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iCR3600SF USER MANUAL

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1. 11 of 66 Document 3600SF 01A Rev C March 22 2010 CR 3600 SF User Manual 9 The Destination Folder should be set to C Xscan32 then click Next to continue 2007 2009 Confidential and Proprietary Property of iCRco Inc Choose Destination Location Setup will install OPC XS CAN 32 in the following folder To install to this folder click Next To install to a different folder click Browse and select another fold You can choose not to install QPC XSCAN32 by clicking Cancel to exit Setup Destination Folder C Xscan32 Browse lt Back Cancel Select Program Folder Setup will add program icons to the Program Folder listed below ou may type a new folder name or select one from the existing Folders list Click Next to continue Program Folders OPC XSCAN32 Existing Folders Accessories Administrative Tools B H A y Bluetooth Catalyst Control Center DVD RAM Games Intel PROSet Wireless Intel R Matrix Storage Manager lt Back Cancel Setup Complete Setup has finished installing Xscan Il Yes view the ReadMe file now The installer will exit 12 of 66 Document 3600SF 01A Rev C March 22 2010 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 Make sure the power cord is properly installed in the UPS and the UPS is plu
2. 2007 2009 23 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual TEST PATIENT 1 31 1950 CHEST ANTERIOR POSTERIOR T Hp gt Ome Pelvis gt gt Coccyx gt Sacrum gt SI Joint gt O UIA W CO mg AAA e Shows the currently selected anatomy Shows the current patient name amp birth date Close This button will close the scan interface it will not close XSCAN Reset This button will return the CR unit to the home position CI A Q N e Cancel This button will stop the CR unit while scanning Note that the user will have to re expose the cassette as the image will not be saved ON Scanner Settings various hardware settings for the CR unit for service use only 7 Cassette Size Selection Select the cassette size you are using When the button is clicked the unit will begin to scan 8 High Energy X ray Used to give cassettes a deep erase This will remove any latent energy from high energy techniques 9 Barcode entry field Enter the barcode of the cassette here if using barcodes in your workflow 10 Mammography interface button if enabled use this button to toggle between the general and Mammography interfaces 11 Anatomy selection mouse over the appropriate anatomy then select the view from the pop up dialog 2007 2009 24 of 66 Document 3600SF 01A Rev C Confidential and
3. User Manual 5 2 4 Cassette Contamination Should the situation arise where a cassette may come in contact with bodily fluids or other contaminated materials place the cassette in a clean plastic bag before exposing the X ray This will ensure that the cassette stays clean and usable 5 3 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 Locate the proper sized guide lines on the bezel of the CR unit 3 At an angle load the cassette bottom first into the scan bar Do not use excessive force when loading the cassette The cassette will not fit if the orientation is incorrect 2007 2009 14 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 TTT mm Example of a misloaded cassette you can not see the bezel guide lines 6 Close the bay door 5 4 Acquiring an Image AX 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 The instructions in this section represent a typical CR workflow Every workflow varies in p
4. gt ET e Case Mark Merge 7 The iCR Quality Processing Center dialog will appear 2007 2009 16 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 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 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 XSCAN3B2 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 TS Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language Help la 4 a A A Y CR E sa Auto Auto a 68 to E e Pa s Tt pos Open View1 View2 Multi Prev Next f Rotate Rotate Flip H_ Flip V Invert Reset Note Case Tile Crop Close Mark 2007 2009 17 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 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 A Xecan Radiology Application version 2 10 Pa amp
5. CR 3600 SF User Manual Figure 3 2 3 Align the computer mounting bracket on the back of the cassette tray 4 Once the screw holes are aligned fasten the computer mounting bracket to the CR unit using four 4 6 32 x 5 truss head screws Figure 3 3 Figure 3 3 5 Carefully slide the computer into the computer mounting bracket Figure 3 4 For easy access to the CD ROM drive make sure the drive opens towards the outside of the unit 2007 2009 7 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Figure 3 4 6 Fasten the computer to the mounting bracket using one 1 8 32 x 3 truss head screws and 10 flat washer The computer s security tab should be in between the washer and the mounting bracket Figure 3 5 Figure 3 5 y ca ae i rly y A Hy EA Y 3 4 Wall Mounting Plates Wall mounting plates must be installed by a licensed contractor 2007 2009 8 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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
6. CR36005SF USER MANUAL Digital Imaging Made Simple CR 3600 SF User Manual Foreword Proprietary Notice and Disclaimer The information herein disclosed is the property of tCRco Inc Information in this docu ment is subject to change without notice and does not represent a commitment by iCRco to incorporate changes or improvements in units previously sold or shipped No part of this document may be reproduced or transmitted in any form electronic or mechanical including photocopying and recording for any purpose other than the purchaser s own use without the express written permission of iCRco Copyright Copyright iCRco Inc 2003 2010 All rights reserved Trademarks CR 2600 R CR 1000 CR 1000 Dual CR 260068 CR 2600 Dual CR 2600SF CR Vet R CR CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR 36000 CR 3600SF R CR VERTX 1DR www icrcompany com and OPC XSCAN32 are the trademarks of iCRco All other trademarks are the property of their respective owners and are hereby acknowledged Terms Any one of the following iCR products will be referred to as the CR unit throughout this document CR 100068 CR 1000 Dual CR 26000 CR 2600 Dual CR 2600SF R CR 36000 CR Vet CR Vet Dual CR Mobile CR 1 D CR Chiro CR Chiro Dual CR VERTX Any one of the following CR products will
7. flathead undercut screws and two 2 10 32 x 7 truss head screws AX CAUTION 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 9 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 4 Software Installation 4 1 USB Driver Installation Installation of USB drivers are automatic with the installation of the iCRco software i e OPC XSCAN32 4 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 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 Navigate to the OPC 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 program
8. 5 To confirm the region click Ok 6 The new image will be created in the same study and will open automatically for viewing Cropping Example Before After CR Masking 1 Open an image for viewing 2 Click the Mask 2 button 2007 2009 27 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 3 To remove the collimation mask select the Mask button again CR Masking Example Before Masking After Masking CR User Masking 1 Open an image for viewing 2 Click the User Mask nak 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 Multi View 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
9. CR patients only 2007 2009 46 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual e query by AET e query by Date i e today s date only d Click here to select the target to query The user will only need to do this once 3 The queried 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 Current Tanget Query Woodsi Automabcaly query Largel when opened AFT T usy by date w e a Retineve Selected Patents a p paran N Sirin Seul yet Echo DUB Sex Proc Dercapbon Modaity Study Date 4 me test 06 09 2004 209532 2002 97 Eke Jah Hosier Emmet 1670 0 16 F US DRAINAGE GUIDE LIVER US 12 02 2002 1 12107 2002 06 Ada Viesrer Goedecke Am 1667 00 11 1945 F US DAANAG us 11 30 2002 0051 40 A 2002 35 Che Jah Corbet Jerry 1674 11 25 1970 F USASPIRAT GUIDC ADD PELYVINN US 11 30 2002 004043 Y 200234 Eke Jah Merwener Condy 1673 10 05 1944 M CI 11 30 2002 004000 Y 200233 Hedvag Bost Edinger Wolfgang 1672 07 21 1932 M CI 11 30 2002003940 9 2002 32 Eke Jauch Mere E menet 1670 02 24 1976 F MRICERVICAL SPINE MA 11 20 2002 092025 Y 200226 MonicaHey Giro Adol 1675 09 11 1560 F MFIDRAIN W W 0 CONTRAST MA 11 28 2002 070427 a 200225 O Medwo esi Denzer Esc 1677 10 27 10 M MORAN We CON
10. i pen View1 View2 Multi Prev Next Rotate Rotate FlipH Flip V Invert Reset Note Tile 60 90 Go z z P E x f a jose ar m MinXray CR VertX Image 007 1 1 W 67L 162 DP 163 view 26 CR Presets d Preset Name Anatomy R Mek Projection A Preset Name Arial NA Projection MA ICE 2 Processing Soft Standard Sharp Process Process Process mes 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 2007 2009 18 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual S8 Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language Open YView1 View2 Multi Prev Next E 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 a Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Lang DICOM Create Retrieve lerde gt CD Send the selected images using DICOM 19 The DICOM T rgets window will appear choose the desired target then click OK MM image T
11. A third large X will appear in the center of the two other Xs 2007 2009 35 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 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 button on the annotations toolbar 2 Move the mouse to the desired point 3 Left mouse click and hold and the X amp Y coordinates and gray scale value will be displayed While holding down the left mouse button the user can drag the mouse pointer and the values will change Scale Used to indicate measures like increments on a ruler on the top bottom or sides 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 L button on the annotations toolbar Measurements Units pi ei di E Used to toggle between the current measurement units Delete All Annotations Used to permanently remove all annotations from the currently selected images Select the Delete All Annotations lt button 2007 2009 36 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Deleting Annotations Individually 1 Selec
