om 2297164–100 Rev 9

Revision 9

Precision 500D R&F System Operator Manual

Copyright © 2003-2009 By General Electric Co.

om 2297164–100 Rev 9
om 2297164–100 Rev 9
 REV HISTORY
REV DATE REASON FOR CHANGE

A October 12, 2001 Draft release.

B October 18, 2001 Clinical release.
C March 15, 2002 Preliminary CD review.
D+ May 31, 2002 M3 Release
0 June 14, 2002 Initial Release
1 November 8, 2002 M4 Release
2 June 12, 2003 M5 Release
3 November 21, 2003 Changed Minimum Inherent Filtration in Table 7-13
4 June 24, 2005 PQR 1263409 (Tube Select information added).
Added Monitor blanking conditions, Pediatric Option icon,
Play All Series, SG80/120 wallstand, WEEE icon
description, and details about the New Delete Image and
Delete Series buttons
5 July 19, 2005 Fixed display problems with graphics.
6 Sept. 8, 2005 Change in tube warm-up procedure to ensure primary
barrier is in place.
7 March 20, 2006 Minor text/formatting corrections.
8 June 10, 2006 Updates to comply with FDA regulatory requirements.
Added Appendix D.
9 October 20, 2009 Added checks for foot pedal cleaning.

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 THIS PAGE INTENTIONALLY LEFT BLANK

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 Table of Contents
CHAPTER 1
ABOUT THIS GUIDE
SECTION 1
PURPOSE OF THIS GUIDE .................................................................................... 1-1
SECTION 2
PREREQUISITE SKILLS ......................................................................................... 1-1
SECTION 3
SAFETY NOTICES .................................................................................................. 1-1
SECTION 4
DISPOSAL OF WASTE ........................................................................................... 1-2

CHAPTER 2
SAFETY AND REGULATORY
SECTION 1
INTRODUCTION ..................................................................................................... 2-1
SECTION 2
WHAT DO I NEED TO KNOW ABOUT . . . ............................................................. 2-1
SECTION 3
X-RAY PROTECTION ............................................................................................. 2-2
3-1 - Certified Electrical Contractor Statement ..................................................... 2-3
3-2 - Damage In Transportation ........................................................................... 2-3
3-3 - Regulatory Requirements ............................................................................ 2-4
SECTION 4
RADIATION SURVEY ............................................................................................. 2-6
4-1 - Introduction .................................................................................................. 2-6
4-2 - Materials and Methods ................................................................................. 2-6
4-3 - Results ......................................................................................................... 2-7
SECTION 5
SAFETY ................................................................................................................. 2-16
5-1 - General Precautions .................................................................................. 2-16
5-2 - Electrical Safety ......................................................................................... 2-20
5-3 - Patient Positioning and Control ................................................................. 2-21
5-4 - Table Angulation ........................................................................................ 2-21
5-5 - Unsafe Table Region ................................................................................. 2-21
5-6 - Patient Grasp Handles ............................................................................... 2-22
5-7 - Safety Harness ........................................................................................... 2-22
5-8 - Reciprocating Bucky ................................................................................. 2-22
5-8-1 - Travel and Counterbalancing ......................................................... 2-23
5-9 - Bucky Grids ................................................................................................ 2-23
5-9-1 - Oscillating Grid ............................................................................... 2-23
5-9-2 - Single High Line/Rate Grid ............................................................. 2-23
5-9-3 - Bucky Grid Alignment ..................................................................... 2-23
5-10 - Patient Step ............................................................................................... 2-24
5-11 - Foot Rest .................................................................................................. 2-24
5-12 - Shoulder Rest ............................................................................................ 2-25

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 5-13 - Compression Device .................................................................................. 2-26
5-14 - Myelographic Operation ............................................................................. 2-26
5-15 - Myelographic Boots (Optional) ................................................................... 2-27
5-16 - Cone Operation .......................................................................................... 2-27
5-17 - Lead Apron ................................................................................................ 2-27
5-18 - Emergency Stop Button ............................................................................. 2-28
5-19 - Grounding Kit ............................................................................................. 2-29
5-19-1 - Purpose ........................................................................................ 2-29
5-19-2 - Description ................................................................................... 2-30
5-19-3 - Instructions ................................................................................... 2-30
SECTION 6
SAFETY SUMMARY ............................................................................................. 2-31

CHAPTER 3
ABOUT THIS GUIDE
SECTION 1
INTRODUCTION ..................................................................................................... 3-1
SECTION 2
ENVIRONMENTAL REQUIREMENTS .................................................................... 3-1
SECTION 3
IMAGE STORAGE CAPACITY ................................................................................ 3-1
SECTION 4
OPTIONS ................................................................................................................. 3-2
4-1 - DICOM 3.0 Interface Option ......................................................................... 3-2
4-2 - Hard Copy Interface Option ......................................................................... 3-2
4-3 - Bar Code Scanner Option ............................................................................ 3-2
4-4 - International Keyboard Option ..................................................................... 3-3
SECTION 5
POWER UP/POWER DOWN .................................................................................. 3-4
SECTION 6
OVERVIEW ............................................................................................................. 3-4
6-1 - Keyboard ...................................................................................................... 3-6
6-2 - Mouse .......................................................................................................... 3-6
SECTION 7
X-RAY TUBE SELECTION ...................................................................................... 3-8
7-1 - X-ray tube 1 .................................................................................................. 3-8
7-2 - X-ray tube 2 .................................................................................................. 3-9

CHAPTER 4
GETTING STARTED
SECTION 1
INTRODUCTION ..................................................................................................... 4-1
SECTION 2
STARTUP/SHUTDOWN PROCEDURES ............................................................... 4-1
2-1 - System Startup ............................................................................................. 4-1
2-2 - Tube Warmup .............................................................................................. 4-1

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 2-3 - System Shutdown ........................................................................................ 4-1
2-4 - Emergency Stop and System Recovery ...................................................... 4-2
2-5 - Emergency Stop Recovery .......................................................................... 4-2
2-6 - System Recovery ......................................................................................... 4-2
2-7 - Procedure for Tube Warm Up ...................................................................... 4-2
2-8 - Hard Copy Interface Option ......................................................................... 4-3
2-9 - Bar Code Scanner Option ............................................................................ 4-3
2-10 - International Keyboard Option ..................................................................... 4-3

CHAPTER 5
INTEGRATED USER INTERFACE
SECTION 1
INTRODUCTION ..................................................................................................... 5-1
1-1 - Power–on ..................................................................................................... 5-1
1-2 - Tube Warm–Up Screen ............................................................................... 5-3
1-3 - Add/Select Patient Screen ........................................................................... 5-5
SECTION 2
START EXAM .......................................................................................................... 5-8
2-1 - Start Exam Scenario .................................................................................... 5-8
2-2 - Fluoro Acquisition Screen .......................................................................... 5-15
2-3 - Angio Acquisition Screen (Option) ............................................................. 5-17
2-4 - Video Presentation ..................................................................................... 5-18
2-5 - Fluoro Time ................................................................................................ 5-18
2-6 - View/Film .................................................................................................... 5-19
2-7 - Filming ........................................................................................................ 5-20
2-8 - Radiographic Exposure / Review Multitasking ........................................... 5-21
2-9 - Archive to Local CD–RW (OPTION) .......................................................... 5-22
2-10 - Emergency Recovery ................................................................................. 5-24
SECTION 3
EDIT PROTOCOLS ............................................................................................... 5-25
3-1 - Protocol Editor ............................................................................................ 5-25
3-2 - Protocols .................................................................................................... 5-26
3-2-1 - Parameters for Tube 1 (Fluoro) Protocol Step ............................... 5-27
3-2-2 - Parameters for Tube 2 (RAD) Protocol Step .................................. 5-28
3-2-3 - Protocol Categories ........................................................................ 5-29
3-2-4 - Protocols ........................................................................................ 5-31
3-2-5 - Protocol Steps ................................................................................ 5-38
3-2-6 - Retrieve .......................................................................................... 5-52
3-2-7 - Back Up .......................................................................................... 5-53
3-2-8 - System Configuration Changes ...................................................... 5-53
3-3 - User Preferences ....................................................................................... 5-54
3-3-1 - Default Dose - Fl/Rec ..................................................................... 5-54
3-3-2 - Default Pediatric Grid ..................................................................... 5-54
3-3-3 - DSA Image Invert ........................................................................... 5-54
3-3-4 - Record Image Invert ....................................................................... 5-55
3-3-5 - Fluoro Image Invert ........................................................................ 5-55
3-3-6 - Auto Send ....................................................................................... 5-55
3-3-7 - FNR Level ...................................................................................... 5-55
3-3-8 - Record Edge Enhancement ........................................................... 5-55

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 3-3-9 - Fluoro Edge Enhancement ............................................................. 5-55
3-3-10 - Printer Destination ........................................................................ 5-55
3-3-11 - Auto Send Destination .................................................................. 5-56
3-3-12 - Images Tagged ............................................................................ 5-56
3-4 - Service User Interface / Effect on IUI ......................................................... 5-56
3-4-1 - Dose Measurement ........................................................................ 5-56
3-4-2 - Pulsed Fluoro ................................................................................. 5-56
3-4-3 - DSA Package ................................................................................. 5-56
3-4-4 - DICOM Ethernet ............................................................................. 5-56
3-4-5 - DICOM Print ................................................................................... 5-56
3-4-6 - DICOM Worklist .............................................................................. 5-56
3-4-7 - Pediatric Option .............................................................................. 5-56
3-4-8 - Measurement System .................................................................... 5-56
3-4-9 - HU Tone Alert / %HU ..................................................................... 5-57
3-4-10 - Number of Tubes .......................................................................... 5-57
3-4-11 - OTS .............................................................................................. 5-57
3-4-12 - Wallstand Location ....................................................................... 5-57
3-4-13 - Fluoro Rates ................................................................................. 5-57
3-4-14 - Spot Rates .................................................................................... 5-57
3-4-15 - Max Record rate ........................................................................... 5-57
3-4-16 - System Log On ............................................................................. 5-57
3-5 - Service Tab ................................................................................................ 5-58
3-6 - System Shutdown ...................................................................................... 5-59
SECTION 4
IN–R00M REMOTE KEYPAD (OPTION) .............................................................. 5-60
4-1 - IR Remote Keypad Commands ................................................................. 5-61

CHAPTER 6
DIGITAL IMAGING SYSTEM
SECTION 1
MENU DISPLAYS .................................................................................................... 6-1
1-1 - Digital Image Main Screen ........................................................................... 6-1
1-2 - Disk Space Indicators .................................................................................. 6-2
SECTION 2
EDIT SERIES TITLE ................................................................................................ 6-3
SECTION 3
PATIENT LIST SCREEN ......................................................................................... 6-4
SECTION 4
AUTO SEND TO REFERENCE IMAGE MONITOR (WITH REFERENCE MONITOR
INSTALLED) ............................................................................................................ 6-6
SECTION 5
SELECTING A PATIENT FILE – REVIEW MODE .................................................. 6-7
5-1 - Selecting Review Mode ................................................................................ 6-7

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 SECTION 6
IMAGE ACQUISITION ............................................................................................ 6-8
6-1 - Acquisition Rates ......................................................................................... 6-8
6-2 - Image Subtraction ...................................................................................... 6-10
6-2-1 - Reregistration of Subtracted Images .............................................. 6-11
6-2-2 - Mask Refresh During Multiple Image Display ................................ 6-13
SECTION 7
IMAGE STACKING (AND MAX/MIN
OPACIFICATION OPTION) ................................................................................... 6-14
SECTION 8
CONTRAST / WINDOW ........................................................................................ 6-18
SECTION 9
BRIGHTNESS / LEVEL ......................................................................................... 6-19
SECTION 10
IMAGE INVERT ..................................................................................................... 6-19
SECTION 11
DEFAULT .............................................................................................................. 6-19
SECTION 12
ZOOM .................................................................................................................... 6-20
SECTION 13
EDGE ENHANCEMENT ........................................................................................ 6-20
SECTION 14
CARRY OVER PROCESSING FEATURES .......................................................... 6-20
14-1 - Carry Over Digital Shutters ........................................................................ 6-22
SECTION 15
MULTIPLE IMAGE DISPLAY FORMATS .............................................................. 6-22
SECTION 16
DELETE IMAGE .................................................................................................... 6-23
16-1 - Annotations & Pointers ............................................................................... 6-25
SECTION 17
PRINTING AN IMAGE ........................................................................................... 6-26
SECTION 18
STENOSIS MEASUREMENT FEATURES AND STEPS ...................................... 6-27
18-1 - Calibration .................................................................................................. 6-28
18-2 - Size ............................................................................................................ 6-31
18-3 - Reference ................................................................................................... 6-31
18-4 - Occlusion ................................................................................................... 6-32
18-5 - Manual Boundary ....................................................................................... 6-33
18-6 - Auto Boundary ........................................................................................... 6-35
18-7 - Running Length .......................................................................................... 6-35
18-8 - Show Data .................................................................................................. 6-36

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 SECTION 19
DICOM WORKLIST (REQUIRES DICOM OPTION) ............................................. 6-37

CHAPTER 7
TABLE
SECTION 1
INTRODUCTION ..................................................................................................... 7-1
1-1 - Overview ...................................................................................................... 7-1
1-2 - Identification and Compliance Plates ........................................................... 7-3
1-3 - Exposure Modes .......................................................................................... 7-4
1-4 - Travel Specifications .................................................................................... 7-4
1-5 - Digital Operator Control Panel ..................................................................... 7-5
1-6 - Types of Radiological Examinations in Significant Zone of Occupancy ....... 7-6
SECTION 2
OPERATOR CONTROLS AND DISPLAYS .......................................................... 7-13
2-1 - Operator Control Locations ........................................................................ 7-13
2-2 - Imaging Device Operator Controls and Displays – Overview .................... 7-15
2-3 - Main Operator Console Screen .................................................................. 7-17
2-3-1 - Main Operator Console Screen –Basic Controls and Displays ...... 7-17
2-3-2 - Main Operator Console Screen –Optional Controls and Displays . 7-20
2-3-3 - Auxiliary Digital Operator Console ................................................. 7-22
2-4 - Digital Fluoro Presentation Operator Console ........................................... 7-24
2-5 - Digital Multi-Function OperatorControl Group ............................................ 7-26
2-6 - Precision 500D Table Operator Controls and Displays .............................. 7-29
SECTION 3
SYSTEM SPECIFICATIONS ................................................................................. 7-31
3-1 - Precision 500D Table Specifications ......................................................... 7-31
3-1-1 - Precision 500D Table Electrical Requirements .............................. 7-32
3-2 - Precision 500D Tables, Tubes and Collimators ......................................... 7-33
3-2-1 - X–Ray Tube Specification .............................................................. 7-33
SECTION 4
OPERATION .......................................................................................................... 7-33
4-1 - Parking (Docking) the Imaging Device Carriage ........................................ 7-33
4-2 - Fluoro Exposures ....................................................................................... 7-36
4-2-1 - Footswitch ...................................................................................... 7-36
4-3 - Taking Digital Exposures ........................................................................... 7-37
4-3-1 - Using the Prep/Record Bar ............................................................ 7-37
4-3-2 - Using the Integrated Fluoro/Expose Switch ................................... 7-37
4-4 - Equipment Positioning for Table Bucky Procedures .................................. 7-39
4-4-1 - Table Horizontal ............................................................................. 7-39
4-4-2 - Table Vertical or Trendelenburg ................................................... 7-40

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 CHAPTER 8
OTS RADIOGRAPHIC SUSPENSION
SECTION 1
INTRODUCTION ..................................................................................................... 8-1
1-1 - OTS (Overhead Tube Suspension) .............................................................. 8-1
1-2 - System Labeling ........................................................................................... 8-2
1-3 - Overhead Rail System ................................................................................ 8-3
1-4 - Telescopic Column and Carriage ................................................................. 8-3
1-5 - Use of Longitudinal and Transverse Detents ............................................... 8-4
1-6 - Tube Support Rotation ................................................................................. 8-5
1-7 - X–ray Tube Angulation ................................................................................. 8-6
1-8 - Over Head Ceiling Suspension User Interface ............................................ 8-7
1-8-1 - Key Switch on OTS Console ............................................................ 8-9
SECTION 2
AUTOMATIC COLLIMATOR ................................................................................... 8-9
2-1 - Locking lever ............................................................................................. 8-10
2-2 - Display on the Collimator ........................................................................... 8-11
2-3 - Bottom View of the Collimator .................................................................... 8-12
2-4 - Linear LASER Light Localizer .................................................................... 8-12
2-5 - Centering Cross ......................................................................................... 8-12
2-6 - Rear View of Collimator ............................................................................. 8-13
2-7 - Changing Lamps on the Collimator ............................................................ 8-14
2-8 - Rotating the Collimator 90° Around the Vertical Axis ................................. 8-15
SECTION 3
SPECIFICATIONS ................................................................................................. 8-16

CHAPTER 9
SG–80 & SG120 VERTICAL BUCKY STAND
SECTION 1
INTRODUCTION ..................................................................................................... 9-1
SECTION 2
PARTS OF THE EQUIPMENT ................................................................................ 9-2
2-1 - COLUMN ASSEMBLY ................................................................................ 9-2
2-2 - BUCKY ASSEMBLY ................................................................................... 9-3
2-3 - FRONT PANEL ............................................................................................ 9-3
2-4 - VERTICAL LOCK HANDLE ......................................................................... 9-3
SECTION 3
APPLICATIONS OF SG80/120 ............................................................................... 9-3
SECTION 4
OPERATION ............................................................................................................ 9-3
4-1 - VERTICAL POSITIONING ........................................................................... 9-3
4-2 - CASSETTE LOADING ................................................................................ 9-4
4-3 - CASSETTE REMOVAL ............................................................................... 9-6
4-4 - AEC DETECTOR AREAS ........................................................................... 9-6
4-5 - ALIGNMENT ............................................................................................... 9-6
4-6 - FRONTAL PANEL ....................................................................................... 9-7

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 4-7 - SG120 SPECIFIC FUNCTIONALITIES ....................................................... 9-7
4-7-1 - Bucky Rotation ................................................................................. 9-7
4-7-2 - Bucky Angulation .............................................................................. 9-8
SECTION 5
PERIODIC MAINTENANCE .................................................................................... 9-9
5-1 - MAINTENANCE INFORMATION ................................................................. 9-9
SECTION 6
LABELING ............................................................................................................. 9-10
SECTION 7
SPECIFICATIONS ................................................................................................. 9-11
7-1 - ELECTRICAL EQUIREMENTS ................................................................. 9-11
7-2 - PRODUCT DIMENSIONS ........................................................................ 9-11
7-3 - CRATE DIMENSIONS .............................................................................. 9-11
7-4 - SG120 SPECIFICATIONS ........................................................................ 9-12
7-4-1 - Wall Stand “General” ...................................................................... 9-12
7-4-2 - WALL STAND BUCKY ................................................................... 9-12

CHAPTER 10
SG–100 VERTICAL BUCKY STAND
SECTION 1
INTRODUCTION ................................................................................................... 10-1
SECTION 2
SAFE OPERATION PRECAUTIONS .................................................................... 10-3
SECTION 3
OPERATION .......................................................................................................... 10-3
3-1 - General Description ................................................................................... 10-3
3-2 - Vertical Positioning ..................................................................................... 10-3
3-3 - Patient Support Legs .................................................................................. 10-4
3-4 - Bucky Rotation ........................................................................................... 10-5
3-5 - Bucky Angulation ....................................................................................... 10-6
3-6 - Hinged Front Panel .................................................................................... 10-7
3-7 - Cassette Loading ....................................................................................... 10-8
3-8 - Manual Cassette Tray ................................................................................ 10-8
3-9 - Cassette Removal ...................................................................................... 10-9
3-10 - Manual Cassette Tray ................................................................................ 10-9
3-11 - AEC Detector Areas ................................................................................... 10-9
3-12 - Alignment ................................................................................................... 10-9
3-13 - Manual Cassette Tray .............................................................................. 10-10
3-14 - Alignment for Automatic Collimation ........................................................ 10-10
SECTION 4
SPECIFICATIONS ............................................................................................... 10-11
4-1 - General Dimensions & Weight ................................................................. 10-11
4-2 - Column Assembly .................................................................................... 10-12
4-3 - Front Panel ............................................................................................... 10-12
4-4 - Power Requirements ................................................................................ 10-12
4-5 - Bucky ....................................................................................................... 10-12
4-6 - Accessories & Options ............................................................................. 10-13

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 CHAPTER 11
JEDI GENERATOR
SECTION 1
INTRODUCTION ................................................................................................... 11-1
SECTION 2
RADIATION PROTECTION ................................................................................... 11-1
SECTION 3
SYSTEMS CABINET SPECIFICATIONS .............................................................. 11-1
3-1 - Generator Cabinet Specifications .............................................................. 11-2
3-2 - General Input Power Specifications ........................................................... 11-3
4-1 - Power Line Requirements .......................................................................... 11-7
4-2 - X–Ray Interlock Systems ........................................................................... 11-8

CHAPTER 12
ACCESSORIES
SECTION 1
TABLE ACESSORIES ........................................................................................... 12-1
1-1 - Patient Step ............................................................................................... 12-1
1-2 - Foot Rest ................................................................................................. 12-2
SECTION 2
OPTIONAL TABLE ACCESSORIES ..................................................................... 12-3
2-1 - Shoulder Rest ............................................................................................ 12-3
2-2 - Compression Device .................................................................................. 12-3
2-3 - Myelographic Operation ............................................................................. 12-4
2-4 - Myelographic Boots (Optional) ................................................................... 12-4
2-5 - Arm Board (Optional) ................................................................................. 12-5
2-6 - Knee Crutches (Optional) ........................................................................... 12-6
2-7 - Vertical Cassette Holder (Optional) ............................................................ 12-7

CHAPTER A
MAXIRAY™ 100 TUBE UNITS
SECTION 1
APPLICATION ......................................................................................................... A-1
SECTION 2
FEATURES .............................................................................................................. A-1
2-1 - Tube Housing ............................................................................................... A-2
2-2 - Tube Insert ................................................................................................... A-3
2-3 - Thermal Ratings ........................................................................................... A-4
2-4 - Radiographic Ratings ................................................................................... A-5
2-5 - Fluoroscopic Ratings .................................................................................... A-5

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 SECTION 3
WEIGHTS (APPROX.) ............................................................................................. A-5
SECTION 4
RELATED PUBLICATIONS ..................................................................................... A-5
SECTION 5
WARRANTY ............................................................................................................ A-5
SECTION 6
USER SERVICE AND MAINTENANCE .................................................................. A-5
SECTION 7
LISTINGS ................................................................................................................ A-6
SECTION 8
RADIOGRAPHIC TUBE RATINGS ......................................................................... A-9
8-1 - Warm–Up Procedure ................................................................................... A-9
8-2 - 12.5° (218 mRad) 3ø, Low Speed, 50 Hz, 2850 rpm ................................. A-10
8-3 - 12.5° (218 mRad) 3ø, Low Speed, 60 Hz, 3400 rpm ................................. A-11
8-4 - 12.5° (218 mRad) 3ø, Low Speed, 50 Hz, 2850 rpm ................................. A-12
8-5 - 12.5° (218 mRad) 3ø, Low Speed, 60 Hz, 3400 rpm ................................. A-13
8-6 - 12.5° (218 mRad) 3ø, Low Speed, 50 Hz, 2850 rpm ................................. A-14
8-7 - 12.5° (218 mRad) 3ø, Low Speed, 60 Hz, 3400 rpm ................................. A-15
8-8 - 12.5° (218 mRad) 3ø, HIGH SPEED, 50/60 Hz, 10,000 rpm ..................... A-16
8-9 - 12.5° (218 mRad) 3ø, HIGH SPEED, 50/60 Hz, 10,000 rpm ..................... A-17
8-10 - 12.5° (218 mRad) 3ø, HIGH SPEED, 50/60 Hz, 10,000 rpm ..................... A-18
SECTION 9
MAMMOGRAPHY RATINGS ................................................................................ A-19
9-1 - 12.5° (218 mRad) 3ø, 50/60 Hz, 2850/3400 RPM ..................................... A-19
SECTION 10
RAPID FILM SEQUENCE RATINGS .................................................................... A-20
10-1 - 0.6, 1.0, 1.25 12.5_ (218 mRad) 1 Phase, 10,000 rpm, 50/60 Hz ............. A-20
10-2 - 12.5° (218 mRad) 3 Phase, 10,000 rpm, 50/60 Hz .................................... A-22
10-3 - 3Ø , KILOWATT RATINGS 12.5° (218 mRad) .......................................... A-23

CHAPTER B
PLANNED MAINTENANCE
SECTION 1
TABLE PM ............................................................................................................... B-1
1-1 - Periodic Maintenance ................................................................................... B-1
1-2 - Qualified Service .......................................................................................... B-1
1-3 - User Service and Maintenance .................................................................... B-1
SECTION 2
IMAGE QUALITY TESTING .................................................................................... B-2
2-1 - How to perform the Quality Assurance Process .......................................... B-4
SECTION 3
GENERAL ................................................................................................................ B-9
3-1 - Periodic Maintenance Schedule ................................................................. B-10

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 SECTION 4
SERVICE ............................................................................................................... B-10
4-1 - User Cleaning and Disinfecting .................................................................. B-10
4-2 - HHS Testing (US Only) .............................................................................. B-11
4-3 - Recycling .................................................................................................... B-11

CHAPTER C
GLOSSARY/TERMS
SECTION 1
TABLE TERMS ........................................................................................................C-1
1-1 - Operating Modes ..........................................................................................C-1
1-2 - System Terms ..............................................................................................C-2
SECTION 2
DIGITAL IMAGING SYSTEM TERMS .....................................................................C-3
2-1 - Symbols .......................................................................................................C-3
SECTION 3
ABBREVIATIONS ....................................................................................................C-7

CHAPTER D
MODES OF OPERATION
SECTION 1
FLUOROSCOPY MODE .........................................................................................D-1
1-1 - Description ...................................................................................................D-1
1-2 - System controlled technique factors ............................................................D-1
1-3 - How to engage/ disengage ..........................................................................D-1
1-4 - How to recognize when this mode is selected .............................................D-2
1-5 - Example of specific clinical procedures .......................................................D-3
1-6 - How mode should be used ...........................................................................D-3
SECTION 2
PULSED FLUOROSCOPY MODE ..........................................................................D-3
2-1 - Description ...................................................................................................D-3
2-2 - System Controlled Technique Factors .........................................................D-3
2-3 - How to engage/ disengage ..........................................................................D-3
2-4 - How to recognize when this mode is selected .............................................D-4
2-5 - Example of specific clinical procedures .......................................................D-4
2-6 - How mode should be used ...........................................................................D-4
SECTION 3
DIGITAL SUBTRACTION ANGIOGRAPHY (DSA) MODE ......................................D-4
3-1 - Description ...................................................................................................D-4
3-2 - System Controlled Technique Factors .........................................................D-4
3-3 - How to engage/ disengage ..........................................................................D-4
3-4 - How to recognize when this mode is selected .............................................D-5
3-5 - Example of specific clinical procedures .......................................................D-6
3-6 - How mode should be used ...........................................................................D-6

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 SECTION 4
RADIOGRAPHIC MODE .........................................................................................D-6
4-1 - Description ...................................................................................................D-6
4-2 - System Controlled Technique Factors .........................................................D-6
4-3 - How to engage/ disengage ..........................................................................D-6
4-4 - How to recognize when this mode is selected .............................................D-7
4-5 - Example of specific clinical procedures .......................................................D-7
4-6 - How mode should be used ...........................................................................D-7

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 CHAPTER 1
ABOUT THIS GUIDE

SECTION 1
PURPOSE OF THIS GUIDE

This guide is written for health care professionals (namely, X–Ray technologists)
to provide the necessary information relating to the proper operation of the sys-
tem. The guide is intended to teach you the system components and features nec-
essary to use it to its maximum potential. It is not intended to teach radiological
imaging or to make any type of clinical diagnosis.

This guide should be kept with the equipment at all times. It is important for you to
read and understand the contents of this guide before attempting to use this prod-
uct. It is important for you to periodically review the procedures and safety precau-
tions.

SECTION 2
PREREQUISITE SKILLS

This guide is not intended to teach radiological imaging. It is necessary for you to
have sufficient knowledge to competently perform the various diagnostics imaging
procedures within your modality. This knowledge is gained through a variety of
education methods including clinical working experience, hospital based pro-
grams, and as part of many college and university Radiological Technology pro-
grams.

SECTION 3
SAFETY NOTICES

The following are used to emphasize certain safety instructions. This guide used
the international symbol along with the danger, warning, or caution message. This
section also describes the purpose of a Note.

DANGER IS USED TO IDENTIFY CONDITIONS OR ACTIONS

FOR WHICH A SPECIFIC HAZARD IS KNOWN TO EXIST
WHICH WILL CAUSE SEVERE PERSONAL INJURY, DEATH,
OR SUBSTANTIAL PROPERTY DAMAGE IF THE INSTRUC-
TIONS ARE IGNORED.

WARNING IS USED TO IDENTIFY CONDITIONS OR ACTIONS FOR

WHICH A SPECIFIC HAZARD IS KNOWN TO EXIST WHICH MAY
CAUSE SEVERE PERSONAL INJURY, DEATH, OR SUBSTANTIAL
PROPERTY DAMAGE IF THE INSTRUCTIONS ARE IGNORED.

Caution is used to identify conditions or actions for which a potential

hazard may exist which will or can cause minor personal injury or
property damage if the instructions are ignored.

om 2297164–100 Rev 9 1-1

 NOTE: A Note provides additional information that is helpful to you. It may emphasize cer-
tain information regarding special tools or techniques, items to check before pro-
ceeding, or factors to consider about a concept or task.

SECTION 4
DISPOSAL OF WASTE

This symbol indicates that the waste of electrical and electronic equipment
must not be disposed as unsorted municipal waste and must be collected
separately. Please contact an authorized representative of the manufacturer
for information concerning the decommissioning of your equipment

om 2297164–100 Rev 9 1-2

 CHAPTER 2
SAFETY AND REGULATORY

SECTION 1
INTRODUCTION

This chapter explains the safety considerations, general equipment and patient
related precautions, and the symbols used for the safe operation of your equip-
ment. It is important for you to read and understand the contents of this chapter so
you can follow the correct precautions.

This chapter also includes information about the emergency procedures. This
guide should be kept near your console for easy access. Symbols used on this
system and in its accompanying documents are explained in this chapter.

If you have any comments, suggestions or corrections to the information in this

document, please write them down, include the document title and document
number, and send them to:

GENERAL ELECTRIC COMPANY MEDICAL SYSTEMS

MANAGER – INFORMATION INTEGRATION,
AMERICAS W–622
P.O. BOX 414
MILWAUKEE, WI 53201–0414

INDICATIONS FOR USE

The Precision 500D R&F X–ray System is indicated for use in generating radio-
graphic and fluoroscopic images of human anatomy in all general purpose X–ray
diagnostic procedures.

SECTION 2
WHAT DO I NEED TO KNOW ABOUT . . .

This section provides information and precautionary measures to safely operate

the system:

• Safety and Regulatory

• X–Ray Protection
– Certified Electrical Contractor Statement
– Damage in Transportation
– Regulatory Requirements

• Safety
– General Precautions
– Establish Emergency Procedures
– Approved Operating Procedures and Accessories
– Planned Maintenance
– Radiation Safety

om 2297164–100 Rev 9 2-1

 – Electrical Safety
– Patient Positioning and Control
– Table Angulation
– Unsafe Table Region
– Patient Grasp Handles
– Safety Harness
– Reciprocating Bucky
– Bucky Grids
– Patient Step
– Foot Rest
– Shoulder Rest
– Compression Device
– Myelographic Operation
– Myelographic Boots (Optional)
– Cone Operation
– Lead Apron
– Emergency Stop Button
– Grounding Kit

SECTION 3
X-RAY PROTECTION

X-ray equipment if not properly used may cause injury. Accordingly, the
instructions herein contained should be thoroughly read and understood by
everyone who will use the equipment before you attempt to place this equip-
ment in operation. The General Electric Company, Medical Systems Group,
will be glad to assist and cooperate in placing this equipment in use.

Although this apparatus incorporates a high degree of protection against x-radia-

tion other than the useful beam, no practical design of equipment can provide
complete protection. Nor can any practical design compel the operator to take
adequate precautions to prevent the possibility of any persons carelessly expos-
ing themselves or others to radiation.

om 2297164–100 Rev 9 2-2

 It is important that everyone having anything to do with x-radiation be properly
trained and fully acquainted with the recommendations of the National Council on
Radiation Protection and Measurements as published in NCRP Reports available
from NCRP Publications, 7910 Woodmont Avenue, Room 1016, Bethesda, Mary-
land 20814, and of the International Commission on Radiation Protection, and
take adequate steps to protect against injury.

The equipment is sold with the understanding that the General Electric Company,
Medical Systems Group, its agents, and representatives have no responsibility for
injury or damage which may result from improper use of the equipment.

Various protective material and devices are available. It is urged that such materi-
als or devices be used.

United States Federal law restricts this device to use by or on the

order of a physician.

3-1Certified Electrical Contractor State-

ment

All electrical installations that are preliminary to positioning of the equipment at

the site prepared for the equipment shall be performed by licensed electrical con-
tractors. In addition, electrical feeds into the Power Distribution Unit shall be per-
formed by licensed electrical contractors. Other connections between pieces of
electrical equipment, calibrations, and testing shall be performed by qualified GE
Medical personnel. The products involved (and the accompanying electrical instal-
lations) are highly sophisticated, and special engineering competence is required.
In performing all electrical work on these products, GE will use its own specially
trained field engineers. All of GE’s electrical work on these products will comply
with the requirements of the applicable electrical codes.

The purchaser of GE equipment shall only utilize qualified personnel (i.e., GE’s
field engineers, personnel of third-party service companies with equivalent train-
ing, or licensed electricians) to perform electrical servicing on the equipment.

3-2Damage In Transportation

All packages should be closely examined at time of delivery. If damage is appar-

ent, have notation “damage in shipment” written on all copies of the freight or
express bill before delivery is accepted or “signed for” by a General Electric repre-
sentative or a hospital receiving agent. Whether noted or concealed, damage
MUST be reported to the carrier immediately upon discovery, or in any event,
within 14 days after receipt, and the contents and containers held for inspection by
the carrier. A transportation company will not pay a claim for damage if an inspec-
tion is not requested within this 14 day period.

om 2297164–100 Rev 9 2-3

 Call Traffic and Transportation, Milwaukee, WI (414) 827–3449 / 8*285–3449
immediately after damage is found. At this time be ready to supply name of car-
rier, delivery date, consignee name, freight or express bill number, item damaged
and extent of damage.

Complete instructions regarding claim procedure are found in Section “S” of the
Policy & Procedure Bulletins.

3-3Regulatory Requirements

This equipment generates, uses, and can radiate radio frequency energy. The
equipment may cause radio frequency interference to other medical and non-
medical devices and radio communications. To provide reasonable protection
against such interference, this product complies with emissions limits for a Group
1 Class A Medical Devices as stated in EN 60601–1–2.

However, there is no guarantee that interference will not occur in a particular instal-
lation. If this equipment is found to cause interference (which may be determined by
switching the equipment on and off), the user (or qualified service personnel) should
attempt to correct the problem by one or more of the following measure(s):

• Reorient or relocate the affected device(s).

