9800CARM
9800CARM
Mobile C-Arm
Operator's Guide
Part Number 00-880734-01
801/328-9300
Contents
© May, 1998
CAUTION!
Federal law restricts this device to sale by,
or on the order of, a physician.
Page ii
Contents
Table of Contents
Introduction and Safety .............................................. 1-1
Overview ......................................................................................................................... 1-1
Owner Responsibilities ................................................................................................... 1-2
System Compatibility .............................................................................................. 1-2
Operator Qualifications ........................................................................................... 1-2
Continued Compliance ............................................................................................ 1-3
Unauthorized Modifications .................................................................................... 1-3
OEC Medical Systems, Inc. Responsibilities ................................................................. 1-4
System Certification ................................................................................................ 1-4
X-ray Source Assembly Certification ...................................................................... 1-4
After-sale Operating and Safety Practices .............................................................. 1-4
Communication Center Telephone Numbers ................................................................. 1-5
Safety Hazards ................................................................................................................ 1-6
Burns ........................................................................................................................ 1-7
Non-anesthetic Proof (Explosion) ........................................................................... 1-8
Collision ................................................................................................................... 1-9
Motorized Mechanical Movement ........................................................................ 1-10
Improperly Installed Film Cassette Holder ........................................................... 1-10
Incorrect Film Cassette Size .................................................................................. 1-10
Electrical Shock ..................................................................................................... 1-11
Electrical Fire ......................................................................................................... 1-12
Radiation Exposure ................................................................................................ 1-13
General Protection .......................................................................................... 1-13
Source-to-Skin Distance ................................................................................. 1-14
Ingress of Fluids ..................................................................................................... 1-15
X-ray Tube Cooling Kit Option Vents ............................................................ 1-15
Equipment Malfunction ......................................................................................... 1-16
External Devices .................................................................................................... 1-16
Patient Environment .............................................................................................. 1-17
Page iii
Contents
Start-up
and Storage ........................................................... 2-1
Overview ......................................................................................................................... 2-1
Power ON ........................................................................................................................ 2-2
Draping ............................................................................................................................ 2-6
Draping the X-ray Tube Cooling Kit Option .......................................................... 2-6
Standby or Power OFF .................................................................................................... 2-7
Standby ..................................................................................................................... 2-7
Power OFF ............................................................................................................... 2-7
Storing the C-Arm ........................................................................................................... 2-8
Temporary Storage (less than 60 days) ................................................................... 2-8
Long Term Storage or Shipment (60 days or more) ............................................... 2-8
Page iv
Contents
Mechanical
Positioning ............................................................. 4-1
Overview ......................................................................................................................... 4-1
C-arm Identification ........................................................................................................ 4-2
Component Identification ............................................................................................... 4-3
C-arms with 9 or 12-inch Image Intensifiers .......................................................... 4-3
Super C-arms ............................................................................................................ 4-5
Positioning ....................................................................................................................... 4-6
C-arm Orbital Rotation ............................................................................................ 4-7
C-arm Orbital Rotation Brake ................................................................................. 4-8
Super C-arm Orbital Rotation ................................................................................. 4-9
Super C-arm Orbital Rotation Brake ..................................................................... 4-10
Flip-Flop Rotation .................................................................................................. 4-11
Flip-Flop Rotation Brake ....................................................................................... 4-12
L-arm Rotation ....................................................................................................... 4-13
L-arm Brake ........................................................................................................... 4-14
Super C-arm Radial Rotation ................................................................................ 4-15
Super C-arm Radial Rotation Brake ...................................................................... 4-16
Vertical Column Operation .................................................................................... 4-17
Vertical Column Switches ..................................................................................... 4-18
Horizontal Cross-arm ............................................................................................. 4-19
Horizontal Cross-arm Brake .................................................................................. 4-20
Wig-Wag ................................................................................................................ 4-21
Wig-Wag Brake ...................................................................................................... 4-22
Mobile C-Arm Wheel Brakes ................................................................................ 4-23
Mobile C-Arm Steering Handle ............................................................................ 4-24
Moving the C-Arm ........................................................................................................ 4-25
Page v
Contents
Radiographic Film
Mode ....................................................................... 5-1
Overview ......................................................................................................................... 5-1
Setup and Making a Film Exposure ............................................................................... 5-2
Prearming for Film Exposure ......................................................................................... 5-6
Page vi
Contents
Page vii
Contents
Page viii
Chapter 1
Overview
This guide describes 9800 Mobile C-Arm operation only. It is intended
for qualified medical personnel who have been trained in the use of
X-ray equipment. It is not designed to replace or substitute for certified
training in the radiological or medical field.
Page 1-1
Introduction and Safety
Owner Responsibilities
The owner has the responsibility to ensure system compatibility,
operator qualifications and the continued compliance of equipment and
operating specifications. Systems should only be used in designated use
areas with approved AC receptacles. Unauthorized changes or
modifications to any part of the system could have hazardous
consequences. Changes or modifications must not be made unless
specifically authorized by OEC Medical Systems, Inc.
System Compatibility
The Series 9800 Mobile C-Arm should only be used in conjunction with
a 1k x 1k WorkStation. The 9800 C-Arm is not compatible with
WorkStations sold as part of a 9600 system. Damage may result to the
system if incompatible components are connected.
Operator Qualifications
It is the responsibility of the owner to ensure that the system is operated
only by properly trained, qualified personnel who have obtained
credentials from the appropriate authorities.
Page 1-2
Introduction and Safety
Continued Compliance
The owner is responsible for verifying continued compliance with all
applicable regulations and standards. Consult local, state, federal and/or
international agencies regarding specific requirements and regulations
applicable to the use of this type of medical electronic equipment.
Unauthorized Modifications
When properly assembled with a compatible beam limiting device, the
X-ray source assembly fully meets U.S. Federal regulations and
International standards provided no components or parts are removed
from the unit and no unauthorized adjustments are made in the beam
limiting device or tube housing assembly. Never remove any part of the
housing or beam limiting device. Never adjust any part of the beam
limiting device unless directed by a qualified OEC representative.