12. As button to save the settings for Soft Standard or Sharp processing 6 5 Annotations Hide Show Annotations Selecting the Hide Show Annotations button will toggle the visibility of the Annotations tool pallet 2007 2009 30 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Annotation Defaults Used to change the default font name font size and colors Select the Defaults LP button on the annotations toolbar Select default font for text annotations Select default font for annotation EA AAA Select default color for selected annotations b Select default color for annotation text TE Default unit of measure ren 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 141 from the annotations toolbar 2 Left mouse click on the area of the image to set the first endpoint 3 Move the mouse to where the second endpoint will be 4 Left mouse click on the are of the image to set the second endpoint Extended Line Annotation Creates a straight line that passes through the image 1 Select the Exte
13. Eixscan bat SY tusorun int The following folders and files are to be copied onto a DVD CD Xscan folder xscan bat Autorun inf 3 Click the Record button in CD Creator software 6 7 Associating a Barcode with a Study Mi Patient Information Database size E 35 GB Free Spece 4 03 GH Some Patients Hidden ae do Erdhi WETE m Primi DT ie mae Ss SHOULDER Select patient and study Select Add Barcode button SN O FF W N e 2007 2009 Confidential and Proprietary Property of iCRco Inc 40 of 66 CA 7 convert es Date Modified 6 9 2004 9 31 PM 10 21 2002 4 02 PM 6 9 2004 9 31 PM Remove In the patient information window enter patient and study information Using a barcode reader scan the barcode of an unexposed cassette The barcode will be added into the barcode list with the default cassette size 14x17 Repeat steps 3 to 5 for each cassette that will be associated with the study Document 3600SF 01A Rev C March 22 2010 CR 3600 SF User Manual arcode Cassette Size gt Add Barcode Delete Barcode The user can change the cassette size by clicking under the column Cassette Size and selecting the actual size This will be saved for future use in the database The user can remove the association by selecting the barcode from the list and selecting the Delete Barcode button Barcode Cassette Size 07002 6 8 Fin
14. File menu to enable parser listening 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 Click the Query button to get message information If messages are not automatically queried Highlight messages that you want to retrieve and click Retrieve 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 see The Advanced DICOM Printer ap ralla A AS plication will open with the selected MEM images imported into the right hand side Alternatively the user can se lect the region in the preview win dow where the user wants the image then select the Import Image button Drag and Drop Images To drag images into the print region hold the left mouse button down on one of the image icons on the right hand side and drag it into the preview window A dragging cursor will appear wi as the user drags the image from the image icon window to the preview window If the user is out of the accepted region for dropping a cursor O will appear letting the user know that this isnot a correct region to drop the image into 92007 2009 57 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 2
15. Proprietary March 22 2010 Property of iCRco Inc CR 3600 SFM User Manual 12 Scan preview once the user has begun the scan a preview image will appear as the plate scans 6 3 Default Mouse Functions for Image Manipulation Windows Level Images The middle mouse button is used to window level images Hold down the middle mouse button holding the CTRL key and right mouse clicking will also window level and move the mouse vertically to adjust the brightness of the image or move the mouse horizontally to adjust the contrast of the image Magnify Zooming Images The right mouse button is used to magnify images Hold down the right mouse button and move the mouse vertically to magnify or reduce the size of the image Alternatively the user can hold down the middle mouse button and move the mouse vertically to magnify To magnify an area of interest in the image simultaneously hold down the Shift key and the Left mouse button and move it over the area of interest Similarly on a laptop the user may right click and drag along the touch pad interface to zoom Panning Images Hold down the Left mouse button and move the mouse around the screen This is useful when the image is magnified To pan through the image faster simultaneously hold down the Ctrl key and the Left mouse button 6 4 Image Processing Dialog Box Window Level Holding the middle mouse button simultaneously holding the CTRL key and right mouse click
16. Ur 60 dip in Ur for 5 cycles supply input lines IEC 70 Ur 30 70 Ur 30 dip in Ur for 25 cycles 61000 4 11 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in Ur for 5 sec lt 5 Ur gt 95 dip in Ur for 5 sec Power frequency 50 60Hz Power frequency magnetic fields should be at levels characteristic of a typical location in a typical magnetic field IEC 61000 4 8 NOTE Ur is the a c mains voltage prior to application of the test level continued on next page commercial or hospital environment vi of 66 Document 3600SF 01A Rev C March 22 2010 2007 2009 Confidential and Proprietary Property of iCRco Inc CR 3600 SF User Manual Table 2 continued AAA Immunity IEC 60601 Test Compliance Electromagnetic Environment Conducted 3Vrms 150 kHz Portable and mobile RF RF IEC to 80 MHz communications equipment 61000 4 6 should be used no closer to any 3 V m 80 MHz part of the CR 3600 SF including Radiated to 2 5 GHz cables than the recommended RF TEC separation distance calculated 61000 4 3 from the equation applicable to the frequency of the transmitter Recommended separations distance d 12V P d 1 2v P 80 MHz to 800 MHz d 2 3 P 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field s
17. 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 iDRQ will be referred to as the DR unit throughout this document 2007 2009 i of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Contact Information CRco Inc Address Phone Fax Email Web CRco Inc Address Phone Email Web USA 2580 West 237 Street Torrance CA 90505 1 310 921 9559 1 310 542 7236 info icrcompany com http www icrcompany com Europe 31a Ridlerstrasse 80339 Munich Germany 49 89 2555 757 150 info icrcompany com http www icrcompany com CR 3600 SF Information Please Enter the details of the CR 3600 SF system here Serial Number Date Purchased Interface Type USB 2 0 2007 2009 ii of 66 Confidential and Proprietary Property of iCRco Inc Document 36005F 01A Rev C March 22 2010 CR 3600 SF User Manual Safety Information Read and understand the installation and operating instructions before applying power to the iCR 3600 SF INPUT 100 240VAC AVY 3A 50 60Hz CAUTION FOR CONTINUED PROTECTION AGAINST RISK OF FIRE REPLACE ONLY WITH SAME TYPE AND RATING OF FUSE FUSE
18. button 4 The QPC XSCAN32 Modality Work List Query window will appear Setting up DICOM Modality Work List Query The EMR RIS HIS must support DICOM Modality Work List Query 1 Inthe XSCAN32 Modality Work List Query window click the Options button 2 Select the radio dialog check box for DICOM Query The User may also set the auto query options in the Options dialog 3 Click the Ok button 4 Inthe XSCAN32 Modality Work List Query window click the Select Target button 5 In the Image Targets window highlight the desired target then click the Ok button Setting up Work List HL7 Listen The EMR RIS HIS must be able to send HL7 messages It is not enough just to general the HL7 message 1 Inthe XSCAN32 Modality Work List Query window click the Options button 2 Select the radio dialog check box for HL7 Listen 3 Click the Ok button 4 An HL7 Listen application will open 5 Configure the EMR HIS RIS to send its HL7 messages to the IP address of the computer running OPC XSCAN32 on port 6000 Setting up Work List Text File Listen The EMR RIS HIS must be able to format and send a plain text message 2007 2009 45 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual The Text File Listener should only be used if the EMR RIS HIS does not support DICOM Modality Work List Query or HL7 Messaging 1 Inthe XSCAN32 Modality Work List Query wi
19. can view the current print settings by looking at the left hand side of the Advanced DICOM Printer dialog To change these settings or to view more settings click on the Printers tab Selected Printer Settings Test Printer Print to ETE PRINT_DICOM Rows Lolumns 1x1 Media Type PAPER Film Size SIN 0IN Number of Copies 1 Unentation Portrait Manipulating Images in the Preview Window The Advanced DICOM Printer allows the user to flip rotate zoom pan invert and window level Width AER Window 16493 images To manipulate the images select the im Height 2520 evel 48566 age in the preview window the selection will be shown by the green box surrounding the im Zoom 577 8 gt Update age 3 4 7 The user can flip rotate and invert by using the e y m T buttons on the left hand side of the DICOM Printer di l A WI la 08 l L 1 1 The user can zoom by using the right mouse but ton on the selected image To pan the image use the left mouse button on the selected image The user can only pan the image when it is zoomed in To window level the user can either use the middle scroll button on the mouse or type the required window level 2007 2009 59 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual into the edit boxes on the left hand side of the Advanced DICOM Printer dialog Then press t
20. iCRco Inc CR 3600 SF User Manual T DICOM Controller 1 00 CCA Settngs Targets Configure Port Settings Wat Hrm FT Alkaya prompt ce tagel whan serdi Pi Gene Peni CR Mathers ovth Image pagio Petes a E Send DICOM mages as compressed Picar bo Macar Orki Compeernion Doce Piet Selman Sercing CA Procersed linage Und Piri bo ET Eu D M Fom Coume Aa Marla Tope BLUE FM DICOM Configuration Settings Local AET GUN DICO Pat 105 Message UID 2 16 8401 19357 3 152 100037 Serial Sie MD 0000 Evert log Cee Event Log Wie Eveni Log bion A 16 1812 ae Fin binmem Moe Chesi kmay Libra 5127 IN SL DES a PALS Mon Aug 16 18 02 40 2004 Sending PHAME Chest Image Library 2612 TL NM DEST pi Mer Ka 16 18 02 pam rine ak PHAM sins Image Liber 61271 SUID Ge 165401 15957 1002310068 918199812246 SAID Iz Hon dag 16 18 02 40 Attempt lo Send 10003702 mg AG Sonar 1 E bi mapa of Cheni image LibeayOXS127 2 No CHP Fin Sos BETAN 5 The status of the send will appear in the Event Log of the DICOM Controller window If sending to another XSCAN32 application the user can turn compression on and select a compression type low medium high 6 17 DICOM Retrieve 1 Open QPC XSCAN32 2 Click on the DICOM Retrieve button in the toolbar This will only appear in the toolbar when the user has the Use DICOM to transfer images option selected in the Image Transfer preferences tab Xscan Radiology Appl
