AX Operating Instructions POLYDOROS SX 65/80
Contents
1. Siregraph Multix Vertix INFO Gy 77 81 kw 2 1 50 mas _ 2 12 max value 1 1 2 s T 0 Program Selection Select a tomographic program on the unit and an organ program with Plani ION TOMAT and mAs preselection or a tomographic program on the unit and press the IONTOMAT button The tomographic symbol lights up on the generator console Deselection Deselect the tomographic program on the unit or press the IONTOMAT button Plani lONTOMAT is selected Exposure data JU The following exposure data can be set to be set kV value Focal spot Tube load Measuring fields dominants Film screen combination Density compensation Patient transparency in program technique organ program POLYDOROS SX 65 80 41 AX63 055 621 02 01 02 of 54 Selection Deselection Exposure data to be set Display of exposure data 42 of 54 Generator Select indirect exposure technique Select DR O point technique LI Setting the kV value from fluoroscopy D Exposure cut off by the automatic exposure control Siregraph Multix Vertix INFO 81 kv Cerv spine oblique Program Select DR technique on the unit and an organ program with DR 0 point tech nique Select an organ program without DR O poin2. Multix Actuate the program button in the data menu Program The program menu appears Skull RC Cerv spine Shoulder Ribs ap lat F P a Thoracic Thoracic Pelvis Hip spine ap spine lat Lumbar Lumbar Lum sacro spine ap spine lat junction Femur Knee Ankle Foot joint Humerus Elbow Wrist Hand DATA pa oblique Press the key symbol button oO The button appears inverted The program menu for the programming mode appears Select an organ program The button appears inverted Vertix EDIT Please select program press lt DATA gt to change exposure parameters or press lt EDIT gt to change program name Cerv spine oblique Skull RC Cerv spine Shoulder Ribs o ap lat F P oblique Thoracic Thoracic Pelvis Hip spine ap spine lat Lumbar Lumbar Lum sacro spine ap spine lat junction Femur Knee Ankle Foot joint Humerus Elbow Wrist Hand DATA pa obligue Notein the message line Please select program press lt DATA gt to change exposure parameters or press lt EDIT gt to change program name 50 Operating Instructions of 54 AX63 055 621 02 01 02 Generator EDIT Actuate the EDIT button The editor menu appears Cerv spine oblique E Enter the program name and press lt Memory gt to store or lt Program gt to ignore the
3. Selection Actuate the ms button With organ program Select an organ program with 3 point technique Deselection Press a button for film screen combination 1 point technique is selected or a measuring field dominant button 1 point technique is selected or a button for mAs setting 2 point technique is selected or the IONTOMAT button 3 point technique with IONTOMAT is selected With organ program Select an organ program without 3 point technique Exposure data JU The following exposure data can be set to be set POLYDOROS SK 65 80 AX63 055 621 02 01 02 kV value mAs value ms value Focal spot Tube load Patient transparency in program technique organ program 37 of 54 Select 3 point technigue with IONTOMAT D Exposure cut off by the automatic exposure control Siregraph Multix Vertix INFO 50 mAs max value 285 ms max value 100 Program Selection Press the IONTOMAT button With organ program Generator T Setting the kV value and the maximum mAs and ms values Select an organ program for 3 point technique with IONTOMAT Deselection Press the IONTOMAT button 1 point technique is selected With organ program Select an organ program without 3 point technique with IONTOMAT Expo
4. wwwwwwmwwwaww wawa EEEE EEEE www EEEE EEEE EEEE EEEE EE EEEE 25 2 Operating Instructions of 54 AX63 055 621 01 01 02 Generator Fluoroscopie WAMINGSI JA HI Aa 25 EXPO URE ate CII UI sens Ne te 26 Selecting the system UNIt wwwwwmwwama nm w remets durent es NO EEEE EEEE 26 OS T l UM ide nn nn a A eq Naa 26 Automatic exposure system O point technique wammwmwamananwwwmanaanww wwa 28 C R ALES A EE de ne MAU te 28 Programmed characteristiC CUFVES ass hits inde itete denses 28 Adapting the patient TaANSDA RNCS rte a Man et re 33 Selecting direct exposure technique 225 0020 a Re Te cn nr 34 S l CTO BONES ChAIQUEN De RE Rte 34 Select T point TECHNICS SR RE O cee WA A 35 Select 2 point technhIgUE wwwwwmwawwmwwwwwww EEEE EEEE www wwa 36 Select 3 point technique wer ae nn Sd AA nine 37 Select 3 point technique with IONTOMAT screenen 38 Select MAs tomography wwwwwmwwnmwnnwwawanwwaww Robb i tite nie 39 Select tomography with Plani IONTOMAT wwwnwnamanwwnawunawuniwanwnawu naa 40 Select tomography with Plani IONTOMAT and mAs preselection 41 Select indirect exposure technique he s Givin AA SERA five 42 Select DR O point technique As Ur ste Re Nad 42 Select DR 1 point technique ES ne A Re www EEEE EEEE EEEE 43 Select DR tomography with Plani IONTOMAT wwwwawawwnwawwnwawununzwnzaza 44 Select DSA corne AUTEUR eco d
5. Operating nstructions AX63 055 621 02 01 02 Generator 80 POLYDOROS SX 65 80 AX63 055 621 02 01 02 Explanation of displays and controls Normal inverted display of the controls LJ Normal display Function deactivated J Inverted display Function activated Function of the buttons Brief button actuation Value increases by one step Prolonged button actuation Value increases until the button is released Brief button actuation Value decreases by one step Prolonged button actuation Value decreases until the button is released Flashing kV ms MAs displays D All displays are flashing simultaneously System not operable please observe instruction in the message line QD Some of the displays are flashing The preset value is too high the automatic control adjusts to the closest permissible value Actuate the respective button The new value is confirmed and the display stops flashing 15 of 54 Generator Changing the focal spot and tube load If the maximum acceptable load of the selected X ray tube is exceeded when switching over 1 from the large to the small focal spot or Ll from 100 to 80 tube load the generator automatically reduces the mAs setting This is indicated by a flashing mAs display Actuate the respective button The new value is confirmed and the display stops flashing Selecting the measuring field dominant Th