Page 1-3
Introduction and Safety
System Certification
OEC Medical Systems, Inc. certifies that each system complies with
U.S. Federal regulations and International standards applicable to
diagnostic X-ray equipment.
Page 1-4
Introduction and Safety
Communication Center
Telephone Numbers
If the system does not operate properly or fails to respond to the controls
as described in your Operator’s Guide, call OEC Medical Systems, Inc.
to request service. The communication center's telephone numbers are
listed below:
You may also call these numbers to order disposable items such as
printer paper, and drapes. In addition you may order circuit diagrams,
component part lists, calibration instructions or other information which
will assist qualified service engineers repair the system.
Page 1-5
Introduction and Safety
Safety Hazards
Potential hazards exist in the use of medical electronic devices and
X-ray systems. Operators using the equipment should understand the
safety issues, emergency procedures, and the operating instructions
provided.
OEC Medical Systems has designated the following entity to act as the
European Union (EU) representative in matters dealing with the Medical
Devices Directive under Annexes I and II:
Page 1-6
Introduction and Safety
Burns
Continuous Fluoro exposure, over time, especially HLF or Digital
Cine, may cause the X-ray tube housing to reach temperatures
capable of inflicting burns. Do not touch the housing or place the X-
ray tube housing near patients. Warning messages are displayed on
the C-Arm's Control Panel Display regarding the X-ray tube
housing's temperature. Refer to the chapter on Display Messages for
more information.
CAUTION
Placing a hot X-ray tube housing in close proximity to human
anatomy could result in serious burns.
NOTE: When the X-ray tube housing is draped, heat will not dissipate as
efficiently.
Page 1-7
Introduction and Safety
3. Evacuate all personnel from the area and ventilate with fresh air if it
is possible to do so without operating any automated (electrically
operated) doors or windows.
Page 1-8
Introduction and Safety
Collision
The system is mounted on wheels and casters. If improperly moved,
it could roll out of control.
Page 1-9
Introduction and Safety
Observe the Vertical Column closely when operating the motor to avoid
collision with a person or object.
Use only cassette holders supplied by OEC Medical Systems, Inc. Verify
that the cassette holder is correctly installed. Refer to the chapter on
Radiographic Film Mode for instructions on installing the film cassette
holder.
Only use film cassettes that are the correct size. Refer to the chapter on
Technical Reference for film cassette dimensions.
Page 1-10
Introduction and Safety
Electrical Shock
Observe the following safety procedures to avoid electric shock or
serious injury to operators and patients and to avoid system malfunction.
WARNING
The Mobile C-Arm is not waterproof. Water, soap, or other
liquids, if allowed to drip into the equipment, can cause
electrical short circuits leading to electric shock and fire
hazards. If liquids should accidentally spill into the system,
DO NOT apply power or turn the system on until the liquids
have dried or evaporated completely.
Certain components within the system produce high voltages which can
be potentially hazardous. To avoid this hazard, only qualified service
engineers are allowed to service or repair a system.
WARNING
Electrical circuits inside the equipment use voltages which
are capable of causing serious injury or death from electric
shock. To avoid this hazard, never remove any of the cabinet
covers.
Page 1-11
Introduction and Safety
Electrical Fire
In the event of electrical fire perform the following emergency
procedure:
NOTE: Any emergency procedure developed by the owner, for the area in which
the system is used, should include these safety measures:
WARNING
The use of the wrong type of fire extinguisher presents
electrical shock and burn hazards. To avoid these hazards, a
fire extinguisher which meets applicable regulations and
standards must be available in the room where the equipment
is being used. Remember that the Mobile C-Arm's batteries
are a source of electrical current, even when the interconnect
cable is disconnected.
Page 1-12
Introduction and Safety
Radiation Exposure
General Protection
WARNING
This equipment produces ionizing radiation for medical
imaging purposes. Observe proper safety practices during
operation.
The owner must designate areas suitable for safe operation and
service of the system and ensure that it is used only in these
designated areas. It is the responsibility of the owner to ensure that
all personnel wear protective clothing and radiation monitoring
devices while using this system.
Page 1-13
Introduction and Safety
Source-to-Skin Distance
International regulations specify that the minimum source-skin
distance shall be maintained at 30 cm except for specific surgical
applications. In these applications, provisions have been made to
allow for operation at 20 cm. By removing the skin spacer from the
collimator assembly, the minimum source-skin distance is decreased
from 30 cm to 20 cm.
WARNING
This may result in increased radiation exposure to the patient.
Page 1-14
Introduction and Safety
Ingress of Fluids
Excessive amounts of fluids such as antiseptics, cleaning solutions or
bodily fluids may damage internal components if they are allowed inside
the equipment. Use drapes, if necessary, to protect the system when
performing procedures and do not apply excessive amounts of fluid
when cleaning.
Page 1-15
Introduction and Safety
Equipment Malfunction
If either the hospital or equipment circuit breakers trip, an equipment
malfunction may be indicated. Do not attempt to operate the equipment
until it has been checked by a qualified service engineer.
3. Do not operate the system until the service technician advises that it
is operating properly.
External Devices
To ensure patient safety, only connect external equipment that has been
approved by OEC Medical Systems, Inc. All equipment attached to the
external interface connections must meet the requirements of IEC
60601-1 when operated within the patient environment. When used
outside of the patient environment, each externally connected device
must comply with the relevant IEC/ISO requirements for that device. In
any case, the combination of all externally connected equipment shall
not cause the leakage current of any device used within the patient
environment to exceed the limits stated in IEC 60601-1.
Page 1-16
Introduction and Safety
Patient Environment
Within the U.S. the Patient Environment is defined by NFPA 99
and UL 2601-1:
This encloses a space within the room 6 ft. beyond the perimeter of the
bed (examination table, dental chair, treatment booth, etc.) in its intended
location, and extending vertically 7.5 ft. above the floor.
6.00 ft.
Page 1-17
Introduction and Safety
This encloses a space within the room 1.5 m beyond the perimeter of the
bed (examination table, dental chair, treatment booth, etc.) in its intended
location, and extending vertically 2.5 m above the floor.
