys screen film combination film density control D The AEC Mode is used to select the kV values manually and mAs values automatically D Manual mode is used to select kV and mAs values 9 8 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 sour...

Страница 50: ...ward production from february 2002 Control Console CDRH 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 51: ...tor format for both small and large focal spots 13 x 18 9 x 9 and 6 x 6 is 120 seconds The light temporization for large collimator format 24 x 30 or 18 x 24 is 30 seconds 34 5 54 4 HH C HH 4 Note If Rad Prep is released before the lamp is illuminated the preparation is cancelled When the lamp is illuminated preparation stops one second after release FOR TRAINING PURPOSES ONLY NOTE Once downloaded...

Страница 52: ... and following preparation anode rotation exposure is made in two stages D A test exposure of 15 ms allows prediction of the exposure duration for optimization of anti scatter grid movement D An exposure during which the exposure is made The operator must maintain pressure on the button until the buzzer stops to get proper exposure 4 85 8 Note If autodecompression is selected in the set up menu co...

Страница 53: ...paddle with the 24 x 30 bucky Note B 9 4 A C 0 B 1 1 2 34 5 6 5 7 8572 97 6 5 7 7 8 6 6 34 5 6 5 8 4 5 6 8 4 7 5 7 7 34 5 6 8 8 B For additional exposures selective exposure and or magnification the SID and source to object distance can be modified No specific tube warm up procedure is needed at power on Different field sizes and compression paddles can be used Note Use of the Bucky is not recomme...

Страница 54: ...ast but increases the radiation dose to the patient The choice of priority to dose reduction or to optimum contrast is left to the discretion of the operator Use of the AOP Mode provides the best quality dose compromise for each priority selected by the operator 9 9 9 A BC 9 9 9 9 FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revi...

Страница 55: ...rce 8 7 7 4 4 4 7 8 6 8 4 4 8 SECTION 2 PATIENT POSITIONING Before beginning the mammogram observe the following points D Before positioning the patient make a visual assessment of the breast area and note anything which may affect or be adversely affected by the correct positioning of the breast for the mammogram for example warts scarring or skin which is not intact In patients with large breast...

Страница 56: ...uration which supplies the lowest dose The operator selects D Priority CNT DOSE STD D Focal spot Note The small focal spot is automatically selected in magnification D Screen film combination D Density correction when necessary Note Density correction is used only when density change in the image is required The system displays inhibited messages and automatically selects the following parameters ...

Страница 57: ...required Note Refer to the magnification values in Table 1 1 Chap 1 3 2 AEC Mode The Automatic Exposure Control AEC Mode controls density mAs and provides exposures of constant optical density The operator selects the following parameters D Track Mo Rh D Filter Mo Rh A1 Selection of AL filter is not recommended in AEC mode D Focal spot 0 3 0 1 D Screen film combination D kV values The operator can...

Страница 58: ... in Table 1 1 Chap 1 Select configurations and kV values given in manual mode Chap 2 Para 2 3 Refer to Tables 2 1 and 2 2 Chapter 2 Using an increase of 1 thru 2 kV will reduce exposure time Note Refer to Tables 2 1 and 2 2 3 2 3 Examination of Chest Wall Select configurations and kV values according to the thickness and density of the region examined Select parameters from Tables 2 1 and 2 2 It i...

Страница 59: ...s provides similar contrast images the same breast examined via the rhodium track benefits from better tissue visualization and a lower average glandular dose Tables 2 2 below gives examples of the most frequently used configurations and kV values TABLE 2 2 COMMON EXPOSURES 2 3 24 Note If the operator selects an incorrect configuration filter selection error the system will select an authorized co...

Страница 60: ...ification 0 1 The object film distance depends on the coefficient of magnification required Note Refer to the magnification values in Table 1 1 Chap 1 Select configurations and kV values given in manual mode Chap 2 Para 2 3 Refer to Tables 2 1 and 2 2 Chapter 2 Using an increase of 1 thru 2 kV will reduce exposure time Note Refer to Tables 2 1 and 2 2 When the Bucky is removed the mAs values are d...

Страница 61: ...tamination an intermediate level disin fection should be done between patients The patient contact surfaces of mammography equipment are noncritical and either low level or intermediate level disinfection is adequate for routine use These surfaces are the Bucky cassette holder compression paddles and magnification plate Other surfaces that may have casual contact with the patient and should be con...

Страница 62: ...ayed with a fine mist applicator or wiped with a wet cloth or sponge as directed by the instructions for use provided with the germicide If needed removable parts not containing electrical components compression paddles and magnification plate can be removed and immersed Further rinsing or wiping with clear water and drying with a soft cloth should be done to remove any germicide residue that may ...