6. AX63 055 621 02 01 02 Generator POLYDOROS SK 65 80 AX63 055 621 02 01 02 ns Functional and safety checks Daily checks After switching on Please make a visual inspection of the displays and signal lamps on the control console No error message may appear The radiation indicator on the control console or the radiation warning lights in the room must not light up Warning If the radiation indicator or a radiation warning light lights up without actuating a switch immediately switch off the X ray system through emergency shutdown and notify the SIEMENS Uptime Service During the examination Check the radiation indicator It may light up only during the duration of the X ray exposure Monthly checks Perform a functional check of the automatic exposure control as described in the Safety operating instructions Legally required checks Obtain information in the Safety operating instructions Maintenance intervals Maintenance must be performed annually to maintain the safety and functioning of the generator If you have not concluded a maintenance contract please notify the SIEMENS Uptime Service in good time 21 of 54 Generator Remote service Thanks to the possible remote service offered problems occurring with the sys tem can be diagnosed directly at the customer site without the need of any serv ice call and maintenance can be performed Access
7. 800 mA at 81 kV 650 mA at 100 kV according to IEC 601 430 mA at 150 kV POLYDOROS SX 80 980 mA at 81 kV 800 mA at 100 kV according to IEC 601 530 mA at 150 kV Working range Normal fluoroscopy from 40kV 0 2mA to 110kV 4 1mA High contrast fluoroscopy from 40kV 0 2mA to 110kV 18mA maximum of 4 FLUO curves can be configured 53 values from 40 to 150 kV In steps of half Siemens exposure points EP or 1 EP configurable 0 1 point technique with continuously falling load 2 3 point technique with constant load 3 point technique with IONTOMAT PL with constant load 65 values from 0 5 mAs to 800 mAs In steps of half Siemens exposure points EP or 1 EP configurable 1 point technique 1 ms to 5 s with mAs and time postindication 2 point technique 2 ms to 5 s depending upon kW mAs and kV 3 point technique 20 ms to 5 s depending upon kW mAs and kV in 49 steps In steps of half Siemens exposure points 2 Siemens double focus tube assemblies max 5 IONTOMAT PN with 6 measuring inputs for measuring chambers as well as mul tiplier connection option or photodiode array PDA kV accuracy 5 mAs accuracy 5 or 0 5 mAs depending on which value is higher mA accuracy 5 or 0 1 mA in fluoroscopy depending on which value is higher mA accuracy 10 in radiography Operating Instructions AX63 055 621 02 01 02
8. 15 C 14 C 14 C 13 31 of 54 32 of 54 Generator Organ kV Characteristic curve Thorax 1st 7th rib p a a p 66 C 13 8th 12th rib p a ap 70 C 14 Sternum p a 63 C 12 Sternum lateral 66 C 13 Clavicle p a 60 C11 Scapula a p 63 C 12 Scapula lateral 63 C 12 Thorax C 61 Lungs heart lateral 125 C 24 0r C61 Esophagus obligue 90 C 19 or C 60 Esophagus deglutition C 62 Abdomen Kidneys gallbladder a p 66 C 13 or C 63 Kidneys gallbladder lateral 81 C17 or C 63 Bladder a p 66 C 13 Bladder axial 70 C 14 Stomach duodenal bulb GI tract survey 102 C 21 or C60 or C62 Gastrointestinal tract C 60 Colon contrast study C 60 C 62 Spinal column 1st to 3rd cervical vertebrae oral 70 C 14 Ath to 7th cervical vertebrae a p 70 C 14 1st to th cervical vertebrae lateral 70 C 14 1st to th cervical vertebrae oblique 70 C 14 Thoracic vertebrae oblique 81 C17 Thoracic vertebrae a p 73 C 15 Thoracic vertebrae lateral 81 C 17 1st to 4th lumbar vertebrae a p 77 C 16 1st to 4th lumbar vertebrae lateral 90 C 19 1st to 4th lumbar vertebrae oblique 81 C17 5th lumbar vertebra a p 77 C 16 5th lumbar vertebra lateral 90 C 19 Pelvis hip 73 C 15 Sacrum COCCYX a p 73 C 15 Sacrum coccyx lateral 90 C 19 Arms Shoulder joint a p 63 C12 Shoulder joint axial 60 C11 Legs Femur upper 70 C 14 Femur lower 60 C11 Knee a p 60 C11 Knee lateral 60 C11 Operating Instructions AX63 055 621 02 01 0
9. MUSSELS NIA ne D le Ne ua 19 Loaddata indication UT AR NE RU ae vache i 20 Functional and safety checks wwwwmmmwmnawwamwmanwmanw ninini eeesaaeennneenas 21 BE RCE Sa cance tsa care pore E AS EES NA VAA MAKA UBANE ARI MIA AETAT 21 After switching ON es Re nn LNs ks ner 21 DU CREER AINSI meises AN nine en A 21 Mshia AA el net tee cannon 21 Legally regq ired CHECKS suisses A E RS M Nes dss 21 Maintenance internal Sariei pun e E IBARA 21 Remotes AA na aaa 22 Possibilities of remote service iii 22 Indication of the stored remote SehvicGei iis 2s aided nga sas cect mabe iedebe 22 Selection of a remote SehVIGEs 2 ontoriccatsecudsaasdadabeoe scenes iether wheetedieasianeias 22 Indication of the currently active remote service 2 22 FOTOS COW EA ESETE E EA 23 Systent selection AL Ki A vette busta sane as 23 RelSasing fIUGrOSCOpy e AA NII AKI 23 Selecting the fluoroscopic Mode s ance 23 Fluoroscopy with automatic control assiste ednmai nent 23 High contrast fIUOrOSCOPY miens Let er ic nds eee 23 Fluoroscopic data cic 223 oan Le dd cine 23 Display of the kV and MA values wwwwwwamwwwww www www www wwa 23 Display of the fluoroscopic tIM8 wwwmamwanananwnww namana ee 24 Display of the dose area product optional UV 24 Resetting the fluoroscopic AA ne de eel 24 Fluoroscopic characteristic CUIVES wwananwwmzananwamunananwnww nu nr ut 24 Fluoroscopic time JIMIE
10. fields dominants Film screen combination Density compensation Patient transparency in program technique organ program Display of the QO After the end of the exposure the mAs and ms values in the display are flash exposure data ing 34 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Select 1 point technique T Setting the kV value D Exposure cut off by automatic exposure control Siregraph Multix Vertix INFO W 77 w 81 w 2 1 mA mAs 2 12 min 1 hu ms 0 eo Program Selection Press a button for film screen combination or a measuring field dominant button With organ program Select an organ program with 1 point technique Deselection Press the mAs button 2 point technique is selected or the ms button 3 point technique is selected or the IONTOMAT button 3 point technique with IONTOMAT is selected With organ program Select an organ program without 1 point technique Exposure data JU The following exposure data can be set to be set kV value Focal spot Tube load Measuring fields dominants Film screen combination Film density compensation Patient transparency in program technique organ program Display of exposure After the end of the exposure the mAs and ms valu