2.5 m
1.5 m 1.5 m
1.5 m
Page 1-18
Chapter 2
Start-up
and Storage
Overview
This chapter describes:
• Applying power
• Removing power
• Storing the C-Arm
Page 2-1
Start-up and Storage
Power ON
If you are starting the system after a period of long term storage it may
be necessary to allow the system to warm up or recharge the batteries
before it can be used. The system clock will sense how long the system
has been in storage and display a message that describes the action
required. Refer to the Display Messages chapter for more information.
CAUTION
If the connector does not lock in place, unreliable system
operation may result.
Page 2-2
Start-up and Storage
CAUTION
Damage may result to the C-Arm if the interconnect cable is
inserted after the WorkStation power cord is plugged into an
AC receptacle.
Item Description
3. Handswitch connector
socket
4. Footswitch connector
socket
Page 2-3
Start-up and Storage
NOTE: Once the WorkStation's power cable has been plugged into an AC
receptacle, the battery charger indicator on the Mobile C-Arm interface
panel will illuminate indicating that the batteries are charging.
4. Turn the key switch located on the Mobile C-Arm interface panel
clockwise to enable X-rays and motorized mechanical movement.
5. Press the WorkStation's power switch. The light within the switch
will turn on indicating the power is turned ON. Both the
WorkStation and the C-Arm will begin their power up sequence.
NOTE: The C-Arm control panel will display a sequence of lighted segments
indicating that it is proceeding with the power up sequence.
Page 2-4
Start-up and Storage
The C-Arm controls will default to the following settings at Power ON:
Page 2-5
Start-up and Storage
Draping
If you are performing a procedure where draping is necessary, drape the
C-Arm using the SteriQuick draping system. The draping system can be
purchased from OEC Medical Systems by contacting your sales
representative. Use of a footswitch cover is recommended during all
medical procedures.
Draping the X-ray tube housing will inhibit air flow resulting in cooling
inefficiencies. This may result in the housing reaching its rated heat
capacity sooner. You will receive messages indicating the temperature of
the housing. When the housing reaches its maximum rated heat capacity,
X-rays will be discontinued until the housing has cooled. Refer to the
Display Messages section for more information.
Page 2-6
Start-up and Storage
Standby
1. Turn the Mobile C-Arm keyswitch to the standby position (counter-
clockwise).
NOTE: Placing the equipment in standby disables X-rays and vertical column
operation so these features will not be activated unintentionally. A
message will be visible on the control panel display indicating that the
keyswitch is in standby.
2. Turn the keyswitch back to the ON position when you are ready to
use the Mobile C-Arm.
Power OFF
1. Place the WorkStation power switch in the OFF position.
CAUTION
Do not disconnect the interconnect cable from the C-Arm
before unplugging the WorkStation from the AC receptacle.
Power is still being applied to the C-Arm batteries via the
interconnect cable.
Page 2-7
Start-up and Storage
2. Wrap the image intensifier, X-ray tube assembly, high voltage cable,
and the control panel housing with bubble wrap.
3. Pack all accessories such as cassette holders and store them with the
system.
Page 2-8
Chapter 3
Operating Controls
Overview
This chapter describes the Mobile C-Arm's operating controls. Before
you begin imaging, familiarize yourself with the following controls:
Page 3-1
Operating Controls
Item Description
1 Control panel display
2 Control panel
3 Fast Stop switches (one on each side)
4 X-ray ON switch
5 Vertical column motor switches
NOTE: Instructions for using the Vertical Column motor switches are contained
in the chapter titled Mechanical Positioning.
5
4
Page 3-2
Operating Controls
Control Panel
The Mobile C-Arm's Control Panel allows you to adjust how images are
generated and displayed. Two different panels are available: text or icon.
The keys on the Control Panel are grouped according to their function.
These groups of keys allow you to:
NORM
ALARM
MAG 1 RESET
MAG 2 mA/
kVp mAs
AUTO
ORIENTATION
SAVE MODE
WORKSTATION COLLIMATION CONTRAST GENERATOR
TEXT VERSION
mA/
kVp mAs
ICON VERSION
Figure 3-2. The Text Control Panel (top) and the Icon Control Panel (bottom).
Page 3-3
Operating Controls
Image Orientation
Use these keys to rotate or reverse the image produced while X-rays are
being generated and live video is present on the left WorkStation
monitor. Image Rotation and Image Reversal are useful for displaying
the image in any orientation that you desire.
IMAGE ROTATION
Press the left portion of the key to rotate the image counter-
clockwise or press the right portion of the key to rotate the
image clockwise.
When X-rays are OFF, pressing either side of the key will
display a graphic icon on the left monitor that indicates rotation
position and rotation stops.
The image may also be rotated while generating live X-rays.
Press the left portion of the key to rotate the image counter-
clockwise or press the right portion of the key to rotate the
image clockwise.
IMAGE REVERSAL
Page 3-4
Operating Controls
SAVE
SWAP
Page 3-5
Operating Controls
If the right monitor is blank, press the SWAP key to copy the
image on the left monitor to the right monitor.
MODE
Page 3-6
Operating Controls
FIELD SIZE
Selects the X-ray field size. Available field sizes are dependent
on the size of the tri-mode image intensifier installed: 9-inch (23
cm) or 12-inch (31 cm).
The illuminated LED indicates which field size is selected. Press
the FIELD SIZE key until the field size you want is selected.
Refer to the table below:
TEXT ICON 9-INCH II 12-INCH II
NORM 9-inch (23 cm) 12-inch (31 cm)
MAG1 6-inch (15 cm) 9-inch (23 cm)
MAG2 4-inch (11 cm) 6-inch (15 cm)
Page 3-7
Operating Controls
Collimator Control
The X-ray beam may be collimated by using either the iris collimator or
the semitransparent leaf collimator. The collimator leaves and iris can be
positioned prior to generating X-rays. Press a collimator leaf or iris key
and a graphic icon representing the position and orientation of the real
collimator leaves (two lines) or iris (circle) will be displayed on the left
monitor.
