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User`s manual

1. ox O om mm mo ow 23m A m m om O s Ouanna Eee sokv E e s gt men men C User s manual Control Panel C306 40 C306 41 n 0078 Ver ENG Rev K13 While every care is taken to ensure the description and illustration accuracy in this publication factory reserves itself the right to make any change in equipment design considered being in the interest of its customers without notice it LLL CE NOTICE The safety of both patient and operator was a major consideration in the design and manufacturing of this equipment The equipment will function reliably when operated maintained and repaired according to the instructions in this manual Misuse however could result in hazards to patient operator and or equipment CONFORMITY CERTIFICATION Manufacturer certifies that X ray generator series R306 3x R306 4x is in accordance to European Medical Directive MDD 93 42 and it meets all the requirement asked by tubes or subassemblies that complies with this regulation only if controls and requirement are strictly observed and tubes calibrated in the working range specified by tube X RAY DIAGNOSTIC SYSTEMS MECHANICAL and ELECTRICAL SAFETY All moveable assemblies and parts of the unit should be carefully operated and routinely inspected according to the Operator and Maintenance Manuals Only properly trained and qualified people should have access
2. N N High Definition Low Speed High Dose Slow Combination NI page 26 0078 Ver ENG Rev K7 2005 06 01 14 41 11 Tube 0 Oks 0 mGy cm2 In Last Exposure Data summary window following data are shown 2005 06 01 14 41 11 DATE and TIME of last exposure activity hi left side NOTE Request Technical Service to modify it during time change periods RADIOGRAPHIC PARAMETERS on right High Voltage High Voltage Current Current time product Global Run Time time passed since I step where pressed Number of Exposures in Run Time number of exposures made keeping pressed the I step ANODE TUBE HEAT Expressed in RELATIVE percentage of maximum thermal capacity and ABSOLUTE expressed in kJ The keys Print Data label Re print last label 0078 Ver ENG Rev K7 page 27 O Start Automatic Data Window show after exposure H Aa Pressing S Following window is open Here is possible to write 2 lines of up to 40 characters printed in the top of the label Stop Automatic Data Window show after exposure Close Data window AS DFIGHJKL ZXCVBNM lt Press the line you want to write to it will change color to selected color In case Dose Area product meter is present and configured the Last Emission and Cumulated Patient Dose are displayed Values are expressed in mGy cm Printing the label the Cumulated Patient Dose is reset
3. page 28 0078 Ver ENG Rev K7 4 Intermittent Mode Data Programming 4 1 Programmed Memory Selection 4 1 1 APR Program Selection The portion of screen dedicated to Programmed Memory Selection is divided into three parts e Program Selection e Memory bank selection e Programming Utility Store and Delete Program section depends on the Working Station selected by the user e Three Banks of Memory pro each working Station e Fight programs for each memory bank R306 3x has 4 Working Stations up to 3 accessories I direct so 96 Programs R306 4x has 5 Working Stations up to 3 accessories so 120 Programs Working Stations Selection rR m Using keys it is possible to select a specific Working Station according to position and icon selected during installation process Memory Bank Selection Using NOTICE Not Selected 0078 Ver ENG Rev K7 page 29 Program Selection c O CRANIO LATERALE AP OCCIPITALE FRONTALE Use the keys to select a memorized program Notice Only pre memorized programs are visible and selectable The program can be described using two lines of characters containing 12 characters each the upper is generally used fro the Organ description the lower is generally used for the projection description While selected the memorized program turns in selected mode selected color and appears the patient parameterization control Thin Normal
4. DC lt 100 gt EXP time EFFECTIVE X RAY TIME lt COMMAND time New Garbage icon to clear the cumulated dose for next exam 0078 Ver ENG Rev K7 page 65
5. Exposure Time 100ms 423 w Using san gt keys it is possible to adjust the duration of the tube emission for next exposure expressed in s using permitted tube value in R10 step scale Significant values are the one which gives a value of Current Time product within interval 0 4 mAs 600mAs 3 1 2 2 Points Technique 000 og Use key to select 2 point technique It is possible to ad just every parameter relative to next emission in term of High Voltage Tube Value 80kV gt Using keys it is possible to adjust the High Voltage Value for next exposure expressed in kV from a minimum of 40kV to the maximum value permitted by the Tube up to a generator maximum of 150kV in 1kV step value High Voltage Current Emission Interval product Using keys it is possible to adjust the High Voltage Tube Current time product Value for next exposure expressed in mAs using permitted tube value in R10 step scale page 22 0078 Ver ENG Rev K7 3 1 3 Automatic Exposure Control Technique During installation phase if Automatic Exposure Control Option is present it is possible to select the technique between 1 and 2 points To use AEC technique press key One Point Automatic Exposition Technique 80kV gt 320mAs BGG a gt Aa lt gt It is possible to ad just every parameter relative to next emission in term of High Voltage Tube Value 80kV amp x gt Usin
6. maximum kV value defined during installation Ew absolute Maximum the High Voltage Current variation is a function of the actual kV value KV value can be controlled by an external ABC in an Automatic mode or adjusted in 1kV step range using the console controls ana gt 5 1 3 Free parameters Free parameter method let you freely select the kV and mA ratio using and keys to control the radio parameters High Voltage Current values depend on installation characteristics The starting point is common and 0 5mA than the maximal value for 306 3x generator class is 5mA and 8mA per R306 4x generator class Both the value SmA or 8mA can be reduced during installation according to tube room devices characteristics Starting from a minimum of common to every combination of Generator Tube till a maximum kV value defined during installation Ew absolute Maximum the High Voltage Current variation is a function of the actual kV value KV value can be controlled by an external ABC in an Automatic mode or adjusted in 1kV step range using the console controls lt lt gt page 44 0078 Ver ENG Rev K7 When regulation reaches the edge of kV 40kV for the minimum 100kV 110kV 120kV for the maximum the mA are changed 40kV mA decreased Max kV mA increased 5 2 Intermittent Fluoroscopy When High Voltage Generator R306 3x or R306 4x is installed with a television chain which uses the Last image Hold f
7. I and O keys on the control console The same error can happen when the external accessory asserts a ready state before the generator s state question In this case call the technical service for a system revision If the problem remains call the technical service indicating the ALARM CODE 172 ax Press key to proceed Reduce kV and or mA if in AEC 2 points and do the exposition again If the problem remains call the technical service indicating the ALARM CODE 173 page 16 0078 Ver ENG Rev K7 COD 174 175 MESSAGE Safety Supervisor Device in Alarm State Alarm COMCONS CANBus link Lost between Control Console and Power Rack Action ar Press key to proceed Annotate the code written on the control console Generally the error is related to main power supply failure ask your electrical staff to check for line phases fuses if present If 1t happens call the technical service indicating the ALARM CODE 174 Release the hand switch at the end of the exposure sequence of exposures and check that it is released Sa Press key to proceed If it happens call the technical service indicating the ALARM CODE 175 2 7 Working Stations Accessories Selection id On R306 4x On R306 3x The working stations are identified during installation using the following symbols described in the table WORKING S
8. The Control Console is connected to the microprocessor located in the power rack via Controlled Area Network Bus over a cable carrying all the necessary machine status information All the functions are controlled via the various microprocessors standing on the network during all the working phases the operator is instantaneously informed of the machine status in progress using icons and color lights 1 4 Programmed Memory The term Program stands for an series of values stored in a computer location in which it is described the way the generator have to be set for the specific job Every program is associated with two 12 characters strings for easy user recall In every program are stored all the useful parameters such as kV mA time working stations predisposition for AEC X Ray tube continuous mode preset and so further These values can be adapted to three patient sizes according to its structure normal thin obese using the proper control At any time the pre programmed parameters can be corrected on the control console according to the operator decisions The programs available are as follows e 8 Programs per screen e 3 banks per working station 24 programs per working station e 5 working station on R306 4x or 4 working station on R306 3x For a total of 120 memory location on 3 patients 360 programmable working ways 1 5 Patient Oriented Anatomic Selection The term Anatomic Program is