11. is made via modem and is only possible when the necessary authorized access has been provided by the user Possibilities of remote service There are 3 remote service possibilities J Limited Access Remote service activities run in the background and are permitted only for a certain time Patient examination can be continued LI Limited Access Permanent Corresponds to Limited Access however permanent access is permit ted as long as it is selected A Access Denied No remote service possible Indication of the stored remote service Press this button g The stored remote service is indicated in the message line Selection of a remote service Press this button until the required remote service is displayed in the message CRD SN i a line The last displayed remote service is stored after 5 seconds The button appears inverted in the case of authorized access Note in the message line Setting stored Indication of the currently active remote service Va A picked up phone receiver indicates that Siemens Service has established con tact 22 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Siregraph Fluoroscopy System selection unit Select the required system unit e g Siregraph Releasing fluoroscopy Fluoroscopy release takes place from the system control fluoroscopy switch on the unit or via foot switch Selecting the fluoroscopic mode
12. may release the preset exposure with 80 tube load LJ X ray tube assembly with heavy load Cooldown time is indicated You may release the preset exposure with 80 tube load only after the indicated cooldown time has elapsed POLYDOROS SX 65 80 AX63 055 621 02 01 02 Ufa warning buzzer is to come on at a certain pause time threshold please have it pro grammed by your customer service 19 of 54 Generator Load data indication The load unit counter stores the load data of the connected X ray tube assem blies Siregraph Multix Vertix INFO FAT rate Load Units 1234567 Tubei X Ray and waiting time Overloads 8 lo fa 81 kv Sasi ma H u iG ms moo aa Program 1 hu With the INFO button pressed the load data of the selected X ray tube assembly INFO is indicated in the message line LJ Load Units BE 1 load unit corresponds to 1 exposure or 1 2 s series or 7 15 s pulsed fluoroscopy the values in brackets apply to the Megalix tube assembly LI X Ray and waiting time Number of exposures released during the indicated cooldown time 1 Overloads Number of overloads Li INFO button is not active if an information is already present on the message line 1 hu Indication of the current value of the tube load in relation to the maximum heat storage capacity in per cent 20 Operating Instructions of 54
13. set exposure parameters desired Memory and press lt Memory gt gt lio Pt 81 w 204 mAs ua oo J Program Note in the message line Please set exposure parameters desired and press lt Memory gt Enter the desired exposure data according to the selected exposure tech nique kV value mAs value ms value Tube load Focal spot Film screen combination Measuring fields dominants Density compensation lontomat additionally in O point Select the required characteristic curve from the stock of curves technique R q Select a curve by pressing one of the buttons in the message line Selection of the next lower curve with the button Selection of the next higher curve with the button Press the 0 point technique button Press the memory button Storage is confirmed by a prolonged acknowledgement tone The program menu appears Now you can edit other organ programs Following completion of the changes press the key symbol button in the pro gram menu for the programming mode Programming is now terminated and the edited programs are stored POLYDOROS SX 65 80 49 AX63 055 621 02 01 02 of 54 Generator Editing organ program names Actuate the desired system selection button
14. 2 Generator Adapting the patient transparency 3 You can adapt the values of kV mAs and film density of the selected organ program with the following buttons 1 This adaptation ends when you exit the organ program IONTOMAT mode mAs mode El Change kV by 4 EP Change mAs by 4 EP II Change kV by 2 EP Change mAs by 2 EP 0 No kV change No mAs change LI Change kV by 2 EP Change mAs by 2 EP II Change kV by 4 EP Change mAs by 4 EP a or programmable kV and density compensation b or programmable kV and mAs c EP exposure point POLYDOROS SX 65 80 33 AX63 055 621 02 01 02 of 54 Generator Selecting direct exposure technique Select O point technique LI Setting the kV value from fluoroscopy D Exposure cut off by the automatic exposure control Siregraph Multix Vertix INFO 81 kv 2 12 eo Cerv spine ino oblique Program Selection With organ program Select an organ program with O point technique Deselection Actuate the mAs button 2 point technique is selected or the ms button 3 point technique is selected With organ program Select an organ program without 0 point technique Exposure data JU The following exposure data can be set to be set Focal spot Tube load Measuring
15. 61 See graph C62 See graph C63 See graph C64 Plateau 68 0 kV C65 Plateau 68 0 kV C66 Plateau 68 0 kV C67 Plateau 68 0 kV C68 Plateau 68 0 kV C69 Plateau 68 0 kV C70 See graph C71 Reserve C72 Plateau 87 5 kV C73 Reserve C74 Reserve C75 Reserve C76 Reserve C77 Plateau 68 0 kV C78 Plateau 68 0 kV C79 Plateau 68 0 kV C80 Plateau 68 0 kV C81 Plateau 68 0 kV C82 Plateau 68 0 kV C83 Plateau 68 0 kV C84 Plateau 68 0 kV C85 Plateau 68 0 kV C86 Plateau 68 0 kV C87 Plateau 68 0 kV C88 Plateau 68 0 kV C89 Plateau 68 0 kV C90 Plateau 68 0 kV C91 Plateau 68 0 kV C92 Plateau 68 0 kV C93 Plateau 68 0 kV C94 Plateau 68 0 kV C95 Plateau 68 0 kV C96 Plateau 68 0 kV C97 Plateau 68 0 kV C98 Plateau 68 0 kV C99 Plateau 68 0 kV C100 Plateau 77 0 kV Operating Instructions AX63 055 621 02 01 02 Generator kV 150 133 117 102 90 81 73 66 60 POLYDOROS SX 65 80 AX63 055 621 02 01 02 cm Water value WV D Recommended characteristic curves for organ programs in O point technique These suggestions correspond to the SIEMENS basic exposure table whereby only the part relevant for the O point technique has been listed Organ Cranium Survey of cranium p a a p Cranium lateral Cranium axial Petrosal bones sagittal Petrosal bones Stenvers Paranasal sinuses p a Optical nerve cavity Rhese kV 70 66 85 70 70 70 66 Characteristic curve C 14 C13 C 18 C
