Mark X User Manual (English)
Contents
1. aen mm mu ve mm mu Led tie 3476 mu Caps 10 pr mu Meat Oblique o mu mm mu 0000 3476 mu 00000 qReediaerl mm mu virgeet Distal Rad Sky mm nu stat Row Sky mm mu indicated Pc Rowsy mm nu Sound Eklin Page 3 Appendix A Digital Radiography Technique Charts Portable 100 30 continued Study View SID in cm kVp mAs Ts pr mu eat Oblique AE mu angle Downs Led mm nu Aangeup5s Led Oblique mm mn 7 virgeet CalcanealSkyline mm mu reen 3976 mu ET SEET ws aen mm mu Fish oblique boe mu eft obtique 3476 o MA smwt SSS Oooo ws o aen mm mu 000000 woe 3476 mu 00000 Latmes bo 80 Cervical Spine A o O O OoOo mm mu date Lateraty 3N76 0 mm ms ae mm mu Shoulder ae mm mn Ebow A A A Gaang Oo o a o Co oea o mu Gaang wm mu ae mm mu outen 7 me NN SC mm a o o o aen 3476 mu Lett 3476 mu Poesie mm nu Te mm mu NENNEN NEM NN ANN Withers Lateral 30 76 80 Sound Eklin Page 54 Appendix A Digital Radiography Technique Charts continued Gantry Study View SID in cm kVp mAs o NMeuarDP o eo o Pm ame wo 2 OO owe om 3 mu tera a Nica 0 indicated Nav gues2. Technical Suppt A dto Fan Serve on y a een Gate Dem Feporing m Uzdslg Mi aprment 4 Touch the Add button Ada to add a new DICOM server Or if editing select the existing DICOM server from the DICOM Servers list on the Right 5 Enter the AE Title IP Address and Port number for your DICOM server OR if editing enter the corrected AE Title IP Address and Port number for your DICOM server A Contact Sound Eklin Technical Support or the location you are sending the DICOM images for the appropriate DICOM provider information 6 Select additional information by choosing Yes from the drop down menus Only select the following options if you are directed to do so by a Technical Support representative Auto Send Server Automatically sends images to the selected DICOM location Allow Worklist Designates the DICOM location as a worklist modality Telemedicine Server Designates the DICOM location as a telemedicine server Archive Server Designates the DICOM location as an archive server 7 Touch the Save button to save the current information Sound Eklin Page 47 Chapter 10 Adding and Editing a DICOM Location continued 8 Touch the Verify button f Werity Ito verify that you can connect to the DICOM Server 9 Asmiley face Swill appear when you have verified the connection to the DICOM Server If a frowning face appears please contact Sound Eklin Technical Support 1 800 268 5354
3. mg 80 2 ooo virgeet PiObiques am 80 2 ooo pa Apta WE Sr teatro MM w E lm ame 2 virgeet P3obiaues wg 80 2 ooo Teen 10 pr mme w aa o o i aa I o E 77 pmo ame o E opto we mu Feb pr mme w a o o mom om o E tera ame 80 a opto ame 8 a exec taterat 00 mu virgeet Special Palmar 40102 80 32 Metacarpus Metatarsus 00000000 o PP game w a o uir om 80 E qmedaobiqee me 80 32 Led tie mg mn 32 Caps A A pr MM w a o mom ame o E aen me mu pmo ame 8 E 00000 reesen me 80 32 indicated Distal Rad Sky mg mn 32 stat RowSky 00 a ROwSky dU 90 2a ifindicated Sound Eklin Page 5 Appendix A Digital Radiography Technique Charts Gantry continued Study View SID in cm kVp mAs Tars ame 9 E om a angle Downs ae mg mu C angeup5s Dog me mu virgeet Calcaneal Skyline 40102 80 ou ET OOO OO med game 99 a Right Oblique me mu heft obtique mu sum S S S o Oooo w w a aen ame mu Right Obtique om 9 eft obtique o 9 E o O o Ganiatad ide Lateral mg mn oO ae 402 me Perm ae we mu Shoulder ae me Bei 0 Gaang me mo o o 000000 qmedelaterl me 9 Radius A Gaang O me mu O ae we mu Si
4. User Manual Table of Contents Mark Mark X User Manual Important Safety Information Ri CU OU GRO UD ROD RG GR Oa 1 SPECIE ALONS Pc nU iii Chapter 1 Mark X SSSI ein ee 1 The Mark X Color Panel Options NEEN EE 2 16 Mani d e H 3 The Mark X E 4 The Mark X Important Part Numbers ANNE EEN ENNEN ENEE EE 5 The Mark X Key Connections Overview EEN ENEE ENEE 7 Connecting the Detector Cable f Xmaru 1210 5 EEN EEN EEN 8 Connecting EE 9 Powering Up the Mark X System NENNEN ENEE ENEE ENEE EEN 10 Chapter 2 Opening Mark X Software ANEN ENEE ENEE ENEE ENEE EE 11 Chapter 3 Adding USCIS EE 13 Chapter 4 Patient Irrel 14 Searching and Adding Patients ae NEEN EE ENEE ENEE EE EEN ENEE 14 Editing an Existing Patient s Information AE EEN ENEE ENEE 16 Creating a New Study for an Existing Patient ANEREN ENEE ENEE EE ENEE 16 Chapter 5 Creating Radiographs NENNEN ENEE ENNEN ENEE EEN 17 Choosing Anatomy and Positioning ccecccccccccccccccceccccccesccceescccescscceecccseess 17 ACGUINING Radiographs 002 19 Cropping a Radiograph EEN 21 Chapter EIER 23 RISING 0 0015 0000 23 Adding New ee ee EE 26 Editing Existing GN Gn E eU 30 Renaming Protocols UaU REU o 31 DEI Protoco E 33 07202011 Sound Eklin Table of Contents Mark Mark X User Manual continued Chapter 7 Managing TT E 35 Adding New I
5. 90 403 10 Ethernet Patch Cable Connects the computer to the network to allow for easy image transfers from the Mark X to PACS e 91 408 Xmaru 1210068 Detector Captures digital radiographs 10 124 22 Detector Cable f Xmaru 1210PCB Provides power to the plate and syncs the plate and Mark X System 10 171 Equine 20 IEC NEMA Power Extension Cord Connects the Mark X to any standard U S 110V power outlet Nema 5 15 Sound Eklin Page 6 Chapter 1 Mark X System continued The Mark X Key Connections Overview 10 121 Min X ray Sync Cable for MarkX 10 124 22 Detector Cable f Xmaru 1210PCB 10 Ethernet Patch Cable 24 122 Keyboard with Touch Pad 10 171 Equine 20 IEC NEMA Power Extension Cord Sound Eklin Page 7 Chapter 1 Mark X System continued Connecting the Detector Cable f Xmaru 1210 PCB 1 Remove the Plate and the Plate Cable 2 Connect the 22 Detector cable f Xmaru 1210PCB 10 124 by aligning the red dot and notch on the cable with the red dot and notch on the receptacle 3 Connect plate cable to the plate if it is not already connected 10 124 22 Detector Cable f Xmaru 1210PCB Sound Eklin Page 8 Chapter 1 Mark X System continued Connecting the Generator The sync cable should stay connected to the generator and should be stored in the generator box 1 Plug the Min X ray Sync Cable 10 121 into the Mark X Align by red