Press the key until the leaves or iris are in the position you desire and
then press any X-ray switch. An X-ray image, collimated according to
the position and orientation of the graphic icon, will be displayed on the
left monitor. This feature helps reduce exposure to X-rays while
collimating.
Press the left portion of the key to rotate the collimator leaf/
leaves counter-clockwise or the right portion to rotate the
collimator leaf/leaves clockwise.
Page 3-8
Operating Controls
Press the iris collimation key to open or close the collimator iris.
Press the top portion of the key to open the iris or the bottom
portion of the key to close the iris.
Press the collimator leaf key to open and close the semitranspar-
ent collimator leaf/leaves. Press the top portion of the key to
open the leaf/leaves or press the bottom portion of the key to
close the leaf/leaves.
Page 3-9
Operating Controls
Contrast/Brightness
Page 3-10
Operating Controls
Page 3-11
Operating Controls
Generator Control
kVp
kVp
Manually adjusts kVp and over-rides Auto Technique setting.
Press the top portion of the key to increase kVp or press the
bottom portion of the key to decrease kVp.
mA/mAs
mA/
mAs Manually adjusts mA/mAs for fluoroscopy/film respectively and
over-rides Auto Technique setting. Press the top portion of the
key to increase mA/mAs or press the bottom portion to decrease
mA/mAs.
Page 3-12
Operating Controls
PULSE PULSE
Press this key to enable pulsed imaging mode using the currently
selected pulse rate. The pulse LED lights when pulse is enabled.
Press this key again to disable pulsed imaging.
A preset number of X-ray pulses are generated each second
while the X-ray switch is pressed. Pulsed X-rays can be used to
reduce total radiation dose. Pulse mode cannot be used with
Film mode or Digital Spot mode.
Pulse rates are selected from the WorkStation's Mode screen.
Refer to your 1k x 1k WorkStation Operator's Guide for details
on pulse rate selection.
FILM FILM
Press this key to enable Film operation. The Film LED illumi-
nates when Film mode is enabled. Press the Film key again to
disable Film operation or select Auto Fluoro Mode. Refer to the
chapter on Radiographic Film Mode contained within this
Operator's Guide .
Page 3-13
Operating Controls
LOW
DOSE LOW DOSE
Press this key to select the Low Dose mode. The corresponding
LED will illuminate to indicate that Low Dose mode is selected.
Select Low Dose mode when possible to reduce the exposure
dose rate to the patient.
Press this key again to select the Standard Dose mode. The
corresponding LED will extinguish to indicate that Standard
Dose mode is selected.
Page 3-14
Operating Controls
Alarm Reset
ALARM
RESET ALARM RESET
Page 3-15
Operating Controls
Page 3-16
Operating Controls
WARNING
If pressing a Fast Stop switch fails to stop motor movement
or X-rays, place the WorkStation power switch in the OFF
position, or disconnect the power plug from the AC
receptacle.
Figure 3-3. FAST STOP switches are located on each C-Arm control panel.
Page 3-17
Operating Controls
If the Fast Stop switch has been pressed to disable unintended X-rays do
not reboot the system. Call your service representative.
Page 3-18
Operating Controls
X-ray ON Switch
The X-ray ON Switch is located on the C-Arm control panel housing.
The switch can be used to take a film exposure, generate Fluoro images
or initiate roadmapping on Vascular systems. In essence, it functions just
like the left footswitch or handswitch and it's function is dependant on
the imaging mode selected: standard fluoroscopy or vascular imaging.
Page 3-19
Operating Controls
Page 3-20
Operating Controls
Page 3-21
Operating Controls
CAUTION
Do not stretch the hand control cord further than 10 feet
(3.048 m). This may result in damage to the cord.
If the cord is damaged and touches the floor, it is a safety
hazard. Call the Communications Center for assistance.
Page 3-22
Chapter 4
Mechanical
Positioning
Overview
This chapter describes:
• C-arm identification
• Component identification
• Positioning
• Moving the C-Arm
Page 4-1
Mechanical Positioning
C-arm Identification
There are three C-arm configurations available. The standard C-arm has
a 9-inch image intensifier (II) attached. A slightly larger C-arm is used to
support a 12-inch image intensifier and the Super C-arm is visibly larger
than standard C-arms.
1 2 3
Page 4-2
Mechanical Positioning
Component Identification
C-arms with 9 or 12-inch Image
Intensifiers
Component identification is virtually identical for C-Arms with 9-inch
and 12-inch image intensifiers. Therefore only the standard C-arm with a
9-inch II is illustrated. Refer to the Technical Reference chapter for
dimensional differences.
The items listed below identify the location of components used during
setup and positioning and correspond to the circled items in the
following figure.
Page 4-3
Mechanical Positioning
3
2
4
9
1 6
7
5 8
16
10
15
14
13 12 11
Page 4-4
Mechanical Positioning
Super C-arms
The Super C-arm does not have an L-arm. The items listed below
identify only the components on a Super C-Arm that differ from 9 or 12-
inch C-Arms.
Page 4-5
Mechanical Positioning
Positioning
Positioning controls are identical for systems with standard 9-inch and
optional 12-inch image intensifiers. The Super C-arm does not have an
L-arm and radial rotation and orbital rotation operate differently than the
9 or 12-inch C-arm configurations.
Page 4-6
Mechanical Positioning
Figure 2-3. C-arm orbital rotation for 9-inch and 12-inch systems
Page 4-7
Mechanical Positioning
CAUTION
Grasp one of the C-arm positioning handles whenever you
release the brake, to prevent uncontrolled C-arm movement.
WARNING
Pinch points exist between the C-arm Support Assembly and
the C-arm. Do not place fingers or allow clothing in between
these assemblies when positioning the C-arm.
Figure 2-4. Orbital rotation brake for 9-inch and 12-inch systems in the
unlocked position.
Page 4-8
Mechanical Positioning
Page 4-9
Mechanical Positioning
Page 4-10
Mechanical Positioning
Flip-Flop Rotation
This feature provides increased versatility in positioning the X-ray tube
and image intensifier by allowing them to reverse their positions
laterally. The C-arm pivots from 0 -180° in one direction and from
0 - 90° in the opposite direction.