21. level of an image to the original window level setting Shift F8 Opens and closes the Annotations dialog 2007 2009 65 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Ctrl F8 Turns the patient information overlay on and off F11 Opens QPC XScan32 Help F12 Selects and deselects all image icons Ctrl A Selects and deselects all image icons Ctrl D Deletes the selected image icons Shift P Opens preferences Shift S Adds images to the send queue Ctrl 5 Sends queued images Shift Q Adds images to the send queue and sends the queued images Shift R Imports received images immediately Right Arrow Moves to the next image Left Arrow Moves to the previous image Down Arrow Moves to the next row of images Up Arrow Moves to the previous row of images Page Down Oo Moves to the next page Page Up Moves to the previous page 2007 2009 66 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc
22. of iCRco Inc CR 3600 SF User Manual Contents Foreword 1 Contact Informatio syes cansa ituk en aid a re ii Saler AMONA UON wipe km e a yedi iii IC RCO Wian ee aen a AAA a ee EES Oo viii 1 Introduction 1 LE E NS 1 2 Pre Installation 2 Ak Voltage Requirements ay rico di a e iS 2 22 Enyironmentalla seci e e i Be One Ay GAR b Goes ae Sele a 2 2 5 Connectivity and Power Supply eme mama yememek 2 24 Power Switch LOcauOn sebepe noe BS ewe gemi os 3 25 Eowerandocan leme pempe Be Wig de Gee HBS emdi 3 2 0 Physical Requirements iaa 3 2 OVSENO PECCA ON sir e Gard ee Bee he Oe a a Ge 3 3 Hardware Installation 5 21 Unpacking InstrucnOns ss ss iin id ee a kep a a 5 92 Installing Lower Cable edek ime er oo GSO gt wb eee eae dei 5 521 International Power Cable s ss a iota amam ai 6 9 2 WSB2 0 Cablelnstallavon 3 22466 cebe ped pd e 6 Ss Wall Mod tm latest piano e e Oe ik Bi e ee Ge 8 4 Software Installation 10 AL USB Driver Installation ei iie embedded 10 42 l stal ne ORC XSCANS2 4323 4 mem ymm keme 10 5 System Operation 13 Di FOWSGUD 253 6 5 kema s mme A 13 9 2 Cassette Landi nina da Bee ey ere i b e i e Oe ge 13 SAL IONCIVICW sc a oe eb p mak imi kp ai adi 13 5 22 Weight Force Applied to Cassette 13 B20 Asset plori E odana pi ates e ed 13 924 Cassette ContamMatlon snake ei ee eA eS 14 Dor Cassette Loaded hepa tee ii ye Eee ee eS 14 Oe ACUAN ald e erek hai man aa oe a ee E
23. 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 1 X Scan321 Layout Custom 2007 2009 60 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual image PageLayoui Porters Ovela Templates Zon 1 toni Soni Click here to save current i H Click G l to save current layout a z z Load Terplale kom File da rere 7 l en zi A A me gt z Save Cuieni Template sem ac tee Puri haaa Hikes gil 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 Textsize includes small medium large e Textcolor includes white on black bl
24. pixels Select the Measurement button from the annotations toolbar Left mouse click on the image to set the first endpoint of the measurement 1 2 3 4 Move the mouse to where the endpoint of the measurement will e Left mouse click to set the endpoint of the measurement The measurement will appear below the line To place the text in this default position left mouse click on the same point again To move the text out of the way move the mouse to the desired location and left mouse click to set the placement of the text 2007 2009 33 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Calibration The calibration tool compensates for image magnification It will allow the user to take an object of known length a coin ruler etc that is not susceptible to measurement distortion draw a linear measurement and assign a length value such that measurements made with other tools will be accurate in the unit of measurement Angle Measurement Annotation Used to draw an angle on the image Select the Angle Measurement button on the annotations toolbar Left mouse click on the image to set the vertex center point of the angle Move the mouse to where the endpoint of the first vector will be Left mouse click to set the endpoint of the first vector Move the mouse to where the endpoint of the second vector will
25. 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 IN NO EVENT WILL iCRco BE LIABLE FOR ANY GENERAL SPECIAL CONSEQUEN TIAL OR INCIDENTAL DAMAGES including but not limited to damages related to the loss of use loss of recorded product the installation of replacement product or any inspection testing or redesign caused by any defect or by the repair or replacement of any product arising from a defect in any product This exclusion of damages applies even if the customer advises iCRco or an iCRco dealer of the possiblity of such damages This limitation of remedies also applies to claims against any suppliers or dealers of iCRco iCRco and its suppliers and dealers limitations of remedies are not cumulative Such suppliers and dealers are intended beneficiaries of this limitation iCKco is not liable for any claim by or against the customer arising from a third party claim Revision History Revision Author Date Notes A MS 2009 05 22 Initial Release B MS 2010 01 27 Revised for new computer bracket C MS 2010 03 22 Updated safety information 2007 2009 xi of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property
26. 0 SF incorporates a Red gt 80mw high power solid state laser diode The CR 2007 2009 iii of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 3600 SF covers protect the service person from direct exposure to laser light These covers will protect a user service person only if they are properly installed Covers must be removed and replaced by properly trained service personnel Contact iCRco if there are any issues with the covers being damaged or replacement covers are needed Electrical Hazards AX WARNING This equipment is operated with hazardous voltages which can shock burn or cause death The iCR 3600 SF must be connected to a uninterruptible power supply UPS Failure to use a UPS will void the warranty The equipment must be serviced by properly trained technicians certified by iCRco Inc Do not connect the iCR 3600 SF with a damaged or sub standard power cable Do not use an extension cord with this device The CR 3600 SF 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 Malfunctioning Equipment If any iCRco product shows signs of malfunction discontinue the use of the product immediately and contact Technical Support at 310 921 9559 FCC Notification This equipment ge
27. 0SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 4 XPACS DICOM Configuration PR General Advanced DICOM Appheatan Entity AET Aaa Select MM ICOM Application Print Server Poti ee ATC Fie DICOM DICT TXT ital Default LIO 2 1 3401 333393 Serial Number Sie ID 1 Image Exportlmpor Targets Fil TARGETS INF Bits Dump Pathe CADUMP DCM Log Settings Log Level 1 Cancel 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 3 To change the AET port number or any other information for the DICOM Application Print Server click on the Settings button 4 To print to the DICOM Application Print Server set the AET in the Advanced DICOM Printer to the DICOM Application Print Server s AET details 5 Select the images in OPC XSCAN32 to print and then select the DICOM Print button Optimize the images in the OPC XSCAN32 software and select print Image Page Latou Pinter Ovedap Templates Porter Presets Seting PAPER l PRINT_DIC DM D N el Seling Dresher S BLUE FILM el esa FEA Selling Portes 3 6 22 1 Troubleshooting Windows to DICOM Print 1 Make sure there is only one instance of the
28. 2 2010 Property of iCRco Inc 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 0198 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 y ai tu SALTA 10 81 FR y ra om Select one of the image division buttons and the preview window will be divided into regions To split one of these regions again select the specified region and again select one of the image division buttons The user can drag and drop images at any stage If the user has an image in the region that is desired the interface will automatically move the image into the split regions To remove a division click in the region that has been split and click on the no division El button 2007 2009 58 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Image Divisions if 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
29. ICVE iy e A A a e ad 52 6 16 DICOM AWO SENd rams e 2s ooh beka Vee eee e a e a 53 6 18 1 Setting up DICOM Auto Send 53 6 18 2 Using DICOM Auto Send lt s so eaaa ee 54 6 19 DICOM Store and Forward Utility 55 6020 HLZ CONMSUFACI N en oh eee pane A E A AA 56 6 21 Advanced DICOM Printer isi eaa e GSEs ae do di 57 6 22 PrintinggtoaWindowsPrinter 63 6 22 1 Troubleshooting Windows to DICOM Print 64 6 23 QPC XSCAN32 Keyboard Shortcuts 65 2007 2009 xiii of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 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 resolution 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 station through DICOM This document contains a basic technical overview of the CR u
30. Inc CR 3600 SF User Manual 5 5 Schedule of Maintenance The following is a schedule of maintenance for the iCR 3600 SF The following maintenance may be performed by end users Maintenance Procedure Frequency Weekly Clean iCR 3600 SF exterior covers Monthly The following iCR 3600 SF maintenance must be performed by an iCRco authorized service engineer only Yearly Monthly or when visibly dirty The following iCR 3600 SF calibration maintenance must be performed by an iCRco autho rized service engineer only Maintenance Procedure Check image performance Contrast Noise Ratio and Spacial Resolution Perform Exposure Index calibration 5 6 Periodic Cleaning Periodic cleaning of iCRco products should be done on a monthly basis 5 6 1 Cleaning the Outside of the CR 3600 SF It is important that the covers remain on the iCR 3600 SF at all times The covers should only be removed for service by an iCRco authorized technician then immediately replaced Do not clean the galvo mirror Dust and fibers in the laser beam path may affect the radiographic image The outside covers of the iCR 3600 SF should be cleaned with a slightly dampened cloth or a dry cloth moistened with BallQ SUNUP glass cleaner or Sprayway Oglass cleaner 92007 2009 20 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 5 6 2 Cassette Clean