9. ar key to reduce the High Voltage Current Time product value till icon appear mA ae gt gt Radiography In 3 points technique use cata gt key or cata gt key mAs value mmea 3 under the minimum permitted O in 2 points technique use l gt key to increase the High Voltage Current Time product value till icon appear Instantaneous Power mig m KN Exceed Acton aaa e Fa key or atl key to 4 the maximum permitted z i y reduce the High Voltage tube load till amp amp icon appear Rad hy adiograpny Act on add e a key or Cada key to 5 Power Overload E reduce the High Voltage tube load till amp 4 icon appear meg m E X Ray Tube G 6 Thermal Act on lt a lt cate key or lt medl key to Overload reduce the High Voltage tube load till icon appear Filament Lighting a 7 Computation Act on to change the current focus not possible If the problem remains call the technical service indicating WARNING CODE 7 page 8 0078 Ver ENG Rev K7 COD MESSAGE Back Up Memory Corrupted ACTION g7 Act on to reload the initial configuration If the problem remains call the technical service indicating WARNING CODE 8 Auto Powering OFF the Generator in 30 seconds No exposure made in 60 minutes the generator will shut down automatically in 30 seconds Press to keep the generator ON 10 Powering OFF the Generator Wait for the
10. control console to switch off then press I key to switch the generator on again 11 O XRLink Protocol Transaction Error NO CANBus Processor REPLY Error in generator initialization Call the technical service indicating WARNING CODE 11 12 13 14 O XRLink Protocol Transaction Error UNKNOWN COMMAND O XRLink Protocol Transaction Error COMMAND UNDONE O XRLink Protocol Transaction Error TX TIMEOUT Error in CANBus transmission NOTE retransmission is automatic If the problem remains call the technical service indicating WARNING CODE 12 Error in CANBus transmission NOTE retransmission is automatic If the problem remains call the technical service indicating WARNING CODE 13 Error in CANBus transmission NOTE retransmission is automatic If the problem remains call the technical service indicating WARNING CODE 14 15 O XRLink Protocol Transaction Error RX TIMEOUT Error in CANBus transmission NOTE retransmission is automatic If the problem remains call the technical service indicating WARNING CODE 15 16 Stop Emission Quick pre release of Accessory Reply Verify to keep closed the I and the II step during the whole radiographic exposure If the problem persists call the technical service indicating WARNING CODE 16 17 Stop Emission Quick pre release of Emission Switch Verify to keep closed the I and the II step
11. different absolute points make a program e The NOMINAL THICKNESS POINT e The MINIMUM THICKNESS POINT e The MAXIMUM THICKNESS POINT procedure pressing the key 0078 Ver ENG Rev K7 page 39 The Nominal Thickness Point is the correct High Voltage value for a standard radiography on the specific organ of a normal size man The Minimum Thickness Point is the correct High Voltage value for a standard radiography on the specific organ of the significant thinnest patient The Maximum Thickness Point is the correct High Voltage value for a standard radiography on the specific organ of the significant largest patient Minimal Nominal and maximum patient size are well described in anatomy literature High voltage value for those patients can be defined in first approximation using the following rule e The Thickness Value both for Nominal Minimal or maximal measured in centimeters is multiply by 2 e The result is added to 30 if the exam is in a Abdomen Zone 40 if the exam is in a Scheletric region 50 if the exam is in a Thoracic region e The result is in first approximation the right value of kV to be input for a correct exposition The values obtained for the three points using this rule is input in the screen greed show in previous picture Exposing and using practices the values can be changed according to the result on film following a few easy rules Darkness vs High Voltage Value kV To INCREASE film darkness in a
12. during the whole radiographic exposure If the problem persists call the technical service indicating WARNING CODE 17 0078 Ver ENG Rev K7 page 9 COD 18 MESSAGE Stop Emission Quick pre release ACTION Verify to keep closed the I and the II step during the whole radiographic exposure of Preparation Switch If the problem persists call the technical service indicating the WARNING CODE 18 19 Stop Emission Angiographer Sequence Call the technical service indicating WARNING CODE 19 requested on Priority 20 Stop Emission cause Alarm Verify the alarm message 2 6 Alarm Messages Alarm messages which follow this icon described in following table Remove the alarm cause to keep on working and this window description are cop MESSAGE ction 127 128 129 130 lonizing Radiation can be dangerous for patient and operator Anatomical Program Not Existent Potter Reply Time out Tomography Input Error Welcome message Press key to proceed Store a program in selected position ax Press key to proceed Verify that the accessories are switched on and working well ax Press key to go on If the problem remains call the technical service indicating the ALARM CODE 129 Verify that the accessories are switched on and working well we Press key to go on If th
13. there is no possibility to undelete it E Always request to your Technical Service to make a Back Up of the configuration including the program Memory in their back up they should retrieve your lost data Program store screen it is possible to modify the radiological parameters specific to patient size parameterization to be used in the selected program once retrieved Settable parameters depend on the radiological technique used before calling the programming E Ex 1 3 Points technique large patient set kV mA and time BAKV gt im 4 160mA gt h 250ms gt Ex 2 2 points technique thin patient set kV mAs Gud 1 dond I Ex 3 1 point AEC technique normal patient Set kV mAs limit utility pressing the key Ex 4 2 point AEC technique large patient set kV mA mAs limit Qo h G page 36 0078 Ver ENG Rev K7 Once set the parameters pressing a program key it starts the storing procedure It appears on the screen a virtual keyboard containing two editable lines Select the line you want to write on simply pressing it Suggested convention is 1st line ORGAN NAME 2nd line PROJECTION QWERTYUIOP ASDFGHJKL ZX CVBNM lt Type the name remember that is useful to delete typing mistakes and press the edit lines to change between organ name and projection then accept the typed program name by pressing A key Listen to an acoustic beep and wait the screen go back to operati
14. visible way using fixed mAs 2kV when memorized kV is between 40kV e 50kV 3kV when memorized kV is between 50kV e 7OkV 4kV when memorized kV is between 70kV e 90kV 5kV when memorized kV is between 90kV e 110kV To DOUBLE film darkness using fixed mAs 6kV when memorized kV is between 40kV e 50kV 9kV when memorized kV is between 50kV e 7OkV 12kV when memorized kV is between 70kV e 90kV 15kV when memorized kV is between 90kV e 110kV Film Too Dark The whole dose is too high If you can see in a satisfying way the scheletric details it is possible to reduce the mAs memorized e If an Automatic Exposure Control is used reduce the Darkness parameter e If 2 points technique is used reduce mAs e If 3 points technique is used reduce mA or ms Another chance is to use the same dose and reduce the number that identifies the system Film Screen 200 300 500 Film Too Light The whole dose is too low page 40 0078 Ver ENG Rev K7 If the whole darkness is too light it is possible to increase the whole mAs e If an Automatic Exposure Control is used increase the Darkness parameter e If 2 points technique is used increase mAs e If 3 points technique is used increase mA or ms Region of Interest Too Light If darkness in the peripheral zone of the Region of Interest is correct but the ROI is too light it can be an insufficient beam penetration factor In this case the value of kV is too low Increase kV value to ge
15. 1t was selected Delete the relative program will be deleted otherwise will be stored the actual data in that position page 38 0078 Ver ENG Rev K7 Program delete i The Delete Procedure is start pressing the trash can key i Pressing the trashcan key the icon changes to Program to advise that next operation is delete a It is possible to exit without deleting any program by pressing key or proceed to delete one of the 18 programs present on the screen Summary press 6 then ES to delete the first program in memory bank A Notice that once the program is deleted there is no possibility to undelete it E Always request to your Technical Service to make a Back Up of the configuration including the program Memory in their back up they should retrieve your lost data Program Store Storing a program means save the actual configuration of the generator Working Station Tube and parameterize some other values before saving it to memory ES NEW PROGRAM Select the working station then press to build the program PROGRAM MODIFICATION Select the Anatomic program you want to modify then press E key In next screen it is possible to modify the specific parameters that define the relationship between Thickness and High Voltage values in the three nominal points memorized in the specific program Modifiable parameters depend on Radiological Technique selected before starting the store Three