1. Unlock the Flip-Flop rotation brake and position the C-arm in the
desired position by rotating the C-arm around the pivot point.
0°
90°
180°
180°
Figure 2-7. Flip-flop (lateral) rotation for 9-inch and 12-inch systems.
Page 4-11
Mechanical Positioning
CAUTION
Guide the C-arm carefully with both hands until the C-arm is
in the position you want and then lock the brake.
Figure 2-8. Flip-Flop rotation brake for 9-inch and 12-inch systems.
Page 4-12
Mechanical Positioning
L-arm Rotation
The L-arm on 9 or 12-inch C-arm configurations rotates 180° in either
direction (for a total of 360°). An L-arm rotation indicator, located on the
back of the L-arm, indicates the degree of L-arm rotation.
180°
180°
Page 4-13
Mechanical Positioning
L-arm Brake
To position the L-arm:
1. Release the L-arm brake by moving the brake handle into the
position identified by the "unlock" icon.
3. Lock the L-arm brake by placing the brake handle in the position
identified by the "lock" icon.
Page 4-14
Mechanical Positioning
0°
100°
280°
180°
Page 4-15
Mechanical Positioning
Page 4-16
Mechanical Positioning
CAUTION
A possible pinch point exists between the C-arm and the tip
of the front cover. Do not place your foot on the tip of the
front cover while operating the vertical column or while
positioning the C-arm.
WARNING
When positioning the vertical column, observe the moving
assemblies to ensure the safety of patients and hospital
personnel.
Figure 2-15. Motorized vertical column switches for 9 or 12-inch systems and
Super C-arms.
Page 4-18
Mechanical Positioning
Horizontal Cross-arm
The horizontal cross-arm extends a maximum of 8 inches (20 cm).
Figure 2-16. Positioning the horizontal cross-arm for 9 or 12-inch systems and
Super C-arms.
Page 4-19
Mechanical Positioning
2. Push or pull the cross-arm to the desired position. Use the centimeter
scale located on the cross-arm as an aid in positioning.
3. Lock the cross-arm brake by placing the brake handle in the position
identified by the "lock" icon.
NOTE: The cross-arm brake may be used to apply light tension, and allow some
movement of the cross-arm, while restricting free-drift.
Figure 2-17. The horizontal cross-arm brake for 9 or 12-inch systems and Super
C-arms.
Page 4-20
Mechanical Positioning
Wig-Wag
The mechanical assemblies attached to the horizontal cross-arm can
"Wig-Wag," or move from side-to-side. The total distance traveled from
side-to-side is dependent on whether the horizontal cross-arm is extended
or retracted. The total distances traveled is listed in the following table
for each system:
1 2
Page 4-21
Mechanical Positioning
Wig-Wag Brake
1. Release the Wig-Wag Brake by placing the brake handle in the
position indicated by the "unlock" icon.
3. Lock the Wig Wag brake by placing the brake handle in the position
indicated by the "lock" icon.
Figure 2-19. The Wig-Wag brake for 9 or 12-inch systems and Super C-arms.
Page 4-22
Mechanical Positioning
Position Description
1 2 3
Figure 2-20. Mobile C-Arm brake pedal positions for 9 or 12-inch systems and
Super C-arms.
Page 4-23
Mechanical Positioning
NOTE: The rear wheels can be positioned in this manner whether the brakes are
applied or not. Mobile C-Arm steering handle operation is common to
9-inch, 12-inch and Super C-arm systems.
CAUTION
To avoid losing control of the Mobile C-Arm, always reduce
transport speed before moving the steering handle out of the
0o position.
90°
0°
90°
CAUTION
If the Wig-Wag brake is set to the extreme right, use caution
not to injure your knuckles when turning the steering handle
90° to the left.
Page 4-24
Mechanical Positioning
CAUTION
Use the handles provided on the Mobile C-Arm to position
mechanical assemblies. The handles are provided for your
safety.
4. Disconnect the interconnect cable from the C-Arm and coil and
secure the cable around the WorkStation's handle/hangers.
5. Store the footswitch on the shelf located between the two Mobile
C-Arm steering handles and store the handswitch in the holster
located on the C-Arm's left front cover.
Page 4-25
Mechanical Positioning
6. Place the C-Arm's right steering handle in the 0° position and unlock
the wheel brakes.
CAUTION
Do not move the C-Arm over inclines greater than 10°. Do not
move the C-Arm up or down stairs or steps. Do not lock the
C-Arm in place on an incline greater than 5°.
8. When you reach your destination place the C-Arm wheel brakes in
the locked position.
Page 4-26
Mechanical Positioning
Figure 2-21. Moving the Mobile C-Arm (standard 9-inch system shown).
Page 4-27
Mechanical Positioning
Page 4-28
Chapter 5
Radiographic Film
Mode
Overview
Use Film mode to produce radiographic films. The Film Cassette
holder described in this section is available as an option and should
be used if you use Film mode.
Page 5-1
Radiographic Film Mode
NOTE: Once Film mode has been selected, the field size and collimator settings
are locked. If further adjustments are required, you must first reenter
FLUORO mode.
2. Place the cassette holder over the face of the image intensifier with
the handle opened out.
Page 5-2
Radiographic Film Mode
WARNING
Verify that the cassette holder is securely attached to the
image intensifier. Unsecured cassette holders may fall,
injuring patients or personnel.
4. Insert a film cassette into the cassette holder and center it.
NOTE: The cassette holder uses friction to hold the cassette. Refer to the
Technical Reference chapter for film cassette sizes.
WARNING
Verify that the cassette is held securely within the cassette
holder. Unsecured film cassettes may fall, injuring patients or
personnel.
Page 5-3
Radiographic Film Mode
NOTE: There is a 2-second delay after the switch is pressed while the rotating
anode accelerates and the filament is heated. The beginning of the
exposure is signaled by a beep. The end of the exposure is signaled by
three quick beeps.
7. Release the X-ray switch at the end of the exposure (when you hear
three quick beeps).
