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iDR Long Bone USER MANUAL

1. Digital Imaging Made Simple iDR L Long Bone User Manual Foreword Proprietary Notice and Disclaimer The information herein disclosed is the property of tCRco Inc Information in this docu ment is subject to change without notice and does not represent a commitment by iCRco to incorporate changes or improvements in units previously sold or shipped No part of this document may be reproduced or transmitted in any form electronic or mechanical including photocopying and recording for any purpose other than the purchaser s own use without the express written permission of tCRco Copyright Copyright iCRco Inc 2003 2010 All rights reserved Trademarks CR 26000 CR 100060 CR 1000 Dual CR 260068 CR 2600 Dual CR 2600SF CR Vet R CR CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR 36000 CR 3600SFR CR VERTX 1DR www icrcompany com and QPC XSCAN32 are the trademarks of iCRco All other trademarks are the property of their respective owners and are hereby acknowledged Terms Any one of the following iCR products will be referred to as the CR unit throughout this document CR 100068 CR 1000 Dual CR 26000 CR 2600 Dual CR 2600SF CR 36000 CR Vet CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR VERTX Any one of the following CR products will be referred to as CR dual uni
2. Select default color for annotation text AAA Default und of measure om Embed Annotations in Image Clicking on the Embed Annotations in Image button will save all the annotations into the image enabling the user to DICOM send images with annotations If the annotations are not embedded they will not be sent with the image when doing a DICOM send 2007 2009 28 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Line Annotations Creates a straight line on the image 1 Select the Line button 141 from the annotations toolbar 2 Left mouse click on the area of the image to set the first endpoint 3 Move the mouse to where the second endpoint will be 4 Left mouse click on the are of the image to set the second endpoint Extended Line Annotation Creates a straight line that passes through the image 1 Select the Extended Line from the annotations toolbar 2 Left mouse click on the area of the image to set the first endpoint The line will be extended through the entire image 3 Move the mouse to where the second endpoint will be 4 Left mouse click on the area of the image to set the second endpoint Arrow Annotation Creates an arrow on the image which points to a region of interest 1 Select the Arrow I button from the annotations toolbar 2 Left mouse click on the area of the image to set the end of the arrow
3. 3 Left mouse click on the annotations and drag it anywhere on the image Resizing Annotations 1 Select the annotation 2 Move the mouse over the annotation onto any of the handles The icon will change to the resizing ES annotations icon 3 Left mouse click on the annotation handle and drag it anywhere on the image For measurement annotations the size angle will change accordingly One of the handles provided for measurement annotations will also allow the user to reposition the text 6 7 Patient CD DVD Creator CD DVD Creation Software is NOT part of the QPC XSCAN32 Software This section is optional for users who already have CD DVD Creation Software already installed on their respective PCs 1 In the patient information window select the patient s to be placed on the CD DVD To select multiple patients hold down your Ctrl key on the keyboard and using your left mouse button select each patient 2 Click on the Create CD button in the toolbar Selected patients will be copied into the patient CD layout folder C _XscanCDFolder 2007 2009 35 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual n Xscan Radiology Application version 2 10 DICOM DICOM 3 Create af Send Retrieve Merge ti A Patient Information Database size 417 41 MB Some patients hidden xecaniD Date LastName FirstName
4. Target type Dicom TargetIP address Target TCP port 104 ces 6 16 DICOM Send 1 Open a patient study for viewing and select the image icons to send DICOM 2 Click on the DICOM Send S button in the toolbar This will only appear in the toolbar when the Use DICOM to transfer images option is selected in the Image Transfer preferences tab E image Targets Diggi Dicat DICO DEC Dici GUI_DICOM DICE 2007 2009 47 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 3 The Image Targets dialog will appear Select the target s to send the selected images to 4 Select OK to confirm the selected target s H DICOM Controller 44 00 j DOOM Setnga Taget ia acy l Pri Settings Wai y Mee T Aways pompi for tagel ahan senda hr Send Pani CA Makes ath image padua SS a Pata Pess Sho we Send DICOM images ai compierded ican bo tican Orde Compeernion DAC Piri Setting Piri to PAE TI BU Dib BiowaCokmne Aa Serdeg CA Procesed nae Und a 5 E ail gt Media Type BLUE FLH DICOM Conhgur aem Sets Local AET ElU_DIC04 Fim Sos BIRTH A 105 Git ce Message LID 216 6401 19957 3152 10003702 Serial Wio 00001 Evert log Clos Ev vent Log View Eveni Log THIRE 0 A PHAME Ches kmay Lii 1 IMILJA aL DEST PALS pi fit Men Ag 1E TEO 0 2 er Seeing PAM 1 Ho ima ape Leray 612 TT IRU UML
5. 70 Ur 30 61000 4 11 dipinUr for dip in Ur for 25 cycles 25 cycles lt 5 Ur lt 5 Ur gt 95 dip in gt 95 dip in Ur for 5 sec Ur for 5 sec Power Power frequency magnetic fields frequency should be at levels characteristic 50 60Hz of a typical location in a typical magnetic commercial or hospital field IEC environment 61000 4 8 NOTE Ur is the a c mains voltage prior to application of the test level continued on next page 2007 2009 vi of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Table 2 continued AAA Immunity IEC 60601 Test Compliance Electromagnetic Environment Conducted 3Vrms 150 kHz Portable and mobile RF RF IEC to 80 MHz communications equipment 61000 4 6 should be used no closer to any 3 V m 80 MHz part of the iDR L including Radiated to 2 5 GHz cables than the recommended RF IEC separation distance calculated 61000 4 3 from the equation applicable to the frequency of the transmitter Recommended separations distance d 12V P d 1 2v P 80 MHz to 800 MHz d 2 3 P 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than th
6. Ctrl 5 Sends queued images Shift Q Adds images to the send queue and sends the queued images Shift R Imports received images immediately Right Arrow Moves to the next image Left Arrow Moves to the previous image Down Arrow Moves to the next row of images Up Arrow Moves to the previous row of images Page Down Moves to the next page Page Up Moves to the previous page 2007 2009 63 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc
7. PatientID Doctor inst Name New 52110081 11 30 2002 Goedecke Amit 1667 Ardra Vieser 08 11 1945 A IAS E Wolfgang 1672 Hedwig Baal 07 21 1932 1210079 11 28 2002 Giro Adolf 1675 Monica Hey 0911 1980 S 10072 06 01 2004 CR 000001 SMITH 12 24 1788 Delete If this is the first time using the patient CD creator feature a prompt will appear indicating the user to browse for the location of the DVD CD Creator software Alternatively if Nero software is already installed on the PC select the option Use Nero scripting to create CD DVD Browse for file Select the location of your CD recording software Browse l Use Nero scripting to create CD DVD Using Nero Scripting 1 When the software has finished initializing and copying the patient CD the Nero scripting dialog will appear 2 Select the device to burn to if multiple drives are present 3 Put the CD DVD into the drive and select the Burn button 4 The drive will eject media once it has completed Click the Burn button again to make multiple copies or alternatively set the Number of copies option before burning MM iMedia Creator Device PHILIPS DVD RW DYD8701 7 Drive info Compilation settings Title PE Pl NT Media CD Number of copies fi Bum O Always use these options and bum immediately Burning engine initialization successful 2007 2009 36 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27
8. Plug the power cord for the iDR L into the power switch unit 6 Fasten the Power Cowling to the Shoulder Extrusion using three 3 6 32 x flathead Screws 7 Plug the USB 2 0 cord into the Acquisition computer 8 Ensure the UPS battery is connected to its terminal 9 Plug the other end of the power cord into the UPS 10 Plug the UPS power cord into the wall 2007 2009 7 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 3 3 Wall Mounting Wall mounting plates must be installed by a licensed contractor 1 Attach the small wall mounting plate against the wall at the desired height Allow the contractor to determine the proper screws to fasten the small wall mounting plate to the wall The DR L with all accessories attached weights approximately 100 pounds Figure 3 2 Fastening the small wall mount plates to the wall ae of m 2 Fasten the iDR L to the large wall mounting bracket using twelve 12 1 4 20 x 7 16 width nuts Figure 3 3 Fastening the DR L to its wall mounting hardware iDR L Mounting Brackets 2007 2009 8 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual A CAUTION Heavy Lift Use at least two peopl
9. 3 Move the mouse to where the arrow should point 4 Left mouse click to set the second endpoint of the arrow head Cross Hair Annotation Creates a cross hair on the image 1 Select the Cross Hair button from the annotations toolbar 2 Left mouse click on the area of the image to set the start point of the cross hair 3 Move the mouse to where the second endpoint will be 4 Left mouse click on the area of the image to set the cross hair 2007 2009 29 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Free Hand Annotation Allows user to draw freehand on the image 1 Select the Free Hand button from the annotations toolbar 2 Hold down the left mouse button on the part of the image that is desired to start drawing then drag the mouse 3 Continue to hold the left mouse button and draw as necessary 4 Release the left mouse button to end the freehand drawing Ellipse Annotation Creates an unfilled ellipse on the image This feature is used to show a region of interest on the image 1 Select the Ellipse amp button from the annotations toolbar 2 Left mouse click on the area of the image to start the ellipse 3 Move the mouse to where the ellipse will end 4 Left mouse click to set the ellipse in place Rectangle Annotation Creates an unfilled box on the image Used to show a region of interest on the image 1
10. ES rp e 1616024 404 HUM TT M heel spade ya illa AID E EHD 7 1002 ca mae nug 1618 10240 3004 Atempt hy Send 10003 12 mg AG EAT b 22L SRIDIZ IEb a sca i Chest bears Lis cong phar PY 5 The status of the send will appear in the Event Log of the DICOM Controller window If sending to another XSCAN32 application the user can turn compression on and select a compression type low medium high 6 17 DICOM Retrieve 1 Open QPC XSCAN32 2 Click on the DICOM Retrieve button in the toolbar This will only appear in the toolbar when the user has the Use DICOM to transfer images option selected in the Image Transfer preferences tab Xscan Radiology Application version 2 10 File Edt view Image DICOM CR Options Help DCOM DICOM j Greate 4 o a ED Send Reineve Marge 3 The Image Targets dialog will appear Select the target to retrieve images from 4 Select OK to confirm the selected target 2007 2009 48 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual E image arpets 5 If the user has selected the Search Parameters option then enter any relevant patient or study information For example to search on all patients with the name John Smith type John Smith into the Patient Name field To search on all patients with the last name Smith type Smith into the Patient Name field Where the asteri