16. 3 2 Focal Spot Selection GU Focus dimension depends on installed tube In standard bifocal tube the foci are identified in e SMALL 0 3mm Imm e LARGE Imm 2mm According to international standard the symbols chosen for the two categories are listed below ICON Small Focal Spot Large Focal Spot page 24 0078 Ver ENG Rev K7 3 3 Automatic Exposure Control Option 3 3 1 AEC controls SS a a Ha lt gt AEC control is divided into three parts Dominants Zone selection SELECTED LEFT DOMINANT r CENTRAL DOMINANT EE RIGHT DOMINANT a Darkness Correction It is possible to correct the darkness in 7 different levels The central position is the 100 of the darkness as it is programmed during installation process Variation can be made from 50 to 200 following the R10 progression TIME SELECTION DARKNESS INDEX 50 3 Half LJ 0078 Ver ENG Rev K7 page 25 80 100 0 Nominal 125 1 160 2 200 3 Double Film Screen Combinations needs 3 4 Last Exposure Data Summary Window Standard combination listed below can be overwrite during installation process according to site DESCRIPTION ICON Low Definition High Speed Low Dose Fast Combination Intermediate Combination Normal Definition Normal Speed
17. C TECHNIQUE SELECTOR FLUOROSCOPIC PARAMETERS 5 00 3 2 3 Generator Status Generator status is identified with several icons the GENERATOR STATUS ICON display HANDSHAKE Initial link try out between control console and power rack STAND BY Parameters modify status RADIOGRAPHIC EXPOSURE REQUEST Pressing the I Step discrete key on the control console or an optional hand switch the generator changes status from STAND BY to this state READY FOR EMISSION When the II Step key is pressed within the I Step key pressed the new state is this Now the generator is waiting for an external command to start exposure IONIZING RADIATION EMISSION in RADIOGRAPHY The tube is emitting radiation At the end of exposure will follow an acoustic signal beep FLUOROSCOPIC EMISSION REQUEST When the Fluoroscopy footswitch is pressed the new state is this Now the generator is starting the continuous mode emission IONIZING RADIATION EMISSION in FLUOROSCOPY The tube is emitting radiation After the timer set period is expired an acoustic signal beep informs the user to switch off emission or reload the timer page 6 0078 Ver ENG Rev K7 HIGH CONTRAST FLUOROSCOPIC EMISSION REQUEST When the Fluoroscopy footswitch is pressed the new state is this Now the generator is starting the pulsed mode emission IONIZING RADIATION EM
18. CU switch in Setup Position it is possible to switch on the generator accessing a special configuration screen Follows a description of this feature 8 1 LANGUAGE SELECTION an icon it is possible to change the USER s language no language just CODED MESSAGES al User s messages language is ENGLISH 2 User s messages language is ITALIAN E User s messages language is FRENCH 4 User s messages language is SPANISH 8 2 INITIAL SETUP CONDITION RELOAD Pressing le icon it is possible to reload the generator s initial condition see technical manual for details 8 3 ANATOMIC TECHNIQUE SELECTION Pressing i icon it is possible to setup the way the anatomic program are strored retrived used in operative control console page 54 0078 Ver ENG Rev K7 For operative details of the various technique see a detailed explanation in User s manual NOTE Every time a parameter in this section is changed switch OFF and ON again the generator to let is actuate the changes made NO ANATOMIC TECHNIQUE The anatomic technique is Blank APRs allowed WORKING STATION LEVEL MEMORY TECHNIQUE In this case every working station have a memory of programs user s changeable MEn WORKING STATION LEVEL MEMORY TECHNIQUE PROTECTED PROGRAMS In this case every working station have a memory of programs NOT user s changeable 1 e Notice that Memory
19. Control Electronics Switch ON irene aiina aaa ea aia aa jeg navne 4 2 1 2 Power Electronics Swich0N aida 4 213 Generator Sv OP e e a a ec a a a RAE 4 2 1 4 Reload Installation Condition scicininiaiinicar iii dia datado ld 4 2 2 User Pa el Main Screen viii ideas 5 23 E SALS 6 2 4 Ionizing Radiation Emission Indication ssnnonronvvnrenvnneennnnsenrnnsennnnrennnneenrnnesrresesrsnssnrsesennn 7 2 5 Warning Message iii ada iaa 8 2 6 Alarm Messi 10 27 Working Stations Accessories Selectionrnuqsugsnmsre Beige se cndes lt dchaedousetaessee dyaeeandeanes 17 3 Intermittent Mode 21 3 1 Radiosraphie Techniques OIE E E Ra 21 SL POTS Technique ad rea decd ERA a A E TTS 21 3 1 2 2 Points Techo QUE viii A E a 22 3 1 3 Automatic Exposure Control Technique assnvransvversnvrernnvresnnvssansvrssnnrssannsrssssvssansvenesnene 23 2 FS a A eine Gisela TET 24 3 3 Automatic Exposure Control Option cceeccceessecessecesceceesceceeeneeceeeeecseeeeceeeeecsteeeenaeees 25 IBT MECOM Se 25 3 4 Last Exposure Data Summary WI 26 4 Intermittent Mode Data Programming 29 4 1 Programmed Memory Selection 1 s ciccdisecescasisovsccudvasecsaseacedsasegesecashaseeeabecseutaneosacdabndcneenanevies 29 41 1 APR Program SE lEGHOM ad cazessiescetasndessacteevsniagbeidy eaavieenadeqguadavis serve sane deesuehenenate 29 4 2 Prom USS 30 4 2 Programmed Anatomic Selection pass ass ANGA 33 4 2 1 Patient Size oriented Program Selection arnrnronnvnvonvn
20. ISSION in HIGH CONTRAST FLUOROSCOPY LAST RADIOGRAPHY EXPOSURE DATA WARNING The tube is emitting radiation After the timer set period is expired an acoustic signal beep informs the user to switch off emission or reload the timer This is a Stand By state having data to be print from last exposure Press the icon to learn more about the tube status There is an error in parameter setting Press the icon to learn more about the actual warning Or simply look at the parameters display the one in negative are the wrong parameters ALARM There was there is an alarm Press the icon to learn more about the actual alarm Call the local technical service to ask for the possibility to keep on working Press on the opened window to reset the alarm 2 4 lonizing Radiation Emission Indication the central part of the screen according to following image has 0078 Ver ENG Rev K7 page 7 2 5 Warning Message Warning messages are identified by icon and described in the following table It is possible to have a description of the warning pressing the icon Remove the warning cause to keep on working COD MESSAGE ACTION Radiography s 147 E 1 eee Use cata to reduce the High Voltage value till 64 the maximum E icon appear mA ae Radiography In 3 points technique use lt cata key or lt arl key 9 mAs exceed lt mg th i se T or in 2 points technique use
21. Large patients icons Changing a value in radiography control will turn the status from Program Mode to Free selection the patient parameterization disappears and the selected program name turns to unselected colors Patient Parameterization selector DESCRIPTION ICON Thin Patient Large Patient Normal Patient i 4 1 2 Programming Utilities Gy Al Pressing utility key 1t is possible to access the Program Store Delete screen page 30 0078 Ver ENG Rev K7 Notice If the memory is protected in installation process the key isn t visible and selectable qu Dt Emp mk Se E oe oS Here 3 groups of 8 keys are present starting from left to right the groups represents the memory banks called A B C TA ve g To start the operation selected press the memory key if it was selected Delete the relative program will be deleted otherwise will be stored the actual data in that position Program delete ib The Delete Procedure is start pressing the trash can key gt Pressing the trashcan key the icon changes to Program to advise that next operation is delete a It is possible to exit without deleting any program by pressing key or proceed to delete one of the 24 programs present on the screen Summary press d then ES to delete the first program in memory bank A Memory bank A becomes 0078 Ver ENG Rev K7 page 31 Notice that once the program is de
22. M DOORS ARE CLOSED DURING PREPARATION AND EXPOSURE ax Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 139 0078 Ver ENG Rev K7 page 11 COD 140 141 142 143 144 145 146 MESSAGE IRM Signal Inactive Exposure Meter Dose Level Too Low X Ray Hand switch Released before Radiography End Exposure Meter Stop Signal Inactive Tomography First Step Released Tomography Second Step Released Tomography Accessory Activity Time out Action ar Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 140 key to proceed INCREASE RADIO kV and or mA if AEC in 2 points and redo the exposure Press Try several times If the problem remains call the technical service indicating the ALARM CODE 141 NOTE No Film change is needed the film wasn t impressed Press key to proceed KEEP THE HAND SWITCH PRESSED DURING ALL THE EXPOSITION If the problem remains call the technical service indicating the ALARM CODE 142 Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 143 Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 144 key to proceed KEEP THE HAND SWITCH PRESSED DURING ALL THE EXP