8. Remove the film cassette by pushing the cassette out of the cassette
holder.
Page 5-4
Radiographic Film Mode
NOTE: The cassette holder is designed to snugly attach to the image intensifier
lip when the handle is engaged. It may be necessary to strike the
cassette holder with the palm of your hand to dislodge the cassette
holder from the image intensifier.
Page 5-5
Radiographic Film Mode
2. Press any X-ray switch and release before the 2-second delay
expires.
3. When you are ready to make the exposure, press the X-ray switch
again.
Page 5-6
Chapter 6
Maintenance
Overview
This section describes routine performance checks that you can perform
to ensure that the system is operating correctly. The performance checks
listed are not intended to substitute for scheduled periodic maintenance.
If problems are found during these checks, contact a qualified service
engineer to troubleshoot and repair the system.
Page 6-1
Maintenance
WARNING
Circuits inside the equipment use voltages which are capable
of causing serious injury or death from electrical shock. Do
not remove the covers or perform any type of service task,
except as specifically instructed here.
Move the system into a safe operating area prior to beginning these
checks and observe all radiation safety precautions. The performance
checks should be performed as often as equipment use and
circumstances warrant. Extensive use warrants increasing the frequency
of performance checks. In addition circumstances such as accidents
during transport or exposure to excessive fluids may warrant that
performance checks be performed to verify operation of the equipment.
Page 6-2
Maintenance
Performance Checks
Mechanical Performance Check
1. Check the Wig-Wag brake operation. Check Wig-Wag for ease of
movement (side to side swing) without excessive play.
3. Check the Flip-Flop brake operation. Check the Flip Flop for ease of
movement without excessive play.
7. Check for proper operation of the steering handle and control of the
rear wheels. Check for ease of movement without excessive play.
Page 6-3
Maintenance
2. Inspect the footswitch and hand control cables for signs of wear and
abrasion.
Page 6-4
Maintenance
1. Press and hold one of the Vertical Column control switches and
while motion is occurring press either Fast Stop switch.
2. Verify that mechanical motion stops and a message stating that Fast
Stop has been activated appears on the C-Arm's Control Panel
display.
3. Press any X-ray switch and verify that X-rays are disabled.
NOTE: Images and annotations will be lost when the system is restarted unless
you have saved them. If you have saved images you can access them
through the WorkStation's Image Directory function.
Page 6-5
Maintenance
1. Position the C-arm so that the X-ray head is directly above the image
intensifier.
2. Place a suitable test object on the face of the image intensifier tube.
3. Verify that AUTO mode is selected. The LED next to the AUTO
button (Generator grouping) on the C-Arm Control Panel will be
illuminated.
Page 6-6
Maintenance
1. Select FILM mode and enter the technique: 60 kVp @ 2.5 mAs.
2. Install the film cassette holder on the image intensifier and load a
film cassette.
Page 6-7
Maintenance
Cleaning
Make sure the system is turned off and unplugged before cleaning. Clean
the covers and panels periodically with a damp cloth. Use a mild
detergent, if necessary, to remove scuffs and stains. Do not use any
solvents which may damage or discolor paint finishes or plastic
components.
CAUTION
The C-Arm is not waterproof. Be careful not to spill or splash
liquids where they can enter electronic assemblies.
Page 6-8
Maintenance
Periodic Maintenance
Periodic maintenance should be performed by an OEC Medical Systems,
Inc. field service engineer or staff that have been trained by OEC.
Periodic maintenance should be performed on a semiannual basis.
Periodic maintenance and service includes the following:
Page 6-9
Maintenance
Page 6-10
Chapter 7
Display Messages
Overview
This chapter describes messages that appear on the C-Arm control panel
during system operation. The messages are listed in alphabetical order.
Messages may indicate any of the following:
• Status messages
• Error messages
• Warning messages
Page 7-1
Display Messages
1. Some messages require that you press a control panel key on the C-
Arm to resume system operation. If this fails to restore system
operation, then proceed with step 2.
3. Turn the power switch OFF and call for service. Refer to the
Introduction and Safety chapter for communication center telephone
numbers. Do not continue using the system.
WARNING
Ignoring error and warning messages may result in
equipment damage and personal injury.
Page 7-2
Display Messages
Messages
4 HOUR WARM-UP REQUIRED - PRESS ANY KEY If the
system has been stored for more than 60 days, a warm-up period is
necessary for ion removal from the image intensifier tube. Leave the
system ON with no operation for 4 hours. Press any C-Arm control panel
key to continue.
WARNING
When the ANODE IS HOT - XX% message displays,
personnel should avoid bodily contact with the X-ray tube.
Do not allow the X-ray tube housing to contact the patient.
Page 7-3
Display Messages
WARNING
When the ANODE IS WARM - XX% message displays
personnel should prevent all bodily contact with the X-ray
tube.
Page 7-4
Display Messages
If the failure occurs during operation the message will alternate with the
technique displayed on the control panel. Continued use will result in
system failure. Call your service representative as soon as possible.
Page 7-5
Display Messages
COL IRIS TOO LARGE The collimator iris is larger than the control
panel indicates. This message will alternate with the technique displayed
on the control panel display.
CAUTION
Continuing system operation when the COL IRIS TOO LARGE
message is displayed may result in over exposing the patient
due to a larger than indicated field size. Complete the current
procedure if necessary, then call for service.
Page 7-6
Display Messages
If you did not press a FAST STOP button and this message is displayed
a hardware or software fault has occurred. Perform the error recovery
steps described at the beginning of this chapter.
WARNING
If the procedure is continued when the FILAMENT CAL
REQUIRED message is displayed, the patient may receive a
higher dose than that indicated. Press any
C-Arm control panel key to continue with the procedure if
necessary, then call for service.
Page 7-7
Display Messages
WARNING
If the procedure is continued when the FILAMENT REG
FAILURE message is displayed, the patient may receive a
higher dose than that indicated. Press any
C-Arm control panel key to continue with the procedure if
necessary, then call for service.
Page 7-8
Display Messages
CAUTION
Continued use without cooling may damage the X-ray tube.