11. INUM 7 aaa DEST SCAN_DICOM INAM C Xscan32 date A 1 27 2009 5 13 47 EM Se nan ng ENAME se oe ray CR yo r Se 7 DEST X5CAI 13 Sen E MinXray e EM NO INUM 6 SNe DEST XSCAN_DICOM INAM C xscan32 da UM CAN_DICOM it 5 Sel PNAME Mi ert INUM 5 SNUM TO06 PES lt SCAN_DICOM INAM C Xscan32 da Sending PNAME MinxXray CR Verbs UML DEST XSCAN_DICOM 129722009 5 12 05 PM Gend failed for PNAME Misran CR Verd INT IMTA SAGE DEST SCAN NICAM INSMICA oranda Y 5 3 Schedule of Maintenance The following is a schedule of maintenance for the DR L The following maintenance may be performed by end users Maintenance Procedure Frequency Clean 7DR L exterior covers Monthly The following DR L maintenance must be performed by an iCRco authorized service engineer only 2007 2009 17 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Maintenance Procedure Clean IP Plate Bi yearly Clean fan filters Monthly or when visibly dirty The following DR L calibration maintenance must be performed by an iCRco authorized service engineer only Maintenance Procedure Frequency Check image performance Contrast Noise Ratio and Spacial Resolution Perform Exposure Index calibration 5 4 Periodic Cleaning Periodic cleaning of iCRco products should be done on a monthly basis 5 4 1 Cleaning th
12. Select the Box button from the annotations toolbar 2 Left mouse click on the area of the image to start the box 3 Move the mouse to where the box will end 4 Left mouse click to set the box in place Text Annotation Creates a text annotation on the image 1 Select the Text button from the annotations toolbar 2 Left mouse click on the area of the image to set the upper left corner of the text box 3 Move the mouse to where the text box will end 4 Left mouse click to set the size of the text box 2007 2009 30 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 5 The text box will become white with a flashing cursor Type text 6 Click anywhere on the image to end the text box Measurement Annotation Used to measure the distance of a straight line on the image This can be in inches cm mm and pixels 1 Select the Measurement button from the annotations toolbar 2 Left mouse click on the image to set the first endpoint of the measurement 3 Move the mouse to where the endpoint of the measurement will be 4 Left mouse click to set the endpoint of the measurement The measurement will appear below the line 5 To place the text in this default position left mouse click on the same point again To move the text out of the way move the mouse to the desired location and left mouse click to set the placement of the
13. center line of four points 2007 2009 32 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Select the Center Line 141 button on the annotations toolbar Left mouse click on the area of the image to set the first point Left mouse click on the area of the image to set the second point Left mouse click on the area of the image to set the third point g A WO N e Left mouse click on the area of the image to set the fourth point The center line of these four points will be drawn on the image Center Point Used to find the center between two user settable points 1 Select the Center Point button on the annotations toolbar 2 Left mouse click on an area to set the first point it will appear as an X 3 Left mouse click on an area to set the second point it will appear as an X 4 A third large X will appear in the center of the two other Xs Probe Used to view the X amp Y pixel coordinates and the grayscale value for the point 1 Select the Probe button on the annotations toolbar 2 Move the mouse to the desired point 3 Left mouse click and hold and the X amp Y coordinates and gray scale value will be displayed While holding down the left mouse button the user can drag the mouse pointer and the values will change Scale Used to indicate measures like increments on a ruler on the top bottom or sides
14. e Ea e e ed 53 6 21 Advanced DICOM Pinter dio Gk eee ko oe a de a Seek A 54 6 22 Printing toa Windows Prie eea 4 9 gaoa RA 60 6 22 1 Troubleshooting Windows to DICOM Print 61 6 23 QPC XSCAN32 Keyboard Shortcuts o o o 62 2007 2009 xiii of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 1 Introduction 1 1 Overview The iDR L iCRco s patented integrated Digital Radiography system is a sealed Digital Radiography system that uses a high resolution phosphor to capture high quality images The photostimulated luminescence is collected detected sampled and digitized The image data is then digitally processed according to exam and user specified parameters and displayed on a monitor to confirm patient positioning The image can optionally be printed by a hard copy device such as laser printer or dry printer or transmitted to a workstation optical disk file or other destination The device performs lossless compression of the image data for efficient transmission The Image Reader is cassetteless because the Image Plate is built into the DR L The imaging plate is exposed via conventional X ray devices The X ray irradiated IP is stationary and the scan head moves from the exposure position to the reading position and images are read After reading the IP is erased and the scan head is moved to the exposure p
15. field 6 15 Setting Up DICOM Send 1 Open QPC XSCAN32 2007 2009 46 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 2 Open DICOM Controller V1 00 If the user doesn t have the window in the task bar open go to Options Preferences Image Transfer Tab Use DICOM to transfer images F DICOM Controller 1 00 DICOM Setting Targets Coque Prt Setra Wat Mio T Always promet tor taget when sending I Send Prrt CR Markers with Image sl Rebieve mir oom I Send DICOM images as compressed P scan lo Xecon Only DICOM Pret Settings Sending CR Processed image Oriy h Pant lo AETI GUI_DICOM Rows Cokmns 20 Meda Type BLUE FILM DOOM Configueten Saliings Local AET GUI_DICOM Por 16 Message UND 2 16 Geo 1 18967 3 152 10003702 Sena 8 540 ID 00001 Event log Clear Event Log View Evert Log Mon Aug 16 18 02 40 2004 Send suocesihd for PNAME Chest Image Library O46121 INUM 3 co Mon Aug 16 18 02 40 2004 Sending PNAME Chest Image Liaty 06127 INUM 31 DEST Mon Aug 16 18 02 40 2004 NUM 31 PHAM Chest Image Livery OX 6127 SUID 12 168401 19357 10023 100 999 8181999122546 SAID 12 Mon Aug 16 18 02 40 2004 Attempt to Send 10003702 mg RG 25200090 15 b4 mage of Chest Image Library O46127 3 Mo CMP Fim See SINTON 3 Click on Targets button and the Image Targets dialog will appear E image Targets
16. iCRco the warranty will no longer apply This warranty applies only to products manufactured by or for iCRco and that can be identified by an iCRco serial number as originally affixed to the product Any modifica tion to the iCRco serial number tag or its attachment to the product shall immediately void the warranty This warranty is non transferable and subsequent owners must contact iCRco to establish if the equipment is eligible for an extended warranty THERE ARE NO WARRANTIES EXPRESS OR IMPLIED WITH RESPECT TO ANY iCRco PRODUCT OTHER THAN AS SPECIFICALLY SET FORTH HEREIN AND iCRco SPECIF ICALLY DISCLAIMS ANY IMPLIED WARRANTIES OR CONDITIONS OF MERCHANT ABILITY FITNESS FOR A PARTICULAR PURPOSE AND SATISFACTORY QUALITY ANY WARRANTIES THAT MAY NOT BE DISCLAIMED UNDER APPLICABLE LAW 2007 2009 x of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual ARE LIMITED IN DURATION TO THE INITIAL WARRANTY PERIOD AND NO WAR RANTIES EXPRESS OR IMPLIED WILL APPLY AFTER THIS PERIOD ALL INFORMA TION SPECIFICATIONS PRICES AND SERVICES ARE SUBJECT TO CHANGE AT ANY TIME WITHOUT NOTICE Limitation of Remedies and Liability Exclusion of Damages The exclusive remedy for any defective product is limited to the repair or replacement of the defective product iCRco shall have a reasonable time after determining that a defective product exists to repai
17. of the image 1 Select the Scale button from the annotations toolbar 2 Set the desired parameters in the dialog box 3 Click Ok and the measures will appear on the image 2007 2009 33 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Templates Used to load and draw custom templates Select the Templates LH button on the annotations toolbar Measurements Units pa en el Ex Used to toggle between the current measurement units Delete All Annotations Used to permanently remove all annotations from the currently selected images Select the Delete All Annotations lt button Deleting Annotations Individually 1 Select the annotation 2 Right mouse click on the annotation 3 Select Delete from the pop up menu ae ee A ee A A A A a a A A Selecting Annotations 1 Move the mouse over the annotation The mouse pointer will become a pointing hand 2 Left mouse click on the annotation to select it The annotation will become a dotted line with several handles Moving Annotations 1 Select the annotation 2007 2009 34 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 2 Move the mouse over the annotation onto any part of it except the handles i e small boxes The icon will change to the moving annotations icon
18. scanning Once it has finished scanning it will automatically import the image into QPC XSCAN32 9 Open the scanned image by double clicking on the thumbnail 2007 2009 15 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 10 Rotate Flip to correct orientation using the Rotate and Flip buttons in the main tool bar SS Xscan Radiology Application version 2 10 File Edit view Image DICOM CR Options Language Help j 2 Eg Auto Auto a wa w H sfP 2 gt 311 pam ee BO Open View1 View2 Multi Prev Next f Rotate Rotate Flip H Flip Y f Invert Reset Note Case Tile Crop Close Mark 11 Remove any collimation by using the Auto Crop located in the main tool bar Mask or User Mask located in the Image Processing dialog functions 5 Xscan Radiology Application version 2 10 Aut Auto o t He 5 P r 1 D gt B E Reset Note Case Tile top ose Mar a s Open View1 View2 Multi Prev Next Rotate Rotate FlipH Flip V Invert MM MinXray CR VertX Image 007 1 1 W 67L 162 DPI 163 view 26 Preset Name Anatomy N A Projection N A ICE 2 Processing Soft Standard Sharp Process Process Process 13 Accept and Save the image to save the processing and W L settings by clicking the Save and Accept button in the upper left hand corner of the image 3 Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Option
19. text Calibration The calibration tool compensates for image magnification It will allow the user to take an object of known length a coin ruler etc that is not susceptible to measurement distortion draw a linear measurement and assign a length value such that measurements made with other tools will be accurate in the unit of measurement Angle Measurement Annotation Used to draw an angle on the image Select the Angle Measurement button on the annotations toolbar Left mouse click on the image to set the vertex center point of the angle Move the mouse to where the endpoint of the first vector will be Left mouse click to set the endpoint of the first vector Move the mouse to where the endpoint of the second vector will be ON OF Ff WO N e Left mouse click to set the endpoint of the second vector The angle measurement will appear 2007 2009 31 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 7 To place the angle text in this default position left mouse click on the same point again To move the angle text out of the way or to change angles move the mouse to the desired location and left mouse click to set the placement Cobb Angle Annotation Used to draw a cobb angle on the image Select the Cobb Angle button on the annotations toolbar Left mouse click on the area of the image to set the first en
20. the user clicks the Left Right Marker button again the Right Ed marker icon will appear Clicking again will toggle back to the Left marker 4 Move the mouse onto the part of the image where the marker needs to appear When the user moves the mouse over the image a Left or Right marker icon will appear in place of the mouse 5 Click on the image to place the icon 6 To remove the marker click on the Left Right Marker a button again R 2007 2009 24 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual CR Cropping 1 Open the image that needs to be cropped 2 Select the Crop button from the main toolbar 3 Hold down the left mouse button to select the region that needs cropping 4 When the mouse is released the area to be cropped will be surrounded by a red line A message box will appear asking to confirm the selected region Ol To confirm the region click Ok 6 The new image will be created in the same study and will open automatically for viewing Cropping Example Before After CR Masking 1 Open an image for viewing 2 Click the Mask El button 3 To remove the collimation mask select the Mask button again Before Masking After Masking 2007 2009 25 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual C