16. C18 Plateau whole EP 85 0 kV C19 Plateau whole EP 90 0 kV C20 Plateau whole EP 96 0 kV 28 Operating Instructions of 54 AX63 055 621 02 01 02 Generator POLYDOROS SK 65 80 AX63 055 621 02 01 02 No Type of curve Voltage C21 Plateau whole EP 102 0 kV C22 Plateau whole EP 109 0 kV C23 Plateau whole EP 117 0 kV C24 Plateau whole EP 125 0 kV C25 Plateau whole EP 133 0 kV C26 Plateau whole EP 141 0 kV C27 Plateau whole EP 150 0 kV C28 Plateau 68 0 kV C29 Calibration curve C30 Plateau 68 0 kV C31 Plateau half EP 40 5 kV C32 Plateau half EP 51 5 kV C33 Plateau half EP 43 0 kV C34 Plateau half EP 45 0 kV C35 Plateau half EP 47 0 kV C36 Plateau half EP 49 0 kV C37 Plateau half EP 51 0 kV C38 Plateau half EP 53 5 kV C39 Plateau half EP 56 0 kV C40 Plateau half EP 58 5 kV C41 Plateau half EP 61 5 kV C42 Plateau half EP 64 5 kV C43 Plateau half EP 68 0 kV C44 Plateau half EP 71 5 kV C45 Plateau half EP 75 0 kV C46 Plateau half EP 79 0 kV C47 Plateau half EP 83 0 kV C48 Plateau half EP 87 5 kV C49 Plateau half EP 93 0 kV C50 Plateau half EP 99 0 kV C51 Plateau half EP 105 0 kV C52 Plateau half EP 113 0 kV C53 Plateau half EP 121 0 kV C54 Plateau half EP 129 0 kV C55 Plateau half EP 137 0 kV C56 Plateau half EP 145 0 kV C57 Plateau 68 0 kV C58 Plateau 68 0 kV C59 Plateau 68 0 kV C60 See graph 29 of 54 30 of 54 Generator No Type of curve Voltage C
17. EE EEEn 6 WA AU WATOA IM EA WAFANA WI MWANA LINI KWANI WAA IA KAA MAA MENINA MAU erg ane ae 7 Wa WA AA AA AA WA AA Wa AA 8 Program MERU WA asia 13 EA lt in 6 see tear eee an en ean KA AI AI aa SOW ne ene ORT 14 Explanation of displays and controls wwwamwmazwmanwamamwnwwwawwmanuwa 15 Normal inverted display of the controles decd cn svant nasa bpenlncbereiatadeenedcegmeeds a2 15 F netionot the buttons nenia a ene baal a wiki ein bh A toms 15 Flashing kV ms MAs displays wwwwnwanwnwananwananwanwananaawanuazaku ninani kuzwazwwwa 15 Changing the focal spot and tube load rss us nt nes nds 16 Selecting the measuring field dominant s sssssinsrisrrirrrrrrrrrirrrrrrrrrrrrrinrene 16 Measuring field dominant Weis pla esse ns anne tetes 16 SEPSIS VSI w wwwmwnamama wawa nwamawwwwwwamanu www Eat oui unsaastinersukstoneeverne ts 16 On Off emergency shutdown wwwwmmwmmanwmanwwmwwa wamwamini www 17 Switching the generator on off wwwwamanwnnwnww naww nwwww wamuua EEEE EEEE 17 Emergency UWA 1 17 Emergency power SUDOIVES SNA nn Un EEEE 17 Radiation disable function RU TT CT ere Nino 18 MASSE ILES ii 18 POLYDOROS SX 65 80 1 AX63 055 621 01 01 02 of 54 Generator General error MESSAgES in nds pe ne 18 Exceeding the limit values wwwmmwananwanunwa sah ninw nini clin nini nanunua 18 T b load compute enina St NS du en 19 GA eu 19 FP
18. Fluoroscopy with automatic control With the automatic stage buttons on the unit select the required characteristic curve for the automatic dose rate control High contrast fluoroscopy Is a special case of fluoroscopy with automatic control It is selected with the 2nd pressure point of a two stage foot switch The mode is indicated acoustically Fluoroscopic data The kV mA time and dose area product optional for fluoroscopy are indicated on the control console Display of the kV and mA values 3 During fluoroscopy the current kV and mA values are indicated continuously D After the end of fluoroscopy the mean value of kV and mA for the examination POLYDOROS SX 65 80 AX63 055 621 02 01 02 depending on the system configuration 23 of 54 24 of 54 Generator Display of the fluoroscopic time Continuous display of cumulative time in minutes during the examination Display of the dose area product optional Continuous display of the dose area product accumulated in the examination Resetting the fluoroscopic data When the examination is finished record the fluoroscopic data displayed and press the Reset button The displays for the fluoroscopic data and for the dose area product are reset to zero Fluoroscopic characteristic curves For fluoroscopy you can choose between several fluoroscopic curves which you can program depending on the system configuration Characteristic curve examp
19. OS SX 65 80 39 AX63 055 621 02 01 02 of 54 Generator Select tomography with Plani lONTOMAT I Setting the kV value and the tomographic time LJ Exposure cut off by the timer Siregraph Multix Vertix INFO Oy 77 81 kv 2 1 2 12 mAs 1 2 s t ale Program Selection Select atomographic program on the unit and an organ program with Plani lONTOMAT or atomographic program on the unit and press a button for film screen combination or a measuring field dominant button The tomographic symbol lights up on the generator console Deselection Deselect the tomographic program on the unit or press the mAs button mAs tomography is selected or the IONTOMAT button Plani lONTOMAT with mAs preselection is selected Exposure data JU The following exposure data can be set to be set kV value Focal spot Tube load Measuring fields dominants Film screen combination Density compensation Patient transparency in program technique organ program 40 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Select tomography with Plani LONTOMAT and mAs preselection LI Setting the kV and mAs value and the tomographic time D Exposure cut off by the timer
