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General Description of

Digital Angiography System

BRANSIST safire/DIGITEX safire SP is the digital angiography system with direct conversion FPD

(Flat Panel Detector).

BRANSIST safire/DIGITEX safire SP, a combination of high quality digital imaging with low dose

exposures, provides fast and efficient operation for PCI and diagnostic studies.

This Operation Guide describes the basic operation of BRANSIST safire/DIGITEX safire SP

briefly.

For detailed information, refer to the following "Operation Manuals".

DAR-9400f Operation Manual

(M517-E063)

UD150G-40 Operation Manual

(M501-E058)

MH-200S Operation Manual

(M523-E016)

MH-300 Operation Manual

(M523-E014)

Please read and observe all safety precautions.

Symbols

The following symbols are used in this Operation Guide.

Symbols

Meaning

WARNING

Indicates a potentially hazardous situation which, if not avoided, could

result in serious injury or possibly death.

CAUTION

Indicates a potentially hazardous situation which, if not avoided, may

result in minor to moderate injury or equipment damage.

NOTE

Emphasizes additional information that is provided to ensure the proper

use of this product.

1, 2, 3, …

Indicates the operation in order.

1, 2, 3,

…

Indicates further details of above operation.

●

Indicates the operating description and items.

Indicates the result of operation.

Describes the points, notices and references of operation.

Содержание BRANSIST safire HC9

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Страница 2: ... M523 E016 MH 300 Operation Manual M523 E014 Please read and observe all safety precautions Symbols The following symbols are used in this Operation Guide Symbols Meaning WARNING Indicates a potentially hazardous situation which if not avoided could result in serious injury or possibly death CAUTION Indicates a potentially hazardous situation which if not avoided may result in minor to moderate in...

Страница 3: ...nge Fluoroscopy Radiography Program 24 HV Flip 25 Change Settings of Injection Delay 26 Recording Fluoroscopy Image 27 Adjusting Image 28 Adding Deleting and Displaying Reference Images 30 Related Operation for Study 30 Measuring and Analyzing 31 Operating DSA Tool 35 Printing Images 36 Closing Study 36 5 Administration 37 Managing Studies 37 Sending Studies 38 Writing to CD DVD 39 6 Trouble Shoot...

Страница 4: ...y Tube Collimator IVR NEO Catheterization Table CyberGrip or Cyber Console Local Console Foot Switch Examination Room Acquisition Monitor Review Monitor C arm Indicator C arm 1 System Components Examination Room ...

Страница 5: ... at the rear side of the grip C arm Rotation Selector Switch Direct Memory Switches C arm Travel Selector Switch FPD SID Switch Cyber Console Visual Field Selector Switch C arm Rotation Travel FPD SID Comfirmation Switch Release Switch on the side of the console Direct Memory Switches Stop Switch Catheterization Table Up Down Switch Tabletop Unlocking Switch ...

Страница 6: ...t Memory Switches Operate the C leaf of the Collimator by moving up and down Operates the H V Collimation The Collimator opens up when this is pressed down Operates the Compensation Filter in the Collimator Visual Field Selector Switch Center Reset Switch C arm Parking Switch ...

Страница 7: ...m and 2 Select the location of the C arm from this area 3 Press and hold to move the C arm to memory position How to use Direct Memory Function Cyber Console 1 Select a button from and 2 Select the location of the C arm from this area 3 Press and hold to move the C arm to memory position ...

Страница 8: ...g Fluoroscopy Image P 27 Start Stop Close Timer ON timer displayed on Acq monitor Image display Monitor Select ON Acquisition monitor selected Single Split Display ON Review monitor split vertically Left Right Focus ON right half of split Review monitor selected Reference Mode ON Reference Mode Cine Area Zoom ON Zoom the images only in the Examination room Other Save Still Image ON can save still ...

Страница 9: ...Power OFF Button Radiography Parameters Heat Unit Indicator Fluoroscopy Accumulated Time Fluoroscopy Density Button IBS Button BH Filter Number C arm Information X ray OFF Button Setting Button Accumulated Fluoroscopy Time Reset Button Aging Button Tool menu C arm Safety Switch Indicator Focus Switch Button Visual Field Switch Button Auto Manual Switch Button Radiography Density Button Photo Picku...