21. toggle between the full 14x51 scan and a Regional Scan 11 Anatomy selection mouse over the appropriate anatomy then select the view from the pop up dialog 12 Scan preview once the user has begun the scan a preview image will appear as the plate scans 2007 2009 21 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 6 3 Regional Scanning The iDR L offers the User six 6 different sizes for scanning e 14x51 the whole plate e Region 1 The top 14x17 area e Region 2 The middle 14x17 area e Region 3 The bottom 14x17 area e Region 1 and 2 together resulting in a 14x34 image e Region 2 and 3 together resulting in a 14x34 image Toggling between these options is accomplished by clicking the CRco button located just under the Skeleton in the Scan Interface Patient Test 6 23 2010 CHEST ANTERIOR POSTERIOR 6 4 Default Mouse Functions for Image Manipulation Windows Level Images The middle mouse button is used to window level images Hold down the middle mouse button holding the CTRL key and right mouse clicking will also window level and move the mouse vertically to adjust the brightness of the image or move the mouse horizontally to adjust the contrast of the image 2007 2009 22 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L L
22. will perform a slower window and level on images with a smaller histogram i e CT and MR images Smart Box Window Level The Smart Box feature can be activated from the processing toolbar by clicking the icon in the toolbar A box enclosed in dashed lines will appear on the image This is the Smart Box s representation of the Auto Window Function feature To resize the smart box hold down the left mouse button on the border of the smart box and move the mouse forwards and backwards or up and down if adjusting the bottom edge To resize both edges of the smart box at the same time hold down the Ctrl key and Left mouse button on any of the four corners of the smart box and move the mouse 2007 2009 23 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual To move the smart box around the image hold down the left mouse button anywhere inside the smart box and drag the mouse around the image The Smart Box s size and position can be adjusted to yield different results This allows the user fast and efficient image processing methods Left and Right CR Markers 1 Open an image for viewing 2 Select the Left Right Markers a button to apply a Left or Right marker to the image 3 Select either the Left or Right marker When the user clicks on the Left Right Marker button the Left amp marker icon will appear If
23. 2010 Property of iCRco Inc iDR L Long Bone User Manual Using other CD DVD recording software 1 When the software has finished initializing and copying the patient CD a Ready to create CD prompt will appear select Yes 2 The DVD CD Creator software will open Select source folder C _XscanCDFolder and drag the contents of the Xscan CD Folder folder and two files into the data project region The user must not create their own folders on the CD DVD The autorun inf file must appear in the top level under the root directory of the CD DVD T Untitled Data CD Project Easy CD Creator Fie Edt View Disc Tools Track Internet Help Select source files Select source folder location C _Xscan CDFolder LKB MS DOS Batch Fle 1KB Setup Information The following folders and files are to be copied onto a DVD CD Xscan folder xscan bat Autorun inf Ka 040609_2201 3 Click the Record button in CD Creator software 2007 2009 37 of 63 Confidential and Proprietary Property of iCRco Inc JB Ey Size convert Date Modified 6 9 2004 9 31 PM 10 21 2002 4 02 PM 6 9 2004 9 31 PM Document IDRL 01A Rev B July 27 2010 iDR L Long Bone User Manual 6 8 Associating a Barcode with a Study Patient Infanmation Database size E 35 GA Free Spece 4 83 GE Sone Pationis Hidden Hanit Gate et Agr int ger Pir ID Dosh B vey inet Hea Ania Tm Gender HA TED
24. 476395008 MB Archive Folders now Mo 4 Select the location to archive the database to 2007 2009 40 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual x C Xscan32Virchive Browse 5 When archiving is completed a message will appear informing the user of the archive location the current date and time is used for the folder name of the archived database 6 11 Restoring Archived Database AX WARNING It is strongly recommended to backing up data to non spinning media CD DVD or an archive PACS with RAID capability to ensure no loss of data 1 To restore an Archive go to File Restore Archive The current database in QPC must be empty Archive Xscan E Xj Gi Archive C scan32Archive24 4192004 _09h12m285 is now complete The serial number of your dicom module vell IF using external storage media use the following label for Future reference 24492004 09h12m285 scan Archive Restore from location CWecans2Archive 1 24ug2004_09h01m39s Browse Cancel 6 12 Searching QPC XSCAN32 Archive 1 Go to File gt Search Archives 2007 2009 41 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc DR L M Long Bone User Manual 2 To search a particular archive select the archive location by selecting the Browse button 3 Under Da
25. AR or 1 Jue Crh Joa A ae OG as uo Hi Y 10408 01262005 Am Peters 01 00 1908 WAE F A CSA 2006 1489 SHOULDER Add Bossche Date Dapoi In the patient information window enter patient and study information Select patient and study Select Add Barcode button Using a barcode reader scan the barcode of an unexposed cassette The barcode will be added into the barcode list with the default cassette size 14x17 Nn a Ae WOW N e Repeat steps 3 to 5 for each cassette that will be associated with the study Cassette Size 01002 14x17 Add Barcode Delete Barcode The user can change the cassette size by clicking under the column Cassette Size and selecting the actual size This will be saved for future use in the database The user can remove the association by selecting the barcode from the list and selecting the Delete Barcode button 2007 2009 38 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 6 9 Barcode Cassette Size Finding Barcodes and Scanning Images In the patient information window select the Find Barcode Edit box Using a barcode reader scan the barcode of the exposed cassette Select the anatomy information for the study This can be corrected later in QPC XSCAN32 when viewing the images Load cassette into the CR unit Select the appropriate scan
26. Gee hk Soe A KEES Eee ee eee 111 UE a AA EI Vili 1 Introduction 1 LE EI ee ee oe e a ea ee A a 1 2 Pre Installation 2 ZL Voltage Requirements doe Wm GA mo OE oS a DREAGS 2 2 2 Environmental REGUITCINGDIS aaa a aw Rowe S 2 2 3 Connectivity and Power Supply sar a e aa A a 2 24 Power switch LOcauOn 2 4 24 ted ne nee a A ad 3 25 Tower Goce LERS cairo AAA See eed 3 2 0 PINVsiCalVTCGUITCMeNIS dere eke goes EES Ge Meee G 3 2 Sy stenis SPeCINCANONS mi bis be be em de iene ey Boe eee eS 4 3 Hardware Installation 5 Sl Unpacking InstracHonS s 6 ds e a We de Ae ae eS 5 3 2 Installing Power amp USB 2 0 Cables with Power Cowling 5 29 WallNOUNUING 4 oa O25 EA 8 4 Software Installation 10 del WC SPECIMCAHONS vedad OS SAO RAR aS Bee ROS 10 42 USB Driver Installation be Awe EA ee RAE 10 43 Jmstalline ORC XSCANSZ 2 4 4 4 644 0 ape bts eee dane 2a Ae oo 10 5 System Operation 14 SE TOWUN gee ae ta ae Es AD A o Se 14 32 PACGMINING a NADO ire do eee ha ed at SUS Sead Ses 14 S9 sochedule OF Mamlenance s 2 regrese A 17 54 Periodic Clever oO oh Be RE Ae RAE 18 5 4 1 Cleaning the Outside of theiDR L 00 0 18 5 5 DR L Cleaning and Disinfection Procedure 0 18 551 Disinfection Materials s t rss dde Gn drid 2a a4 18 5 5 2 Disinfection method to be performed after each patient use 19 5 5 3 Higher level of disinfection o o 19 6 OPC XSCAN32 Software Fun
27. Inc iDR L Long Bone User Manual Patient Demographics for Icons When the cursor is over the icon bank Advanced DICOM Print will display the demo graphics for the image Images Chest Study 1001 1 01 01 1978 Smith 11 11 2004 12 34 59 Chest APPA 101 Chest AP AP Multiple Icon Pages Advanced DICOM Print has an unlimited number of icons that can be loaded However the PC s memory is a restriction To clear the current page of icons click on Clear Current Page button To clear all the pages of icons and preview window click on Clear All Pages button To move between pages and move to first and last pages click on the arrow buttons 6 22 Printing to a Windows Printer 1 To configure XSCAN to open the DICOM Application Print Server go to Options Preferences gt Image Transfer tab Select the option Use Windows to DICOM Printer DICOM Print must also be selected 2007 2009 60 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 4 XPACS DICOM Configuration PR General Advanced DICOM Appheatan Entity AET Aaa Select EE ICOM Application Print Server Pot 1 ee ATC Fie DICOM DICT TXT ital Default LIO 2 1 3401 333393 Serial Numbed Site ID 1 Image Exportlmpor Targets File TARGETS INF Bits Dump Pathe CADUMP DCM Log Settings Log Level 1 Cancel 2 The Dicom Appl
28. M CR 3600 SF oriCR 36005F M a CR Vert Cor C DAL Film Scanner 312 612 2000 10005L etc onee Choose Destination Location Setup will install QPC XSCAN32 in the following folder To install to this folder click Next To install to a different folder click Browse and select another folder You can choose not to install QPC XSCAN32 by clicking Cancel A to exit Setup Destination Folder C Xscan32 Browse lt Back Cancel Select Program Folder Setup will add program icons to the Program Folder listed below You may type a new folder name or select one from the existing Folders list Click Next to continue Program Folders Bluetooth Catalyst Control Center DVD RAM Games Intel PROSet Wireless Intel R Matrix Storage Manager lt Back Cancel 11 QPC XSCAN32 will begin to install Be patient while XSCAN32 installs 2007 2009 12 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Setup has finished installing Xscan J Yes view the ReadMe file now Click Finish to complete Setup The Calibration Toolkit The X ray Calibration Toolkit is designed to test and main tain a consistent correlation between the x ray source and iDR L is located at C XSCAN32 XRAYCALIBRATIONTOOLKIT PDF 2007 2009 13 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property o
29. OW 250 VOLTS US and International Patents Granted CAUTION TO REDUCE THE RISK OF a EC REP ELECTRONIC SHOCK DO NOT REMOVE COVER NO USER SERVICEABLE PARTS US Headquarters European Office INSIDE REFER SERVICING TO QUALIFIED ERESAINES iCRco Europe GmbH SERVICE PERSONNEL 2580 West 237th Street Ridlerstrasse 31a Torrance CA 90505 80339 Munich A DANGER USA Germany Invisible laser 31 0 921 9559 49 89 2555 757 1 50 radiation when open AVOID EXPOSURE EDY N TO BEAM r Class 3B laser product FDA 510K Cleared 0086 IEC 825 1 Conventions A DANGER indicates an imminently hazardous situation which if not avoided will result in death or serious injury This signal word is to be limited to the most extreme situations A WARNING indicates a potentially hazardous situation which if not avoided could result in death or serious injury A CAUTION A CAUTION indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury It may also be used to alert against unsafe practices A NOTE indicates important information that helps you make better use of your DR L and Software A NOTICE indicates either potential damage to hardware or loss of data and tells you how to avoid the problem Laser Safety A CAUTION This equipment employs a laser Laser radiation may be present if the DR L is operated without the covers Avoid the laser beam Direct exposure to laser light must
30. R User Masking 1 Open an image for viewing 2 Click the User Mask sa button 3 Select the number of views from the Multi View Mask dialog 1 e if there are two hand exposures on one image select the two view button Multi Yiew Mask Number of Views OOO Please select the number of exposures on the image Then select the region of each exposure with the left mouse button Cancel 4 Hold the left mouse button down on the start region and move the mouse to the end of the mask region 5 Repeat step 4 for each exposure After the user has completed selecting the number of exposures the masks will appear on the image 6 To remove the User Mask select the User Mask J button Moving Icon Thumbnails 1 Open a patient study for viewing 2 Hold down the Ctrl key while clicking the left mouse button on the image that needs to be moved The arrow icon will change to a hand icon E The icon highlighted in red shows the location where the image will be dropped 3 To drop the icon simply release the left mouse button If the moving icon is highlighted this indicates that it will return to its original position If an icon is dragged forwards in position i e the image number of the highlighted icon is higher than the moving icon then all icons between its original position and its new position will move backwards and each image number decreases by one If an icon is dragged backwards in position i e the im