• Increase the separating space between the equipment and the affected device.
• Power the equipment from a source different from that of the affected device.
• Consult the point of purchase or service representative for further suggestions.
The manufacturer is not responsible for any interference caused either by the use
of interconnect cables other than those recommended, or by unauthorized
changes or modifications to this equipment. Unauthorized changes or modifica-
tions could void the user’s authority to operate the equipment.

To comply with the regulations applicable to an electromagnetic interface for a

Group 1 Class A Medical Device, all interconnect cables to peripheral devices

must be shielded and properly grounded. Use of cables not properly shielded and
grounded may result in the equipment causing radio frequency interference in vio-
lation of the European Union Medical Device directive and FCC regulations.

NOTE: Do not use devices which intentionally transmit RF Signals (Cellular Phones,
Transceivers, or Radio Controlled Products) in the vicinity of this equipment as it
may cause performance outside the published specifications. Keep the power to
these type devices turned off when near this equipment.

om 2297164–100 Rev 9 2-4

 The medical staff in charge of this equipment is required to instruct technicians,
patients, and other people who may be around this equipment to fully comply with
the above requirement.

High levels of Radio Frequency (RF) energy in the vicinity of this X–

Ray Suite may cause noise to appear on video monitors and
recorders. This noise should disappear spontaneously when the
stimulus is removed. If the problem persists, call Service.

Under certain Electro Static Discharge (ESD) and Electrical Fast

Transient (EFT) conditions, noise may appear on video monitors and
recorders. This noise should disappear spontaneously when the
stimulus is removed. If the problem persists, call Service.

Under certain conditions, ESD may cause temporary anomalies to be

present on the image monitors and the VCR. This is a temporary
degradation during the ESD event and does not cause any system
issues.

Under certain conditions, transients on the power line may cause

temporary anomalies to be present on the image monitors. This is a
temporary degradation during the transient event and does not cause
any system issues.

This product complies with the regulatory requirements of the following:

• Council Directive 93/42/EEC concerning medical devices when it bears the

following CE marking of conformity:

om 2297164–100 Rev 9 2-5

 For a system, the location of the CE marking label is described in the system
manual.

European registered place of business:

GE Medical Systems Europe

Quality Assurance Manager
BP 34F 78533 BUC CEDEX
France
Tel: +33 1 30 70 40 40

• Green QSD 1990 Standard issued by MDD (Medical Devices Directorate,

Department of Health, UK).
• Medical Device Good Manufacturing Practice Manual issued by the FDA
(Food and Drug Administration, Department of Health, USA).
• Underwriters’ Laboratories, Inc. (UL), an independent testing laboratory.
• Canadian Standards Association (CSA).
• International Electrotechnical Commission (IEC). International standards
organization, when applicable.
General Electric Medical Systems is ISO 9001 certified.

SECTION 4
RADIATION SURVEY

4-1Introduction

This report describes measurements of the distribution of stray radiation around

the GE Precision 500D R & F unit. These measurements were made as specified
in IEC 60601.

4-2Materials and Methods

The reference point for all measurements was chosen as the center of the table-
top with the table positioned horizontally, using its centering function. All measure-
ments were made with a phantom consisting of a 25 cm cube of polymethyl
methacrylate (PMMA) centered on the tabletop. The entrance surface of the
image intensifier was set at a distance of 30 cm above the tabletop. The nominal
field size was 22 cm. The x–ray tube voltage was at the maximum fluoroscopic
value of 120 kVp and the x–ray tube current was 4.6 mA. This resulted in an
entrance area kerma product of 900 RVcm/min. This was used to normalize all of
the measured values of stray radiation.

The unit was placed in four typical configurations for the surveys. Two of the con-
figurations had the tabletop horizontal and the x–ray beam vertical and centered
to the table. In this position, measurements were made without and with the pro-
tective lead curtain attached to the image intensifier tower. In these configurations,
the central ray of the x–ray beam corresponded to the vertical projection of the
chosen reference point. A third configuration was with the table vertical and the x–
ray beam horizontal. The focal spot of the x–ray beam in this case was 125 cm
above the floor. The protective lead curtain was not attached to the image intensi-
fier tower, but the footrest was fitted to the table in this configuration. The fourth

om 2297164–100 Rev 9 2-6

 configuration was with the table in the 20º Trendelenberg position. The lead cur-
tain was also removed in this case.

Measurements of air kerma were made using a 500 ml ionization chamber con-
nected to a Capintec electrometer. The chamber was mounted vertically on a tri-
pod, centered at heights of 1.0 and 1.5 meters above the floor. The measurements
were made throughout the exam room within 3 meters of the reference point on a
grid using 50 cm spacing between measurements. Measurements were made as
close as practical to the x–ray unit. In areas close to the x–ray unit where the stray
radiation field changed rapidly, the spacing between measurements was reduced
to 25 cm to further improve the accuracy of the isokerma maps.

4-3Results

Measured values of air kerma were normalized to 1 GyVcm as specified in the

IEC standard and used to construct isokerma contours at values of 16, 8, 4, 2, 1,
0.5, 0.25, 0.12, 0.06, 0.03, and 0.02 mGy/GyVcm. An isokerma dose map is pro-
vided for each of the four configurations, in horizontal planes 1.0 and 1.5 meters
above the floor.

om 2297164–100 Rev 9 2-7

om 2297164–100 Rev 9 2-8
om 2297164–100 Rev 9 2-9
om 2297164–100 Rev 9 2-10
om 2297164–100 Rev 9 2-11
om 2297164–100 Rev 9 2-12
om 2297164–100 Rev 9 2-13
om 2297164–100 Rev 9 2-14
om 2297164–100 Rev 9 2-15
 SECTION 5
SAFETY

5-1General Precautions

Be alert to safety when operating this equipment. Be familiar enough with the equip-
ment to recognize any malfunctions that can be a hazard. Do not use this equip-
ment, if a malfunction occurs, until qualified service personnel correct the problem.

Use proper technique factors for each procedure to minimize x-ray exposure and
to produce the best diagnostic results. Be thoroughly familiar with the following list
of safety precautions before operating this equipment.

Make sure there is means for audio and visual communication between the opera-
tor in the control booth and the patient on the x–ray table.

Make sure to use focal spot to skin distances as large as possible in order to keep
the absorbed dose to the patient as low as reasonably achievable.

THIS X-RAY UNIT MAY BE DANGEROUS TO PATIENT AND

OPERATOR, UNLESS SAFE EXPOSURE FACTORS, OPERATING
INSTRUCTIONS AND MAINTENANCE SCHEDULES ARE OBSERVED.

TO BE USED BY AUTHORIZED PERSONNEL ONLY.

ELECTRIC SHOCK HAZARD! DO NOT REMOVE COVERS OR PANELS.

CONSOLE AND CABINETS CONTAIN HIGH VOLTAGE CIRCUITS FOR
GENERATING AND CONTROLLING X–RAYS. PREVENT POSSIBLE
ELECTRIC SHOCK BY LEAVING COVERS OR PANELS ON THE
EQUIPMENT. THERE ARE NO OPERATOR SERVICEABLE PARTS OR
ADJUSTMENTS INSIDE THE CABINETS. ONLY TRAINED AND
QUALIFIED PERSONNEL SHOULD BE PERMITTED ACCESS TO THE
INTERNAL PARTS OF THIS EQUIPMENT.

The Control Console must be kept as vertical as possible to prevent

over heating which could damage the console. Do not lay the console
flat. Do not lay any object on the console that could restrict air flow
through the console.

Do not lay any object on the cabinets that would restrict air flow from
the top of the cabinet.

This system contains operating safeguards to provide maximum safety. Before

calling for service, be certain proper operating procedures are being used.

Satisfactory equipment performance requires the use of service personnel specially

trained on x–ray apparatus. GE Medical Systems is responsible for the effects on
safety, reliability, and performance only if the following conditions are met:

• The electrical wiring of the relevant rooms complies with the Regulations for
the electrical equipment of buildings published by the Institution of Electrical
Engineers as well as all national and local codes.

om 2297164–100 Rev 9 2-16

 • All assembly operations, extensions, re–adjustments, modifications or repairs
are carried out by GE Medical Systems’ authorized service representatives.
• The equipment is used in accordance with the instructions for use.

Always be alert to safety when you operate this equipment. You must
be familiar enough with the equipment to recognize any malfunctions
that can be a hazard. If a malfunction occurs or a safety problem is
known to exist, do not use this equipment until qualified personnel
correct the problem.

Establish It is not always possible to determine when some components, such as x–ray
Emergency tubes, are nearing the end of their operating lives. These components could stop
Procedures operating during a patient examination. Establish procedures for handling the
patient in case of the loss of fluoroscopic imaging or other system func-
tions during an exam.

ESTABLISH PROCEDURES FOR HANDLING THE PATIENT IN CASE

OF THE LOSS OF FLUOROSCOPIC IMAGING OR OTHER SYSTEM
FUNCTIONS DURING AN EXAM.

FOR CONTINUED SAFE USE OF THIS EQUIPMENT, FOLLOW THE

INSTRUCTIONS CONTAINED IN THIS OPERATING MANUAL. STUDY
THIS MANUAL CAREFULLY BEFORE USING THE EQUIPMENT AND
KEEP IT AT HAND FOR QUICK REFERENCE.

RADIOGRAPHIC EQUIPMENT MUST BE OPERATED BY QUALIFIED

PERSONNEL AND ONLY AFTER SUFFICIENT TRAINING.

UNITED STATES FEDERAL LAW RESTRICTS THIS DEVICE TO USE BY

OR ON THE ORDER OF A PHYSICIAN.

PERFORM PERIODIC MAINTENANCE TO ENSURE CONTINUED SAFE

USE OF THE EQUIPMENT. (SEE CHAPTER B – Planned Maintenance).

IF ANY SAFETY PROBLEM OCCURS, PLEASE STOP USING THIS

DEVICE AND CONTACT OUR SERVICE AT ONCE.

Always be alert to safety when you operate this equipment. You must
be familiar enough with the equipment to recognize any malfunctions
that can be a hazard. If a malfunction occurs or a safety problem is
known to exist, do not use this equipment until qualified personnel
correct the problem.

om 2297164–100 Rev 9 2-17

 IT IS THE RESPONSIBILITY OF THE OPERATOR TO ENSURE THE
SAFETY OF THE PATIENT WHILE THE MACHINE IS IN OPERATION BY
CHECKING PROPER PATIENT POSITIONING AND USING THE
EQUIPMENT PROTECTIVE DEVICES SUCH AS HAND GRIPS AND
SAFETY HARNESSES.

WHEN MOVING THE TABLE TOP, BUCKY OR OTHER ELEMENTS, BE

SURE THE PATIENT’S HEAD (HAIR), HANDS AND FEET ARE
COMPLETELY ON AND WITHIN THE TABLE TOP PROPER. ENSURE
OXYGEN AND IV TUBING STAYS CLEAR FROM MOVING
COMPONENTS OF THE SYSTEM. IF PATIENT’S HANDS GRIP AROUND
THE TABLE TOP FRAME, OR IF ANY PART OF HIS BODY HANGS
OVER ANY EDGE OR END OF THE TABLE, SERIOUS INJURY MAY
RESULT. USE THE PATIENT GRASP HANDLES, THE SAFETY
HARNESS, THE SHOULDER REST, THE FOOT REST AND OTHER
SAFETY MEASURES, AS APPROPRIATE, TO PREVENT ACCIDENTS.

IT IS THE RESPONSIBILITY OF THE OPERATOR TO PROVIDE MEANS

FOR AUDIO AND VISUAL COMMUNICATION WITH THE PATIENT
FROM THE CONTROL ROOM.

PATIENT INJURY MAY OCCUR. ALWAYS ASSIST THE PATIENT ON OR

OFF THE TABLE AT THE BEGINNING OR END OF AN EXAM.

RISK OF EXPLOSION IF USED IN THE PRESENCE OF FLAM-

MABLE ANESTHETICS

POSSIBLE PATIENT INJURY!

TO AVOID POSSIBLE PATIENT INJURY BE SURE THAT SYSTEM

POWER IS APPLIED BEFORE THE PATIENT ENTERS THE ROOM. THE
OVER HEAD CEILING SUSPENSION LOCKS FUNCTION ONLY WHEN
SYSTEM AC POWER IS APPLIED.

IF POWER IS DISCONNECTED, THE OVERHEAD SUSPENSION WILL

MOVE FREELY, POSSIBLY HITTING THE PATIENT.

• DO NOT ALLOW THE PATIENT TO USE THE OVERHEAD SUSPEN-

SION AS A SUPPORT.

OPERATIONAL CHECKS

Be sure the equipment is functioning properly and safely before each exam-
ination:

Verify that the following controls are operating correctly:

• Motion Controls, and Lock Releases.

• Audible and visual alarms.

om 2297164–100 Rev 9 2-18

 • Exposure switches and foot pedal

Visually inspect the equipment and make sure that:

• Equipment is not damaged or missing parts.

• All cover panels are in place prior to turning on electrical power (hazard-
ous electrical or mechanical parts could be exposed.
• There is no spilled contrast media on exposure switches and foot pedal

APPROVED OPERATING PROCEDURES AND ACCESSORIES

Be sure to use the equipment and the equipment and the approved accesso-
ries according to approved operating procedures:

• Perform X–ray tube warm up procedures prior to the exam. Failure to per-
form this procedure could damage the X–ray tube assembly.
• Do not exceed tabletop rating of a 136 kg (300 lbs.) patient. Excessive
loading could damage the tabletop and/or cause the patient to fall.
• Accessories should be properly attached to the table and positioned so as
not to interfere with system motions.
• Avoid unnecessary exposure to radiation. Stay behind the lead glass radi-
ation shield or lead screen. When in unshielded areas, wear protective
apparel such as goggles, lead aprons, and gloves.

PLANNED MAINTENANCE

POSSIBLE PATIENT OR OPERATOR INJURY!

TO AVOID POSSIBLE PATIENT OR OPERATOR INJURY, BE SURE TO

PERFORM PERIODIC INSPECTIONS AND MAINTENANCE PROVIDED
IN THIS DOCUMENT. FAILURE TO PERFORM THESE INSPECTIONS
COULD ALLOW DETERIORATING CONDITIONS TO DEVELOP
WITHOUT BEING DETECTED. THIS DETERIORATION COULD RESULT
IN EQUIPMENT FAILURES WHICH COULD CAUSE SERIOUS INJURY
AND EQUIPMENT DAMAGE.

om 2297164–100 Rev 9 2-19

 RADIATION SAFETY

Always use proper technique factors for each procedure to minimize x–ray expo-
sure and to produce the best diagnostic results. In particular, you must be thor-
oughly familiar with safety precautions before operating the system.

It is not always possible to determine when some components, such as x–ray

tubes, are nearing the end of their operating lives. These components could stop
operating during a patient examination.

Use radiation protection when using this equipment. Gonadal shielding and lead
aprons are essential to provide radiation protection for the patient and the operator.

WHEN THE SPOT FILM DEVICE TOWER IS POSITIONED AS FAR

TOWARDS THE BACK OF THE TABLE AS POSSIBLE AND THE TABLE
TOP IS POSITIONED AS FAR TOWARDS THE FRONT OF THE TABLE
AS POSSIBLE, A PORTION OF THE METAL FRAMEWORK OF THE
TABLE WILL BE VISIBLE IN THE IMAGE. A PORTION OF THE X–RAY
IMAGE WILL BE CUT OFF WITH THE SPOT FILM DEVICE TOWER AND
THE TABLE TOP IN THESE EXTREME AND OPPOSING POSITIONS.

KNOW THE EQUIPMENT

Read and understand all the instructions in the operating manuals before attempt-
ing to use the product and request training assistance from GE Medical System if
needed. Keep operating manuals with the equipment at all times and periodically
review the procedures and safety precautions.

This system contains operating safeguards to provide maximum safety. Before

calling for service, be certain proper operating procedures are being used.

Satisfactory equipment performance requires the use of service personnel specially

trained on x–ray apparatus. GE Medical Systems is responsible for the effects on
safety, reliability, and performance only if the following conditions are met:

• The electrical wiring of the relevant rooms complies with all national and
local codes as well as the Regulations for the Electrical Equipment of
Buildings published by the Institution of Electrical Engineers.
• All assembly operations, extensions, re–adjustments, modifications or
repairs are carried out by GE Medical Systems’ authorized service repre-
sentatives.

5-2Electrical Safety

If the table is to be used for special procedure applications, a grounding kit is

required and can be factory installed with original order.

om 2297164–100 Rev 9 2-20

 5-3Patient Positioning and Control

PATIENT INJURY MAY OCCUR. ALWAYS ASSIST THE PATIENT ON

OR OFF THE TABLE AT THE BEGINNING OR END OF AN EXAM.

WHEN MOVING THE TABLE TOP, BUCKY OR OTHER ELEMENTS, BE

SURE THE PATIENT’S HEAD (HAIR), HANDS AND FEET ARE
COMPLETELY ON AND WITHIN THE TABLE TOP PROPER. ENSURE
OXYGEN AND IV TUBING STAYS CLEAR FROM MOVING
COMPONENTS OF THE SYSTEM. IF PATIENT’S HANDS GRIP AROUND
THE TABLE TOP FRAME, OR IF ANY PART OF HIS BODY HANGS
OVER ANY EDGE OR END OF THE TABLE, SERIOUS INJURY MAY
RESULT. USE THE PATIENT GRASP HANDLES, THE SAFETY
HARNESS, THE SHOULDER REST, THE FOOT REST AND OTHER
SAFETY MEASURES, AS APPROPRIATE, TO PREVENT ACCIDENTS.

In addition, before moving the table, table–top, Intelligent Digital Device, Bucky, OTS
or other elements, be sure that the surrounding areas are clear of any obstruction.

Periodic inspection, prompt adjustment, repair or replacement of all elements of

this equipment is recommended. If in doubt about the condition of this equipment,
consult a GE Medical Systems technician.

5-4Table Angulation

Before angulating the table verify the area beneath and above the table is clear of
obstruction. Selection of table positioning controls may result in patient injury or
equipment damage.

PERSONAL INJURY IS POSSIBLE IN THE EVENT OF UNINTENDED

TABLE ANGULATION. DO NOT LEAVE PATIENT UNATTENDED ON
THE TABLE.

5-5Unsafe Table Region

Use care to avoid patient or operator injury, or equipment damage, in the event
that an actual equipment failure caused the table to remain in an unsafe region.

If a table enters into, or powers up in an unsafe region, only those controls that
can return the table to a safe region are allowed. To move out of an unsafe region:

1. Center the table top. If full table motion is not available, then
2. Move the table into the horizontal position. If full table motion is still not available.
3. Remove patient from table, safely, and call GE Service.

om 2297164–100 Rev 9 2-21

 .

Injury could occur from unintended motion. Remove patient from the
table and call Service.

5-6Patient Grasp Handles

The Patient Grasp handles may be engaged anywhere along the table top frame.
Place the clamp fully onto the top frame and tighten the knob firmly.
Instruct patients to use them. They are intended to keep the patient’s hands out of
harm’s way, but are not intended to hold the weight of the patient.
ILLUSTRATION 2-1GRASP HANDLES

5-7Safety Harness

Make certain to have at least a 3 inch (76 mm) overlap of the self–adhering mate-
rial of the safety harness. This amount of overlap is required to support the weight
of a 300 lb (136 kg) patient.

PATIENT MAY FALL OR ROLL OFF TABLE. USE SAFETY HARNESS

WHENEVER POSSIBLE. NEVER LEAVE THE PATIENT UNATTENDED.

5-8Reciprocating Bucky

THE BUCKY ASSEMBLY IS UNBALANCED WHENEVER THE

CASSETTE TRAY IS REMOVED WHILE THE TABLE IS IN THE
VERTICAL OR TRENDELENBURG POSITION. TO AVOID SUDDEN
MOVEMENT WHICH COULD CAUSE INJURY, ONLY REMOVE THE
CASSETTE TRAY WHILE BUCKY ASSEMBLY IS LOCKED AND THE
TABLE IS IN THE HORIZONTAL POSITION.

om 2297164–100 Rev 9 2-22

 5-8-1 Travel and Counterbalancing
The Bucky is counterbalanced with a 14, x 17, film cassette. Loading a smaller
cassette into the tray, or removing the cassette will unbalance the Bucky when the
table is not horizontal. To prevent the Bucky from falling, position and lock the
Bucky before inserting the cassette if the table is not horizontal.
To hold the Bucky in place, apply the lock on the right side.
• To release the lock, pull the knob out and turn it 1/4 turn.
• To apply it, turn the knob and allow it to retract.
Approximate Bucky travel limits are:
• With lateral shift top – 40 inches (1016 mm) of longitudinal travel.
When not in use, park and lock the Bucky at the extreme foot end of the table.

5-9Bucky Grids

Grid choice is made at the time the equipment is ordered. Changing grids is not a
normal user operation. Call GE Service to perform this service.

5-9-1 Oscillating Grid

The Bucky grid oscillates during the X–ray exposure. X-ray exposures are pre-
vented until the grid is in motion.

5-9-2 Single High Line/Rate Grid

A 12:1 or 8:1 high line/rate stationary grid is available. The single high line/rate
grid does not oscillate.

5-9-3 Bucky Grid Alignment

Centering
Density cutoff at the edges of the film and the appearance of grid patterns indicate
inaccurate lateral alignment.

Lateral overhead tube alignment becomes critical as grid ratio increases. There-
fore, lateral stereo work using a grid is not recommended.

Longitudinal alignment is not critical and tilted tube technics may be used. It is
important that the x–ray field coincide with the film. Align the collimator projected
light coincident with the Bucky handle index mark.

Focal Range
The Source to Image Distance (SID) must be consistent with the grid focal range
for linear focused grids. This becomes more critical at high grid ratios.

om 2297164–100 Rev 9 2-23

 5-10Patient Step

The patient step (ILLUSTRATION 2-2) provides patient convenience getting on

and off the table. The step is attached to the underside of the table body to the
right of the front support. Table angulation is prevented when the step is pulled
out. The white button must be pressed to push the step in.

INJURY COULD OCCUR IF PATIENT STEP IS NOT FULLY OUT. VERIFY

PATIENT STEP IS FULLY ENGAGED AND ASSIST THE PATIENT ON
AND OFF THE TABLE.

ILLUSTRATION 2-2
PATIENT STEP

5-11Foot Rest

TO PREVENT IMPROPER ATTACHMENT AND POTENTIAL INJURY TO

PATIENT, USE THIS FOOTREST ONLY ON THE TABLE FOR WHICH IT
HAS BEEN ADJUSTED.

Installing the foot rest at the set of slots closest to the end of the
tabletop provides easier patient boarding.

The foot rest is engaged on the table top in the same manner as shown for the
shoulder rest on ILLUSTRATION 2-3, and is designed to support a 300 lb (136 kg)
patient.

To attach:

1. Push on the safety latches with the thumbs and spread the handles.

2. Place the foot rest on the top adjacent to a set of slots and release the han-
dles.

3. Slide the foot rest until both handles snap into place.

om 2297164–100 Rev 9 2-24

 The safety latches will reset to prevent accidental spreading of the handles.

Check that BOTH handles have positive engagement by pulling on the foot rest. In
case of any difficulties or doubts about the foot rest condition, call a qualified tech-
nician.

ILLUSTRATION 2-3
FOOT REST

5-12Shoulder Rest

The shoulder rest (ILLUSTRATION 2-4) is engaged on the table top in the same
manner as the foot rest. The plunger locks permit adjustment of the pad position
in 1/2” increments.
ILLUSTRATION 2-4
SHOULDER REST

om 2297164–100 Rev 9 2-25

 5-13Compression Device

The compression device is not intended to be used for patient support or restraint.
It may be engaged at any point along the table top and consists of the front
bracket with ratchet, roller and band, and the rear anchor bracket. To use:
1. Position the patient
2. Engage the brackets on the front and rear edges of the table top.
3. Pull up the ratchet handle, pull out the band and hook the rod on the rear
bracket.
4. Tighten the band by “cranking” the ratchet handle i.e., move it back and forth.
5. Release the patient by lifting up the ratchet handle and disengaging the band.

ILLUSTRATION 2-5
COMPRESSION DEVICE

5-14Myelographic Operation

For myelographic procedures, the Horizontal Stop selection located on the table
control panel should be off. This inhibits accidental motion of the cone during the
procedure.

To adjust:

1. Press the button, move stop up or down and release it.

2. Then move the spot film device against it to make sure it is firmly seated.

om 2297164–100 Rev 9 2-26

 ILLUSTRATION 2-6
MYELOGRAPHIC STOP

5-15Myelographic Boots (Optional)

These boots are intended for patient’s support during myelography and are
attached to slots in the standard foot rest. When using these boots, mount the
shoulder rest to the table for added safety assurance. THE SHOULDER REST
NEED NOT BE IN ACTUAL CONTACT WITH THE PATIENT.

5-16Cone Operation

The cone drive is inoperable when the table HORIZONTAL STOP is OFF.

Ensure that spot film device is not on top of patient when bringing
cone in and out of Field of View.

5-17Lead Apron

1. Move the apron handle to position the lead apron. Position the handle
between the two lines for horizontal work. Outside the rear line it will slide, as
the table is angulated, in position for vertical work. Refer to ILLUSTRATION
2-7.

2. To remove the Lead Apron.

a. Pull out release button, and pull handle handle down.

b. Slide apron out of track towards rear of spot film device.

om 2297164–100 Rev 9 2-27

 THE LEAD APRON PROTECTS THE OPERATOR FROM ANY SCATTER
RADIATION. IT SHOULD REMAIN ATTACHED TO THE IMAGING
DEVICE AT ALL TIMES.

THIS LEAD APRON MUST BE INSTALLED IN ORDER TO MEET THE

RADIATION PROTECTION REQUIREMENTS OF IEC 601–1–3. THIS
LEAD APRON IS PART OF THE PRIMARY PROTECTIVE SHIELDING OF
THE EQUIPMENT USED TO ATTENUATE THE RESIDUAL RADIATION
FOR THE PROTECTION OF THE OPERATOR AND STAFF.

3. To Engage Lead Apron:

a. Engage sliders, at top of apron assembly, into track (on bottom of spot film
device) at head end of table.
b. Move handle pin under plastic slider hole.
c. Insert handle pin up into plastic slider hole (snaps in place).
4. The lead equivalent of the lead apron is 0.5 millimeters.

ILLUSTRATION 2-7
LEAD APRON

5-18Emergency Stop Button

See ILLUSTRATION 2-8.

In the event of unintended table angulation, or any other unintended motion, press
the “Emergency Stop Button”. This will instantly cut power to the table.

To restore power:

• Verify table is safe to angulate or move.

om 2297164–100 Rev 9 2-28

 • Push, turn, and release the “Emergency Stop Button”.
ILLUSTRATION 2-8
EMERGENCY STOP BUTTON

IT IS EXTREMELY IMPORTANT TO CHECK THE OPERATION OF THIS

BUTTON BEFORE EACH USE. THE PATIENT MUST NOT BE ADMITTED
UNLESS THIS SAFETY FEATURE IS OPERATIONAL.

5-19Grounding Kit

5-19-1 Purpose

A grounding kit provides special equipment grounding for the Expedio 500D Table
and the Intelligent Digital Device during procedures where the patient may
become susceptible to electrical shock. When installed, voltage differences due to
leakage current between various parts of the table and other properly grounded

om 2297164–100 Rev 9 2-29

 equipment are minimized. The kit limits voltage differences should an electrical
fault occur.

Patient vicinity grounding is required for procedures such as cardiac

catheterization, in which the patient is electrically susceptible.

For patient grounding to be effective, it is imperative to properly

ground all equipment which may come in contact with the patient, or
anyone touching the patient during a procedure.

5-19-2 Description
The grounding outlet panel is located on the Precision 500D table base. This
panel has connections for grounding the Precision 500D table top and other
equipment such as a film changer and injector. The panel has four green ground-
ing receptacles that accept grounding cord locking plugs.
Three grounding cables are supplied: one for the grounding table top, and two for
the grounding accessories.
The table top grounding cable has locking pin plugs at both ends. This cable con-
nects between one of the table base grounding receptacles and one of the table
top grounding receptacles.
The accessory grounding cables are terminated with a locking pin plug at one end
and a ground lug at the other end. These cables connect accessory equipment to
the table base receptacles.
5-19-3 Instructions

To minimize the possibility of table top cable interference with patient,

personnel, or equipment, carefully consider:

1. Direction and distance that table top will be extended

2. Placement of personnel

3. Placement of equipment for the intended procedure

Check all the table motions required for the procedure, with all ground
cords, equipment, and personnel in place BEFORE bringing a patient
into an examination room.
To connect a locking pin grounding cable to a ground receptacle, press the plug
into the receptacle and rotate the plug slightly clockwise. The plug will remain
engaged in the receptacle if properly connected.
To remove locking pins, push the plug in slightly and rotate counterclockwise until
the plug is disengaged. A spring will push the plug out of the receptacle.

NOTE: Remove the table top ground cord for procedures in which the patient is not elec-
trically susceptible, especially for procedures that require table angulation. Cord
removal reduces the chance of damage to equipment from entanglement with the
cord.

om 2297164–100 Rev 9 2-30

 SECTION 6
SAFETY SUMMARY
The operator must read this manual in its entirety and receive training in system
operation and application prior to operating the system.
DO NOT operate this unit if there is any uncertainty as to the proper functioning of
the system. Refer all servicing to QUALIFIED SERVICE PERSONNEL.
The system has been designed and tested to meet FDA regulations. The following
precautions and procedures must be complied with during all phases of operation
of this instrument, failure to comply could result in injury and/or death to the oper-
ator or the patient. GE Medical Systems assumes no liability for the customer’s
failure to comply.
NOTE: GE Medical Systems suggests that an image quality and system function
check be performed daily, prior to patient data acquisition. This can be done
by acquiring images using a phantom, retrieving them, and then deleting the
file per the operating instructions in this manual.

The system should not be operated such that a patient could come in
contact with any part of the system.

FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE

ORDER OF A PHYSICIAN.

THIS INSTRUMENT MUST BE GROUNDED! A THREE–CONDUCTOR

AC POWER CABLE IS SUPPLIED WITH THIS INSTRUMENT TO
PROVIDE THE PROPER ELECTRICAL GROUND. TO MINIMIZE THE
SHOCK HAZARD, THE MAIN POWER CABLE OF THE ISOLATION
TRANSFORMER MUST BE PLUGGED INTO A UL APPROVED THREE
CONTACT ELECTRICAL OUTLET; AND ALL AUXILIARY
COMPONENTS (EXCLUDING MONITORS) MUST BE PLUGGED INTO
THE ISOLATION TRANSFORMER UNIT SUPPLIED WITH THE SYSTEM.
(PART #735–045–G1 FOR 115V, PART #735–045–G2 FOR 230V, PART
#735–045–G3 FOR 100V). DO NOT SIMPLY PLUG THE GOLDONE
SYSTEM INTO A WALL PLUG!

DO NOT POSITION OR USE THIS SYSTEM IN A LOCATION WHERE IT

MAY BE SUBJECT TO SPLASHED OR SPILLED LIQUIDS!

om 2297164–100 Rev 9 2-31

 DO NOT USE THIS INSTRUMENT IN THE PRESENCE OF AN
EXPLOSIVE ATMOSPHERE, INCLUDING FLAMMABLE ANESTHETICS.
FAILURE TO COMPLY COULD RESULT IN FIRE AND EXPLOSION.

DO NOT USE THIS INSTRUMENT IN THE PRESENCE OF AN

EXPLOSIVE ATMOSPHERE, INCLUDING FLAMMABLE ANESTHETICS.
FAILURE TO COMPLY COULD RESULT IN FIRE AND EXPLOSION.

HIGH VOLTAGES CAPABLE OF CAUSING DEATH ARE PRESENT

WITHIN THIS INSTRUMENT. REFER ALL SERVICING TO QUALIFIED
SERVICE PERSONNEL ONLY.

THE SYSTEM IS INTERFACED TO X–RAY GENERATING EQUIPMENT!

BE CERTAIN TO FOLLOW THE X–RAY GENERATOR INSTRUCTIONS
AND SPECIFICATION FOR WEARING PROPER LEAD SHIELDING
WHEN IN THE PRESENCE OF X–RAY GENERATING EQUIPMENT. DO
NOT ATTEMPT ANY MAINTENANCE OF THIS UNIT, INCLUDING
TROUBLESHOOTING, IN THE PRESENCE OF ANY PATIENTS OR
NON–AUTHORIZED STAFF.

There are no operator–serviceable parts within the system. Operators

should not attempt to remove any panels or replace any parts. Refer
all servicing to qualified service personnel only.

Dosimeters must be worn by all personnel during all phases of

installation, operation and maintenance of the system and the
equipment to which it is interfaced.

Do not attempt to alter any system software. Doing so could disrupt

the functioning of the instrument and result in loss of images. Use of
any software not provided by GE Medical Systems is strictly
prohibited!

Do not attempt to alter any hardware unless the procedure is given in

the Preventive/Corrective manual, or supplied with a part provided by
GE Medical Systems. Doing so could disrupt the functioning of the
system and result in loss of images.

Under certain conditions, ESD may cause temporary anomalies to be

present on the image monitors and the VCR. This is a temporary
degradation during the ESD event and does not cause any system
issues.

om 2297164–100 Rev 9 2-32

 Under certain conditions, transients on the power line may cause
temporary anomalies to be present on the image monitors. This is a
temporary degradation during the transient event and does not cause
any system issues.

om 2297164–100 Rev 9 2-33

 CHAPTER 3
ABOUT THIS GUIDE

SECTION 1
INTRODUCTION

The Precision 500D is a high resolution, PC–based, digital imaging system

designed for Digital Videofluorography (DVF). It is designed to replace conven-
tional fluoroscopic photospot film techniques.

The system allows you to view 1024 x 1024 matrix images upon acquisition on a
high resolution Image Monitor. Computerized window, level, inversion, edge
enhancement, subtraction, and magnification features enable you to bring–up to
diagnostic details difficult or impossible to see using conventional fluoroscopic
techniques.

For example, spot film techniques are designed to produce high contrast images
when filming barium and related contrast agents sacrificing the ability to visualize
well the surrounding soft tissues. Through image processing the Precision 500D
provides a “wider dynamic range” enabling you to enhance a particular area of
interest and choose the optimum visualization of a given pathology.

The system provides the ability to hard copy images to traditional film output
devices. You can print images using whatever formats are supported by your
multi–format camera or laser film recorder.

The system also allows you to archive images using a variety of devices including:
DICOM 3.0 compatible network devices and MOD Recorders/Players.

NOTE: If you have any questions as to the operation of the system, contact your ser-
vice agency.

SECTION 2
ENVIRONMENTAL REQUIREMENTS

TABLE 3-1
ENVIRONMENTAL REQUIREMENTS

Temperature Humidity Atmospheric Pressure

Operation 50° – 90° F 30% – 75% noncond. 700 – 1060 hPA
10° – 32° C

Transport & Storage –40° – 158° 10% – 100% cond. 500 – 1060 hPA
F –40° – 70° C

SECTION 3
IMAGE STORAGE CAPACITY

The system is capable of holding a combination of several types of images includ-

ing: Spot, Fluoro, and Subtracted Spot images in a file.

om 2297164–100 Rev 9 3-1

 Spot (subtracted and non–subtracted), fluoro and Digital Stepping images are
acquired and stored in RAM (Random Access Memory). As the RAM memory fills
the images are stored to the system’s hard disk. The relative space available for
storing images is shown on the Image Monitor during all operating modes.

