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Chapter 12

Page no. 130

12-imgac.fm

GE Healthcare

Senographe DS Acquisition System

Revision 1

Operator Manual 5307907-3-S-1EN

Image Acquisition Procedure

Table 1 Suggested manual techniques

Table 2 Maximum and recommended kV ranges

Compressed

breast

thickness

(mm)

Homogeneously fatty

50% fatty, 50% dense

Homogeneously dense

Target/

Filter

kVp

mAs

Target/

Filter

kVp

mAs

Target/

Filter

kVp

mAs

With grid (contact examination):

< 30

Mo/Mo

30-40

Mo/Mo

Mo/Rh

40-50

Rh/Rh

50-60

Rh/Rh

60-70

Rh/Rh

70-80

Rh/Rh

> 80

Rh/Rh

140

Rh/Rh

140

Without grid (magnification examination):

< 30

Mo/Mo

30-40

Mo/Mo

Mo/Rh

40-50

Mo/Rh

Rh/Rh

50-60

Rh/Rh

60-70

Rh/Rh

70-80

Rh/Rh

> 80

Rh/Rh

110

Rh/Rh

125

TRACK

FILTER

KV RANGE

MAXIMUM

RECOMMENDED

22 thru 32

25 thru 28

22 thru 40

26 thru 30

25 thru 49

28 thru 35

FOR

TRAINING

PURPOSES

ONLY!

NOTE:

Once

downloaded,

this

document

UNCONTROLLED,

and

therefore

may

not

the

latest

revision.

Always

confirm

revision

status

against

validated

source

(ie

CDL).

Содержание Senographe DS

Страница 1: ...3 S 1EN Revision 1 Copyright 2009 by General Electric Company Inc All Rights Reserved FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest...

Страница 2: ...e to human tissue Therefore adequate precautions must be taken to prevent unauthorized or unqualified persons from operating this equipment or exposing themselves or others to its radiation Before ope...

Страница 3: ...o use by or on the order of a physician General Electric Medical Systems is ISO 9001 and ISO 13485 certified The original document was written in English Use within the patient environment All compone...

Страница 4: ...y using other than recommended interconnect cables or by unauthorized changes or modifications to this equipment Unauthorized changes or modifications could void the users authority to operate the equ...

Страница 5: ...rdance with the regulations in force for the country where the machines or accessories are unpacked Meaning of symbols Protective ground earth Ground earth Dangerous voltage Type B equipment This symb...

Страница 6: ...evision 1 Operator Manual 5307907 3 S 1EN Regulatory Requirements This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest r...

Страница 7: ...n to describe the use of the Senographe DS in its most complete configuration If any of the options described in this manual are not included in your system skip the corresponding chapter or sections...

Страница 8: ...Electric Company U S A Copyright 1993 2004 General Electric Company U S A Portions of this software are the property of and copyrighted by Sun Microsystems Inc Informix Soft ware Inc OSF Motif J Schi...

Страница 9: ...Mode 16 10 Residual images 17 11 Damaged Equipment 17 12 Damage to the Digital Detector 17 Chapter 2 Introduction 1 Overview 19 2 System components 19 3 Accessories and options 20 4 Indications for us...

Страница 10: ...ative session 52 3 Configuration Options 59 4 Reading access control log files 61 Chapter 8 Browser 1 Overview 63 2 Browser restart 64 3 System Shutdown 64 4 Log off 64 5 Browser display 65 6 Browser...

Страница 11: ...uisition 133 10 Check View Names 135 11 Quality Check With or Without RRA 135 12 Processing 135 Chapter 13 Printing 1 Printing conditions 137 2 Printer management 139 3 Print functions 139 Chapter 14...

Страница 12: ...tents 2 Radiation and filter Information 201 3 Ambient Conditions 203 4 Tube information 203 5 Dimensions and Weights 203 Revision History 205 FOR TRAINING PURPOSES ONLY NOTE Once downloaded this docu...

Страница 13: ...g correctly 2 Potential adverse effects The following is a list of potential adverse effects that apply to mammography and are also applicable to digital mammography using the Senographe DS system Exc...

Страница 14: ...orce greater than 3 daN is applied 5 Operator protection against radiation To avoid excessive exposure to radiation operators must remain behind suitable radiation shields when ever X ray exposures ar...

Страница 15: ...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 o...

Страница 16: ...to switch off power while an image is being processed and stored If defects or failures on the disk system are observed call your GEMS Service representative It may be possible to recover information...

Страница 17: ...etector by means of a 3 mm steel plate for the duration of the measurements 11 Damaged Equipment CAUTION If equipment is damaged or fails have it repaired immediately by authorized GE Service personne...

Страница 18: ...tem Revision 1 Operator Manual 5307907 3 S 1EN Safety Recommendations This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the late...

Страница 19: ...ilm cassettes and takes advantage of dig ital technology including on screen image display Networking Filming and Archiving 2 System components Gantry Generator Cabinet X ray Console mounted on top of...