31. act or ceramic tile If floors are ESD IEC covered with synthetic material 61000 4 2 2 4 8 kV 2 4 8 kV the relative humidity should be at air air least 30 Electrical 2 kV for 2 kV for Mains power quality should be fast tran power supply power supply that of a typical commercial or sient burst lines lines hospital environment TEC 61000 4 4 1kV for 1kV for input output input output lines lines continued on next page 2007 2009 v of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Table 2 continued AAA Immunity IEC 60601 Test Compliance Electromagnetic Environment Surge IEC 1 kV 1 kV Mains power quality should be 61000 4 5 differential differential that of a typical commercial or mode mode hospital environment 2 kV 2 kV common mode common mode Voltage lt 5 Ur lt 5 Ur Mains power quality should be dips short gt 95 dipin gt 95 dipin that of a typical commercial or interrup Ur for 0 5 Ur for 0 5 hospital environment If the user tions and cycle cycle of the DR L requires continued voltage operation during power mains variations 40 Ur 60 40 Ur 60 interruptions it is recommended on power dipinUr for dipin Ur for that the iDR L be powered from supply 5 cycles 5 cycles an uninterruptible pwoer supply input lines or a battery IEC 70 Ur 30
32. age number of the FN Ascan Radiology Application version 4 10 Fie Edt View Image DICOM CR Options Languag E amp amp e Open Scan View View Multi Case 2007 2009 Confidential and Proprietary Property of iCRco Inc iDR L Long Bone User Manual highlighted icon is less than the mov ing icon then all icons between its orig inal position and its new position will move forward and each image number increases by one If no icons are high lighted when dragging then the image will be returned to its original position CR Processing 1 Open an image for viewing 2 Select an anatomy from the CR Preset box 3 Click the Process button to begin the processing 4 The user may press the Reset button to restore the original image data set the user can also press the Process button again and the original data set will be automatically restored and processed again 5 To optimize processing strength change Gain and Frequency Enhancement as needed The user can update the CR preset by selecting the Update button which will ensure that these processing strengths will be used each time with the currently selected anatomy CR Processing Example Original Image Processed Image About Advanced ICE 2 Processing ICE 2 is a state of the art image processing package that automatically enhances and optimizes the diagnostic quality of digital radiographic images ICE 2 enables the user more flexibility thr
33. and click on Configure DICOM button The DICOM Configuration dialog will appear The target details for this application are usually AET ADV_PRINT DICOM PORT 4008 IP 127 0 0 1 Click on Select to see full details of this target If Advanced DICOM Print has not been entered as an item in the targets list then please add it with the above details Then select this new target and click OK Click OK on the DICOM Configuration to save settings Close QPC XSCAN32 and reopen Select DICOM Application Printer Server and click on Settings button The DICOM Configuration dialog will appear The target details for this application are usually AET PRINT DICOM PORT 3008 IP 127 0 0 1 Click on Select to see full details of this target If DICOM Application Printer Server has not been entered as an item in the targets list then please add it with the above details Then select this new target and click OK Close QPC XSCAN32 and reopen Go to Advanced DICOM Print and Test Printer assuming that you have the DICOM_PRINT target selected as the default printer to print to To set it as the default select the Printer tab in ADVANCED DICOM PRINT and select DICOM_PRINT button Try printing If fails recheck that multiple instances are not open in task manager 3 Make sure no options are selected that should not be selected If the printer does not support border properties then deselect If the printer does not support background properties then deselect If the p
34. atients will appear in the patient list Click on Retrieve Selected Patient s button to retrieve the patients into XSCAN32 database Xscan32 Modality Worklist Query Options Current Tanget Query Woodsi I Automabcaly query Largel when opened AFT T usy by date w Ea a Retineve Selected Patents a P pasan CT Lie Soi get Echo 008 Sex Proc Dercapbon Modaity Study Date pa me test 06 09 2004 203532 2002 37 Che Jach Hoeser Emmet 1670 00 24 1976 F US DRAINAGE GUIDE LIVER US 12 02 2002 1 12107 2002 36 Asta Vieser Goedecke Am2 1667 00 11 1945 F US DRAINAG us 11 30 2002 0051 40 A 2002 35 Che Jah Corbet Jerry 1674 11 25 1970 F USASPIRAT GUIDE ADD PELWYINN US 11 30 2002 004043 Y 200234 Eke Jah Monener Condy 1673 10 05 1944 M Ct 11 30 2002 004000 Y 200233 HedwBsid Edinger Wolfgang 1672 07721 7193 M MAMMO CT 11 30 2002003940 E 20232 EkeJswxch Hower Emeet 1670 02 2 1976 F MRICERVICAL SPINE MA 11 20 2002 092025 2002 26 MonicaHey Gio Adolf 1675 09 11 1500 F MPIDRAIN W W 0 CONTRAST un 11 20 2002 070427 a 200225 Hedwofad Denzer Esc 1677 10 27 10 M MPIUDRAIN We CONTRAST MA 11 26 2002 004737 M2022 Eke Ebubeh Neteschs 1691 09 29 1978 F MFILENVICAL SPINE u 1172672002004723 200219 Ek Monwener Cot dy 1673 1005 1344 M MFIDRAIN W W 0 CONTRAST M 1171172002210443 a Retrieve Selected Patient s button b Queried patients appear in the patient list An envelope indicates a patient that
35. be avoided 2007 2009 iii of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual The DR L incorporates a Red gt 80mw high power solid state laser diode The DR L covers protect the service person from direct exposure to laser light These covers will protect a user service person only if they are properly installed Covers must be removed and replaced by properly trained service personnel Contact iCRco if there are any issues with the covers being damaged or replacement covers are needed Electrical Hazards AX WARNING This equipment is operated with hazardous voltages which can shock burn or cause death The DR L must be connected to a uninterruptible power supply UPS Failure to use a UPS will void the warranty The equipment must be serviced by properly trained technicians certified by iCRco Inc Do not connect the DR L with a damaged or sub standard power cable Do not use an extension cord with this device The DR L should be properly grounded and power con nections inspected to ensure safe operation Use at least a 1300VA 780W uninterruptible power supply UPS with this device as it is sensitive to variations in power Malfunctioning Equipment If any 1CRco product shows signs of malfunction discontinue the use of the product immediately and contact Technical Support at 310 921 9559 FCC Notification This equipment ge
36. button OPC XSCAN32 will automatically open the study that the cassette is associated with The scan interface will open with the details of the associated patient Find Barcode The image will be imported into QPC XSCAN32 when it has completed scanning The association with that cassette barcode and the study will be removed and the cassette can be reassigned to another patient Other Tips The scan interface also allows the user to find barcodes in the database The patient information displayed in the scan interface will change depending on the barcode selected for scanning 2007 2009 39 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual The image below indicates that the image will appear under the patient Joe Smith and the barcode for the cassette that will be scanned is 01003 There is an option in the scan interface settings that requires the user to scan the barcode before they are able to scan cassettes into the interface In other words they have to tell the scan interface which barcode they are scanning If no barcode has been selected for scanning the user will be prompted to find a barcode 6 10 Archiving APC XSCAN32 Database 1 Open XSCAN 2 Go to File Archive Database 3 The user is asked to confirm the archive process click Yes Archive Xscan xj gt Current size of Xscan data Folders is 1
37. can button in the main toolbar after opening a patient from the Patient Worklist The user may also cancel rest and close the scan interface as well as select the appropriate anatomy select High Energy X ray enter a barcode and switch to the Mammography interface if enabled 2007 2009 20 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 1 CHEST ANTERIOR POSTERIOR TEST PATIENT 1 31 1950 O UIA OW 14x 17 Ea 10 x 12 E 8 x 10 Shows the currently selected anatomy Shows the current patient name amp birth date Close This button will close the scan interface it will not close XSCAN Reset This button will return the CR unit to the home position oT A Q N e Cancel This button will stop the CR unit while scanning Note that the user will have to re expose the cassette as the image will not be saved ON Scanner Settings various hardware settings for the CR unit for service use only 7 Cassette Size Selection Select the cassette size you are using When the button is clicked the unit will begin to scan 8 High Energy X ray Used to give cassettes a deep erase This will remove any latent energy from high energy techniques 9 Barcode entry field Enter the barcode of the cassette here if using barcodes in your workflow 10 Regional Scanning interface button if enabled use this button to
38. consider prior to installing the DR L is dust and particulates in the environment The iDR L is designed to be resistant to dust and particulates that may be present at the installation site Installation of the DR L near high magnetic fields may cause the CR unit to malfunction The iDR L should not be placed in a room with an MRI CT or any other equipment that produces high magnetic fields The room should have good ventilation It is recommended that the unit be installed and operated in a clean dry environ ment 2 3 Connectivity and Power Supply The room needs to have wall power and the DR L should not be used with an extension cord Use at least a 1300VA 780W uninterruptible power supply UPS between the wall power and the DR L A network connection is required for technical support Alternatively the user must have a phone fax line that can be connected to the PC as a minimum to comply with iCRco warranty terms 2007 2009 2 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 2 4 Power Switch Location The power switch for the DR L is located on the left hand side of the unit near the power plug Figure 2 1 DC Power Plug amp Switch 2 5 Power Scan Lights The power and scan lights are located on the lower right hand side of the DR L When the unit is powered on the green light is illuminated While the unit i
39. ctions 20 6 1 Ercatimey Editing Patents c rag aei eap do 20 O2 OCAT IAEA A eS eae a 20 2007 2009 xii of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 65 ReSi na SCAN sasiy eatp a a A hae es 22 6 4 Default Mouse Functions for Image Manipulation 22 6 5 Image Processing Dialog Box o o 0 23 07 ANNONS gt po o E AS Bee Ee e A A 28 6 7 Patient CD DVD Creator 0 a ee ee es 35 6 8 Associating a Barcode With a Study oo e 0 38 6 9 Finding Barcodes and Scanning Images o oo oo 39 6 10 Archiving QPC XSCAN32 Database o o ooo 0 40 6 11 Restoring Archived Database o ooo e 0 41 6 12 Searchine OPE ASCANSZ ATCMVE 6 6 6 A A A A ES 41 6 13 Modality Work List Query som tica a ad 43 6 13 1 Setting up Modality Work List Query 43 6 13 2 Using Modality Work List Query oo oo 44 O14 REPOTAGE sa e BEA E A UA eA oe 6 45 6 15 Setune Up DICON Sd cie sa A as 46 GO DICOMISENO 32s A Aa OE ae a ee 47 617 DIELOM Reeve vt Ades ved id A e Ed ee 48 6 16 DICOM AUOST a a eute SAG AAA 50 6 18 1 Setting up DICOM Auto Send o ooo ooo o o 50 6 18 2 Using DICOM Auto Send o ooo ooo e a 51 6 19 DICOM Store and Forward Utility aoaaa e 51 6 20 HLZ Configura on est