An optional feature allows the last acquired Fluoro image of a fluoro sequence to
be stored automatically to the system’s hard disk.

The size of the PC Hard Drive determines the amount of image storage capacity
available. The system may be upgraded to accommodate additional image stor-
age. Single images can also be saved to a CD for easy transport.

SECTION 4
OPTIONS

4-1DICOM 3.0 Interface Option

Both processed and unprocessed images can be transferred to/from an external

device via an Ethernet network link in a format that conforms to the ACR–NEMA
DICOM 3.0 standard. Several features are associated with Image Transfer includ-
ing applied enhancement processing or raw image data, Auto Transfer to DICOM
device, Annotations included in Image Transfer, Patient Data included with Image
Transfer, and DICOM WorkList Query/Import.

Patient files including just patient data, or patient data with images, can be
imported to the system using DICOM transfer or DICOM WorkList queries.

THIS OPTIONAL FEATURE MUST BE ENABLED BY A TRAINED

SERVICE ENGINEER. DO NOT ATTEMPT TO LOAD NETWORK
ADDRESSES ONTO THE SYSTEM WITHOUT THE DICOM OPTIONAL
SOFTWARE PACKAGE. TO DO SO WILL VOID THE PRODUCT
WARRANTY.

4-2Hard Copy Interface Option

The system can interface to many different digital film Laser Printers. The system-
will output data to the hardcopy device in the standard 3M P831 protocol. The sys-
temmust include the optional hardcopy device interface software and hardware in
order to operator properly with Digital Laser Film Recorders. Refer to the Site
Planning Guide, or contact GE Medical Systems Field Service Support, for a list of
compatible lasers.

4-3Bar Code Scanner Option

The digital system can now interface with a Bar code scanner to allow for more
efficient and accurate entry of alphanumeric data that would otherwise have been
entered via the keyboard.

During Review mode, the bar code scanner provides direct access to patient files
for review and update.

During DICOM Worklist mode, using the bar code scanner makes loading manual
queries easier.

om 2297164–100 Rev 9 3-2

 4-4International Keyboard Option

The digital system now supports numerous language keyboard styles including:

French Swedish
British Finnish
Spanish Danish
German Norwegian
Italian

om 2297164–100 Rev 9 3-3

 All aspects of text entry are supported for these above–mentioned language key-
boards, including:

Patient Data (entry and editing)

Annotations
Series Titles
Site Names
Programmable Fields

The native language text will appear on the Image Display Monitor, Static Refer-
ence Monitors displays, Scan Converter Displays, and printed images.

NOTE: This option requires modification to the digital system Parameters set-
tings. The keyboard must be installed by trained Service personnel. DONOT
plug in any Keyboard unless it is supplied or approved by GE Medical Sys-
tems.

DICOM Images: Sending or Archiving images using the DICOM protocol will
include the native language text; however, importing patient files using the
DICOM protocol is only guaranteed where the host and digital system use the
same native language keyboard.

SECTION 5
POWER UP/POWER DOWN

POWER UP

1. Turn ON the power for the system. This green power button is located on the
upper left of the IUI Console.

POWER DOWN

1. End all sessions and log–out using the Shut Down command found in Utilities
Tab. The system will automatically power down.

DO NOT simply turn off the system power while the PC is operational!
As with any PC, loss of data may result if the proper power–down
procedure is not performed.

DO NOT attempt to power down the system if images are currently

being sent to a Hardcopy or DICOM device.

SECTION 6
OVERVIEW

The physical operation of the original x–ray generator control devices will remain
the same as they did prior to the installation.

The graphical user interface system is based on a series of menus shown on the
Image Monitor. Operator input is made using a PC style keyboard, a mouse, and if
installed, the optional Table–Side Remote Keypad, or Bar–code Scanner.

om 2297164–100 Rev 9 3-4

 Several features are controlled via the Image Monitor. Each Monitor screen is
divided into two areas: the left side is dedicated to image selection and features
controls, and the right side shows the image display and a few feature controls
(see ILLUSTRATION 3-1).

• Sometimes menus are shown over the image portion of the screen. The sys-
tem operation is designed such that these menus do not usually interfere with
the normal image viewing.
ILLUSTRATION 3-1I
ACQUIRE GENERAL SCREEN

om 2297164–100 Rev 9 3-5

 6-1Keyboard

The PC style keyboard is necessary for some modes of operation of the system.

• The alphanumeric keys are used to enter patient and doctor information, enter
run sequence titles, and annotation messages.

Each system includes a Keyboard as a standard component. The main Keyboard

is normally located in the control room.

6-2Mouse

The Mouse controls the movement of the cursor as displayed on the Image Moni-
tor.

Mouse Function: Click the left, or right button.

Move the mouse on a mouse pad to control the direction of the cursor.

• Unless mentioned specifically in the instructions, all clicks refer to the left
mouse button.

om 2297164–100 Rev 9 3-6

 To move a window out of the way, left–click and hold on the header while using
the mouse to move it to the new location.

om 2297164–100 Rev 9 3-7

 SECTION 7
X-RAY TUBE SELECTION

7-1X-ray tube 1

For fluorography examinations, x-ray tube 1 is selected (under table x-ray tube).

ILLUSTRATION 3-2 Tube1 “Selected”

When x-ray tube 1 is not selected, the IDD console appears as follows:

ILLUSTRATION 3-3 Tube1 “Not Selected”

om 2297164–100 Rev 9 3-8

 7-2X-ray tube 2

For radiography examinations, x-ray tube 2 is selected (over table x-ray tube).
The Overhead Tube Suspension (OTS) user interface displays the following typi-
cal information:

ILLUSTRATION 3-4 Tube2 Selected

When x-ray tube 2 is not selected, the Overhead Tube Suspension (OTS) user
interface console appears as follows:

ILLUSTRATION 3-5 Tube2 “Not Selected”

om 2297164–100 Rev 9 3-9

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 3-10

 CHAPTER 4
GETTING STARTED

SECTION 1
INTRODUCTION

This chapter explains the startup and shutdown procedures for your system. It
also explains the tube warmup procedure which is important to maximize the life
of your tube.

SECTION 2
STARTUP/SHUTDOWN PROCEDURES

This section presents the concepts necessary to successfully perform routine

start up and shut down procedures.

• System Startup
• Tube Warmup
• System Shutdown
• Emergency Stop and System Recovery
– Emergency Stop Recovery
– System Recovery

2-1System Startup

Before you are able to begin making X–ray exposures, you need to start up the
system. Press the green “Power–Up” button located on the upper left corner of the
control console. The Precision 500D system was designed to be fully serviceable
from the IUI control console.

2-2Tube Warmup

Tube Warmup is a procedure that brings the X–ray tube up to a normal operating
temperature. The tube has to be brought to this temperature slowly. Tube warmup
should be done if no exposures have been made within two hours. This extends
the life of the tube.

2-3System Shutdown

The system can remain on. If it is necessary to shut down the system, make sure
all sessions are closed and select the shutdown button from the Utilities tab on the
IUI Console.

om 2297164–100 Rev 9 4-1

 2-4Emergency Stop and System Recov-
ery

Your system has a large red Emergency Stop button at an accessible location in
your imaging facility. This button removes all power from the system. The Emer-
gency Stop button or circuit breaker should be used for emergencies only.

PRESS THE EMERGENCY STOP BUTTON ANYTIME THERE IS AN

EMERGENCY CONDITION. THIS REMOVES ALL POWER FROM THE
X–RAY SYSTEM.

2-5Emergency Stop Recovery

After an emergency, if you have used the Emergency Stop button, or turned the
main circuit breaker off, the system can be returned to normal operation by follow-
ing the System Start Up procedures.

When the system returns to normal operation, data acquisition sessions in

progress will appear on the control console screen. Images that have been
acquired and not saved will be recovered so user can save images.

If the emergency stop is activated at power-up, the system will fail to complete the
boot process. The operator will need to release the emergency STOP and perform
a reset of the system.

2-6System Recovery

There is a gray System Reset button on the upper left corner of the control con-
sole. This button resets the software if a program becomes locked during an appli-
cation. Use this button to reset the software and system applications program.

2-7Procedure for Tube Warm Up

This procedure can be performed at your console to preheat the X–ray tube target
before you begin your diagnostic examination. Pre–heating the target can extend
the life of the tube and prevent damage to the X–ray tube assembly.

Use this procedure to warm up the tube when an exposure has not been made
within 2 hours.

1. Check the room to make sure it is clear of all personnel before making X–ray
exposures.

• Do not have a patient or other people in the room while performing tube
warm ups.

om 2297164–100 Rev 9 4-2

 2-8Hard Copy Interface Option

The system can interface to many different digital film Laser Printers. The system
will output data to the hardcopy device in the standard 3M P831 protocol. The sys-
tem must include the optional hardcopy device interface software and hardware in
order to operator properly with Digital Laser Film Recorders. Refer to the Site
Planning Guide, or contact GE Medical Systems Field Service Support, for a list of
compatible lasers.

2-9Bar Code Scanner Option

The digital system can now interface with a Bar code scanner to allow for more
efficient and accurate entry of alphanumeric data that would otherwise have been
entered via the keyboard.

During Review mode, the bar code scanner provides direct access to patient files
for review and update.

During DICOM Worklist mode, using the bar code scanner makes loading manual
queries easier.

2-10International Keyboard Option

The digital system now supports numerous language keyboard styles including:

French
Swedish
British
Finnish
Spanish
Danish
German
Norwegian
Italian

om 2297164–100 Rev 9 4-3

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 4-4

 CHAPTER 5
INTEGRATED USER INTERFACE

SECTION 1
INTRODUCTION

The purpose of this chapter explains the functionality of the integrated user inter-
face. This will be the first screen to appear on completion of the power boot–up.

1-1Power–on

ILLUSTRATION 5-1
PATIENTS SCREEN

om 2297164–100 Rev 9 5-1

 The Digital Image screen displays a Patient List Screen after boot up. For an
explanation of the functionality of this screen, refer to Chapter 6, Section 3.

ILLUSTRATION 5-2
PATIENT LIST SCREEN

Depending on system configuration, the exam room monitor is blanked whenever

the patient list is displayed (for patient privacy). The exception is for rooms with no
control room monitor; in this case the exam room monitor will always display the
patient list.

om 2297164–100 Rev 9 5-2

 1-2Tube Warm–Up Screen

NOTE: IMPORTANT!
A tube warm–up should be performed if the unit has not made an exposure in two
hours. This function will help extend the tube life. The Warm Tube button will
appear when a warm–up is required.

Select the Warm Tube button located on the lower right of the screen as shown in
ILLUSTRATION 5-3.

ILLUSTRATION 5-3
WARM TUBE SCREEN

RAD TUBE

FLUORO TUBE

WARM TUBE BUTTON

The technical factors as well as the number of exposures are preset. After select-
ing the appropriate tube for warm up, press the exposure button. Maintaining
pressure on the exposure switch will stop at the completion of the warm up proce-
dure. After the soak time has counted to 0 seconds, the close button must be
selected to continue.

Please remember to follow all radiation safety standards

while performing this and all procedures.

om 2297164–100 Rev 9 5-3

 When performing a tube warm-up procedure for the under
table or over table x-ray tube, the operator must remember
that a tube warm up procedure produces a series of
exposures and therefore produces a small amount of
scatter radiation even though the collimator blades are at
their minimum open position. Therefore, the following
steps are recommended to be taken to minimize the effect
of this small amount of non-diagnostic radiation in
addition to the normal precautionary steps taken when
producing diagnostic radiation. Secondarily, these steps
will also help protect the Image Intensifier input phosphor
from being irradiated when power is not being applied to it
when performing an under table tube warm up.
1. It is not recommended to have a patient on the table or
people in the room while performing under and over
table tube warm-ups. Perform under and over table tube
warm-ups before people enter the room or while the
patient is being prepared for the procedure. For over
table tube warm-ups, move the XT to a remote corner of
the room.
2. Move the table bucky to a position so that it is over the
table tube. This position on the table top is directly
below the Image Intensifier and Intelligent Spot Film
Device.
3. Lay a lead apron on the table top in a position so that it is
over the table tube and collimator.

om 2297164–100 Rev 9 5-4

 Follow precautionary measures, do not perform Tube
Warm–Up with patient(s) or personnel in the exam room.

NOTE: At completion of Tube warm-up procedure, the user will return to the last Tube
Warm-up screen viewed before the Tube Warm-up test was selected.

ILLUSTRATION 5-4
PATIENT SCREEN

The following tabs, located across the top of the screen, are selected from the
Patient Screen on the IUI console:

• Patient List: This will display the patients on the Digital system.
• Work List: This will display the patients registered for procedures from the
facility HIS/RIS
• Utilities: Protocol addition and editing, as well as system services func-
tions are available with this selection.

1-3Add/Select Patient Screen

NOTE: During patient information entry these characters are not allowed in any data
fields: < > ? / : \ ! ^ * & .

Patient List tab button selections:

om 2297164–100 Rev 9 5-5

 • Add Patient: This function places additional patients into the system. A dialog
screen appears on the Digital Image Monitor which prompts the
operator for pertinent patient information. See ILLUSTRATION 5-6.
ILLUSTRATION 5-5
PATIENT LIST SCREEN

The digital monitor displays a dialog box to input patient information.

ILLUSTRATION 5-6
PATIENT INFORMATION SCREEN

NOTE: Patient List Screen will only accept a maximum of 44 characters for the first, mid-
dle and last names combined. If the first, last and middle names combined
exceeds 44 characters; the field will be truncated to 44 characters.

om 2297164–100 Rev 9 5-6

 The same rule applies to entering the Physician’s name.

• Select Patient: The up arrow will scroll up the list of patients, and the down
arrow will move down the list displayed from the Patient List
or Work List. Refer to ILLUSTRATION 5-2.
• Start Exam: This will signal the unit that a patient has been selected for
a procedure and the system is placed in an acquisition
mode.
• Review Exam: The system will be placed into a review/filming mode.
• Protect: By selecting a patient and pressing Protect, this particular
exam cannot be removed. By following the same steps on a
protected patient the Protect field will be removed and the
exam can be deleted.

An “L” will appear in the Status column on the Patient List

Screen when the Protect button is selected. Refer to
ILLUSTRATION 5-7.
• Edit Patient: This button gives you the ability to adjust patient data,
name, and patient ID if entered manually. Patients selected
from the worklist cannot be edited.
• Start Cassette
Only Exam: This selection indicates that only the overhead tube will be
utilized for imaging the patient without the assistance of fluoro.
Procedures can be performed without selecting from the
worklist. No patient name will be visible during procedures.
• Mark Study as Complete
An “F” flag which appears in the Status column means that the
patient’s exam is completed. This signals the HIS/RIS database
to accept patient exam as being done. Refer to ILLUSTRATION
5-7.
NOTE: Once a patient is listed as complete or “F”, no more exams can be accepted
under that particular exam session.

NOTE: A “V” in the Status column denotes the exam is verified against the HIS/RIS sys-
tem.

A “T” in the Status column denotes the exam was transferred to a PACS station.

An “A” in the Status column denotes the exam was archived to a CDRW.

A “P” in the status column denotes a print of the selected image has completed.

NOTE: The maximum number of series to any exam is 80. There is no limit to the number
of images in a patient study.

om 2297164–100 Rev 9 5-7

 ILLUSTRATION 5-7
COLUMN DESCRIPTIONS

SERIES COLUMN IMAGES COLUMN STATUS COLUMN

SECTION 2
START EXAM

2-1Start Exam Scenario

A patient can be selected from the worklist or an existing patient from the patient
list. In this example, HIS/RIS is available and the patient is registered for a proce-
dure.

Depending on system configuration, the exam room monitor is blanked whenever

the patient list is displayed (for patient privacy). The exception is for rooms with no
control room monitor; in this case the exam room monitor will always display the
patient list.

Select Work List tab.

ILLUSTRATION 5-8
PATIENT SCREEN

om 2297164–100 Rev 9 5-8

 WORK LIST TAB

om 2297164–100 Rev 9 5-9

 A Patient Work List appears on the Digital Image Screen. Select a registered
patient for an image acquisition.
ILLUSTRATION 5-9
DIGITAL MONITOR WORKLIST SCREEN

Select Start Exam from the IUI Console. Refer to ILLUSTRATION 5-10.
ILLUSTRATION 5-10
IUI WORKLIST SCREEN

START EXAM
BUTTON

om 2297164–100 Rev 9 5-10

 ILLUSTRATION 5-11
SELECT PROTOCOLS SCREEN (1)

This screen will display the patient’s name selected for acquisition. By pressing
the Select Protocols button, you will be able to choose an anatomical category.

No patient name will appear if cassette only has been selected.

Image Monitor screen will display a blank screen except for the “Site Name”.

om 2297164–100 Rev 9 5-11

 After the major category is selected, protocols will be displayed as in the next
screen.

ILLUSTRATION 5-12
SELECT PROTOCOLS SCREEN (2)

Select the procedure you wish to perform and press Accept.

Multiple procedures from different categories may be selected before pressing

Accept.

NOTE: To custom create or alter examination protocols, refer to the Section 3 for step
by step instructions.

om 2297164–100 Rev 9 5-12

 Acquisition screens have patient identification, procedure selected, technical fac-
tors and receptors (table bucky, digital, etc. appropriate for your system).

NOTE: The “Select Protocols” button located in the lower left of the IUI screen returns
to the Select Protocols screen. See ILLUSTRATION 5-12. This screen allows
more tests for the same patient be added. Buttons will build up denoting the
additional tests. Select each button to review the test parameters prior to
acquiring the image.

ILLUSTRATION 5-13
ACQUISITION SCREEN (1)

BUTTONS ARE
ADDED IF SEVERAL
PROTOCOLS ARE
SELECTED

kVp
The arrow up/down 10 indicates that by selecting these buttons you will increase
or decrease by 10 kVp increments for each push. The up/down arrows without 10
increase and decrease by 1 for each push.

mA
The up/down arrows will increase and decrease in accordance with the focal spot
selected.

mAs/msec
If AEC is selected, the actual used factors will appear at the completion of the
exposure. If fixed is selected, you will have the ability to increase and decrease
the mAs as needed.

Patient Size
There are four selections for patient size, large medium, small adult and pediatric.

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 Focal Spot
There are two focal spot selections small 0.6 and large 1.25.

Total Dose
Total skin dose to patient for entire exam (fluoro and record images).

Total DAP
DOSE x AREA EXPOSED = PRODUCT (total area exposed during exam)

Ion Chambers/AEC cells

By pressing the Ion Chamber button, it will display all available combinations.

Density
Density may be increased or decreased by using the arrows. Each step will
change the density by 25%.

ILLUSTRATION 5-14
ACQUISITION SCREEN (2)

om 2297164–100 Rev 9 5-14

 2-2Fluoro Acquisition Screen

ILLUSTRATION 5-15
FLUORO ACQUISITION SCREEN

Selections
• This screen will display record factors as well as fluoro factors.
• The top portion of the screen is dedicated for record factors.
• You may change your contrast type for the trajectories to compensate techni-
cal parameters. However it is recommended to use the appropriate contrast
per procedure.
• The other option is frames per second. You may select single, 1, 2, 3, 4, 5, 6
or 7.5 maximum.
• The lower portion of the screen is dedicated to fluoro factors.
• You may select the image intensifier size. (This is system dependent.)
• The Field of View options are 16, 12, 9, 6 or 12, 9, 6, 4.5 inch (40, 32, 22,
16 cm or 32, 22, 12, 9 cm) modes.
Pediatric Dose Selection (optional) - Provides specialized image acquisition
parameters for small pediatric patients. This special purchase option provides
dedicated and tailored dose trajectories for infants and small children.
• The dose can be limited to one of three rates: the standard 10 R/minute grid
in or 5R/minute input dose (grid in or out).
• Provides the optimum mix between minimal dose and maximum image qual-
ity.
• The pediatric mode is not available in Germany or New Zealand due to exist-
ing low dose regulations.
Pulsed Fluoro (option) - The system works with 15, 7.5 and 3.75 frames per sec-
ond. After selecting, the rates can be changed at the IDD.

om 2297164–100 Rev 9 5-15

 ILLUSTRATION 5-16
MODIFIED PROTOCOL
MODIFIED PROTOCOL

If button is selected, it will revert to the existing protocols in the database.

If a change is made to a stored protocol it will be noted as Modified on the screen.

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 2-3Angio Acquisition Screen (Option)

ILLUSTRATION 5-17
ANGIO ACQUISITION SCREEN

Pediatric Dose Selection (optional) provides specialized image acquisition param-

eters for small pediatric patients. This special purchase option provides dedicated
and tailored dose trajectories for infants and small children.

•The dose can be limited to one of three rates: the standard 10 R/minute grid in or
5R/minute input dose (grid in or out).
•Provides the optimum mix between minimal dose and maximum image quality.
•The pediatric mode is not available in Germany or New Zealand due to existing
low dose regulations.
This screen will display record factors as well as fluoro factors for a subtracted or
non subtracted acquisition. The availability of the subtraction capability is pro-
grammed in the Protocol Edit function. During an Angio acquisition you have the
ability to acquire in real-time, subtracted mode or as a non subtracted run. No
matter the mode of acquisition, it may be reversed during review.
If the button is highlighted this is the indication that the acquisition will be sub-
tracted. At the depression of the exposure switch, two non subtracted images will
appear. The first will adjust the technique the second will be utilized as the mask.
From this point your sequence will be in the subtracted mode.

NOTE: Keep the exposure switch depressed until the completion of the run.

If the is highlighted, the acquisition will be acquired in the non subtracted

mode. If desired, this series can be reviewed in subtracted mode.

NOTE: The use of the Bolus Lock is not available during a subtracted acquisition.

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 The Image Monitor will display the following screen:

ILLUSTRATION 5-18
IMAGE MONITOR SCREEN

2-4Video Presentation

These selections will change image presentation head/foot and left/right.

2-5Fluoro Time

Total fluoro time is displayed.

The 5 minute fluoro timer can be rest by pressing the button. An audible alarm will
sound at the completion of 5 minutes. You may continue to fluoro with the audible
tone for another 5 minutes. However at the end of the second 5 minute period the
time must be reset otherwise fluoro will be discontinued until this is done.

Total patient dose and Dose area product is displayed in the upper right corner of
the screen.

om 2297164–100 Rev 9 5-18

 2-6View/Film

This is utilized at the completion of an exam for filming and/or networking or during
an exam to review all images in the series for possible additional films.

ILLUSTRATION 5-19
VIEW/FILM SCREEN
This symbol indicates the image has been tagged. Touch the desired number frame to Tag
the image. It also designates that the tagged image is being viewed during View Film.

1 2

3 3
1 Prior/Next Image
The Delete Image button will mark the
2 Prior/Next Page currently selected image for deletion. The
Delete Series button will mark the entire
3 Prior/Next Series
4 series (currently selected) for deletion.
Deletion occurs when the exam is closed.
4 Play/Pause Series -The Play/Pause button is a three-state button. The first time it is pressed, the current series
begins playback. The next button press begins playback of all series in the exam. The next
button press will pause the pause (stop) the playback.

Image Review
Multi view

• The system can display 1, 4, or 16 images from the study.

• The format that is displayed here will match the image display on the monitor.
• The images can be paged through with the “Prior” and “Next” buttons. See
callout 1 in ILLUSTRATION 5-19.
• If there are more images than can be displayed in the selected multi–file you
will press the page Prior or Next button. See callout 2 in ILLUSTRATION 5-
19.
• If there are rapid sequences in the series, the multi image buttons will move
Prior or Next through the sequence. By depressing the Play/Pause button it
will play at acquisition speed. See callout 3 and 4 on ILLUSTRATION 5-19.

om 2297164–100 Rev 9 5-19

 • The rate may be changed by selecting Replay Rate and making your replay
frame choice. By touching this display the appropriate image can be tagged or
untagged for filming or networking

2-7Filming

The filming options are displayed to the right of the screen.

Batch Filming
This will display the selected film format, the number of images tagged for filming
and the number of films required for this job.

You may choose to film the entire study or only tagged images with the selector
buttons Film All or Film Tagged.

ILLUSTRATION 5-20
FILMING FORMAT SCREEN

Film Composer
• This composer is for studies that may require images to be in a different order
or aligned in a specific way.

• The order of the images that are selected will be: Left to Right and Top to Bot-
tom, in Multi View tiles.

om 2297164–100 Rev 9 5-20

 • The system will display the image number to its appropriate film location.
• Press Print Sheet to send the data to the laser imager
• Press Clear Sheet to remove selected images from sheet without printing.
• To re–configure an image sheet, press Film Format.

You may toggle between view film and acquisition if additional images are
required.

Mark Study as Complete After the completion of an examination the close button is pressed. A pop up dia-
log box appears which asks the operator if the study should be marked as com-
plete. If “Yes” is selected an “F” is placed in the Status column in the Patient List
screen and the file is locked. Refer to ILLUSTRATION 5-21.

No additional images will be added to the patient study and all data will be sent to
the network if a PACS system is connected.

If “No” is selected, the patient may be selected from the patient list at a later time
and additional images can be added to this study.

Refer to Section 1-3 for details of this feature.

2-8Radiographic Exposure / Review Multi-

tasking

This feature allows Radiographic Overtable exposures while reviewing digital

record series.

• Select a digital record protocol which has a radiographic protocol step.

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 • Acquire digital record exposures.
• Select the radiographic protocol step and review/modify the techic as needed.
• Press the View/Film button to review the digital record images.
• The radiographic technic is displayed on the review screen and a radiographic
exposure can be taken.

2-9Archive to Local CD–RW (OPTION)

NOTE: Only 300 images can be archived per CD. The system alerts the user if more
than 300 images are selected.

If a power outage occurs while storing images to a CD-RW and the

RESET button located on the IUI is pressed or the Emergency Stop
button on the table is pressed; any archived information on the CD-RW
becomes unusable. The archiving procedure must be restarted.

Selected patient images can be archived to a CD–RW.

• A blank CDRW must be inserted into the CD drive located on the top of the IUI
console.

• From the Patient List Screen, select the desired patient images to be stored
onto a CD.

• To select a group of images that are listed next to each other:

Select one patient file from the list
A darkened stripe will appear across the file line as shown in ILLUSTRATION
5-21,
Hold the SHIFT key down,
Select the last patient file desired,
A darkened box will appear between the first and last files selected,
These are the images that will be sent to the CD for archiving.

OR

• To select a group of images that are listed in random order:

Select one patient file from the list
A dark stripe will appear across the file line as shown in ILLUSTRATION 5-21,
Hold the CONTROL key down
Select as many patient files as desired
Each patient file selected will darken as they are selected
These are the images that will be sent to the CD for archiving.

When the desired files are selected:

• Select the ARCHIVE TO LOCAL CD–RW button located on the bottom of the
Patient List screen as shown in ILLUSTRATION 5-21.

om 2297164–100 Rev 9 5-22

 ILLUSTRATION 5-21
AUTO ARCHIVE CDRW

SERIES COLUMN IMAGES COLUMN STATUS COLUMN

SELECT THE ARCHIVE TO

LOCAL CD–RW BUTTON

om 2297164–100 Rev 9 5-23

 2-10Emergency Recovery

If during a procedure power is lost to the system, the system will reboot if power is
returned to the unit after 30 seconds.

NOTE: Upon reboot, the system will remember all patient parameters if power was lost
during a procedure. If power is off longer than 30 seconds, the system must be
rebooted by pressing the power-up button located on the IUI console. The study
will not resume. Re-select the patient from the Patient list and the exam.

IF THE SYSTEM CONTROL INTEGRATED CONSOLE LOSES

COMMUNICATION WITH THE REMAINING SYSTEM DURING A
DIGITAL RECORD ACQUISITION, THE USER WILL BE ALLOWED TO
CONTINUE/FINISH (EXPOSURE SWITCH IS RELEASED) THE
ACQUISITION. ANY SUBSEQUENT ACQUISITION (FLUORO OR
DIGITAL) WILL BE INHIBITED.

ILLUSTRATION 5-22
RESET RECOVERY SCREEN

The system will then give the options for continuing the study by selecting
Resume Exam or ending the study by the Close Exam option.

om 2297164–100 Rev 9 5-24

 SECTION 3
EDIT PROTOCOLS
3-1Protocol Editor
The Protocol Editor is entered by selecting the Protocols tab at the left of the Utili-
ties screen. The Protocol Editor is a tool for the creation, modification, and dele-
tion of Protocol Categories and Protocols.
ILLUSTRATION 5-23
PROTOCOL EDITOR SCREEN

If access to the Protocol Editor is denied, the Protocol Editor will display a pop– up
window as shown below:

om 2297164–100 Rev 9 5-25

 ILLUSTRATION 5-24
PROTOCOL EDITOR

Protocol Editor Access

Access to the Protocol Editor is limited to users

with Administrator or Service privileges.

To gain access, log out and then log in as

Administrator or Service.

Select Protocols, then Edit to add protocols to your system or to modify an exist-
ing one.

After adjustments have been made and the data for the protocols saved. The total
protocol data can be archived to CD by selecting Backup. (It is always advisable
to maintain a record of data and changes as a backup file.)

If data is lost, insert the backup CD and select Retrieve. All previous data is
returned to the system.

3-2Protocols

The protocol database stores technique information for commonly performed

exams. The user needs only to select a procedure from the database, and the
system will set up the technique information according to the selected procedure.
This section describes the structure of the database.
Protocol Category: At the top level is Protocol Categories. The Protocol Cate-
gory names are defined by the user. 8 Protocol Categories can be created.
Protocol: Within a Protocol Category Protocols are defined. The Protocol names
are defined by the user. The Protocol is intended to be defined at the exam level
(e.g. Spine, or Upper GI), rather than by specific views. 16 Protocols per Protocol
Category can be created.
Protocol Step: Within a Protocol, Steps are defined. The Protocol Step names
are defined by the user. The Protocol Step is typically defined at the view level
(e.g. Lateral Chest, or Scout for Upper GI). 6 Protocol Steps per Protocol can be
created.
For each Protocol Step, the user is able to define whether it supports Tube 1 (Dig-
ital Record and Fluoro) or Tube 2 (RAD) and the corresponding technique param-
eters.
The protocol database file stored on the system has the capacity to store up to
4000 individual operator defined protocols.

om 2297164–100 Rev 9 5-26

 The protocol database file is stored in the same location on the system as the
other system log files.

When loading the default protocols the user must select the correct
Protocol CD-Rom.

The system will warn the user that specific protocols have had
modifications made to them. The user must be aware of any user-
defined protocols before accepting installation of any Protocol CD-
Roms during Protocol Retrieve. Refer to ILLUSTRATION 5-25.

If protocols have been modified, and a “Default” CD is used to restore

system configuration, all of the user-defined protocols will be deleted
and must be redefined.

ILLUSTRATION 5-25
CHANGES TO PROTOCOLS

3-2-1 Parameters for Tube 1 (Fluoro) Protocol Step

For the Tube 1 Protocol Step, there is only one Receptor and there is no Patient
Size. An initial EPT (Estimated Patient Thickness) is used, with the contrast media
selected. The initial EPT is used for the first exposure and then subsequent expo-
sures use the Patient Size calculated by exposure management. The initial or
default EPT is hard coded in system software.

For the Tube 1 Protocol Step, the technique parameters that is defined by the user
for digital record are: Contrast Media, AEC / Angio, and Record Frame Rate. If
Angio, then Sub / No Sub is also defined. The technique parameters that is

om 2297164–100 Rev 9 5-27

 defined by the user for fluoro are: FOV, Horizontal Sweep, Vertical Sweep, Fluoro
Frame Rate, and ROI.

Technique specification for both fluoro and digital record should be made with the
grid in the beam.

The default digital record technique is:

– 110 kV
– 200 mA
– Small Focal Spot

The default fluoro technique is:

– 85 kV
– Small Focal Spot

3-2-2 Parameters for Tube 2 (RAD) Protocol Step

For each Tube 2 Protocol Step, the user is able to define technique parameters for
up to three different Receptors. The Receptor choices are wall bucky, table bucky,
and tabletop.
For wall bucky and table bucky, the user is able to define either AEC, Fixed, or
both. If both are chosen, the user is able to define the default. For table top, the
user is limited to Fixed.
For each Receptor defined, the user is able to define technique parameters for up
to four different Patient Sizes. (S, M, L and PED)
For each Receptor –– AEC / Fixed –– Patient Size combination defined, the tech-
nique parameters that is defined by the user are: kV, mA, Focal Spot, Film Speed
Screen and Spectral Filter. If Fixed, then the mAs is also defined. If AEC, then the
Ion Chamber, Estimated mSec and the Density is also be defined.
The user is able to define the default Patient Size, Receptor, and AEC / Fixed.
The default AEC technique is:
– 75 kV
– 400 mA
– center AEC cell

The default Fixed technique is:

– 50 kV
– 100 mA
– 25 mAs
– Small focal spot

om 2297164–100 Rev 9 5-28

 3-2-3 Protocol Categories

Add Category When Add Category is selected, the pop–up window appears as shown below:

ILLUSTRATION 5-26
ADD CATEGORY

User must touch

this box to enter a
Category Name

The user is able to name the new Protocol Category. The length of the name is
limited to 12 characters. When the pop–up appears, the text field is blank.

When the user is adding the first Protocol Category, the selection reads “First” and
the control grayed out / inactive. Otherwise the selection reads “After Y” where Y
is the last Protocol Category in the list. All categories are listed in creation order or
user-defined order in the drop down menu.

When the user selects OK, the pop–up window closes. The Add Categor
moves down one slot to accommodate the new Protocol Category button.

User must physically touch “Protocol Category” box in

order to type in a name.

om 2297164–100 Rev 9 5-29

 ILLUSTRATION 5-27
ADD CATEGORY SCREEN

Edit Category When Edit Category is selected, a pop–up window appears as shown below:

ILLUSTRATION 5-28
EDIT CATEGORY

The currently selected Protocol Category appears and the user is able to change
the name, it’s position, or both.

om 2297164–100 Rev 9 5-30

 To change position of a category, select the drop down menu and select the Proto-
col category to be moved. A Protocol category can be positioned first or at any
other position within the complete list of Protocol categories.

NOTE: It is necessary to SAVE after changes have been made. Select OK will tempo-
rarily save the changes made. Upon exiting from Protocol Editor, a final save
or cancel confirmation will ensure any changes made will be saved.

Delete Category When Delete Category is selected a pop–up window appears as shown below:

ILLUSTRATION 5-29
DELETE CATEGORY

The name of the currently selected Protocol Category appears.

3-2-4 Protocols
Only one Protocol is able to be selected at a time. When the user selects a Proto-
col, the new Protocol button depresses. If a Protocol had been selected prior to
the new Protocol being selected, the original Protocol button is released. This
behavior is different from the Select Protocols screen where multiple Protocols
can be selected simultaneously. The Protocol selections are greyed out/inactive
until a Protocol is selected.

om 2297164–100 Rev 9 5-31

 Edit Protocol When Edit Protocol is selected, a pop–up window appears. The pop–up window is
identical to the Add Protocol window.

The name of the currently selected Protocol appears and the user is able to
change it. The current default Patient Size appears and the user is able to change
it. The placement of the currently selected Protocol appears and the user is able
to change it. The choice “After X”, where X is the name of the currently selected
Protocol, not available.

When the user selects OK, the pop–up closes, the screen transitions to the Proto-
col Editor screen.

When the user selects Cancel, the pop–up window closes.