Страница 20: ...high resolu tion DICOM MG compatible laser camera for film printing WARNING Only images produced by ge recommended laser cameras can be used for final interpreta tion of examinations for compatible pr...

Страница 21: ...ctions are extremely important describing safety and regulatory issues that you must thor oughly understand before attempting to use the Senographe DS system To learn about system components and featu...

Страница 22: ...ion to type 123 followed by the Enter or Return key In other text Italics are used when a specific concept is introduced Italic and bold characters may also be used for local emphasis Blue italics are...

Страница 23: ...gle of rotation Compression force in daN It may also be used for warning messages and for Stereotaxy applications angula tion information Stop Motion buttons There are two Stop Motion push buttons one...

Страница 24: ...orrect alignment Make sure by looking underneath the tube head that the face shield is pushed all the way forward so as not to miss any chest wall tissue 1 2 Arm movement control buttons Arm movement...

Страница 25: ...Oblique angle is set to 50 How to reach a memorized position To rotate the Arm to one of these positions press the button shown for more than one second and then release it An automatic rotation movem...

Страница 26: ...paddle holder the manual compression adjustment knobs and the interchangeable compression paddle Compression and decompression are controlled by the manual compression knobs or by foot pedals placed...

Страница 27: ...inserted in the paddle holder is recognized by the system and displayed on the Gantry readout Only paddles designed and validated for use with the Senographe DS system should be used the characterist...

Страница 28: ...tor is placed as required for correct patient positioning by moving the Arm The height of the Bucky breast support surface from the floor is adjustable between about 650 mm 26 inches and 1500 mm 59 1...

Страница 29: ...ii C regarding equipment intended by the manufacturer s design to not be flat and parallel to the breast support surface To ensure continued performance of this compression paddle according to its spe...

Страница 30: ...of the detector environment The cabinet is mounted on wheels for ease of installation it is not recommended that it be moved in normal operation Do not obstruct the ventilation slots The power contro...

Страница 31: ...o power down the Gantry and Generator The console is normally mounted on the AWS Cabinet behind the radiation screen Note The symbol on the console indicates that you must have read and understood the...

Страница 32: ...eadout display 15 Exposure Enable indicator lamp 5 Focal Spot selection 16 Exposure indicator lamp 6 Focal Track selection 17 Exposure Disable indicator lamp 7 Filter selection 18 Centering Light ON b...

Страница 33: ...tes the size of the selected focal spot Note This selection is normally made automatically By default the system selects the large focal spot when no magnification stand is present and the small focal...

Страница 34: ...recumbent patients patients unable to stand or sit for the mammogram are selected using the Recumbent Patient menu as described in section 4 5 View names for recum bent patients on page 41 11 kV and m...

Страница 35: ...is lamp is lit exposure is enabled 16 Exposure indicator lamp This lamp is lit from the start to the end of an exposure A buzzer sounds at the end of exposure 17 Exposure disable lamp When this lamp i...

Страница 36: ...ity These parameters are then set automat ically Maximum pre exposure time is 70 ms large focal spot or 130 ms small focal spot An exposure during which image acquisition is made The operator must mai...

Страница 37: ...ecompression COMP Compression set max compression force set speed of compression movement LIFT Lift speed of movement select fast or slow BEEP Beep on key press select on or off ROTATE Rotation set de...

Страница 38: ...view medical language PASSWORD DECOMP COMP LIFT BEEP ROTATE STEREO VALID FAST SLOW YES NO recumbent medical set up DECOMPRESSIONHEIGHT 21cm END OF EXPOSURE DECOMP DECOMP HEIGHT LIGHT MAX COMPRESSION...

Страница 39: ...refix selected automatically magnification Magnification M Selected automatically if a Mag stand is present View Names selected automatically applicable only to standing or sitting patients CranioCaud...

Страница 40: ...nce of a magnification stand 45 Arm angles are measured from the vertical 0 position with positive angles counter clockwise when facing the Gantry The sketch shows the tube at 45 Arm rotation angle Th...

Страница 41: ...position means that the automatically selected view name is not correct View names for recumbent patients are selected on the X ray Console Recumbent Patient menu accessed by using the Setup button as...

Страница 42: ...nt view Automatic view name selection Recumbent view Head to Left Head to Right Head to Left Head to Right LCC LML LLM RCC RLM RML LSIO LMLO LLMO RMLO RSIO RMLO LLM LCC LFB RML RCC RFB LLMO LSIO LMLO...

Страница 43: ...re programs other than those supplied by General Electric Medical Systems specifi cally for use with this system must NOT be loaded onto the system 1 2 Control Station Hardware The Senographe DS Contr...

Страница 44: ...enographe DS 3 1 3 Using the pointing device With the cursor positioned on the appropriate object on screen the left button is used to select a window an on screen button or an item in a menu list The...

Страница 45: ...window used to manage the database start the Review application etc See Chapter 8 Browser The Worklist is used to display a list of scheduled operations From this window you can start image acquisitio...

