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iCR3600SF USER MANUAL

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1. 9 Select the cassette size by clicking the correct button i e 14x17 in 10x12 in This will start the scan 10 The preview window will display the image as it is scanning Once it has finished scanning it will automatically import the image into OPC XSCAN32 11 Open the scanned image by double clicking on the thumbnail 12 Rotate Flip to correct orientation using the Rotate and Flip buttons in the main tool bar as Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language Help 60 6 amp apu Yiew1 View2 Multi Prev En gp A Ser Pa a Note Case 2 Close Mark 2007 2009 24 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 13 Remove any collimation by using the Auto Crop located in the main toolbar Mask or User Mask located in the Image Processing dialog functions can Radiology Application version 2 10 amp 6 1 i z Open View1 View2 Multi Prev Next Rotate Rotate FlipH Flip v Invert CO gt P E MinXray CR VertX Image 007 1 1 W 671 162 DP1163 view 26 Save amp Accept 2007 2009 Confidential and Proprietary Property of iCRco Inc Vi L CR Presets Preset Name Anatomy NAA Projection NAA Preset Name Anatom NA il Projection Naa ICE Processing Soft Standard Sharp Process Process P
2. 47 6 9 Finding Barcodes and Scanning Images 48 6 10 Archiving OPC XSCAN32 Database 49 6 11 Restoring Archived Database 50 6 12 Searching OPC XA CANSZ Archive as a e ale E aa e A 51 6 13 Modality Worklist Query 45 each a da ae dra dedos 52 Os REPOT Wier asf cheat o Ae S44 SAY OEY maks mk RRS 54 6 15 Long Bone amp Scoli Stitching Software 55 6 16 Setting Up DICONI Send weber oku Ate ete ee ee eee oe 97 6 17 DICOM Send See id emmi ey ir np li xe A 57 6 16 DICOM e 7 2 as is ee eh OS A A a a 58 6 19 Advanced DIC OM RENTO a doce loa Sea See ee A Be e e a 60 6 20 Printing toa Windows PENSE ss sora ae ee eee ee ee e A A 66 6 21 Troubleshooting Windows to DICOM Print 67 6 22 DICOM Store and Forward Utility 68 6 23 JAF COonmmeuraioOns ema mia Gos Bee Sk Sots Sata ge 5 ae 69 6 24 OPC XSCAN32 Keyboard Shortcuts o ooo oo o 70 2007 2009 4 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 1 Introduction 1 1 Overview The CR unit is an ultra high resolution Computed Radiography device It is designed to scan cassettes containing phosphor screens CR plates using patented technology CR plates are transported past a scanning head without bending or using rollers This flat scan path results in ultra high resolut
3. CR36005SF USER MANUAL Digital Imaging Made Simple CR 3600 SF User Manual Forward Proprietary Notice and Disclaimer The information herein disclosed is the property of iCRco Inc Information in this document 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 iCRco Copyright Copyright iCRco Inc 2003 2004 2005 2006 2007 2008 2009 All rights reserved Trademarks CR 26000 CR 100060 CR 1000 Dual CR 260068 CR 2600 Dual CR 2600SF R CR Vet CR CR Vet Dual CR Mobile CR 1 D R CR Chiro CR Chiro Dual CR 3600 CR 3600SF R CR VERTX 1DR www icrcompany com and OPC XS CAN32 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 1000 CR 1000 Dual CR 260060 CR 2600 Dual CR 26005F CR 36000 CR Vet CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR VERTXG Any one of the f
4. Moving Annotations 1 Select the annotation 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 Si annotations icon 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 BS annotations icon 3 Left mouse click on the annotation handle and drag it anywhere on the image 2007 2009 44 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Note 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 Note CD DVD Creation Software is NOT part of the OPC 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 Xsean Radiology Applic
5. 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 Move the mouse to where the arrow should point 4 Left mouse click to set the second endpoint of the arrow head 2007 2009 38 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 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 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
6. Left and Right CR Markers 1 2 Open an image for viewing Select the Left Right Markers a button to apply a Left or Right marker to the image Select either the Left or Right marker When the user clicks on the Left Right Marker button the Left 8 marker icon will appear If the user clicks the Left Right Marker button again the Right El marker icon will appear Clicking again will toggle back to the Left marker 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 Click on the image to place the icon To remove the marker click on the Left Right Marker a button again CR Cropping 1 gt 3 Open the image that needs to be cropped Select the Crop button from the main toolbar Hold down the left mouse button to select the region that needs cropping 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 5 To confirm the region click Ok 6 The new image will be created in the same study and will open automatically for viewing 2007 2009 33 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Cropping Example Before After CR Masking 1 Open an image for viewing 2 Cli
7. 2 4 Connectivity and Power Supply o oo 12 29 1 hysical TeQUitenents nal EA AAA sa 12 3 Software Installation 13 S L USB Driver Installation 13 32 Installing QPC ASCANOZ kii a a A eas 13 4 Hardware Installation 17 4 1 Installing Power Caple sx asis Avg dey deg ee ey ee ee 17 42 Power switch LOcauon 3 wii oy ds ds E EGY EGE ESS 17 49 Boweranci ocan LIENS vee ae By Ry a AE e 18 AA Usb 2 0 Cable Instalado sic oe ede tipos Adede deren Heder ed bie 18 4 5 Computer Mounting Bracket epa kpa da da ee a a 18 4 6 Wal Notre eme Tales eon a ve ica Soe ode OG ee ewe de eh ed 19 5 System Operation 20 D Over WD a AAA AA A cs a patas a a ae ea 20 5 2 Cassette Handling amp Loading seve dedo de id od Bae Boe ekimi 20 Oo geyler an Moe ea SA a a dp ds aye ee 22 6 OPC XSCAN32 Software Functions 27 6 1 Creatine Editine Patients sismos e aro doo e be si 27 02 CiN Intertace 3 26 05 da Gok BOGOR ce Bek boa Aw Deo eee Eee ek 27 6 3 Mammography Configuration o 29 6 4 Default Mouse Functions for Image Manipulation 31 6 5 Image Processing Dialog Box 32 2007 2009 3 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 66 ANNOUONS sas ehe kb biri ke ei kk ee 37 6 7 Patient CD DVD Creator 0 0 000 eee ee ee 45 68 AssociatingaBarcodewithaStudy
8. 250WN TRA 1 2 1 Conventions DANGER A DANGER indicates that personal injury may occur if the Service person 2007 2009 5 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual does not perform the procedure correctly WARNING A WARNING indicates that a user must be constantly aware of something that may prove hazardous CAUTION A CAUTION indicates that damage to the product or user may occur if the user does not perform the procedure correctly Note A NOTE indicates important information that helps you make better use of your CR and Software Notice A NOTICE indicates either potential damage to hardware or loss of data and tells you how to avoid the problem 1 2 2 Laser Safety CAUTION This equipment employs a laser Laser radiation may be present if the CR system is operated without the covers Avoid the laser beam Direct exposure to laser light must be avoided The CR unit incorporates a Red gt 80mw high power solid state laser diode The CR 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 and or replacement covers are needed 1 2 3 Electrical Hazards The equipment must be serviced by prop
9. 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 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 2007 2009 31 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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