ILLUSTRATION 5-30
EDIT PROTOCOL

om 2297164–100 Rev 9 5-32

 Copy Protocol When Copy Protocol is selected, a pop–up window appears as shown below:

ILLUSTRATION 5-31
COPY PROTOCOL

The text “Default Patient Size” is included after the patient size icon to clarify what
the field is for.
The text “Position (After)” is included after the location drop down to clarify what
the field is for.
The text “Within Category Name” is included after the category drop down to clar-
ify what the field is for.
The user is able to name the new Protocol. The length of the name is limited to 12
characters. When the pop–up appears, the text field is blank.
The current default Patient Size appears and the user is able to change it.
The currently selected Protocol Category appears and the user is able to change
it. If only one Protocol Category is available, the control is grayed out / inactive.
The user is able to place the new Protocol. The Protocol being copied can be
named and placed in the same category or a different category. When the user is
adding the first Protocol in a Protocol Category, the selection reads “First” and the
control is grayed out / inactive. All categories are listed in creation order or user-
defined order in the drop down menu.
The “OK” button will be grayed out / inactive until valid entries have been made.
When the user selects OK, the pop–up closes, the new protocol is added to the
protocols in the position designated in the pop–up and it is selected.

om 2297164–100 Rev 9 5-33

 When the user selects Cancel, the pop–up window closes.

The Copy Protocol button is grayed out / inactive when no Protocol has been
selected or 16 protocols exist for the current category.

Delete Protocol When Delete Protocol is selected, a pop–up window appears.

The name of the currently selected Protocol appears.

When the user selects Delete, the pop–up window closes. The selected Protocol
button disappears and the Add Protocol button is moved up one slot. When the
Add Protocol button is not on the screen because the limit of Protocols has been
reached, the Add Protocol button reappears in the last slot.

When the user selects Cancel, the pop–up window closes.

The Delete Protocol button is grayed out / inactive if no Protocol has been
selected.

ILLUSTRATION 5-32
DELETE PROTOCOL

om 2297164–100 Rev 9 5-34

 Add Protocol When Add Protocol is selected, a pop–up window appears as shown below:

ILLUSTRATION 5-33
ADD PROTOCOL

The user is able to name the new Protocol. Select the box in order to enter the
Protocol name. The length of the name is limited to 12 characters.
Select Patient Size for Patient Default size. S, M, L and PED.
The user is able to place where the protocol should be positioned in the category
list.
“Position (After)” is included above the location drop down to clarify what the field
is for.

The star and the text “Default Patient Size” is included after the patient size icon to
verify what the selected default Patient Size is.

The user is able to set the default Patient Size. This Patient Size is used as the
default for all Tube 2 Protocol Steps. The benefit of having this parameter at the
Protocol level is that if the Patient Size has to be changed (say from Medium to
Ped [pediatric]), it only has to be changed in one place and not in each Protocol
Step. When the pop–up appears, the default factory Patient Size is set to Medium.

The user is able to place the new Protocol in any position. When the user is add-
ing the 1st Protocol, the selection is read “First” and the control is grayed out /
inactive. All categories are listed in creation order or user-defined order in the drop
down menu.

The “OK” button will be grayed out / inactive until valid entries have been made.

When the user selects OK, the pop–up is closed and the new protocol is added to
the right of the main screen and selected.

om 2297164–100 Rev 9 5-35

 ILLUSTRATION 5-34
ADD PROTOCOL SCREEN

After the new protocol has been added, Protocol Steps must be selected.

om 2297164–100 Rev 9 5-36

 Protocol Steps Button A Protocol Steps button is provided at the bottom of the main screen. When no
protocols are selected the button is grayed out. When a protocol is selected the
button becomes available and will no longer be grayed out. When the Protocol
Steps button is selected, the Protocol Steps screen appears.

If you are adding a new Protocol, the information portion of the screen will be
blank until you select Add Step.

ILLUSTRATION 5-35
ADD STEP SCREEN

om 2297164–100 Rev 9 5-37

 3-2-5 Protocol Steps

Add Step When Add Step is selected, a pop–up window appears.

After Add Step is selected, the step must be named and the tube selected.

ILLUSTRATION 5-36
NAMING THE STEP AND SELECTING THE TUBE

The user is able to name the new Protocol Step. The length of the name is limited
to 10 characters. When the pop–up appears, the text field is blank. Duplicate step
names will not be allowed
The user is able to pick a tube, either Tube 1 or Tube 2.
If the system only has Tube 1, the selection for the different tubes will not be
shown.
If a tube is available but no receptors are configured for that tube, the tube will not
be shown.
The user is able to place the new Protocol Step. When the user is adding the first
Protocol Step, the selection reads “First” and the control is grayed out / inactive.
All categories are listed in creation order or user-defined order in the drop down
menu The complete list of selections will show the first Protocol Step name and
the last Protocol Step name.
The text “Position (After)” is included above the location drop down to clarify what
the field is for.

om 2297164–100 Rev 9 5-38

 The “OK” button will be grayed out/inactive until valid entries have been made.

ILLUSTRATION 5-37
TUBE 1 EDIT

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 Tube 2
Add Step
NOTE: When building and modifying steps in your Protocols, it is important to remember
your Protocol routine and the order the steps are placed in the Protocol. As a ben-
efit, the Tube Bucky button on the IDD will move in descending order through the
Tube 2 steps. If you have the Pulsed Fluoro option, the digital button on the IDD
not only will return you to fluoro from a Tube 2 step but can toggle you between
continuous and pulsed fluoro.

If you are modifying a Protocol the screen will appear with the Tube selection for
the first step in that Protocol.

ILLUSTRATION 5-38
TUBE SELECTION SCREEN

To modify a specific Tube 2 technique, touch the row you wish to change and
press Edit Tech.

om 2297164–100 Rev 9 5-40

 ILLUSTRATION 5-39
TUBE 1 EDIT

To add an Angio Step, select Tube 1 and Angio instead of AEC.

om 2297164–100 Rev 9 5-41

 ILLUSTRATION 5-40
ANGIO STEP

• The difference between AEC and Angio: with AEC the exposure factures are
adjusted per each image in a multiple frame series. With an Angio multiple
frame acquisition, the system will adjust the technical factors at the start of the
series and after the adjustment, maintains it as a fixed technique for the com-
pletion of the series.
• The Edit, Copy and Delete Step procedures can be completed now. When uti-
lizing the Copy Step function, the procedure can be named but only placed in
the same protocol.

om 2297164–100 Rev 9 5-42

 When Tube 2 and OK have been selected on the Add Step screen, a pop–up win-
dow appears as shown below:

ILLUSTRATION 5-41
ADD STEP SCREEN

The user is able to set the available Patient Sizes. The default Patient Size that
was chosen at the Protocol level is checked and indicated with a star. The default
Patient Size will not be able to be de–selected.

The user is able to set the available Receptors. Until a Receptor is selected, its
AEC and Fixed selections are grayed out / inactive.

Until both AEC and Fixed have been selected for a given Receptor, the Default
AEC / Fixed toggle are set to AEC.

When a Receptor is chosen, all AEC and Fixed options for that receptor appears
in Acquire. When the user is in Acquire and changes the AEC / Fixed selection to
something that has not been chosen in the Protocol Editor, the technique is set to
the appropriate default technique, either AEC or Fixed. For the table top Receptor,
only Fixed appears since no AEC exists.

om 2297164–100 Rev 9 5-43

 Tube 2
Technique
Edit Review
When a Tube 2 Protocol Step has been selected, the screen appears as shown
below:

All combinations of the previously selected Patient Size, Receptor, and AEC /
Fixed appears down the left side of the table.

The default technique now is indicated with a star just to the left of its Patient Size.

The user is able to select a particular technique (row) and select the “Edit Tech”
button. This will allow the user to edit that technique.

ILLUSTRATION 5-42
TUBE 2 PROTOCOL STEP SCREEN

om 2297164–100 Rev 9 5-44

 Tube 2
Technique
Edit
After selecting the “Edit Tech” button, the selected technique (row) will be shown
in the upper left of the main area.

For each technique the user will be able to adjust the following values.
kV
mA
Film Speed / Screen (AEC only)
Spectral Filter
Ion Chamber (AEC only)
Focal Spot
Density (AEC only)
Estimated mSec (AEC only)
mSec (Fixed only)

The “Estimated (m)Sec” text appears within an AEC technique. For a fixed tech-
nique the text is removed along with the controls and values for Ion Chamber and
Density.

The Film Speed/Screen toggle allows the user to select a default from up to three
possible options: The options are set up and defined in the Service User Interface.

The “Estimated (m)Sec” controls allows the user to put in an estimate of how
much time (mSec) it will take to acquire the image for each technique. The back–
up time used on RAD AEC acquire screens will be based on this value. Backup
time is calculated as 1.5* the AEC time estimate.

The review step button returns the user to the Technique Edit Review screen.

The “Prev. Tech.” and “Next Tech.” buttons bring up the previous or next operation
mode in the sequence.

om 2297164–100 Rev 9 5-45

 Tube 1
Technique
Edit
When a Tube 1 Protocol Step has been selected, the screen appears as shown
below:

ILLUSTRATION 5-43
TUBE 1 PROTOCOL STEP SCREEN

All of the record technique parameters appears above the top row of the table. All
of the fluoro technique parameters appears above the bottom row of the table.

The user has the option to select between AEC and Angio (DSA)

When Angio is selected the subtraction buttons appears.

The user has the option to select from the available Contrast.

The user has the option to select from available Digital record rates by selecting
the left and right arrows.

For Fluoro, the user has the ability to select Fluoro rate by selecting the left and
right arrows.

For Fluoro the user has the ability to select vertical and horizontal flip.

When the user is adding a Protocol Step, the Tube 1 Technique Edit screen starts
with information for Digital Record and Fluoro settings filled in with the default
techniques.

The user has the ability to select between 6 different Region of Interests (ROI).

om 2297164–100 Rev 9 5-46

 Common Controls
for Tube 1
and Tube 2 The name of the Protocol appears as text above the column of Protocol Step
buttons on the left side of the work space.

Edit Step When Edit Step is selected, a pop–up window appears.

ILLUSTRATION 5-44
EDIT STEP

om 2297164–100 Rev 9 5-47

 Tube 2 Edit
Step
ILLUSTRATION 5-45
TUBE 2 EDIT STEP SCREEN

When the user selects either Tube 1 or Tube 2 and OK, the screen changes to the
Tube 2 Edit Step screen.

• The user is able to select “OK” without making any changes.

• The user is able to uncheck receptors and patient sizes (except for the
default). When the user selects “OK”, the screen transitions to the Technique
Review screen displaying all the previously selected operation modes and
their user–defined values.
• The user is able to check any previously unchecked receptors and patient
sizes. When the user selects “OK”, the screen transitions to the Technique
Review screen displaying all the previously selected operation modes and
their user–defined values.
• The user is able to change the default receptor settings with out disturbing any
of the previously selected operation modes and their user–defined values.

om 2297164–100 Rev 9 5-48

 Copy Setup When Copy Step is selected a pop–up window appears as shown below:
ILLUSTRATION 5-46
COPY STEP

The user is able to name the new Protocol Step. The length of the name is limited
to 10 characters.
When the user selects OK, the screen changes to the Technique Edit screen for
the new Protocol Step.

om 2297164–100 Rev 9 5-49

 Delete Setup When Delete Step is selected, a pop–up window appears.

ILLUSTRATION 5-47
DELETE STEP

The name of the currently selected Protocol Step appears.

When the user selects Delete, the selected Protocol Step button disappears and
the Add Step button moves up one slot.

om 2297164–100 Rev 9 5-50

 Save When Save is selected a pop–up window appears as shown below:

ILLUSTRATION 5-48
SAVE POP-UP WINDOW

When the user selects Save the protocol database is updated with any additions
and changes.

Cancel When Cancel is selected a pop–up window appears as shown below:

ILLUSTRATION 5-49
CANCEL POP-UP WINDOW

When the user selects YES, the screen changes to the Protocol Editor screen and
no changes will be made to the protocol database. The screen goes to the main
Protocol Editor screen with no categories selected.

NOTE: It is recommended that the SAVE button be selected periodically while making
modifications in the Protocol Editor. If the system crashes, any changes that have
not been saved will be lost.

om 2297164–100 Rev 9 5-51

 3-2-6 Retrieve

When Retrieve is selected a pop–up window appears. This function allows the
user to retrieve a protocol database that has been saved onto a CD.

ILLUSTRATION 5-50
PROTOCOL RETRIEVE

When the Protocol Retrieve begins, the system looks for a protocol database on
the CD that corresponds with the system configuration.

NOTE: Initiating a Retrieve causes changes in the protocol database only. No other
areas of the system (i.e. system configuration) is affected.

NOTE: Each retrieved Protocol is checked for compatibility with the system configura-
tion.

When a retrieved Protocol is found to be incompatible, the technique parameters

are modified by the system to create a valid technique. In the case of a tube not
being available the technique is removed. If it is a smaller x–ray tube the system
will drop the mA value. If the system is not configured for pulse fluoro and a proto-
col being retrieved has pulse fluoro the fluoro rate is changed to continuous.

At the end of the retrieve the user is notified of the changes made to the new data-
base. The user then is able to accept or reject any of the changes. When the user
selects “Accept” the new database replaces the existing one. If the user chooses
“Cancel” the old database remains. Refer to the following screen illustration.

om 2297164–100 Rev 9 5-52

 3-2-7 Back Up

When Back Up is selected a pop–up window appears The pop–up window allows
the user to back up the protocol database and the system configuration data.

ILLUSTRATION 5-51
BACK UP

The protocol database and the system configuration data is backed up onto a sin-
gle CD.

When the user selects “OK”, the Back Up begins.

Before the Back Up begins a check of the available space on the CD media is
done to verify that the database will fit on the CD.

NOTE: If an error is detected during the backup process, an error is generated and
logged in the system error log indicating the database backup process failed.

3-2-8 System Configuration Changes

Before the system configuration is changed, the protocol database must be

backed up onto a CD.

om 2297164–100 Rev 9 5-53

 3-3User Preferences

Below the Utilities tab and within the Preferences tab the screen below appears:

ILLUSTRATION 5-52
USER PREFERENCE SCREEN

The user has the ability to set the default values for all the functions listed.

The values set at this screen are used within the Patient Select, Acquire and View/
Film screens.

3-3-1 Default Dose - Fl/Rec

The default dose can be set to either Pediatric or Adult - this setting is used each
time a digital record exam is started. The user can also change the dose during
the exam at either the IUI or at the IDD console.

3-3-2 Default Pediatric Grid

The default grid position can be configured to be in or out when the Pediatric dose
is selected. The user can also change the grid position during the exam at the
IDD console.

3-3-3 DSA Image Invert

DSA Image Invert can be set to W/B or B/W (White on Black, Black on White).
When performing DSA acquisition images will be acquired and displayed at the
default setting.

om 2297164–100 Rev 9 5-54

 3-3-4 Record Image Invert

Record Image Invert can be set to W/B or B/W (White on Black, Black on White)..
When performing record, images will be recorded and displayed according to the
default setting.

3-3-5 Fluoro Image Invert

Fluoro Image Invert can be set to W/B or B/W (White on Black, Black on White).
When performing fluoro, images will be acquired and displayed according to the
default setting.

3-3-6 Auto Send

Auto Send can be set to default to On or Off. This will be the default setting on the
acquire and view film screens.

3-3-7 FNR Level

FNR can be set to default to: None, 1, 2, 3, 4, 5, 6. When acquiring images, FNR
will be applied at the selected default level.

The default FNR setting is site configurable. FNR is modifiable from the IDD. Any
changes to FNR from the tower continues until a new patient is selected. When a
new patient is selected, FNR is reset to the default setting.

3-3-8 Record Edge Enhancement

Record Edge Enhancement can be set to default to: None, 1, 2, 3, 4. When

acquiring images, Record Edge Enhancement will be applied at the selected
default level.

The default record edge filter for acquisition is site configurable. Changing the
record edge filter from the GoldOne in View / Film should not affect the acquisition
setting.

3-3-9 Fluoro Edge Enhancement

Fluoro Edge Enhancement can be set to default to: None, 1, 2, 3, 4. When acquir-
ing images, Fluoro Edge Enhancement is applied at the selected default level.

The default fluoro edge filter for acquisition is site configurable. Changing the flu-
oro edge filter from the GoldOne in View / Film should not affect the acquisition
setting.

3-3-10 Printer Destination

Printer Destination appears in a drop down list with all available printers. When
the user chooses to print, this is the printer to which the images will be sent. Avail-
able printers will be configured in the system configuration.

om 2297164–100 Rev 9 5-55

 3-3-11 Auto Send Destination

Auto Send Destination appears in a drop down list with all available destinations.
When the user chooses “Send Images” or Closes a patient file when “Auto Send”
is checked, the images are transferred to the destination selected here. Available
destinations will be configured in the system configuration.

3-3-12 Images Tagged

Images Tagged can be set to default to All or None. When “All” is selected,
Images will automatically be tagged when entering the View/Film screen.

3-4Service User Interface / Effect on IUI

3-4-1 Dose Measurement

(Yes, No) If set to “no,” Total Dose and DAP (including their titles) do not appear on
IUI. If “yes” Total Dose and DAP (including their titles) appears on IUI.

3-4-2 Pulsed Fluoro

(Yes, No) If set to “no,” only Continuous Fluoro is available and selection for Fluoro
rate is removed from IUI screens. If set to “yes” all options are available to the
user.

3-4-3 DSA Package

(Yes, No) If set to “no” DSA steps are not available for use or able to be set up in
Prot Edit.

3-4-4 DICOM Ethernet

(Yes, No) If set to “no” the system is not set up to send images to other stations,
Auto–send and Auto–send destinations are not available in user preferences.

3-4-5 DICOM Print

(Yes, No) If set to “no,” the system is not set up to print.

3-4-6 DICOM Worklist

(Yes, No) If set to “no” the tab for worklist does not appear. If set to “yes” the tab
for worklist is displayed.

3-4-7 Pediatric Option

(Yes, No) If set to "no", the system Pediatric mode is not available. The Default
Dose and Default Pediatric Grid buttons are not displayed in the User Prefer-
ences.

3-4-8 Measurement System

(English, Metric) Display all measurements according to the selection. This

includes FOV/Magnification.

om 2297164–100 Rev 9 5-56

 3-4-9 HU Tone Alert / %HU

This is the Heat Units Remaining level at which the tone is sounded. This is only
followed when VA Site is set to “yes.”

3-4-10 Number of Tubes

(1,2) When set to “1,” only the under table tube is available, all references to Tube
2 are removed.

3-4-11 OTS

(Yes, No) When set to “yes,” table bucky and table top are available however, the
number of tubes must be set to 2.

3-4-12 Wallstand Location

When set to “0”, wall bucky will not be an option as a receptor.

3-4-13 Fluoro Rates

(Continuous = 30, Pulsed = 15, 7.5, 4) These are set values and are options
depending if Pulsed Fluoro is set to yes or no.

3-4-14 Spot Rates

(Single, 1, 2, 3, 4, 5, 6, 7.5) Available record rates.

3-4-15 Max Record rate

(7.5) Fastest record rate

3-4-16 System Log On

(Yes, No) When set to “yes” the system will require user to log on. If set to “no” the
Log out button is not displayed on the utilities screen.

ILLUSTRATION 5-53
SYSTEM LOG-IN

om 2297164–100 Rev 9 5-57

 3-5Service Tab

These screens are for utilization by the field service engineers.

ILLUSTRATION 5-54
SERVICE SCREEN

Diagnostics Calibration Service Tools

Button Button Button
Error Log Image Quality Configuration
Button Button Button

om 2297164–100 Rev 9 5-58

 3-6System Shutdown

The Log out button is utilized to end your session on the equipment The next staff
member will insert their security password to now operate the system. After
selecting log out a confirmation is requested.

ILLUSTRATION 5-55
LOG OUT SCREEN

After this confirmation you are logged out of the system.

Shutdown removes power from the entire unit.

Description
1. Displays if battery power is operational. 11. Play/Pause – Plays thru loop of images
2. Displays image as invert contrast 12. Next Image/Fast
3. Subtract 13. Previous Series will display the last sequence of images
4. Image displayed will be used as the mask 14. Image tag (To select image for filming or image transfer)
5. To display an image in a 1 on 1 format 15. Next Series will display the next sequence of images
6. To display images in a 4 on 1 format 16. Increase Contrast
7. To display images in a 16 on 1 format 17. Roam Up on zoomed image
8. Previous page displays previous page of 4 or 16 images. 18. Increase Brightness
NOTE: This is not functional if in multi–view. 19. Roam Left on zoomed image
9. Displays next page of 4 or 16 images. NOTE: This is not 20. Roam Right on zoomed image
functional if in multi–view.
21. Zooms in on image by 2
10. Previous Image/Slow
22. Decrease Contrast
23. Roam Down on zoomed image

om 2297164–100 Rev 9 5-59

 ILLUSTRATION 5-56
SHUTDOWN SCREEN

If a requested function has not been completed before a shutdown is requested a

warning message will be displayed with the option of completing the shutdown.

SECTION 4
IN–R00M REMOTE KEYPAD (OPTION)

The In–Room (IR) Remote Keypad is an option intended for control of review func-
tions from the procedure room. It consists of a hand–held infrared remote control
and receiver unit. Its functions closely follows the functions of the IR console key-
pad.

om 2297164–100 Rev 9 5-60

 4-1IR Remote Keypad Commands

ILLUSTRATION 5-57
IR REMOTE KEYPAD COMMANDS
Key
1. LED Display
2. Inverse
3. Subtract
4. Mask
5. 1 on 1 format
6. 4 on 1 format
7. 16 on1 format
8. Prev Page (only if operational if in 4/1 or 16/1)
9. Next Page (only if operational if in 4/1 or 16/1)
10. Prev Image/Slow*
11. Play/Pause*
12. Next Image/Fast*
13. Previous Series
14. Tag
15. Next Series
16. Increase Contrast
17. Roam Up
18. Increase Brightness
19. Roam Left
20. Roam Right
21. Zoom
22. Decrease Contrast
23. Roam Down
24. Decrease Brightness

* Dual Function: Slow/Fast plays thru loop of images at a slower or faster rate.

om 2297164–100 Rev 9 5-61

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 5-62

 CHAPTER 6
DIGITAL IMAGING SYSTEM

SECTION 1
MENU DISPLAYS

1-1Digital Image Main Screen

The Digital Image Review screen appears once an acquisition session is begin-
ning.

The review screen side menu allows for some Image manipulation and enhance-
ment from the Digital Imaging Station.

ILLUSTRATION 6-1
DIGITAL IMAGE REVIEW SCREEN

om 2297164–100 Rev 9 6-1

 ILLUSTRATION 6-2
IMAGE REVIEW UTILITY MENU

Pull Down List

Pull–down list buttons, when activated, show all the available settings
for a feature. You can use the pointing device to select one of the
options shown in the list. The feature will not allow any other entries
other than those included in the list.

Input Field Boxes

Input Field Boxes include a box for entering exact data using the
keyboard.

Toggle Buttons

Toggle feature buttons activate/deactivate a feature with each

selection of the feature button. The button changes in appearance to
signal if the feature is active.

Arrow Buttons

Arrow buttons can point either up, down, left, or right. Selecting an
arrow button once will change the specific feature by a single value.
For example, the Select Run Arrow pointing to the right (shown here)
will advance the system to the next Run.

1-2Disk Space Indicators

The disk space indicators are shown at the top of the feature menu portion of the
screen.
Disk = Hard Disk space for Fluoro and Spot images
The shaded area on the scale indicates the amount of space already used for
storing images.
ILLUSTRATION 6-3
DISK STATUS INDICATOR

The number indicates how many

images can be stored to disk.

om 2297164–100 Rev 9 6-2

 SECTION 2
EDIT SERIES TITLE

New series are automatically assigned a Series Number. A new series is created
with each multiple frame acquisition. This feature allows you to change the name
of the series to something more descriptive. The maximum number of series
including current series and deleted series is 80 per patient file.

NOTE: If a series title is entered in the Series Title dialog box, you must select
ENTER or RETURN to record this entry.

ILLUSTRATION 6-4
EDIT SERIES TITLE SCREEN

Series Title Dialog Box

om 2297164–100 Rev 9 6-3

 Acquisition information is shown on the image portion of the screen.

ILLUSTRATION 6-5
IMAGE SCREEN INFORMATION
Patient Name, Doctor Name,
Patient ID #, Date of Birth and Image Type is not editable.
number of total images in patient file. Image X of Y:
These fields are not editable. Can enter any # in the X box to jump to that
image frame #.

Date and Time

images were
acquired

kV, mA, mAS, MS, SM FS

Process Image pull up menu
NOTE: The Horizontal and Vertical settings remain active
and are applied to the next image acquisition.

SECTION 3
PATIENT LIST SCREEN

The Patient List screen appears on the Digital Image monitor once the IUI console
has booted up.

Depending on system configuration, the exam room monitor is blanked whenever

the patient list is displayed (for patient privacy). The exception is for rooms with no
control room monitor; in this case the exam room monitor will always display the
patient list.

om 2297164–100 Rev 9 6-4

 PATIENT LIST WORK–IN– CHECK BOX
AREA PROGRESS UTILITIES
UTILITIES

Functionality of the Patient List Screen:

• Destination 1 & 2:
Lists devices which store patient studies.

• Send Selected Studies:

Selected Patient studies are sent to designated storage or printing devices.

• Archive to Local CD–RW:

Images are sent to be archived to CD–RW. The CD–RW drive is located on
the IUI console.

• Networking Queue:
This function details the activities of files that are either being stored or
printed.

• Query/Retrieve:
This will retrieve or look for files located on a CD–RW.

NOTE: Retrieving patient files from a CD is not available at this time.

• Delete Selected Patient(s):

This will mark the image with a “D” in the lower right corner of the Image
screen. Refer to Section 16 for further information.

om 2297164–100 Rev 9 6-5

 • Disk:
Disk space indicator explained in Section 1-2.

Check boxes:
If these boxes are selected, images modifications are printed or saved to CD with
these changes; the original will remain intact.

• Tagged: Images that have been “Tagged” in a film batch, refer to

Chapter 5, Section 2-6 for this utility.

Processed: Shutter adjustements, edge values, and window level are applied
to the image

Annotated: Text comments are included on the Image also see Section 6
for this function.

SECTION 4
AUTO SEND TO REFERENCE IMAGE MONITOR (WITH REFERENCE MONITOR INSTALLED)

NOTE: This feature is only available where the Reference Monitor Display feature and
hardware are already installed.

This feature is optional and must be installed by a trained service engineer.

Contact your local service or sales agent to order this feature.

When radiation is applied (either fluoro or spot radiation) the currently displayed
Last Image Hold image (Fluoro, Spot, or Roadmap type) is forwarded to the Refer-
ence Monitor. If no Last Image Hold Image is currently displayed on the main
monitor, nothing will be sent to the Reference Monitor.

• You can still manually send an image to the Reference Monitor by clicking on
the Save button in the Reference Image section of the feature menu.

NOTE:

om 2297164–100 Rev 9 6-6

 • You may resize columns by moving the cursor across the column bound-
ary and double clicking when the pointer turns to an arrow cursor. The
column will then be resized to accommodate the longest entry listed.

• Clicking on the Patient Name column header will sort names A

through Z; A second click will reverse the order, sorting Z through A.

• The Doctor column header may also be sorted in this manner, click-
ing the column header to toggle the alphabetical sort functions.

• The Series column may also be sorted by the smallest to highest

number of patient series and vice–versa.

• The maximum number of series to any exam is 80.

• The Date column can be sorted to list either the most recent patient
files at the top of the list, or the oldest patient files at the top. The
DATE field represents when the patient file was created, NOT when
the file was last accessed.

• When done editing the patient data, select the OPEN button to begin acquir-
ing images or CANCEL to save changes and close the file.

SECTION 5
SELECTING A PATIENT FILE – REVIEW MODE

5-1Selecting Review Mode

Select the Patient’s Name or Patient ID# for the file you want to review.
Select the Review Exam button from the IUI console.
Image(s) for that patient appear on the Digital Image monitor.

ILLUSTRATION 6-6
REVIEW SCREEN

om 2297164–100 Rev 9 6-7

 SECTION 6
IMAGE ACQUISITION

If great variances in image quality occurs, the Quality Assurance

Process (QAP) test should be done.

This QAP process is a means to monitor image quality. It is

recommended that this test be performed on a weekly basis. Refer to
Appendix B, Section 2 for QAP instructions.

6-1Acquisition Rates

Select RATE from the IUI console or the IDD.

The rate include single and multiple acquisition rates of single, 1, 2, 3, 4, 5, 6, and
7.5 frames per second.

om 2297164–100 Rev 9 6-8

 The active rate is also shown in the upper right corner of the black mask area as
images are acquired.

The fluoro loop rates available are 4(3.75), 7.5, 15, 30 frames per second.

Manual Shutters

This feature allows you to adjust separately each side of the black mask which
surrounds the image.

1. Select the “Shutter Adjust” option from the Process Image pull-down list
(lower right corner of the monitor screen).

2. Click the right button on the mouse. A 4-choice menu appears, select “Man-
ual”. This begins the manual shutter feature operation.

3. Use the mouse to position the cursor (cursor should look like: #) near the
shutter side you want to adjust. Click the left button on the mouse to select
that side.

4. Move the mouse to place the shutter in the desired position. The shutter will
move with the cursor movement.

5. Click the left button on the mouse when the shutter is in the desired place.

6. Repeat steps 3 – 5 to change any other shutters.

7. Select the “Process Image” option from the Process Image pull–down list to
accept the shutter positions and allow normal operations. See ILLUSTRA-
TION 6-7.

ILLUSTRATION 6-7
PROCESS IMAGE SCREEN

om 2297164–100 Rev 9 6-9

 PROCESS IMAGE
PULL UP MENU

6-2Image Subtraction

NOTE: If images were acquired subtracted, the images will automatically be shown
subtracted when you enter Review mode.

NOTE: The Subtraction feature is an Advanced Digital Package item option.

The Subtraction feature is used for post–acquisition image subtraction. Any image
can be declared a mask image, and all subsequent images in the series will be
subtracted from it.

1. Select the MASK button when the desired mask image is displayed.

2. The current frame # should appear in the FRAME# box (to the right of the
MASK button).

NOTE: User may select subtraction button and the first image of the sequence will be
used as the mask.

NOTE: Individual images and fluoro images may not be subtracted.

om 2297164–100 Rev 9 6-10

 3. Use the Image Replay buttons to advance the image display either dynami-
cally or by single frames. All images besides the mask frame should be shown
subtracted when reviewed.

4. There are multiple degrees of subtraction available so landmarks can be visi-

ble or removed during the image subtraction. See below for instructions.

Once the MASK button is selected the LANDMARKING (%) and REREGISTRA-
TION (Rr) menus will appear on the screen.

1. Select the desired setting from the LANDMARKING % pull–down list.

Acquire Mode = 100%, 50%, 25%, and 0%. Review Mode = 100%, 50%, and
25%.

2. To change the current mask frame #, enter the desired # in the Mask Frame #
box.

3. To deactivate the Subtraction feature, select the SUBTRACTION button again.

6-2-1 Reregistration of Subtracted Images

If a subtracted image is not properly aligned with the mask image, the mask image
can be moved pixel–by–pixel in any direction until aligned.

1. Ensure the MASK feature button is selected.

• The process image box on the bottom–right corner of the screen shows
“Reregister Image”.
• The group of buttons (4 arrow buttons and a “House” button) appears in
the lower left corner of the image area.

2. To register an image with the mask image, simply position the cursor to the
image area of the screen, and click–and–hold the left mouse button. When
the image is aligned correctly click the pointer device button again to set

If you prefer, you can select any one of the 4 arrow buttons to move the image
in that direction.

om 2297164–100 Rev 9 6-11

 ILLUSTRATION 6-8
REREGISTER IMAGE SCREEN

IMAGE MOVE
ARROWS

om 2297164–100 Rev 9 6-12

 ILLUSTRATION 6-9
SUBTRACTION FEATURE BUTTONS

The “House” button (shown at the center of the 4 arrow buttons) resets the pixel and sub–pixel re–registration
values to 0 in all directions (e.g. both images are in the original acquisition positions).

While the Re–registration feature is active, the keyboard “Home” key performs the
same as the “House” screen button.

The “Rr” pull down box is used to turn

on/off sub pixel reregistration by
percentages.

• When a fractional number (0.25,

0.1, or 0.01) is selected, the sys-
tem goes into sub–pixel mode.
Each click of an arrow button
equals movement of that fraction of
a pixel, in the direction of the arrow.
• When a whole pixel (1) is selected,
each click on the arrow button
equals 1 pixel move.

6-2-2 Mask Refresh During Multiple Image

Display

Subtracted images may be viewed during either 4:1 or 16:1 display formats.

1. To activate this feature select the Mask image as normal.

2. To change the Image Display on the IUI. Select either the 4:1 or 16:1 format
listed on the IUI screen.

3. The Digital Image screen will change to show the multiple subtracted images
starting with the mask image.

om 2297164–100 Rev 9 6-13

 You can also change the Mask image during Multiple Image Display:

1. During multiview display, select the desired mask image and select the MASK
button.

2. All the images on the screen will be re–displayed subtracted using the new
mask image. The mask image screen will be grayed.

SECTION 7
IMAGE STACKING (AND MAX/MIN
OPACIFICATION OPTION)

The Image Stacking feature can be used during the Review mode and On–Line
Review mode to consolidate a series of images into a single image, showing the
blood vessel completely filled with contrast media.

The term Image Stacking is used as a general term covering the specialized fea-
tures:

Maximum Opacification
Minimum Opacification
Multi–Mask (also called frame averaging)

NOTE: Only record images within the same run can be stacked.

Image Position: Stacked images are stored at the end of the current run of
images, just after the loop of images.

Auto Replay: The Stacking feature button is not available if Auto Replay is active.

Image types that cannot be stacked include: Fluoro, Already-stacked image,

Roadmap, and DICOM Processed images received into the digital system.

NOTE: If a subtracted stacked image is toggled to unsubtracted, it cannot be toggled

back to subtracted. The user may recreate the stacked subtracted image, but
the stacked image cannot return to a subtracted display.

om 2297164–100 Rev 9 6-14

 ILLUSTRATION 6-10
STACKING SCREEN

om 2297164–100 Rev 9 6-15

 ILLUSTRATION 6-11
IMAGE STACKING BUTTONS

1. You must be in Review mode, with the desired

patient file, run, and first desired image already
displayed.

2. Select the Stacking button to access the Stack-

ing menu.

3. Select the + Image button to add the current

image to the Stack List. The image frame # will be
added to the Stack Image list.

4. Use the FRAME FWD or REV arrow buttons to

view additional images. As each desired image is
displayed, select the + Image button to add that
image to the Stack Image list.

Note: For building a list of numerous images it

may be easier to select the desired images while
in 4:1 or 16:1 image display. Click the mouse but-
ton when the arrow cursor is over the desired
image to highlight the image, then select the +
Image button to add it to the list.

5. Once all the desired images have been added to

the list, select the appropriate Image Stacking
button (Max Opac, Min, Opac, or Average). The
stacked image is displayed on the monitor.

6. When the desired images are stacked, select the

Save button to store the stacked image to the
hard disk. The system will clear the stack list.

7. Select the Close button to cancel the stacking

feature.

8. Select the Unload button to unload the stack. The

image frame counter will then change to show the
additional stacked image(s) have been added to
the end of the run.