31. OK Close OPC XSCAN32 and reopen Go to Advanced DICOM Print and Test Printer assuming that you have the DICOM PRINT target selected as the default printer to print to To set it as the default select the Printer tab in ADVANCED DICOM PRINT and select DICOM PRINT button Try printing If fails recheck that multiple instances are not open in task manager 3 Make sure no options are selected that should not be selected If the printer does not support border properties then deselect If the printer does not support background properties then deselect If the 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 23 QPC XSCAN32 Keyboard Shortcuts Function Keys FI Rotates an image clockwise F2 Rotates an image counter clockwise F3 Horizontally flips an image F4 Vertically flips an image ES Inverts an image E7 Opens and closes the Window Level dialog F8 Opens and closes the CR Processing dialog F9 Resets the window
32. S tee S 15 5 9 ocheduleotM mtenance yaa idi Si geni e 20 50 DENOMINA A 20 5 6 1 Cleaning the Outside of the CR 3600 SF 20 562 Cassete Cleaning ys ane ean ee DORE RS Bee ge eee a 21 2007 2009 xii of 66 Document 36005F 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 6 OPC XSCAN32 Software Functions 23 6 Creatine Editing Patents ilkem Wee Bee a e ed 23 O27 Oea MERCE cht eae ee eee oA Bee ORAS SEA eS eS 23 6 3 Default Mouse Functions for Image Manipulation 25 6 4 Image Processing Dialog Box 0 25 09 ANNONS 0 o e A AAA a ee eo es 30 6 6 Patient CD DVD Creator 0 0 0 ee ee ee 38 6 7 AssociatingaBarcodewithaStudy 40 6 8 Finding Barcodes and Scanning Images 41 6 9 Archiving OPC XSCAN32 Database 42 6 10 Restoring Archived Database 43 6 11 Searching OPE XSCANSZ ANVE lt so 32a beak eee eki 43 6 12 Modality Work List Query gt 224 2 42 424 2444S ESS RS RD G 45 6 12 1 Setting up Modality Work List Query 45 6 12 2 Using Modality Work List Query o ooo o 46 GAS NGPOLEWHICE us e a das daa a A AR 47 6 14 Long Bone amp Scoli Stitching Software 48 6 19 Sene Up DICOM Send sta a a EA SE eS 50 O16 DICOM Send sd AAA A A AA ES 51 6 17 DICONITRGI
33. TRAST un 11 26 2002 004737 Y 2002 24 Che Ehrich Neteschs 1681 and F MPILERVICAL SPINE MA 11 26 2002 004723 20219 ER Monwener Cotndy 1673 10 05 14 M MFIDRAIN W W 0 CONTRAST M 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 4 The patients will appear in the OPC XSCAN32 patient information window when retrieved from the Modality Work List Query dialog 6 13 Report Writer 1 Open a patient study Select the desired images to report The user can have up to four images on one report deselect all images if the user does not want to include any images in the report 2 Click on the Case button in the toolbar di Xscan Radiology Application version 2 10 ris Edt View Image DICOM CR Options Language Help 60 60 RE Open Scan View View Multi Case Delete M Print 2007 2009 47 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 3 Select existing or add a New Facility 4 Select existing or add a new Findings and Impressions Code Add patient specific information to the Findings and Impressions fields OPC XSCAN32 supports multiple page reports 5 Select Signature Name for the reading doctors signature 6 Click on the Image Report button 7 Cli
34. This program will install OPC XSCAN32 on your computer It is strongly recommended that you exit all Windows programs before running this Setup program Click Cancel to quit Setup and then close any programs you have running Click Next to continue with the Setup program WARNING This program is protected by copyright law and international treaties Unauthorized reproduction or distribution of this program or any portion of it may result in severe civil and criminal penalties and will be prosecuted to the maximum extent possible under law Software License Agreement Please read the following License Agreement Press the PAGE DO WN key to see f the rest of the agreement Software License Agreement A This is a legal agreement between you the licensee and iCRco Inc Please read this agreement carefully before opening the disk envelope By opening the envelope you accept the terms of this agreement If you do not agree to the terms of this Agreement promptly return the unopened unused package and all accompanying items including written material software disks the Software protection device etc at your expense to the place it was purchased from 1 Copyright The Software program is owned by iCRco Inc and is protected by United States and international copyright laws and international trade provisions 2 License iCRico Inc grants you the right to use the Software on a single user computer or on a single wo
35. ack on white mage Page Layout Printers Overlay Templates Text Position Patient Demopraphics Overlay Ed E O Ted Position m Right Top Flight m M Text Size Test Color 2 Small Tai gt Aute on Black Medium RTT La Large lv Enable Overlay Tet Cole Black on White fe Black on hie Apply bo All fe Enable Overlay Values Erk Feke Apply to all sean cares 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 2007 2009 61 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual on and off for all images The user can also edit the fields that are available on patient demographics overlay by clicking on the Edit Fields button From here the user is able to e Select a field and determine what kind of a delimiter following the field includes none space tab comma newline custom e Change the position of the fields with the up and down arrows e Remove or display a field by selecting the Print Field check e Print the title for the field i e the title Date would be printed in front of the date field After editing the fields select the Done button Print
36. and any foam inserts somewhere safe amp dry so that if the CR 3600 SF needs to be shipped again there are packing materials available Installing Power Cable Plug the power cable for the CR 3600 SFinto the power switch unit Plug the other end of the power switch cord into the UPS Make sure the UPS is not in bypass mode Plug the UPS into a standard wall outlet 2007 2009 5 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 3 2 1 International Power Cable The iCR 3600 SFutilizes 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 3 3 USB 2 0 Cable Installation Visually inspect the cable to ensure that it is not cut frayed or otherwise damaged Plug the USB B end of the cable end to the CR unit s USB 2 0 port Plug the USB A end of the cable end into a free USB 2 0 port on the computer RK WO N e Attach the Back Computer Mounting bracket to the Computer Mounting Bracket using four 4 6 32 x 3 flathead screws Figure 3 1 Figure 3 1 2 Remove four 4 6 32 x truss head screws from the cassette tray Figure 3 2 2007 2009 6 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc
37. argets AET Title Type Target IP Ad Target TCP ADY_PRINT_DICOM 127 0 0 1 4008 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 Configure Print Settings wat Minimize C Always prompt for target when sending eee C Send DICOM images as compressed Xscan to Xscan Only Send Not Show nd Retrieve Show Retrieve Compression anual Que Queue DICOM Print Settings Print to AET DICOM Configuration Settings Rows Columns 1x1 Local AET MICA Media Type BLUE FILM Port 104 Film Size 14INXT7IN Serial Site ID 00001 Message UID 1 2 826 0 1 3680043 2 1074 23245 7 163 10001016 Event log 1 27 2008 5 14 08 PM Send faile eala PNAME Mirdray CR Vert lt INUM 7 SNUM 100 DEST KSCAN_DICOM INAM C Xsc 2 E ending PNAME Mrina ray CR Veri e INUM 7 DEST lt SCAN DICOM end failed for PNAME MirWray CR Ver te act da L E MI SCAN DICOM INAM C Xscan32 da M en NAME i ICR Ver AN rl NL e GNLM DEST SCAN DICOM INAM C Xscan32 da ICOM en d fo inray iC E M ing NAME Me ray CR Ve EN INUN 5 DEST XSCAI 72209 3 12 05 Pha failed for PNAME Minxra LAN ESA nih A DESTAXSPAN NICOM NAM A Yeran la 2007 2009 19 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco
38. as an incorrect DICOM tag or it is a duplicate study series or image UID Always confirm that the PACS system has received the image before deleting images from the capture station 6 20 HL7 Configuration 1 Open QPC XSCAN32 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 IMAGE 000001 EMITH A Em i Delete Modality Worklist Search 1 lt a Query Button 3 In the Modality Worklist Query windows click Options 4 In the Options dialog box check the radio dialog button for HL7 Listen 5 Check the radio dialog boxes for Mark retrieved patients and Automatically Query target when opened 2007 2009 56 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 11 12 6 21 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 Click Ok A new window will open called HL7 DICOM Worklist Parser Port 6000 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 In the HL7 DICOM Worklist Parser File menu make sure there is a check next to Listen If there is not click on Listen in the
39. be SN OF FF EW N e Left mouse click to set the endpoint of the second vector The angle measurement will appear 7 To place the angle text in this default position left mouse click on the same point again To move the angle text out of the way or to change angles move the mouse to the desired location and left mouse click to set the placement Cobb Angle Annotation Used to draw a cobb angle on the image Select the Cobb Angle LY button on the annotations toolbar Left mouse click on the area of the image to set the first endpoint of the first line Move the mouse to where the second endpoint of the first line will be Left mouse click on the area of the image to set the second endpoint of the first line Left mouse click on the area of the image to set the first endpoint of the second line Move the mouse to where the second endpoint of the second line will be ND GU BW NM HK Left mouse click on the area of the image to set the second endpoint of the second line The angle measurement will appear 8 To place the angle text in this default position left mouse click on the same point again To move the angle text out of the way move the mouse to the desired location and left mouse click to set the placement 92007 2009 34 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Heart to Lung Ratio Annotation Used to find the h
40. ck the View button to view the report Patient Information 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 14 Long Bone amp Scoli Stitching Software 1 Open a patient study for viewing and select the image icons to stitch together 2007 2009 48 of 66 Document 36005F 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 2 Click on the Stitch button in the toolbar 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 Ready Date 4 28 2009 to Import 10027 Auto Import Folder Series ID 10027100 ne Figure 1 Figure 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 au