20. SIEMENS Operating Instructions POLYDOROS SX 65 80 RE X 0123 AX63 055 621 01 01 02 Please observe Safety operating instructions Order No RX0 000 621 01 These must be studied exactly before system startup Important information from the manufacturer This product is provided with a CE marking in accordance with the regulations C stated in Appendix Il of the Directive 93 42 EC of June 14th 1993 concerning 0123 medical products In accordance with Appendix IX of the Directive 93 42 EC this product is assig ned to class II b The CE marking applies only to medical products which have been put on the market according to the above mentioned EC Directive Unauthorized changes to this product invalidate this declaration The original version of this manual was written in the German language Siemens AG 1998 All rights reserved AX Order No AX63 055 621 01 01 02 Printed in the Federal Republic of Germany Siemens AG Medizinische Technik Siemensstr 1 D 91301 Forchheim Germany Registered offices Berlin and Munich Siemens AG Wittelsbacher Platz 2 D 80333 Munchen Germany AG 07 98 Generator APA Haa 5 Configuratio AA UN Zai 5 Basle VC KA KUKAA at ee ere 5 GOONS Rues ados TIE TTA dr conte ta EET 5 Overview of the controls and displays wwwmwwwmwawww wamama niwwwmina 6 General controls and displays wwwwmanwamanwwmanww ones sement EE
21. You can release an exposure if LI no error message appears in the message line and D none of the displays kV mAs ms on the control console flashes Preparation the rotating anode is accelerated to nominal speed J the required filament current is set Lil After the X ray tube assembly has heated up and the rotating anode has run up to speed the exposure can be released selectively Press the exposure release button down to the 1st pressure point L 26 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Radiation release Press the release button completely through and keep it held until the expo gt sure is ended Letting go of the release button immediately ends the exposure and the expo sure can then be underexposed The radiation indicator on the control console lights up and a signal sounds during the exposure release Let go of the release button immediately after the radiation indicator goes out In this way you conserve the X ray tube assembly m Observe the following to increase the life of the tube assembly If possible always select 80 tube load at the generator Itis essential that you program 80 tube load in the programs with small focal spot and a tube voltage less than 70 kV Work with the large focal spot below 70 kV tube voltage if possible Keep the prep time short and possibly push through to keep this time short Let go o
22. ate the program button in the data menu the program menu appears Select an organ program after the selection the system returns to the data menu the selected organ program appears inverted Cerv spine oblique Organ program data indication D All data stored for the selected organ program are indicated in the data menu 46 Operating Instructions of 54 AX63 055 621 02 01 02 Generator POLYDOROS SK 65 80 AX63 055 621 02 01 02 Editing organ program data D The exposure data of any organ program can be edited However you have to distinguish between the temporary change and the permanent storage of a program Qi Organ programs are changed in direct technique on the generator control console DR technique on the digital image system Remote programs are changed analogously only the remote program to be changed must be selected at the unit Temporary change Select the organ program Depending on the activated exposure technique the following exposure data can be edited kV value mAs value ms value Focal spot Tube load Measuring fields dominants Film screen combination Density compensation Patient transparency in program technique organ program In the data menu the selected organ program is displayed non inverted Li The edited parameters are in effect only until you select another organ program or switch the system off 47 of 54 Generator P
23. change 0 1 2 3 4 5 Q w E Memory D g Fiale R T Y U I A S D F G SHIFT SPACE 5 Note in the message line Program Enter the program name and press lt Memory gt to store or lt Program gt to ignore the change Type the name of the organ as it is to appear on the button Allowed is a maximum of two lines of 10 characters each Using the editor menu li 9 Cursor in the program name field Cerv spine oblique E The cursor always indicates the position of the next character you enter LJ Backspace key Erases the character to the left of the cursor Q RETURN key RETURN Moves the cursor to the start of the second line Q SHIFT key the key g I 77 DI SPACE key SPACE Shifts to upper case characters letters or symbols marked at the top of The pressed SHIFT key appears inverted Enters a blank in the program name field POLYDOROS SX 65 80 AX63 055 621 02 01 02 51 of 54 Generator Actuate the memory button Data storage is confirmed by a prolonged acknowledgement tone The program menu appears Pressing the program button takes you back to the program menu without stor ing the name of the organ program Now you can edit additional organ programs Following completion of the changes press the key symbol button in the pro gram menu for t
24. e selection of more than one measuring field dominant is possible Todo this actuate the buttons within one second Measuring field dominant display If either the left or the right dominant selected becomes invalid e g due to col limation the measuring field selected is then shown crossed out Indirect technique When the diaphragm is opened again the previously selected dominants are shown normal again Direct exposure technique with automatic format collimation Only when the exposure release button is pressed up to the 1st pressure point are the previously selected dominants shown normal again Screen saver The touchscreen is equipped with a screen saver which reduces the brightness automatically after a preset interval When you touch a button on the screen again the normal brightness is switched on again 16 Operating Instructions of 54 AX63 055 621 02 01 02 Generator POLYDOROS SK 65 80 AX63 055 621 02 01 02 On Off emergency shutdown Switching the generator on off Press the button The entire system is switched on The data menu is displayed The system is operable if 3 No error message appears in the message line and LI None of the displays kV mAs ms on the control console flashes LI Any system selection is active Press the button The entire system is switched off Emergency shutdown For the emergency shutdown button which is installed on site observe