9. At any time you are in this Review Mode (Stacking

feature turned off, and loop images unloaded),
you can use the Frame Fwd or Reverse arrow but-
tons to view the specific stacked image(s) at the
end of the run.

om 2297164–100 Rev 9 6-16

 ILLUSTRATION 6-12
IMAGE STACKING PROCESSING BUTTONS

Add Single Image to Stack List:

When selected, this button adds the current image to the

Stack list. The currently displayed image type must match
the Stack type (assuming the currently displayed image is
not already in the stack list).

Remove Single Image From Stack List:

When selected, this button removes the current image from

the Stack list. This button is only available when the current
image has already been added to the Stacking list, and
before the stacked image has been saved to disk.

Stacking Buttons –

When selected, any one of the Stacking buttons enables the

stacking process. These buttons become available once an
image has been added to the Stacking list.

There is no limit on the number of images that can be used

to create a Max or Min Opac image.

When you select the Average button a Multi–frame Mask

image is created. A maximum of 64 images can be included
in the Multi–frame stacked image.

om 2297164–100 Rev 9 6-17

 ILLUSTRATION 6-13
IMAGE STACKING PROCESSING BUTTONS

The Image Type box lists the image types currently in the
Stack List (Fluoro and Spot). The type of the first selected
image determines the image type listed in this box.

The Stack Image List displays the image frame #’s currently
included in the stack list.

The Clear List button will remove all the images in the Stack
List. A confirmation message appears before the images are
removed.

The Remove Items button will remove a single highlighted

image or a range of images from the Stack List.

The Save button will store the stacked image to the hard disk
at the end of the run (outside the loop). The image count
does not change until you select the Close button, and select
the Unload Loop button.

SECTION 8
CONTRAST / WINDOW

The Window (W) up / down arrow buttons are used to increase or decrease the
amount of contrast in the image display. The numeric display of the Window set-
ting is shown in the lower left corner of the screen.

A setting of 512 represents the default image contrast. Press the DEFAULT button
to return the Window setting to the default value depending on image type.

The default value is set by your Service Agent. Separate Window, Level and Polar-
ity defaults are set for each image type.

The Window setting can be carried over to subsequently reviewed images as part
of the Carry Over feature described in Section 14.

The Window and Level can also be adjusted by using the mouse. Place the
mouse cursor in the image area. Press and hold the left mouse button and move
the mouse. Vertical motion adjusts the Level and horizontal motion adjusts the
Window.

om 2297164–100 Rev 9 6-18

 SECTION 9
BRIGHTNESS / LEVEL

The Level (L) up / down arrow buttons are used to increase or decrease the image
brightness level. The numeric display of the Level setting is shown in the lower left
corner of the screen.

A setting of 512 represents the default brightness level. Press the DEFAULT but-
ton to return the Level setting to the default value depending on image type.

ILLUSTRATION 6-14
WINDOW & LEVEL PROCESSING BUTTONS

The Window and Level can also be adjusted by using the mouse. Place the
mouse cursor in the image area. Press and hold the left mouse button and move
the mouse. Vertical motion adjusts the Level and horizontal motion adjusts the
Window.

SECTION 10
IMAGE INVERT

The INVERT button changes the polarity of an image from a positive image into a
negative image or vice versa.

SECTION 11
DEFAULT

The DEFAULT button sets Window, Level, and Image settings to preset parame-
ters depending on image type and the parameters entered in the Field Service
Systems Parameters file.

If you wish to change any of these default parameters, contact your Field Service
agent.

ILLUSTRATION 6-15
IMAGE & DEFAULT PROCESSING BUTTONS

om 2297164–100 Rev 9 6-19

 SECTION 12
ZOOM

NOTE: The Zoom feature is not available during Multiple Image Display (4:1 or 16:1).

The ZOOM feature magnifies the currently displayed image to twice its size. The
center of the image is shown on the monitor screen. Selecting the ZOOM button
automatically activates the pan function. Use the mouse to move the display area.

Press the ZOOM button again to return to normal image display.

The Zoom setting can be carried over to subsequently reviewed images.

SECTION 13
EDGE ENHANCEMENT

The system is capable of applying 4 levels of Edge Enhancement. Edge Enhance-

ment increases the spatial resolution of the image details.

SECTION 14
CARRY OVER PROCESSING FEATURES

The Carry Over Processing feature provides a quick way to optimize images in a
Series. The features used in conjunction with Carry Over are: Window, Level,
Invert, Edge, Zoom, and Digital Shutters.

Normally, if you set these features for the first image in the series, the same fea-
ture values are desired for the rest of the images in the file or series depending on
image file type.

When the Window, Level, or Invert Carryover feature is turned ON, the active set-
tings of the image will be carried over to all images until one of the following
events occurs:

• The user changes the Window, Level, or Invert setting for an image (then
these changed values will be carried over to subsequently reviewed images)

• The user turns OFF the Window, Level or Invert Carryover feature

• The user selects a different Series for review

• The user closes the patient file.

NOTE: There are exceptions to this feature.

om 2297164–100 Rev 9 6-20

 • Window, Level, Invert, and Edge settings will be applied to images of the
same type. Settings from un-subtracted images will not be applied to sub-
tracted spot images.

om 2297164–100 Rev 9 6-21

 14-1Carry Over Digital Shutters

During real–time replay of any type of rapid acquisition sequence or fluoro loop,
only those images within the series will use the same Digital Shutter setting as the
first image within that sequence/loop.

When a different loop sequence is selected for review, the Digital Shutters change
to the last Shutters applied to the selected loop.

The Digital Shutter setting is not carried over from one sequence of images to the
next sequence or between individual images.

NOTE: The Digital Shutters applied when an image is first reviewed/printed/trans-

ferred are determined by the Auto Shutter Default feature setting. This
default setting is only applied the first time an image is reviewed.

If the user changes a Shutter setting for a specific image during Review Mode,
the new settings are retained (even through the power on/off cycle). A service
engineer can turn ON or OFF the default Digital Shutter setting.

SECTION 15
MULTIPLE IMAGE DISPLAY FORMATS

From Single Image Display review mode, you can view multiple images from the
patient file/series by selecting either 4–on–1 or 16–on–1 from the IUI console
screen.

• If there are less than 4 or 16 images available, the unused image positions
will be blanked.

• If there are more than 4 or 16 images available in the file/run, you can select
the Page Arrow button to load the next set of images.

To return to single image display, select the 1–on–1 option from the IUI Console.

om 2297164–100 Rev 9 6-22

 Cursor for Image Selection:

During Multiple Image Display a square cursor (white line of a box) is shown
around one of the images indicating it is selected. Touch the desired image on the
IUI display if you want to highlight a different image.

ILLUSTRATION 6-16
CURSOR FOR IMAGE SELECTION

SECTION 16
DELETE IMAGE

Delete images during acquisition:

1. Display images and select DELETE from the Image Display Monitor. A “D” will
be displayed in the lower right corner.

To delete a single image stored on the PC hard drive follow the instructions given
below:

1. When the undesirable image is displayed on the Image Monitor select the
DELETE button in the lower right corner of the Image Screen.

2. A “D” will be displayed in the lower right corner of the image.

ILLUSTRATION 6-17
DELETE IMAGE TAG

om 2297164–100 Rev 9 6-23

 3. When close exam is selected a pop–up dialog box will appear to confirm dele-
tion.

NOTE: If you delete an image with Quantitative Data associated with it, that QA data
will also be deleted.

NOTE: When images are subtracted, the mask image cannot be deleted from the
series. User may select image to be deleted, but on close of exam will remain
in sequence.

ONCE IMAGES ARE DELETED FROM THE SYSTEM, THEY CANNOT

BE RETRIEVED. ALSO, NO CONFIRMATION MESSAGE IS DISPLAYED.

om 2297164–100 Rev 9 6-24

 16-1Annotations & Pointers

The Annotation feature displays a text message on an image. The annotation(s)

are displayed each time the image is reviewed, and it will be printed on the hard-
copy image.

The Pointer feature displays a dot (pointer head) and an extendible line (tail) on
the image. This feature is most often used with an annotation to clarify an anatom-
ical reference point.

APPLY NEW ANNOTATION

Use the mouse to select the ”Annotation” option from the process image pull–
down menu (lower right corner of monitor screen).

Position the cursor over the image portion of the screen and click the left button on
the mouse.

A small text box for the annotation will appear on the monitor screen. You can use
the keyboard to type a message of no more than 35 characters (the box will
expand to fit the characters), then press the ENTER key on the keyboard. The
annotation will be applied to the image.

– OR –

Click the right button on the mouse to display a list of programmed annotations.
Use the mouse to select one of the annotations. The annotation will be applied to
the image.

NOTE: Up to 4 annotations can be displayed on each image. If the annotation is not

moved, subsequent annotations will be placed directly above the first annota-
tion on the image screen.

EDIT AN ANNOTATION

1. To change the text of an existing annotation message use the mouse to posi-
tion the cursor over the annotation and click the right button on the mouse.

2. A sub–menu will appear on the screen near the annotation.

3. Select the “Edit” option. The annotation text will appear in a box.

4. Use the keyboard to change the annotation text.

5. Press the ENTER key on the keyboard to accept the changes.

6. During Edit mode you can position the cursor over the annotation text box and
click the right button on the mouse to view the list of programmed annotations.
You can select an annotation from this list and it will appear in place of the
original annotation.

om 2297164–100 Rev 9 6-25

 APPLY POINTER

1. Highlight the “Pointer” option from the process image pull–down list (lower
right corner of monitor screen).

2. A cross–hair cursor will appear in the middle of the image display. Using the
mouse, position the cursor on the desired place for the pointer head. Click the
mouse and continue to hold the mouse button, to set the pointer head.

3. Use the mouse to drag the cross–hair cursor to the desired pointer tail loca-
tion. Release the mouse button to set the pointer tail. The system will show a
line linking the pointer head and tail positions.

4. Up to 4 pointers can be set for each image. Pointers may be attached to

Annotation messages by placing the pointer tail on the annotation.

MOVE ANNOTATION

1. To change the position of an existing annotation use the mouse to position the
cursor over the annotation and click the right button on the mouse.

2. A sub–menu will appear on the screen near the annotation. Select the “Move”
option. A cross–hair cursor will appear on the screen.

3. Use the mouse to reposition the annotation.

4. Click the left button on the mouse to accept the move.

MOVE POINTER

You can use the mouse to select and move a pointer head or tail to a different
location on the image.

1. Use the mouse to position the cursor over any part of the pointer, and click the
right button on the mouse.

2. A sub–menu will appear on the screen. Select the “Move Head”, “Move Tail”,
or “Move Pointer” option using the right pointer button. A cross–hair cursor will
appear on the screen over the part of the pointer you selected to move.

3. Use the mouse to reposition the pointer as you would like it.

4. Click the left button on the mouse to accept the move.

DELETE ANNOTATION OR POINTER

Use the mouse to select the item, then press the right button on the mouse. A
sub– menu will appear. Select the DELETE option, and the item will be deleted
from the screen.

SECTION 17
PRINTING AN IMAGE

All printing is done via the IUI console. Refer to Chapter 5 for this utility.

om 2297164–100 Rev 9 6-26

 SECTION 18
STENOSIS MEASUREMENT FEATURES AND STEPS

NOTE: The graphic information from the stenosis analysis cannot be saved or sent to a
PACS device. It may only be printed to a laser printer.

In order for the Stenosis feature to perform accurate measurements you must cal-
ibrate system for each run before attempting any measurements and the object
used for calibration MUST be near the measurement region.

The following size Image Intensifier and catheter size combinations are NOT per-
mitted:

12” II (32 cm) 3F

16” II (40 cm) 3F & 4F

All measurement values shown on the screen and used during calculations will be
in millimeters.

TO SELECT STENOSIS FEATURE:

1. Enter Review mode.

2. At the Patient List screen, select desired patient and series.

3. Select the REVIEW button from the IUI Console.

4. Select the Cursor Function pull–down list shown in bottom, right corner of the
image portion of the screen.

5. Select the Stenosis option. The feature menu on the left will change to show
the Stenosis feature buttons.

om 2297164–100 Rev 9 6-27

 ILLUSTRATION 6-18
STENOSIS SCREEN

18-1Calibration

Calibrating the system involves the operator defining the outer boundaries of a
known diameter. It is important that the calibration be performed accurately, since
this procedure allows the system to assign a millimeter value to the “width” of
each pixel of the image. This allows for accurate measurements.

The following size Image Intensifier and catheter size combinations are NOT per-
mitted:

12” II (32 cm) 3F

16” II (40 cm) 3F & 4F

om 2297164–100 Rev 9 6-28

 ILLUSTRATION 6-19
STENOSIS MENU

1. You should be in On–Line Review or Review mode

at the image which shows the item you’re going to
use to calibrate the system (for example: a cathe-
ter), and you should have selected the Stenosis
button from the pull down list.

2. If necessary, select the magnifying glass icon to

zoom in on the image.

3. Select the Calibrate button.

4. Use the pointing device to position the cursor near

either side edge of the item you going to use to
calibrate the system.

5. Click and hold the left button on the pointing

device.

6. Drag the cursor across the width of the item. As

you move the cursor a line is shown on the screen.

7. Release the pointing device button when the line

shown on the screen spans the width of the item
(it can also go beyond the edge of the item). The
screen will change as follows:

• The Edge Detection Profile – Calibrate

menu will appear over the image (see ILLUS-
TRATION 6-20).
• The portion of the line drawn in step 5 which
covers the item (as detected by the system)
will become shaded.
• The default calibration value will appear on the
image. This value will be updated once you
set the actual value for the item’s size.
If necessary you can select and move the Edge
Detection Profile window so it does not cover the por-
tion of the image you are interested in.

om 2297164–100 Rev 9 6-29

 ILLUSTRATION 6-20
EDGE DETECTION – CALIBRATION SCREEN

The darker shaded area of this screen represents the width of the item as detected by the system.

The Size field defaults to Fren ch mode, size

6.00 (= 2.00 mm).

The 2 vertical lines represent the edge points of

the item as detected by the system.

The graphical line represents the pixel bright-

ness values for each point along the line as
drawn in step 5 above.

8. If you need to adjust the edge points for the calibration item, select & drag
either of the small square boxes found on the vertical lines in the graph until
they represent the edges of the calibration item as you would like.

9. Select the desired calibration mode: either the French or Millimeters.

10. Change the numerical value for the item’s size by highlighting the Size field
and typing in the correct #. The defaults are French mode, size 6.

11. Select the OK button to accept the entries as they appear in the menu.

NOTE: The calibration value will remain valid until either the patient file is closed, or
you re–calibrate the system. The calibration will remain valid through different
images and different runs of the same patient file. Upon exiting the Stenosis
feature, the system will return to the default calibration value of French, size 6.

CALIBRATION COMPLETE

om 2297164–100 Rev 9 6-30

 18-2Size

This function allows you to measure the width of any place along the vessel, or a
length of balloon needed for a particular lesion.

1. You should be in On–Line Review or Review mode at the desired image, and
the system should be calibrated as given in the steps above.

2. The Stenosis feature buttons should be shown in the menu portion of the
screen. If not select the Stenosis option from the cursor selection pull down list.

3. If necessary, select the magnifying glass icon to zoom in on the image.

4. Select the Size button from the menu portion of the screen.

5. Use the pointing device to position the cursor at the edge of the vessel area
you want to measure.

6. Click and hold the left button on the pointing device.

7. Drag the cursor to the other side of the vessel (you can extend the line beyond
the vessel edge). As you move the cursor a line is shown on the screen.

8. Release the pointing device button when the line shown on the screen spans
the width of the vessel. The Edge Detection Profile – Size menu will appear
over the image.

9. The size of the vessel, based on the calibration performed earlier, is given on
the image and in the menu window. If necessary, you can change the bound-
aries of the vessel by selecting either of the small squares on the vertical lines
shown in the graph. These lines represent the end points for the vessel area
based on the line drawn in step 7.

10. Select the OK button to close this window. The measurement value and line
will remain on the screen.

18-3Reference

This option allows you to quickly establish the size of a normal part of the vessel.
This value will be used as a reference for a normal vessel size when calculating
percent stenosis values.

1. You should be in On–Line Review or Review mode at the desired image, and
the system should be calibrated.

2. The Stenosis feature buttons should be shown in the menu portion of the
screen. If not select the Stenosis option from the cursor selection pull down
list. Select the Reference button from the menu portion of the screen.

3. Position the cursor at the edge of the vessel section you want to use as a ref-
erence measurement.

4. Click and hold the left button on the pointing device.

om 2297164–100 Rev 9 6-31

 5. Drag the cursor to the other edge of the vessel. As you move the cursor a line
is shown on the screen.

6. Release the mouse when the line shown on the screen accurately spans the
width of the vessel. The Edge Detection Profile – Reference menu will
appear over the image.

7. The size of the vessel, based on the calibration performed earlier, is given
both on the image and in the Reference window. If necessary, you can change
theboundaries of the item by selecting either of the small squares on the verti-
cal lines shown in the graph. These lines represent the end points for the ves-
sel as drawn in step 5.

8. Select the OK button to close this window. The measurement value and line
will remain on the screen.

18-4Occlusion

This option allows you to quickly establish the size of an occluded vessel. This will
be used as the value for the stenotic region of the vessel when calculating the per-
cent stenosis values.

1. Select the Occlusion button from the menu portion of the screen.

2. Use the pointing device to position the cursor at the edge of the occlusion you
want to measure.

3. Click and hold the left button on the pointing device.

4. Drag the cursor to the other edge of the occluded vessel. As you move the
cursor a line is shown on the screen.

5. Release the pointing device button when the line shown on the screen spans
the width of the vessel. The Edge Detection Profile – Occlusion menu will
appear over the image.

6. The size of the occlusion, based on the calibration performed earlier, is given
both on the image and in the Occlusion window. If necessary, you can change
the boundaries of the item by selecting either of the small squares on the ver-
tical lines shown in the graph. These lines represent the end points for the
occluded vessel.

7. Select the OK button to close this window. The measurement value and line
will remain on the screen.

• Select the Print feature button if you want to print a report for the mea-
surements you have just made (available only if the Thermal Laser Printer
option has been installed with your system).

om 2297164–100 Rev 9 6-32

 18-5Manual Boundary

This option allows you to trace the edges of the entire vessel lesion area of inter-
est. The system then uses these boundaries to calculate the percent and actual
measurements (if calibrated) of the region of interest.

NOTE: The system should be calibrated prior to performing measurements.

1. Select the Manual Boundary button. If it is not shown on the screen, select
the Stenosis option from the cursor pull–down list (bottom right corner of
image display).

2. To begin the trace of the first edge of the vessel move the cursor to the posi-
tion you would like to begin with.

3. Click and hold the left button on the pointing device. This sets the starting
point for the trace.

4. Drag the center of the cursor along the vessel outline. If you want you can
click the pointing device button to set fixed points along the vessel’s edge, but
it is not necessary. As you move the cursor a line will extend from the last
point set to the position of the cursor.

• To change any portion of the manual boundary as you have just drawn
it, click the right button on the pointing device. This will remove a section
of the trace back to either the last set point, or to the current position of
the cursor.

5. Double click the pointing device button when you have completed tracing the
first vessel edge. The vessel trace and the cursor remain on the screen.

6. Repeat steps 2– 5 to trace the opposite edge of the vessel. When you dou-
ble–click the pointing device button to set the last point, the Stenosis Mea-
surement Results window will appear (see ILLUSTRATION 6-21).

• The stenosis indicator (a circle with a line) based on the minimum diame-
ter region as computed by the digital is shown on the image.

om 2297164–100 Rev 9 6-33

 ILLUSTRATION 6-21
RESULTS SCREEN

The graph represents the distance between the vessel edges.

The vertical lines represent the width of the vessel at both ends and the minimum
width found within the vessel trace. The end points define the area of the vessel
used for the calculations shown in this window.
If necessary, you can change the position of any of the lines shown on the graph
by selecting the small square on the vertical line and repositioning it. The mea-
surement values will be automatically updated as you move any one of the lines.
7. If you wish to adjust the trace points along the vessel, select the OK but-
ton in the results window, then select the Edit Boundary button. The two
traces will be highlighted by numerous connection points.
8. Use the cursor to select and reposition any of these points in either of the
edge traces.
9. When the edge traces are as you would like them, select the Edit Boundary
button again to accept the changes. The connection points will disappear.
10. To view the Stenosis Measurements using the changed edges, select the
Show Data button.

om 2297164–100 Rev 9 6-34

 18-6Auto Boundary

If there is already a vessel boundary present, it will be cleared from the display.

The cursor will be changed to a crosshair indicating the system is ready.

There are two different ways of entering centerline points:

Draw Line: To begin, you should position the cursor at the starting point along the
centerline of the vessel, and click–and–hold the left button on
the mouse (or other pointing device). Then move the cursor
along the path of the centerline area of the vessel. When the
cursor is at the last desired point, release then double–click the
left mouse button. The system will then automatically calculate
a vessel boundary starting at approximately the first control
point and ending at the approximately the last control point.

Position Points: To begin, you should position the cursor in the starting point, and
click the left button on the mouse. This will set the starting point
for the centerline measurement. The user would then move the
cursor to the next desired point along the centerline of vessel,
and click the mouse button again. A line will appear connecting
each point as it is set. Any number of points can be entered (min-
imum = 2). When the last point has been set, double–click the
left mouse button. The system will automatically identify the
edges of the vessel and calculate the occlusion information.

NOTE: Clicking the right button on the mouse will erase the last entered point.

For either type of entry, once done the vessel profile (detected edges) will be
drawn on the screen. The system will then automatically display the Stenosis
Measurement Results window.

You can manually adjust the vessel limits and the Stenosis position in the same
manner as with the old version of the feature (select Edit Boundary button, then
point and drag a point to the desired location).

18-7Running Length

This feature involves identifying 2 or more points along the length of any anatomi-
cal area. Once all of the points have been entered, the system will automatically
calculate the total length of all the segments.

1. When the Length button is selected, any previously entered Length line will be
cleared from the display.

2. You can enter points for the line using either method described above for the
Auto Boundary feature.

3. Double–clicking the left button on the mouse will indicate all desired points are
entered.

This value will then be displayed on the screen next to the line control points
entered, (Example: ” Length: x.xx mm”), and shown on the Stenosis Data Table.

om 2297164–100 Rev 9 6-35

 The Length line (actual line or control points) will be included on the hardcopy out-
put of the Stenosis data. If any part of the Length line extends beyond the black
circle mask surrounding the image, it will not be displayed on the hardcopy image.

18-8Show Data

Select this feature button to display the results for any stenosis measurements
functions recently performed. This window can be moved on the image screen by
selecting the title bar and dragging it to a different area on the screen.

ILLUSTRATION 6-22
RESULTS SCREEN

The Vessel Diameter graph represents the distance between the vessel edges. This is only available if the Manual
Boundary process was performed.

Two of the three vertical lines represent the edges of the vessel, and the third indicates the minimum width within
the traced area of the vessel. All three lines are adjustable. You will notice that as the minimum distance line is
moved, the stenosis indicator shown on the image is moved accordingly, and the data within this screen is recalcu-
lated.

Vessel Results: These measurements are based on the vessel edge traces
entered during the Manual Boundary procedure.

om 2297164–100 Rev 9 6-36

 Diameter Stenosis Percentage difference between the minimum diameter and
the maximum diameter of the vessel.

% Area ReductionPercentage difference in cylindrical areas using diameter val-

ues from the Reference and Occlusion measurements.

Measurement Values:

Calibration Calibration measurement value obtained during calibration proce-

dure, or the last value. The value is given here in millime-
ters.

Reference Length of the reference measurement, if performed.

Occlusion Length of occlusion measurement, if performed.

Diameter
Stenosis Percentage difference in the Reference and Occlusion measurements.

% Area
Reduction Percentage difference in cylindrical areas using diameter values from
the Reference and Occlusion measurements.

NOTE: If there is Quantitative Analysis data available for an image, it can be printed
with the associated image using the PRINT button.

Any vessel traces or outlines will be superimposed on the image. The Steno-
sis Report will follow as a separate image.

Stenosis data is not sent to DACS units.

SECTION 19
DICOM WORKLIST (REQUIRES DICOM OPTION)

This feature allows the system to search DICOM Worklist databases for patient
information.
Patient files found during the query can quickly be selected for addition into the
patient file database.
• The first element for using this feature is to ensure the DICOM Worklist soft-
ware option is installed on the system (done by Field Service Personnel,
instructions not included here).
• The second element of this feature is the ability to setup the system to auto-
matically send queries to specific DICOM Worklist providers (can be more
than one).
• The third element of this feature is the ability to run manual queries for specific
patient files at any time.
• The final element of this feature is to open a patient file using the results of
DICOM Worklist query.

om 2297164–100 Rev 9 6-37

 1. Enter the specific criteria for conducting the query in the “Study Information”
area of the screen.

Accession #: Use this field to query the patient records based on accession
# or work order # (a unique # for each instance).

Patient ID#: Use this field to query for a specific patient id # or a series of
patient ID #’s (example= 2* for those patient files beginning with the #2).

Patient Name: Use any of these fields to narrow or broaden the query by
patient name. Use of the wild character (*) is allowed. (Example: Last Name =
Smith, First Name = Rob*. This will return all patients with a last name of
“Smith” and a first name including “Rob” such as “Rob, Robert, or Roberto”.)

ILLUSTRATION 6-23
WORKLIST MANUAL QUERY

om 2297164–100 Rev 9 6-38

 Manual Queries: – Miscellaneous

Clear Upon Entry: If you want to clear all the fields in the Study Information sec-
tion of the screen whenever this window is opened, select this checkbox. Other-
wise the information entered for the last query will appear by default.

Clear: This button will clear all the current data in all of the fields in the Study
Information section of the screen so different information can be entered.

Reset: This button will remove all the historical/recent listings in each of the pull–
down fields shown the Study Information section of the screen.

Set Default Field for Entry: You can set one field to be the default field for data
entry in the Study Information section of the screen by holding down the CNTRL
key on the keyboard and clicking in the desired default field box. (This is most use-
ful for bar code scan entries, see below).

Bar Code Scanners: Bar Code Scanners (if installed with the system) can be
used to automatically enter some form of patient data. When this screen is pre-
sented, use the bar code scanner to scan the patient ID bracelet or patient file.
The corresponding field on the screen will be filled in. See Step. 4 to continue.

NOTE: The bar code data must be available on the DICOM Worklist Provider
selected.

2. Once the parameters are set as desired, select the Query button.

3. The Status bar at the bottom of the screen will show the progress of the query
results and any error messages.

4. Once the query finishes, the window becomes active again.

• If you wish to change a parameter and re–run the query you can do so.

• When the query has finished, select the SAVE button to save the parame-
ters and close the window.

• Select the CANCEL button if you do not want to run the query, or if you
want to close this window. If a query was run, the patient files found by the
query will remain available.

• To stop a manual query while it is in process, you can select the CANCEL
button.

om 2297164–100 Rev 9 6-39

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 6-40

 CHAPTER 7
TABLE

SECTION 1
INTRODUCTION

1-1Overview

The Intelligent Digital Device (IDD), ILLUSTRATION 7-1, is a multi–faceted image

receptor for general fluoroscopy and rapid serial radiography diagnostic proce-
dures.

The IDD device:

• Supports the fluoroscopic image system and video camera.

• Provides a high line rate grid to improve image quality.
• Provides a source to image distance range for a 32 cm II: 72.2 cm (28.4
inches) to 100.2 cm (37.4 inches) or for a 40 cm II: 73.8 cm (29 inches) to
101.8 cm (40.1 inches).

ILLUSTRATION 7-1
PRECISION 500D TABLE OVERVIEW

IMAGE INTENSIFIER (40 cm)

IMAGING DEVICE
OPERATOR CONTROL PANEL
IMAGING DEVICE
POWER ASSIST HANDLE

CARRIAGE

TOWER

TABLE TOP

BUCKY
FILM PLANE

PRECISION 500D
TABLE

om 2297164–100 Rev 9 7-1

 ILLUSTRATION 7-2
PRECISION 500D SYSTEM IDENTIFICATION AND COMPLIANCE PLATES

TYPICAL IDENTIFICATION
PLATE

TYPICAL CSA
CERTIFICATION PLATE

om 2297164–100 Rev 9 7-2

 1-2Identification and Compliance Plates

See ILLUSTRATION 7-2 and TABLE 7-1.

TABLE 7-1
PRECISION 500D SYSTEM IDENTIFICATION AND COMPLIANCE PLATES

Item Component Model Number Plate Type

1 Suspension X–Ray MX 100 X–Ray Tube Casing 2304223
Maxiray 100–18 H.S.; Focal Spots 0.6–1.25°, 12.5° 46–155400G277 Identification, HHS, CE, UL, CSA
Maxiray 100–18 H.S.; Focal Spots 0.3 – 1.0; 12.5° 46–155400G290 Identification, HHS, CE, UL, CSA
2 Image Intensifier (40 cm/16 Inch) Digital 2289147 Identification, HHS, CSA
Image Intensifier (32 cm/12 Inch) Digital 2289148 Identification, HHS, CSA
3 Intelligent Digital Device 2305473 Identification, HHS, CSA
4 Precision 500D R&F Table 2305472 Identification, CE Label, CSA
4a Precision 500D R&F Table Collimator (Undertable) 2292592 Identification, HHS, CSA
(On collimator inside table)
4b Precision 500D Table Fluoro MX–100 X–Ray Tube Casing 46–155500G18
Maxiray 100FL; Focal Spots 0.6 – 1.0; 12.5 (Fluoro) 46–155500G228 Identification, HHS, CE, UL, CSA
(Adjusted with 2.1° wedge) (On tube inside table)
4c Precision 500D Table Reciprocating Bucky 2189553 Identification
(On bucky inside table)
Precision 500D Table Cassette Size Sensing Tray 2305545 Identification
(On bucky CSS tray inside table)
5 Precision 500D Table Top 46–180600G4 Identification, HHS
6 Operator Console IUI 2304971 Identification, HHS, CSA
7 Precision 500D Positioner Cabinet 2288798 Identification, CSA
8 System Cabinet 2290058 Identification, CSA
8a JEDI Generator 65 kW, 80 kW 2290800 Identification, HHS, CSA, IEC
8b Digital Imaging System 2290479 Identification, CSA
SG–100 Vertical Bucky Stand – (Medys Version) S19101RM or LM

om 2297164–100 Rev 9 7-3

 1-3Exposure Modes

The imaging system provides the following X–ray exposure modes.

• Digital Record

• Fluoro

1-4Travel Specifications

ILLUSTRATION 7-3
TRAVEL SPECIFICATIONS FOR INTELLIGENT DIGITAL DEVICE AND PRECISION 500D TABLE TOP

om 2297164–100 Rev 9 7-4

 1-5Digital Operator Control Panel

Control of digital operation is from the IDD film control panel.

ILLUSTRATION 7-4
IDD OPERATOR CONTROL PANEL

om 2297164–100 Rev 9 7-5

 1-6Types of Radiological Examinations in Significant Zone of Occupancy

The following are the types of radiological examinations for which the Significant
Zone of Occupancy is designated to be used:

NOTE: Refer to ILLUSTRATION 7-5 through ILLUSTRATION 7-10 for a definition of

the area of the Zone of Occupancy and radiation curves.

• Upper Gastro–intestinal

• Barium Enema

• Intravenous Pyelography

• Pharynx/Esophogus

• Myelography

• General Fluoroscopy

• Retrograde Pyelography

• Cholangio/Panc.

• Urethro/Cysto.

• Venography – extremities

• Venography – other

• Cholecystography

• Arthrography

• Hysterosal/Pelvimetry

• Interventional Biliary/Gastro–intestinal

• Interventional Urinary Tract

• Drainage Catheter Placement

• Diskography

• Lymphangiography

om 2297164–100 Rev 9 7-6

 ILLUSTRATION 7-5
DESIGNATION OF SIGNIFICANT ZONE OF OCCUPANCY –TABLE HORIZONTAL

om 2297164–100 Rev 9 7-7

 ILLUSTRATION 7-6
DESIGNATION OF SIGNIFICANT ZONE OF OCCUPANCY –TABLE HORIZONTAL (TOP DOWN VIEW)

om 2297164–100 Rev 9 7-8

 ILLUSTRATION 7-7
DESIGNATION OF SIGNIFICANT ZONE OF OCCUPANCY –TABLE VERTICAL

om 2297164–100 Rev 9 7-9

 ILLUSTRATION 7-8
DESIGNATION OF SIGNIFICANT ZONE OF OCCUPANCY –TABLE VERTICAL (TOP DOWN VIEW)

om 2297164–100 Rev 9 7-10

 ILLUSTRATION 7-9
RADIATION CURVE TABLE HORIZONTAL

NOTE: Air Kerma in one hour normalized for a work load of 3600 mAs @ 120 kVp 3 mA.

om 2297164–100 Rev 9 7-11

 ILLUSTRATION 7-10
RADIATION CURVE TABLE VERTICAL

NOTE: Air Kerma in one hour normalized for a work load of 3600 mAs @ 120 kVp 3 mA.

om 2297164–100 Rev 9 7-12

 SECTION 2
OPERATOR CONTROLS AND DISPLAYS

2-1Operator Control Locations

See ILLUSTRATION 7-11.

All Table and Imaging Device operator controls, displays, and indicators are
located in two basic operator control areas:

• Table Side Control Panel

• Imaging Device Operator Control Panel

ILLUSTRATION 7-11
INTELLIGENT DIGITAL DEVICE
A TABLE OPERATOR CONTROL PANEL LOCATIONS

om 2297164–100 Rev 9 7-13

 ILLUSTRATION 7-12
IDD OPERATOR CONTROLS – MAIN GROUPS

om 2297164–100 Rev 9 7-14

 2-2Imaging Device Operator Controls and
Displays – Overview

See ILLUSTRATION 7-12 and TABLE 7-2.

TABLE 7-2
IMAGING DEVICE OPERATOR CONTROLS – MAIN GROUPS

Item Name Description Notes

1 Auxiliary Digital Operator Provides:
Console • Advisory ,essage display.
• Digital Controls.
• Contrast modifier operator controls.
2 Fluoro Presentation Provides:
Operator Console • Video reversal selectrions (VERTICAL, HORIZONTAL)
3 Multi-function Provides:
Operator Control Group • Table angulation control.
• Table Top Eight-Way Drive Control.
• Power Assist Digital Carriage Handle.
• X-Ray field size (collimator blades) controls.
• X-Ray Fluoroscopy exposure controls (4).
• X-Ray Record exposure controls (3).
4 Main Digital Provides: Technique Displays are
Operator Console • Various Digital Controls (Locks, Cone, Grid). available with the
• Record Mode selections (Digital, VTR). Technique Adjust
• MAN collimator blade control selection. Options.
• Fluoro Field of View selections.
• System status displaus (X-Ray ON, HEAT WAIT, Flu- Collimator position
oro Time remaining) display is available with
• Fluoro and Record technique display (Optional) the Virtual Collimation
• Collimator position display (Optional) Option.
5 Digital Device Provides operator lock control of Digital Device carriage in
Carriage Lock Lever either PARK or over-table positions.
6 Digital Device Provides operator handles to aid in moving Digital carriage.
Carriage Grasp Handles

om 2297164–100 Rev 9 7-15

 ILLUSTRATION 7-13
MAIN OPERATOR CONSOLE SCREEN – BASIC CONTROLS AND DISPLAYS

om 2297164–100 Rev 9 7-16

 2-3Main Operator Console Screen

2-3-1 Main Operator Console Screen –Basic

Controls and Displays

See ILLUSTRATION 7-13 and TABLE 7-3.