Страница 46: ...g that the workstation is ready to accept further input 5 2 On screen buttons Most windows contain on screen buttons areas in the form of buttons containing explana tory graphics or text labels to act...

Страница 47: ...hin the list as compared to the list as a whole Release the mouse button when the desired data are displayed If you wish to move through the data one item at a time place the cursor on either the uppe...

Страница 48: ...ystem Revision 1 Operator Manual 5307907 3 S 1EN Control Station This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest re...

Страница 49: ...lization messages appears on the Workstation screen then the Login prompt is displayed Type sdc all lower case followed by Enter The AWS login screen shown below is dis played after a short delay Ente...

Страница 50: ...he Emergency Stop Motion push buttons there is one on each side of the Telescopic Column In an emergency to cut power to all system components Switch off the main circuit breaker that supplies power f...

Страница 51: ...ition of password policies and management of auto log off delays To ensure correct coordination a single person the Administrator should normally perform these tasks Note The Administrator may be the...

Страница 52: ...on page 49 log in as admin The factory set default password for admin is admin Notice For added security it is strongly recommended that the designated Administrator should change the default passwor...

Страница 53: ...e a clinical user to change his her password or to apply his her settings first open an administrative session and display the default option Local User Management see section 2 Opening an administrat...

Страница 54: ...er is selected and con firm by clicking Remove Now button The user is deleted from the list 2 1 3 Changing user password To change a user password Select the concerned user then click Change password...

Страница 55: ...available to those users who belong to groups that have Adminis trator or GEService permissions As a consequence users who don t belong to one of this group cannot change their permissions by their ow...

Страница 56: ...Management Creation Deletion and Setting Application To create delete or apply settings to a group first open an administrative session and display the second tab Group and Permission Mapping FOR TRA...

Страница 57: ...ated Click Add Local Group button 2 2 2 Deleting a group To delete a group Select the group you want to removed Click the Remove Group button at the bottom of the screen not active if no user is selec...

Страница 58: ...depending on which permission s you want to affect to it Administrator StandardUser LimitedUser Groups can have any number of permissions including no permissions Notice GEService permission is not to...

Страница 59: ...e in minutes is to be entered in the field labelled Inactivity Timeout Note Be aware that a value of 0 indicates no inactivity timeout e g even with infinite inactivity the log on screen will never ap...

Страница 60: ...mergency Prompt box in addition to Display Emer gency Button box At login users who choose emergency login will have to enter information into a text box Cache Enterprise Users and Enable Enterprise A...

Страница 61: ...he log files To access the log files First open an administrative session and display the default option Local User Management see section 2 Opening an administrative session on page 52 Select the Log...

Страница 62: ...em Revision 1 Operator Manual 5307907 3 S 1EN User Session and Account Management This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not...

Страница 63: ...images that are no longer required Transfer images to other workstations Save images on recordable CDs for data interchange Archive images if the optional mass archiving system is present GE Medical S...

Страница 64: ...on the disk the disk will be unusable and must be replaced before the operation is repeated 3 System Shutdown To shut down the Senographe DS system click on the Power off icon at the lower right of t...

Страница 65: ...ient Note examinations are sometimes referred to as studies Series list The different series of images within the selected examination Raw Processed and Screen Save images Images list Images within th...

Страница 66: ...rkstation select the desired images on the Browser then click on the Review exam button To link with the HIS RIS and access the Worklist management function click on the Work list button To start Qual...

Страница 67: ...ocal hard disk access This icon may appear only very briefly Any error messages that may result from a database query are also displayed in this position Filter indicator If present this icon indicate...

Страница 68: ...ies list is used for single letter flags which indicate the status of the series A Archived storage commitment received from a mass archive system C Copied onto CD R media P Sent to a printer this doe...

Страница 69: ...click on Cancel to cancel the operation If a delete button is displayed in grey this indicates that the selected item is currently in use by an application Viewer or Network transfer and therefore ca...

Страница 70: ...the middle mouse button and drop it over the icon repre senting the remote host in the Network Panel OR Use the Push function click on the Network Push button under the list if the button is not displ...

Страница 71: ...or its address as the push destination During a network transfer To monitor network transfer tasks click on the Network status display to open the Network queues window shown below Done close queue w...

Страница 72: ...ement Needle Setup Medical Application preferences Edit Patient Set patient anonymous Service desktop Restart Browser Shutdown Note Only use the items shown here in bold type Do not attempt to use the...

Страница 73: ...m They will be lost when you leave the Browser Reload last saved After making and applying changes use this button to apply the last saved preferences Reset Apply default settings Cancel Cancel your c...

Страница 74: ...ions series and images Note 1 You must select MG for Modality the system currently defauts to show DX 2 Leave the selection of Split series as Yes Other selections are not valid for this system Click...

Страница 75: ...ion on available print ers is entered by the FE at installation time Click the Printing properties button to set printing proper ties if required refer to Chapter 13 Printing Only the default print mo...

Страница 76: ...he image and uses this value as the default User value if it is less than the Standard value However if Premium View is enabled see Image Process below selecting User value is considered as if Standar...