6. Appendix B Mark X System Field Replacement Guide continued 7 Obtain Internet Connection Power On then call Technical Support at 1 800 819 5538 to restore settings Restore procedure will take roughly 20 minutes Sound Eklin Page 59 Appendix 6 Calibration Procedure 1 Launch the TruDR application as Administrator username admin password admin 2 Select the Actions button located in the menu bar at the top of the screen 3 Select the Manage button located at the top of the dropdown that appears after selecting Actions 4 Select Equipment from the menu on the left side of the screen 5 The Equipment Configuration screen will appear in the window on the right At the bottom of the window select the Perform Calibration button A You may need to minimize the On Screen Keyboard in order to see the button To do this select the Keyboard button located in the top left corner of the screen 6 The Calibration screen will load on top of the application To begin the calibration select the Perform Gain button Once you have done this the application will begin to acquire a series of 4 Dark images 30 seconds apart and average them to create the Offset image After each image is acquired the Progress text box will read Please Wait 7 Next you will be prompted to take a shot to check technique The target value for the gain calibration is 11000 ADU A A good starting technique at 50 SID is 80 kVp and 17 seco
7. 10 Touch the Patient button return to the Patient Screen Sound Eklin Page 48 Page 9 Appendix A Digital Radiography Technique Charts Portable 80 15 Study View SID in cm kVP Time in Seconds AW O O e Degree Pa mA mn O pr 26 mn nu aen 26 nu TReers me mm mn Od 0000 virgeet Na Obiques 246i A virgeet 6306 un mn 00 o ae un mn YO es Degree Pa Dun BO UO indicated 65 Degree Obliques u 80 005 Teen 0 pr mn nu mn nu 00 aen oe 26 mn nu 0000 u 80 25 64 Co Feok O eO O HIR ARA A A AW oo Meat Oblique AW nu ater un mn nu Obtique 246 mu i exec Lateral aa mu 8 000000000 MetacarpusMetatarsus pr 00 Y w A 0 OO Y O 8 we meca Obtique 246 BO 00 0000 obtique 2466 80 00 Sound Eklin Appendix A Digital Radiography Technique Charts Portable 80 15 continued Study View SID in cm kVp Time in Seconds ps pr w nu eat Oblique mu ae mm mu SS aterat Oblique 2466 nu 000000 qReedimerl 24 6 nu istal Rad Sky mm mn 01 stat Row Sky mm mn nu virgeet Pe RowSky mm 80 nu Tei pr mn Y eat Oblique aa 8 YA angle Downs ae 248 nu Angle Up 5 u mn Y virgeet Catcaneal fat 18 46 80 Jo n
8. images E aA Deleting an image permanently removes it from the computer Sound Eklin Page 37 Chapter 7 Managing Studies Reviewing a Study continued Revert Reverts to the original image Left Rotates the image 90 counterclockwise Right Rotates the image 90 clockwise Flip Flips the image vertically Reverse Flips the image horizontally Magnify Activates the magnifier which will zoom on the selected area Actions Shows a drop down menu with additional review features Win Level Selects the window level feature also accessible by using the right mouse button Invert Inverts blacks and whites replicating a fluoroscopy Pan Pans the image also accessible by using the left mouse button Crop Trims an image without applying enhancements In the Review Screen cropping does not re enhance the image based on the captured area It only trims the image without re enhancing the image Overlay Opens menu for DICOM text display Hide Hides all DICOM information 2 Summary Displays patient and shot information Lad Detail Displays patient shot and additional detailed information ROI Draw a box from left to right to window and level based on the Region of Interest 7 Touch the Patient button r return to the Patient Screen Sound Eklin Page 38 Chapter 8 Exporting Images to a Folder Export images from a study to a folder to save on a computer thumb drive etc 1 Search for
9. to get into the enclosure If the unit is exposed to moisture or a foreign object gets into the enclosure immediately disconnect the power cord from the wall Take the unit to a qualified service person for inspection and necessary repairs Caution A Heed all warnings and safety information in these instructions and on the product itself Follow all operating instructions Clean the enclosure only with a dry cloth or a vacuum cleaner Clean the DR plate with a damp cloth Use no chemicals or alcohol _ PXO per IEC 60529 R Type B per IEC 60601 1 You must allow 10 cm or 4 inches of unobstructed clearance around the unit Do not place the unit on a bed sofa rug or similar surface that could block the ventilation slots If the component is placed in a bookcase or cabinet there must be ventilation of the cabinet to allow proper cooling Keep the component away from radiators heat registers stoves or any other appliance that produces heat Keep the component away from flammable materials The unit must be connected to a power supply only of the type and voltage specified on the side panel of the unit Sound Eklin Page Important Safety Information continued A Connect the component to the power outlet only with the supplied power supply cable or an exact equivalent Do not modify the supplied cable in any way Do not attempt to defeat grounding and or polarization provisions Do not use extension cords Do
10. 04 Silver 30 902 Blue 30 899 Gun Metal 30 898 Green Sound Eklin Page 2 Chapter 1 Mark X System continued The Mark X Labels f e E Windows License Key is located on bottom of FREBOOO4 Electronics Box Mark X Electronics Box Serial number MarkX A frame Serial Number CE Markings and Manufacture Date P Sound Technol logies C Rhein d H 5817 Dryden Place Suite 1 e Carlsbad CA 92008 A i soun e IN gt 760 918 9626 0 Amt www soundeklin com gt K Sen 7 MODEL MARK EN60601 1 M INPUT POWER 120 VAC 5 6 60Hz EN60601 1 4 e Made in USA MONTH A eS SV SS Se S S S A VIA UL60601 1 O CAN CSA C222 5 No 601 1 Sound Eklin Page 3 Chapter 1 Mark X System continued The Mark X Features Power Button To Hold Receptor with LED Light Pigtail in Place Hard Drive 70 786 Neoprene Activity Cover for Xmaru Indicator 1210PCB Detector Storage for 10 124 22 Plate cable f Xmaru 1210PCB Detector Sound Eklin Page 4 Chapter 1 Mark X System continued The Mark X Important Part Numbers 94 828 Mark X 34 828 Mark X 34 827 Mark X Electronics Box Assembly A Frame Assembly Sound Eklin Page 5 Chapter 1 Mark X System The Mark X Important Part Numbers continued 10 121 Min X Ray Sync Cable for Mark X Syncs the generator s prep and expose cycle with the computer