TABLE 7-3
MAIN OPERATOR CONSOLE SCREEN – BASIC CONTROLS AND DISPLAYS

Item Operator Activated De-Activated Description Notes

Control Display Display
1 Press to lock or unlock the Power Assist does not
vertical position of the imag- override the compression
ing device. lock.

2 Press to apply or release Power Assist overrides the

both the lateral and longitu- lateral and longitudinal
dinal imaging device tower locks.
locks.

3 Press to move: The cone drive is disabled

• The compression cone when the Table Horizontal
from the park position Stop is OFF. The cone may
into the field of view, or be moved during Fluoros-
• The compression cone copy. X-Ray record expo-
to the park position sures are inhibited while
from the field of view. cone is in motion.
4 Press to turn on Operator Console screen blanks
console screen displays. after 15 minutes of inactiv-
ity.

5 Press to select digital mode Digital now standard.

of operation. If pulsed, fluoro
option is available pressing
will toggle between fluoro
modes. Selecting Digital de-
activates the other mode
elections.
6 Press to move grid into field The grid may be moved
of view. Icon may be flashing during Fluoroscopy. X-Ray
when not in preferred posi- record exposures are
tion (set during installation). inhibited while grid is in
motion.

om 2297164–100 Rev 9 7-17

 TABLE 7-3 (CONTINUED)
MAIN OPERATOR CONSOLE SCREEN – BASIC CONTROLS AND DISPLAYS

Item Operator Con- Activated De-Activated Description Notes

trol Display Display
7 Fluoro Timer Display. Flashing Displays only during Fluoro
display starts after 4.8 min- acquisition.
utes of fluoroscopy.

8 40 Press to select FULL or larg- Field size display depends

est field of view. Deselects on size of Image Intensifier.
32 other FOV selections.
40 cm (16 inch), 30 cm (12
inch)
9 32 Press to select MAG 1 field of Field size display depends
view. Deselects other FOV on size of Image Intensifier.
22 selections.
40 cm (16 inch), 30 cm (12
inch)
10 22 Press to select MAG 2 field of Field size display depends
view. Deselects other FOV on size of Image Intensifier.
16 selections.
40 cm (16 inch), 30 cm (12
inch)
11 16 Press to select MAG 3 field of Field size display depends
view. Deselects other FOV on size of Image Intensifier.
12 selections.
40 cm (16 inch), 30 cm
(12inch)
12 Indicator Display. Indicates
Xray exposures are in
progress.
13 Exposure Hold. Message(s) stating reason
for exposure hold will be dis-
played on left console.

om 2297164–100 Rev 9 7-18

 ILLUSTRATION 7-14
MAIN OPERATOR CONSOLE SCREEN – OPTIONAL CONTROLS AND DISPLAYS

om 2297164–100 Rev 9 7-19

 2-3-2 Main Operator Console Screen –Optional Controls and Displays

See ILLUSTRATION 7-14 and TABLE 7-4.

TABLE 7-4 MAIN SPOT FILM/DIGITAL OPERATOR CONSOLE – OPTIONAL CONTROLS AND DISPLAYS

Item Operator Activated De-activated Description Notes

Control Display Display
1 Record Displays: Available with Tech-
110 kV • Record kV. nique Adjust or APR
160 mA • Record mA. Options.
100 mS • Displays exposure time
from the last exposure to
the nearest millisecond.
2 Display simulates actual Available with Virtual
collimated X-Ray field size Collimation Option.
(collimator blade position).
Dimensions are relative to the
full field available (FOV).

3 Fluoro Displays: Available with Tech-

65 kV • Actual Fluoroscopic kV nique Adjust.
0.1 mA during Fluoro acquisition.
0.0 min • Selected Fluoroscopic
kV during inactivity.
• Actual Fluoroscopic mA
only during Fluoroscopy.
• Total cumulative fluoro
exposure time from the
last time that the total flu-
oro timer was reset.
4 Press to select or de-select Available with VTR/VCR
video tape recording (or VCR Option.
VTR recording) of fluoroscopy.

5 • Press to Icon Ped or Available with Pediatric

Adult mode. option only.

om 2297164–100 Rev 9 7-20

 ILLUSTRATION 7-15
AUXILIARY DIGITAL OPERATOR CONSOLE

11

om 2297164–100 Rev 9 7-21

 2-3-3 Auxiliary Digital Operator Console
See ILLUSTRATION 7-15 and TABLE 7-5.
TABLE 7-5
AUXILIARY DIGITAL OPERATOR CONSOLE
Item Operator Activated De-Activated Description Notes
Control Display Display
1 Press to increase or decrease Digital FNR selections
Digital record Fluoro Noise range from 0 to 6.
Reduction (FNR). Use with Fluoro Detail to
optimize image quality and
FNR FNR reduce patient or operator
4 4 dose.
See Digital Operator Man-
ual for more information
about the FNR feature.

2 Press to increase or decrease Digital frame rate selections

Digital record frame rate in range from 0 (single expo-
frames per second. If a multi- sure) to 7.5 frames per sec-
frame rate is selected before ond.
prep, the selected digital record
frame rate may be adjusted See Digital Operator Man-
during the run. ual for more information
about frame rate selections.

3 Disables one of the following Select your preferred lock

combinations of IDD locks dur- disable combination during
ing a Digital PREP and installation.
EXPOSE cycle:
Bolus Lock • Longitudinal Lock
• Lateral and Longitudinal
Locks
• Longitudinal and Com-
pression Locks
4 Press to select digital mode of
operation.

Digital Changes Auxiliary Console to

Digital Option Controls and
Displays.

5 Press to select the appropriate Optional display.

Contast contrast media for current
study.

6 Press to select subtracted flu- Available with Angio

oro, maximum opacified road- Option.
Rdmap map and landmark.

om 2297164–100 Rev 9 7-22

 TABLE 7-5 (CONTINUED)
AUXILIARY DIGITAL OPERATOR CONSOLE

Item Operator Activated De-Acti- Description Notes

Control Display vated
Display
7 Press to move the last image hold (LIH) on Available with 2 Monitor
monitor 1 to monitor 2 as a reference option.
image. This image will remain on monitor 2
until another image is transferred. (Images
are not saved to hard disk).

Press to remove the last image hold (LIH)

from monitor 1 to monitor 2.
8 Press to activate Fluoro Loop Acquire. Optional Feature
Selection will highlight.
When Fluoro is started, fluoro images are
stored to image RAM. Depending on the
system configuration, a maximum of 128
images (4 secs at 30 frames per second) or
a maximum of 256 images (8 secs at 30
frames per second) are stored. By press-
ing the fluoro pedal again this loop willl be
overwritten if not saved to hard disk.
When fluoro is stopped, the acquired loop
will be automatically begin playback in
order to review the loop. CAUTION: The
loop has not been stored to hard disk at this
point. The user must press the Fluoro Loop
Store button (described below) in order to
permanently save the fluoro loop to the
hard disk.
9 Selection will appear after a fluoro loop has
been acquired. Pres to transfer to hard
drive from RAM memory
Note: Fluoro cannot be performed during
transfer; information will be lost.
10 Selection will appear after Fluoro. This will
save and number the current last image
hold (LIH) to the hard drive.
11 Changes frames per second for host Flu- When button is pressed,
oro. host Fluoro will cycle
Note: If pulsed Fluoro is selected, the through the selections:
default f/s is displayed. 15, 7.5, 3.75.
12 Selecting this button will switch the system
from fluoro to the first OTS films. By press-
ing it again, it will cycle through the proto-
col.

om 2297164–100 Rev 9 7-23

 2-4Digital Fluoro Presentation Operator Console

See TABLE 7-6.

TABLE 7-6
DIGITAL FLUORO PRESENTATION OPERATOR CONSOLE CONTROLS AND DISPLAYS

Item Operator Activated De-Activated Description Notes

Control Display Display
1 Press V to vertically reverse Active when X–Rays are
fluoroscopy video presenta- OFF.
tion.

2 Press H to horizontally Active when X–Rays are

reverse fluoroscopy video OFF.
presentation.

om 2297164–100 Rev 9 7-24

 ILLUSTRATION 7-16
DIGITAL MULTI-FUNCTION OPERATOR CONTROL GROUP CONTROLS

om 2297164–100 Rev 9 7-25

 2-5Digital Multi-Function OperatorCon-
trol Group

See ILLUSTRATION 7-16 and TABLE 7-7.

TABLE 7-7
DIGITAL MULTI-FUNCTION OPERATOR CONTROL GROUP CONTROLS

Item Operator Motion Description

Control
1 Eight-Way Table Top Drive Control.

Move control in any of eight directions to drive table top

in desired direction:
• head-to-foot
• front-to-rear
• oblique
2 Variable speed Table Tilt Control.
Rotate Control:
• CCW to tilt table Trendelenburg.
• CW to tilt table Vertically.

3 Fluoroscopy Exposure Control portion of Integrated Flu-

oro and Expose switch.
Use for rapid fluoroscopy.
Press to initiate Fluoroscopy (may be used with foot
switch).
Record EXPOSE may be initiated if this switch and the
PREP + EXPOSE bar is pressed (item 7).
4 Radiographic Exposure Control portion of Integrated
Fluoro and Expose switch.
Use for rapid digital record exposures.
Press to initiate both PREP + EXPOSE cycle.

5 Fluoroscopy Exposure Control switch (2).

May be used with foot switch.
Record EXPOSE may be initiated if this switch and the
PREP + EXPOSE bar is pressed (item 7).

6 Variable speed Power Assist Handle.

Grasp to move IDD vertically or longitudinally.
Longitudinal and Vertical motion is de-activated:
• During EXPOSE. Panning motion allowed during
PREP/EXPOSE cycle using Bolus Lock.
Vertical motion is also de-activated:
• While parking IDD (within 20 mm of maximum SID.
• When IDD is parked.
• When Compression Lock is activated.

om 2297164–100 Rev 9 7-26

 TABLE 7-7 (CONTINUED)\
DIGITAL MULTI-FUNCTION OPERATOR CONTROL GROUP CONTROLS

Item Operator Motion Description

Control
7 PREP + EXPOSE bar.
Press to initiate PREP + EXPOSE cycle.
Two Activate Positions:
1. PREP Position (Bar depressed to 1st click):
• Heats Tube filament and brings Tube
anode up to exposure speed.
• Initiates digital exposures if the Fluoro
Exposure Controls are also depressed
(items 3 or 5).
2. EXPOSE Position (Bar completely
depressed):
• Initiates digital exposures.
Two De-Activate Positions:
1. PREP Position (Bar released to 1st click):
•Allows completion of exposure sequence.
2. OFF Position (Bar completely released):
•Terminates exposures immediately.
8 Manual Lateral Collimator Blades Control.
Move control in OPEN or CLOSED direction for
leftto-right X-Ray field size adjustments:
Maximum collimator aperture opening:
• Size of selected format field
• Size of selected Field of View (fluoroscopy).

9 Manual Longitudinal Collimator Blades Control.

Move control in OPEN or CLOSED direction for
head-to-foot X-Ray field size adjustments:
Maximum collimator aperture opening:
• Size of selected format field
• Size of selected Field of View (fluoroscopy).

om 2297164–100 Rev 9 7-27

 ILLUSTRATION 7-17
PRECISION 500D TABLE OPERATOR CONTROLS AND DISPLAYS

om 2297164–100 Rev 9 7-28

 2-6Precision 500D Table Operator Con-
trols and Displays
See ILLUSTRATION 7-17 and TABLE 7-8.
TABLE 7-8
PRECISION 500D TABLE OPERATOR CONTROLS AND DISPLAYS

Item Operator Control Motion Description

1 Emergency STOP Button.
Press to turn OFF table power.
Turn and release button to restore table
power.

2 Press to move table top to center position.

3 Press to stop table tilt motion at the horizon-

tal position.
Light indicates HORIZ STOP is active.

4 Press to allow table to tilt through the hori-

zontal position.
Light indicates HORIZ STOP OFF is active.

5 Press individual button to drive table top in

desired direction:
• head-to-foot
• front-to-rear
Simultaneously press two-button combina-
tions to drive table top in desired oblique
direction.

om 2297164–100 Rev 9 7-29

 ILLUSTRATION 7-17 (CONTINUED)
PRECISION 500D TABLE OPERATOR CONTROLS AND DISPLAYS

om 2297164–100 Rev 9 7-30

 TABLE 7-8 (CONTINUED)
PRECISION 500D TABLE OPERATOR CONTROLS AND DISPLAYS

Item Operator Control Motion Description

6 Press individual button to tilt table top in
desired direction.

7
Press to dim room lights.

Press to brighten room lights.

Available as an Option.
8 Displays table tilt angle in degrees from the
horizontal position.
• + indicates vertical motion.
• – indicates Trendelenburg motion.

SECTION 3
SYSTEM SPECIFICATIONS

3-1Precision 500D Table Specifications

Product specifications for the Precision 500D Table are shown in TABLE 7-9.

TABLE 7-9
PRECISION 500D TABLE SPECIFICATIONS

Table Travel Longitudinal Travel 60” (152.4 cm)

Longitudinal Travel (either side of center) 30” ± 0.75” (76.2 cm ± 1.9 cm)

Lateral Travel (either side of center) 3.88” ± 0.12” (9.85 cm ± 0.3 cm)

Angulation Speed

Precision 500D 90/30 0° to 4.0° (± 0.5°) / second

120°: 90° vertical to 30° Trendelenburg

Precision 500D 90/15 0° to 4.0° (± 0.5° ) / second

120°: 90° vertical to 15° Trendelenburg

Precision 500D 90/90 0° to 4.0° (± 0.5°) / second

180°: 90° vertical to 90° Trendelenburg

Precision 500D 90/45 0° to 4.0° (± 0.5° ) / second

180°: 90° vertical to 45° Trendelenburg

Table Loading Maximum Rated Patient Load 300 pounds (136.08 kg)

om 2297164–100 Rev 9 7-31

 Operating Temperature 50 to 100F (+10° to +38°C)

Relative Humidity 20% to 70% (non–condensing)

Altitude 8000 ft. (2438 m) above sea level max.

Storage or Shipping Temperature –40° to 140°F (–40°C to 60°C)

Relative Humidity 20% to 80% (non–condensing)

3-1-1 Precision 500D Table Electrical

Requirements

Electrical Data: Precision 500D Table with Intelligent Digital Device

Ratings: 240VAC, 20 amps, Single phase, 50/60 Hz

Power Supply Requirements:

Generator power unit provides 240VAC, single phase, 50/60 Hz*,
20 amp branch circuit plus ground

om 2297164–100 Rev 9 7-32

 3-2Precision 500D Tables, Tubes and Col-
limators

3-2-1 X–Ray Tube Specification

The following X-Ray Tubes may be used with Intelligent Digital Device and Preci-
sion 500D Table (Compatible with fluoro collimator). Refer to Appendix A, Maxiray
100 Tube Units, for further information about these X–Ray Tubes.

TABLE 7-10
X–RAY TUBE COMPATIBILITIES FOR IDD/PRECISION 500D TABLE

X–RAY TUBE TARGET ANGLE FOCAL SPOT POWER SHIM TYPICAL APPLICATIONS
MX 100 FL 12.5° 0.6 mm/1.25 mm 32/100 KW 2.1° DF TEMPORAL

TABLE 7-11
LEAKAGE TECHNIQUE FACTORS

TUBE UNIT LEAKAGE TECHNIC

FACTORS
kVp mA
MX 100–FL 0.6–1.25 12.5° 150 5
46–155500G18 (Housing) 46–155318G33 (Insert)

TABLE 7-12
MINIMUM INHERENT FILTRATION

COMPONENT MINIMUM INHERENT FILTRATION

TUBE UNIT
MX 100–FL 0.6–1.25 12.5° Equivalent to 1.1 mm aluminum at 150 kVp
46–155500G18 (Housing) 46–155318G33 (Insert)
COLLIMATORS
• RAD Overhead 1.9 mm AI / 70kV
AL01C
• Fluoro Undertable 1.5 mm AI / 70kV
AF01A

SECTION 4
OPERATION

4-1Parking (Docking) the Imaging Device

Carriage

NOTE: Do not hold onto the power–assist handle during power–up.

If power–up tests fail, repeat the power–up test sequence by pressing the red
RESET button located on the upper left corner of the IUI Console. If a failure
occurs again, call GE service.

om 2297164–100 Rev 9 7-33

 1. Verify the emergency STOP button on the table is disengaged.

2. Press the ON button located on the upper left corner of the IUI Console.
Power up tests begin.

3. Apply the Lat Long Lock.

4. Disengage the compression lock (Comp Lock).

5. Move the imaging device vertically to maximum height over the table top.

NOTE: To aid parking, the system disables power assist near maximum vertical
height. Use the grasp handle, (ILLUSTRATION 7-18), to assist positioning the
imaging device.

6. Push down the CARRIAGE LOCK LEVER, (ILLUSTRATION 7-18), and

simultaneously push the imaging device carriage to the rear. Refer to ILLUS-
TRATION 7-18.

7. At the rear, the CARRIAGE LOCK LEVER will engage in the PARK position.

8. For additional clearance, release the Lat Long Lock and push the imaging
device and table tower assembly further to the rear.

If the carriage is not locked forward, X–ray exposures are inhibited.

om 2297164–100 Rev 9 7-34

 ILLUSTRATION 7-18
IMAGING DEVICE CARRIAGE

om 2297164–100 Rev 9 7-35

 4-2Fluoro Exposures

After selecting protocol:

1. Set collimator blades manually to desired opening.

2. Press any of the four fluoro buttons, or the footswitch to initiate exposure.

4-2-1 Footswitch

The footswitch pedal is a single position footswitch. See ILLUSTRATION 7-19.

ILLUSTRATION 7-19
FOOTSWITCH BUTTONS

om 2297164–100 Rev 9 7-36

 4-3Taking Digital Exposures

4-3-1 Using the Prep/Record Bar

1. Press the PREP/RECORD bar to the first position.

2. Press the PREP/RECORD bar to the second position to expose.

3. Release the PREP/RECORD bar to terminate the exposure. Press the PREP/
RECORD bar to the second position again to expose.

NOTE:

• If the PREP/RECORD bar is released to the first position during an exposure,

the exposure will terminate normally.

4-3-2 Using the Integrated Fluoro/Expose Switch

For rapid fluoroscopic and digital record exposures, use the Integrated Fluoro and
Expose Switch.

• For fluoro exposures – Depress the upper FLUORO switch.

• For radiographic exposures – Depress the lower PREP/EXPOSE switch.

om 2297164–100 Rev 9 7-37

 ILLUSTRATION 7-20
EQUIPMENT POSITIONING FOR TABLE BUCKY PROCEDURES

om 2297164–100 Rev 9 7-38

 4-4Equipment Positioning for Table
Bucky Procedures

AVOID EQUIPMENT DAMAGE!

Damage to the Imaging Device Carriage will occur if the RAD

Suspension is moved directly in front of the Imaging Device. Avoid a
collision between the RAD Suspension collimator and the Imaging
Device Carriage by making sure that the Imaging Device is parked
fully at the head-end or foot-end of the table before moving the RAD
Suspension into position. See ILLUSTRATION 7-20.

4-4-1 Table Horizontal

See ILLUSTRATION 7-20.

1. Load cassette into table bucky cassette tray.

2. Park Imaging Device Carriage at either the far head-end or far foot-end of the
table.

3. Place patient on the table for required examination.

4. Carefully move RAD Suspension X–Ray Tube to place X–Ray beam over
patient Region of Interest (ROI).

When, locking tube in lateral detente position, a green light will come on at top
of OTS.

a. Turn on collimator field light.

b. System will detente at 100 cm SID.

NOTE: If required, move the table top longitudinally (toward head-end or foot-end) to
avoid a collision between the RAD Suspension collimator and the Imaging
Device Carriage.

5. Align table bucky cassette tray to X–Ray beam.

a. Slide bucky cassette tray out from table.

b. Turn on collimator field light.

c. Move bucky longitudinally to align bucky tray handle alignment notch with
field light alignment beam.

d. Insert bucky cassette tray into table.

om 2297164–100 Rev 9 7-39

 4-4-2 Table Vertical or Trendelenburg

AVOID EQUIPMENT DAMAGE!

Damage to the 40 cm (16 inch) Image Intensifier will occur if the RAD
Suspension is moved closer than a 48 inch (120 cm) SID when the
table is angulated vertical or Trendelenburg. Avoid a collision between
the RAD Suspension columns and the 40 cm (16 inch) Image
Intensifier by maintaining a minimum SID of 48 inches (120 cm) for all
table bucky procedures when the table is angulated.

To avoid Patient injury, patient must be strapped in before angulating

table vertically or Trendelenburg.

1. Park Imaging Device Carriage at either:

• The far foot-end of the table for table vertical procedures.

• The far head-end of the table for table Trendelenburg procedures.

2. Place patient on the table for required examination.

3. Angulate table to desired position.

4. Carefully move RAD Suspension X–Ray Tube to position X–Ray beam over
patient Region of Interest (ROI) at desired SID. If required:

a. Turn on collimator field light.

b. Move RAD Suspension over patient Region of Interest (ROI) with field
light cross-hairs beam.

NOTE: 40 cm (16 Inch) systems limitation: For systems equipped with 40 cm (16
inch) Image Intensifiers, the minimum, allowable SID is 48 inches (120 cm)
when the table is angulated.

5. Align table bucky cassette tray to X–Ray beam.

a. Slide bucky cassette tray out from table.

b. Turn on collimator field light.

c. Move bucky longitudinally to align bucky tray handle alignment notch with
field light alignment beam.

d. Lock bucky in place.

6. Load cassette into bucky cassette tray.

7. Insert bucky cassette tray into table.

om 2297164–100 Rev 9 7-40

 CHAPTER 8
OTS RADIOGRAPHIC SUSPENSION

SECTION 1
INTRODUCTION

1-1OTS (Overhead Tube Suspension)

The Overhead Tube Suspension (OTS) is the positioning device that supports the
X–ray tube and OTS Console.

Each suspension provides convenient movement and accurate positioning of the

equipment.

The X–ray Tube Overhead Suspension consists of four major elements

–The Overhead Stationary Rail System,

–The Telescopic Column and Carriage,

–Tube Support and User Interface (OTS Console).

–Multileaf Collimator.

om 2297164–100 Rev 9 8-1

 ILLUSTRATION 8-1
OTS COMPONENTS

1-2System Labeling

TABLE 8-1
SYSTEM IDENTIFICATION AND COMPLIANCE LABELS

OTS radiographic
DESIGNATION Automatic Collimator
suspension
MODEL NUMBER 2304223, B2055NH AF01A

om 2297164–100 Rev 9 8-2

 ILLUSTRATION 8-2
LOCATION OF SYSTEM IDENTIFICATION AND COMPLIANCE LABELS

LABEL

LABEL BEHIND
COVER

1-3 Overhead Rail System

The overhead rail system consists of the stationary rails (ceiling mounted) and a
bridge that travels longitudinally (LONG) along the rails. Guide bearings maintain
alignment of the bridge with the rails and the X–ray table.

An electric lock controls motion of the bridge along the rails. A switch marked
“LONG” on the user interface activates this longitudinal lock. Press down the
switch will releases the lock. Releasing the switch reapplies the lock.

1-4Telescopic Column and Carriage

The carriage rides laterally (LAT) within the bridge. The lateral lock controls its
motion. The switch marked LAT on the front of the user interface operates the
lock. This switch functions in the same manner as the one for the longitudinal lock.

The telescopic column permits vertical (VERT) travel of the tube unit. The vertical
lock controls its motion. The switch marked VERT on the user interface operates
the lock. The switch must be held down while moving the tube unit.

om 2297164–100 Rev 9 8-3

 The vertical load is balanced by a spring counterpoise system within the carriage.
The counterpoise system is equipped with a safety locking feature to prevent the
tube unit from falling in the event of spring or main cable failure. Adding an acces-
sory such as a collimator extension cylinder may cause the suspension to be
slightly out of balance.

Collimator accessory weight may not exceed 4.5 kg (10 pounds). Use
special care when using such an accessory since the tube unit will
tend to descend when the vertical lock is released.

ILLUSTRATION 8-3
TELESCOPIC COLUMN AND CARRIAGE

CARRIAGE

TELESCOPING
COLUMN

USER
INTERFACE

TUBE SUPPORT

1-5Use of Longitudinal and Transverse

Detents

The suspension is programmed with Longitudinal and Lateral detents to automati-

cally apply the locks and signal the collimator when the tube is positioned at spe-
cific SID’s, for vertical table or wall stand procedures. For table, lateral detent is
set at the table lateral center line. For wall stand, lateral detent is set at the wall
stand panel lateral center line, and the longitudinal detent is set at SID 180cm(72
inches) and 100cm(40 inches). Selection is made at the time of installation and is
usually with the focal spot over the longitudinal table and wall stand center line.
The locks are actuated through electrical detents and the switch marked DETENT.
Depress the “DETENT” switch and the “LAT” switch to index the focal spot over
the longitudinal table center line. Depress and momentarily hold the “LONG”
switch (with the “DETENT” switch still depressed) to index the focal spot at one of
the pre–selected SID’s. When reaching the approximate position, motion should
be slow to avoid passing over the detent bracket. To move out of the indexed posi-
tions, depress the “DETENT” switch a second time.

om 2297164–100 Rev 9 8-4

 1-6Tube Support Rotation

The tube unit can be pivoted about the vertical axis of the telescopic column (tube
support rotation) 180° in each direction from the table “NORMAL” position. It auto-
matically locks in each 30° position. To release it, depress the tube support rota-
tion lock lever on the right side of the tube support. Then pivot the tube unit and
release the lever. The tube support will lock in the next 30° position.

ILLUSTRATION 8-4
TUBE SUPPORT ROTATION DETENT RELEASE LEVER

X–RAY TUBE
ROTATION
DETENT RELEASE
LEVER

om 2297164–100 Rev 9 8-5

 1-7X–ray Tube Angulation

The other rotational feature of the tube support permits TUBE ANGULATION
about the short axis (front to back). The amount of angulation is indicated on the
user interface. Limits of angulation are 180° in either direction from the X–ray
beam down position. The angulation lock that is controlled by the switch marked
ANG maintains angular positions. while angulating the tube.

Angular positions will detent every 90° automatically starting with the X–ray beam
down position. To move out of a detent position, depress the ANG button and hold
this switch down, rotating the tube assembly. Release the button to lock the tube
in place.

NOTE: Angulation lock is the Electro Magnetic, spring applied, type. They remain “on”
when the system power is off. They can be released only when the power is
on and their respective switches are depressed. In emergencies, the tube unit
can be moved against the force of the locks.

ILLUSTRATION 8-5
X–RAY TUBE ANGULATION

om 2297164–100 Rev 9 8-6

 1-8Over Head Ceiling Suspension User
Interface

The in–room user interface allows the operator to make receptor type, kV and
mAs selections without returning to the System Console. Positioning of the X–ray
tube can be performed with one or two–hands. The locks and lock releases on the
user interface make positioning the X–ray tube easy.

NOTE: Changing exposure parameters or receptors on either system console or OTS

console will result in a same change to both consoles.

ILLUSTRATION 8-6
OTS CONSOLE

om 2297164–100 Rev 9 8-7

 TABLE 8-2
OTS OPERATOR CONTROLS AND INDICATORS

Item Title Type Description

1 kV Display Indicator Display exposure kV.
2 mAs Display Indicator Display exposure mAs.
3 kV Increment and Decrement Control Increase or Decrease exposure kV.
Keys
4 mAs Increment and Decrement Control Increase or Decrease exposure mAs.
Keys
5 Unit Display Indicator Display SID scale.
6 SID Display Indicator Display SID scale.
7 Angulation Display Indicator Display tube rotation angle.
8 Tube Angulation Lock Release Control Releases magnetic lock to allow tube angulation.
9 Vertical Lock Release Control Releases magnetic lock to allow vertical tube motion.
10 All Lock Release Control Releases all OCS magnetic locks to allow vertical, transverse,
longitudinal, and tube angulation motions. Note: If in lateral or
vertical detent the lateral or vertical lock will not be released.
The DETENT button MUST be released. ÁÁÁ
11 All Lock Release Control Releases all OCS magnetic locks to allow vertical, transverse,
longitudinal, and tube angulation motions. Normally open
momentary type button, without indicator. Note: If in lateral or
vertical detent the lateral or vertical lock will not be released.
The DETENT button MUST be released. ÁÁÁ
12 MANU. COLI Indicator Indicates that the collimator is working in manual mode
13 Exposure Hold Exposure Indicates for some reason an exposure is not permitted. ÁÁÁ
14 READY Exposure This button is lit when the system is ready for exposure.
15 DETENT Control Lock or Release the Detent magnetic lock. Normally open self–
lock type button.
16 Lateral Lock Release Control Release magnetic lock to allow lateral motion. Normally closed
self–lock type button, with green indicator.
17 Longitudinal Lock Release Control Release magnetic lock to allow longitudinal motion. Normally
closed self–lock type button, with green indicator. ÁÁÁ
18 Table Top Receptor Selects the Table Top as the image receptor
19 TABLE Receptor Selects the table bucky/cassette tray as the image receptor
ÁÁÁ
20 WALL Receptor Selects the Wall Stand Film Cabinet as the image receptor.
21 Function Not available at this time
22 Collimator Select Control Select the operating mode of the auto collimator (Behind the
console)

om 2297164–100 Rev 9 8-8

 1-8-1 Key Switch on OTS Console

The Key Switch is located on the back of the OTS User Interface. The Key Switch
is intended for use when a system failure has occurred.

The OVERRIDE position disables the exposure hold interlocks and allows expo-
sure.

NORMAL POSITION OVERRIDE POSITION

ILLUSTRATION 8-7
OTS CONSOLE KEY SWITCH

KEY SWITCH

SECTION 2
AUTOMATIC COLLIMATOR
Operational Controls on the Collimator
ILLUSTRATION 8-8
AUTOMATIC COLLIMATOR CONTROLS

om 2297164–100 Rev 9 8-9

 (1) Locking lever for 90° rotation of the collimator about vertical axis
The collimator stops only in 0° position.
(2) Adjusting knob for format height collimation
(Turning to the left closes the collimator, turning to the right opens the collimator)
(3) Adjusting knob for format width collimation
(Turning to the left closes the collimator, turning to the right opens the collimator)
(4) X–ray field illumination and linear light localizer on/off
Cutout also performed automatically via a time switch.
The automatic light timer can be configured in 1 second increments up to the
maximum of 90 seconds which is the default.
(5) Measuring tape grip for SID measurement
– Take reading at bottom edge of multileaf collimator.
– The measuring tape has both a cm and an inch graduation
(6) MEMORY Button for resetting the collimator to the FOV utilized in the last expo-
sure. If there is an Exposure Hold active all issues must be rectified and a ready
light present before the Memory becomes active. If exposure hold is active it will
display the interlock that is active.
(7) Two accessory rails
(8) Function display (see following page)
(9) SID Scale Selection (manual mode)
(10) Cu Filter Selection

2-1 Locking lever

om 2297164–100 Rev 9 8-10

 The locking lever locks the compensating filters, templates, etc. inserted in the
accessory rails of the multileaf collimator in place to prevent them from falling out

To remove an accessory from the collimator, the locking lever must be pressed in
until the compensating filter, templates etc., can be removed.

2-2Display on the Collimator

ILLUSTRATION 8-9
AUTOMATIC COLLIMATOR DISPLAY

Selected = Bucky workstation on Bucky Table or Bucky Wall Stand selected

(1) Selected = x–ray tube unit selected
(2) Operating mode:
PBL = with automatic format collimation system
Manual = Without automatic format collimation system
(3) Ready = ready for operation
(4) Display of width and height of collimated x–ray field
(5) Display of film–focus distance (SID)

om 2297164–100 Rev 9 8-11

 2-3Bottom View of the Collimator

ILLUSTRATION 8-10
AUTOMATIC COLLIMATOR BOTTOM VIEW

On/Off switch (4) for

illumination of full–field and
linear light localizer.

Linear LASER light localizer.

Centering cross for positioning.

Locking lever for accessories.

2-4Linear LASER Light Localizer

The linear LASER light localizer provides the axis mark for longitudinal centering
which is lined up with the centering mark on the handle of the cassette loading
device.

The linear LASER light localizer for projection of the centering cross is switched
on and off with push button (4) on the control panel.
– Automatic cutout of this function is effected via an internal time switch.

LASER RADIATION
PEAK POWER 1MW/WAVE LENGTH 540–700 NM/CLASS II LASER
PRODUCT
DO NOT STARE INTO BEAM!
WHEN YOU SWITCH ON THE LINEAR LASER LIGHT LOCALIZER,
TAKE CARE THAT NO PERSON LOOKS DIRECTLY INTO THE LASER
TO AVOID EYE INJURIES OR IMPAIRED VISION.

2-5Centering Cross

The centering cross is used to display the longitudinal and transverse axies of the
exposure field on the cassette or directly on the patient.

The full–field light localizer for projecting the centering cross is switched on and off
with push button (4) on the control panel.
– Automatic cutout is performed via an internal time switch.

The linear and full–field light localizers can not be switched separately.

om 2297164–100 Rev 9 8-12

 2-6Rear View of Collimator

(1) Locking lever for 90° rotation of collimator around vertical axis

ILLUSTRATION 8-11
AUTOMATIC COLLIMATOR REAR VIEW

Locking lever for rotation of

collimator around vertical
axis.

Identification labels.

om 2297164–100 Rev 9 8-13

 2-7Changing Lamps on the Collimator

The bulb of the collimator may be changed if necessary.

ILLUSTRATION 8-12
AUTOMATIC COLLIMATOR LAMP LOCATION

TWO ALLEN
HEAD SCREWS

LAMP HOUSING

Switch off the system.

Remove two Allen head screws on lamp housing.
Remove lamp housing.
Remove the two Allen contact screws on the lamp.
Replace the halogen bulb.
Do not touch new lamp with your bare fingers.
Screw the two Allen contact screws tight.
Mount lamp housing and fasten it by re–tightening both screws.

IF THE HALOGEN LAMP OF THE LIGHT LOCALIZER REMAINS

ILLUMINATED FOR A LONGER PERIOD OF TIME, THE HOUSING MAY
HEAT UP. PLEASE AVOID TOUCHING THE LAMP HOUSING TO
PREVENT BURNS.

ALWAYS USE OEM REPLACEMENT LAMPS FOR THE LIGHT

LOCALIZER. HALOGEN LAMPS, WHICH ARE NOT SHORT–CIRCUIT–
PROOF, MAY BREAK AND RESULT IN INJURIES CAUSED BY BROKEN
GLASS. LAMP TYPE DESCRIPTION: LOOK AT THE LABEL AT THE
BACKSIDE OF THE COLLIMATOR.

om 2297164–100 Rev 9 8-14

 2-8Rotating the Collimator 90° Around the
Vertical Axis

Move locking lever on multileaf collimator toward front panel, i.e. toward the oper-
ator.