Although fluoroscopy is not prevented, you should wait for
the tube to cool before making another exposure.
WARNING
When the HOUSING IS HOT - XX% message displays,
personnel should avoid bodily contact with the X-ray tube
housing. Do not allow the X-ray tube housing to contact the
patient.
CAUTION
When the HOUSING OVERHEATED message appears, the
X-ray tube housing is extremely hot and must be allowed to
cool before taking more exposures.
Page 7-9
Display Messages
WARNING
When the HOUSING WARM - XX% message displays,
personnel should avoid bodily contact with the X-ray tube.
Do not allow the X-ray tube housing to contact the patient.
Page 7-10
Display Messages
WARNING
In the event of uncommanded vertical column movement,
immediately move the Mobile C-Arm out of the patient
environment until the problem has been corrected.
Page 7-11
Display Messages
Page 7-12
Display Messages
STATOR NOT ON The X-ray tube stator is not on, and the tube’s
anode cannot rotate. The system will not operate with this error. Perform
the error recovery steps described at the beginning of this chapter.
Page 7-13
Display Messages
WARNING
Continuing with the procedure when the WARNING, HIGH KV
message has been displayed may subject the patient to a
higher dose than that indicated. Press any C-Arm control
panel key to continue with the procedure.
WARNING
Continuing with the procedure when the WARNING, HIGH MA
message has been displayed may subject the patient to a
higher dose than that indicated. Press any C-Arm control
panel key to continue with the procedure.
Page 7-14
Display Messages
WARNING
When the X-RAY OVERTIME message is displayed the
patient may have received a higher dose than expected and
continued film exposures may result in a higher than
expected dose and longer exposure times.
Page 7-15
Display Messages
Page 7-16
Chapter 8
Overview
This chapter describes labels and symbols that are located on your
Mobile C-Arm and that are not described elsewhere.
Page 8-1
Labels and Symbols
Labels
The system has been tested and certified
by the German testing and certification
institute Verband Deutscher
Elektrotechniker (VDE).
Page 8-2
Labels and Symbols
Serial No.
V
•
A
Type B Hz
Page 8-3
Labels and Symbols
Symbols
Indicates the Equipotential terminal on
the Mobile C-Arm. This terminal allows
connection between Mobile C-Arm and
the equipotential bus bar of the facility.
Page 8-4
Labels and Symbols
Type B equipment
Alternating Current
Ionizing radiation
Page 8-5
Labels and Symbols
Page 8-6
Chapter 9
Technical Reference
Overview
The policy of OEC Medical Systems, Inc. is one of continual product
development and improvement. For this reason, OEC Medical Systems,
Inc. reserves the right to change the operating characteristics and
specifications of newer products at any time, without prior notice, and
without incurring any obligation relating to previously manufactured
items.
Page 9-1
Technical Reference
Classification Type
Class I Equipment (as defined by IEC 60601-1)
Type B protection against electric shock
Ordinary protection against ingress of water
Non AP (Non-anesthetic proof)
Continuous Operation (Refer to the fluoroscopic and film mode duty
cycle specification contained in Generator Operating Parameters.)
Electromagnetic Compatibility
Statement
This equipment generates and uses radio frequency energy and must be
installed and used according to the manufacturer’s instructions in order to
avoid receiving radio frequency interference. If this equipment generates
or receives interference do the following to correct the problem:
NOTE: All cables that are used to connect to the D-Sub connector I/O ports of
the WorkStation must be shielded cables or cables supplied by OEC
Medical Systems, Inc.
Page 9-2
Technical Reference
Optional Equipment
The following accessories have been tested with, and are known to work
with the 9800 Mobile C-Arm. Call the communication center to order
optional equipment. Refer to the Introduction and Safety chapter to
obtain the communication centers telephone number:
Replacement Items
The following replacement items can be ordered by calling the
communication center. Refer to the Introduction and Safety chapter to
obtain the communication centers telephone number.
• Film/Paper
• Sterile drapes and covers
Page 9-3
Technical Reference
Environmental Requirements
Ambient Operating: 50o to 95o F (+10o to +35o C)
Temperature
Page 9-4
Technical Reference
Page 9-5
Technical Reference
Page 9-6
Technical Reference
Collimation
Fluoroscopy Nominal diameter circle for 9/6/4-inch II
system:
9-inch (23 cm)
6-inch (15 cm)
4.5-inch (11 cm)
Page 9-7
Technical Reference
Page 9-8
Technical Reference
175
150
TUBE CURRENT (mA)
125
60kV
100
80kV
90kV
75
100kV
110kV
125kV
50
25
0
.01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10
MAXIMUM EXPOSURE TIME IN SECONDS
400
350
60kV
300
TUBE CURRENT (mA)
250
80kV
90kV
200 100kV
110kV
150 125kV
100
50
0
.01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10
MAXIMUM EXPOSURE TIME IN SECONDS
Page 9-9
Technical Reference
175
TUBE CURRENT (mA)
150
60kV
125
100 80kV
90kV
100kV
75 110kV
125kV
50
25
0
.01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10
MAXIMUM EXPOSURE TIME IN SECONDS
400
TUBE CURRENT (mA)
60kV
300
80kV
90kV
200 100kV
110kV
125kV
100
0
.01 .02 .03 .05 .1 .2 .3 .5 1 2 3 5 10
Page 9-10
Technical Reference
Thermal Characteristics
JOULES H.U.
212 300
1150 H.U. / SEC. (813W) 1000 H.U. / SEC. (707W)
800 H.U. / SEC. (585W)
800 H.U. / SEC. (424W)
177 250
141 200
STORAGE X 1,000
106 150
71 100
COOLING
35 50
0 0
0 3 6 9 12 15 18 21 24 27 30
TIME (MINUTES)
Page 9-11
Technical Reference
Generator Specifications
The following information is provided in accordance with IEC 60601-2-
7 (1998).
Page 9-12
Technical Reference
Page 9-13
Technical Reference
mA - The time average of the current flow into the high voltage cable/
X-ray tube assembly, beginning at the point where kVp crosses the 35
kVp level.