11. a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type d Select a patient and a study The patient and study are highlighted in a blue box Touch the Folder button Ld eT Tee LU Ed ad edt delete new acguire protocol cede pereo folder actions erh UJ DED ast Marma Patient Deg Dwy 24 Pc H Set fein Md Date Gonner Dwsrtgt Study iste Captare Cm Archiv Secondary Tras Jem mu Protoc 7 1 2011 9 19 0 Pia 2 awe m a d gt Pl RR 4 Select either the DICOM or JPEG image format from the Export As drop down menu Fr gh pad edit delete peer protocol eg parent folder actions exit Pattern Ei Faiten Mira D Pria 5 2 1 Ore De 124 eum L Zeg dt Patienr D Pat hee Paced Den Che hee a Arthir letondary Tras OFT ORS E 5 When selecting the DICOM option from Step 4 Touch the Add DICOM viewer check box only if the computer does NOT have a full DICOM viewer already installed A Annotation Burning Imprints annotations made to saved images Anonymize Images Strips all client and clinic information from the images Repository Format Places images in a repository folder format Create DICOM DIR Adds a DICOM directory to quickly import all images into a PACS system Sound Eklin Pa
12. aine LEAT CR CA Mont B Laft Coming LED STV C1 CZ us Left Csmine LED 8TV C2 C3 FL ILaft Coming LED 8TV CO 4 4030E B Left Coming LED 8TV 64 ER Laft Coming LED HTV CS EA X Left Dipa CR CA AHIR Left CR CDAD Teat Lefi Dlip LM Test Cil _ _ _ Y d Repeat step 6 through 8 as necessary 10 Touch the Unlink button UnLink to remove any shots from the Shots Linked to Protocol box 11 Select a shot in the Shots Linked to Protocol box and change the order using the Move Up Move Down Move First and Move Last buttons Moves your protocol shot up one shot in the series Moves your protocol shot down one shot in the series Moves your protocol shot from its location to the first shot in the series Hi Moves your protocol shot from its location to the last shot in the series 12 Touch the Save button Ito save your protocols 13 Touch the Patient button Les to return to the Patient Screen A If you have forgotten to save your protocols a Save dialogue box will appear Touch the Yes button to save your changes and return to the Patient Screen Sound Eklin Page 29 Chapter 6 Protocols continued Editing Existing Protocols Edit current Protocols to customize them to your shot series 1 Touch the Actions button Lad to access the Manage button in the Patient Screen A To access the Manage screen the user needs to have Administrative rights Changing i
13. button to create a new study Ga Cd acguire protocol peview gerver folder actions men Patient Ei Fai tent Hirra Deag Lamb Hartos rw ei Lad rem i THL Deiper Patent D Paes ed Da Ch reat Deicetpt ge Soy Dag Cagrure Count archive Secondary Trea 070111084544 Flulfiest lores 4 Select the anatomy and the view from the Anatomy Screen see Page 19 Sound Eklin Page 16 Page 7 Chapter 5 Creating Radiographs Choosing Anatomy and Positioning Choose the anatomy and positioning to automatically enhance and position the radiograph 1 Select the Tech and ordering Vet from the drop down menus Davola Joe Bania Kenny 2 Touch the Mark X touchscreen and select the appropriate anatomy paient review 1 Pr Eh 4 Sound Eklin Page 8 Chapter 5 Creating Radiographs Choosing Anatomy and Positioning continued 3 Touch on the appropriate view button for the exposure This will bring you to the acquisition screen led La Ld gt paient oneview keyboard Sound Eklin Chapter 5 Creating Radiographs continued Acquiring Radiographs 1 Set the X ray generator according to the Sound Eklin Technique Chart using the appropriate KVP and mAs depending on the X ray generator A Due to variations between X ray generators optimal techniques may vary somewhat from the values printed on the Sound Eklin Te
14. chnique Chart Users should be fully acquainted with State and local regulations governing radiation protection and the use of diagnostic X ray equipment as well as the manual for the X Ray Generator being used 2 Align the generator 22 inches from the plate using the light beam to fill the entire capture area defined on the plate A If the generator is aligned perpendicular the light will form a rectangle with even sides filling the capture area The image capture area is highlighted by a white box with the dotted cross hairs in the middle 3 From the Acquisition Screen press the hand switch halfway down to prep and all the way down to expose the X ray machine A ig Two Stage Hand Switch Technique To Prep push the hand switch halfway down Wait until the Generator is ready to fire i e prep light on the X ray machine is illuminated etc 3 To expose push the hand switch completely down Pd d E4 i ad s Ld LU E4 LU lad id El E4 E pallet view review left right ite revere rema ection Shot Information Patient Information Carpus Hame Fluffiest LM hwT orcs Left Sound Eklin Page 19 Chapter 5 Creating Radiographs Acquiring Radiographs continued 4 The image will appear in less than 3 seconds Use the Use Left Right Flip Reverse ROI or Crop buttons to make orientation adjustments before shooting the next shot AP Window and level with finger in up a