Страница 77: ...ly It is also useful for other sites to generate and keep statistics on total repeat and reject rates as well as their respective reasons Case 1 RRA enabled If you need the RRA feature click Yes in th...

Страница 78: ...been transferred sent to another Workstation or committed by a mass archiver Note When the function is turned on at least one of the profile buttons must be selected if the disk sys tem s used capaci...

Страница 79: ...d avoiding the need for retyping each time a Medical Procedure Card is created or updated Save Close Select remote hosts you want to test Remote Workstations Remote Printers Remote HIS RIS servers Tes...

Страница 80: ...nformation on the patient Medical Procedure Card described in Chapter 9 Worklist to be viewed and modified after the exam has been closed Changes are made by creating a new patient or a new exami nati...

Страница 81: ...leagues etc Select one or more patients in the Patient name list then click on the Set patient anonymous option in the Tools menu The patient examinations are copied and used to create a new patient w...

Страница 82: ...ters can be specified at Patient level Exam level and Series level By default Patient level is selected first but you can select these levels in any order click the appropriate box to start specifying...

Страница 83: ...ter management in the Tools menu The Filter selection window is displayed giving a list of registered filters and a list of options Update Modify a registered filter selected from the list Add Create...

Страница 84: ...tion System Revision 1 Operator Manual 5307907 3 S 1EN Browser This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revi...

Страница 85: ...own below To start an exam select the required patient in the list Selections can be made by clicking with the left mouse button or by entering appropriate text in one of the three Selec tion Criteria...

Страница 86: ...on as a character entry is made in one of the boxes Patient ID Patient Last Name Accession Number the window scrolls to show and select the first matching entry When an entry is made in one of the cri...

Страница 87: ...this case the Worklist receives directly from the Hospital or Radiology Information System the patient and or procedure information needed to fill in the MPC Patient information and some procedure inf...

Страница 88: ...utowindowing for review of images of this patient For a new study existing patient the patient information fields cannot be modified Complete the other fields as required then click on the Start Exam...

Страница 89: ...ard displayed Check the information displayed If it is not correct do not proceed select Cancel and confirm to close the Viewer On returning to the Worklist select the correct patient and select Edit...

Страница 90: ...tient and procedure infor mation fields other than operator and physician in the Medical Procedure Card are already complete and cannot be modified displayed in grey 2 5 Image Review To review images...

Страница 91: ...ASCII EAN 13 Code 128 3 1 How to read a bar code symbol The Senographe DS bar code scanner is simple to use just aim and shoot Before using it make sure all cable connections are secure 1 Lift the sc...

Страница 92: ...fault language 3 Set the default language to English The scanner must always be set to English for use with the AWS 4 Save the new settings Refer to the scanner documentation for more information on u...

Страница 93: ...The scanner does not read a bar code symbol Be sure the scanning system is programmed to read the type of bar code you are trying to scan Refer to section 3 2 Set default configuration on page 92 Be s...

Страница 94: ...tion System Revision 1 Operator Manual 5307907 3 S 1EN Worklist This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest rev...

Страница 95: ...ection CAD system if available whether a given sched uled or unscheduled exam is in progress completed or on hold The activation of this function within a Radiology Department is subject to the follow...

Страница 96: ...ature those images will not be listed in the PPS messages sent to the PPS SCP The cumulative AGD Average Glandular Dose calculated based on the AGD estimation available for images acquired in AOP This...

Страница 97: ...rocedure described in the worklist entry used to perform the acquisitions of this Viewer session is not completed Most likely further images will be acquired for this procedure to be completed By defa...

Страница 98: ...sion 1 Operator Manual 5307907 3 S 1EN Modality Performed Procedure Step PPS This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be t...

Страница 99: ...reen is used for the Viewing Area 1 in which images are displayed At the left of the screen there is a Command window which includes three main sections The Mosaic Image Browser 2 The Control Panel 3...

Страница 100: ...ring the command window back into view 1 1 1 FB view exception On the AWS the View and laterality indication is placed in the lower part of the monitor Most images of the breast are presented with the...

Страница 101: ...ions on the AWS monitor General case for Left Views Axilla View and laterality label incorrectly positioned LFB Axilla General case for Right Views Axilla View and laterality label incorrectly positio...

Страница 102: ...image in the Mosaic Image Browser to display it in the viewing area A white dot on the reduced image in the Mosaic Image Browser identifies the currently displayed image A camera icon appears above t...

Страница 103: ...in the Mosaic area See description below Image Control Use these controls to choose appropriate display parameters See description below 2 1 Zoom When the image is first displayed in the viewing area...

Страница 104: ...xam any 2D Localization cross hairs on an image will be saved with the im age and will be displayed again when the image is selected for review at a later stage On an image that has been saved on the...

Страница 105: ...default when first displaying an image in the Viewer When User is selected the system automatically optimizes the contrast Window Width of the image and uses this value as the default user value if it...