23. OSITION If the problem remains call the technical service indicating the ALARM CODE 145 Press Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 146 page 12 0078 Ver ENG Rev K7 COD MESSAGE Action Tomography Press key to proceed 147 Unable to rise High Voltage value If the problem remains call the technical service indicating the ALARM CODE 147 Tomography Press V key to proceed 148 Unable to reduce High Voltage value If the problem remains call the technical service indicating the ALARM CODE 148 Radiography Press key to proceed 149 High Voltage Current outside Compliant Interval If the problem remains call the technical service indicating the ALARM CODE 149 we Radiography f Press key to proceed 150 High Voltage value outside Compliant Interval If the problem remains call the technical service indicating the ALARM CODE 150 High Voltage Press S key to proceed 151 Forced Extinction code OAB If the problem remains call the technical service indicating the ALARM CODE 151 Press key to proceed Fluoroscopy WAIT A FEW MINUTES TO COOL DOWN 152 Tube THE TUBE ANODE BEFORE NEXT Thermal Overload EXPOSURE If the problem remains call the technical service indicating the ALARM CODE 152 Press key to proceed Fluoroscopy 153 Unable to Compute or E Filament lighting Act
24. TATION ACCESSORY ICON Recorder 8 Main Control Panel Vertical Radioscopic Stand 0078 Ver ENG Rev K7 page 17 WORKING STATION ACCESSORY ICON Vertical Radiographic Stand Horizontal Radiographic Table Photo Fluorographic Stand R E Photo Fluorographic Camera Tomograph Tilting table with Tube Above Tilting table with Tube Below Fixed Anti scatter Grid Moving Anti Scatter Grid Direct Radiography Seriograph page 18 0078 Ver ENG Rev K7 WORKING STATION ACCESSORY ICON Film Changer ES I Biplane Film Changer S Simultaneous Biplane S eS PE q Alternate Biplane Standing Accessory Ceiling Accessory Urologic Table Craniostat C Arc U Arc Mammography 0078 Ver ENG Rev K7 page 19 WORKING STATION ACCESSORY ICON Light Intensifier Injector No Radiation Tomography simulation Tomography with Radiation Spot Puck m 0 M DO Computer page 20 0078 Ver ENG Rev K7 3 Intermittent Mode Intermittent Mode is identified by following icon Radiography Mode and it is usually known as There are various parameters that identify the single exposure and several ways to combine them Those way to identify the parameters
25. Utilities Key is not present on screen PATIENT SIZE ORIENTED ANATOMIC PROGRAM TECHNIQUE In this case body is divided into several levels of organs and projections The accessory Working Station is memorized into the Anatomic Program 0078 Ver ENG Rev K7 page 55 Patient size parameterization is made by 3 patient sizes 4 PROTECTED PATIENT SIZE ORIENTED ANATOMIC PROGRAM TECHNIQUE 3 Equal to but Anatomic Programs are FREEZED no way for the user to CRANIO modify the programs Notice that Memory Utilities Key is not present on screen THICKNESS ORIENTED ANATOMIC PROGRAM TECHNIQUE In this case body is divided into several levels of organs and projections The accessory Working Station is memorized into the Anatomic Program Parameterization is made by patient s projection thickness PROTECTED THICKNESS ORIENTED ANATOMIC PROGRAM TECHNIQUE page 56 0078 Ver ENG Rev K7 Equal to but Ana TE tomic Programs are FREEZED no way for the user to RANIO modify the programs not present on screen Notice that Memory Utilities Key is 8 4 INITIAL MESSAGE ACCEPTANCE MODE Enter EN Key defines the way the initial welcome message pops up when pressed two options are possible User THE DEFAULT welcome message visible generator in idle state until user s press on OK key Automatic A When switched ON th
26. a memorized series of value associated to two strings of six characters each standing for Organ name and Exposure Projection When a program is selected the generator automatically sets according to the memorized values including Working Station X Ray technique Selected tube Fluoroscopy mode These values can be adapted to three patient sizes according to its structure normal thin obese using the proper control An alternative is selecting the organ and the measured patient thickness expressed in millimeters At any time the pre programmed parameters can be corrected on the control console according to the operator decisions The programs available are as follows page 2 0078 Ver ENG Rev K7 8 Anatomic levels 3 memory banks per Anatomic Level 6 Organ Projections combination per memory bank Every parameter is user assignable over 144 Organ Projections combination assignable to 3 patients size for a total of 432 programmable locations Using the thickness technique infinite virtual combination is available 1 6 User selection Free Technique Every single modification of a programmed value changes the generator status to Free Technique the starting values are the ones memorized in an anatomic program freely changeable 1 7 Automatic Exposure Control Technique Automatic exposure control chamber is automatically chosen when the associated working station is selected Up to three dominant z
27. are known as radiological techniques Techniques can be Manual 3 Points and 2 Points All parameters are chosen manually Semi Automatic 2 Points AEC assisted 1 Point AEC assisted A few parameters are chosen manually the rest is automated Automatic 0 Points The parameters are a function of the previous Continuous Mode steady state Manually or Automatically set Manual and Semi Automatic techniques are best known as Radiographic Techniques 3 1 Radiographic Techniques Radiographic Technique is freely selectable for every accessory and it depends on installation characteristics such as AEC presence and Tube Load Characteristics 3 1 1 3 Points Technique 000 EVA m Use cal to select the 3 points technique It is possible to ad just every parameter relative to next emission in term of High Voltage Tube Value 80kV gt Using keys it is possible to adjust the High Voltage Value for next exposure expressed in kV from a minimum of 40kV to the maximum value permitted by the Tube up to a generator maximum of 150kV in 1kV step value 0078 Ver ENG Rev K7 page 21 High Voltage Tube Current Using a gt keys it is possible to adjust the High Voltage Tube Current Value for next exposure expressed in mA using permitted tube value in R10 step scale Significant values are the one that gives a value of Current Time product within interval 0 4 mAs 600mAs Emission Interval
28. are revision 1 04b onwards ccccessseceseeeceeeeeceeececeeeeeceteeeeeaeees 57 9 SAFETY NOTICE 58 9 1 General Information dolls 58 9 2 Safety Le Ride aS 59 9 2 T Safety against EXPLOSION Se OE 59 9 2 2 Safety against ionizing radi tore a E E 59 9 2 3 Automated Procedures and Device periodic test ooooooncccnonoccnoncccnonancnonnncononanonnncccnancnnnno 59 IZA ATS ANG idas 60 9 3 PEO es 60 TT Pil Bye 60 052 Monthly 18 see SS 60 33 Annual SV 60 10 APPENDIX 62 OD SER 62 1027 A OS 63 10 37 Digler Sel dtor serrat keen unne 63 10 4 A Di AAA SS tasers 65 1 GENERALS 1 1 Introduction R306 3x and R306 4x microprocessors controlled series of X Ray Generator have been developed according to conventional radio diagnostics needs Repetitive operations have been reduced using a new concept of intuitive Anatomical Programming Techniques Designers always take in consideration the easy and intuitive interaction between man and device during the development process of these products All X ray parameters are freely changeable and can be user stored in memory associated with strings of characters freely selectable for quick retrieve 1 2 Technical Characteristics R306 3x and R306 4x microprocessors controlled series of X ray generator series includes several versions of high frequency generators the common characteristics are listed below e Microprocessors controlled network connected modular units e Int
29. ator must blink yellow during the fluoroscopy time NOTE the dose reported on the control console in terms of kV mA must go to the maximum maxi mum value of kV mA Open the beam collimator and remove any phantom Make a new fluoroscopy In this case the dose has to go down to the minimum Release fluoroscopy footswitch 0078 Ver ENG Rev K7 page 59 9 2 4 Cleaning Equipment has to be switched off before any keeping or cleaning action Clean it by using cotton cloth and don t use abrasive detergent Do not use organic solvent or any kind of detergent containing any kind of solvent Do not uses Spray It can penetrate into the equipment and damage the electronics inside To disinfect equipment parts we recommend using a water solution based on alidade We recommend to not using aggressive detergent based on Alcohol Do not use Spray disinfectant Some of its components are harmful for the health 9 3 Performance and Safety Tests 9 3 1 Daily Tests Before starting with live examinations make a visual inspection of the equipment During examinations look for the right functioning of the X Ray yellow indicator Do not expose to high kV when the X ray tube is cold 9 3 2 Monthly Tests Make test reported in the page behind on good A E C option and A B C option working 9 3 3 Annual Service In order to maintain all the functions of the equipment we recommend an annual verification performed by manufacturer s q