15. delete from the left side menu Touch the Delete button Sound Eklin Page 33 Chapter 6 Protocols Deleting Protocols continued 4 Touch the OK button gt to permanently remove the protocol 5 Restart the software by Touching the close button in the upper right corner Sound Eklin Page 34 Chapter 7 Managing Studies Adding New Images to an Existing Study Add new images to an existing patient s study 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Touch the Acquire button This will take you to the Views Screen using the anatomy you selected from the original study This is shown in the description field ar Sound Eklin Page 35 Chapter 7 Managing Studies continued Reviewing a Study Change the layout or delete any unwanted images before the study is archived on the Storage Station 1 Select a patient by Touching on the name in the Patient List 2 Touch on the Study from E list on the right 3 Touch the Review button Lea Ed C2 La c C2 Ed lb delete eer acguire protocol pedes peee folder exit Let E Patient E Faite frr Cert Laub Marte Patienr D Falle 1 Dun im rat fic Dace Capture 070111101708 Fluffiestt 7112011 Jones Caru 112011 10 4 cr A CIS 0 8 eg a 4 Select a thumbnail i
16. dots on each end of the connector 2 Plug the hand switch end of the Min X ray Sync Cable 10 121 into the generator hand switch port Min X ray Sync Cable 10 121 Sound Eklin Page 9 Chapter 1 Mark X System continued Powering Up the Mark X System 1 Plug the female end of the power cable into the power cable slot on the Mark box Standard US 110v Power Outlet NEMA 5 15 Cord Page 10 Plug the other end into a grounded power outlet see page ii Power Requirements 2 With the cables connected turn on the Mark X by pressing the power button on the top of the unit Power Button with LED Light q 10 171 Equine 20 IEC NEMA Power Extension Cord Sound Eklin Page 1 Chapter 2 Opening Mark X Software Open the Mark X software to begin the process of taking a radiograph 1 Double tap the TruDR icon on the desktop This will load the TruDR software for acquiring digital radiographs 2 Enter the user name and password when the login screen appears The default login is User Name admin Password admin The software will load directly into the Patient Screen if the Remember Me box is checked Sound Eklin a Chapter 3 Adding Users Add veterinarians and technicians to TruDR 1 Touch the Manage button in the Acquisition Screen A To access the Manage screen the user needs to have Administrative rights Changing items
17. e Protocol Saves the patient and brings you to the Protocol Screen to select the desired series 5 Paket information F Hama First Mama L Hama de oe fain Lose etn Sec 1D Area Address Weight Comme ig Clear Dar E f E 5 88 Sound Eklin Chapter 4 Patient Information continued Editing an Existing Patient s Information Edit an existing patient s information for future DICOM tagging A Previous exam information cannot be changed 1 Select a patient to edit from the Patient Screen 2 Touch the Edit button e gh peer acquire protocol e pye folder actions exit balen Parra Cree Laal Marta H eg Ar Dair Call Patent D FIE dl Dun TT Tescriplion fba Date Capture Count archive Secondary Tirada SITES Fir dO01 lorie 3 Edit the information as needed If the patient is from an owner previously entered owner can be selected from owner list on the left hand side 4 Touch the appropriate Save button see Page 17 Creating a New Study for an Existing Patient Create a new study for a patient previously entered in TruDR 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Select a patient by Touching on the name in the Patient List 3 Touch the New
18. e A A O Cape om w o o o 0 aa o o CO nee me 95 Tia Gogo mn O aen we me Withes ae wm 90 a Sound Eklin Appendix B Mark X System Field Replacement Guide 1 Using a Phillips screwdriver remove four 4 screws 2 Box will remain on because of 3 Guide Pins Gently slide electronics box off Guide pins By pulling back There are no wires to disconnect Blind Mate Connector Sound Eklin Page 56 Appendix B Mark X System Field Replacement Guide continued 3 Flip electronics box over and pull out 16GB Compact Flash Card The compact flash card will have the most recent Database file on it with all settings required to restore A You will need to place the old Compact Flash into the new electronics box replacement To Slide out old 16GB CF via the cut out Gently pull left or right tab with thumb while pulling card back towards X 4 You will need to place the old Compact Flash into the new electronics box replacement To Slide in new 16GB CF via the cut out Gently align card up with rails and push card forwards towards X Sound Eklin Page 7 Appendix B Mark X System Field Replacement Guide continued 5 After replacing CF card into new Electronics Box slide on using guide pins The guide pins will line up the blind mate connector for you Blind Mate Connector 6 Using a Phillips screwdriver to tighten four 4 screws Sound Eklin Page 58
19. ee mille MIR Dei pnt Re Po PRA cmi poles heh 18 onto gee Pal end VER Lr Pui Ar enn UL cma 8 ue james gen Steed PA TT d a Transferring DICOM Batch to the Storage Station 1 If you wish to send a group of selected studies from a specific timeframe enter the start and end date of these studies in the display at the top of the Batch Send Options window The Dicom image transfer will send thes studies listed in the gueue all at once Lc Cn er es Ar dug be SC Ma Pardo rad nbi cube M Peete tags 1 tee EE Deh rS nen a f regna 143 57 r ah Moira bereet Fer Epi fent Be Tyee aT Bees anite pa 1 E Te TUN gt Ring tal ER eg ee MAS E gr ee eee ji ee AE BS Tita E reg A E A IA A ge ere late i fna iul aec deg5a RE e AE Petr EC EE A A 2 Touch the Start Store button star Sound Eklin Page 44 Chapter 9 Transferring Studies to the Storage Station continued Confirm Storage of a Study Confirm the study successfully sent to the Storage Review Station 1 On the Patient Screen the Archive field will show a server name e g SOUND SERV1 2 Hold the mouse over the server name to show a pop up window with the transfer data The pop up box displays how many images have been transferred and the date and time of the transfer The information is color coded for easy reference If only one study appears