Страница 63: ...SKIN OR ON CLOTHING USE IN WELL VENTILATED AREA IN CLOSED CONTAINERS Always follow the germicide manufacturer s instructions and precautions for mixing storage method of application contact time rinsing requirements protective clothing shelf life and disposal to help assure effective and safe use of the product FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and there...

Страница 64: ...the equipment is outlined in Table 3 1 TABLE 3 1 MAINTENANCE PROGRAM 7 4 D5 7 9 7 5 0 1 2 314 1 Note One GEMS Service Engineer is required for a three hour visit once a year 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 65: ...le I 76 FAULT A message displayed on the Control Console has 40 characters The first 3 characters are identification characters The next 28 characters comprise the message The 7 remaining characters are also identification characters Example I76 DETECTOR FAILURE 158 011 When calling the Field Service of GEMS it is essential to note each message in its entirety Listed below by type are all the mess...

Страница 66: ...0 1 3 6 3 1 0 510 6 1 5 A 3 766 70 1 3 6 3 1 0 7037 7 01 5170 6 1 3 766 70 1 3 6 3 1 0 10 B78 105 B5170 B 3 5 1 0 0 57 B C 55 7 B 3 6 3 47 075 7 B78 6 7 D 1B 05 1 0 8 15 67 3 B73 9 1 8 2 1 1 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 67: ...1 0 7 A 4 314 0 7 A 4 1 B57 1 314 1 3 6 3 1 8 15 B78 1 15 5170 2 1 3 6 3 1 3 1BB10 7 B 33170 757 3 1BB10 1 7 B 6 1 7 B 33170 6 1 0 3 766 70 1 3 6 3 1 1 5 6 1 1 5 05 10 4 1 6 1 5 3 766 70 1 3 6 3 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 68: ...1 6 1 4 5 57 6 1 6 3 766 70 1 3 6 3 1 B 4 6 1 B 4 3 15 6 1 6 3 766 70 1 3 6 3 1 C 780 6 3 C 780 6 3 3 766 70 1 3 6 3 1 6 1 B78 3 BB 6 1 3 766 70 1 3 6 3 1 35 751 35 751 105 41 5170 2 3 3 3 3 3 1 3 6 3 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 69: ...1C F F F 70 1 1 3 6 3 1 7 0 6 5 0 F F F 70 1 1 3 6 3 0 0 57 6 1 6 3 766 70 1 3 6 3 0 67 3 C1 3 6 1 6 3 766 70 1 3 6 3 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 70: ...3 70 1 3 6 3 0 B78 3 BB 6 1 3 G 3 766 3 70 1 3 6 3 0 6 1 5 3 766 3 70 1 3 6 3 0 510 6 1 5 A 3 766 3 70 1 3 6 3 0 510 6 1 5 A 3 766 3 70 1 3 6 3 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 71: ... 70 1 3B 1 5 41 153 76 33 3 3 6 3 7 1 6 1 5 7 1 57 6 1 3 766 3 70 1 3 6 3 7 1 6 1 7 1 57 6 1 3 766 3 70 1 3 6 3 6 1 48 6 1 3 766 3 70 1 3 6 3 7 310 6 1 7 310 0 5170 6 1 5 3 766 3 70 1 3 6 3 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 72: ...7 A3 7 3 766 3 70 1 3 6 3 3 0 C7 5 4 B73 C B 3 5 3 3 0 B73 C7 5 4 C 10 2 H B 3 5 3 3 0 B73 C7 5 4 C B 3 5 3 3 0 8 70 3 5170 76 F5 A 7 B 3 F 3 0 577 78 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 73: ... 8 3 0 1 4 4 5 3 0 3 5 4 61 F3 0 13 0 1C 5 4 5 F B F 1 1 3 6 3 0 3 6 3 3 0 5 C 7 310 7 5 B 5 5 J K 8 3 0 B73 577 70 5 5 1 3 0 0 B73 4 33 55 13310 5 1 1 1 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 74: ... 14 0 5 9 B 7 L K 3 7 L K 3 3 1 314 10 7 5 314 5 314 3 3 0 4 5 4135 0 075 7A 3 3 33 55 M 0 5 1 1 1 3 73 1 51703 73 1 51703 5 1 G 5 4 8 G 1 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 75: ...appears B BB 1 5170 3 5 B 4 1 2 Selecting a Function To select a function press the key located under the symbol for that function BB 1 5170 3 5 B B B 3 BB 1 5170 3 5 B 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 76: ...APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 77: ...isappears B BB 1 5170 3 5 B 4 2 2 Selecting a Function To select a function press the key located under the symbol for that function B BB 1 5170 3 5 B 3 3 BB 1 5170 3 5 B B N O 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 78: ...eturn to the APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 79: ...appears B BB 1 5170 3 5 B 4 3 2 Selecting a Function To select a function press the key located under the symbol for that function B BB 1 5170 3 5 B 3 3 BB 1 5170 3 5 B B N O 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 80: ...nd return to the APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 81: ...disappears B BB 1 5170 3 5 B 4 4 2 Selecting a Function To select a function press the key located under the symbol for that function B BB 1 5170 3 5 B 3 3 BB 1 5170 3 5 B B N O 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 82: ...turn to the APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 83: ...rs B BB 1 5170 3 5 B 4 5 2 Selecting a Function To select a function press the key located under the symbol for that function B BB 1 5170 3 5 B 3 3 BB 1 5170 3 5 B B N O 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 84: ...urn to the APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 85: ...ppears B BB 1 5170 3 5 B 4 6 2 Selecting a Function To select a function press the key located under the symbol for that function B BB 1 5170 3 5 B 3 3 BB 1 5170 3 5 B B N4 O 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 86: ...return to the APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 87: ...nd the exposure will be inhibited However it is possible for special purposes such as physicist testing to disable this interlock Note The Senographe DMR AUTOMATICALLY enables exposure interlock when powered ON 4 7 1 Access to Programming Mode D To access the programming mode press D The APPLICATION Menu focal spot focal track filter etc disappears B BB 1 5170 3 5 B 4 7 2 Selecting a Function To s...