Страница 106: ...s Meas Click on the appropriate icon to select and display a measurement tool to add annotations or to hide or erase displayed tools and annotations See description below Geom Transformations Click on...

Страница 107: ...ness Equalization cannot apply are described in section 12 Processing on page 135 in Chapter 12 Image Acquisition Procedure Processing type displayed on the image can be one of the following PROC_0 me...

Страница 108: ...ot available when viewing SCPT images Custom Annotations window A small square button is displayed next to each group To select the annotation groups that you want displayed click on the corresponding...

Страница 109: ...rtical in degrees are displayed in the bottom right corner of the image Ellipse Click the Ellipse button to place on the image an ellipse that you can use to highlight an area of interest or to measur...

Страница 110: ...on select it and drag it to the desired position If you chose to attach an arrow you can now also select the tip of the arrow and drag it to the desired position The length of the arrow is adjusted au...

Страница 111: ...rove viewing comfort or for easier comparison with other images Click the button for the desired action Flip image around horizontal axis The top of the image becomes the bottom and vice versa Left ri...

Страница 112: ...mes For standing patients view names can only be changed to standing view names To change view name from recumbent to standing or vice versa the exposure must be repeated 3 5 2 How to use change view...

Страница 113: ...r hand if the acquisition was NOT done with a spot com pression paddle DO NOT select a new view name with the suffix S If these directions are not followed there is a risk of inconsistency with the pr...

Страница 114: ...inted The printed image is consistent with the image displayed in the Viewer if chest wall side is displayed on the right of the Viewer it is printed on the right of the film as well New view name sel...

Страница 115: ...process Click this button to apply the selected primary processing algorithm to the currently selected image If the image has already been correctly processed or if it is an SCPT image the operation w...

Страница 116: ...images Occasionally a clinical image may not be worth keeping or the operator will choose not to retake the same view Repeated Images to be retaken In the RRA feature Repeated means that the correspon...

Страница 117: ...that the quality of an image is not satisfactory click the QUALITY CHECK OK button to open the Repeat and Reject Selection window Display Parameters Inv Standard Reprocess QUALITY CHECK OK Repeat and...

Страница 118: ...l popup for the final exit then appears Image Qualification Planned Auto Push and Auto Print actions as defined in Medical Application Prefer ences Quality Check part Repeat and Reject Confirmation Al...

Страница 119: ...e Viewer Function panel indicates the current level QUALITY CHECK OK or QUALITY CHECK NOK Click the button to toggle the image qualification between the two possible levels The new value is applied to...

Страница 120: ...ny annotations or graphics in the magnified zone temporarily disappear 4 7 2 Image scroll When all of an image is not visible for example when you have magnified an image by using the Zoom function th...

Страница 121: ...f the new exam is loaded To use the function either click the Scrapbook button on the Viewer Control Panel see section 4 2 Scrapbook on page 115 or press the F3 keyboard function button The Scrapbook...

Страница 122: ...lay a menu of print options Print page Prints the contents of the current Scrapbook page Print all pages Prints all pages of the Scrapbook Printing status Displays the Printing status panel see Chapte...

Страница 123: ...f the Scrapbook If there is no free slot a new empty page is cre ated and displayed with the same layout format as the current page If the Scrapbook is not open the F4 key has no effect If the mouse c...

Страница 124: ...ition System Revision 1 Operator Manual 5307907 3 S 1EN Viewer This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest revi...

Страница 125: ...de but image acquisition is not permitted until basic patient information has been recorded in the system and laterality has been selected After selection of the patient for whom you want to start acq...

Страница 126: ...s are not permitted if the large focal spot is selected Check on the control panel display that the focal spot selection is shown as Small Always make sure that the magnification stand is correctly lo...

Страница 127: ...rator s imaging priority 4 2 Usage of AOP Mode The operator chooses one of three modes according to the priority required CNT Contrast Gives priority to subject contrast STD Standard Selects a comprom...

Страница 128: ...the three AOP modes The desired configuration must be set with the Field Engineer Note that this choice may be constrained due to regu lations in force in certain countries These are explained in the...

Страница 129: ...imilar contrast images the same breast examined via the rhodium track benefits from better tis sue visualization and a lower average glandular dose Refer toTable 1 Suggested manual techniques on page...

Страница 130: ...30 71 60 70 Rh Rh 29 71 Rh Rh 29 80 Rh Rh 30 80 70 80 Rh Rh 29 80 Rh Rh 30 90 Rh Rh 31 80 80 Rh Rh 30 90 Rh Rh 30 140 Rh Rh 31 140 Without grid magnification examination 30 Mo Mo 25 25 Mo Mo 26 36 Mo...

Страница 131: ...patient to disrobe from the waist up An appropriate cover should be provided during the waiting period It is important to relax the patient Any contraction of the pectoral muscles or muscles of the ar...

Страница 132: ...taut to the touch When using the flexible compression paddle provided with your system please use the collimator cen tering light after final compression is achieved and before acquiring the image to...