40. dpoint of the first line Move the mouse to where the second endpoint of the first line will be Left mouse click on the area of the image to set the second endpoint of the first line Left mouse click on the area of the image to set the first endpoint of the second line Move the mouse to where the second endpoint of the second line will be ND OF F F WO N Be Left mouse click on the area of the image to set the second endpoint of the second line The angle measurement will appear 8 To place the angle text in this default position left mouse click on the same point again To move the angle text out of the way move the mouse to the desired location and left mouse click to set the placement Heart to Lung Ratio Annotation Used to find the heart to lung ratio Select the Heart to Lung Ratio 41 button on the annotations toolbar Left mouse click on the area of the image to set the first endpoint of the first line Move the mouse to where the second endpoint of the first line will be Left mouse click on the area of the image to set the second endpoint of the first line Left mouse click on the area of the image to set the first endpoint of the second line Move the mouse to where the second endpoint of the second line will be ND OF F WO N nn Left mouse click on the area of the image to set the second endpoint of the second line The ratio measurement will appear Center Line Annotation Used to find the
41. duct manual Failure to comply with these requirements will result in a voided warranty claim Requesting Warranty Service For information on obtaining warranty service call iCRco s customer support at 310 921 9559 In order to evaluate a warranty service request iCRco requires the following infor mation the iCRco serial number of the product a detailed description of the problem customer name and contact information product location and operating conditions a copy 2007 2009 ix of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual of the purchase documents and sufficient information and authorization including a liabil ity release as to any loss of data that should always be backed up software or network injury or downtime allowing iCRco technicians remote access to the product Product may not be returned to iCRco without first obtaining a Return Material Authorization RMA number from iCRco Prior to providing an RMA iCRco may require remote access to the product IfiCRco determines that the product may be defective is under warranty and necessitates a return to iCRco for service an RMA number and instructions for return of the product will be given iCRco is not responsible for any unauthorized returned product i e one for which an RMA number has not been issued by iCRco Warranty service requires all authorized returns be shi
42. e Improper lifting may cause injury 3 With at least two people fasten the large wall mounting bracket to the small wall mounting bracket using four 4 1 4 20 bolts and nuts Figure 3 4 Fastening the large wall mounting plate to the small wall mount plate 2007 2009 9 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 4 Software Installation 4 1 PC Specifications The minimum requirements for the Acquisition computer are as follows Processor Pentium D RAM 2 GB or more OS Windows XP HDD 250 GB or more 4 2 USB Driver Installation Installation of USB drivers are automatic with the installation of the iCRco software i e QPC XSCAN32 4 3 Installing QPC XSCAN32 QPC XSCAN32 software comes bundled with the iDR L This software package will allow the user to interface with the DR L If you have QPC XSCAN32 already installed on your computer and it is running while you are trying to install the new version an error will appear in the install process Please close OPC XSCAN32 and reinstall the new version The iDR L requires QPC XSCAN32 build 848 or greater 1 Insert the media containing the QPC XSCAN32 installer into the computer Navigate to the OPC XSCANS32 folder 2 Launch the QPC XSCAN32 installer by double clicking Setup exe 3 Click Next at the welcome screen we aa e to the QPC XSCAN32 Setul aa ear ae will in
43. e compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol o gt NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflections from structures objects and people continued on next page 2007 2009 vii of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Table 2 continued Immunity IEC 60601 Test Compliance Electromagnetic Environment Test Level Level Guidance Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RE transmitters an electromagnetic site survey should be considered If the measured field strength in the location where the iDR L is used exceeds the applicable RF compliance levels above the iDR L should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the DR L Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m CRco Warra
44. e zoom pan invert and window level Width AER Window 16493 images To manipulate the images select the im Height 2520 Level 48566 age in the preview window the selection will be shown by the green box surrounding the im Zoom 57 78 Update age 3 4 7 The user can flip rotate and invert by using the T t Pr pal buttons on the left hand side of the DICOM Printer di l WI la 08 L 1 1 The user can zoom by using the right mouse but ton on the selected image To pan the image use the left mouse button on the selected image The user can only pan the image when it is zoomed in To window level the user can either use the middle scroll button on the mouse or type the required window level 2007 2009 56 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual into the edit boxes on the left hand side of the Advanced DICOM Printer dialog Then press the Update button to change the window level for the image The user can also press the 1 1 button to tell the Advanced DICOM Printer dialog to print images at 1 1 resolution The user can use the Orientation button to change from landscape to portrait view Change margins The margin tab permits the user to specify in English or metric units the size of the borders on the printed image The top and bottom borders on the page can be adjusted indepen dently of
45. e Outside of the DR L It is important that the covers remain on the iDR L at all times The covers should only be removed for service by an iCRco authorized technician then immediately replaced A CAUTION Do not clean the galvo mirror Dust and fibers in the laser beam path may affect the radiographic image The outside covers of the DR L should be cleaned with a slightly dampened cloth or a dry cloth moistened with BallQSUNUP eglass cleaner or Sprayway Oglass cleaner 5 5 DR L Cleaning and Disinfection Procedure If the DR L is visually contaminated with blood or body fluids remove the blood and or body fluids then follow Section 5 5 3 prior to use A CAUTION Consult the manufacture s Material Safety Data Sheet before use 5 5 1 Disinfection Materials 1 Sporicidin Disinfectant Solution and Spray 2007 2009 18 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 5 5 2 Disinfection method to be performed after each patient use 1 Wipe the Carbon Fiber material with Sporicidin Disinfectant Towelettes or Sporicidin k Disinfectant Solution and Spray 2 Allow to air dry 5 5 3 Higher level of disinfection 1 Unplug form the power source 2 Clean the exterior surface with Sporicidin Disinfectant Towelettes or Sporicidin Disinfectant Solution and Spray 3 The surface shall remain wet for ten minutes 4 The
46. e prompted for a title To save more layouts click on the Save Current Template button here the user can set a file name for the Layout The default save location is C 1 X Scan321 Layout Custom 2007 2009 57 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual image PageLayoui Porters Ovela Templates Soni Click here to save current i H Click a to Save current layout a z z Load Terplale kom File Fie rara ES he Pats rer sati mmn d gt z Save Cuieni Template Da me type Fori lapid iei f Adding patient demographics Select the Overlay tab to bring up the patient demographic layout options From here the user can select e Text position includes top left top center top right bottom left bottom center bottom right e Text size includes small medium large e Text color includes white on black black on white Image Page Layout Printers Overlay Templates Text Position Patient Demopraphics Overlay Ed E m Tet Position E Right Top Flight 2 Text Size Text Color C Small UN White on Black OC Medium Large Enable Overlay Tet Cola f Black on White fe Black on hie M Enable Overlay O Apply to all pooh o tims Edt Fields The user has the option to apply the current settings to every image in the print view or only in the cur
47. e the preview window region to split it A pop up menu will appear with these division buttons as the image to the right shows y ai tu SALTA 10 81 FB y ra ba i Select one of the image division buttons and the preview window will be divided into regions To split one of these regions again select the specified region and again select one of the image division buttons The user can drag and drop images at any stage If the user has an image in the region that is desired the interface will automatically move the image into the split regions To remove a division click in the region that has been split and click on the no division El button 2007 2009 55 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Image Divisions Sos M Lock The user can show and hide the image divisions by clicking on the Page Layout tab then click Show and Lock under Image Divisions The user can view the current print settings by looking at the left hand side of the Advanced DICOM Printer dialog To change these settings or to view more settings click on the Printers tab Selected Printer Settings Test Printer Print to AE TJ PRINT_DICOM Rows Columms 1x1 Media Type PAPER Film Size BINS 0IN Number of Copies 1 Unentation Portrait Manipulating Images in the Preview Window The Advanced DICOM Printer allows the user to flip rotat
48. etrieve 6 21 Advanced DICOM Printer Select images for printing In OPC XSCAN32 select the im ages to print in the image icon view then select DICOM Print from the toolbar The Advanced DICOM scl a Printer application will open with woa ml the selected images imported into arike the right hand side Alternatively l the user can select the region in the preview window where the user wants the image then select the Import Image button Drag and Drop Images To drag images into the print region hold the left mouse button down on one of the image icons on the right hand side and drag it into the preview window A dragging cursor will appear z as the user drags the image from the image icon window to the preview window If the user is out of the accepted region for dropping a cursor S will appear letting the user know that this is not a correct region to drop the image into 2007 2009 54 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Split the preview window into regions To split the preview window the user needs to first select the region to split For example if there are currently no divisions in the preview window then click anywhere in the preview window and a green line will appear around the window This will enable the image division buttons Alternatively the user can press Shift 0198 right mouse click insid
49. f iCRco Inc iDR L Long Bone User Manual 5 System Operation 5 1 Power Up The power switch is located on the middle left hand side of the device Ensure the UPS is powered on then toggle the DR L s power switch to the ON position amp press the Reset button in the scan interface The iDR L should be allowed to warm up for 5 minutes prior to use in order to stabilize the system 5 2 Acquiring an Image 1 Open QPC XSCAN32 2 Create or edit patient profile To do this click New or Edit respectively 3 If creating a new patient enter the relevant patient info or if editing a patient change the information accordingly then click Save and View 4 Click on Scan to bring up the Quality Processing Center Scan dialog if it is a patient with no images the scan dialog will automatically appear 2007 2009 14 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual JA Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language Help Icom DE Add 9 Mm Print Mark Merge Merge submit 6 Select the anatomy by mousing over the skeleton on the left hand side of the Quality Processing Center dialog 7 To begin scanning select the scan size by clicking the correct button i e 14x51 in Region 1 Region 2 etc 8 The preview window will display the image as it is