10. 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 1 43 Warranty Product Technical Requirements CRco requires that all CR Scanner and or products requiring PCs be fitted and installed with an uninterruptible power supply UPS iCRco recommends the APC BR1300LCD model UPS or equivalent For warranty evaluation and service iCRco requires the customer to provide a network drop 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 product manual Failure to comply with these requirements will result in a voided warranty claim 1 4 4 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 in formation the iCRco serial number of the product a detaile
11. 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 lt Remove button Hton DICO Store bi Forward Utility Configuring Store and Forward Utility DICOM settings 1 Click the Configure button 2 The default DICOM settings are 2007 2009 68 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 Event 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 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 Note 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
12. 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 2007 2009 7 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 OPC XSCAN32 software originally provided with any new iCRco 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 to 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
13. 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 Select the Box El 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 2007 2009 39 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Text Annotation Creates a text annotation on the image 1 NN OF FF QQ N Select the Text button from the annotations toolbar Left mouse click on the area of the image to set the upper left corner of the text box Move the mouse to where the text box will end Left mouse click to set the size of the text box The text box will become white with a flashing cursor Type text 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 Aa WwW N Select the Measurement button from the annotations toolbar Left mouse click on the image to set the first endpoint of the measurement Move the mouse to where the endpoint of the measurement will be Left mouse click to set the endpoint of the measurement The measurement will appear below the line To pl
14. is also required to have a network connection for fast technical support Alternatively the user must have a phone fax line that can be connected to the PC in order to comply with iCRco warranty terms 2 5 Physical requirements The CR unit requires a stable operating environment It is important the system is placed on a table stand or wall mount that provides adequate support 2007 2009 12 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 3 Software Installation 3 1 USB Driver Installation Installation of USB drivers are automatic with the installation of the iCRco software i e OPC XSCAN32 3 2 Installing QPC XSCAN32 OPC XSCAN32 software comes bundled with the CR unit This software package will allow the user to interface with the CR unit Note If you have OPC 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 1 Insert the media containing the OPC XSCAN32 installer into the computer Navi gate to the QPC XSCAN32 folder 2 Launch the OPC XSCAN32 installer by double clicking Setup exe 3 Click Next at the welcome screen Welcome Welcome to the QPC XSCAN32 Setup pr Sc The program will install QPC XSCAN32 on you pute It is hcl recommended that i exit all Wi
15. list of valid archives Archive Information Loc ation E Search All Archives D ate T im e IC Xscan32 Archive Browse 1175ep2004_16h19m48s y 24Sep2004 16h28m10s Po wl Me l 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 51 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF M User Manual 6 13 Modality Worklist Query Note For more information please refer to the software section on creating patients Database sive 417 41 ME same patients hidden i Modality Worklist 4a Query Button 1 To activate the Modality Worklist Query interface click on the Worklist Query button in the Patient Information window 2 The QPC XSCAN32 Modality Worklist Query dialog will open Click on Query Worklist button to query the HIS RIS system 92007 2009 52 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco
16. sti Pit bo AETI GUI D D Fosen Coun A Meda Tope BLUE FILM ICON Configueston Salinas Local AET GL DIOOH Fim Sine BATON Port 105 Message UND 2 16 8401 1357 3 152 10003702 Serial Wael 00007 Evert log Cea Eventlog ViewEvent Log E ai lg Lins Ls S L NME DES TPAC hest mage Library diaz a pen El DES T RACS Monig Bire chee Sand i erimi Mier Che Mon Aug 16 18 02 40 E Che dl pins sa ot ee FR ht i imaga Libra 61271 SL DE co oh md ie SEM SAID Hon uag 16 1 B z ond 10003702 mg AG IN Edi mae dl of Chee image Library Diz ho DHP 5 The status of the send will appear in the Event Log of the DICOM Controller window Note If sending to another XSCAN32 application the user can turn compression on and select a compression type low medium high 6 18 DICOM Retrieve 1 Open QPC XSCAN32 2 Click on the DICOM Retrieve button in the toolbar Note 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 2007 2009 58 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Xscan Radiology Application version 7 10 Fle Edt View Image DICOM CR Options Help DOOM Dicom Creste de PA Send Relieve Merge 7 br M Patient Informal Mei ye Imag 3 The Image Targets dialog will appear Select the target to retrieve images from 4 Select
17. tag or itis 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 23 HL Configuration 1 Open QPC XSCAN32 2007 2009 69 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 a LastName FirstName Patiemi Doctor DOB _ inst Mame Modality Worklist march m Query Button CO In the Modality Worklist Query windows click Options US In the Options dialog box check the radio dialog button for HL7 Listen al Check the radio dialog boxes for Mark retrieved patients and Automatically Query target when opened Note 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 ON Click Ok A new window will open called HL7 DICOM Worklist Parser Port 6000 N 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 QO In the HL7 DICOM Worklist Parser File menu make sure there is a check next to Listen If there is not click o
18. will open with the details of the associated patient Find Barcode 2007 2009 48 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 7 The image will be imported into OPC 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 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 QPC XSCAN32 Database 1 Open XSCAN 2 Go to File Archive Database 3 The user is asked to confirm the archive process click Yes 2007 2009 49 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Archive Xscan i i x Cur
19. 32 patient information window when retrieved from the Modality Worklist 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 Xscan Radiology Application version 2 10 Fie Edt View Image DICOM CR Options Language Help 30 w e S S x A Open Scan View View Multi Case Delme MPrin rr 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 Note 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 2007 2009 54 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Patient Information Em ng and Impressions Code 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 field 6 15 Long Bone amp Scoli Stitching Software 1 Open a patient study fo