Страница 133: ...ed breast thickness ei ther less than approximately 20 mm or greater than approximately 80 mm 9 Image acquisition Note When Right Left image pairs are acquired it is recommended that the Right image s...

Страница 134: ...ded to the exam and displayed on the Viewer screen as a raw image During the transfer of the raw image all user interface functions are disabled If the FineView feature is enabled the sharpness of the...

Страница 135: ...ed to create the processed image are Collimator Detection This applies a black mask around the useful image area covering areas which would otherwise be white It allows more comfortable viewing Pseudo...

Страница 136: ...g es When imaging an object with thick or sharp borders e g a phantom one might see an enhanced brightness at the border of the object This enhancement is normal and is not expected to affect correct...

Страница 137: ...ne image per film is available unless Scrapbook is configured and used 1 4 Information which is not printed Modifications made to the image other than window width and window level are not printed 1 5...

Страница 138: ...t individual images from the Viewer window AGFA FUJI KODAK KONICA Worksta tion Print Model Film size DryStar 4500M 5500 5503 DryPix 4000 5000 7000 DryView 8900 DryPro 793 AWS Model 1 8x10 0 2 4 0 3 3...

Страница 139: ...ntains the list of all the available DICOM printers that have been declared for printing Click on a printer in the list to select it Review Rooms contains the list of all environmental conditions of a...

Страница 140: ...m configuration Print mode can not be changed Fit to Film only Number of Copies box enter the required number of copies in this box Printing properties button click this button to open the Printing Pr...

Страница 141: ...graphe DS Other choices will incur printing errors Film size can be toggled between 8 in x 10 in and 10 in x 12 in 3 4 Printing status The Printing status window displays the status of the requested p...

Страница 142: ...rences Annotations panel see Chapter 8 Browser The illustrations below show the three models In each case the model is illustrated by a view with the chest wall to the right 3 6 1 FB view exception On...

Страница 143: ...wed by view data Image and exposure data at bottom Top and bottom annotation areas are aligned to the border opposite the chest wall This model does NOT contain all of the information required by the...

Страница 144: ...ution image and exposure data at bottom Top and bottom annotation areas are aligned to the border opposite the chest wall This model does NOT contain all of the information required by the Mammography...

Страница 145: ...tom right followed by exposure data The top annotation area is aligned to the border opposite the chest wall All bottom annotations are restricted to the image footer so as to avoid overlap with the i...

Страница 146: ...tion System Revision 1 Operator Manual 5307907 3 S 1EN Printing This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest rev...

Страница 147: ...format Images saved in this way may for example be passed to another radiologist for a second opinion CAUTION The Interchange Media option is NOT recommended for permanent archiving GE does not guara...

Страница 148: ...rect sunlight or in a hot humid environment These conditions can warp and damage the disk Use only a felt tip permanent pen when labeling Write only on the printed area or on the clear inner diameter...

Страница 149: ...t s to the CD R icon in the Net work panel OR Click on the Push button below the patient list on the Browser if the icon is not present it may be turned on by accessing Browser preferences from the To...

Страница 150: ...message appears next to the patient name if the associated information has not been saved If this occurs Make a list of the patients correctly saved and those with an error Insert a new CD R and repe...

Страница 151: ...on in the Network panel on the main Browser and select Query in the drop down menu to open the Media Browser In the Media Browser select the patient s and or exam s to be restored in the same manner a...

Страница 152: ...exams 2 3 2 Errors When restoring files the operation is halted if there is not enough space on the Workstation disk to restore the selected items patients or exams You can repeat the operation after...

Страница 153: ...he disk is not ejected automatically press the eject button If Detach is displayed in grey and no save or restore operation is in progress the archive device is already unlocked Press the eject button...

Страница 154: ...System Revision 1 Operator Manual 5307907 3 S 1EN Interchange Media This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest...

Страница 155: ...vent disease transmission Be sure to thoroughly clean and disinfect equipment surfaces that contact the patient and all equipment surfaces likely to become soiled during use The level of disinfection...

Страница 156: ...ft dampened cloth taking care not to allow liquids to enter the equipment Surfaces should be scrubbed as needed using a soft sponge gauze or cloth to remove all visible residue Scrubbing with a soft b...

Страница 157: ...Candida parapslilosis clinical isolate Citrobacter freundii ATCC 8090 Enterobacter aerogenes ATCC 13048 Enterobacter cloacae ATCC 23355 Escherichia coli ATCC 25922 Klebsiella pneumoniae ATCC 13883 Pro...

Страница 158: ...xception of Salmonella choleraesuis 1 6 2 High level disinfection CIDEX manufactured by Johnson Johnson Medical Inc Arlington TX U S A EPA Reg No 7078 1 EPA Est No 36126 PR 1 510 k K924434 DANGER CIDE...

Страница 159: ...12 Inspection Preliminary visual inspection of site 6 Visual inspection of equipment 6 Inspect the Radiation Screen 6 Generator Tube Remove Generator Covers 6 Clean Conditioner Air Filter 6 Check and...