Time - Measurement of exposure time begins when the kVp crosses the
35 kVp level (80% of kVp selected).
Page 9-14
Technical Reference
Radiographic mA
As a Function of kV and mAs
The radiographic mA tables on these pages list the mA and spot size that
will be used by the system to obtain the desired mAs (mA x time)
product during a film exposure.
* In 0.3 mm mode (< 100 mAs) the minimum exposure length is 200
mS. Low mAs selections, mAs values smaller than "used mA"
divided by 5, will result in lower mA than is shown in the table. The
mA value can be calculated by multiplying the mAs value by 5.
Page 9-15
Technical Reference
Page 9-16
Technical Reference
Page 9-17
Technical Reference
Page 9-18
Technical Reference
Dimensions
Mobile C-Arm (9-inch II)
1000 mm 39.4 in. 442 mm
17.4 in.
38 inches
965 mm
508 mm
20 in.
33 inches
838 mm
Page 9-19
Technical Reference
838.2 mm
33 inches
55°
Page 9-20
Technical Reference
Super C-arm
33 inches
838 mm
498 mm 19.6 inches extended
427 mm 16.8 inches retracted
55°
3°
Page 9-21
Technical Reference
Page 9-22
Technical Reference
Shell Diala R Oil Ax (Oil MSDS No. 60030-5) - Shell, Inc., Product
Safety and Compliance, P.O. Box 4320, Houston, TX 77210, (713) 473-
9461
Sealed Lead Acid Battery - Hawker Energy Products, Inc., 1050 South
Broadway, P.O. Box 5887, Denver, CO., 80217, (303) 744-4806
Page 9-23
Technical Reference
Page 9-24
Index
L-arm 4-14
Index Mobile C-Arm Wheel 4-23
Super C-arm Orbital Rotation 4-10
Super C-arm Radial Rotation 4-16
Wig-Wag 4-22
Symbols Burns
Hot X-ray Tube 1-7
1k x 1k WorkStation 2-2 Ruptured X-ray Tube Bladder 1-7
A C
Accumulated exposure time 3-15 C-Arm component identification 4-3
After-sale Operating and Safety C-arm Identification 4-2
Practices 1-4 C-arm with 12-inch II 4-2
Alarm Reset C-arm with 9-inch II 4-2
Accumulated exposure time 3-15 Super C-arm 4-2
Systems outside the U.S. 3-16 C-arm Orbital Rotation 4-7
Systems within the U.S. 3-15 C-arm Orbital Rotation Brake 4-8
Alternating Current symbol 8-5 C-arms with 9/12-inch Image Intensifi-
Altitude ers 4-3
Operating 9-4 Canadian Standards Association Label
Storage and Transportation 9-4 8-2
Ambient Temperature Cassette holder 5-2
Operating 9-4 Certification
Attention symbol 8-4 System 1-4
Auto Contrast/Brightness 3-11 X-ray source assembly 1-4
Auto Fluoro 9-17 Classification type 9-2
Auto Technique 3-12 Cleaning 6-8
Collimation
B Fluoroscopy 9-7
Batteries 9-3 Radiography 9-7
Battery charger indicator 2-3 Collimator leaf rotation 3-8
Boot-up. See Power ON Collimator Operation 3-8
Brakes Iris open/close 3-9
C-arm Orbital Rotation 4-8 Leaf open/close 3-9
Flip-Flop Rotation 4-12 Leaf rotation 3-8
Horizontal Cross-arm 4-20
Page i
Index
Page ii
Index
E G
Electrical shock 1-11 Generator 3-12
Electromagnetic Compatibility State- Auto Technique 3-12
ment 9-4 Film 3-13
Equipotentiality symbol 8-4 kVp 3-12
Error messages. See Display Messages Low Dose 3-14
Explosion hazard 1-8 MA/mAs 3-12
Pulse 3-13
F Generator Operating Parameters
Fast Stop 3-17 Focal Spot 9-13
Fast Stop switch symbol 8-6 kVp Accuracy 9-13
Federal standards and regulations label Linearity 9-13
8-2 mA Accurancy 9-13
Field Size 3-7 mAs Accuracy 9-13
MAG1 3-7 Reproducibility 9-13
MAG2 3-7 Type 9-13
NORM 3-7 Generator Specifications
Film 3-13, 9-3 Maximum mA @ Nominal kVp 9-12
Film cassette 5-3 Maximum Output Power 9-12
Film Cassette Holder Nominal Output Power 9-12
improperly installed 1-10 Reference mAs @ 50% of Nominal
Film Mode 5-1 Output Power 9-12
film cassette 5-3 H
Making a Film Exposure 5-2
Prearming for Film Exposure 5-6 Hand Control 3-20
Setup 5-2 High Level Fluoro 3-21
Film Mode Performance Check 6-7 Roadmap 3-21
Flip-Flop Rotation 4-11 Subtraction 3-21
Flip-Flop Rotation Brake 4-12 Hand control connector 2-3
Fluoro Mode Performance Check 6-6 Handswitch. See Hand Control
Focal Spot (0.3 mm) 9-17 Hazard
Focal Spot (0.6 mm) 9-18 Collision 1-9
Footswitch 3-20 Electrical Fire 1-12
High Level Fluoro 3-21 Electrical Shock 1-11
Mode 3-21 Equipment Malfunction 1-15
Roadmap 3-21 External Devices 1-16
Subtraction 3-21
Footswitch connector 2-3
Page iii
Index
Page iv
Index
Page v
Index
Page vi
Index
X
X-ray ON Switch 6-5
X-ray source assembly
Anode Heat Storage Capacity 9-6
Anode Maximum Cooling Rate 9-6
Filtration 9-6
Focal Spot 9-5
Housing Cooling Rate 9-6
Housing Heat Storage Capacity 9-6
Leakage Technique Factors 9-6
Max Symmetrical Radiation Field 9-
6
Target Angle 9-5
Target Measurement 9-5
Type 9-5
X-ray Source Assembly Certification 1-
4
X-ray tube focal spot symbol 8-6
Page vii
Index
Page viii