ILLUSTRATION 8-13
AUTOMATIC COLLIMATOR ROTATION LOCKING LEVER

LOCKING LEVER

Multileaf collimator in 0° lock–in position

– The 0° lock–in position of the multileaf collimator is released by actu-

ating the locking lever. The maximum rotation of the collimator up to
the CW or CCW stop is +/– 45 degrees.
Grasp collimator with both hands and turn it to the 0° lock–in position

ALWAYS GRASP MULTILEAF COLLIMATOR IN SUCH A WAY THAT

NEITHER HAND CAN BE PINCHED OR CRUSHED BETWEEN THE
HANDLES AND THE COLLIMATOR.

om 2297164–100 Rev 9 8-15

 SECTION 3
SPECIFICATIONS

NOTE: Because X–ray equipment produces radiation, special precautions may need
to be taken or special site modifications may be required. The General Elec-
tric Company does not make recommendations regarding radiation protec-
tion. It is the purchaser’s responsibility to consult a radiation physicist for
advise on radiation protection in X–ray rooms.

NOTE: There is an Overheat Interlock on the X–ray Tube Housing. If the factory–
adjusted temperature of the tube housing goes higher than the permissible
level, x–ray emission is terminated. If this occurs, call for service.

TABLE 8-3
RELATIVE HUMIDITY AND TEMPERATURE

PRODUCT OR RELATIVE HUMIDITY TEMPERATURE

COMPONENT IN–USE STORAGE IN–USE STORAGE
MIN. MAX. MIN. MAX. MIN. MAX. MIN. MAX.
+10C 40C –40C (– +70C
OTS 10% 80% 5% 95%
(50F) (104F) 40F) (158F)
X–ray Tube 10% 80% 5% 95% +10C 40C –40C (– +70C
(50F) (104F) 40F) (158F)

TABLE 8-4
ALTITUDE AND ATMOSPHERIC PRESSURE

PRODUCT OR ALTITUDE ATMOSPHERIC PRESSURE

COMPONENT IN–USE STORAGE IN–USE STORAGE
MIN. MAX. MIN. MAX. MIN. MAX. MIN. MAX.
–400 m 3000 m –400 m 15000 m 10.17 psi 15.4 psi 1.75 psi 15.4 psi
OTS
(–1312 ft.) (9842 ft.) (–1312 ft.) (49212 ft.) (70.1 kPa) (106 kPa) (12.1 kPa) (106 kPa)
X–ray Tube –400 m 3000 m –400 m 15000 m 10.17 psi 15.4 psi 1.75 psi 15.4 psi
(–1312 ft.) (9842 ft.) (–1312 ft.) (49212 ft.) (70.1 kPa) (106 kPa) (12.1 kPa) (106 kPa)

om 2297164–100 Rev 9 8-16

 TABLE 8-5
OTS SPECIFICATIONS

Parameter Specification
Longitudinal Focal Spot Travel 2757 mm (108–1/2 in.)
Lateral Focal Spot Travel 1200 mm (47–1/4 in.)
Vertical Focal Spot Travel 1500 mm (59 in.)
Horizontal Tube Rotation +/– 180 degrees; detents at each 90 degree position
Vertical Tube Rotation + 110/–20 degrees
Focal Spot to Ceiling Distance (Horizontal) Min 733mm (28–7/8 in.) Max 2232mm (87–7/8 in.)
Focal Spot to Ceiling Distance (Vertical) Min 713mm (28–1/16 in.) Max 2211mm (87–1/16 in.)
Distance between Center Lines of Ceiling 1.43m(56”), or 1.27m(50”), or 1.22m(48”)
Mounting Bolt Holes in Stationary rails
Minimum Overall Room Dimension, Front 3.2m (124–1/4”)
to Back, without Modifying Basic Structure
OTS Suspension Weight 431kg (50lbs)
OTS Console
kV Control and Display 40–150
mAs Control and Display 0.5–630
SID Display 0–200
Tube Angle Display –180 to +180
Power Supply
OTS Console +5VDC, 2.5A
+12VDC, A
– 12VDC, A

om 2297164–100 Rev 9 8-17

 TABLE 8-6
AUTOMATIC COLLIMATOR SPECIFICATIONS

Parameter Specification
Collimator Digital version with automatic formats collimation system and light
localizer for rectangular collimation with linear light localizer and rails
for secondary filters
Operation Mode Automatic
Manual
Dimensions 349 L x 237W x 181 H (mm)
Weight 9.8 +/– 0.5 (kg)
Aperture Angle 28° / 28°
Angle of Rotation around +/– 45°
central beam axis
Maximum field Size with 43cm x 43cm
SID = 90cm
Maximum field Size with 3cm x 3cm
SID = 100cm
Power Supply:
DC Input Voltage (V) 24 +/– 10%
Max. DC Input Current (A) 1.5
ACV Input Voltage (V) 28 ... 40 +/– 10%
Mac AC Input Current 10
Halogen Lamp 24V~/ 150W / Part Number: 8375545 G2107

Only OEM Siemens parts may be used as replacement parts!

Operation Temperatures 10°C < to > 40°C
Transport and Storage – 40°C to +70°C
Temperatures
Inherent Filtration EN 60601–1–3 Standard
1.0 mm Al at 70 kV
Leakage Filtration EN 60601–1–3 Standard
< 0.5 mGy/h

om 2297164–100 Rev 9 8-18

 CHAPTER 9
SG–80 & SG120 VERTICAL BUCKY STAND

SECTION 1
INTRODUCTION

The SG80/120 is defined as a Vertical Bucky Stand suitable for providing common
radiographic examinations, including chest films and oblique angle radiography.
With the right choice of X-ray tube supports, tubes and generators, the SG80/120
is able to provide vertical and horizontal off-table radiography.

The tilting/rotating functionality is available only in SG120 model.

ILLUSTRATION 9-1
SG-80

om 2297164–100 Rev 9 9-1

 SECTION 2
PARTS OF THE EQUIPMENT

The main parts of the SG80/120 are detailed in ILLUSTRATION 9-2.

ILLUSTRATION 9-2

2-1 COLUMN ASSEMBLY

The column assembly includes the next main parts:

• Bucky support assembly: joins the column assembly to the bucky assembly
means of the vertical carriage that moves along the guide on the column.
Includes the vertical lock handle to control the vertical movement of the bucky
assembly.
• Covers: give the final appearance to the equipment.
• Counterweights: permit to counterbalance the bucky assembly to enable it
can be moved smoothly along the vertical direction.
• Column Stand: it is the main part of the column assembly, It is fixed to the
floor and is in charge to hold all the elements.
• Main cabling and electronic devices: in the column assembly are located the
equipment cables and electronic boards.

om 2297164–100 Rev 9 9-2

 2-2 BUCKY ASSEMBLY

Includes the bucky, that is mounted to the bucky support behind the front panel.
Includes a cassette tray, suitable for all standard cassette sizes.

In the bucky assembly are also located other parts, such as the grid (optional) and
the ion chamber, used for AEC exposures.

2-3FRONT PANEL

Includes a carbon fiber manufactured barrier of dimensions 562 x 510 x 3, with an

absorption of maximum 0.9 mm Al measured at 100 KVp.

2-4VERTICAL LOCK HANDLE

The vertical lock handle enables to displace the bucky carriage holding the bucky
assembly along the column stand. The vertical lock handle is left-right field config-
urable.

SECTION 3
APPLICATIONS OF SG80/120

The SG80/120 vertical Bucky stands are designed specifically to handle a full
range of applications, from emergency procedures to routine radiographic studies.
Their smooth vertical travel enables a wide range of examinations with the patient
standing or sitting.

The SG120 offers even greater versatility with a tilting panel, controlled with elec-
tromagnetic brakes, for angulation examinations.

The next accessories are available for use with the SG80 and SG120:

• Patient Support Kit (Lateral Bar and Patient Grip) to provide user support dur-
ing exposures.
• Manual Hanging Cassette Holder to allow table-top exposures on vertical
bucky stand.
• SG80/120 vertical bucky stands comply with all standard medical regulations
(UL, 21CFR, CSA, NRTL/C, CE, IEC).
SECTION 4
OPERATION

4-1VERTICAL POSITIONING

The SG80/120 remains locked in its vertical position when the equipment is
switched ON thanks to the electromagnetic vertical brakes.

Procedure:

1. Press the key on the vertical lock handle.

2. Check that the brakes are released and the bucky assembly can be displaced
smoothly along the vertical direction.

om 2297164–100 Rev 9 9-3

 3. Set the bucky assembly at the desired height, depending on the study to be
performed.

4. Release the key on the vertical lock handle and check the bucky assembly
remains locked in the desired position.

NOTE: The vertical lock handle is located on the LEFT side behind the bucky assembly,
but this configuration can be easily field configured if needed. See Service Manual
for details on LEFT to RIGHT configuration change.

Functionalities SG120:

• Min. height from floor:

- Horizontal position: 63.5 cm (25 in)
- Vertical position: 33 cm (13.1 in.) centre of the bucky
• Max. height from floor:
- Horizontal position: 213 cm (83.9 in.)
- Vertical position: 190.5 cm (75 in.) bucky centre

Functionalities SG80:

• Min. height from floor: 41 cm (16.1 in.) Bucky centre

• Max. height from floor: 190.5 cm (75 in.) Bucky centre

4-2 CASSETTE LOADING

The SG80/120 is equipped with a cassette tray, suitable for all standard cassette
sizes, that is manually inserted in the bucky assembly.

NOTE: The SG80/120 is LEFT configured for cassette loading but this configuration can
be changed if needed. See Service Manual for details on LEFT to RIGHT
configuration change.

om 2297164–100 Rev 9 9-4

 ILLUSTRATION 9-3
Cassette Loading

Procedure (See ILLUSTRATION 9-3)

1. Extract the cassette tray pulling by its handle.

2. Open cassette-clamp locking assembly. Spread out and separate the clamps.

3. Insert the cassette support bracket into the appropriate holes.

4. Insert the cassette between the cassette clamps, resting it on the cassette
support bracket, Reposition the clamps against the cassette and close the
cassette-clamp locking assembly.

5. Insert the cassette tray into the bucky tray slot.

om 2297164–100 Rev 9 9-5

 TO AVOID THE CASSETTE-CLAMP LOCKING ASSEMBLY CAN BE
DAMAGED, ALWAYS CLOSE IT BEFORE INSERTING THE CASSETTE
TRAY INTO THE BUCKY TRAY SLOT

USE CAUTION TO AVOID CASSETTE SENSING ARM DEFORMATION.

ITS SHAPE IS IMPORTANT TO OBTAIN ACCURATE FIELD
PLACEMENT. IF THE ARM IS DAMAGED, IT HAS TO BE REPLACED.
DO NOT TRY TO REPAIR THE ARM IN CASE IT BECOMES
DEFORMED.

NOTE: Normally, it is not needed to remove completely the cassette tray from the bucky in
order to load a cassette. Cassettes may be inserted in the tray by pulling the tray
until movement is stopped by the catch on the lower rear of the tray.

NOTE: Even if it is not needed, if it is wanted to remove totally the cassette tray
from the bucky, just pull the tray out until it is stopped by the catch (located on the
upper or lower side of the tray depending if the SG80/120 is left or right tray inser-
tion configured), then press the catch to the bottom of the tray and keep it pressed
while you slide carefully the tray out of the bucky assembly.

4-3 CASSETTE REMOVAL

Procedure:

1. Extract the cassette tray pulling by its handle.

2. Pull up the tightening lever and remove it from the cassette, that remains free.

3. Remove the cassette and close the cassette clamp locking assembly.

4-4 AEC DETECTOR AREAS

The SG80/120 may operate with an Ion Chamber Detector. For further information
about operation of the Ion Chamber Detector, see generator service and operat-
ing manuals or automatic exposure control operating manual.

The three field pattern on the front panel of the SG80/120 corresponds to the
three detection areas for the Ion Chamber Detector.

4-5 ALIGNMENT

It is important that the X-Ray tube is accurately centered with the Bucky trans-
versely. If the alignment is not accurate, density cut-off at the edges of the film and
appearance of grid patterns may be found. The alignment is not critical when an
anti-diffusion grid is used. In this case, tilted tube techniques may be used without
undue cut-off.

om 2297164–100 Rev 9 9-6

 NOTE: The cassette tray handle is marked to indicate the vertical center of the bucky. To
assure the bucky is vertically aligned with the X-ray beam, move the bucky or the
tube in order the collimator light is aligned with this center mark. For further
information, see also collimator operating manual.

4-6 FRONTAL PANEL

The bucky assembly mechanism and grid can be easily accessed by removing the
front panel of the SG80/120. Loosen the screws that hold the front panel to the
bucky support and remove it with care (Fig 4.5).

ILLUSTRATION 9-4
Front Panel Removal

4-7SG120 SPECIFIC FUNCTIONALITIES

4-7-1 Bucky Rotation

It is possible to rotate the SG120 bucky assembly SG120 from 0º to 180º. The
rotation movement is permitted means of the lock lever located on the back side of
the bucky assembly.

om 2297164–100 Rev 9 9-7

 ILLUSTRATION 9-5
Bucky Rotation

Procedure: See ILLUSTRATION 9-5

1. 1. Release the lock lever .

2. 2. Rotate the bucky to position

3. 3. Put the lock lever back into locked position.

NOTE: The bucky can be rotated CW (clockwise) or CCW (counter-clockwise). To avoid

degradation of image quality and loss of bucky functionality, it is recommended
not to perform exposures with the bucky in other position than 0 degrees or 180
degrees. The bucky is designed to operate only at 0 degree or 180 degree
positions, but will function in a range within 30 degrees of these positions. The
image quality may be degraded, however.

4-7-2 Bucky Angulation

The SG120 bucky assembly can be angulated in a range that varies from -20
degrees to 90 degrees. The bucky in locked means of the electro-mechanical
detents located in the bucky support assembly. The angulation movement is left
free when activating one of the pushbuttons located behind the bucky support.

om 2297164–100 Rev 9 9-8

 ILLUSTRATION 9-6
Bucky Angulation

Procedure: See ILLUSTRATION 9-6

1. Press one of pushbuttons located behind the bucky support

2. Keeping the push-button pressed, angulate the bucky to the desired position.

3. Release the push-button in order the bucky to remain locked.

SECTION 5
PERIODIC MAINTENANCE

5-1MAINTENANCE INFORMATION

In order to assure continued safe performance of x-ray equipment, a periodic

maintenance program must be established. It is the owner's responsibility to sup-
ply or arrange for this. After installation, maintenance should be performed on the
SG80/120 every eighteen months. The equipment should be cleaned frequently,
particularly if corroding chemicals are present. Clean stainless steel surfaces
(patient support side rails) with a plastic scouring pad (Scotchbrite or similar).
Clean other surfaces with a cloth moistened in warm water with mild soap. Wipe
with a cloth moistened in clean water.

DO NOT USE CLEANERS OR SOLVENTS OF ANY KIND AS THY MAY

DULL THE FINISH OR BLUR THE LETTERING. POLISH WITH CLEAN
WATER OR PASTE WAX. DO NOT US A WAX CONTAINING A
CLEANING SUBSTANCE.

NEVER ATTEMPT TO CLEAN ANY PART OF THE TABLE WHEN THE

SG80/120 IS POWERED “ON”. SWITCH OFF LINE POWER SUPPLY
AND THE X-RAY GENERATOR BEFORE CLEANING.

om 2297164–100 Rev 9 9-9

 MAINTENANCE FREQUENCY
PROCEDURE
ITEM (MONTHS)

GENERAL

Visual Inspection 18 Check for debris that would indicate

abnormal wear

General cleaning As required Wipe exterior parts using soft cloth,

and painting water and mils soap. Vacuum interior
if any dust or lints is present

Functional checks 18 Perform tasks described in SG80/120

Service Manual

Electrical checks 18 Inspect and replace any damaged

cables or connectors. Check ground-
ing

MECHANICAL

Counterweight 18 Inspect and grease length of chains.

chain Replace if excessively rusty

Carriage roller bear- 18 Clear roller bearing and tracks

ing inspection

Vertical lock 18 Lock notched rail. General cleaning.

Functional check (see Service Man-
ual)

Only service personnel specifically trained on medical x-ray equipment should

work on or maintain this equipment.

SECTION 6
LABELING

om 2297164–100 Rev 9 9-10

 SECTION 7
SPECIFICATIONS

7-1 ELECTRICAL EQUIREMENTS

Electrical requirements for the SG80/120 vertical bucky stand:

FREQUENCY (Hz) VOLTAGE (V) MAX CURRENT (A)

PRODUCT Continu-
MIN MAX MIN MAX Moment.
ous

SG80/120 50 60 115 230 0.4 0.2

7-2 PRODUCT DIMENSIONS

DIMENSIONS

RODUCT DEPTH WIDTH WEIGHT

HEIGHT
MAX MIN MAX MIN

373 mm 373 mm 652 mm 652 mm 2235 mm 180 Kg

SG80
14.69 in 14.69 in 25.67 in 25.67 in 87.99 in 396.9 lbs

SG80 W/ 637 mm 637 mm 652 mm 652 mm 2235 mm 194 kg

SPACER 25.08 in 25.08 in 25.67 in 25.67 in 87.99 in 427.8 lbs

927 mm 687 mm 915 mm 652 mm 2235 mm 220 kg

SG120
36.5 in 27.05 in 36.02 in 25.67 in 87.99 in 485.1 lbs

7-3 CRATE DIMENSIONS

The SG80/120 is packed in only one crate with the next dimensions:

DIMENSIONS
PRODUCT WEIGHT
DEPTH WIDTH HEIGHT

940 mm 2410 mm 890 mm 80 kg

SG80
37.01 in 94.88 in 35.04 in 176.4 lbs

940 mm 2410 mm 890 mm 80 kg

SG120
37.01 in 94.88 in 35.04 in 176.4 lbs

om 2297164–100 Rev 9 9-11

 7-4 SG120 SPECIFICATIONS

7-4-1 Wall Stand “General”

Parameter Specification
Weight 220kg (485.1 lbs)
Height 2235 mm (87.99 in)
Min. Width 652 mm (25.67 in)
Max. Width 915 mm (36.02 in)
Min. Depth 687 mm (27.05 in)
Max. Depth 927 mm (36.5 in)
Front panel height 64.2 cm (25.2 in)
Front panel width 65 cm (25.6 in)
Distance Front Panel to Film 5.8 cm (2.28 in)
Plane
Min. Height (Bucky vertical) 33 cm (13.1 in)
Max. Height (Bucky vertical) 190.5 cm (75 in)
Min. Height (Bucky horizontal) 63.5 cm (25 in)
Max. Height (Bucky horizontal) 213 cm (83.9 in)
Bucky rotation range 0° to 180°
Bucky Angulation range -20° to 90°.
Grid Holding Force >196N
Wall stand panel Filtration Maximum 0.65 Al equivalency at 100 kVp
Bucky Loading Left hand or Right hand
Cassette Load Left Hand (Right hand load field configurable)
Power Supply Single phase voltage: 115, 230V+/-10%+ground
Line Frequency 50/60 Hz
Max. Current (Moment.) 0,4
Max. Current (Continuous) 0,2
Panel to front column distance 550 mm (21.65 in)
Panel to front cover distance 483 mm (19.01 in)

7-4-2 WALL STAND BUCKY

Parameter Specification
Grid 36L/cm; 180 cm focus
Cassette Size Sensing 3 cm×18 cm (5 in.×7 in.) minimum to 35 cm×43 cm
(14 in.×17 in.) maximum

om 2297164–100 Rev 9 9-12

 CHAPTER 10
SG–100 VERTICAL BUCKY STAND

SECTION 1
INTRODUCTION

The SG-100/SG-120 system is defined as a Tilting/Rotating Vertical Bucky Stand

suitable for providing common radiographic examinations, including chest films
and oblique angle radiography. Combined with suitable X-ray tube supports, tubes
and generators, the SG-100/SG-120 is able to provide vertical and horizontal off-
table radiography.

The SG-100/SG-120 allows off-table radiographies of skull and spine in horizontal

and vertical attitudes and a variety of radiographies with a patient standing,
recumbent, sitting on a wheelchair, or on a stretcher.

ILLUSTRATION 10-1
Example, SG–100 Shown

om 2297164–100 Rev 9 10-1

 ILLUSTRATION 10-2
Example, SG–100 componts shown

om 2297164–100 Rev 9 10-2

 SECTION 2
SAFE OPERATION PRECAUTIONS

To ensure efficient and safe operation of equipment keep the Operating Manual
with the equipment at all times and periodically review the Operation and the Safe
Operation Precautions sections.

FOR CONTINUED SAFE USE OF THIS EQUIPMENT, FOLLOW THE

INSTRUCTIONS CONTAINED IN THIS OPERATING MANUAL. STUDY
THIS MANUAL CAREFULLY BEFORE USING THE EQUIPMENT AND
KEEP IT AT HAND FOR QUICK REFERENCE.

UNITED STATES FEDERAL LAW RESTRICTS THIS DEVICE TO USE BY

OR ON THE ORDER OF A PHYSICIAN.

RADIOGRAPHIC EQUIPMENT MUST BE OPERATED BY QUALIFIED

PERSONNEL AND ONLY AFTER SUFFICIENT TRAINING.

IT IS THE RESPONSIBILITY OF THE OPERATOR TO ENSURE THE

SAFETY OF THE PATIENT WHILE THE MACHINE IS IN OPERATION BY
CHECKING PROPER PATIENT POSITIONING AND USING THE
EQUIPMENT PROTECTIVE DEVICES.

INJURY IS POSSIBLE WHEN PLACING/HANGING ACCESSORIES

FROM VERTICAL BUCKY STAND OR USING THE VERTICAL BUCKY
STAND AS A SUPPORT. DO NOT HANG ACCESSORIES, LEAN
AGAINST OR USE AS A PATIENT SUPPORT.

SECTION 3
OPERATION

3-1General Description

The SG-100/SG-120 Vertical Bucky Stand provides several different bucky posi-
tioning alternatives such as vertical movement, rotation and angulation.

SCALES – A height scale in inches or centimeters is provided for easy reference

of the Bucky position.

Angulation and rotation scales are also provided for accurate positioning of the
Bucky.

3-2Vertical Positioning

The Bucky is held in vertical position by electro-mechanical locks backed up by a

mechanical safety lock.

By operating the vertical lock handle (located on the left or right side of the SG–
100 depending on the model) the electro-mechanical locks are released and the
carriage can be moved up or down, for infinite vertical positioning within its travel
range. Refer to ILLUSTRATION 10-3.

om 2297164–100 Rev 9 10-3

 Vertical Bucky travel:

• Top edge of Bucky in vertical position: from 24.57” (624 mm) to 72.60” (1844
mm).
• Top edge of Bucky in horizontal position: from 20.77” (527.5 mm) to 68.07”
(1729 mm).
Tolerance: + 0.0” (0 mm), –0.6” (15 mm)

The mechanical backup lock engages within 1/2” (12.7 mm) of vertical travel in the
event the holding power (44 Ibs/19.8 kg) of the electromagnetic locks is exceeded,
or in the event of lock failure or an unbalanced condition between the Bucky car-
riage assembly and the counterweights in the vertical column.

The mechanical backup lock is capable of supporting 176 Lbs (79.2 kg).

3-3Patient Support Legs

When the Bucky is in the horizontal position, two foldable legs can be used to
allow a patient to sit on the Bucky. To unfold the legs, pull the lock release knob
located on the right-side leg.

WHEN USING PATIENT SUPPORT LEGS, ENSURE THEY ARE FIXED

IN A POSITION THAT CANNOT INJURE THE PATIENT OR DAMAGE
THE EQUIPMENT.

ILLUSTRATION 10-3
VERTICAL POSITIONING

om 2297164–100 Rev 9 10-4

 3-4Bucky Rotation

The Bucky can be rotated from 0° to 180°. A rotation lock, located behind the
Bucky, holds the Bucky in position. Refer to ILLUSTRATION 10-4.

To change position release the lock lever, rotate the Bucky to the desired position
and put the lock lever back into locked position. Depending on the model, the
Bucky can be rotated clockwise or counter-clockwise. The ILLUSTRATION 10-4
shows counterclockwise rotation.

The Bucky is designed to operate at 0° and 180° only.

Exposures should not be made with the Bucky in any other position as this may
result in a degradation of image quality and loss of Bucky functionality.

WHILE EXPOSURES WITHIN 30° OF THE 0° AND 180° POSITIONS ARE

NOT RECOMMENDED, THE BUCKY WILL FUNCTION IN THIS RANGE.
A DEGRADATION IN IMAGE QUALITY MAY RESULT, HOWEVER.

ILLUSTRATION 10-4
BUCKY ROTATION

om 2297164–100 Rev 9 10-5

 3-5Bucky Angulation

Bucky angulation range varies from –20° to 90°. Refer to ILLUSTRATION 10-5.
Angulation position is held by an electro-mechanical detent lock, located behind
the Bucky in the Bucky support assembly. The detent lock latches the Bucky in
position in 5° increments. To change Bucky angulation, press one of the angula-
tion lock pushbuttons on either side of the Bucky support assembly and move the
Bucky to the desired position.

ILLUSTRATION 10-5
BUCKY ANGULATION

om 2297164–100 Rev 9 10-6

 3-6Hinged Front Panel

A hinged front panel enables easy access to the Bucky grid and mechanism.
Refer to ILLUSTRATION 10-6.

To open the panel, turn the thumb screws on the bottom of the panel then lift the
panel up. A safety latch on the right can be used to maintain the panel open.

ILLUSTRATION 10-6
LIFTING FRONT HINGED PANEL

om 2297164–100 Rev 9 10-7

 HAZARDOUS VOLTAGE CAN CAUSE SEVERE INJURY OR DEATH.
WHEN CHANGING/REPLACING GRID, TURN OFF POWER.

3-7Cassette Loading

The SG–100 is equipped with a manual cassette tray which is inserted into the
Bucky tray slot.

3-8Manual Cassette Tray

The manual cassette tray accepts cassette sizes ranging from 5” x 7” (12.70 cm x
17.78 cm) through 14” x 17” (35.56 cm x 43.18 cm).

Cassette clamps automatically center the cassette transversely in the tray and
securely hold it in place. The operator must position the cassette vertically by
inserting the cassette support bracket into the holes in the cassette tray corre-
sponding to the given cassette size.

To load a cassette:

1. Pull the cassette tray out of the Bucky.

2. Open cassette-clamp locking assembly, then spread out and separate the
clamps.

3. Insert the cassette support bracket into the appropriate holes.

om 2297164–100 Rev 9 10-8

 4. Insert the cassette between the cassette clamps, resting it on the cassette
support bracket, then reposition the clamps against the cassette and close the
cassette-clamp locking assembly.

5. Push the cassette tray back into the Bucky.

NOTE: To prevent damage to the cassette-clamp locking assembly always close it

prior to inserting (pushing) the cassette tray into the Bucky.

NOTE: Normally the cassette tray does not have to be completely removed from the
Bucky in order to load a cassette. Cassettes may be inserted in the tray by
pulling the tray until movement is stopped by the catch on the lower rear of the
tray.

However, if it is desired to remove the tray from the Bucky, pull the tray out until it
is stopped by the catch, then press the catch against the tray bottom and hold it
while sliding the tray out.

NOTE: When equipped with a cassette-size-sensing tray the SG–100 supports auto-
matic collimation. The tray must be inserted all the way into the Bucky to
implement automatic collimation. If the tray is not inserted all the way into the
Bucky, the collimator will not switch to automatic collimation.

NOTE: Use caution to prevent deformation of the cassette sensing arm. Its angular
shape is important in obtaining accurate field placement. If the arm is bent it
must be replaced. Attempts should not be made to straighten the sensing arm
if it has been bent or deformed.

3-9Cassette Removal

3-10Manual Cassette Tray

To remove a cassette from the manual cassette tray, pull the tray out fully by its
handle. Pull up on the tightening lever and pull it back away from the cassette. The
cassette is now free to be removed.

3-11AEC Detector Areas

The SG–100 Vertical Bucky Stand supports an Ion Chamber Detector. Complete
operating details for the Ion Chamber Detector are given in the generator operat-
ing manual or automatic exposure control operating manual.

The three field pattern on the front panel of the SG–100 Vertical Bucky Stand
matches to the three sensing areas of the Ion Chamber Detector.

3-12Alignment

It is important that the X-ray tube unit be transversely centered accurately with the
center of the Bucky. Density cutoff at the edges of the film and appearance of grid
patterns indicate inaccurate transverse alignment. With an anti-diffusion grid verti-
cal alignment is not critical, and tilted tube techniques may be used without undue
cutoff.

om 2297164–100 Rev 9 10-9

 3-13Manual Cassette Tray

The center of the cassette tray handle is marked to indicate the vertical center of
the bucky. Move the Bucky or the tube in order to align the collimator light with this
center

mark. This assures that the Bucky is aligned vertically with the X-ray beam (see
also collimator operating manual). The Bucky handle may need to be pulled out to
allow the collimator light to shine on it.

3-14Alignment for Automatic Collimation

Systems using an automatic collimator require accurate positioning for the tube
unit and Bucky. Exposures will be permitted at specific source-to-image distances
only.

Angular positions of the collimator are sensed to determine the mode of operation
of the collimator. The tube unit must be oriented with the X-ray beam directed
toward the Bucky within + 10° for automatic operation of the collimator. If these
conditions are not met, the collimator will be in the manual mode of operation.

For complete details, refer to the collimator operating manual.

om 2297164–100 Rev 9 10-10

 ILLUSTRATION 10-7
FRONT PANEL AEC DETECTOR AREAS

* UNLESS CASSETTE IS ECCENTRICALLY POSITIONED

SECTION 4
SPECIFICATIONS

4-1General Dimensions & Weight

DIMENSIONS

Height ........................................................................... 84.88 in 2156 mm

Width ............................................................................ 26.93 in 684 mm

Depth ............................................................................ 25.82 in 656 mm

(Refer to Illustration “General Dimensions”).

WEIGHT

om 2297164–100 Rev 9 10-11

 Weight 409 lb ............................................................... 186 kg

4-2Column Assembly

Height ........................................................................... 84.88 in 2156 mm

Width ............................................................................ 13.86 in 352 mm

Depth ............................................................................ 4.98 in 126.5mm

(Refer to Illustration “General Dimensions”).

4-3Front Panel

Front Panel Height ....................................................... 23.23 in 590 mm

Front Panel Width ........................................................ 26.93 in 684 mm

(Refer to Illustration “General Dimensions”).

Filtration .......................................................................... 0.65 mm Al

4-4Power Requirements

Single phase voltage ........................................................ 115/220 V ± 10% + ground

Line frequency .............................................................. 50 / 60 Hz

Maximum power ........................................................... 100 VA for lock board

150 VA for Bucky

4-5Bucky

ILLUSTRATION 10-8
GENERAL DIMENSIONS

om 2297164–100 Rev 9 10-12

 4-6Accessories & Options

The following accessories and options are available for use with the SG–100 Ver-
tical Bucky Stand. For information concerning the items consult your local GE rep-
resentative.

• Head and Hip Clamps.

• Compression Band.

• 10 cm to 90 cm External Cassette Holder.

• Anti–Diffusion Grid options.

• Ion Chamber Detector (standard or optional depending on Bucky model).

om 2297164–100 Rev 9 10-13

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 10-14

 CHAPTER 11
JEDI GENERATOR

SECTION 1
INTRODUCTION

TABLE 11-1
HHS COMPLIANCE COMPATIBILITY LIST

PRODUCT CATEGORY PRODUCT DESCRIPTION MODEL NUMBER

X–RAY CONTROL SYSTEM CABINET 2290058

TABLE 11-2
ALTITUDE AND ATMOSPHERIC PRESSURE

ALTITUDE ATMOSPHERIC PRESSURE

PRODUCT OR
IN–USE STORAGE IN–USE STORAGE
COMPONENT
MIN. MAX. MIN. MAX. MIN. MAX. MIN. MAX.

Generator –30.5 2440 m –30.5 m 3048 m 10 psi 15.4 psi 7 psi 15.4 psi
(–100 ft.) (8005 ft.) (–100 ft.) (10000 ft.) (69 kPa) (106 kPa) (48 kPa) (106 kPa)

TABLE 11-3
HEATS OUTPUTS (BY COMPONENT)

PRODUCT OR MAXIMUM HEAT OUTPUT (BTU/HR) MAXIMUM HEAT OUTPUT (WATTS)

COMPONENT IN–USE IN–USE

Generator 2036 597

SECTION 2
RADIATION PROTECTION

Because X–ray equipment produces radiation, special precautions may need to

be taken or special site modifications may be required. The General Electric Com-
pany does not make recommendations regarding radiation protection. It is the pur-
chaser’s responsibility to consult a radiation physicist for advice on radiation
protection in X–ray rooms.

SECTION 3
SYSTEMS CABINET SPECIFICATIONS

The JEDI generator is available in two three–phase models (65 kW and 80 kW).

om 2297164–100 Rev 9 11-1

 3-1Generator Cabinet Specifications

See ILLUSTRATION 11-1 and TABLE 11-4

ILLUSTRATION 11-1
JEDI GENERATOR CABINET

om 2297164–100 Rev 9 11-2

 TABLE 11-4
GENERAL CABINET SPECIFICATIONS

Dimensions Generator Cabinet

Height: 1600 mm

Width: 550 mm

Depth: 450 mm

Weight: 150kg

NOTE: All specifications do not include measurement instumentation accuracy.

3-2General Input Power Specifications

TABLE 11-5
MODEL DEPENDENT SPECIFICATIONS

PARAMETER JEDI GENERATOR

Input Voltage 380/400/415/440/460/480VAC three phase and Ground without neutral

Daily Voltage Variations +/– 10% (in this range, the generator shall operate without any derating in accuracy)

Line Impedance Specification IEC Specification

Line Impedance The apparent line impedance guaranteed by the customer should be equal or less
than the values indicated below, according to the voltage value and the commercial
power of the generator.
Voltage range (V) line impedance (Ohms)
3 (phase) 65kW 80 kW
380 0.12 0.09
415 0.14 0.11
440 0.15 0.125
480 0.18 0.15
HV cable type IB EEC: 22mm cable de Lyon (<=150pF/m)
USA: 22mm DSI (<=165pF/m)
EEC: 16mm Claymount (<=165pF/m)
HV cable connector=Federal standard

Ground Wire Same as power cable

Inrush Current 600A

Normal Frequency 50/60Hz

Daily Frequency Variation +/–6%

om 2297164–100 Rev 9 11-3

 11-4 Generator Ouput Power:

TABLE 11-6
JEDI GENERATOR POWER

kV 65kW 80kW

40–80 800 mA 1000 mA

100 630 mA 800 mA

125 500 mA 630 mA

150 400 mA 500 mA

The JEDI can deliver the power specified in this output for at least 100ms,
depending on the X–ray tube used. Refer to the tube rating charts supplied with
the x–ray tube.

In accordance with IEC requirements, TABLE 11-8 defines the reference Current
Time Product.

TABLE 11-7
NOMINAL ELECTRIC POWER (1000KV–0.1S):

kW 65 80
k

I (max) 630 800

mA

TABLE 11-8
PARAMETER SELECTION RANGES OF CONSOLE READOUTS

All Modes

Selectable kV 40–150

Decimal scale steps of 1kV Jump of 10kV

Renard scale 40, 41, 42, 44, 46, 48, 50, The next kV displayed is
52, 55, 57, 60, 63, 66, 70, the third Renard step value
73, 77, 81, 85, 90, 96, 102, following the initial display
109, 117, 125, 133, 141, value of kV.
150

om 2297164–100 Rev 9 11-4

 TABLE 11-9
ACCURACY READINGS ON CONSOLE READOUTS

Mode : 3 point

Selectable Resultant

mA 26% ms 26A% mAs 26% increments

Non–AEC 0.5 thru 630 mA

32 steps

JEDI 65 kW: 10 thru 1 thru 630ms 39 steps AEC 0.5 thru 630 mA
800 mA/20 steps 32 steps
JEDI 80 kW: 10 thru 1 thru 630ms 39 steps
1000 mA/21 steps

Auto Exposure Control: AEC

AEC Technique Sensing Device Sensing area Manual density Post–display: Auto-
correction matic for 5 sec.