Страница 160: ...system provides a high level of mammographic quality Frequency annually Procedures please refer to the Senographe DS QC manual Gantry cover check 6 Check Manual Compression maximum force 12 Check Gan...

Страница 161: ...ested material of the test object The thickness of the test object is not critical but values in the range of 3 to 5 cm are recommended Since the purpose of the test objects is to evaluate the paralle...

Страница 162: ...at and parallel within the 1 0 cm deflection limit 21 CFR 900 12 b 8 C or to extend the telescoping gauge in the event that the gauge pin does not contact the compression paddle with the pin fully ext...

Страница 163: ...to right 3 Apply a compression force of 11 to 12 daN 25 to 27 lb 4 Use the telescoping gauge to locate the lowest corner of the compression paddle closest to the sup port plate as shown in the illust...

Страница 164: ...ion exceeds the specified limits the paddle should be replaced 3 9 References 1 I Fife The physical dimensions of the compressed breast British Jnl of Radiology 64 73 1991 2 Handbook of Glandular Tiss...

Страница 165: ...rs due to temporary fault condi tions or attempts to use non permitted configurations It is usually possible to continue use of the system without reboot Sxx System exposure messages indicating condit...

Страница 166: ...es and inform GEMS Field Service E07 Please TURN OFF the console A generator emergency failure occurred but a second failure prevented the system from shut ting itself down 1 Note ALL messages 2 Switc...

Страница 167: ...messages and inform GEMS Field Service E20 Check Main Distri bution Rack Supply of Control Station and Detector environment circuits is not authorized 1 Power OFF ON from the X ray Console 2 If the p...

Страница 168: ...enough mAs available to con tinue exposure 1 Press the Exposure Interrupt button 2 Reposition the patient 3 Start exam again 4 If the problem continues note ALL messages and contact GEMS Field Servic...

Страница 169: ...er 2 If the problem persists power OFF the whole system and wait for the end of the shutdown sequence 3 Restart the system 4 If the problem persists note ALL messages and inform GEMS Field Service I18...

Страница 170: ...fore this time an abort may possibly occur there is a safety mar gin to ensure proper operation You can ignore the message if a different less dense breast is to be imaged next I29 Excessive mAs for t...

Страница 171: ...AOP sensing zone Ensure that no highly attenuating objects mark ers larger than 2 mm2 needles etc are inside that AOP sensing zone Ensure that the compression force and thickness measurements are cor...

Страница 172: ...fan I90 Auto Decompres sion is Off The automatic decompression mode has been inhibited by the user If auto decompress mode is wanted switch modes by changing the parameter in the Setup Medical menu Ot...

Страница 173: ...tton 2 Check image quality if image is displayed 3 Start exam again 4 If the problem persists power OFF the whole system and wait for the end of the shutdown sequence 5 Restart the system 6 If the pro...

Страница 174: ...e arcing events occurred but the system processed and displayed the generated image 1 See the message displayed when the Exposure Interrupt button is lit for more information 2 Press the Exposure Inte...

Страница 175: ...X ray beam quality It could be the paddle detection or the control of the following devices tube position focus size filter collimator and bucky Note that a more detailed mes sage is displayed for 5s...

Страница 176: ...ge Detection Controller system but communi cation should recover Wait until the Image Detector Controller system recovers S87 AWS IDC Commu nication failure AWS to Image Detection Control ler system c...

Страница 177: ...t and after each close exam even during review It is displayed because no appli cation is ready to get the image Start a new exam or QAP acquisition S96 System activity conflict A diagnostic or calibr...

Страница 178: ...t ready for acquisition after start up 1 Wait to see if the problem clears 2 If the problem persists contact your Field Service Representative AA5 Initialization not complete please wait A system init...

Страница 179: ...A12 System not ready exam forbidden A system component is not yet ready after system start up Wait until system initialization is com plete before requesting an acquisition AA13 UPS battery needs repl...

Страница 180: ...n not perform a new exam Disk system is full 1 Increase free space on disk system by deleting exams that have been archived 2 If the problem persists contact your Field Service Representative CC4 Imag...

Страница 181: ...m disk space is full 1 Close exam 2 Increase free space on disk system by deleting exams that have been archived 3 Perform system shutdown then restart system 4 If the problem persists contact your Fi...

Страница 182: ...button if you want to set another field of view FOV 13x23 The system informs the operator that the selected field of view is 13 cm deep and 23 cm wide Press the Field of View button if you want to set...

Страница 183: ...d 1 Power OFF ON from the X ray Console 2 If the problem persists note ALL messages and contact GEMS Field Service Flexible 19x23 paddle The system informs the operator that the 19x23 Phlexis paddle i...

Страница 184: ...em persists note ALL messages and contact GEMS Field Service A02 Compression force is applied Lift and rotation movements are not allowed because a compres sion force is applied Decompress the breast...

Страница 185: ...imum power driven force is 20daN use the Medical Menu to set a higher value A10 Motion stopped Multiple movements are requested The current movement is stopped because another non compatible movement...