30. e generator automatically evolves to Stand By state use it only if needed 8 5 CUSTOMER LOGO VISIBILITY Logo E Key defines the visibility of the customer logo on the background screen when pressed two options are possible No L MA No customer logo on the back ground screen kl Customer logo visible during working station change NOTE In most of the cases customer logo equals manufacturer s logo 8 6 APR ICON from software revision 1 04b onwards With the APR GENDER key you can divide the icon into 8 keys representing the anatomical selection MALE outline of a man FEMALE outline of a woman 0078 Ver ENG Rev K7 page 57 9 SAFETY NOTICE 9 1 General Information Laws or regulations for both operating and or services must be respected To assure patient operator and people that could come in contact with the X Ray system is better to make a preventive inspection service every 12 month The manufacturer ODEL S p A directly trains and qualifies the technicians to service the generator no responsibility is assumed 1f unqualified people service the generator More severe control must be done if generator is working out of the specified range of compliance or in condition that do not meet manufacturer specifications reported in the tables It is better to contact your local dealer to be informed regarding service policy and maintenance contract Qualified people who also decide the rep
31. e problem remains call the technical service indicating the ALARM CODE 130 page 10 0078 Ver ENG Rev K7 COD 131 132 133 134 135 136 137 138 139 MESSAGE Error in Filament Lighting Computation IMA Signal Inactive IAR Anode Rotation Failure IPW Signal Inactive ICF Signal Inactive IKV Signal Inactive IFI Signal Inactive Tube Selection Error Door Opened During Emission Action ar Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 131 ax Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 132 we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 133 we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 134 we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 135 Saa Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 136 we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 137 we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 138 VERIFY THAT ROO
32. e technical service indicating the ALARM CODE 165 Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 166 Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 167 Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 168 0078 Ver ENG Rev K7 page 15 COD 169 170 171 172 173 MESSAGE Alarm ISCX Inverter in Short Circuit Tube Error in Computing Filament Lighting Dummy Alarm Radiography OK during Calibration Fluoroscopy Footswitch or Radio Hand switch PRESSED during operations Exposure Meter Dose Level Too Low Action we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 169 we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 170 ax Press key to proceed During normal operatives this message never appear If it happens call the technical service indicating the ALARM CODE 171 Press and Release every control Hand switches and Footswitches to be sure that no one is still pressed Press key to proceed If the error window appear again and the generator do not evolve in Stand By mode switch OFF the generator and ON again using the
33. e than 10 of continuous fluoroscopy can be made in a single session after a pre settable lap of time expressed in minutes of cumulated time there should be a user advise Based on those regulations the fluoroscopy timer works in following way Fluoroscopic Cumulative Timer is pre set to 3 minutes for every Fluoroscopy mode 0078 Ver ENG Rev K7 page 47 NOTE according to actual regulation no more than 10 of continuous fluoroscopy can be made in a single session after a pre settable lap of time expressed in minutes of cumulated time there should be a user advise Value can be modified by left lt or right gt arrow pointer key to increase or decrease the timer value before getting an acoustic signal advising the user that the timer gave up 5 minutes reset timer is quickly recalled pressing key Timer set does not depend on generator status so set or reset can be done also during X ray emission 30 seconds before the timer zeroes an acoustic intermittent signal advise the user to the need of Fluoroscopy suspensions or Timer reset need page 48 0078 Ver ENG Rev K7 6 Cine Sequence Mode Cinematographic Mode is identified by icon and it is a strictly prerogative of R306 4x X Ray series equipper with special digital devices Cine Sequence Mode is intended as a Sequence of Intermittent Mode pulses controlled in one or more than one relevant parameter 15 152s 4 gt y O An easy exam
34. eature it is possible to configure a special automatism to reduce the patient dose in case the exam is not dynamic Generally used in Bone Exams this technique is known also as Orthopedic Fluoroscopy Intermittent Fluoroscopy terms stands for a series of continuous emission intervals automatically generated by the generator The interval emission is enabled after an initial period of image stabilization and it is suspended for a continuous emission if a re stabilization is need due to patient ROI change or movement During installation phase the duty cycle of the intermittent period is chosen in term of LIGHT values in the 0 1s 1 5s interval and DARK values in the 0 1s 1 5s interval Intermittent fluoroscopy can be both Chained parameters and Free parameters configurable 5 3 High Contrast Fluoroscopy High Contrast Fluoroscopy is an R306 4x option The panel according to installation option can assume four different shapes High Contrast Fluoroscopy Automatic 1 o Manual 2 The presence of Automatic Brightness Control depends on the Fluoroscopy Television Controller installed in the room the choice between Manual and Automatic is made runtime by the user Note The control gauges presents on the panel depends on the grabbing system connected to the generator more information are present in Digital System Drivers section of this manual 0078 Ver ENG Rev K7 page 45 5 3 1 Automatic Manual Automatic Fluoro
35. ed to work in areas where explosion hazard can occur 9 2 2 Safety against ionizing radiation Operator must follow all the regulations and facilities on safety against radiation hazard 9 2 3 Automated Procedures and Device periodic test Caution Y Before starting the tests protective wear has to be put on a safety distance must be respected and if necessary use personal dosimeter during all the tests requiring X Ray emission Automatic exposure functional test AEC If Applicable Close the beam collimator Be sure that A E C is activated and make one exposure by constantly pushing the X Ray button The X ray lamp must blink yellow for all exposure time NOTE the alarm that appears when exposure is blocked is normal if the collimator is closed and it means that A E C is working in the right way Open the beam collimator Make another exposure In this case the X ray lamp will blink for the whole duration of the exposure which will depends on the filtration If no filtration is present a direct radiography can saturate the A E C giving a new alarm Put a phantom of at least 5 cm of water and redo the test Keep track on timing when the exposure regularly ends to have a reference for next tests Automatic Brightness control test where applicable in RF version Close the beam collimator Make a fluoroscopy maintain constantly pushed the fluoroscopy footswitch and be sure that A B C is activated The X ray indic
36. ent techniques Continuous Fluoroscopy Continuous emission Intermittent Fluoroscopy Continuous emission in discrete time interval High Contrast Fluoroscopy Pulsed Emission with Higher value of High Voltage Current than the continuous mode available on 306 4x 5 1 Continuous Fluoroscopy When continuous fluoroscopy is configured in current working station the relative icon 5 NN is shown in the top of the section The panel according to installation option can assume four different shapes Continuous Fluoroscopy Chained kV mA parameters Automatic 1 o Manual 2 Continuous Fluoroscopy free kV mA parameters Automatic 3 o Manual 4 The choice between Chained or Free parameters is made during commissioning the presence of Automatic Brightness Control depends on the Fluoroscopy Television Controller installed in the room and the choice between Manual and Automatic is made runtime by the user 5 1 1 Automatic Manual Automatic Fluoroscopy term identify the Automatic control of relevant parameters driven by an external ABC Automatic Brightness Control 0078 Ver ENG Rev K7 page 43 Relevant parameters are e High Voltage Value kV e High Voltage Current Value mA Manual Fluoroscopy term identify the User control of relevant parameters driven by on control console keys ana gt 5 1 2 Chained parameters Starting from a minimum of common to every combination of Generator Tube till a