41. ding Barcodes and Scanning Images 1 In the patient information window select the Find Barcode Edit box 2 Using a barcode reader scan the barcode of the exposed cassette 3 Select the anatomy information for the study This can be corrected later in QPC XSCAN32 when viewing the images 4 Load cassette into the CR unit 5 Select the appropriate scan button 6 QPC XSCAN32 will automatically open the study that the cassette is associated with The scan interface will open with the details of the associated patient Find Barcode 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 2007 2009 41 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 i
42. eart to lung ratio N A OF Ff WO N e Select the Heart to Lung Ratio 41 button on the annotations toolbar Left mouse click on the area of the image to set the first endpoint of the first line Move the mouse to where the second endpoint of the first line will be Left mouse click on the area of the image to set the second endpoint of the first line Left mouse click on the area of the image to set the first endpoint of the second line Move the mouse to where the second endpoint of the second line will be 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 Select the Center Line amp button on the annotations toolbar Left mouse click on the area of the image to set the first point 1 2 3 4 5 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 2 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
43. ed 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 Drive info Compilation settings Title Media CD y Number of copies 11 Bum O Always use these options and burn immediately Burning engine initialization successful Using other CD DVD recording software 1 When the software has finished initializing and copying the patient CD a Ready to create CD prompt will appear select Yes 2 The DVD CD Creator software will open Select source folder C _XscanCDFolder and drag the contents of the Xscan CD Folder folder and two files into the data project region The user must not create their own folders on the CD DVD The autorun inf file must appear in the top level under the root directory of the CD DVD 2007 2009 39 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Z Untitled Data CD Project Easy CD Creator Fie Edt View Disc Tools Track Internet Help Select source folder gt _XecanCD Folder gt location C _Xscan CDFolder Name _ Xscan
44. g the iCR 3600 SF Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m iGRco Warranty iCRco Inc CRco values your business and always strives to provide high quality products and services All iCRco products are provided with an initial warranty so the hardware and software are covered from the date of purchase This limited warranty solely applies to new products manufactured by or for iCRco and originally purchased from iCRco or an authorized dealer of iCRco products for your own use In addition an extended warranty is available for most new and recently purchased iCRco products for an additional charge Hardware Limited Warranty iCRco warrants its hardware products to be free of defects in materials and workmanship for a period of one 1 year from the date of original shipment from iCRco subject to the limitations set forth herein If a product proves to be defective in material or workmanship during the warranty period iCRco will at its sole option repair or replace the product with a similar product Repaired and replacement products may be or include refurbished or remanufactured parts Any replacement item assumes the remaining warranty period of the original product iCRco provides no warranty for any third party hardware or software included with any product or later acquired software Limited Warranty Support iCRco warrants that its OPC XSCAN32 Captera and or ClarityPACS soft
45. gged into a standard wall outlet 3 Make sure the USB 2 0 cord is properly installed in the iCR 3600 SF and computer 4 Power on the computer 5 Power on the iCR 3600 SF by pressing the power switch 5 2 Cassette Handling 5 2 1 Overview Unlike other solutions the iCR 3600 SF does not allow for contact to the delicate phosphor imaging plate The hard X ray cassette is designed to protect the plate and allow for it to be read by the CR 3600 SF 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 5 2 2 Weight Force Applied to Cassette Apply only minimal weight and or force to the cassette for example do not have a patient stand on the cassette for weight bearing views Use a weight bearing cap when necessary AX WARNING Excessive weight force may damage the cassette and may cause the CR unit to malfunction Do not apply excessive weight force to the cassette 5 2 3 Cassette Storage 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 2007 2009 13 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF
46. he Update button to change the window level for the image The user can also press the 1 1 button to tell the Advanced DICOM Printer dialog to print images at 1 1 resolution The user can use the Orientation button to change from landscape to portrait view Change margins The margin tab permits the user to specify in English or metric units the size of the borders on the printed image The top and bottom borders on the page can be adjusted indepen dently of the borders for the left and the right hand side of the page Additionally the user has the option to control the internal Printers Oveday Templates margins which define the amount of space left between inary hey e Page Froperties individual frames on a page with multiple images Internal ESSE ST E margins are defined as multiples of the print page border Portrait 7 Show size C LandScape Lock e Inches C mm By default internal margins are the same size as the bor Borders ders with image margins on the left and right hand Left Right Top Bottom side of each frame are equal to the left and right hand sa gt borders Margins on the top and bottom of each frame Image Spacing are equal to the top and bottom borders of the printed i ee m Same as Border Spacing page Double Border Spacing C Custom Spacing 11 00 If the user intends to cut individual frames out of the printed page 1t is recommended that internal margins are set to twice that of the
47. 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 moving and or shipping the product Approved packaging my also be purchased from iCRco for an additional charge iCRco shall have no liability nor responsibility for warranty service to any product that is not shipped in an iCRco approved shipping container or that is damaged from incorrect packaging or damaged during shipping Additional Warranty Limitations and Extent of Warranty This warranty does not apply if the product has been damaged by accident misuse or abuse In addition warranty service does not include the repair of failures or defects caused by unauthorized attachments to any iCRco product unsuitable physical or operating environment maintenance or repair by anyone other than iCRco or the iCRco authorized dealer that sold the product operation of a product beyond its duty cycle use of the product outside of its specifications the use of supplies parts materials software or interfaces not furnished authorized or recommended by iCRco If the product
48. ication version 7 10 File Edt View Image DICOM CR Options Help DCOM Dicom jy Create 2 Retneve Merge E M Patient Informal Ali 3 The Image Targets dialog will appear Select the target to retrieve images from 4 Select OK to confirm the selected target 5 If the user has selected the Search Parameters option then enter any relevant patient 2007 2009 52 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 It is not necessary to fill out all fields For a description of the valid wildcards click on the Wildcards button Search Parameters Pabert Altributes Paberi Name Pahari ID AN Patent Ser ary Pari DB An 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 ME tages dele 6 18 DICOM Auto Send 6 18 1 Setting up DICOM Auto Send 1 Open OPC XSCAN32 2007 2009 53 of 66 Document 3600SF 01A Rev C Conf
49. idential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 2 Go to Options Preferences Image Transfer tab 3 Select the option Auto send scanned images Figure 6 1 Check the Auto send box to enable auto send i Send Delay 15 minutes Y Accept and move to next image 4 Set the Send delay The default is one 1 minute 5 Click the Select Target s button 6 Select the target s to send to The User may Ctrl click to select multiple targets Figure 6 2 Select the Target s to auto send to AET Title ADV_PRINT_DICOM clarityarchive ak co 192168 0 88 DI DICO 74 2 132 157 27 0 3008 R PRINT_DICOM COR 127 0 0 1 Store and Forward Utilty SF_DICOM E 127 0 0 1 7 Click the Apply button then the Ok button 6 18 2 Using DICOM Auto Send 1 Open an image for viewing 2 Process and optimize the image as necessary 3 Click the Accept button to accept and auto send the image to the target If the image is reprocessed or the orientation changed the Accept button will reappear and the image can be resent if necessary 2007 2009 54 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 6 19 DICOM Store and Forward Utility Setting up targets for forwarding 1 Under the All Targets list select the target s to forward 2 Click the Add gt button 3 To remove target s fr
50. in 2007 2009 28 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual red shows the location where the image will be dropped 3 To drop the icon simply release the left mouse button If the moving icon is highlighted this indicates that it will return to its orig inal position If an icon is dragged for wards in position i e the image number E oo to G o of the highlighted icon is higher than the Oson Scan Viewi iew2 Muli Case 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 be tween its original position and its new position will move forward and each im age number increases by one If no icons are highlighted when dragging then the image will be returned to its original position yp Xscan Radiology Application version 2 10 File Edt View Image DICOM CR Option Languag CR Processing 1 Open an image for viewing 2 Select an anatomy from the CR Preset box 3 Click the Process button to begin the processing 4 The user may press the Reset button to restore the original image data set the user can also press the Process button again and the original data set will be automatically re