20. 61271 SUID 12 16 940 1 193957 10023 100 999 91919991 229451 SAID 2 Fim Sas ANUN Mon Aug 16 18 02 40 2004 Attempt to Send 10003702 eng AG 252062092 16 b8 mage of Chest Image Library O46127 31 No COMP 3 Click on Targets button and the Image Targets dialog will appear MM image Targets Addes 127001 192 168 0 156 127001 192 168 0 200 PACS C 1421681101 105 Target AE title GUL DICOM CO 127001 5 Target type Dicom Target IP address Target TCP port 104 a 6 17 DICOM Send 1 Open a patient study for viewing and select the image icons to send 2007 2009 57 of 71 Document 36005F 01A Rev A Confidential and Proprietary Property of iCRco Inc May 22 2009 CR 3600 SF User Manual 2 Click on the DICOM Send button in the toolbar Note 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 PAN NT De COM EFI fs 82000 nog CO GULE DICOM Dict 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 F DICOM Controller 1 00 COM Settings Tap EA ani Wat s nni FT asas prompt for tagal whens seeding Pi Send Port CF Maiers wh Image picada Fenere intel Send DICOM images a mn cn ein or e ol Comprerci n DICOM Print Settings Serdrg GA FrocesedimgeOry
21. E A SA A Ss A ME Eurostile Bold ee Ni CR Settings CR Model Settings Serial Number Sensor Pixels Max Width Duty Cycle Pixel Rate Scan Freq Shift Distance Vertical Offset Steps Permm Erase Offset Erase Wait Brush Offset Steps Per Rev 1091 1234 100 00 16 00 Laser Power Laser Offset PMT Voltage 1 PMT Voltage 2 PMT Low Range PMT High Range DAC Low Range DAC High Range DAC Gain LCE Channel Type Stage Velocity Stage Accelaration Stage Current Scan Stage Current Return Holding Current 30 of 71 3600 LF or 3600 M Board Type Device Type Filename CAXscan32 importcr d dl d dl di dl d d di d d m Font Eurostile Bold Document 36005F 01A Rev A May 22 2009 _ CR Settings E CR Model Settings CR 3600 SF User Manual 6 Make sure that the resolution values for 18 x24 cm and 24 x 30 cm cassettes are 50 microns Click Ok to save the changes Scanning Resolution Settings Cancel Laszette Size Resolution Micron Aight Mouse Click Resolution Micron E olin 155 100 lacmsZ4cm ou 100 24cmsa0cm lll 100 eles Din 155 100 Tir in 155 100 14irel in 155 100 7 Click Ok again in the CR Settings window to save the settings 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
22. ICOM 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 2007 2009 67 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 printer 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 22 DICOM Store
23. IDENTAL 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 possibility of such damages This limitation of remedies also applies to claims against any suppliers or dealers of iCRco iCRco and its suppliers and dealers limitations of remedies are not cumulative Such suppliers and dealers are intended beneficiaries of this limitation iCRco is not liable for any claim by or against the customer arising from a third party claim 2007 2009 10 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 2 Pre Installation 2 1 Voltage Requirements The CR unit incorporates an international switching power supply iCRco employs CE certified medical grade universal power supplies to allow the unit to work between 90 to 253V AC 50 60Hz In order to run the unit with different power types apply voltage to the power input module at the end of the CR unit For international units a local power cord must be used that can handle the power requirements of the unit A 13A 125V power cord is sufficient 2 2 Environmental The CR unit should not be placed i
24. Inc CR 3600 SF User Manual Xscan32 Modality Worklist Query Query Workist Retrieve Selected Patierd s Search Worklest Options W DICOM Query Automatically query target when opened T Automatically query target every 1 mirnteds Query by modality pp F Quay by AET Z Aber Test Target z Y Search Match Ary Past of Field Last Query Last Emo Configure DICOM Fast Name Patent IO aml Last Name a Query Worklist 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 querying automatically when worklist query dialog is opened query on a timer i e every 5 minutes query by modality i e CR patients only query by AET query by Date i e today s date only d Click here to select the target to query Note The user will only need to do this once 3 The queried patients 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 Curent Target Query Wout Aulomabcally query Largel when opened AFT Query by date Port ios a Retneve Selected Paberils zj IP Toy pe Sata
25. Itis important not to collimate on the edges that will be stitched together Note The user can collimate on any other edges 3 Do not move the angle of the anatomy between x rays For example if two images of an arm are taken on two different cassettes do not move the angle of the arm for the second x ray 4 Do not change the resolution between x rays All images must be the same scan resolution 6 16 Setting Up DICOM Send 1 Open QPC XSCAN32 2 Open DICOM Controller V1 00 Note 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 DICOM Controller 1 00 DICOM Seting Targets Contigue Pani Sets Wat Mirze Always promet bor t get when sendong Send Prrt CR Markers with Image ay eni Remeve yel ias T Send DICOM mages as compressed scan to Macan Only Compression DICOM Pre Settings SendngCR Processed image Oriy l Pant lo AETI GUI_DICOM Rowt Cokunnae 22 Meda Type BLUE FILM DICOM Configuration Settings Local AET GUI_DICOM Por 105 Message UND 216 640 1 19357 3152 10003702 Sena 2 54 1D 00001 Event log Clear E veni Log View Evert Log Mon Aug 16 18 02 40 2004 Send succenthd for PNAME Chest Image Ubrary OXS1271 INUM 33 DEST PACS Mon Aug 16 18 02 40 2004 Sending PNAME Chest Image Library O 6127 INUM 31 DEST C lt PACS Mon Aug 16 18 02 40 2004 NUM 31 PHAM Chest Image Lay
26. OK to confirm the selected target Ak e DA ti CF Ta parasi Di Carnet fi 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 asterisk 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 Note It is not necessary to fill out all fields For a description of the valid wildcards click on the Wildcards button 92007 2009 Confidential and Proprietary Property of iCRco Inc Search Parameters Piei Al ribudes Faber Hama Patent ID A Patient Ser ary Pater DO Any Shai Almbulas tud ID E Study Da esen O Study Dae Y Study Tere rip ae cen Document 36005F 01A Rev A May 22 2009 59 of 71 CR 3600 SF User Manual 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 EE iagat Ardo de 6 19 Advanced DICOM Printer Select images for printing In OPC XSCAN32 select the images to print in the image icon view then select DICOM Print from the toolbar The Advanced DI COM Printer application will open with the selected images imp
27. Only Sen ow Show woe nd aro Be pie Compre Manual DICOM Print Settings Print to AET DICOM Configuration Settings Rows Columns 1x1 Local AET MICA Media Type BLUE FILM Port 104 Film Size 14INX17IN Serial Site ID 00001 Message UID 1 2826 0 1 3680043 2 1074 23245 7 163 1 0001016 Event log 1 27 2009 5 14 08 PM Send failed for PN amp ME MinXray CR Verbs INUM 7 PNUM OOL DEST XSCAN DICOM INAM C xscan32 date al Sending PNAME MirWray CR Veris INUM 7 DEST M ICOM i INUM 6 NUM 1008 DEST X5CAN DICOM INAM C Xscan32 da M 6 DEST SCAN DICOM UM 5 SNUM 1005 DEST XSCAN DICOM INAM C Xscan32 da 27 2009 5 13 IN ee E A EM 3 fers ng TRADE Mint vil e a NGM Sl ror Pesca DICO alle M INAM enanada Y 2007 2009 26 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 6 APC XSCAN32 Software Functions 6 1 1 Creating Editing Patients 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 Enter the patient details into the appropriate fields in the dialog box The user also needs to enter the exam information for the patient Note Last Name First Name Date and DOB are required fields The use c