37. g keys it is possible to adjust the High Voltage Value for next exposure expressed in kV from a minimum of 40kV to the maximum value permitted by the Tube up to a generator maximum of 150kV in 1kV step value High Voltage Current value is computed by the generator based on tube s characteristic and actual kV value High Voltage Current Time Limit 320mAs 4 zm gt Use gt to fix a limit to mAs under AEC control this will stop exposure automatically in case AEC don t stop it after the imposed limit Two Points Automatic Exposition Technique It is possible to adjust every parameter relative to next emission in term of 0078 Ver ENG Rev K7 page 23 High Voltage Tube Value 80kV a gt Using keys it is possible to adjust the High Voltage Value for next exposure expressed in kV from a minimum of 40kV to the maximum value permitted by the Tube up to a generator maximum of 150kV in 1kV step value High Voltage Tube Current Using za gt keys it is possible to adjust the High Voltage Tube Current Value for next exposure expressed in mA using permitted tube value in R10 step scale Significant values are the one that gives a value of Current Time product within interval 0 4 mAs 600mAs High Voltage Current Time Limit 320mAs mm gt Use to fix a limit to mAs under AEC control this will stop exposure automatically in case AEC don t stop it after the imposed limit
38. l console to switch off the generator Immediately is switched off the power electronics after a few seconds it is switched off also the control electronics including the control console 2 1 4 Reload Installation Condition page 4 0078 Ver ENG Rev K7 ES If on starting screen the welcome dialog box appears the following key and doesn t appear a key the generator has lost the actual configuration 5 key the It is possible to reload the initial configuration by pressing a Than key appears and has to be pressed to start the electronics and go on working If it happens call your Local Technical Service to inspect the causes of this configuration lost E If the Se key appears within key the generator in Initial Setup Condition call your Local Technical Service to switch the generator in Normal Working Condition before using it 2 2 User Panel Main Screen Several virtual gauges are present on the main screen GENERAL GENERATOR STATUS ICON WORKING STATIONS ANATOMIC SELECTION in alternative to Programmed Selection PROGRAMMED SELECTION in alternative to Anatomic Selection INTERMITTENT MODE RADIOGRAPHY TECHNIQUE SELECTOR RADIOGRAPHIC PARAMETERS ln m e 10 AUTOMATIC EXPOSURE CONTROL al a u lt gt 15 218s 4 gt 9 gt CINE RADIOGRAPHY 0078 Ver ENG Rev K7 page 5 CONTINUOUS MODE FLUOROSCOPI
39. lacement needs must control critical installation subsystems every 12 months If local regulations regarding maintenance are more restrictive and severe they must be complied and respected Before using the equipment the operator has to check that all the functionality is guaranteed Pay attention to the LEDs display and indicators in order to control that no faults occur The X Ray lamp must be lighted in YELLOW flashing only during radiography or fluoroscopy exposure time If these indicators remain lit the equipment must be switched off and you the technical service has to be call Manufacturer and manufacturer s qualified local dealer disclaims all responsibility on any equipment malfunctioning if e Installations functional extensions calibration maintenance have not been done by people qualified by the manufacturer e Components parts subassembly or assembly especially the ones directly involved in generator safety are replaced non original one or modified with components not reported in schematics e Electrical installation doesn t meet IEC 601 2 7 regulation and requirements reported in Technical Manual code 1038 e Destination or modality of use different from the one declared by manufacturer On reasonable request the manufacturer permits technical documentation to be consulted in factory page 58 0078 Ver ENG Rev K7 9 2 Safety 9 2 1 Safety against Explosion This equipment was not design
40. ler Image Cadence Selectable on Control Panel 7 1 4 ATS Hiris High Contrast Fluoroscopic Mode Selection External Selection page 52 0078 Ver ENG Rev K7 Pulse Cadence Fixed imposed by External Device Cinematographic Mode Mode Selection Enabled by Working Station configuration and external selection Pulse Length Selection External Device Time Controller Image Cadence External Device Selectable 7 1 5 Ibis High Contrast Fluoroscopic Mode Selection External Selection Pulse Cadence Fixed imposed by External Device Cinematographic Mode Mode Selection Enabled by Working Station configuration and external selection Pulse Length Selection External Device Time Controller Image Cadence Fixed 7 1 6 Alpha Technologies High Contrast Fluoroscopic Mode Selection External Selection Pulse Cadence Fixed imposed by External Device Cinematographic Mode Mode Selection Enabled by Working Station configuration and external selection Pulse Length Selection Control Console selectable using Intermittent Mode Time gauge Image Cadence External Device Selectable 7 1 7 Nical DFI High Contrast Fluoroscopic Mode Selection External Selection Pulse Cadence Fixed imposed by External Device Cinematographic Mode Mode Selection Unsupported Pulse Length Selection Unsupported Image Cadence Unsupported 0078 Ver ENG Rev K7 page 53 8 CONTROL CONSOLE OPTION Turning the MPU M
41. leted there is no possibility to undelete it E Always request to your Technical Service to make a Back Up of the configuration including the program Memory in their back up they should retrieve your lost data Program store screen it is possible to modify the radiological parameters specific to patient size parameterization to be used in the selected program once retrieved Settable parameters depend on the radiological technique used before calling the programming Ex 1 3 Points technique large patient set kV mA and time utility pressing the key Ex 2 2 points technique thin patient set kV mAs Ed 1 dond I Ex 3 1 point AEC technique normal patient Set kV mAs limit Ex 4 2 point AEC technique large patient set kV mA mAs limit ENE TEN TE Once set the parameters pressing a program key it starts the storing procedure It appears on the screen a virtual keyboard containing two editable lines Select the line you want to write on simply pressing it Suggested convention is 1st line ORGAN NAME 2nd line PROJECTION page 32 0078 Ver ENG Rev K7 111213456789 QWERTYUI ASDFGHJKL ZXCVBNMAM lt Type the name remember that is useful to delete typing mistakes and press the edit lines to change between organ name and projection then accept the typed program name by pressing A key Listen to an acoustic beep and wait the screen go back to operative screen That s 1
42. m remains call the technical service indicating the ALARM CODE 159 ax Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 160 page 14 0078 Ver ENG Rev K7 COD 161 162 163 164 165 166 167 168 MESSAGE Alarm IXSA External Request X Ray Stop Time Current Product Outside Compliant Interval Cine Angio Sequence Tube Thermal Overload Alarm ISTP High Voltage Transformer wrong connection Alarm IBLX Unbalanced High Voltage Alarm IPO Maximal Inverter Current Alarm IMAX Maximal High Voltage Current Alarm IKVX Maximal High Voltage Value Action we Press key to proceed Look in accessories information the reason why the accessory request an X Ray forced extinction If the problem remains call the technical service indicating the ALARM CODE 161 ar Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 162 we Press key to proceed Wait a few minutes before reloading the tube to let the tube dissipating the cumulated heat during previous sequence If the problem remains call the technical service indicating the ALARM CODE 163 Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 164 Press key to proceed If the problem remains call th
43. nrennnnrernnneerrnnerrrnnerrrnsenranssnrseennrne 33 422 Programming Utilities ui add EA AKEE be ais 35 4 2 3 Organ Thickness oriented Program SelectiON coonncccnnnoccnonocccoonccnonnccnnnnconnnncnonncconnnccnnno 37 24 ROA ES ds 38 5 Continuous Mode RF 43 5 1 Continuous Fluoroscopy sessi s n E RRE ERE E E R E 43 DEL Aromatic Manual tar Sia 43 SA2 Eee er 44 51 35 Free parameters A Ne 44 3 2 Intermittent EluorosCoPYiiiacinnn in da dd TEAN ie 45 5 3 High Co ntrast Foros 45 5 3 1 Automate Manual AA e a Bae E ase 46 5 3 2 A A i iced acai deduces 46 5 4 Fluoroscopy data VISUA IZA OA tags eaddsadncen aid ddeaasiadandotads atdet 47 3 3 LAOS Technique aa 47 5 6 Fluor scopy b ack p RA 47 6 Cine Sequence Mode 49 6 1 SEQUENCE Maximo RUMANO too i ee sea sE a E aN SE 49 62 2 A tomatc ACTS MO SAA 51 6 3 Frame Cadence rader kein ee idet 51 6 4 LEO LOA Mi dl 51 7 Digital System Drivers 52 TL Ai EEEE anda EEES ESEESE E EENet 52 EA Time va 52 ESS EE SE EE EE Doc EE e ence EE 52 TAA ATS isa asii 52 TS se 53 Pols Alpha Technol ES a NS 53 TT NL DA GR 53 8 CONTROL CONSOLE OPTION 54 8 1 LANGUAGE SELECTION hjertet eee oa 54 8 2 INITIAL SETUP CONDITION RELOAD 00 ee 54 8 3 ANATOMIC TECHNIQUE SELECTION eeeesesesessesesissesrsseseesesseserssesesseseesessesersessesees 54 8 4 INITIAL MESSAGE ACCEPTANCE MODE occ eceeccesecsecneeeseeeeeaeeeeeeeeesseeaeeneeeaee 57 83 CUSTOMER LOGO VISIBILITY ini as 57 8 6 APR ICON from softw