25. er 45 GAMES a ea note en end 46 Selecting an organ prograM manu M A RNA NN ste au nn es 46 Organ program data Indications Land OA ARR ne n e ae Sodan 46 Editing organ program Gatancrmuniitre setae hak ete es iets EEE EEEE EEEE EEEE EEEE En 47 Temporary hadi aa Te 47 PEMA SUS IA MUA 48 Editing organ program Names AA AA MEN AAA Du 50 lechnicalkdatar eei AAA AA AAA AA AA Sila tad teat b3 POLYDOROS SX 65 80 3 AX63 055 621 01 01 02 of 54 Generator For notes 4 Operating Instructions of 54 AX63 055 621 01 01 02 Generator Application POLYDOROS SX 65 80 is a high frequency X ray generator for all procedures in general diagnostic radiology The combination of microprocessor control and high frequency converter tech nology ensures good X ray images due to the high accuracy of the exposure data Configuration Basic version IONTOMAT PN automatic exposure control IONTOMAT PN automatic exposure control for tomography Tomographic device connection Polymatic incl O point technique Programming unit for organ programs RS 232 printer connection ooo ooo vo Tube load computer Options LJ Connection for 3rd tube assembly POLYDOROS SX 65 80 5 AX63 055 621 02 01 02 of 54 Generator Overview of the controls and displays Siregraph 100 Program WARNING This x ray un
26. ermanent storage Actuate the required system selection button Multix Actuate the program button in the data menu Program the program menu appears Skull RC Cerv spine Shoulder Ribs ap lat F P aD Thoracic Thoracic Pelvis Hip spine ap spine lat Lumbar Lumbar Lum sacro spine ap spine lat junction Femur Knee Ankle Foot joint Humerus Elbow Wrist Hand DATA pa oblique Press the key symbol button oO the key appears inverted the program menu for programming mode is displayed Select an organ program Cerv spine bli the button appears inverted oblique Vertix EDIT Please select program press lt DATA gt to change exposure parameters or press lt EDIT gt to change program name Skull RC Cerv spine Shoulder Ribs o ap lat F P oblique Thoracic Thoracic Pelvis Hip spine ap spine lat Lumbar Lumbar Lum sacro spine ap spine lat junction Femur Knee Ankle Foot joint Humerus Elbow Wrist Hand DATA pa obligue Note in the message line Please select program press lt DATA gt to change exposure parameters or press lt EDIT gt to change program name 48 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Actuate the data button DATA the data menu for programming mode appears Ea pia Please
27. es in the display are flash data ing POLYDOROS SX 65 80 35 AX63 055 621 02 01 02 of 54 36 of 54 Selection Deselection Exposure data to be set Select 2 point technigue T Setting the kV and mAs value D Exposure cut off by the mAs counter Vertix Multix INFO Ll 77 81 kv 2 1 2 12 50 emas Pas 1 U D ms 0 O40 000 au Program Actuate the mAs button With organ program Select an organ program with 2 point technique Press Generator a button for film screen combination 1 point technique is selected or a measuring field dominant button 1 point technique is selected or the ms button 3 point technique is selected With organ program Select an organ program without 2 point technique 1 The following exposure data can be set kV value mAs value Focal spot Tube load Patient transparency in program technique organ program Operating Instructions AX63 055 621 02 01 02 Generator Select 3 point technique T Setting the kV mAs and ms value D Exposure cut off by the mAs counter Multix Vertix INFO 77 oar 81 kw 2 1 Da 50 mas 1 u D 285 ms T aa Program
28. f the exposure release button immediately after the exposure Li The above instructions should be observed especially at workstations with high patient throughput accident stations to counteract premature wear of the X ray tube assembly POLYDOROS SX 65 80 27 AX63 055 621 02 01 02 of 54 Generator Automatic exposure system O point technique General D 0 point technique presupposes fluoroscopy it is therefore expedient only for spotfilming LI The following exposure parameters are determined and set automatically for direct and indirect technique Direct technique Indirect technique Exposure kV Exposure kV Exposure mA Exposure mA Focal spot Programmed characteristic curves 1 Several characteristic curves which you can program depending on the sys tem configuration are available to you for the exposure 1 Programmed characteristic curves in the curve stock No Type of curve Voltage C1 Plateau whole EP 40 0 kV C2 Plateau whole EP 41 0 kV C3 Plateau whole EP 42 0 kV C4 Plateau whole EP 44 0 kV C5 Plateau whole EP 46 0 kV C6 Plateau whole EP 48 0 kV C7 Plateau whole EP 50 0 kV C8 Plateau whole EP 52 0 kV C9 Plateau whole EP 55 0 kV C10 Plateau whole EP 57 0 kV C11 Plateau whole EP 60 0 kV C12 Plateau whole EP 63 0 kV C13 Plateau whole EP 66 0 kV C14 Plateau whole EP 70 0 kV C15 Plateau whole EP 73 0 kV C16 Plateau whole EP 77 0 kV C17 Plateau whole EP 81 0 kV
29. he programming mode Programming is now terminated and the edited program names are stored 52 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Line connection Nominal voltage line freguency Internal line resistance Nominal load Radio interference suppression EMC Type of protection Degree of protection Ambient conditions operation Weight POLYDOROS SK 65 80 AX63 055 621 02 01 02 Technical data All technical data show typical values if specific tolerances are not stated 400 V 10 50 60 Hz three phase 440 480 V 10 50 60 Hz three phase via internal line matching transformer expansion POLYDOROS SX 65 0 15 ohms 400 V 0 18 ohms 440 V 0 22 ohms 480 V POLYDOROS SX 80 0 10 ohms 400 V 0 14 ohms 440 V 0 16 ohms 480 V at 400 V 34 6 kVA at 440 V 38 0 kVA at 480 V 41 5 kVA EN 60 601 1 2 Protective class according to IEC 601 1 IP 20 according to IEC 529 Temperature range 10 C to 40 C Rel humidity 20 to 75 not condensing Atmospheric pressure 70 kPa to 106 kPa Maximum expansion 290 kg Control console 2 5 kg Control console with base 29 5 kg 53 of 54 High voltage waveform Output Fluoroscopy Tube voltage Automatic system mAs integrator Switching time Tube assembly connection Number of workstations Automatic exposure control Tolerances 54 of 54 Generator Multipulse POLYDOROS SX 65