Страница 88: ...turn to APPLICATION Menu To confirm the function selected and return to the APPLICATION Menu daily use press repeatedly until Nfocal spot focal track filter etc return B BB 1 5170 3 5 B 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 89: ...4 TABLE 4 1 SPACE REQUIREMENTS WEIGHT 0 6 6 1 F 3 3 3 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 90: ...TRY SPACE REQUIREMENTS A A D 8 4 6 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 91: ...NTROL CABINET SPACE REQUIREMENTS 8 8 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 92: ... SCREEN CONTROL CONSOLE SPACE REQUIREMENTS 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 93: ...SSORY TROLLEY SPACE REQUIREMENTS B B 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 94: ...east 100 mAs 2 1 3 Input impedance Line impedance at maximum workload 3 5 Line impedances under single phase installation 41 I 41 0 I 4 0 D 3 I RI 380 RI x 380 U 2 41 0 v W I D5 Note The optional STEREOTIX 2 is supplied through the SENOGRAPHE DMR gantry Nominal voltage 27 V 2 1 4 Generator Output excluding tube D 22 thru 49 kV D 20 thru 130 mA 2 1 5 Duty Cycle The generator is always limited by th...

Страница 95: ...Dynalizer in series with the x ray tube and measure the voltage with an oscilloscope D mAs Use a waveform analyzer such as the Tektronic 7854 connected in series with the x ray tube The oscilloscope receives a signal proportional to the high voltage applied to the tube The mAs values are given by mAs ŕ i dt Where T1 is the time at which the high voltage reaches 75 of its maximum value and T2 is th...

Страница 96: ...ts in 0 point mode 4 3 C 4 H The minimum filtration permanently installed in the useful beam of the X ray tube is 0 008 mm Al equivalent 8 micrometers Al at 30 kV corresponding to 0 69 mm of Beryllium Note Fixed Layers of Material in the X Ray Beam incident to the Patient The values obtained at 30 kV are given in the table below 3 B 1 79 0 1 C 4 F 2 B B C 3 B FOR TRAINING PURPOSES ONLY NOTE Once d...

Страница 97: ... 3 P P P 0 3 3 F3 P Dimensions can be configured according to national standards 2 9CC 4 D 5 TABLE 4 3 FIELD COVERED BY BEAM USING STEREOTIX 2 B 3 3 0 0 35 751 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 98: ...e of polycarbonate Lexan Bucky plates are of carbon fiber or plastic material SECTION 3 ENVIRONMENT TABLE 4 4 AMBIENT CONDITIONS 0 Q Q Q Q 0 K K H K K R R 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 99: ...posed of as unsorted munic ipal 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 document is UNCONTROLLED and therefore may not be the latest revision Always confirm revision status against a validated source ie CDL ...

Страница 100: ... Blank page 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 101: ...ectromagnetic compatibility as per IEC 60601 1 2 ed 1 93 D Emission 1 CISPR11 class A Electromagnetic disturbances D Immunity 1 IEC 60801 2 Electrostatic discharge conducting parts 3 kV non conducting parts 8 kV 2 IEC 60801 3 Radiated electromagnetic field 3 V m from 26 MHz to 1 GHz 3 IEC 60801 4 Electrical fast transient burst 2 kV on power supply cables 500 V interconnection cables 4 IEC 801 5 S...

Страница 102: ... A 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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