44. on to change the current focus If the problem remains call the technical service indicating the ALARM CODE 153 Fluoroscopy 154 High Voltage value outside Compliant Interval If the problem remains call the technical service indicating the ALARM CODE 154 Press key to proceed 0078 Ver ENG Rev K7 page 13 COD 155 156 157 158 159 160 MESSAGE Fluoroscopy High Voltage Current outside Compliant Interval Fluoroscopy Single Patient Exam Time Limit Tube 1 Thermal Safety Tube 2 Thermal Safety Tube 3 Thermal Safety AduC error in analogue coprocessor Action we Press key to proceed If the problem remains call the technical service indicating the ALARM CODE 155 Release Fluoroscopy Footswitch Press key to proceed Fluoroscopic Timer exceeded EVALUATE THE OPPORTUNITY TO KEEP ON IRRADIATING THE PATIENT FOR THE SAME EXAM ax Press key to proceed WAIT A FEW MINUTES TO COOL DOWN THE TUBE ANODE BEFORE NEXT EXPOSURE If the problem remains call the technical service indicating the ALARM CODE 157 Press key to proceed WAIT A FEW MINUTES TO COOL DOWN THE TUBE ANODE BEFORE NEXT EXPOSURE If the problem remains call the technical service indicating the ALARM CODE 158 we Press key to proceed WAIT A FEW MINUTES TO COOL DOWN THE TUBE ANODE BEFORE NEXT EXPOSURE If the proble
45. ones are freely selectable Up to three different film screen combinations Slow Speed High Resolution Normal Speed Medium Resolution High Speed Low Resolution for example The Automatic Exposure calibration process is performed by technical service during generator installation the calibrated darkness can be modified by user needs in seven different timing steps from 50 to 200 of the nominal timing value A user selectable mAs limit can be runtime selectable for special regulation requirements Exposure technique 1 or 2 points is set during generator installation according to user s specifications 1 8 Working Place Selection In Anatomic technique the working station is automatically set according to the exam selected In free Technique or in Programmed technique the working station is selected according to the user working way through on keyboard virtual pushbuttons 0078 Ver ENG Rev K7 page 3 2 Controls 2 1 Generator Switch ON OFF 2 1 1 Control Electronics Switch ON Press I key on control console to switch on the control electronics A welcome message will appear on the control console screen 2 1 2 Power Electronics Switch ON 0 Switch on the Generator and the Power Electronics on welcome screen pressing pushbutton Since the power part is switched on it is possible to modify the parameters and recall a stored program 2 1 3 Generator Switch OFF Press Okey on contro
46. pears the patient parameterization control Thin Normal Large patients icons Changing a value in radiography control will turn the status from Program Mode to Free selection the patient parameterization disappears and the selected program name turns to unselected colors page 34 0078 Ver ENG Rev K7 Patient Parameterization selector A E DESCRIPTION ICON Thin Patient Large Patient Normal Patient i 4 2 2 Programming Utilities E Notice If the memory is protected in installation process the key isn t visible and selectable Pressing utility key it is possible to access the Program Store Delete screen Here 3 groups of 6 keys are present starting from left to right the groups represents the memory banks called A B C wW B Ma To start the operation selected press the memory key if it was selected Delete the relative program will be deleted otherwise will be stored the actual data in that position 0078 Ver ENG Rev K7 page 35 Program delete i The Delete Procedure is start pressing the trash can key i Pressing the trashcan key the icon changes to Program to advise that next operation is delete a It is possible to exit without deleting any program by pressing key or proceed to delete one of the 18 programs present on the screen Summary press then ES to delete the first program in memory bank A Notice that once the program is deleted
47. ple can explain the definition A Cinematographic Sequence can be regulated in High Voltage by a Digital Reprise System and every single Pulse can be regulated in time using an Automatic Exposure Control The difference between this working method and H C F is that the Dose and so forth the Contrast 1s higher and the parameters controlled are higher than in H C F The control gauges present on the control console screen strictly depends on the Type and model of the digital device installed Refer to Digital Device Driver section in this manual to know more about it 6 1 Sequence maximum Runtime The Sequence Run Time Limit 182s gauge reports two indexes Time Limit expressed in second as the worst case max H V max Exposure length max pulse rate Tube Heat load percentage at the beginning of the sequence and during sequence runtime 0078 Ver ENG Rev K7 page 49 In following example 182s is the maximum sequence limit based on the highest kV pulse cadence and 5 ms of pulse length and a standard 1 2 focus over a standard 90cm anode no carbon mass no external cooling Changing the parameters Oms i e 100 the computation result is as follows B This means a reduction of the whole sequence time 100 15 33s A O ESTAY Q a gt 630mA gt fm Ep Dd 5ms 2 gt And so forth varying the High Voltage value page 50 0078 Ver ENG Rev K7 6 2 Automatic adjustmen
48. scopy term identify the Automatic control of relevant parameters driven by an external ABC Automatic Brightness Control Relevant parameters are e High Voltage Value kV e High Voltage Current value depends on Digital System connected to the generator in most case it is enabled the possibility to change the values between 40 to 100mA using control e Pulse duration is selected during configuration phase and it is strictly related to the Digital Device connected so it is not user adjustable Manual Fluoroscopy term identify the User control of High Voltage value driven by on control console keys sad gt also during run time High Voltage Current values can be modifies during stand by state 5 3 2 Pulse rate In several digital systems there is the a to set the number of image per second directly from the generator in this case the controller In other digital systems there is the me to set the image per second divider factor directly is present on the control console from the generator in this case the controller is present on the control console In other system those values are changeable only on digital device monitor in this case no controllers are present on the control console NOTE e When pulse rate is expressed in Image Second left pointing arrow decreases the rate gt e When pulse rate is expressed in Frequency Division left pointing arrow gt right pointing arrow increases the ra
49. t Depending on the installation typology the controlled parameter kV can be controlled manually or automatically using an Automatic Brightness Control provided by Digital reprise System Even id in Automatic mode during the generator s Stand By it is possible to change the starting point of the controlled parameter i e kV or executing a Zero Point Technique adjustment before starting the cineradiography sequence to do not start from a far point loosing seconds simply to adjust the controlled parameter In manual Mode G the automatic controlled parameters values can be varied also during sequence starting from the stand by defaults acting on control console kV left or right pointing arrow in intermittent mode panel Even if in manual mode the starting point can be searched using the zero point technique 6 3 Frame Cadence Whenever the Digital reprise System permits the frame per seconds setup from the generator control console see Digital System Driver section to know the installation option there is the possibility to control the cadence using the following gauge If the external Digital System device gave to possibility to communicate to the generator the i s cadence of X Ray pulse it will be shown in following gauge note that no left or arrow pointer are present due to a pure visualization of something set up in the digital device 6 4 Zero Point technique Activating the Zero Point Techniq
50. t You made a program 4 2 Programmed Anatomic Selection 4 2 1 Patient Size oriented Program Selection The portion of the user screen dedicated to Anatomic Program Technique is divided into 4 parts Anatomic level Selection Anatomic Memory Bank Selection Anatomic Program Selection Program Store Delete Utilities Working Station is a parameter associated to the anatomic program in this way the working station 1s automatically recalled when an anatomic program is selected 0078 Ver ENG Rev K7 page 33 Two lines of six characters each describe every anatomic program To summarize e Eight Anatomic Level e Three Memory Banks for each anatomic level e Six memory program for each memory bank Anatomic Level Selection Pressing one of M APR technique keys it is possible to select one of the eight anatomic levels present in Programs Memory Banks Selection Tet Pressing one of keys it is possible to select one of the three programs memory bank present in APR technique Program Selection Use the keys to select a memorized program Notice Only pre memorized programs are visible and selectable The program can be described using two lines of characters containing 6 characters each the upper is generally used fro the Organ description the lower is generally used for the projection description While selected the memorized program turns in selected mode selected color and ap