20. g section 4 Status box displays transfer results When the status box states completed your images have successfully transferred to the DICOM server Touch the Red close button in the upper right corner to close the screen T SEH Ee Set Fer Siri tri ber Fie T3 Siet 4 ri ee petis wg mi iB fat eni A Freeride eee gei a 8 4 A IN be aba iji AS a Sound Eklin Page 42 Chapter 9 Transferring Studies to the Storage Station continued Transferring Individual Studies to the Storage Station Transfer the studies from the Acquisition Station to the Storage Review Station 1 Search for a patient s study by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Select a patient by Touching on the patient name in the Patient List field 3 Touch the Server button La 4 Touch the Start Store button to begin DICOM image transfer Sound Eklin Page 43 Chapter 9 Transferring Studies to the Storage Station Transferring Individual Studies to the Storage Station continued 5 Status box displays transfer results When the status box states completed your images have successfully transferred to the DICOM server Touch the Red close button in the upper right corner to close the screen E Ip Lm Set Fer Spiriti ber ie eg rmm jas ms B
21. ge 39 Chapter 8 Exporting Images to a Folder continued 6 When selecting the JPEG format from Step 4 select the Overlay Burning options from the drop down menu a The default option is set to None None Does not show overlays on the JPEG image Detail Shows a detailed DICOM overlay on the JPEG image shows Image Number Manufacturers Model Number Study ID Image Anatomy View Position Image Laterality Extended Columns X Rows Technique Institution Name Physician of Record Patients Name Patient ID Patient Breed Description Patients Birth Date Patients Sex Acquisition Number Acquisition Date Acquisition Time Summary Shows a summary DICOM overlay on the JPEG image shows Image Number Image Anatomy View Position Image Laterality Extended Institution Name Physician of Record Patients Name Patient Breed Description Patients Birth Date Patients Sex Acquisition Date Acquisition Time 7 Touch the Select Button Export As Overlay Burnin hone D Anonymize Images O Create DICOM Dir Select 8 Select a location to save the images AP Images are saved to a selected location in a folder with the animals name and the clients last name e g Trigger Smith Browse For Folder Sound Eklin Page 40 Chapter 9 Transferring Studies to the Storage Station Transfer the studies from the Acquisition Station to the Storage Review Station A You must have your Mark X and your S
22. gh te Coreen kg Char Qar 2azamBunausuugE Sound Eklin Page 23 Chapter 6 Protocols Using Protocols continued 2 Select a Protocol button to begin the protocol series arr Pr gh aaa palsera anatomy Protocol em Bab ir WA le Fpi ore loom Sages eed E Lee md Tesch weieen Panier Lat Hee Deech ES lo po ren 3 The Acquisition Screen now has a Protocol Information bar showing the Protocol shot number The current Shot Information is located in the upper left portion of the screen Ld 478 lt paii amabnry view reien left right f p me ree et rm bepa Shot Information Information Carpus Hame Flusffiest 1 DLPMO Owner Jones Left iia bh cac Tct Hi anm E res Les jr y Magi Sound Eklin Page 24 Chapter 6 Protocols Using Protocols continued 4 Shoot the first image The software will automatically advance to the next shot in the protocol series The shot number in the Protocol Information Bar keeps track of the shot sequence while the current Shot Information appears in the upper left Shot Information Stifle CDL CRMO Left k m yn AT ame Left Stifle shot 9M Mw 4 PIHE Protocol Information 5 Use the Protocol Information bar to repeat a shot skip a shot restart the protocol move to the last shot in t
23. he protocol or stop the protocol Move to the first shot in the protocol series Repeat the previous shot Skip to the next shot Skip to the last shot in the protocol series x Stop the protocol 6 Touch the Review button to open the Review screen see Page 25 7 Touch the Patient button Leg to return to the Patient Screen Sound Eklin Page 25 Page 6 Chapter 6 Protocols continued Adding New Protocols Create new protocols for your individual studies gt 1 Touch the Actions button Led to access the Manage button gd in the Patient Screen A To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 D s JUDA m e TEE E SCH NET H are SEA UI l L B say le i T Sound Eklin Page 7 Chapter 6 Protocols Adding New Protocols continued 2 Touch on the Plus Sign next to the Protocols List to show the existing protocols 3 Select the Protocols menu from the left side of the screen to load the Protocol Screen Navigate to Species gt Equine gt 1210S CIE gt Protocol 4 Enter the name of your new protocol in the Protocol Name field 5 Touch the Save button Sound E
24. ien mn 0S Y um mn up Right Oblique 246 o 025 eft obtique a 80 u nien mu 000000 med mm nu Right oblique 246 nu eft obtique u nu tt Y OH O Ae U AO Au WA o Gate an mu ide Laterat 2466 mn 02 caudal atera un nu Sound Eklin Page 50 Appendix A Digital Radiography Technique Charts Portable 80 15 continued Study View SID in cm kVp Time in Seconds 00777 0 aer Shoulder med 246 mn wu mu o Medelaterl 246 nu OO O O Gaang O O Y O ae 24 8 nu S 1 L mu o mu aen mie mm mu Ci A diar ET 8 fon Withers Lateral 24 61 Sound Eklin Page 51 Page 2 Appendix A Digital Radiography Technique Charts continued Portable 100 30 Study View SID in cm kVp mAs Weier O O O o Degree Navicular 3076 mn 32 Fes egreer3 mm mn OB mme mu aen mm mu Skyline mm mu indicated Va Obliques 30 6 nu virgeet er m 06 mn Jos 60 00 EE E mm mu os 3006 mn 05 indicated 65 Degree Obliques 30 76 s0 os Pasten o A o So PSIG O 9 mm mu Meat Oblique oe mu 7 7 3476 mu Feb 3X6 w E Meat Oblique 376 oo 7 ae mm mu O 00 oie 06 7 0 Reedimerl oe mu indicated Special Palmar 3076 90 A7 Metacarpus Metatarsus 00000000