30. it may be dangerous to patient and operator unless safe factors and operating instructions are observed JO Generator control console General controls and displays Ol ii A Switching the system off on WARNS D Information regarding switching the system on zo pateni and bearer ie WARNING safe factors and operating y z instructions are observed This X ray unit may be dangerous to patient and operator unless safe factors and operating instructions are observed 6 Operating Instructions of 54 AX63 055 621 02 01 02 Generator D Exposure release button two stage m Symbol lights up when radiation is switched on gt Menu On the basis of the selected program or operating mode the permissible operat ing functions and operating data are indicated in menus on the control console Various menus are available depending on the program or operating mode 1 Data menu Displays and controls for radiographic parameters D Program menu Display of organ programs LI Editing menu Entry modification of organ programs Siregraph Multix Vertix INFO XY 77 Kw 81 kw 2 1 mA mAs 2 12 min 1 hu ms T gt 0 Program Example Data menu POLYDOROS SX 65 80 7 AX63 055 621 02 01 02 of 54 Generator Data menu System selection bar Message line Push button field for organ programming Siregra
31. les for normal fluoroscopy kV 110 90 Dose reduced 77 66 57 50 44 40 Operating Instructions AX63 055 621 02 01 02 Generator Characteristic curve examples for high contrast fluoroscopy kV igh Contr PS 0 1 0 2 0 5 1 0 2 0 5 0 10 20 mA Fluoroscopic time limit After a fluoroscopic time of 10 minutes fluoroscopy switches off automatically and cannot be switched on again To continue working let go of the fluoroscopy switch and actuate it again Fluoroscopic warning signal After a fluoroscopic time of max 5 minutes an acoustic signal sounds By pressing the button the acoustic signal is switched off fay The time for the acoustic signal can be reset at any time TAt the wish of the customer this parameter can be changed by SIEMENS Uptime Service in accordance with country specific regulations 2Can be configured from 1 to 5 minutes by SIEMENS Uptime Service POLYDOROS SX 65 80 25 AX63 055 621 02 01 02 of 54 Generator Exposure technique Selecting the system unit Select the required system unit Siregraph e g Siregraph Exposure release You can release the exposure independent of the system configuration either with the release button on the generator control console or by the system oper ation Check the selected exposure data on the generator control console before every radiation release
32. on the unit The tomographic symbol lights up on the generator Deselect the tomographic program on the unit D Density compensation m Measuring fields dominants Operating Instructions AX63 055 621 02 01 02 Generator Selection Deselection Exposure data to be set POLYDOROS SK 65 80 AX63 055 621 02 01 02 Select DSA constant time D Setting a constant exposure time D Exposure cut off by the timer Siregraph Multix Vertix INFO 81 Cerv spine me ca kV Select DR technique on the unit and an organ program with DSA constant time technique Select an organ program without DSA constant time technique LI Density compensation T Measuring fields dominants 45 of 54 Generator Organ programs D A certain number of organ programs has been stored during the initial start up of your system D As a maximum 25 organ programs per unit or in units with digital image sys tem 50 organ programs can be generated and stored 1 For DR tomography tomography and Peristepping Perivision 25 organ pro grams can additionally be generated and stored in each case Q At any time you can tailor these organ programs to your personal needs or generate and store new organ program If desired this can also be done by the SIEMENS Uptime Service Selecting an organ program Actu
33. ph Muttix Vertix nro lo z Fa 81 kv 50 mas mAs 280 ms ms O re S000 DD OON Del e0 oc m M olla ap E g Prooam System selection bar Siregraph INFO Message line of 54 Fluoroscopic Operating mode and Radiographic data field IONTOMAT data field data field LI System selection 4 Button for displaying the load data of the selected X ray tube D Displays messages warnings and buttons with specific functions Operating Instructions AX63 055 621 02 01 02 Generator Push button field for organ programming lo KI B ENLI CARD a Cerv spine oblique Remote Program POLYDOROS SX 65 80 AX63 055 621 02 01 02 LI Indicates 0 point technique selected deselected D Selection of the patient transparency only with selected organ program five alternatives are available very thin thin normal obese very obese LJ Indicates remote service LI Indicates the selected organ program or L indicates the selected remote program 1 Switches over to the program menu of 54 Fluoroscopic data field N KOA 77kV OY 2 1mA U 2 12min 0 1 hu UO cGy cem OU j m gt Operating mode and IONTOMAT data field Generator Fluoroscopic data field symbol Indicates the fluoroscopic kV values Indicates the fluoroscopic mA values Indicates the fluoroscopic time Indica
34. r Siregraph EDIT Message line Program field Cerv spine obligue Memory field Heh a 1 O gt z gt POLYDOROS SX 65 80 AX63 055 621 02 01 02 Program menu Siregraph Multix Vertix EDIT Ba Ba Ba Small Swallow Meal Enema Bowel Venogram Arthro ERCP Myelo gram gram Trachea Chest Ribs Cerv spine spotfilm spotfilm spotfilm oblique Abdomen general Sacro iliac Shoulder joint Program field Memory field System selection e g Siregraph Selects the editing display field Displays information on operation Selects the organ program Enables programming Switches over to the 1st or 2nd program menu page depending on unit Switches over to the data menu 13 of 54 of 54 Cerv spine oblique E RETURN Memory op U gt O m g 7 t Editing menu Generator Cerv spine oblique E f ae CONTE Eee NN 0 1 2 3 4 5 6 7 8 9 Q W E R T Y U O P lt A S D F G H J K L RETURN HIFT Z X C V B N M LJ Program name field For entry of the program name J Backspace key Erases characters LJ RETURN key Starts anew line 3 SHIFT key Shifts from lower case to upper case characters D SPACE key Inserts a blank LJ Memory button Saves the program name