28. Selec T pel Echo Acct Dosto Pabert s Name Pabert iO 008 Sex Proc Dercapbon Modality Study Date E 14 me test 60 06 09 2004 203532 9 2002 37 Che Jach Hoeser Emmet 1670 041976 F US DRAINAGE GUIDE UVEA US 12 02 2002 1 12107 2002 36 Aodes Vieser Goedecke Amat 1667 00 11 1945 F US DAAINAGE GUIDE UVEA us 11 30 2002 005140 A 2002 35 Che Jauch Corbet Jerry 1674 1 25 1978 F USASPIRAT GUIDC ADD PELYVINN US 11 30 2002 004043 Y 2002 34 Che Jouch Meorwener Cosndy 1673 10 05 1944 M MAMMO cT 11 30 2002 084008 Y 200233 Hedepbes Edinger Wollgane 1672 07 21 1932 M MAMMO CI 11 30 2002003940 9 2002 32 Elke Jauch Most Ermat 1670 02 23 1976 F MRICERVICAL SPINE ME 11 20 2002 092025 v 2002 26 Monica Hey Gao Adol 1675 09 11 1560 F MPIDRAIN W W 0 CONTRAST MA 11 20 2002 070427 Y 2002 25 Nedveg Basi Denzer Esc 1677 10 27 16O M MPNORAIN W CONTRAST MA 11 26 2002 004737 Y 2002 24 Eke Ehvich Natascha 1681 Many F MAICERVICAL SPINE MA 11 26 2002 004723 W202 19 Ek Menwester Cots 1673 10 05 1944 M MFIDBRAIN W W 0 CONTRAST MR 11 11 2002 210443 a Retrieve Selected Patient s button b Queried patients appear in the patient list An envelope indicates a patient that has not been retrieved A check mark indicates a patient that has been retrieved 53 of 71 Document 36005F 01A Rev A May 22 2009 92007 2009 Confidential and Proprietary Property of iCRco Inc CR 3600 SF User Manual 4 The patients will appear in the OPC XSCAN
29. ace 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 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 2007 2009 40 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Angle Measurement Annotation Used to draw an angle on the image 1 SN CO RAe QQ N Select the Angle Measurement lt 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 Left mouse click to set the endpoint of the second vector The angle measurement will appear 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
30. age Lapoct Porter Overlap Templales Zon 1 501 Click here to save current Click here to save current layout Losd TemgiekomFia Save Curent Template 2007 2009 63 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 PageLayout Printers Overlay Templates Text Position Patient Demographics Overlay L Test Position Top Right OOO Small Medium f Large NN white on Black f Black on White lf Enable Overlay Apply to all Edit Fields The user has the option to apply the current settings to every image in the print view or only in the currently 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 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 delimi
31. an also make Patient ID a required field by clicking on the Options menu Preferences Defaults tab Click the Save or Save and View button after the patient details have been entered Note The Save and View button will create edit the patient and open the exam immediately for viewing or scanning of images 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 Note When the user opens an exam with no images OPC 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 Scan 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 27 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual TEST PATIENT 1 31 1950 CHEST ANTERIOR POSTERIOR O U1 OJ 14x 17 A 10 x 12 8 x 10 1 Shows the currently selected anatomy Shows the current patient name amp birth date Close This button will close the sc
32. an interface it will not close XSCAN Reset This button will return the CR unit to the home position CI A Q N 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 Mammography interface button if enabled use this button to toggle between the general and Mammography interfaces 2007 2009 28 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 6 3 Mammography Configuration 1 Before scanning the cassette switch to the Mammography scanning interface To do this click the iCRco button TEST PATIENT 1 31 1950 CHEST ANTERIOR POSTERIOR 2 Click the Settings button in the Scan interface Ente
33. 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 71 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc
34. ation version 2 10 Inst Name 11 Goedecke 1667 Ardra Vieser 08 11 1945 g 11 30 2002 Edinger igang 1672 Hedwig Baal 07 21 1932 18 Giro 1875 MonicaHey 09 11 1980 SMITH Note 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 2007 2009 45 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Browse for file Select the location of your CD recording software Browse Use Nero scripting to create CD DVD Cancel 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 DVD8701 gt Drive info Compilation settings Title OPC PATIENT Media CD x Number of copies E Bum O Always use these options and burn immediately Burning engine initialization successful Using other CD DVD rec
35. 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 Note 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 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 Templates Used to load and draw custom templates Select the Templates H button on the annotations toolbar Measurements Units dJEmE sed 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 X button 2007 2009 43 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Deleting Annotations Individually 1 Select the annotation 2 Right mouse click on the annotation 3 Select Delete from the pop up menu 94 20 mm Delete q 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
36. ck No se No Setup Document 36005F 01A Rev A May 22 2009 13 of 71 CR 3600 SF User Manual 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 install you do not want to install Components OPC SCAN32 Software 13472 K Description This component installs OPC XSCAN32 software Space Required 126112 K Space Available 3640804 K lt Back Cancel 6 Select Scanning Station or Reading Station depend on the use then click Next to continue Select Station Type Please select your station type Scanning Station i e CR or Film Scanner Reading Station Select Station Modality Type Please select your station type Medical Veterinary T Veterinary Equine lt Back Cancel 14 of 71 2007 2009 Confidential and Proprietary Property of iCRco Inc Document 3600SF 01A Rev A May 22 2009 CR 3600 SF User Manual 8 Select the appropriate CR hardware profile then click Next to continue Select Hardware Component Please select your CRco hardware CR 1000 CR 2600 iCR 1000 Dual CR 2600 Dual iCR 7200 Dual Bay iCR 3600 or iCR 3600M CR 3600 SF or iCR 36005F M ICR Verx Cor NC DRL Film Scanner 312 612 2000 10005L etc Lacan Choose Destination Location Setu
37. ck the Mask 2 button 3 To remove the collimation mask select the Mask button again Before Masking After Masking CR User Masking 1 Open an image for viewing 2 Click the User Mask button 3 Select the number of views from the Multi View Mask dialog i e if there are two hand exposures on one image select the two view button 2007 2009 34 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 Note If the moving icon is highlighted this indicates that it will return to its orig inal position If an icon is dragged f
38. d description of the problem customer name and contact information product location and operating conditions a copy of the purchase documents and sufficient information and authorization including a liability 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 Autho rization RMA number from iCRco Prior to providing an RMA iCRco may require remote access to the product If iCRco 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 2007 2009 8 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual unauthorized returned product i e one for which an RMA number has not been issued by iCRco Warranty service requires all authorized returns be shipped 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 movin
39. d subsequent owners must contact iCRco to es tablish if the equipment is eligible for an extended warranty THERE ARE NO WARRANTIES EXPRESS OR IMPLIED WITH RESPECT TO ANY 1CRco PRODUCT OTHER THAN AS SPECIFICALLY SET FORTH HEREIN AND 1CRco SPECIFICALLY DISCLAIMS ANY IMPLIED WARRANTIES OR CONDITIONS OF MERCHANT ABILITY FITNESS FOR A PARTICULAR PURPOSE AND SAT ISFACTORY QUALITY ANY WARRANTIES THAT MAY NOT BE DISCLAIMED UNDER APPLICABLE LAW ARE LIMITED IN DURATION TO THE INITIAL WAR RANTY PERIOD AND NO WARRANTIES EXPRESS OR IMPLIED WILL APPLY AFTER THIS PERIOD ALL INFORMATION SPECIFICATIONS PRICES AND SER 2007 2009 9 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual VICES ARE SUBJECT TO CHANGE AT ANY TIME WITHOUT NOTICE 1 4 6 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 repair 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 and your exclusive remedy fails of its essential purpose IN NO EVENT WILL iCRco BE LIABLE FOR ANY GENERAL SPECIAL CONSEQUEN TIAL OR INC