Страница 10: ...ion Monitor Study Information Acquisition Active Parameters Image Viewer Timer Comment Selected Digital Programs Ref is displayed in review mode Side Menu displayed when the mouse pointer is put on the left edge of the screen ...

Страница 11: ... Side Menu Study Information Image Selector Parameters Image Viewer Status Messages Selected Digital Programs LUT Cine Control Modes and Info Network Activity Comment Probe Signal Digital Program Pop up Menu Ref is displayed in review mode ...

Страница 12: ...nerator circuit breaker Make sure that power OFF button of the X ray generator console is lit Ensure FPD Digital Radiography System and X ray tube power supply are always on X ray Generator Console 2 Wait a minimum of 10 seconds after turning on the breaker and then press ON Starting up whole system Power ON Button 2 System Startup and Shutdown ...

Страница 13: ... is at the park position even though the fluoroscopy at park position setting is set to OFF In this setting X ray exposure by the foot switches and the hand switch is not available NOTE X ray Generator Console 1 Press on the Tool menu Aging window is displayed 2 Press Aging procedure is started The progress of aging is displayed When aging is complete the progress bar displays full X ray Tube Agin...

Страница 14: ...ress to pause aging Press to resume Press to cancel aging and press to confirm FPD Calibration Before calibrating FPD make sure X ray OFF on the X ray generator console is disabled X ray OFF Button CAUTION ...

Страница 15: ... is not lit press until it is to park the C arm 2 Move the Compensation Filters to the outside The Compensation Filters move away from the field of view 3 Move the tabletop out of the FPD field of view Calibration data cannot be accurately acquired if there is any object between the X ray Tube and FPD NOTE 2 Remove Grid Tabletop X ray Tube FPD Grid FPD ...

Страница 16: ...ompleted 6 Click Be careful X ray exposure is automatic during calibration CAUTION Put back the grid after calibration until you hear the clicking sound C arm will not operate if the grid is not put back correctly NOTE Click if you terminate the calibration before completing If you terminate the calibration be sure to calibrate again before acquisition NOTE To acquire accurate calibration data do ...

Страница 17: ...ed Digital Radiography System 3 Click A confirmation message is displayed 4 Confirm the message by clicking X ray Generator Console 5 Press OFF Make sure the OFF button is lit Circuit Breaker 6 Turn off the X ray high voltage generator circuit breaker Wait at least 20 seconds after turning off the X ray high voltage generator then turn off the circuit breaker Do not turn off power for the FPD digi...

Страница 18: ...s LAO RAO CAUD CRAN operation of the C arm Change the position of the C arm and move the FPD forward backward Up and down operation of Catheterization Table and Tabletop Lock Switches 4 Check the Safety Switch operation Actuation of the Safety Switch of the Collimator and FPD Operation of Stop Switches 5 Confirm the Image Field Size Selector While performing fluoroscopy change and confirm the fiel...

Страница 19: ... Study window is displayed 2 Input each items Be sure to input the items with a dot 3 Click Patient information will appear on the upper area of the main window Indicates Mandatory Items Patient Information 3 Start Study Input Patient Information ...

Страница 20: ...rection while pressing C arm rotates according to the direction of the grip 4 C arm Travel Move the grip in the up down direction or twist it in the left right direction while pressing C arm moves according to the direction of the grip 3 Rotation of C arm CRAN CAUD Twist the grip in the left right direction while pressing C arm rotates according to the direction of the grip 4 Fluoroscopy Radiograp...

Страница 21: ... C arm rotation selector switch C arm rotates according to the direction of the lever C arm Rotation Selector Switch lower on the far side 4 C arm Travel Move the C arm rotation travel lever forward backward or in the left right direction while pressing C arm travel selector switch C arm moves according to the direction of the lever C arm Travel Selector Switch upper on the far side 1 Backward For...

Страница 22: ... Move the table manually while pressing the unlocking switch CyberGrip Grip Switch Table Console 2 Raising of Catheterization Table Press Up switch Tabletop rises CyberGrip Table Console 3 Lowering of Catheterization Table Press Down switch Tabletop lowers CyberGrip Table Console Operation of Catheterization Table ...

Страница 23: ...m stop button appears on the screen To stop the buzzer press alarm stop button Radiography 1 Confirm the radiography program Modify the condition as needed Positioning shall be set by fluoroscopy Perform fluoroscopy more than 3 seconds 2 Press the radiography foot switch Examination room Radiography can be performed with the hand switch on the X ray generator console Depress the hand switch until ...