50. has not been retrieved A check mark indicates a patient that has been retrieved 4 The patients will appear in the QPC XSCAN32 patient information window when retrieved from the Modality Work List Query dialog 6 14 Report Writer 1 Open a patient study Select the desired images to report The user can have up to four images on one report deselect all images if the user does not want to include any images in the report 2 Click on the Case button in the toolbar di Xscan Radiology Application version 2 10 Fie Edt View Image DICOM CR Options Language Help 6 6 lolx a Open Scan View View Multi Case Delete I 2007 2009 45 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 3 Select existing or add a New Facility 4 Select existing or add a new Findings and Impressions Code Add patient specific information to the Findings and Impressions fields QPC XSCAN32 supports multiple page reports 5 Select Signature Name for the reading doctors signature 6 Click on the Image Report button 7 Click the View button to view the report Patient Information E g a Facility field b Signature Name field c View button d US Color Option To include color images select this option e Image Report button f Patient Specific Findings and Impressions fields g Findings and Impressions Code
51. ication Print Server will print to the default windows printer In the Windows Control Panel select Set As Default Printer to the desired printer The print server uses this default printer 3 To change the AET port number or any other information for the DICOM Application Print Server click on the Settings button 4 To print to the DICOM Application Print Server set the AET in the Advanced DICOM Printer to the DICOM Application Print Server s AET details 5 Select the images in QPC XSCAN32 to print and then select the DICOM Print button Optimize the images in the QPC XSCAN32 software and select print Page Layout Printers Overlay T mn Printer Presets Seting om IPAPER EMKO el s Stings Dresher 3000 BLUE FILM el Pirdes 3 l 6 22 1 Troubleshooting Windows to DICOM Print 1 Make sure there is only one instance of them open in Task Manager To open Task Manager Click on Start Menu Click Run Type in taskmgr Click OK Close QPC XSCAN32 Look for DCM exe DICOMMultiPrinter exe AppPrintSCP exe If any of these are open please select and click on End Process Reopen QPC XSCAN32 2007 2009 61 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 2 Check target information for both applications Advanced DICOM Print and DICOM Application Printer Server Select Advanced DICOM Print
52. n allow to air dry 2007 2009 19 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 6 APC XSCAN32 Software Functions 6 1 Creating Editing Patients 1 Open XSCAN then click the New button in the Patient Information dialog Alterna tively if the patient is already in the patient list select the patient and click the Edit button on the Patient information dialog 2 Enter the patient details into the appropriate fields in the dialog box The user also needs to enter the exam information for the patient Last Name First Name Date and DOB are required fields The use can also make Patient ID a required field by clicking on the Options menu Preferences gt Defaults tab 3 Click the Save or Save and View button after the patient details have been entered The Save and View button will create edit the patient and open the exam immediately for viewing or scanning of images 4 To create an additional exam for the patient return to the Patient dialog then click the New button under Exam Enter in the exam information When the user opens an exam with no images QPC XSCAN32 will automat ically open the default scan interface The user can change the the default scan interface by clicking on Options Preferences Scanner tab 6 2 Scan Interface The scan interface is used to start the scan of the cassette It is available by clicking the S
53. nerates uses and can radiate radio frequency energy and if not installed properly can cause interference with radio communications Mammography Use The iDR L is not intended for Mammographic use 2007 2009 iv of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Guidance and Manufacture s declaration Electromagnetic Emis sions amp Immunity Table 1 Electromagnetic Emissions Guidance and manufactures declaration electromagnetic emissions The iDR L is intended for use in the electromagnetic environment specified below The customer or the user of the 1DR L should assure that it is used in such an environment RF emissions The DR L uses RF energy only for its internal CISPR 11 function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The iDR L is suitable for use in all establishments including domestic and those directly to the Harmonic Class B public low voltage pwoer supply network that emissions IEC supplies buildings used for domestic purposes 61000 3 2 Voltage fluctu Complies ations flicker emissions IEC 61000 3 3 Table 2 Electromagnetic Immunity Immunity IEC 60601 Test Compliance Electromagnetic Environment Electrostatic 2 4 6 kV 2 4 6 kV Floors should be wood concrete discharge Contact Cont
54. nty iCRco Inc iCRco values your business and always strives to provide high quality products and services All iCRco products are provided with an initial warranty so the hardware and software are covered from the date of purchase This limited warranty solely applies to new products manufactured by or for iCRco and originally purchased from iCRco or an authorized dealer of iCRco products for your own use In addition an extended warranty is available for most new and recently purchased iCRco products for an additional charge Hardware Limited Warranty iCRco warrants its hardware products to be free of defects in materials and workmanship for a period of one 1 year from the date of original shipment from iCRco subject to the limitations set forth herein If a product proves to be defective in material or workmanship during the warranty period iCRco will at its sole option repair or replace the product with a similar product Repaired and replacement products may be or include refurbished or remanufactured parts Any replacement item assumes the remaining warranty period of the original product iCRco provides no warranty for any third party hardware or software included with any product or later acquired software Limited Warranty Support iCRco warrants that its QPC XSCAN32 Captera and or ClarityPACS software originally provided with any product will substantially conform to iCRco s specifications and that the media not incl
55. o iCRco s regular business hours In addition iCRco will provide revisions and upgrades to its software upon request when available during the first year after the software was originally shipped from the iCRco factory The initial support period will include support via remote login software GoToMeeting only if the customer has access to the Internet from that PC and only if the customer agrees iCRco shall have no liability in connection with its support efforts Remote login software allows iCRco technical support to remotely access the customer s PC via the Internet for the purposes of rendering technical support Please note that this warranty including software support does not include computer hardware third party software or operating system or network issues which are outside the control of iCRco Warranty Product Technical Requirements iCRco requires that all DR CR Scanner and or products requiring PCs be fitted and installed with a 1500VA 1500W uninterruptible power supply UPS iCRco recommends the APC 1000 specification UPS or equivalent For warranty evaluation and service iCRco requires the customer to provide an Internet connection DSL or Dial up or the minimum of a phone line accessible by an extension cord to the product enabling iCRco technicians to perform remote diagnostics on installed equipment In addition each iCRco product must be installed maintained and operated in accordance with the respective pro
56. ong Bone User Manual Magnify Zooming Images The right mouse button is used to magnify images Hold down the right mouse button and move the mouse vertically to magnify or reduce the size of the image Alternatively the user can hold down the middle mouse button and move the mouse vertically to magnify To magnify an area of interest in the image simultaneously hold down the Shift key and the Left mouse button and move it over the area of interest Similarly on a laptop the user may right click and drag along the touch pad interface to zoom Panning Images Hold down the Left mouse button and move the mouse around the screen This is useful when the image is magnified To pan through the image faster simultaneously hold down the Ctrl key and the Left mouse button 6 5 Image Processing Dialog Box Window Level Holding the middle mouse button simultaneously holding the CTRL key and right mouse clicking will also window level down and moving the mouse vertically will adjust the level and horizontally will adjust the window To window and level through more gray values at a time simultaneously hold down the Ctrl key and use the Middle Scroll button This will perform a faster window and level on images with a large histogram i e CR and DR images To window and level through less gray values at a time i e single step through window and level values simultaneously hold down the Shift key and use the Middle Scroll button This
57. osition again The iDR L collects 16 Bit data that is converted to a DICOM 3 0 image and can be stored viewed and manipulated This document contains a basic operational overview of the iDR L including the driving software applications cassette cleaning amp handling and hardware installation A general description of the system s functionality and user interfaces are included This document is intended for end users who need to understand the basic operation of the DR L 2007 2009 1 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 2 Pre Installation 2 1 Voltage Requirements CRco employs CE certified medical grade power supplies See Section 2 3 on page 2 for UPS requirements The iDR L is supplied with a DC power supply that allows the unit to work between 18 to 36 VDC 4 5 Amps maximum and 450 Watts iCRco provides a medical power converter Do not substitute or switch the power converter Substituting or switching the power converter will void the warranty Contact tCRco Tech Support to obtain a replacement power converter 2 2 Environmental Requirements The iDR L should not be placed in a room with a film processor present This will void the warranty The humidity and temperature limits are 20 to 80 non condensing and 15 F to 95 F 15 C to 35 C operating respectively The room should have good ventilation Another factor to
58. ough the soft and sharp processing options The soft option produces an image with less enhancement thereby making the image more film like The sharp button applies more enhancement to the image ICE2 Example Lateral Lumber Spine 2007 2009 27 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Conventional Processing ICE 2 Processing Clicking the drop down menu button located below the sharp option gives the user the ability to refine the image further After the user clicks on the drop down menu an interface appears showing two sliders The first slider enhances edges and contrast as the slider is moved to the right The second slider adjusts image smoothness Adjust each slider until the desired result is achieved Click on the Save As button to save the settings for Soft Standard or Sharp processing 6 6 Annotations Hide Show Annotations Selecting the Hide Show Annotations button will toggle the visibility of the Annotations tool pallet Annotation Defaults Used to change the default font name font size and colors Select the Defaults LP button on the annotations toolbar Select default font for text annotations i 13 gt Select default font for annotations Anal Select default color for drawn annotations DE Select detault color for selected annotations KA Q_