25. in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 2 Select the Users menu from the left side of the screen to load the Users Screen IS h m5 E 4 H SAS oe E geg bm am 5 am Sound Eklin Page 12 Chapter 3 Adding Users continued 3 Touch the Add User button in the Acquisition Screen 4 Enter the User s name in the First Name and Last Name fields 5 Create a unique user name and password in the User Name and Password fields Suggested user name First initial of your first name plus last name e g jsmith for John Smith Passwords can be left blank for ease of use 6 Select a Group or Groups for each user by Touching Tech or Vet Each Group allows different permissions You may select multiple check boxes per user Tech User is added to the Tech pull down list has no access to the Manage features Vet User is added to the Vet pull down list has no access to the Manage features Admin Has full access to the Manage features Tech Support Should only be used by Sound Eklin Tech Support 7 Touch the Save button C swe to add the User Lat O Uawen Deler ze Eid 8 Repeat steps 3 through 7 to add additional Users dip Please note There must be at least one TECH active in the user menu S
26. it will be highlighted in blue and the color coding will not appear Green Box Image transfer complete Red Box Image transfer failed Notice the Secondary Transfer field Secondary Transfer documents the number of studies sent to another PACS system besides the main archive ie Sound Serv2 Sound Eklin Page 45 Chapter 10 Adding and Editing a DICOM Location Add DICOM server locations for sending images to a Storage Station Radiologist etc 1 Touch the Manage button in the Acquisition Screen A To access the Manage Screen the user needs to have Admin rights Chang ing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 2 Select the Configuration menu from the left side of the screen to load the Users screen Sound Eklin Page 46 Chapter 10 Adding and Editing a DICOM Location continued 3 Select the DICOM button from the left to bring up the DICOM Server Screen A R A at Sst 0 ap A pu ap o ai is OO B y BPR A me ir RS ms amp dude Sae Age Dese rcs we ase Game vt OI 11104 CIE Ir Du Server Lettings d Apnpicabon tingi Aceasisitiers Tech Suen Serin AE Tike al TITLI Age
27. klin Chapter 6 Protocols Adding New Protocols continued 6 Filter the shots as necessary by selecting the Filter by Laterality drop down menu E4 11105 CTE zhan Suda Types E Protecol Fight Front fetis Left Hind Ferlan Sight Hind Left Tarma fant Tarsus Keeneland Repo E HOPE 2510E 430 4A 418 Test Test CH SS _ 7 Select the first shot from the Shots for Species list El 13165 CIE Shut Huey Types E Protec Left Front Fetic Faint Front fett Left Hind Fi Right Hind Left Tarma Right T Keenetand Repo ms TKIOPE 1510 4030E 46H 441m Test Test CH A 2 8 Touch the Link button Link to add the shot to the Shots Linked to Protocol box Sound Eklin Page 28 Chapter 6 Protocols Adding New Protocols continued led 4 L3 La gt E Tie Ediring zeoracal nasi Whets Habad te protocol Feliu 3 Euma Lab Eco D FL Large Nye 3 11105 CIE A DF thon Laft Calcaesauy FLECID LA Laft alcant LM study Types Left Carpas DLE Proton Laft Care DAFLC Left Front Fei Dur Left Carma DP Laft Carpas DPR CIC Ki l purum Mesa Feu DO Left Carns FLOED DDO afl Hid Fari 2 Left Cuma FLEXED LN Sight Hind Fell eee tht Carma PLA Left Carpus mae Right Cari Left Tarsus a an ri E Left Coping ant Tari Left Cymw LEAT C3 C4 Keeneland Rape Left Coping LE RT C4 CS nee aft C
28. mages to an Existing Study oooooocoooocccorcccorcccccocccconoccconcccconoocos 35 REV IC WINS a Study RTT ETE 36 Chapter 7 Managing Studies oscuras alcala dotaciones 37 Chapter 8 Exporting Images to a Folder ee ENEE ENEE EEN EEN EEN 39 Chapter 9 Transferring Studies to the Storage 5 41 Transferring Individual Studies to the Storage 5 ENEE EEN 43 Transferring DICOM Batch to the Storage Station 11111111 44 Confirm Storage Of a Study sessesessesossosoesoesosoesosoessesosoesosoosoososoosoesoesesoeeoe 45 Chapter 10 Adding and Editing a DICOM Location ccccccccccccccccccccccccceccccecccoecs 46 Appendix A Digital Radiography Technique 6 656 11 49 SOTI 49 dogs 00 0 52 Ganu e TI rc AG S 54 Appendix B Mark X System Field Replacement Guide ENEE 56 Appendix C Calibration Procedure E 60 Appendix D Technical Support ea ee eaa a e eeh OO aO ER REP SEE RS E PE e PROS 62 Sound Eklin Page 3 Important Safety Information Note a Read all the instructions before connecting or operating the component Keep this manual so you can refer to these safety instructions Warning OH There are no user serviceable parts inside Refer all servicing to qualified service personnel To reduce the risk of fire or electric shock do not expose the unit to moisture or water Do not allow foreign objects
29. n the left hand pane to load the image into the review pane on the right The selected image is highlighted by a yellow box Ed L2 Ed patieni new opie amabhmy delete fevert roiate actions over Aeybeard rei fr gh Sound Eklin Page 36 Chapter 7 Managing Studies Reviewing a Study continued 5 Review the images by using the following techniques Zoom Once the Zoom button is selected tap the screen on area you would like to Zoom in on To Zoom out tap revert button Pan Tap the Pan button Touch and drag the image with your finger Window Level Tap Window Level button Move up and down with finger on screen to perform Level Dragging finger Left to Right is Window 6 Use the toolbar for advanced review features Ed LU Ed Ed Ed id Id Ed E patient new agire G t delele fevert mate sm seit bebed rei fr Fh Patient Returns to the Patient Screen New Opens the Anatomy Protocol Screen for creating a new study or protocol Acquire Opens the Views Screen using the anatomy you selected from the original study Anatomy Opens the Anatomy Protocol Screen to select a new view to add into the same study e Ld lal acil Save Saves the image with any changes that have altered the original image dP Warning message will appear to choose Yes to overwrite replace the image or No to create a new additional image Delete Removes any unwanted