40. e 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 mir and click on the no division ical button Pam Image Dinvisiors W Show 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 2007 2009 61 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Selected Printer Settings Test Printer Print to AE TJ PRINT_DICOM Rows Lolumns 1x1 Media Type PAPER Film Size SIN DIN Number of Copies 1 Onentation Portrait Manipulating Images in the Preview Window The Advanced DICOM Printer allows the user to flip ro tate Zoom pan invert and window level images To manipulate the images select the image in the preview Height 2520 Level 48566 window the selection will be shown by the green box sur EI Zoom 15 78 pd Update
41. e sure the power cord is properly installed in the UPS and the UPS is plugged into a standard wall outlet 3 Make sure the USB 2 0 cord is properly installed in the unit and computer 4 Power on the computer 5 Power on the CR unit by pressing the power switch 5 2 Cassette Handling amp Loading 5 2 1 Overview Unlike other CR solutions the CR unit does not allow for contact to the delicate phos phor imaging plate The hard X ray cassette is designed to protect the plate and allow for it to be read by the CR 3600 SE The delicate imaging plate is embedded within a rigid cassette in such a way that nothing touches the plate during the scanning or handling process The digital x ray cassette is carbon fiber with an embedded aluminum lead back plane There is a release catch to allow the service person to access the plate within the cassette Using a pencil push the release catch located within the bottom extrusion on the cassette All cassettes should be stored in the cleanest driest conditions possible Always store cassettes in a location where they are not likely to be knocked over or damaged With careful handling the cassette plate system should provide years of service as there is no known lifetime for the phosphors used in the plate system 5 2 2 Cassette Loading 1 Before loading the cassette orient it properly with the blue side of the cassette facing towards the operator with the arrows pointing upwards 2 Locat
42. e the proper sized guide lines on the bezel of the CR unit 2007 2009 20 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 3 Atan angle load the cassette bottom first into the scan bar CAU TION Do not use excessive force when loading the cassette The cassette will not fit if the orientation is incorrect 4 Gently push the top of the cassette into place 5 If loaded correctly the user will see the white guide lines around the edge of the cassette 2007 2009 21 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Example of a misloaded cassette you can not see the bezel guide lines 6 Close the bay door 5 3 Acquiring an Image WARNING This equipment employs a laser Laser radiation may be present if the CR unit is operated without the covers in place Avoid the laser beam Direct eye exposure to laser light must be avoided Note The instructions in this section represent a typical CR workflow Every workflow varies in process 1 Open the door on the CR unit 2 Load the cassette into the CR unit The blue non carbon fiber side of the cassette faces away from the CR unit CAU 1 ION Do not use excessive force when loading the cassette The cassette will not fit if the orientation is incorrect If the user requires more instruction on cassette
43. 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 through 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 2007 2009 36 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual ICE2 Example Lateral Lumber Spine t REA S E j Gl j A a 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
44. eni dividual frames on a page with multiple images Internal Orentaiov Image Divisions Portrai Show margins are defined as multiples of the print page border Pegs X LandS cape Lock size Inches C mm i Borders By default internal margins are the same size as the bor LAN TORA ders with image margins on the left and right hand side oo ao of each frame are equal to the left and right hand bor naco ders Margins on the top and bottom of each frame No Space Between Images Same as Border Spacing are equal to the top and bottom borders of the printed P R bode Spec page E Custom Spacing E oc If the user intends to cut individual frames out of the printed page it 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 be 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 X Scan321 Layout Custom ME P
45. er Manual 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 20 Printing to a Windows Printer 1 To configure XSCAN to open the DICOM Application Print Server go to Options Preferences Imag Transfer tab Select the option Use Windows to DICOM Printer DICOM Print must also be selected General Advanced COM Appicaton Entity CO Application Pring Server Fin Pritts DOOM Log Heb li Pil pza Er P Seia Number Sate iD 1 Image Exportlmpord Targets File TARGETS INF EME Dump Path E OUMP DCM Log Selimg Log Level fi 2 The Dicom Application 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 2007 2009 66 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 3 To change the AET port number or any other information for the DICOM Applica tion 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 Servers AET details 9 Select the images in OPC XSCAN32 t
46. erly trained technicians certified by iCRco Inc Do not connect the CR unit with a damaged or sub standard power cable Do not use an extension cord with this device The CR unit should be properly grounded and power connections 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 WARNING This equipment is operated with hazardous voltages which can shock burn or cause death Notice The CR unit must be connected to a uninterruptible power supply UPS Failure to use a UPS will void the warranty 2007 2009 6 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of CRco Inc CR 3600 SF User Manual 13 FCC Notification This equipment generates uses and can radiate radio frequency energy and if not installed properly can cause interference with radio communications 1 4 Warranty Information iCRco Inc iCRco values your business and always endeavors to provide high quality products and services All iCRco products are provided with an initial warranty so you are covered from the date you purchase them 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 fo
47. g and or shipping the product Original and approved packaging my also be purchased from iCRco 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 1 4 5 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 soft ware 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 iCRco the warranty will also no longer apply This warranty applies only to products manufactured by or for iCRco and that can be identified by an CRco serial number as originally affixed to the product Any modifi cation to the iCRco serial number tag or its attachment to the product shall immediately void this warranty This warranty is non transferable an