35. sure data JU The following exposure data can be set to be set kV value mAs value ms value Focal spot Tube load Measuring fields dominants Film screen combination Film density compensation Patient transparency in program technique organ program Display of exposure After the end of the exposure the mAs and ms values in the display are flash data ing 38 of 54 Operating Instructions AX63 055 621 02 01 02 Generator Select mAs tomography T Setting the kV mAs values and the tomographic time D Exposure cut off by the mAs counter Siregraph Multix Vertix INFO Gy 77 w 81 kw 2 1 mA 2 12 min RO EE AE 1 hu 1 2 E i 0 Program Selection Select a tomographic program on the unit the tomography symbol lights up on the generator control console Deselection Deselect the tomographic program on the unit or Press a button for film screen combination Plani lONTOMAT is selected or a measuring field dominant button Plani lONTOMAT is selected or the IONTOMAT button Plani lONTOMAT with mAs preselection is selected Exposure data J The following exposure data can be set to be set kV value mAs value Focal spot Tube load Patient transparency in program technique organ program POLYDOR
36. switch the generator off If the error message is still displayed then there is an error in the generator Please call the SIEMENS Uptime Service Exceeding the limit values When reaching the time limit or the mAs limit an audible signal comes on and the limit button appears in the message line Then the release of an exposure is no longer possible To continue the examination Actuate this button LIMIT and the disable status of the generator is revoked 18 Operating Instructions of 54 AX63 055 621 02 01 02 Generator Tube load computer General The tube load computer protects the connected X ray tube assembly from over loading in radiographic mode From the selected exposure factors and from the physical and geometrical prop erties of the tube assembly it computes the length of the cooldown time that may be necessary Furthermore the tube load computer stores all important operating data of the respective X ray tube assembly The current load hu is constantly displayed Pause time indication The cooldown time indicated in the message line must be observed to prevent overloading the tube assembly The next exposure must not be released before this time has elapsed LJ X ray tube assembly with no load No cooldown time required You may release the preset exposure up to 100 tube load J X ray tube assembly with little load No cooldown time required and automatic switching to 80 tube load You
37. t technique LI Density compensation 3 Measuring fields dominants D After the end of the exposure the mAs and ms values in the display are flash ing Operating Instructions AX63 055 621 02 01 02 Generator Selection Deselection Exposure data to be set Display of exposure data Select DR 1 point technique T Setting the kV value D Exposure cut off by the automatic exposure control Siregraph Multix Vertix INFO Gy 77 w 2 1 mA 2 12 min 1 hu 81 kv Cerv spine oblique Program Select DR technique on the unit and an organ program with DR 1 point tech nique Select an organ program without DR 1 point technique ing D Density compensation D Measuring fields dominants D After the end of the exposure the mAs and ms values in the display are flash POLYDOROS SX 65 80 AX63 055 621 02 01 02 43 of 54 44 of 54 Selection Deselection Exposure data to be set Generator Select DR tomography with Plani IONTOMAT T Setting the kV value and the tomographic time D Exposure cut off by the timer Siregraph Multix Vertix INFO 2 12 81 kv Cerv spine oblique Program Select DR technique and a tomographic program
38. tes the tube load Indicates the dose area product optional Resets the fluoroscopic warning signal Resets the fluoroscopic data time kV mA and the dose area product cGy cm m Symbols indicate that fluc direct radiographic mode is active or po indirect radiography is active Z LJ Indicates that tomographic mode is active ms A Selects the IONTOMAT with 3 point technique 10 of 54 Operating Instructions AX63 055 621 02 01 02 Generator 2 4 Ji IEEE POLYDOROS SX 65 80 AX63 055 621 02 01 02 LI Indicates the density compensation LI Adjusts the density compensation 4 exposure points Active only with IONTOMAT selected T Selects the film screen combination H high sensitivity U medium sensitivity D low sensitivity high detail resolution 9 Selects the measuring field dominant left center right circular 11 of 54 Radiographic data field 12 of 54 81 kV Ji 50 mAs Ji mAs 280 ms Bey 100 m J Indicates the tube voltage Adjusts the kV value Indicates post indicates the mAs value Adjusts the mAs value Changes the exposure technique Indicates post indicates the mAs value Adjusts the mAs value Changes the exposure technique Selects 80 100 tube load Selects small large focal spot Generator Operating Instructions AX63 055 621 02 01 02 Generator System selection bar Message line System selection ba
39. the fol lowing In the case of danger for patients operators or unit immediately press the button for emergency shutdown The entire system is thus disconnected from voltage and all movements are interrupted The emergency shutdown button may be enabled again only if the cause of dan ger has been clearly detected and removed In all other cases the SIEMENS Up time Service must be notified Emergency power supply When the system is operated with a stand by generator only analog fluoroscopy is possible Pulsed fluoroscopy high contrast fluoroscopy and any radiographic operating mode are not possible The following appears in the message line Emergency power supply active 17 of 54 Generator Radiation disable function To prevent accidental release of radiation e g during cleaning the radiation can be disabled by means of an external switch installed on site X ray disabled active appears in the message line Messages General error messages Each time the generator is switched on an automatic check of all important func tions is made test routine The generator is constantly monitored during radiographic operation Upon detection of a fault the generator is disabled and a corresponding error message appears in the message line and is saved in the memory You can cancel the disable status as follows briefly press the exposure release button up to the 1st pressure point or briefly
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