30. nd down left or right motion Crop the images as needed see Pages 23 24 If you need to reshoot your X ray press the hand switch and fire again dad Gs Ld rewiesw jet E cheat indormatioan DE LU 08 lt mee feet em rm bpian pal unl Intonation Hanke RETE E Chath dee Ead n ps LM Left ee eru fummi ey em e m qut Touch the Anatomy button change views 6 Select the next view from the Views Screen Touch the Anatomy button from the Views Screen if another anatomy is needed 7 Touch the Review button to review Touch the Patient button to return to the Patient Screen Sound Eklin Page 20 Chapter 5 Creating Radiographs continued Cropping a Radiograph Remove unwanted portions of the radiograph 1 Make adjustments before shooting the next radiograph To do so Touch the Action button Led Touch the Crop button ad in the Acquisition Screen A The new image will appear lighter after Touching the crop button Based on the crop selection the image will be windowed and leveled again id d b E Cd E Ed Ld lal ld E Ed gt lt palbeed amabnmy reien jdm eee action mi epia Patent Infeormmatienm A Mane Pld fest Sound Eklin Page 21 Page 2 Chapter 5 Creating Radiographs Cropping a Radiograph continued 2 Frame the desired image dragging from upper left corner to lower right hand corner of the touchscreen with finge
31. nd select Get Image Inspect the image for any defective lines pixels or any other artifact If the image is a mottled uniform gray color then the calibration was successful Sound Eklin Page 2 Appendix D Technical Support Shipping Address Sound Eklin 6359 Paseo Del Lago Carlsbad California 92011 USA Technical Support Office hours Weekdays 8 00 A M 5 00 P M Pacific Time Emergency 24 hour support is available Telephone 800 268 5354 option 3 Website www soundeklin com Sound Eklin sound klin gt a VCA ANTECH company Sound Eklin Technical Support 6359 Paseo Del Lago Carlsbad California 92011 USA toll free 800 268 5354 option 3 phone 760 918 9626 fax 76 918 9620 international 6 www soundeklin com 2011 All Rights Reserved Sound Eklin a VCA ANTECH company
32. nds 8 If the setting is correct the Calibration Progress box will display the Average Exposure Count and allow you to continue the calibration If the settings are not correct the Calibration Progress box will tell you if the settings are too high or too low reset and then prompt you to adjust your settings and take another image The window for acceptable values is 20 9 f your settings were correct you will be prompted to acquire a series of 4 images 30 seconds apart 10 Once all 4 gain calibration images have been created you will be prompted to acquire a Flat Field image Acquire this image at the same technique as your calibration images 11 Once the Flat Field image has been acquired the application will begin calculating the statistics of the calibration DO NOT CLICK ANY BUTTONS OR EXIT THE SCREEN UNTIL THE STATISTICS HAVE BEEN GENERATED Sound Eklin Page 60 Page 1 Appendix 6 Calibration Procedure continued 12 Approximate Calibration Statistics Offset Median 2129 Offset Std Dev 258 1529 Gain Median 9586 Gain Std Dev 144 6174 13 Using the dropdown window next to the Get Image button at the bottom of the Calibration Screen you can view the Offset Gain and Flat Field images by selecting them in the dropdown and selecting the Get Image button Use the Brightness and Contrast sliders at the bottom of the image window to adjust the image 14 Select the Flat Field image from the dropdown window a
33. nment 15 C to 35 C 30 to 75 RH 70 to 106kPa pressure Storage Transport 10 C to 55 C 15 to 80 RH 70 to 106kPa pressure Power Requirements 100 240 VAC 5 6A 50 60Hz Weight net 47 lbs CAUTION Applicable for USA Canada or where approved for the usage Risk of electric shock Do not open P Caution To prevent electric shock match wide Caution To reduce the risk of electric shock do blade of plug to wide slot Insert fully not remove cover No user serviceable parts inside Refer servicing to qualified service personnel This symbol is to alert the user to This symbol is to alert the user to the important operating and maintenance presence of uninsulated dangerous voltages service instructions in this manual and inside the product s enclosure that may literature accompanying the product constitute a risk of electric shock Sound Eklin Page iii Page 1 Chapter 1 Mark X System The Mark X system links seamlessly with the X ray generator to provide the best image quality in a small lightweight self contained system The Mark X portable Acquisition Stations are intended to be used by Veterinarians for intermittent mobile diagnostic applications They will connect the Mark Device to a Xmaru 1210PCB Amorphous Silicon Digital X Ray Detector Sound Eklin Chapter 1 Mark X System continued The Mark X Color Panel Options 30 901 Red 30 900 Purple 30 9
34. not route the power cord where it will be crushed pinched bent at severe angles exposed to heat or damaged in any way Pay particular attention to the power cord at the plug and where it exits the back of the unit The power cord should be unplugged from the wall outlet if the unit is to be left unused for a long period of time Immediately stop using the component and have it inspected and or serviced by a qualified service agency if The power supply cord or plug has been damaged Objects have fallen or liquid has been spilled into the unit The unit has been exposed to rain The unit shows signs of improper operation The unit has been dropped or damaged in any way Place the unit on a fixed level surface strong enough to support its weight Do not place it on a moveable cart that could tip over System will become unresponsive when exposed to Electrostatic Discharge ESD or Electrical Fast Transient EFT conditions This is the normal response to these environmental conditions Please restart the system to return to normal operation USB ports are for keyboard and mouse only User is responsible for evaluating the system with any devices connected to this port for compliance to IEC 60601 1 1 Ethernet port is not to be used during acquisition User is responsible for evaluating the system with any devices connected to this port for compliance to IEC60601 1 1 Sound Eklin Page ii Specifications Operation Enviro