48. ion images with high fidelity across the entire image High resolution is achieved from the CR plates by coupling the flat scan path with a high energy laser The CR unit collects 16 Bit data that is converted to a DICOM 3 0 image and can be stored viewed manipulated and sent to any other storage device printer or viewing sta tion through DICOM This document contains a basic technical overview of the CR unit including the optical systems electronic components and driving software subsystems A general description of the systems functionality and user interfaces will be described Unpacking of the hardware is covered as is software installation and troubleshooting are also included This document is intended for users or service people who need to understand the basic underlying principles of operation for the CR unit 1 2 Safety Information Be sure to read and understand the installation and operating instructions before applying power to the CR unit HI POT TEST COMPLETE US and International BY Patents Granted VISIBLE AND OR INVISIBLE DATE O O 2 4 0 V Pin LASER RADIATION AVOID a AVOID EXPOSURE VISIBLE R and or INVISIBLE LASER 1C CO DIRECT EXPOSURE TO BEAM CLASS 3b LASER 300 0064 01 RADIATION IS EMITTED FROM The naaie GR Comey 100 240 Vc 2 3 1 2 A 50 60HZ THIS APERTURE EDA C CAUTION FOR CONTINUED PROTECTION AGAINST RISK OF FDA 510K Cleared FIRE REPLACE ONLY WITH SAME TYPE AND RATING OF FUSE FUSE
49. 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 e single step through window and level values simultaneously hold down the Shift key and use the Middle Scroll button This will perform a slower window and level on images with a smaller histogram 1 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 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 2007 2009 32 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual The Smart Box s size and position can be adjusted to yield different results This allows the user fast and efficient image processing methods
50. loading please see Section 5 2 2 3 Open OPC XSCAN32 4 Create or edit patient profile To do this click New or Edit respectively 92007 2009 22 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 5 If creating a new patient enter the relevant patient info or if editing a patient change the information accordingly then click Save and View m Add New Record Information Required Fields Xscan ID 0 Gender O Male O Female Last Name 112345678900 Doctor Dr Si love DOB 12 2AE Y Information Study Desc Exam Date Time 12 29 2008 33834PM Inst Name Study Comments Dicom ce No 6 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 S8 Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language Help y bicom DE Add EE y X a NE e uw Mark Merge gi DO Case MinXray CR VertX A 9 5 2008 Final QC CHEST ANTERIOR POSTERIOR 2007 2009 23 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 8 Select the anatomy by mousing over the skeleton on the left hand side of the Quality Processing Center dialog
51. n 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 while window is open 11 Click the Query button to get message information If messages are not automati cally queried 12 Highlight messages that you want to retrieve and click Retrieve 6 24 QPC XSCAN32 Keyboard Shortcuts Function Keys FI Rotates an image clockwise 2007 2009 70 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual F2 Rotates an image counter clockwise F3 Horizontally flips an image F4 Vertically flips an image F5 Inverts an image F7 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 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 Ctrl S Sends queued images Shift Q Adds images to the send queue
52. n a room with a film processor present This will void the warranty The humidity and temperature limits are 20 to 80 non condensing and 50 to 95 F 10 to 35 C operating respectively The room should have good ventilation Another factor to consider prior to installing the CR unit is dust and particulates in the environment The CR unit is designed to be resistant to dust and particulates that may be present at the installation site 2 3 System Specifications Power Requirements Scan Rate Domestic 100 to 120V 50 60Hz 3 5A Scan Rate 60 lines second International 220 to 240V 50 60Hz 1 75A Grey Scale Resolution Temperature Conditions P 16 bits 65 535 shades of gray 50 to 95 F 10 to 35 C operating 0 to 150 F 18 to 65 C non operating Interface Humidity on 20 to 80 non condensing Dimensions 1 Pixels per Line Resolution CR 3600 SF 10W x 18H x 345L inches 3500 High Resolution over 356mm 14 Vibration Acceleration inches 2048 Normal Resolution over 356mm 14 inches 3 4G Max in shipping 2007 2009 11 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Altitude Weight 0 to 9 500 ft operating CR 36005F 70 lbs 2 4 Connectivity and Power Supply The room needs to have wall power and should not be used with an extension cord Please use at least a 1300VA 780W UPS between the wall power and the CR unit It
53. ndows programs before running this Setup progra Click Cancel to quit Setup a ndihen ha ms you unning Click Next to contin aa he Setup program WARNING This program is protected by copyright law and Y international treaties ae me e Spee ctio lio pa stes s program or any oe sult in inal penalties and Pil be ecri uted to the ic mi me ib der posible p law Software License Agreement 2007 2009 Confidential and Proprietary Property of iCRco Inc Please read the following License Agreement Press the PAGE DOWN key to see gel the rest of the agreement Software License Agreement a legal agreement between you the lice ead this Seri ser Before opening the disk pileli By opening th valo e YOU accept the terms of this agreement If you do not agree to the terms of Ply reina promptly return the unopened unused package and all accompanying items including written material software disks the Software protection device ete at your expense to the place it was purchased from andiCico Inc Plea dE a ope right Abi ar oftware program is owne 2 rne Inc States and inl nal ci lia a nd it te onal tr be e is 3 protected by United iCRco Inc grants you the right to use the Software on a single u pri orona single workstation or terminal of a multi user computer or ksa area v as ore Edel all the terms of the prec ete sere eemeni ae a can choo ie install OPC XSCAN32 da u must a t this agre lt Ba
54. o print and then select the DICOM Print button Optimize the images in the OPC XSCAN32 software and select print Image Page Latou Pinter Oveday Templates Porter Presets Setli DARE IPAPER BIRDS TL 6 21 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 OPC XSCAN32 2 Check target information for both applications Advanced DICOM Print and DI COM Application Printer Server Select Advanced DICOM Print and click on Configure DICOM button The DICOM Configuration dialog will appear The tar get 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 OPC 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 D
55. ode Dalar Glee coche 1 In the patient information window enter patient and study information 2 Select patient and study 3 Select Add Barcode button 4 Using a barcode reader scan the barcode of an unexposed cassette 5 The barcode will be added into the barcode list with the default cassette size 14x17 6 Repeat steps 3 to 5 for each cassette that will be associated with the study 2007 2009 47 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual i Barcode Cassette Size o gt Add Barcode Delete Barcode Note 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 Note The user can remove the association by selecting the barcode from the list and selecting the Delete Barcode button Barcode Cassette Size 01002 6 9 Finding Barcodes and Scanning Images 1 gt 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 Note This can be corrected later in OPC XSCAN32 when viewing the images Load cassette into the CR unit Select the appropriate scan button OPC XSCAN32 will automatically open the study that the cassette is associated with The scan interface