51. including any software has been opened tampered with modified or altered in any way without written authorization by iCRco the warranty will no longer apply This warranty applies only to products manufactured by or for iCRco and that can be identified by an iCRco serial number as originally affixed to the product Any modifica tion to the iCRco serial number tag or its attachment to the product shall immediately void the warranty This warranty is non transferable and subsequent owners must contact iCRco to establish if the equipment is eligible for an extended warranty THERE ARE NO WARRANTIES EXPRESS OR IMPLIED WITH RESPECT TO ANY iCRco PRODUCT OTHER THAN AS SPECIFICALLY SET FORTH HEREIN AND 1CRco SPECIF ICALLY DISCLAIMS ANY IMPLIED WARRANTIES OR CONDITIONS OF MERCHANT ABILITY FITNESS FOR A PARTICULAR PURPOSE AND SATISFACTORY QUALITY ANY WARRANTIES THAT MAY NOT BE DISCLAIMED UNDER APPLICABLE LAW 2007 2009 x of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual ARE LIMITED IN DURATION TO THE INITIAL WARRANTY PERIOD AND NO WAR RANTIES EXPRESS OR IMPLIED WILL APPLY AFTER THIS PERIOD ALL INFORMA TION SPECIFICATIONS PRICES AND SERVICES ARE SUBJECT TO CHANGE AT ANY TIME WITHOUT NOTICE Limitation of Remedies and Liability Exclusion of Damages The exclusive remedy for any defective product is limited to the repair or replacement of
52. ing A CAUTION At no time should abrasive cleaners or chemicals be used to clean the cassette or plate Cleaning the Outside of the Cassette 1 Moisten a clean lint free cloth with a mild soap or detergent using soft water 2 Wipe down the cassette covers thoroughly 3 Allow the cassette to air dry Cleaning the IP Plate 1 With a finger press the cassette catch located on the bottom rail on the cassette This will release the carbon fiber door from the cassette A Cassette atch 2 Examine the imaging plate for dust or particulates 3 Using iCRco plate cleaner apply the plate cleaner to a clean lint free cloth OS CR Phosphor Plate Cles gt Delicate Task Wipers uie tout pour t ches d licates Pa os para tareas delicadas 2007 2009 21 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual If iCRco Plate Cleaner is not available please contact Technical Support at 1 310 921 9559 to obtain more 4 Gently wipe down the imaging plate with the clean lint free cloth 5 Allow the plate to air dry before sliding the carbon fiber door back into place 2007 2009 22 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 6 OPC XSCAN32 Software Functions 6 1 Creating Editing Patients 1 Open XSCAN then click the New bu
53. ing will also window level down and moving the mouse vertically will adjust the level and horizontally will adjust the window To window and level through more gray values at a time simultaneously hold down the Ctrl key and use the Middle Scroll button This will perform a faster window and level on images with a large histogram i e CR and DR images To window and level through less gray values at a time i e single step through window and level values simultaneously 2007 2009 25 of 66 Document 36005F 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 i e CT and MR images Smart Box Window Level The Smart Box feature can be activated from the processing toolbar by clicking the icon in the toolbar A box enclosed in dashed lines will appear on the image This is the Smart Box s representation of the Auto Window Function feature To resize the smart box hold down the left mouse button on the border of the smart box and move the mouse forwards and backwards or up and down if adjusting the bottom edge To resize both edges of the smart box at the same time hold down the Ctrl key and Left mouse button on any of the four corners of the smart box and move the mouse To move the smart box around the image hold down the left mouse bu
54. l 6 11 Searching OPC XSCAN32 Archive 1 Goto File gt Search Archives 2007 2009 43 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 2 To search a particular archive select the archive location by selecting the Browse button 3 Under Date Time select from the list of valid archives Sep2004 16h19m48s E CXscan32MArchive 175ep2004_16h19m48s L A A E Pro o st ud 4 The user can either a Select Find to open the entire database b Enter search values into the patient information fields If the database contains a patient or multiple patients that match the criteria the database will be opened with the patient s selected If the patient s could not be found you will be returned to the search dialog For example the user could enter Th in the First name field to find values such as Thomas and Thelma 5 The user can refine the search further by changing the Match field 2007 2009 44 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 6 12 Modality Work List Query 6 12 1 Setting up Modality Work List Query 1 Open OPC XSCAN32 then go to Options Preferences Image Transfer tab 2 Check the box for Use DICOM Modality Work List Query 3 Click the Apply button then click the Ok
55. l 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 Internet from that PC and only if the customer agrees iCRco shall have no liability in connection with its support efforts Remote login software allows iCRco technical support to remotely access the customer s PC via the Internet for the purposes of rendering technical support Please note that this warranty including software support does not include computer hardware third party software or operating system or network issues which are outside the control of iCRco Warranty Product Technical Requirements iCRco requires that all DR CR Scanner and or products requiring PCs be fitted and installed with a 1500VA 1500W uninterruptible power supply UPS iCRco recommends the APC 1000 specification UPS or equivalent For warranty evaluation and service iCRco requires the customer to provide an Internet connection DSL or Dial up or the minimum of a phone line accessible by an extension cord to the product enabling iCRco technicians to perform remote diagnostics on installed eq
56. left mouse button to end the freehand drawing Ellipse Annotation Creates an unfilled ellipse on the image This feature is used to show a region of interest on the image 1 Select the Ellipse amp button from the annotations toolbar 2 Left mouse click on the area of the image to start the ellipse 3 Move the mouse to where the ellipse will end 4 Left mouse click to set the ellipse in place 2007 2009 32 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Rectangle Annotation Creates an unfilled box on the image Used to show a region of interest on the image 1 7A 3 4 Select the Box button from the annotations toolbar Left mouse click on the area of the image to start the box Move the mouse to where the box will end Left mouse click to set the box in place Text Annotation Creates a text annotation on the image nN Of A WO N rn Select the Text X 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
57. m open in Task Manager To open Task Manager Click on Start Menu Click Run Type in taskmgr Click OK Close OPC 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 2007 2009 64 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 2 Check target information for both applications Advanced DICOM Print and DICOM Application Printer Server Select Advanced DICOM Print and click on Configure DICOM button The DICOM Configuration dialog will appear The target details for this application are usually AET ADV_PRINT DICOM PORT 4008 IP 127 0 0 1 Click on Select to see full details of this target If Advanced DICOM Print has not been entered as an item in the targets list then please add it with the above details Then select this new target and click OK Click OK on the DICOM Configuration to save settings Close 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 DICOM Application Printer Server has not been entered as an item in the targets list then please add it with the above details Then select this new target and click
58. nded Linek from the annotations toolbar 2 Left mouse click on the area of the image to set the first endpoint The line will be extended through the entire image 3 Move the mouse to where the second endpoint will e 4 Left mouse click on the area of the image to set the second endpoint 2007 2009 31 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Arrow Annotation Creates an arrow on the image which points to a region of interest 1 Select the Arrow Z 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 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
59. ndow click the Options button 2 Select the radio dialog check box for Text File 3 Instruct your EMR RIS HIS vendor to contact iCRco Tech Support to obtain the text file format 6 12 2 Using Modality Work List Query Pationt Information Database sizes 417 41 MB Some patients hidden IMAGE 000001 EMITH tarda TEA xw Modality Worklist 1 ga Query Button 1 To activate the Modality Work List Query interface click on the Work List Query button in the Patient Information window 2 The OPC XSCAN32 Modality Work List Query dialog will open Click on Query Work List button to query the HIS RIS system Xscan32 Modality Worklist Query Options Automatically query target when opened Automatically query target every 1 marmteds Retrieve Selected Patierd s T Query by modality l Query by AET Fi Search Workket Query by date asa piecem Configure DICOM Search Match Ary Pat of Field fu Fu f Doctor DOB m d y Date Time inst Name a Query Work List Button b Search fields For example to search for all patients with the last name Smith select the Last Name field in the search box and type Smith and then click enter Only the patients that have a last name of Smith will appear c The user can also specify query options such as e querying automatically when work list query dialog is opened e query on a timer i e every 5 minutes e query by modality i e
60. nerates uses and can radiate radio frequency energy and if not installed properly can cause interference with radio communications Mammography Use The iCR 3600 SF is not intended for Mammography use 2007 2009 iv of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Guidance and Manufactures declaration Electromagnetic Emis sions amp Immunity Table 1 Electromagnetic Emissions Guidance and manufactures declaration electromagnetic emissions The iCR 3600 SF is intended for use in the electromagnetic environment specified below The customer or the user of the CR 3600 SF should assure that it is used in such an environment RF emissions The iCR 3600 SF uses RF energy only for its CISPR 11 internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The iCR 3600 SF is suitable for use in all E e E establishments including domestic and those Harmonic Class B directly to the public low voltage pwoer supply emissions EC network that supplies buildings used for 61000 3 2 domestic purposes Voltage fluctu Complies ations flicker emissions IEC 61000 3 3 Table 2 Electromagnetic Immunity Immunity IEC 60601 Test Compliance Electromagnetic Environment Electrostatic 2 4 6 kV 2 4 6 kV Floors should be wood concre