35. ound Eklin Page 13 Chapter 4 Patient Information Searching and Adding Patients Search for existing patients or add new patients easily by using the filtered search fields 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The patient list will automatically filter as you type ip Patient list is displayed based on the User Selected Default 2 If you do not see the patient you are searching for Touch the Add F button or press the Enter key on the keyboard to bring up the Add Patient Screen dci Lef dh hd Ld Ld L4 C Ll Eos le Patient D Seitert Barras eru Last Marne Gne Dwy 24 fout H Se ie Being Patimrr Eiter Mod Dais 0 Muah Capture Arrf w E Keczeing Ty MBA PIES 3 Enter the patient s information Patient Name and Last Name are required fields When entering patient name and last name DO NOT use special characters such as amp Special chracters and symbols can cause problems in the patient name fields Sound Eklin Page 14 Page 5 Chapter 4 Patient Information Searching and Adding Patients continued 4 Touch one of the Save buttons Save Saves the current patient and returns you to the Patient Screen Save Add Saves the current patient and returns to the Add Patient Screen Save Acquire Saves the current patient then opens the Anatomy Protocol Screen Sav
36. r E id i ld s Cd Cl Ed C ld ld E Ed gt lt palber amabmy view rewiesm iei vee reset rom lirica IMPIIS FIRE IN FIL Hang BALL E i 4 7 fummi gem o ones mm 3 The image will enhance once it is cropped The image will perform an ROI based on crop size 4 Re crop the image if necessary before taking the next radiograph by repeating the steps Sound Eklin Chapter 6 Protocols Using Protocols Shoot a series of X rays in a preset order which automatically advances to the next shot after each shot taken 1 From the Patient Screen select the Patient and Touch Protocol ee Gad ad pid gdt eiste pew acgulre protocol peview perver actions egit Patience D Pates dl Duns ener rripi Srudy Dare Capture Co Archie Lenarndary Tran Or from the Patient Screen Touch New and Touch Protocol E4 L2 a dd La Ll m adit delete per w re protocol peview freet folder actions Patient iD Fathent Marte Gana Lart Siarter Deag Lwy 124 PN Default Primu Denar ryn pady Dag Captura Coane archive d Treat OR from the Add Patient or Edit Patient screen Touch Save Protocol to Add a Patient see page 16 2 8 2 oo wresadd yw m DW aueetwobco keyboard 6 XD Lait Hai Ami F oram Fast asma L Hama Barn mu Dmm inici nes Fin Apache kitu Sees poa Cy Wei
37. s the Manage button gd n the Patient Screen dp To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 DI ren ide 4 Led Lu Ed loz ka Ll Lad ke Cre Dwy Gi houn H mat As Denmat 1 AAA TA 070111084544 Sound Eklin Chapter 6 Protocols Renaming Protocols continued 2 Touch on the Plus Sign next to the Protocols List to show the existing protocols 3 Select the Protocol to rename from the left side menu Touch the Rename button D F D m Lu a H w il 44 I A ri a tie rn Sound Eklin Page 32 Chapter 6 Protocols continued Deleting Protocols Delete current protocols 1 Touch the Actions button Led to access the Manage buert in the Patient Screen dp To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 kl 2 Touch on the Plus Sign next to the Protocols List to show the existing protocols 3 Select the Protocol to
38. tems in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 2 Touch on the Plus Sign next to the Protocols list to show the existing protocols 3 Select a Protocol to edit from the left side menu make changes and Touch Save Sound Eklin Page 30 Page 1 Chapter 6 Protocols Editing Existing Protocols continued 4 Continue with Step 8 on Page 34 HM aret nmm i 3 3 Se cy Latensitry Ediri gt g Frroto al niai Gb fer Ropero i Theis tinked Fa protocol Sw AH Felona Left 9284 D PL F gt gt Equine Large irc rg bi CiE mer 11105 3 thon lypet Left Front Fe Faget Front Fett Left Hiig Fetiee Right Hind Feli Left Corpus Right Carina Left Tarna SS Bees Kaer Farr SES katt Coping LE ET Ca Cl P a LL RI CS C4 E Lat Ging LED AT ELE 16308 Mag Laft Coping LED NTV C2 C3 Left Camine LED BIC 4 3510 qe Leift Gaping LED ATY 45 Left Coping LED amp TV C5 CA 8 41415 Test Test Cif ee A Closing the software and re opening is required to save protocol database changes Renaming Protocols Rename current protocols 1 Touch the Actions button Lado acces
39. torage Review Station networked Please contact your local IT Person for any networking needs and SoundEklin tech support for configuring DICOM Server for the Mark X 4 Unit cannot be connected to a network while in use In addition you must remove network plug 1 2 To bring up the Store Files to DICOM Server screen Touch the Server Button on the Patient Screen H nem nes 24 Ld C Lo Lo barra eru Laat Marne El l Crus Dury 24 hen D 58 Aer Deier P Pepe ri Ca fescrintien Shah Capiro archive Eacondarg Tr Sound Eklin Page 41 Chapter 9 Transferring Studies to the Storage Station continued 3 Touch the Start Store button to begin the DICOM image transfer to the Storage Station pen Jun Da Passes na FAY Lann wet macacos Caparo ric enm FAE TRAED BA emmmer Poem Logg g IB ARA ae Pia Pe Kate ATE TOUJE LLCH 783 Ja LL LM lll E TE DOE Fy nti PAE 24 TT Ee Me ee ll Eddy Laf ang eo COD ee ee L t vr vg Pe A oe ur ad a Rr pte LT la E Pes Deg eed atril Gr gn Poeta Z CET KC K ER nj Me ET 0 epoca ta Di tee ee eh Hi GL a tant Bitte Zap BI tt ir POSTE ath C e 1 l riab Ti date This will store all the studies that were taken since your last transfer and clear the queue If any studies are missing you can transfer them individually see the followin
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