56. ollowing CR products will be referred to as CR dual unit 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 DRG will be referred to as the DR unit throughout this document 2007 2009 1 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Contact Information iCRco Inc Address 2580 West 237 Street Torrance CA 90505 Phone 310 921 9559 Fax 310 542 7236 Email info icrcompany com Web http www icrcompany com CR Information Please Enter the details of the CR system here CR Model Serial Number Date Purchased Interface Type USB 2 0 2007 2009 2 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Contents Forward 1 Contact Oraon sd ek aos ee bs AS cds a dia 2 1 Introduction 5 EL NE we AAA AA A oe ee G 5 12 Satety Informauon ip io te ote by ee in ee i 5 LS FCC Notmcalon ww 444 244 48 08 dip dey ey og d ye is 7 LA Maranty MtOrmatiOn sos ea Fem ete ee Recs ecw eke ee y 7 2 Pre Installation 11 2 1 Voltage R eguiremenis eones bos os eo She SRSA eS 11 gt gt ENVIoOnmentdl gt iaa A 11 gt System OPECINCA HONS amp ts iaa ca a es 11
57. or y Ga 60 G eS wards in position i e the image number Open Scan View View Multi Case ofthe highlighted icon is higher than the a 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 image number of the highlighted icon is less than the moving icon then all icons between its original position and its new position will move forward and each image num ber increases by one If no icons are high lighted when dragging then the image will be returned to its original position JN Xscan Radiology Application version 2 10 Fie Edt View Image DICOM CR Option Languag 2007 2009 35 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual CR Processing 1 2 3 Open an image for viewing Select an anatomy from the CR Preset box Click the Process button to begin the processing The user may press the Reset button to restore the original image data set Note the user can also press the Process button again and the original data set will be automatically restored and processed again To optimize processing strength change Gain and Frequency Enhancement as needed Note The user can update the CR preset by selecting the Update button which will ensure that these processing strengths will be used
58. ording 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 Note 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 2007 2009 46 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual T Untitled Data CD Project Easy CD Creator Fie Edt View Disc Tools Track Internet Help Select source files Select source folder O XecanCOFoldes convert name location C _Xscan na x ee CDFolder scan 6 9 2004 9 31 PM CE xscan bat 10 21 2002 4 02 PM A Autorun inf 6 9 2004 9 31 PM The following folders Add Remove a and files aretobe data 0 a h 4 copied onto a Kg CT SE DVD CD Xscan folder xscan bat Autorun inf 3 Click the Record button in CD Creator software 6 8 Associating a Barcode with a Study Bi Patient Information Database size E 35 GB Frec Spece 4 83 GE Somo Patients Hidden estime gt Farias Pasen Doctor DOE midty inet Hama mirad Tm Gender Eral Joa Ae ee Os aa ND Mi 01 40054 ee ies F Shady Desc EEE 102020061420 SHOULDER Add Beec
59. orted into the right hand side Alternatively the user can select the re gion in the preview window where the user wants the image then select the Import Im age 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 E as the user drags the image from the image icon window to the preview win dow If the user is out of the accepted region for dropping a cursor S will appear let ting the user know that this is not a correct region to drop the image into 92007 2009 60 of 71 Confidential and Proprietary Property of iCRco Inc Meal TERALIE Pex Joa Document 3600SF 01A Rev A May 22 2009 CR 3600 SF 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 0 EE right mouse click inside the preview window region to split it A pop up menu will appear with these division buttons as the image to the right shows Me 11 la peki TN ER E Select one of the image division buttons and th
60. p 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 toexit Setup Destination Folder iz Browse lt Back Next gt 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 e OPC XSCAN32 Existing Folders Bluetooth Catalyst Control Center DVD RAM ames Intel PROSet Wireless Intel R Matrix Storage Manager Mi lt Back Cancel Be patient while XSCAN32 installs 2007 2009 15 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 12 Click Finish to complete the installation of OPC XSCAN32 The installer will exit Setup has finished installing Xscan T Yes view the ReadMe file now 2007 2009 16 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 4 Hardware Installation 4 1 Installing Power Cable e 1 Plug the power cable for the CR unit into the power switch unit 2 Plug the other end of the power switch cord into the UPS 3 Make sure the UPS is not in bypa
61. pallet Annotation Defaults Used to change the default font name font size and colors Select the Defaults D button on the annotations toolbar Select default color for drawn annotations SA Select default color for selected annotations Select default color for annotation text 2007 2009 37 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 Line Annotations Creates a straight line on the image 1 Select the Line button A 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 Note 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
62. placement Cobb Angle Annotation Used to draw a cobb angle on the image 1 2 3 4 5 6 7 Select the Cobb Angle Y 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 Left mouse click on the area of the image to set the second endpoint of the second line The angle measurement will appear 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 2007 2009 41 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Heart to Lung Ratio Annotation Used to find the heart to lung ratio 1 2 3 4 5 6 7 Select the Heart to Lung Ratio Ws 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
63. r an additional charge 1 4 1 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 iCRco phosphor plates sold with and for use in iCRco cassettes are warranted to be free of defects in materials and workmanship for a period of 3 years from the date of original shipment subject to 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 1 4 2 Software Limited Warranty Support iCRco warrants that its OPC XSCAN32 software originally provided with any product will substantially conform to iCRco s specifications and that the media not including hard drives on which the software is furnished will be free from 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
64. r the password earl case sensitive when prompted then click Ok TEST PATIENT CHEST ANTERIOR POSTERIOR 2007 2009 29 of 71 Document 36005F 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 3 Make note of the current settings as they will need to be re entered when switching back to general radiography from mammography Notice POTENTIAL LOSS OF DATA Be sure to take note of the current settings before entering the new values The values will be overwritten and there is no way to recover them The user will have to manually switch between settings when switching between general radiography and mammography 4 Change the following values Pixel Rate PMT Voltage 1 PMT Voltage 2 6 5 Laser Power 1 4 6 5 24 Serial Number Sensor Pixels Max Width Duty Cycle Pixel Rate Scan Freq Shift Distance Vertical Offset Steps Permm Steps Per Rev Erase Offset Erase Wait Brush Offset 100 00 16 00 Laser Power Laser Offset PMT Voltage 1 PMT Voltage 2 PMT Low Range PMT High Range DAC Low Range DAC High Range DAC Gain Channel Type stage Velocity stage Accelaration Stage Current Scan Stage Current Return Holding Current 5 Click the Resolution Settings button 2007 2009 Confidential and Proprietary Property of iCRco Inc 3600 LF or 3600 M ood Type SS ON ECT Filename CAxscan32 importicr SS A SE A S