Страница 186: ...n is available even using manual compression A25 Button disabled was pressed at boot Use other keypad or reboot A Gantry button was pressed dur ing the boot sequence while the Gantry checked its devic...

Страница 187: ...te It is not possible to perform any movement or image acquisition 1 Decompress the patient using the manual com pression knobs 2 Power OFF ON from the X ray Console 3 If the problem persists note ALL...

Страница 188: ...e ALL messages and contact GEMS Field Service H11 Reset the system Reload the SW The system is set in emergency mode An error occurred on the Gantry CPU the system is set in halt state occurred only d...

Страница 189: ...t state It is not possible to perform any movement or image acquisition 1 Decompress the patient using the manual com pression knobs 2 Power OFF ON from the X ray Console 3 If the problem persists not...

Страница 190: ...Compression brake failure The system is set in emergency mode The compression device is in fault state the system is set in halt state It is not possible to perform any movement or image acquisition...

Страница 191: ...persists note ALL messages and contact GEMS Field Service H34 Tube head com munication failure The system is in emergency mode Tube head control is not commu nicating the system is set to halt state...

Страница 192: ...ol but the speed pro file only Note ALL messages and contact GEMS Field Ser vice W12 Lift end position exeeded The Lift movement has stopped at a firmware limit but should have stopped before 1 Use li...

Страница 193: ...control but only the speed profile Note ALL messages and contact GEMS Field Ser vice W24 A button is pressed on the head keypad An arm movement control button on a X ray tube head keypad left or righ...

Страница 194: ...rol but does not allow knowledge of the absolute lift position A consequence of this error is that rotation movement will not be stopped in order to avoid collision with the floor None Be careful when...

Страница 195: ...nsole 4 If the problem persists note ALL messages and contact GEMS Field Service X09 Compression pad dle detection error The Gantry does not recognize the paddle The compression thickness can not be c...

Страница 196: ...is not possible to perform an image acquisition except during calibration Note ALL messages and contact GEMS Field Ser vice X15 Collimator com mand error The collimator device that posi tions the coll...

Страница 197: ...t correctly It is not possible to perform an image acquisition 1 Power OFF ON from the X ray Console 2 If the problem persists note ALL messages and contact GEMS Field Service Message on Gantry Readou...

Страница 198: ...n System Revision 1 Operator Manual 5307907 3 S 1EN Error messages This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest...

Страница 199: ...ng exposures up to 6 seconds 9 kVA Power factor 0 6 1 1 3 Input impedance The apparent resistance of the mains supply RL must be less than that which would cause a voltage drop of 6 at the maximum pow...

Страница 200: ...applied to the tube The mAs values are given by mAs Where T1 is the time at which the high voltage reaches 75 of its maximum value and T2 is the time at which the high voltage returns to 75 of the max...

Страница 201: ...that voltage 49 kV 61 2 mA Highest X ray tube current and the highest X ray tube voltage available at that current 100 mA 30 kV Corresponding combination of X ray tube voltage and X ray tube current...

Страница 202: ...AOP mode 2 8 Attenuation equivalence Attenuation equivalence for components in the X ray beam in accordance with FDA HHS 21 CFR 1020 30 measurements made at a potential of 100 kVp using an X ray beam...

Страница 203: ...3 3 Ambient light level Senographe DS monitors are adjusted for use in light levels up to 50 lux 4 Tube information Tube Cooling Curves and other tube specific technical parameters can be found in th...

Страница 204: ...n System Revision 1 Operator Manual 5307907 3 S 1EN Specifications This page is blank FOR TRAINING PURPOSES ONLY NOTE Once downloaded this document is UNCONTROLLED and therefore may not be the latest...

Страница 205: ...rol failure added Neph mess 1262 H34 Tube head communication failure added Neph mess 1265 W32 Take care floor anti collision is disabled added Neph mess 466 S59 Gantry device config not allowed Explan...

Страница 206: ...ctions Section 1 2 previous 1 1 General information renamed General information about disinfection 1st bullet after 2nd Caution replaced Do not use harsh detergents by Unless specified otherwise do no...

Страница 207: ...symbols page 5 WEEE labelling People s Republic of China Environmental Regulation RoHS labelling Earth ground labelling For Chinese version only Added Sub section People s Republic of China Environmen...

Страница 208: ...tware operation BO070713_DS ESS_IHEMEDAPP In chapter worklist section 2 Image Acquisition 2 1 Medical Proce dure Card the snapshot is updated to show Implant present check buttons Explanation added BO...

Страница 209: ...in FDA Feedback Date format Chapter 8 Section 5 1 and Chapter 9 Section 2 2 1 Created a translation correspondence table for months of the year Error messages Chapter 16 Tables 1 and 2 Deleted I07 S52...

Страница 210: ...ina 200131 Service Call Center 800 810 8188 777 4 B 200131 800 810 8188 For the most recent China Service Agent information please go to http www gehealthcare com cnzh contact address html Manufacture...

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