61. nit 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 2007 2009 1 of 66 Document 36005F 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 2 Pre Installation 2 1 Voltage Requirements The iCR 3600 SFincorporates 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 CR 3600 SFwith different power types apply voltage to the power input module at the end of the iCR 3600 SF 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 iCR 3600 SF should not be placed in a room with a film processor present This will void the warranty The humidity and temperature limits are 20 to 80 non condensing and 50 to 95 F 10 to 35 C operating respectively Installation of the CR 3600 SF near high magnetic fields may cause the CR 3600 SF to malfunction The CR 3600 SF should no
62. nterface which barcode they are scanning If no barcode has been selected for scanning the user will be prompted to find a barcode 6 9 Archiving OPC XSCAN32 Database 1 Open XSCAN 2 Go to File Archive Database 3 The user is asked to confirm the archive process click Yes Archive Xscan a j x Current size of Xscan data Folders is 1476395008 MB Archive Folders now 4 Select the location to archive the database to 2007 2009 42 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual x C Xscan32Virchive Browse 5 When archiving is completed a message will appear informing the user of the archive location the current date and time is used for the folder name of the archived database 6 10 Restoring Archived Database AX WARNING It is strongly recommended to backing up data to non spinning media CD DVD or an archive PACS with RAID capability to ensure no loss of data 1 To restore an Archive go to File Restore Archive The current database in QPC must be empty Archive Xscan E Xj Gi Archive C scan32Archive24 4192004 _09h12m285 is now complete The serial number of your dicom module vell IF using external storage media use the following label for Future reference 24492004 09h12m285 scan Archive Restore from location CWecans2Archive 1 24ug2004_09h01m39s Browse Cance
63. om the forward to list select the target under the Forward To list then click the lt Remove button Mite INCOM Store bi Forward Utility Configuring Store and Forward Utility DICOM settings 1 Click the Configure button 2 The default DICOM settings are e AET SF_DICOM e Port 4009 sending to Store and Forward Utility 1 From the sending application select the images to send 2 Then select the Store and Forward Utility as the DICOM target to send to the AET of SF_DICOM The images will appear in the Scheduler 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 2007 2009 55 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Dicam Configuration General Advanced Default UD 82501 580043 2 Sens Mumia 11 Images pe poet Tage Fie TARGETS IMF Dump Path EMMA DICO Log Settings Log Level 3 Options The Store and Forward Utility defaults to receiving compressed images and forwarding them on decompressed If you want to receive compressed images and send them on compressed to the PACS system then deselect the option Receive compressed image forward uncompressed The Store and Forward Utility may report the status as complete but the PACS system may still reject the image If the image h
64. ort 2 System Specifications Power Requirements Humidity Domestic 100 to 120V 50 60Hz 3 5A 15 to 95 non condensing International 220 to 240V 50 60Hz 1 75A Pixels per Line Resolution Temperature Conditions 3500 High Resolution over 356mm 14 32 to 105 F 0 to 40 C operating inches 2048 Normal Resolution over 0 to 150 F 18 to 65 C non operating 356mm 14 inches 2007 2009 3 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Scan Rate Scan Rate 60 lines second Grey Scale Resolution 16 bits 65 535 shades of gray Interface USB 2 0 Dimensions CR 3600 SF 10W x 18H x 34 L inches 2007 2009 Confidential and Proprietary Property of iCRco Inc 4 of 66 Vibration Acceleration 3 4G Max in shipping Altitude 0 to 9 500 ft operating Weight CR 3600 SF 70 lbs Document 36005F 01A Rev C March 22 2010 CR 3600 SF User Manual 3 Hardware Installation 3 1 3 2 Pe DO N RA Unpacking Instructions Heavy object Two person lift required Open the box from the top Remove any small accessories loaded into the top of the box With at least two 2 people lift the CR 3600 SF out of the box Always practice proper heavy lifting procedures Failure to practice proper lifting procedures may result in injury or damage to the unit Store the box
65. preview To see a print preview select the Print Preview button Print an image from DICOM Printer When the user has finished dragging and dropping the desired images onto the preview window and manipulating size position and window level if necessary then press the Print button in the bottom left hand corner of the DICOM Printer dialog Please ensure all the printer settings are correct first 2007 2009 62 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Patient Demographics for Icons When the cursor is over the icon bank Advanced DICOM Print will display the demo graphics for the image Images Chest Study 1001 1 01 01 1978 Smith 11 11 2004 12 34 59 Chest APPA 101 Chest AP AP Multiple Icon Pages Advanced DICOM Print has an unlimited number of icons that can be loaded However the PC s memory is a restriction To clear the current page of icons click on Clear Current Page button To clear all the pages of icons and preview window click on Clear All Pages button To move between pages and move to first and last pages click on the arrow buttons 6 22 Printing to a Windows Printer 1 To configure XSCAN to open the DICOM Application Print Server go to Options Preferences Image Transfer tab Select the option Use Windows to DICOM Printer DICOM Print must also be selected 2007 2009 63 of 66 Document 360
66. rkstation or terminal of a multi user computer or local area Do you accept all the terms of the preceding License Agreement If you choose No Setup will close To install OPC XSCAN3Z you must accept this agreement lt Back No 2007 2009 10 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 5 Make sure both OPC XSCAN32 Software and Software Key Driver boxes are checked then click Next Select the components you want to install clear the components you do not want to install Components OPC XSCAN32 Software Software Key Drivers Description This component installs QPC 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 con tinue 2007 2009 Confidential and Proprietary Property of iCRco Inc 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 Veterinary Equine lt Back Cancel Please select your iCRco hardware CR 1000 CR 2600 CR 1000 Dual CR 2600 Dual Jj iCR 7200 Dual Bay CR 3600 or CR 3600M C CR 3600 SF or iCR 36005F M iCR Verx Cor A CRL Film Scanner 312 612 2000 1000SL ete cee
67. rocess 2007 2009 15 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 ZX CAUTION 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 loading please see Section 5 3 3 Open OPC XSCAN32 4 Create or edit patient profile To do this click New or Edit respectively Patient Information Database size 179 41 MB Free Space 206 71 GB Patient 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 Add New Record Information Required Fields Xscan ID 0 Gender O Male O Female Last Name Doe stint ID 12345678900 Fist Nane Dae TEZER Doctor Dr Strangelove DOB 112 24EE v Information Study Desc Exam Date Time 12 29 2008 3 38 34PM Inst Name Dicom Acc No Study Comments 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 pre Xscan Radiology Application version 2 10 File Edit View Image DICOM CR Options Language Help mn Add
68. stored and processed again 5 To optimize processing strength change Gain and Frequency Enhancement as needed The user can update the CR preset by selecting the Update button which will ensure that these processing strengths will be used each time with the currently selected anatomy CR Processing Example 2007 2009 29 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 ICE2 Example Lateral Lumber Spine Eg p 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
69. t Settings SendngCR ProcessedimageOry A PantioiAET o GULDICOM DICOM Configuration Settings Local AET GUI_DICOM Port 105 Merge UND 216 840 1 15357 3 152 10003702 Sena 2 54e iD 00001 Event log Diax Evert Log View Evert Log Mon Aug 16 18 02 40 2004 Send succeschd for PNAME Chest Image Ubrary O lt S12T INUM 3 DEST PACS Mon Aug 16 18 02 40 2004 Sending PNAME Chest Image Library O lt 61271 INUM 3 DEST EPALS Mon Aug 16 1802 40 2004 NUM 31 PHAM Chest Image Library 061211 SUID 12 16 840 1 19957 10023 100 999 8191999122946 SRID 2 Mon Aug 16 18 02 40 2004 Attempt lo Serd 10003702 mg RG 25202032 16 ba mage of Chest Image Library O46127 3 Mo CMP 3 Click on Targets button and the Image Targets dialog will appear M image Targets Target type Dicom y TargetlP address Target TCP port 104 mes 6 16 DICOM Send 1 Opena patient study for viewing and select the image icons to send DICOM 2 Clickonthe DICOM Send Sl button in the toolbar This will only appear in the toolbar when the Use DICOM to transfer images option is selected in the Image Transfer preferences tab E image Targets Ty Diga DICO DICO Dici DiC DICOM 3 The Image T rgets dialog will appear Select the target s to send the selected images to 4 Select OK to confirm the selected target s 2007 2009 51 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of
70. t be placed in a room with an MRI CT or any other equipment that produces high magnetic fields The room should have good ventilation Another factor to consider prior to installing the CR 3600 SF is dust and particulates in the environment The CR 3600 SF is designed to be resistant to dust and particulates that may be present at the installation site 2 3 Connectivity and Power Supply The room needs to have wall power and should not be used with an extension cord Use at least a 1300VA 780W UPS between the wall power and the iCR 3600 SF It 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 2007 2009 2 of 66 Document 36005F 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 2 4 Power Switch Location The power switch for the CR unit is located on the left hand side of the unit directly to the right the fan 2 5 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 2 6 Physical Requirements The iCR 3600 SFrequires a stable operating environment It is important the system is placed on a table stand or wall mount that provides adequate supp