Страница 24: ... to select Selected parameter is set Fluoroscopy Radiography program presets and corresponding parameters are changeable These parameters can be changed at the digital processing system in the control room or at the IVR NEO IVR NEO P 8 Change Preset Parameters Fluoroscopy 1 Click or on the IVR NEO Preset Fluoroscopy parameters will appear 2 Select a parameter with either of the following operation...

Страница 25: ...lip images Flip horizontal Click the button again to change the setting back to normal Flip vertical Click the button again to change the setting back to normal 2 Perform fluoroscopy or radiography Reversed image is acquired It is selectable during fluoroscopy or radiography but it is valid on next acquisition Note that the acquired image cannot be reversed NOTE HV Flip ...

Страница 26: ...ing of live acquisition are set in advance for each acquisition program These values can be changed temporary during study according to the following procedure 1 Click Acquisition Delay window appears 2 Enter the delay time by seconds to one place of decimal and click 3 Click When select the acquisition program again default values will be restored NOTE Change Settings of Injection Delay ...

Страница 27: ...required beforehand NOTE Last N seconds Fluoroscopy Record 1 Perform fluoroscopy 2 Click or press on IVR NEO The latest fluoroscopy loop will be saved Direct Fluoroscopy Record 1 Click Make sure that selected Fluoroscopy Program is displayed 2 Perform fluoroscopy Fluoroscopy loop will be saved Direct fluoroscopy record can be operated with the digital processing system but not with the IVR NEO NOT...

Страница 28: ...y frame 4 Enhance the image Sharpness Right click increase Left click decrease Click both mouse buttons simultaneously 0 Convolution Right click increase Left click decrease Click both mouse buttons simultaneously 0 Negative positive conversion Deactivate all ﬁlters 5 Optimize the image brightness and contrast on the monitor Select any one of buttons 6 Zoom in and out the displayed image Right cli...

Страница 29: ...ard play same speed as acquisition Press more than 2 seconds Resume backward play same speed as acquisition Tilt and hold to the right Play frame by frame forward according to the speed of joystick angle when paused Larger the tilt angle higher the speed Tilt and hold to the left Play frame by frame backward according to the speed of joystick angle when paused Larger the tilt angle higher the spee...

Страница 30: ... to next loop and pause Tilt upward Go to previous loop and pause Switch Playback mode Review mode No Button Function 1 New study Start examination 2 Re synchronize the Reference monitor display to the acquiring study 3 Open previous study 4 Close the study 5 Display study information 6 Display comment menu Adding Deleting and Displaying Reference Images Related Operation for Study ...

Страница 31: ... object such as a catheter previously acquired with the same magnification as the analysis object The smaller reference object the thinner the catheter the greater the analysis error 1 Click button from Calibration menu 2 Select a catheter diameter on the image from the list or input a value mm 3 Click on 3 points along the catheter Calibration factor mm pixel will appear Measuring and Analyzing ...

Страница 32: ...reen 4 Specify the reference value 1 Click button from Manual menu 2 Click points on opposite sides of the part of the un stenosed artery The reference distance and percent stenosis are displayed Measuring a vessel diameter from angiography causes several errors Therefore do not diagnose or treat based solely upon this analysis result Use the analysis result as a reference value WARNING ...

Страница 33: ...ear 2 Perform calibration To perform calibration display the image of reference object such as a ball previously acquired with the same magnification as the analysis object The smaller reference object the smaller the ball the greater the analysis error 1 Click from Calibration menu 2 Input the ball diameter mm which is on the image 3 Outline the ball by clicking 3 points Calibration factor mm pix...

Страница 34: ...ts along the ventricular wall starting from the base of the aorta The outline curve is automatically created 3 Once the outline is specified to the opposite side of aortal base click the icon of the next projection to be drawn The outline that has been drawn to the current image will be recorded 4 Click The result of LV analysis is displayed This analysis is calculated with an approximation formul...

Страница 35: ... Switching ON OFF of subtraction 3 Resetting mask image 4 Executing reregistration Shift the mask image No Button Function 1 2 5 3 4 6 1 Moves the mask image upward 2 Moves the mask image downward 3 Moves the mask image left 4 Moves the mask image right 5 Return the mask image to the default 0 0 position 6 Select the value when moving less than 1 pixel Operating DSA Tool ...