59. pped to the iCRco factory prepaid and insured All such authorized returns are the customer s responsibility For products sold and located within the United States iCRco will pay for return shipping Products being returned are only to be shipped in iCRco approved shipping containers The original box and packaging materials are approved and should be kept for moving and or shipping the product Approved packaging my also be purchased from iCRco for an additional charge iCRco shall have no liability nor responsibility for warranty service to any product that is not shipped in an iCRco approved shipping container or that is damaged from incorrect packaging or damaged during shipping Additional Warranty Limitations and Extent of Warranty This warranty does not apply if the product has been damaged by accident misuse or abuse In addition warranty service does not include the repair of failures or defects caused by unauthorized attachments to any iCRco product unsuitable physical or operating environment maintenance or repair by anyone other than iCRco or the iCRco authorized dealer that sold the product operation of a product beyond its duty cycle use of the product outside of its specifications the use of supplies parts materials software or interfaces not furnished authorized or recommended by iCRco If the product including any software has been opened tampered with modified or altered in any way without written authorization by
60. ptions in the Options dialog 3 Click the Ok button 4 Inthe XSCAN32 Modality Work List Query window click the Select Target button 5 In the Image Targets window highlight the desired target then click the Ok button Setting up Work List HL7 Listen The EMR RIS HIS must be able to send HL7 messages It is not enough just to general the HL7 message 1 Inthe XSCAN32 Modality Work List Query window click the Options button 2 Select the radio dialog check box for HL7 Listen 3 Click the Ok button 4 An HL7 Listen application will open 5 Configure the EMR HIS RIS to send its HL7 messages to the IP address of the computer running QPC XSCAN32 on port 6000 Setting up Work List Text File Listen The EMR RIS HIS must be able to format and send a plain text message 2007 2009 43 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual The Text File Listener should only be used if the EMR RIS HIS does not support DICOM Modality Work List Query or HL7 Messaging 1 Inthe XSCAN32 Modality Work List Query window click the Options button 2 Select the radio dialog check box for Text File 3 Instruct your EMR RIS HIS vendor to contact CRco Tech Support to obtain the text file format 6 13 2 Using Modality Work List Query Pationt Information Database sizes 411 41 MB Some patients hidden IMAGE 000001 EMITH 1024 1708 Modalit
61. r or replace a defective product iCRco s entire liability for any product is limited to the actual purchase price for the product This limitation applies even if iCRco cannot or does not repair or replace any defective product IN NO EVENT WILL iCRco BE LIABLE FOR ANY GENERAL SPECIAL CONSEQUEN TIAL OR INCIDENTAL DAMAGES including but not limited to damages related to the loss of use loss of recorded product the installation of replacement product or any inspection testing or redesign caused by any defect or by the repair or replacement of any product arising from a defect in any product This exclusion of damages applies even if the customer advises iCRco or an iCRco dealer of the possiblity of such damages This limitation of remedies also applies to claims against any suppliers or dealers of tCRco iCRco and its suppliers and dealers limitations of remedies are not cumulative Such suppliers and dealers are intended beneficiaries of this limitation 1CRco is not liable for any claim by or against the customer arising from a third party claim Revision History Revision Author Date Notes A MS 2010 01 29 Initial Release B MS 2010 07 27 Updated safety and wall mount instructions 2007 2009 xi of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Contents Foreword 1 Contact Information syes cok ek ele S Ad er ii Daley IMMOrmaloN us 24 6
62. rently selected image via the Apply to all images button or the Apply to image button By selecting the Enable Overlay check box the user can turn patient demographics overlay 2007 2009 58 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc DR L M Long Bone User Manual on and off for all images The user can also edit the fields that are available on patient demographics overlay by clicking on the Edit Fields button From here the user is able to e Select a field and determine what kind of a delimiter following the field includes none space tab comma newline custom e Change the position of the fields with the up and down arrows e Remove or display a field by selecting the Print Field check e Print the title for the field i e the title Date would be printed in front of the date field After editing the fields select the Done button Print preview To see a print preview select the Print Preview button Print an image from DICOM Printer When the user has finished dragging and dropping the desired images onto the preview window and manipulating size position and window level if necessary then press the Print button in the bottom left hand corner of the DICOM Printer dialog Please ensure all the printer settings are correct first 2007 2009 59 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco
63. rinter does not support 12 bit images then deselect Try printing If fails recheck that multiple instances are not open in task manager 4 Make sure correct print options are selected If printing to a windows printer you cannot have BLUE_FILM selected unless it has BLUE_FILM You need to select PAPER The default for a regular windows printer for paper size is 8Inx12IN Try other options if this fails If you have the wrong paper size selected it will bring up a failed message in DICOM Application Printer Server and the message log will say incorrect paper size 6 23 QPC XSCAN32 Keyboard Shortcuts Function Keys F1 Rotates an image clockwise F2 Rotates an image counter clockwise F3 Horizontally flips an image F4 Vertically flips an image ES Inverts an image E7 Opens and closes the Window Level dialog F8 Opens and closes the CR Processing dialog F9 Resets the window level of an image to the original window level setting Shift F8 Opens and closes the Annotations dialog 2007 2009 62 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Ctrl F8 Turns the patient information overlay on and off F11 Opens QPC XScan32 Help F12 Selects and deselects all image icons Ctrl A Selects and deselects all image icons Ctrl D Deletes the selected image icons Shift P Opens preferences Shift S Adds images to the send queue
64. rklist ss m Query Button 3 In the Modality Worklist Query windows click Options qn li us i oa 4 In the Options dialog box check the radio dialog button for HL7 Listen 5 Check the radio dialog boxes for Mark retrieved patients and Automatically Query target when opened The user may also check the radio dialog box for Automatically Query target every x minutes and set the time interval for the worklist query 6 Click Ok A new window will open called HL7 DICOM Worklist Parser Port 6000 7 In the HL7 DICOM Worklist Parser window ensure that the port is 6000 If it is not click on File Set Port In new window change port to 6000 then click Ok 8 In the HL7 DICOM Worklist Parser File menu make sure there is a check next to Listen If there is not click on Listen in the File menu to enable parser listening 9 Make sure that in System HL7 Message Defaults that all boxes are checked 10 Leave window open and let the parser retrieve HL7 messages When an HL7 message is received the window will have parsed text in it Multiple messages can be received 2007 2009 53 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual while window is open 11 Click the Query button to get message information If messages are not automatically queried 12 Highlight messages that you want to retrieve and click R
65. s Language aq 00 GO BD amp Open View1 View2 Multi Prev Next ER MinXray CR VertX Image 007 1 1 W 6 14 Return to the Patient Information window Select the patient s to send to a PACS or viewing station If you wish to send more than one patient hold the Ctrl key down 2007 2009 16 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual and left mouse click to select multiple patients 15 After selecting the patient s click the DICOM Send button as Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Lang AET Title ADV_PRINT_DICOM PRINT_DICOM SF_DICOM XSCAN_DICOM Add New Edit Delete Test 17 The results of the DICOM Send will appear in the DICOM Controller window s Event log DP DICOM Controller 1 00 DICOM Settings jets jl Configure Print Settings Wat ine C Always prompt for target when sending z C Send DICOM images as compressed Xscan to Xscan Only SendNow Sho wan nd Retiove Show Retrieve Compression e N ual Que Queue DICOM Print Settings Print to AET DICOM Configuration Settings Rows Columns 1x1 Local AET MICA Media Type BLUE FILM Port 104 Film Size 141N lt 17IN Serial Site ID 00001 Message UID 1 2 826 0 1 3580043 2 1074 23245 7 163 10001016 Clear Event Log 1 27 2009 5 14 08 PM Send failed for PNAME Miri lt ray CR Verx
66. s scanning the yellow light blinks 2 6 Physical requirements The iDR L requires a stable operating environment iCRco requires that the DR L be used in the supplied Wall mount or Cart Failure to use the iDR L in the supplied Wall mount or Cart will void the warranty 2007 2009 3 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 2 7 Systems Specifications The DR has a 14x51 inch active capture area Pixels per Line Resolution 3500 High Resolution over 14 inches 356 mm 2048 Normal Resolution over 14 inches 356 mm Scan Rate Scan Rate 60 lines second Grey Scale Resolution 16 bits 65 535 shades of gray Interface USB 2 0 Dimensions 19 5W x 72 25H x 6 32D inches 2007 2009 Confidential and Proprietary Property of iCRco Inc Power Requirements DC Input Volts 18 36 VDC Amps 4 5 Amps AN Max Watts 450 Watts Temperature Conditions 32 to 105 F 0 to 40 C operating 1 to 150 F 1 to 65 C non operating Humidity 15 to 95 non condensing Vibration Acceleration 3 4G Max in shipping Altitude 0 to 9 500 ft operating Weight 100 lbs Document IDRL 01A Rev B July 27 2010 iDR L Long Bone User Manual 3 Hardware Installation 3 1 Unpacking Instructions Heavy object Two person lift required 1 Open the box from the top 2 Remove any
67. send to AET Title ADYV_PRINT_DICOM g 127 0 0 1 clarityarchive DICOM 192 168 0 49 192168 0 88 742 132 157 iCRco Test Station Print DICOM Store and Forward Utilty RDI 0 PRINT_DICOM Oh 127 0 0 1 SF_DICOM DICOM 127 0 0 1 7 Click the Apply button then the Ok button 6 18 2 Using DICOM Auto Send 1 Open an image for viewing 2 Process and optimize the image as necessary 3 Click the Accept button to accept and auto send the image to the target If the image is reprocessed or the orientation changed the Accept button will reappear and the image can be resent if necessary 6 19 DICOM Store and Forward Utility Setting up targets for forwarding 1 Under the All Targets list select the target s to forward 2 Click the Add gt button 3 To remove target s from the forward to list select the target under the Forward To list then click the Remove button 2007 2009 51 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual A RA Configuring Store and Forward Utility DICOM settings 1 Click the Configure button 2 The default DICOM settings are e AET SF_DICOM e Port 4009 Sending to Store and Forward Utility 1 From the sending application select the images to send 2 Then select the Store and Forward Utility as the DICOM target to send to the AET of SF_DICOM The images will appear in the Scheduler Even
68. sk is used as a wildcard To search on Study ID 12345 type 12345 into the Study ID field or 1234 to bring up all study ID s starting with 1234 It is not necessary to fill out all fields For a description of the valid wildcards click on the Wildcards button Search Parameters Paherk ID Patient Sex lary el Paie tog Any Shaf Atrial es Study ID 4567 Study Dieperplion Apper H Shady Dista ary Siudy Tere ri ae cen 6 The list of matching patients will be returned 7 Select the patient s to retrieve from the list and click on the Retrieve button 2007 2009 49 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Misses deber 6 18 DICOM Auto Send 6 18 1 Setting up DICOM Auto Send 1 Open QPC XSCAN32 2 Go to Options gt Preferences Image Transfer tab 3 Select the option Auto send scanned images Figure 6 1 Check the Auto send box to enable auto send Y Accept and move to next image selec Tastes 4 Set the Send delay The default is one 1 minute 5 Click the Select Target s button 6 Select the target s to send to The User may Ctrl click to select multiple targets 2007 2009 Confidential and Proprietary Property of iCRco Inc 50 of 63 Document IDRL 01A Rev B July 27 2010 iDR L Long Bone User Manual Figure 6 2 Select the Target s to auto