65. r viewing and select the image icons to stitch together 2 Click on the Stitch button in the toolbar Note This will only appear in the toolbar when the user has installed the stitching module software 3 Organize the images in the correct viewing order Note that no matter what the users selects for orientation horizontal or vertical that the software will only stitch vertically For example if the images appear as they do in Figure 1 then click the Swap Images button If the images appear as they do in Figure 2 then rotate the images to the right 90 2007 2009 55 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Date 4 28 2009 3 18 34 PM Patient Auto Import10027 Auto Import Folder les ID 10027100 a Figure Figure 2 4 Select the Start Stitching button when the images are positioned correctly When XSCAN finishes stitching it will display a message box stating that the image is ready for viewing and the new image will automatically be imported to the study Stitching Tips 1 Images must have at least 1 inch of overlapping data 9 CORRECT INCORRECT Overlapping data appears The two edges to be stitched in both images should not be collimated 2007 2009 56 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 2
66. rent size of Xscan data Folders is 1476395008 MB Archive Folders now a e 4 Select the location to archive the database to As Archive Location C Xscan32Virchive Browse Default Lecatioan Cancel 5 When archiving is completed a message will appear informing the user of the archive location Note the current date and time is used for the folder name of the archived database 6 11 Restoring Archived Database WARNING It is strongly recommends 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 Note The current database in QPC must be empty Archive Xscan Y E x Gi Archive Ci iscan321Archive244u92004_09h12m285 is now complete The serial number of your dcom module wal If using external storage media use the following label for Future reference 24Au92004_09h12m205 2 Select the location of the database to restore 2007 2009 50 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Xscan Archive d X Restore from location CAMscand2AArchive 124192004 _09h01m39s Browse 6 12 Searching QPC XSCAN32 Archive 1 Go to File Search Archives 2 To search a particular archive select the archive location by selecting the Browse button 3 Under Date Time select from the
67. rocess 25 of 71 Document 3600SF 01A Rev A May 22 2009 CR 3600 SF User Manual 16 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 8 Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language a 6 6 amp gt Open View1 View2 Multi Prev Next MinXray CR VertX Image 007 1 1 W 6 Save amp Accept 17 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 and left mouse click to select multiple patients 18 After selecting the patient s click the DICOM Send button S8 Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Lang i f Dicom mi 5 inen Send Retrieve rge 3 Send the selected images using DICOM 19 The DICOM Targets window will appear choose the desired target then click OK DAR BET Title e Target IP d Target TCP ADV_PRINT_DICOM PRINT_DICOM SF_DICOM SCAN_DICOM Add New Edit Delete Test 20 The results of the DICOM Send will appear in the DICOM Controller window s Event log D DICOM Controller V1 00 DICOM Settings Targets fig Print Settings Wait Minimize C Always prompt for target when sending Seem Send DICOM images as compressed scan to Xscan
68. rounding the image The user can flip rotate and invert by using the but gt jji P tons on the left hand side of the DICOM Printer dia on 11 a a The user can zoom by using the right mouse button on the selected image Width BEER Window 16483 To pan the image use the left mouse button on the selected image Note 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 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 independently of the borders for the left and the right hand side of the page 2007 2009 62 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Additionally the user has the option to control the internal Pires Ovelay Templates gt i Image Page Layout margins which define the amount of space left between in
69. 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 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 center line of four points 1 2 3 4 5 Select the Center Line 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 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 Ze 3 4 Select the Center Point button on the annotations toolbar Left mouse click on an area to set the first point it will appear as an X Left mouse click on an area to set the second point it will appear as an X A third large X will appear in the center of the two other Xs 2007 2009 42 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual Probe Used to view the X amp Y pixel coordinates and the grayscale value for the point 1 Select the Probe
70. ss mode 4 Plug the UPS into a standard wall outlet 4 1 1 International Power Cable The CR unit utilizes an international IEC grade connector for the power cable Systems are shipped with a standard NEMA 5 15 hospital grade cable The cable needs to be changed depending on the male end which varies from country to country 4 2 Power Switch Location Power Switch ak 2007 2009 17 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual The power switch for the CR unit is located on the left hand side of the unit directly to the right the fan 4 3 Power and Scan Lights The power and scan lights are located on the lower left hand side of the CR unit When the unit is powered on the green light is illuminated While the unit is scanning the yellow light will blink 4 4 USB 2 0 Cable Installation 1 Visually inspect the cable to ensure that it is not cut frayed or otherwise damaged 2 Plug the USB B cable end to the CR unit s USB port 3 Plug the USB A cable end into a free USB 2 0 port on the computer 4 5 Computer Mounting Bracket 1 Align the computer mounting bracket on the back of the cassette tray 2 Once the screw holes are aligned fasten the computer mounting bracket to the CR unit using four 4 6 32 x 2 truss head screws 3 Align the computer with the mounting holes on the bracket 1 5 truss head 4 Fa
71. sten the computer to the mounting bracket using four 4 6 32 x screws Note For easy access to the CD ROM drive make sure the drive opens towards the outside of the unit 2007 2009 18 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 4 6 Wall Mounting Plates Notice Wall mounting plates must be installed by a licensed contractor bottom with 10 32 screws 1 Attach the large wall mounting plate against wall at desired height Allow the contractor to determine the proper screws to fasten the large wall mounting plate to the wall 2 Attach the small wall mounting plate to the CR unit with three 3 6 32 x 2 flathead undercut screws and two 2 10 32 x 7 truss head screws CAU ION Always practice proper heavy lifting procedures Improper lifting may cause injury 3 With at least two people lift the CR unit onto the large wall mounting plate so that the bottom of the small wall mounting plate rests in the top notch of the large wall mounting plate 4 Secure the bottom of the CR unit to the bottom of the large wall mounting plate with two 2 10 32 x 7 truss head screws 2007 2009 19 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 5 System Operation 5 1 Power Up 1 Make sure the power cord is properly installed in the power module 2 Mak
72. ter 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 2007 2009 64 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF User Manual 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 Patient Demographics for Icons When the cursor is over the icon bank Advanced DICOM Print will display the demo graphics for the image pra 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 2007 2009 65 of 71 Document 3600SF 01A Rev A Confidential and Proprietary May 22 2009 Property of iCRco Inc CR 3600 SF Us

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