Страница 36: ...36 1 Click Printer dialog will appear 2 Setting any required items such as 3 Click Printing is started 1 Click from Study menu Printing Images Closing Study ...

Страница 37: ...h Searches based on the search target set by the System and Drives buttons plus all search criteria 2 View Displays the selected study or studies in the Image Viewer window 3 Series When a study is selected in the Study List Series displays all study series types contained in this study 4 Send Sends selected studies to another server or system ...

Страница 38: ...ars click OK Sending Studies No Button Function 5 Info Displays detailed information about the selected patient 6 Delete Permanently deletes the unprotected studies selected from the local system 7 Write Prepares and writes the selected studies to CD DVD 8 Protect Protects the selected studies from deletion 9 Unprotect Removes protection from selected studies ...

Страница 39: ...ert a blank disc to the writer 3 Insert a blank disk Media Writing dialog box appears Volume name is changeable 2 Click Writing is started To cancel a media write click on the side menu of the Image Viewer window Do not write to media during a study only write to media after study completion NOTE Writing to CD DVD ...

Страница 40: ...isplay to ensure normal operation NOTE Safety Switch Proximal sensors are mounted around the FPD and touch sensors are mounted on the FPD front cover and the collimator cover When these sensors are tripped the movement of C arm and catheterization table stops Use care and caution when operating the CyberGrip and pressing the release switch to free the C arm from collision FPD backward movement is ...

Страница 41: ...om 1 Press and hold the Power button for at least 5 seconds The power goes off Cabinet Equipment Room 2 Open the switch cover in front of the cabinet and press the Power button for at least 5 seconds The location of the power button varies at different periods of delivery as following figures Acquisition computer is turned off X ray Generator Console 3 Press OFF X ray high voltage generator and C ...

Страница 42: ...e once shut down the system and then re activate the system according to the Startup procedure P 12 or Chapter 3 3 described on DAR 9400f Operation Manual M517 E063 The system is designed to minimize data loss by power failure however it cannot be restored the acquisition image on power failure After the system restores the previous study on power failure re activates automatically NOTE To restart...

Страница 43: ...D R or DVD R media are used as patient data archive re write all unsaved patient data to new CD R or DVD R If not please contact Shimadzu service representative No available cache Cannot retrieve media information Confirm whether the media is inserted properly Cannot write DICOMDIR to CD R DVD R No patient has been added Confirm that writable media is inserted Character XX is not valid Try other c...

Страница 44: ...Temperature Over Cooling Unit Water flow error Error of HV power temperature of FPD Error of HV power electric current output of FPD HV and DC power of FPD shut down immediately Fluoroscopy and radiography become disabled HV and DC power of FPD shut down immediately Fluoroscopy and radiography become disabled Error of FPD cooling unit water flow HV and DC power of FPD shut down after 30 minutes DC...

Страница 45: ...ssing RESET key contact Shimadzu service representative I F Over Radio Over Current Measured kV Over Starter Error Radiography tube current exceeded set value by 200 mA Abnormal filament heating current Measured tube voltage exceeded permitted range Starter failure Contact Shimadzu service representative Arcing Trouble Line Voltage Over Charge Volt Error Power Down Supply voltage exceeded permitte...

Страница 46: ...ger of X ray tube is stopped Contact Shimadzu service representative LX Tube Water Level Warning Water volume of heat exchanger gets low representative Contact Shimadzu service representative It is possible to perform radiography though this warning message is displayed Error Messages at Power ON Contact Shimadzu service representative Panel Battery Warning The data recording battery in the operat...

Страница 47: ...vice representative Motor Error XXX Motor command fail to drive the motor Camera Rotation Error Error of FPD rotation potentiometer Collimator Error XXX Error of the collimator potentiometer Collimator Rot Error Error of collimator rotation potentiometer Limit Error XXX Detects the limit switch activation Ask Shimadzu service representative to readjust the limit switch It is possible to operate th...

Страница 48: ...reak in the stop switch circuit is detected One of the doubled circuits is out of order Although the equipment is available for the temporary use contact Shimadzu service representative immediately Initial Input Error Release All Switches Any switch may be pressed during startup Release all the switches and reset the equipment When operating the system by holding down the release switch the collis...

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