71. t the annotation 2 Right mouse click on the annotation 3 Select Delete from the pop up menu Selecting Annotations 1 Move the mouse over the annotation The mouse pointer will become a pointing hand 2 Left mouse click on the annotation to select it The annotation will become a dotted line with several handles Moving Annotations 1 Select the annotation 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 amp annotations icon 3 Left mouse click on the annotations and drag it anywhere on the image ag a eee ee ee ee 94 20 mim Resizing Annotations 1 Select the annotation 2 Move the mouse over the annotation onto any of the handles The icon will change to the resizing ES annotations icon 3 Left mouse click on the annotation handle and drag it anywhere on the image 2007 2009 37 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual E mss ss e eni a o o a M E A 94 20 mm 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 6 Patient CD DVD Creator CD DVD Creation Software is NOT part of the OPC XSCAN32 Software This section is optional for users who already have CD DVD Creation Soft
72. te discharge Contact Contact or ceramic tile If floors are ESD IEC covered with synthetic material 61000 4 2 2 4 8 kV 2 4 8 kV the relative humidity should be at air air least 30 Electrical 2 kV for 2 kV for Mains power quality should be fast tran power supply power supply that of a typical commercial or sient burst lines lines hospital environment TEC 61000 4 4 1kV for 1kV for input output input output lines lines continued on next page 2007 2009 v of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Table 2 continued Table 2 continued OO O O Immunity IEC 60601 Test Compliance Electromagnetic Environment Surge IEC 1 kV 1kV Mains power quality should be 61000 4 5 differential differential that of a typical commercial or mode mode hospital environment 2 kV 2 kV common mode common mode lt 5 Ur lt 5 Ur dips short gt 95 dipin gt 95 dip in interrup Ur for 0 5 Ur for 0 5 tions and cycle cycle voltage variations on power Voltage Mains power quality should be that of a typical commercial or hospital environment If the user of the CR 3600 SF requires continued operation during power mains interruptions it is recommended that the iCR 3600 SF be powered from an uninterruptible pwoer supply or a battery 40 Ur 60 dip in Ur for 5 cycles 40
73. tomatically be imported to the study Stitching Tips 1 Images must have at least 1 inch of overlapping data 2007 2009 49 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 9 CORRECT INCORRECT Overlapping data appears The two edges to be stitched in both images should not be collimated 2 It is important not to collimate on the edges that will be stitched together NE The user can collimate on any other edges 3 Donotmove 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 15 Setting Up DICOM Send 1 Open OPC XSCAN32 2 Open DICOM Controller V1 00 If the user doesn t have the window in the task bar open go to Options gt Preferences Image Transfer Tab Use DICOM to transfer images 2007 2009 50 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual DICOM Controller V1 00 DICOM Settings Targets Corte Pori Sen Wat rm TT Always prompt tor taeget when sending MW Send Prrt CR Markers with Image aro Femeve Bir oy i T Send DICOM mages as compressed Piscan to Macan Only Compression E gt DICOM Pr
74. trengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol o gt NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflections from structures objects and people continued on next page 2007 2009 Vii of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Table 2 continued Immunity IEC 60601 Test Compliance Electromagnetic Environment Test Level Level Guidance Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location where the CR 3600 SF is used ex ceeds the applicable RF compliance levels above the iCR 3600 SF should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocatin
75. tt SA SLOW BLOW 250V US and International Patents Granted CAUTION TO REDUCE THE RISK OF ri EC REP ELECTRONIC SHOCK DO NOT REMOVE COVER NO USER SERVICEABLE PARTS US Headquarters European Office INSIDE REFER SERVICING TO QUALIFIED CRco Inc iCRco Europe GmbH SERVICE PERSONNEL 2580 West 237th Street Ridlerstrasse 31a Torrance CA 90505 80339 Munich A DANGER USA Germany Invisible laser 3l 0 921 9559 49 89 2555 TESTE 50 radiation when open AVOID EXPOSURE FDA Ea ee FDA 510K Cleared Conventions A DANGER indicates an imminently hazardous situation which if not avoided will result in death or serious injury This signal word is to be limited to the most extreme situations A WARNING indicates a potentially hazardous situation which if not avoided could result in death or serious injury AX CAUTION A CAUTION indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury It may also be used to alert against unsafe practices A NOTE indicates important information that helps you make better use of your iCR 3600 SF and Software A NOTICE indicates either potential damage to hardware or loss of data and tells you how to avoid the problem Laser Safety A CAUTION This equipment employs a laser Laser radiation may be present if the iCR 3600 SF is operated without the covers Avoid the laser beam Direct exposure to laser light must be avoided The CR 360
76. tton anywhere inside the smart box and drag the mouse around the image The Smart Box s size and position can be adjusted to yield different results This allows the user fast and efficient image processing methods Left and Right CR Markers 1 Open an image for viewing 2 Select the Left Right Markers a button to apply a Left or Right marker to the image 3 Select either the Left or Right marker When the user clicks on the Left Right Marker button the Left amp marker icon will appear If the user clicks the Left Right Marker button again the Right Ed marker icon will appear Clicking again will toggle back to the Left marker 2007 2009 26 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 4 Move the mouse onto the part of the image where the marker needs to appear When the user moves the mouse over the image a Left or Right marker icon will appear in place of the mouse 5 Click on the image to place the icon 6 To remove the marker click on the Left Right Marker a button again CR Cropping 1 Open the image that needs to be cropped 2 Select the Crop button from the main toolbar 3 Hold down the left mouse button to select the region that needs cropping 4 When the mouse is released the area to be cropped will be surrounded by a red line A message box will appear asking to confirm the selected region
77. tton in the Patient Information dialog Alterna tively if the patient is already in the patient list select the patient and click the Edit button on the Patient information dialog 2 Enter the patient details into the appropriate fields in the dialog box The user also needs to enter the exam information for the patient Last Name First Name Date and DOB are required fields The use can also make Patient ID a required field by clicking on the Options menu Preferences gt Defaults tab 3 Click the Save or Save and View button after the patient details have been entered The Save and View button will create edit the patient and open the exam immediately for viewing or scanning of images 4 To create an additional exam for the patient return to the Patient dialog then click the New button under Exam Enter in the exam information When the user opens an exam with no images 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
78. uipment 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 Requesting Warranty Service For information on obtaining warranty service call 1CRco s customer support at 310 921 9559 In order to evaluate a warranty service request iCRco requires the following infor mation the iCRco serial number of the product a detailed description of the problem 2007 2009 ix of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual customer name and contact information product location and operating conditions a copy of the purchase documents and sufficient information and authorization including a liabil ity release as to any loss of data that should always be backed up software or network injury or downtime allowing iCRco technicians remote access to the product Product may not be returned to iCRco without first obtaining a Return Material Authorization RMA number from iCRco Prior to providing an RMA iCRco may require remote access to the product 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 unauthorized returned product
79. ware 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 1 XscanCDFolder Xscan Radiology Application version 2 10 DICOM Dicom jy Create i 50 Send Retrieve Merge Tp M Patient Information Database size 417 41 MB Some patients hidden Patent Date Doctoral et Name New 10087 11 30200 Goedecke Fund 1667 Ardra Vieser 08 11 1945 j 10080 11 30 2002 Edinger 672 e a Ji sa10079 11 28 2002 Giro Adolf 1675 Monica 09 11 1980 Delete vi 10077 06401 2004 CR SMITH If this is the first time using the patient CD creator feature a prompt will appear indicating the user to browse for the location of the DVD CD Creator software Alternatively if Nero software is already installed on the PC select the option Use Nero scripting to create CD DVD Browse for file Select the location of your CD recording software Browse l Use Nero scripting to create CD DVD 2007 2009 38 of 66 Document 3600SF 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual Using Nero Scripting 1 When the software has finish
80. ware originally provided with any product will substantially conform to iCRco s specifications and that 2007 2009 viii of 66 Document 36005F 01A Rev C Confidential and Proprietary March 22 2010 Property of iCRco Inc CR 3600 SF User Manual 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 and to supply the consumer with a corrected version of the software as soon as it is practical after the consumer has notified iCRco of any non conformity iCRco does not warrant that the operation of any software will be uninterrupted glitch or error free or that functions contained in the software will operate in the combinations which may be selected for use by the user or meet the user s requirements This limited software warranty will be void if the software is modified without the written approval of iCRco or is used outside of the recommended parameters or equipment iCRco does not provide any warranty or support for any other software iCRco agrees to provide one 1 year of telephonic and or e mail based support for OPC XSCAN32 Captera and or ClarityPACS software originally provided with any new iCRco product from the date of original shipment from iCRco Al

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