69. small accessories loaded into the top of the box 3 With at least two 2 people lift the 7DR L out of the box Always practice proper heavy lifting procedures Failure to practice proper lifting procedures may result in injury or damage to the unit 4 Store the box and any foam inserts somewhere safe amp dry so that if the 7DR L needs to be shipped again there are packing materials available 3 2 Installing Power amp USB 2 0 Cables with Power Cowling Figure 3 1 DC Power Plug amp Switch 2007 2009 5 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual The following instructions are for both the AC and DC DR units though only the AC is shown below 1 Thread three 3 zip ties through the metal eyelets 2 Lay the Power and USB 2 0 cord bundle in the Power Cowling ensuring that the thickest part of the cord bundle is positioned at the bottom of the power cowling 3 Pull the zip ties as tight as possible around the cord bundle Gently pull on the cord bundle to ensure it is tightened enough in the Power Cowling Clip off any excess zip tie 4 Remove the external fuse from its housing then pass the USB 2 0 cable under the safety catch and plug in the USB 2 0 cord 2007 2009 6 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 5
70. stall QPC lt SCAN32 on gt ir ended tha shay exit all Windows progra before fina Salie MaA a ck ran ate 0 quil is an athen nde any programs you Click Next to ath the Salen progre y 4 polar La shal ogram is protected by copyright law and nal tr Unauthorized reproduction lei pl gan portion nort m may result in se ivil a e nal pen lies 20d will be pro Gel ia the maxi exten bre eaten under law Cancel 2007 2009 10 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 4 Click Yes to agree to the Software License Agreement Software License Agreement Please read the following License Agreement Press the PAGE DOWN key to see f the rest of the agreement Software License Agreement A This is a legal agreement between you the licensee and iCRco Inc Please read this agreement carefully before opening the disk envelope By opening the envelope pou accept the terms of this agreement If you do not agree to the terms of this Agreement promptly return the unopened unused package and all accompanying items including written material software disks the Software protection device etc at your expense to the place it was purchased from 1 Copyright The Software program is owned by iCRco Inc and is protected by United States and international copyright laws and international trade provisions 2 License iCRco Inc grants you
71. t throughout this document CR 1000 Dual CR 2600 Dual CR Vet Dual CR Chiro Dual Any one of the following CR products will be referred to as CR desktop unit throughout this document CR VERTX The iDRQ will be referred to as the DR unit throughout this document 2007 2009 i of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Contact Information CRco Inc Adaress Phone Fax Email Web CRco Inc Adaress Phone Email Web USA 2580 West 2374 Street Torrance CA 90505 1 310 921 9559 1 310 542 7236 info icrcompany com http www icrcompany com Europe 31a Ridlerstrasse 80339 Munich Germany 49 89 2555 757 150 info icrcompany com http www icrcompany com iDR L Information Please Enter the details of the zDR L system here Serial Number Date Purchased Interface Type USB 2 0 2007 2009 ii of 63 Confidential and Proprietary Property of iCRco Inc Document IDRL 01A Rev B July 27 2010 iDR L Long Bone User Manual Safety Information Read and understand the installation and operating instructions before applying power to the DR L Figure 1 DR L DC Model Label INPUT 18 36 VDC MAX 4 5 AMPS CAUTION FOR CONTINUED PROTECTION AGAINST RISK OF FIRE REPLACE ONLY WITH SAME TYPE AND RATING OF FUSE FUSE 3AG 8 AMP SLOW BL
72. t Log 3 The Store and Forward Utility will keep retrying to send images if failed 4 The status will be updated with sending complete or transfer pending Dicam Configuration General advanced Default LID i 82501 580043 2 Se al Mumbe imaga Lepore Taga Fia TARGETS IME Dump Path CAD COM Log Settings Log Level 3 2007 2009 52 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Options The Store and Forward Utility defaults to receiving compressed images and forwarding them on decompressed If you want to receive compressed images and send them on compressed to the PACS system then deselect the option Receive compressed image forward uncompressed The Store and Forward Utility may report the status as complete but the PACS system may still reject the image If the image has an incorrect DICOM tag or it is a duplicate study series or image UID Always confirm that the PACS system has received the image before deleting images from the capture station 6 20 HL7 Configuration 1 Open OPC XSCAN322 2 In the Patient Information window click Worklist Query button to open the Modality Worklist Query window Patient Information Database size 417 41 MB Some patients hidden Mecan Date LastWame __ FirstName Patient _ Doctor _ DOB ___ inst Name New STF IMAGE 000001 BMITH lt Modality Wo
73. te Time select from the list of valid archives Sep2004 16h19m48s E CXscan32MArchive 175ep2004_16h19m48s L A A E Pro o st ud 4 The user can either a Select Find to open the entire database b Enter search values into the patient information fields If the database contains a patient or multiple patients that match the criteria the database will be opened with the patient s selected If the patient s could not be found you will be returned to the search dialog For example the user could enter Th in the First name field to find values such as Thomas and Thelma 5 The user can refine the search further by changing the Match field 2007 2009 42 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual 6 13 Modality Work List Query 6 13 1 Setting up Modality Work List Query 1 Open QPC XSCAN3B2 then go to Options Preferences Image Transfer tab 2 Check the box for Use DICOM Modality Work List Query 3 Click the Apply button then click the Ok button 4 The QPC XSCAN32 Modality Work List Query window will appear Setting up DICOM Modality Work List Query The EMR RIS HIS must support DICOM Modality Work List Query 1 Inthe XSCAN32 Modality Work List Query window click the Options button 2 Select the radio dialog check box for DICOM Query The User may also set the auto query o
74. the borders for the left and the right hand side of the page Additionally the user has the option to control the internal O Lope a margins which define the amount of space left between Image Page Layout e _ Page Properties individual frames on a page with multiple images In ESSE ST E ternal margins are defined as multiples of the print page Portrait iv Show border size C LandS cape Lock te Inches C mm By default internal margins are the same size as the bor Borders ders with image margins on the left and right hand Left Right Top Bottom side of each frame are equal to the left and right hand sa i borders Margins on the top and bottom of each frame Image Spacing are equal to the top and bottom borders of the printed i da e Same as Border Spacing page C Double Border Spacing C Custom Spacing 11 00 If the user intends to cut individual frames out of the printed page 1t is recommended that internal margins are set to twice that of the page which will give a uniform border size on the individual image segments If it is necessary to maximize the amount of space on the printed page the internal margins can be turned off altogether Saving and Loading Print Layout The Templates tab allows the user to save and load pre defined print layouts There are five user defined layouts Set up the layout on the preview window and then select one of the buttons labeled Click here to save current layout The user will b
75. the right to use the Software on a single user computer or on a single workstation or terminal of a multi user computer or local area Do you accept all the terms of the preceding License Agreement If you choose No Setup will close To install QPC XSCAN32 you must accept this agreement lt Back No 5 Make sure both QPC XSCAN32 Software and Software Key Driver boxes are checked then click Next Select Components Select the components you want to install clear the components you do not want to install Components OPC XSCAN32 Software 93600 K Software Key Drivers 13472 K Description This component installs QPC XSCAN32 software Space Required 126112 K Space Available 3640804 K e oe ee 6 Select Scanning Station or Reading Station depend on the use then click Next to con tinue Select Station Type Please select your station type Scanning Station Le CR or Film Scanner Reading Station lt Back Cancel 7 Select the appropriate modality then click Next to continue 2007 2009 11 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual Select Station Modality Type Please select your station type Medical C Veterinary d Veterinary Equine Please select your CAco hardware CR 1000 CR 2600 iCR 1000 Dual CR 2600 Dual C iCR 7200 Dual Bay CR 3600 or CR 3600
76. uding hard drives on which the software is furnished will be free from 2007 2009 viii of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual defects in materials and workmanship under normal use for a period of one 1 year from the date of original shipment from iCRco iCRco s sole obligation under this warranty is limited to making reasonable efforts to ensure such conformity and to supply the consumer with a corrected version of the software as soon as it is practical after the consumer has notified iCRco of any non conformity iCRco does not warrant that the operation of any software will be uninterrupted glitch or error free or that functions contained in the software will operate in the combinations which may be selected for use by the user or meet the user s requirements This limited software warranty will be void if the software is modified without the written approval of iCRco or is used outside of the recommended parameters or equipment iCRco does not provide any warranty or support for any other software iCRco agrees to provide one 1 year of telephonic and or e mail based support for QPC XSCAN32 Captera and or ClarityPACS software originally provided with any new CRco product from the date of original shipment from iCRco All software support shall be limited to making reasonable efforts to resolve iCRco software issues and shall be limited t
77. y Worklist 1 m Query Button 1 To activate the Modality Work List Query interface click on the Work List Query button in the Patient Information window 2 The QPC XSCAN32 Modality Work List Query dialog will open Click on Query Work List button to query the HIS RIS system Xscan32 Modality Worklist Query Options Automatically query target when opened Automatically query target every 1 marmteds Retrieve Selected Patierd s T Query by modality l Query by AET JJ Search Workdkst F Query by dale seems piecem Configure DICOM Search Match Ary Pat ol Fieid E Fu Doctor DOB m d y Date Time Inst Name _ a Query Work List Button b Search fields For example to search for all patients with the last name Smith select the Last Name field in the search box and type Smith and then click enter Only the patients that have a last name of Smith will appear c The user can also specify query options such as e querying automatically when work list query dialog is opened e query on a timer i e every 5 minutes e query by modality i e CR patients only 2007 2009 44 of 63 Document IDRL 01A Rev B Confidential and Proprietary July 27 2010 Property of iCRco Inc iDR L Long Bone User Manual e query by AET e query by Date i e today s date only d Click here to select the target to query The user will only need to do this once 3 The queried p

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