51. t an higher penetration factor and correct the whole mAs according to the relationship seen in Darkness vs High Voltage Value kV paragraph Nominal Points Store Prepare the three nominal points using the controls located in the lower part of the storage screen Notice the right part of the screen can be different from the one reported in following picture according with the technique used B4KV gt maxim amp 1000mm gt BOKY gt nominal a 505mm gt 4 Te gt minim en gt mm Program Store Once set the parameters pressing a program key it starts the storing procedure It appears on the screen a virtual keyboard containing two editable lines Select the line you want to write on simply pressing it Suggested convention is 1st line ORGAN NAME 2nd line PROJECTION 0078 Ver ENG Rev K7 page 41 Type the name remember that 1s useful to delete typing mistakes and press the edit lines to change between organ name and projection then accept the typed program name by pressing A key Listen to an acoustic beep and wait the screen go back to operative screen That s it You made a program page 42 0078 Ver ENG Rev K7 5 Continuous Mode RF Continuous mode is an option present on RF type generators R306 3xRF and R306 4x se Continuous mode controls are identified by E icon and commonly are known as Fluoroscopy controls Continuous mode identifies tree differ
52. te decreases the rate increases the rate decreasing the image per seconds right pointing arrow increasing the image per seconds page 46 0078 Ver ENG Rev K7 5 4 Fluoroscopy data visualization The selection of presence of Continuous and High Contrast Fluoroscopy is decided during installation process Depending on the digital device installed it is possible to select or simply to visualize the H C F data selecting one of those control keys Edad Continuous Intermittent Fluoroscopy Selection Key amp y lt P Continuous Intermittent Fluoroscopy Selection Visualization TI High Contrast Fluoroscopy selection visualizationki44 os High Contrast Fluoroscopy selection visualization The term selected visualized is used because the visualization is always possible the selection from the generator s control console is possible only on particular devices 5 5 Zero Points Technique Zero Points Technique identifies the possibility to parameterize Intermittent Mode starting from continuous mode setup The technique is also called Parameters transfer a Zero points technique disabled _ Zero point technique enabled The way the parameters are transferred depends on the setup of the generator so ask to technical service if parameter transfer do not match the exam needs 5 6 Fluoroscopy back up Timer According to actual regulation no mor
53. to any internal components before opening any access door be sure that line disconnect witch is open DO NOT REMOVE the high voltage cables from the X ray tube housing or high voltage generator until main and auxiliary power supplies have been disconnected Failure to comply with the above may result in hazard to operator patient and or equipment Electrical Grounding Instruction Equipment when installed must comply IEC 601 2 7 grounding requirements it must have a protection ground using a specific separate ground cable The neutral side of the line is not to be considered the heart ground DIAGNOSTIC X RAY DEVICES IONIZING RADIATION WARNING Ionizing radiation can be dangerous for both the patient and the operator if safety regulation is omitted Only specifically trained people can operate ionizing radiation equipments following the on site radiation directive according to general safety rules C 0051 Summary 1 GENERALS 1 1 1 MTHS EV A PNL 1 A a RE 1 1 3 Configuration tin 1 13 1 Us r sTInt rface notan pitido rasa di asa 2 14 Programmed Memnon oase 2 1 5 Patient Oriented Anatomic Selecione is 2 1 6 User selection Free Technique pin iii aiiin ei AE E aiaa i 3 1 7 Automatic Exposure Control Technnique ccsscccsscccsssscessssssssssessancssssncsssasesenacceenaccesnss 3 1 8 WV ORRIN GE Place See 3 2 Controls 4 2 1 Generator Swatch ON OFF uns at A a jutdddnukildnaeiatddusneine 4 2 Fil
54. ualified technicians of your local dealer If a malfunction occurs call the technical service Ask to your local dealer for preventive maintenance program LOCAL DEALER page 60 0078 Ver ENG Rev K7 0078 Ver ENG Rev K7 page 61 10 APPENDIX 10 1 Styles The new control console firmware is composed by three different files BLUE_STYLE Ss Be F EEG 2 8 gt HEEE Sov H WHITE STYLE GREEN STYLE page 62 0078 Ver ENG Rev K7 10 2 Languages ENGLISH ITALIAN FRENCH SPANISH GREEK CYRILLIC 10 3 Dialer Selector kV DIALER kV Pressing kV Icon ean it is possible to access the mA s mAs DIALER Pressing mA s mAs icons it is possible to access the relative SELECTORS kV DIALER 0078 Ver ENG Rev K7 page 63 10 mA 40 m 20 mA 5 m 2 m 63 mA 100 mA 400 mA mA SELECTORS 100 mA O mA O mA 400 mA mAs SELECTORS 40 ms 50 ms TIME SELECTORS page 64 0078 Ver ENG Rev K7 10 4 Data Summary The data summary window have been changed in Continuous mode Et Several section are present e EXAM Date and Time e TUBE Thermal Load e INTERMITTENT SESSION SUMMARY e CONTINUOS SESSION SUMMARY o s exp CMD is the total continuous HCF command time 1 e the sum of the periods while the foot switch was pressed o exp is the effective emission time FLUORO DC 100 gt EXP time COMMAND time HCF
55. ue it is possible to transfer automatically at the end of the continuous mode some relevant parameters to intermittent mode in order to have to right parameter set for intermittent mode Note that the value transferred depends on several conditions of use and is strictly connected to the type of exam you are doing In this case is very important to tune it up recoding the wanted result and asking the technical service to make the necessary modification in parameter transfer tables 0078 Ver ENG Rev K7 page 51 7 Digital System Drivers 7 1 1 Generic Comprise all the systems not listed in next paragraphs High Contrast Fluoroscopic Mode Selection Selection made by ON Control Console Key Pulse Cadence Digital Device Output Frequency Divide 1 16 Cinematographic Mode Mode Selection Unsupported Pulse Length Selection Unsupported Image Cadence Unsupported 7 1 2 Infimed High Contrast Fluoroscopic Mode Selection External Selection Pulse Cadence Expressed in Image per Second Cinematographic Mode Mode Selection Enabled by Working Station configuration Pulse Length Selection Control Console Radio Time Controller Image Cadence Fixed 7 1 3 X Sight High Contrast Fluoroscopic Mode Selection External Selection Pulse Cadence Expressed in Image per Second Cinematographic Mode Mode Selection Enabled by Working Station configuration Pulse Length Selection Control Console Radio Time Control
56. uitive Anatomic programming e R306 3x power output 40 50 65 80kW High frequency High Voltage Rectification e R306 4x 3x power output 50 65 80 100kW High frequency High Voltage Rectification e Automatic Mains Voltage Drop Compensation e Intermittent working modes o Automatic Exposure Control o Anatomical APR including Automatic Exposure Control o Free technique including Automatic Exposure Control e Easy and Intuitive parameters change e Touch View interface Touch Screen panel e 1 2 3 points techniques e X Ray Time amp mAs pre indication in kV mA s technique e Actual Exposure Time display in Automatic Exposure Control mode 1 or 2 points e Tube thermal load indication in Relative and Absolute format 1 3 Configuration R306 3x and R306 4x microprocessors controlled series of X Ray Generator always includes the Power Rack H V Transformer Power Electronics and Control Electronics and as option a Touch Screen Control Consol for User Interaction 0078 Ver ENG Rev K7 page 1 1 3 1 User s Interface User s Interface is realized using a Graphic Interface on a small Touch Screen industrial class computer All the information and selections are made through graphic virtual Selectors and Graphic Displays on the control console The Control Panel permits all the working techniques 1 2 3 points as well as the technique using Automatic Exposure Control and prefixed anatomical programs
57. ve screen That s 1t You made a program 4 2 3 Organ Thickness oriented Program Selection When an anatomic program is selected in the anatomic portion of the screen appears a panel in which it is possible to select the thickness of the zone under exam Thickness is expressed in millimeters Three elements are present CRANIO o The Anatomic program Selected The Thickness control 0078 Ver ENG Rev K7 page 37 Sa The acceptance key Pressing the Anatomic program key om the thickness returns back to nominal thickness Pressing left pointing arrow key the thickness is reduced and the relative parameters are changed according to new thickness Keeping it pressed the thickness reaches the minimum value set in the program EE gt Pressing right pointing arrow key changed according to new thickness the thickness is increased and the relative parameters are Keeping it pressed the thickness reaches the minimum value set in the program aa Hiding the thickness controller press 4 2 4 Programming Utilities E Notice If the memory is protected in installation process the key isn t visible and selectable Pressing utility key it is possible to access the Program Store Delete screen Here 3 groups of 6 keys are present starting from left to right the groups represents the memory banks called A B C NN To start the operation selected press the memory key 1f

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