AEC Cassette Ionization 3 rectangular 5 steps, –2thru mAs, ms and mA

Chamber: up to 2 cells +2, by 26%
increment

Mode: 2 point

User Selectable

MAs 26% increments

Non–AEC 0.5 thru 630mAs 32 steps

AEC 0.5 thru 500mAs 31 steps

Constancy of AIR KERMA

Nominal Shortest Irradiation Time:
80kV, 10ms – without correction
80kV, 7ms – with correction by HV Generator.

om 2297164–100 Rev 9 11-5

 TABLE 11-10
ACCURACY OF CONSOLE READOUTS

NOTE: In RAD mode, kVp accuracy is ensured after 10ms.

Display before exposure

Conditions parameter mode Basic Accuracy

Radiography kVp all +/– (3%, +2 kVp)

Exposure
Time mA all +/– (10%, +1 mA)
<= 40 ms 3 point timer +/–(5%, +0.5ms)

ms AEC (2/3 point) +/– 5%

mAs AEC (2/3 point) +/– 10%

mA AEC (3 point) +/– 15%

Radiography kVp all +/– (3%, +2 kVp)

Exposure
Time mA all +/– (5%, +1 mA)
> 40 ms ms 3 point timer +/–(5%, +0.5ms)

ms AEC (2/3 point) +/– 5%

mAs AEC (2/3 point) +/–(5%, +0.1 mAs)

mA AEC (3 point) +/– 10%

om 2297164–100 Rev 9 11-6

 4-1Power Line Requirements

TABLE 11-11
MINIMUM WIRE SIZE (65 KW)

PARAMETER THREE PHASE GENERATOR – 65 KW

Input Voltage 380VAC 400 VAC 415 VAC 440 VAC 460 VAC 480 VAC

Wire Size
Length
15 m (50 ft.) 16 mm2 (#6 AWG) 16 mm2 (#6 AWG) 16 mm2 (#6 AWG) 16 mm2 (#6 AWG) 16 mm2 (#6 AWG) 16 mm2 (#6 AWG)
30 m (100 ft.) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG)
46 m (150 ft.) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG)
60 m (200 ft.) 44 mm2 (#1 AWG) 44 mm2 (#1 AWG) 44 mm2 (#1 AWG) 44 mm2 (#1 AWG) 44 mm2 (#1 AWG) 44 mm2 (#1 AWG)

TABLE 11-12
KVA LOAD CHARACTERISTICS 65KW

Phase 3 3 3 3 3 3
Nominal line Voltage (Vac) 380 400 420 440 460 480
Voltage Range (Vac) +/–10% +/–10% +/–10% +/–10% +/–10% +/–10%
Momentary Line Current (Amp) 147 140 133 127 122 117
Continuous Line Current (Amp) 7 6.7 6.2 6 5. 7 5.5
Power demands (kVA) 97 97 97 97 97 97
Frequency 47 / 53Hz and 57/63Hz

TABLE 11-13
MINIMUM WIRE SIZE (80 KW)

PARAMETER THREE PHASE GENERATOR – 80 KW

Input Voltage 380VAC 400 VAC 415 VAC 440 VAC 460 VAC 480 VAC

Wire Size
Length
15 m (50 ft.) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG) 22 mm2 (#5 AWG)
30 m (100 ft.) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG) 30 mm2 (#3 AWG)
46 m (150 ft.) 43 mm2 (#1 AWG) 43 mm2 (#1 AWG) 43 mm2 (#1 AWG) 43 mm2 (#1 AWG) 43 mm2 (#1 AWG) 43 mm2 (#1 AWG)
60 m (200 ft.) 54 mm2 (#0 AWG) 54 mm2 (#0 AWG) 54 mm2 (#0 AWG) 54 mm2 (#0 AWG) 54 mm2 (#0 AWG) 54 mm2 (#0 AWG)

TABLE 11-14
KVA LOAD CHARACTERISTICS 80KW

Phase 3 3 3 3 3 3
Nominal line Voltage (Vac) 380 400 420 440 460 480
Voltage Range (Vac) +/–10% +/–10% +/–10% +/–10% +/–10% +/–10%
Momentary Line Current (Amp) 190 180 170 163 156 150
Continuous Line Current (Amp) 7 6.7 6.2 6 5. 7 5.5
Power demands (kVA) 125 125 125 125 125 125
Frequency 47 / 53Hz and 57/63Hz

om 2297164–100 Rev 9 11-7

 4-2X–Ray Interlock Systems

”Deadman’s switch” X–ray Control Safety Switch

X–ray emmision is terminated instantly when you release the x–ray control radiog-
raphy pushbutton.
A special safety circuit uses a signal from second trigger (radiographic exposure)
controls transmitted directly via relay contacts to the control circuit of the power
inverter. If the microprocessor does not stop x–ray emission after a delay of sev-
eral milliseconds, inverter operation is inhibited. In this case, a fault signal is sent
to the control circuits of the generator.

X–ray Tube Housing Overheat Interlock

If the factory–adjusted temperature of the tube housing goes higher than the per-
missible level, x–ray emission is terminated.
If it occurs, ask the service Refer to troubleshooting chart.

om 2297164–100 Rev 9 11-8

 CHAPTER 12
ACCESSORIES

SECTION 1
TABLE ACESSORIES

1-1Patient Step

The patient step (ILLUSTRATION 12-1) provides patient convenience getting on

and off the table. The step is attached to the underside of the table body to the
right of the front support. Table angulation is prevented when the step is pulled
out. The white button must be pressed to push the step in.

INJURY COULD OCCUR IF PATIENT STEP IS NOT FULLY EXTENDED

OUT. VERIFY PATIENT STEP IS FULLY ENGAGED AND ASSIST THE
PATIENT ON AND OFF THE TABLE.

ILLUSTRATION 12-1
PATIENT STEP

om 2297164–100 Rev 9 12-1

 1-2Foot Rest

TO PREVENT IMPROPER ATTACHMENT AND POTENTIAL INJURY TO

PATIENT, USE THIS FOOTREST ONLY ON THE TABLE FOR WHICH IT
HAS BEEN ADJUSTED.

Installing the foot rest at the set of slots closest to the end of the
tabletop provides easier patient boarding.

The foot rest is engaged on the table top in the same manner as shown for the
shoulder rest on ILLUSTRATION 12-2, and is designed to support a 300 lb
(136 kg) patient.

To attach:

1. Push on the safety latches with the thumbs and spread the handles.

2. Place the foot rest on the top adjacent to a set of slots and release the han-
dles.

3. Slide the foot rest until both handles snap into place.

The safety latches will reset to prevent accidental spreading of the handles.

Check that BOTH handles have positive engagement by pulling on the foot rest. In
case of any difficulties or doubts about the foot rest condition, call a qualified tech-
nician.

ILLUSTRATION 12-2
FOOT REST

om 2297164–100 Rev 9 12-2

 SECTION 2
OPTIONAL TABLE ACCESSORIES

2-1Shoulder Rest
The shoulder rest (Illustration 10–3) is engaged on the table top in the same
manner as the foot rest. The plunger locks permit adjustment of the pad position
in 1/2” increments.
ILLUSTRATION 12-3
SHOULDER REST

2-2Compression Device
The compression device is not intended to be used for patient support or restraint.
It may be engaged at any point along the table top and consists of the front
bracket with ratchet, roller and band, and the rear anchor bracket. To use:
1. Position the patient
2. Engage the brackets on the front and rear edges of the table top.
3. Pull up the ratchet handle, pull out the band and hook the rod on the rear
bracket.
4. Tighten the band by “cranking” the ratchet handle i.e., move it back and forth.
5. Release the patient by lifting up the ratchet handle and disengaging the band.
ILLUSTRATION 12-4
COMPRESSION DEVICE

om 2297164–100 Rev 9 12-3

 2-3Myelographic Operation

For myelographic procedures, the Horizontal Stop selection located on the table
control panel should be off. This inhibits accidental motion of the cone during the
procedure.

To adjust:

1. Press the button, move stop up or down and release it.

2. Then move the IDD against it to make sure it is firmly seated.

ILLUSTRATION 12-5
MYELOGRAPHIC STOP

VERTICAL
CARRIAGE

FOOT END

RELEASE
MYELOGRAPHIC BUTTON
STOP

2-4Myelographic Boots (Optional)

These boots are intended for patient’s support during myelography and are
attached to slots in the standard foot rest. When using these boots, mount the
shoulder rest to the table for added safety assurance. THE SHOULDER REST
NEED NOT BE IN ACTUAL CONTACT WITH THE PATIENT.

om 2297164–100 Rev 9 12-4

 2-5Arm Board (Optional)

The arm board (ILLUSTRATION 12-6) supports the patient’s arm during catheter-
ization or other intravenous procedures and attaches over all but the middle of the
table top.

To install the arm board on the table top:

1. Check that the lock lever (on underside) is turned so that its eccentric hub is
withdrawn into the recess opposite the key on the clamping surface.

2. Back out the clamping screws as required.

3. Engage the arm board on the table by tilting it downward so the key can hook
into one of the slots on the underside of the top frame.

4. Then raise it up and firmly tighten the two clamping screws.

5. Turn the lock lever a sufficient amount to obtain a snug fit. The arm board may
be pivoted to any desired angle.

6. To install the shield, insert the two prongs in either set of holes adjacent to the
clamping screws.

ILLUSTRATION 12-6
ARM BOARD

om 2297164–100 Rev 9 12-5

 2-6Knee Crutches (Optional)

Used for urological or gynecological examinations the crutch supports for the
knees are adjustable (ILLUSTRATION 12-7).

To attach:

1. Spread the hinges on each side,

2. Place on the table top so that the catches on the hinges are roughly in line
with a set of notches and release the hinges.

3. A slight movement back and forth is necessary to obtain positive engage-

ment.

ILLUSTRATION 12-7
KNEE CRUTCHES

om 2297164–100 Rev 9 12-6

 2-7Vertical Cassette Holder (Optional)

The vertical cassette holder is used for cross–table radiography. It can be

attached to the table top along the entire length. To install the holder;

1. Engage it on the edge of the table top.

2. Slide it to the desired position.

3. Secure by means of the two thumb knobs.

om 2297164–100 Rev 9 12-7

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 12-8

 CHAPTER A
MAXIRAY™ 100 TUBE UNITS

ILLUSTRATION A-1
MAXIRAY 100 TUBE UNITS

SECTION 1
APPLICATION

High–speed, 4–inch (100 mm) diameter rotating–anode tube unit and inserts for
high–energy radiographic procedures.

SECTION 2
FEATURES

• PolyrheniumTM target, manufactured by General Electric minimizes surface

distortion and provides increased radiation output.

• Anode heat storage capacity of 260,000 Joules (350,000 heat units).

• KelviniteTM high–thermal emittance oxide coatings on anode and rotor provide

high anode heat dissipation of 925 watts (75,000 heat units per minute) for
improved loading and cooler bearings.

NOTE: Refer to appropriate insert data sheet to obtain the full unit data.

om 2297164–100 Rev 9 A-1

 TABLE A-1
MAXIRAY 100 TUBE UNITS
New Tube Unit Exchange Tube Unit Focal Spot Color
D1179E(FL) D0579E(FL) 0.6–1.0 Oyster gray
D1279E(FL) D0679E(FL) 0.6–1.0 Mist gray
*D1172E(09) *D0572E(09) 0.6–1.0 Oyster gray
*D1272E(09) *D0672E(09) 0.6–1.0 Mist gray
*D1173E(18) *D0573E(18) 0.6–1.0 Oyster gray
*D1273E(18) *D0673E(18) 0.6–1.0 Mist gray
N/A *D0577E(18) 0.6–1.0 Oyster gray
D1179EG(FL) D0579EG(FL) 0.6g–1.0g Oyster gray
D1279EG(FL) D0679EG(FL) 0.6g–1.0g Mist gray
N/A *D0573EG(18) 0.6g–1.0g Oyster gray
*D1172DH(09) *D0572DH(09) 0.6–1.5 Oyster gray
*D1272DH(09) *D0672DH(09) 0.6–1.5 Mist gray
*D1173DH(18) *D0573DH(18) 0.6–1.5 Oyster gray
*D1273DH(18) *D0673DH(18) 0.6–1.5 Mist gray
N/A *D0577DH(18) 0.6–1.5 Oyster gray
N/A *D0573DF(18) 0.6g–1.5 Oyster gray
*D1279EC(FL) *D0679EC(FL) 0.6–1.0 Mist gray
*D1279F(FL) *D0679F(FL) 0.6–1.25 Mist gray
*D1272F(09) *D0672F(09) 0.6–1.25 Mist gray
*D1173F(09) *D0573F(09) 0.6–1.25 Mist gray
*D1273F(09) *D0673F(09) 0.6–1.25 Mist gray
*D1275F(18) *D0675F(18) 0.6–1.25 Mist gray
*D1175DH(18) *D0575DH(18) 0.6–1.5 Oyster gray
*D1275DH(18) *D0675DH(18) 0.6–1.5 Mist Gray
*D1179DL(FL) *D0579DL(FL) 0.6g–1.5 ** Oyster gray
*D1279DL(FL) *D0679DL(FL) 0.6g–1.5 ** Mist gray

*With Pressure Switch. **For Hybrid Applications.

2-1 Tube Housing

Finish – mist gray or oyster gray baked enamel.

Shockproof housing constructed of aluminum. Lined with lead to minimize leak-

age radiation.

Oil expansion chamber permits fully rated operation in ambient temperature range
from 32° F to 104°F (0°C to 40°C) and permits storage or shipment at tempera-
tures as low as –20°F (–29°C) and altitudes up to 20,000 feet (6,096 meters).

Pressure switch mounted in tube housing inhibits exposure if oil pressure due to
excessive heat reaches a preset limit.

Maximum voltage anode or cathode to ground – 82 kVp.

Amber indicating lamp installed in blower housing identifies selected tube unit
prior to exposure initiation.

om 2297164–100 Rev 9 A-2

 Rating plates on housing list focal spot sizes and serial numbers.

Leakage technique factors:

Radiographic tube unit–150 kVp, 4 mA

Fluoroscopic tube unit–150 kVp, 5 mA

Minimum inherent filtration:

Tube housing – 0.3 mm aluminum at 150 kVp

Tube insert – 0.8 mm aluminum at 150 kVp

2-2 Tube Insert

Glass envelope facilitates “near” omni–directional heat radiation from target to the
interior of the housing for improved heat dissipation.

Special treatment of inner surface of glass envelope improves high–voltage stabil-

ity for consistent technics.

Special anode and cathode design minimizes metal deposits.

om 2297164–100 Rev 9 A-3

 Rotor bearing design allows longitudinal thermal expansion of shaft with no
increase in friction.

NOTE: A high–speed rotor controller is required for operation of the MaxirayTM 100
Tube Unit.

2-3 Thermal Ratings

Heat Storage Capacity:

• Anode – 260,000 Joules (350,000 heat units)

• Tube Unit – 1,110,000 Joules (1,500,000 heat units)

Maximum Heat Dissipation Rate:

• Anode – 75,000 heat units per minute.

• Tube Unit – 60,000 heat units per minute, blower operating, type 09 or 18
casings (740 watts).
• 75,000 heat units per minute, heat exchanger operating, type FL casings
(925 watts).

For single–phase equipment, heat units equal kVp x mA x seconds.

For three–phase, 12–pulse equipment, heat units equal the product of kVp x
mA x seconds x 1.35.

Internal oil circulation in the casing provides more uniform oil temperature for
improved heat dissipation.

External blower increases air circulation over tube casing for rapid casing heat
dissipation.

Individual fluoroscopic and radiographic exposure limits govern allowable tech-

niques until the heat storage capacity of the anode is reached. Thereafter, contin-
ued operation can be maintained only at the limit of the anode dissipation rate of
75,000 heat units per minute until the tube unit capacity of 1,500,000 heat units is
reached. The input rate, including stator power, is then limited to 60,000 heat units
per minute for the radiographic casing and 75,000 heat units per minute for the flu-
oroscopic casing.

Both the heat unit values shown for stator power and the heat unit values for expo-
sures must be considered in calculating the average input rates for extended peri-
ods of operation.

The average energies attributable to stator power per exposure are as follows:

0–10,000 rpm 8,000 heat units 5,926 Joules

0–3,400 rpm 4,000 heat units 2,960 Joules

3400–10,000 rpm 4,000 heat units 2,960 Joules

Continuous operation 8,000 heat units/minutes 99 Watts

(fluoroscopy, normal
minute speed)

om 2297164–100 Rev 9 A-4

 2-4 Radiographic Ratings

The tube rating charts are based upon a target temperature equivalent to 25% of
storage (75% remaining). For heavy duty operation where this temperature is
exceeded, 80% of the rating must be used.

2-5 Fluoroscopic Ratings

Rotating Anode

• All focal spot sizes – 6 mA – 150 kVp subject to thermal limitations (900
kVp–mA product up to 150 kVp).

Stationary Anode

• 0.6 mm focus – 5 mA – 110 kVp, 4 mA – 130 kVp.

SECTION 3
WEIGHTS (APPROX.)

Lbs. Kg.
NET 65 29.5
SHIPPING 87 39.5

SECTION 4
RELATED PUBLICATIONS

Service Manual SM D1176

SECTION 5
WARRANTY

The published Company warranty in effect on date of shipment shall apply. Right
reserved to make changes.

SECTION 6
USER SERVICE AND MAINTENANCE

The MaxirayTM 100 Tube Unit requires no routine maintenance other than occa-
sional cleaning of the external parts with a clean cloth. All major maintenance
work, including tube replacement, should be done only by qualified personnel.

om 2297164–100 Rev 9 A-5

 SECTION 7
LISTINGS

UL Listed
CSA Listed

This product has been designed to meet applicable performance standards for
diagnostic x–ray equipment as enunciated by the Department of Health and
Human Services pursuant to the Radiation Control of Health and Safety Act.

This X–Ray Tube Unit Assembly is intended to be installed in a GE X–ray appara-

tus that may or may not be CE Marked. Installing a CE Marked X–Ray Tube
Assembly in a non–CE Marked system does not make the whole system CE
Marked.

Refer to the X–ray system documentation for X–ray tube unit assembly compatibil-
ity, and for system CE Marking information.

om 2297164–100 Rev 9 A-6

 ILLUSTRATION A-2
OUTLINE DRAWING
OUTLINE DRAWING MX–100–09 AND 100-18

NOTE: ALL DIMENSIONS SHOWN ARE IN

INCHES (MM) NOMINAL VALUES

OUTLINE DRAWING MX–100–FL

NOTE: ALL DIMENSIONS SHOWN ARE IN

INCHES (MM) NOMINAL VALUES

om 2297164–100 Rev 9 A-7

 ILLUSTRATION A-3
TUBE HOUSING COOLING CURVE

MAXIRAY 100–09 and 18 MAXIRAY 100–FL

(MODEL NO. 46–155400) (MODEL NO. 46–155500)
MAX. COOLING CURVE= MAX. COOLING RATE =
HOUSING STORAGE IN THOUSAND HEAT UNITS*

60,000 HU/MN 75,000 HU/MN

HOUSING STORAGE IN THOUSAND HEAT UNITS*

TIME IN MINUTES TIME IN MINUTES

ILLUSTRATION A-4
ANODE COOLING CURVE

MAXIRAY
100
THOUSAND HEAT UNITS*

TIME IN MINUTES

om 2297164–100 Rev 9 A-8

 SECTION 8
RADIOGRAPHIC TUBE RATINGS

These charts are based on a target temperature equivalent to 25% of storage

(75% remaining). For heavy–duty operation where this temperature is exceeded,
80% of the rating must be used.

8-1 Warm–Up Procedure

The first exposures of the day, or following two or more hours shutdown, must be
made at a MEDIUM POWER level rather than at voltages or currents near maxi-
mum ratings. A medium power exposure will test the system for normal function
with a minimum risk of damaging the tube or transformer in the event of a compo-
nent failure. The following technic may be used with due regard to radiation pro-
tection of all personnel:

Overtable:
18 exposures, 1 exp/sec
large fs
80 kVp
200 mA
32 mAs
160 ms exp. time

Undertable:
18 expoisures, 1 exp/s
large fs
60 kVp
250 mA
40 mAs
160 ms exp. time

NOTE: For maximum tube filament life, do not leave a high mA station selected for
extended periods of time.

om 2297164–100 Rev 9 A-9

 8-2 12.5° (218 mRad) 3ø, Low Speed,
50 Hz, 2850 rpm

ILLUSTRATION A-5
0.6, 1.0 MM

om 2297164–100 Rev 9 A-10

 8-3 12.5° (218 mRad) 3ø, Low Speed,
60 Hz, 3400 rpm

ILLUSTRATION A-6
0.6, 1.0 MM

om 2297164–100 Rev 9 A-11

 8-4 12.5° (218 mRad) 3ø, Low Speed,
50 Hz, 2850 rpm

ILLUSTRATION A-7
0.6, 1.25 MM

om 2297164–100 Rev 9 A-12

 8-5 12.5° (218 mRad) 3ø, Low Speed,
60 Hz, 3400 rpm

ILLUSTRATION A-8
0.6, 1.25 MM

om 2297164–100 Rev 9 A-13

 8-6 12.5° (218 mRad) 3ø, Low Speed,
50 Hz, 2850 rpm

ILLUSTRATION A-9
0.6, 1.5 MM

om 2297164–100 Rev 9 A-14

 8-7 12.5° (218 mRad) 3ø, Low Speed,
60 Hz, 3400 rpm

ILLUSTRATION A-10
0.6, 1.5 MM 12.5°

om 2297164–100 Rev 9 A-15

 8-8 12.5° (218 mRad) 3ø, HIGH SPEED, 50/60 Hz, 10,000 rpm

ILLUSTRATION A-11
0.6, 1.0 MM

om 2297164–100 Rev 9 A-16

 8-9 12.5° (218 mRad) 3ø, HIGH SPEED, 50/60 Hz, 10,000 rpm

ILLUSTRATION A-12
0.6, 1.25 MM

om 2297164–100 Rev 9 A-17

 8-10 12.5° (218 mRad) 3ø, HIGH SPEED, 50/60 Hz, 10,000 rpm

ILLUSTRATION A-13
0.6, 1.5 MM

om 2297164–100 Rev 9 A-18

 SECTION 9
MAMMOGRAPHY RATINGS

9-1 12.5° (218 mRad) 3ø, 50/60 Hz,

2850/3400 RPM

ILLUSTRATION A-14
0.6, 1.25, 1.5 mm

om 2297164–100 Rev 9 A-19

 SECTION 10
RAPID FILM SEQUENCE RATINGS

10-1 0.6, 1.0, 1.25 12.5_ (218 mRad) 1 Phase, 10,000 rpm, 50/60 Hz

Rapid sequence rating charts are used because of severe demands on the radio-
graphic tube. In contrast to normal radiography, where cooling is occuring
between exposures, serial radiography does not allow significant cooling of the
focal spot track between exposures. Therefore, tube ratings for serial radiography
must be determined from this chart.

Three variables are considered: % Duty Cycle, Series Duration, kVp x mA.

% DUTY CYCLE = EXPOSURE TIME* x MAXIMUM FRAME

RATE/SERIES x 100

SERIES DURATION = TOTAL NUMBER EXPOSURES IN SERIES

MAXIMUM FRAME RATE IN SERIES

Knowing any two, the third can be found from the rapid sequence chart.

EXAMPLE:
– series wanted: 4 film/sec for 3 sec =20 exp.
1 film/sec for 8 sec
– technique** 80 kVp, 250mA, 0.05 sec.

% duty cycle = 0.05 x 4 x 100 = 20% (use highest frame rate)

(duty cycle can be found on following chart)
equiv. series duration = 20 exp. total = 5 sec.
4 films/sec

kVp x mA = 800 x 250 = 20,000

These factors can be transferred to the rating chart that corresponds to the focal
spot size selected. For the example technique we will use the 0.6 mm 12.5° (218
mRad) chart.

Enter the chart at 20,000 for 5 seconds. The intersection of these factors on the
chart is 25% duty cycle, which is well beyond the 20% duty cycle calculated here.
Therefore, this exposure series is safely within the rating of this focal spot.

If the % duty cycle calculated according to the formula above is greater than the %
duty cycle read off the chart, then the technique should not be performed until one of
the factors is reduced – maximum frame rate, total number of exposures, mA or kVp.

* For phototimed exposures such as photospots this represents the setting of

the backup time on the radiographic timer.

** Must not exceed values permitted by Radiographic Rating Chart.

om 2297164–100 Rev 9 A-20

 TABLE A-2
DUTY CYCLE CHART

Exposure Time FILM FRAME RATE

Seconds 2/sec. 4/sec. 6/sec. 8/sec.
.005 1.0% 2.0% 3.0% 4.0%
.0064 1.28% 2.56% 3.84% 5.12%
.008 1.6% 3.2% 4.8% 6.4%
.010 2.0% 4.0% 6.0% 8.0%
.0125 2.5% 5.0% 7.5% 10.0%
.016 3.2% 6.4% 9.6% 12.8%
.020 4.0% 8.0% 12.0% 16.0%
.025 5.0% 10.0% 15.0% 20.0%
.032 6.4% 12.8% 19.2% 25.6%
.040 8.0% 16.0% 24.0% 32.0%
.050 10.0% 20.0% 30.0% 40.0%
.064 12.8% 25.6% 38.4% 51.2%
.080 16.0% 32.0% 48.0%
.10 20.0% 40.0% 60.0%
.125 25.0% 50.0%
.16 32.0% 64.0%

MINIMUM COOLING INTERVAL BETWEEN SERIES

kVp x mA x DUTY CYCLE COOLING TIME
x SERIES DURATION IN SECS. MINUTES
10,000 1.0
20,000 2.0
35,000 3.0
60,000 4.0
130,000 5.0

om 2297164–100 Rev 9 A-21

 10-2 12.5° (218 mRad) 3 Phase, 10,000 rpm, 50/60 Hz

ILLUSTRATION A-15
0.6 , 1.0 MM

om 2297164–100 Rev 9 A-22

 10-3 3Ø , KILOWATT RATINGS 12.5°
(218 mRad)

TABLE A-3
FOCAL SPOT SINGLE LOAD RATING 0.6 MM

EXPOSURE TIME (S) POWER (KW)

0.01 34.7
0.1 32
1 22.1
10 9

ILLUSTRATION A-16
0.6 MM

MAXIMUM EXPOSURE TIME IN SECONDS

TABLE A-4
FOCAL SPOT SINGLE LOAD RATING 1.0 MM

EXPOSURE TIME (S) POWER (KW)

0.01 78
0.1 72
1 49.7
10 20.4

om 2297164–100 Rev 9 A-23

 ILLUSTRATION A-17
1.0MM

TABLE A-5
FOCAL SPOT SINGLE LOAD RATING 1.25 MM

EXPOSURE TIME (S) POWER (KW)

0.01 108.3
0.1 100
1 69
10 28.3

om 2297164–100 Rev 9 A-24

 ILLUSTRATION A-18
1.25 MM

TABLE A-6
MAXIRAY® 100 TUBE FILAMENT RATINGS
12.5° (218 MRAD) TARGET

Filament (mm) Ampères Volts

0.6 3.4 – 5.5 2.0 – 9.0
1.0 3.4 – 6.5 2.0 – 11.0
1.25 4.3 – 6.5 4.0 – 15.0

om 2297164–100 Rev 9 A-25

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 A-26

 CHAPTER B
PLANNED MAINTENANCE

SECTION 1
TABLE PM

1-1 Periodic Maintenance

In order to assure continued safe performance of this x–ray equipment, a periodic

maintenance program must be established. It is the owner’s responsibility to sup-
ply or arrange for this service.

1-2 Qualified Service

Safe equipment performance also requires the use of service personnel specially
trained on the medical x–ray apparatus. GE Medical Systems, and its associates,
maintain a world–wide organization of stations from which one may obtain skilled
x–ray service. If desired, arrangements can usually be made to furnish periodic
and/ or emergency service on a contract basis. A GE Medical Systems represen-
tative will be glad to discuss this plan.

A semi–annual inspection of all counterweight cables must be made to detect the

possible need for replacement. In the usual case cables should be replaced every
4 years. Although the cables are of high quality aircraft type having a factor of
safety, they will not last indefinitely. Frequent inspections by qualified personnel
are a “must’ because of the many variations in equipment usage. These variations
include number of operations, total weight load (varies with options), manner and
type of operation, and amount of abrasive matter (dust) picked up by the cables.

Power driven systems must be checked at least annually for condition of compo-
nents such as gears, sprockets, cables, chains, clutches mechanical stops, limit
switches and brakes.

1-3 User Service and Maintenance

GE Medical Systems x–ray equipment contains operating safeguards to ensure

maximum safety. Before calling for service, be certain proper operating proce-
dures are being used.

This equipment should be cleaned frequently, particularly if corroding chemicals

are present. Use a cloth slightly moistened in warm, soapy water (use mild soap)
to clean the trim, table top and operator’s controls. Wipe with a cloth slightly moist-
ened in clean water. Do not use cleaners or solvents of any kind as they may dull
the finish or blur the lettering.

Only trained and qualified service personnel should be permitted

access to the internal parts of the equipment. Be sure that the room
disconnect is turned OFF before opening access doors or removing
enclosure panels.

om 2297164–100 Rev 9 B-1

 Once a month inspect patient safety and support devices for signs of excessive
wear, improper adjustment, or other indications that adjustment, repair, or replace-
ment is required. In case of doubt about condition of this equipment, contact a GE
Service representative.

Once a month, external parts and exposed tracks, on which rollers move, should
be wiped to remove any foreign material that may have accumulated. If the tracks
are wiped with a rag slightly moistened in oil, sufficient lubrication will be provided
to insure smooth operation. Personal caution should be used when removing any
accumulating foreign material.

Personal caution should be used when removing any accumulating

foreign material.

SECTION 2
IMAGE QUALITY TESTING

This section contains the instructions on how to perform the Quality Assurance
Process (QAP).

QAP is a series of tests that may be performed to quantify system image quality.
This process is semi–automatic, requiring the operator to position special targets
(phantoms) in the image chain, to adjust the distance of the X–Ray tube to the
table, and to acquire the images. The acquired images are then analyzed, test
results are stored, and system image quality status is displayed. Detailed test
instructions are displayed on the operator console when the operator selects the
Image Quality icon on the Service User Interface.

Two phantoms are used during QAP testing: a flat field phantom (12 x 12 x 1/32_
Cu sheet) and a QAP phantom. The flat field phantom will lay flat on the table dur-
ing the flat field image acquisitions. The QAP phantom will be held in place
beneath the image intensifier using a special phantom holder (replacing the cone
holder) during the QAP image acquisitions. Again, detailed instructions are pro-
vided in the Service User Interface screen once the Image Quality icon is
selected.

om 2297164–100 Rev 9 B-2

 ILLUSTRATION B-1
FLAT FIELD PHANTOM AND QAP PHANTOM

FLAT FIELD
PHANTOM

QAPPHANTOM

The flat field phantom is used to check:

• Fluoro Noise
• Record Noise
• Left Right Brightness Non Uniformity

om 2297164–100 Rev 9 B-3

 The QAP phantom is used to check:

• Edge Sharpness/Resolution
• Image Resolution Uniformity
• Dynamic Range Level Accuracy
• Signal Contrast
• Contrast to Noise Ratio (CNR)

At the completion of QAP, system image quality status will be reported to the oper-
ator and will display one of the following messages:

• QAP has completed successfully. Image Quality is optimal.

• QAP has failed. Image Quality is not optimal. Call GE Service.
• QAP could not be executed. Please run application again or call GE Ser-
vice.

A successful status indicates that all the image quality parameter values are
within the system specification limits. A failed status indicates that one or more of
the image quality parameter values fall outside the system specification limits. If a
system fails QAP, operator is advised to call GE Service to make the proper sys-
tem adjustments or calibrations to regain optimal system image quality. Periodic
QAP tests are recommended to assure optimal system operation.

2-1 How to perform the Quality Assur-

ance Process

1. Close all clinical applications from the IUI console.

2. Select the Utilities tab located across the top of the screen on the IUI console.

3. Select the Service Button from the right menu of the Utilities screen.

4. Select the Image Quality Button located across the top of the Service screen
of the IUI Console. See Illustration B–2.

ILLUSTRATION B-2
IMAGE QUALITY BUTTON

om 2297164–100 Rev 9 B-4

 5. The Image Quality screen will appear.

The QAP application has 3 steps:

Step 1: Flat field, low dose (fluoroscopy) image acquisition

Step 2: Flat field, normal dose (digital record) image acquisition
Step 3: QAP Phantom, normal dose (digital record) image acquisition

NOTE: Make sure the default Horizontal and Vertical Settings are restored before starting
QAP unit.

om 2297164–100 Rev 9 B-5

 6. Click “QAP” to Start

After the “QAP” is started, the system will take several seconds to compute
system electronic noise.

Then, the screen will transition to the Step 1 Instruction Screen with the fol-
lowing instructions:

Step 1 of 3

• Adjust the tower so that the SID is 845 +/- 5 mm. Lock the tower at that
height.
• Place a 12x12x1/32 inch copper sheet on the top of the table in the center
of the field of view. Ensure that the copper sheet attenuates the entire X-
ray field.
• Verify that the compression cone is removed from the cone holder.
• Depress the hand switch and release after at least 2 images have been
acquired. (The number of images acquired is displayed on the image
monitor.)
• Select the “CONTINUE” button when finished.

om 2297164–100 Rev 9 B-6

 7. When the “CONTINUE” button is pressed, the screen will transition to the
Step 2 Instruction Screen with the following instructions:

Step 2 of 3

• Adjust the tower so that the SID is 845 +/- 5 mm. Lock the tower at that
height.
• Place a 12x12x1/32 inch copper sheet on the top of the table in the center
of the field of view. Ensure that the copper sheet attenuates the entire X-
ray field.
• Depress the hand switch and release after at least 2 images have been
acquired. (The number of images acquired is displayed on the image
monitor.)
• Select the "CONTINUE" button when finished.

om 2297164–100 Rev 9 B-7

 8. When the “CONTINUE” button is pressed, the screen will transition to the
Step 3 Instruction Screen with the following instructions:

Step 3 of 3

• Adjust the tower so that the SID is 845 +/- 5 mm. Lock the tower at that
height.
• From the tower console, depress the compression cone button so that the
cone holder moves into the field of view.
• (NOTE: If the compression cone icon on the IDD is missing, move the
QAP phantom into the field of view manually or re-try procedure.)
• Place the QAP phantom in the phantom holder and mount it to the bottom
of the tower using the mounting tabs for the compression cone. (Remove
the compression cone if the cone is currently mounted.)
• Remove the copper sheet used in Step 1 and 2 from the table
• Depress the hand switch and release after at least 1 image has been
acquired. (The number of images acquired is displayed on the display
monitor.)
• Select “CONTINUE” when finished.

om 2297164–100 Rev 9 B-8

 9. When the "CONTINUE" button is pressed, the application will proceed to
compute the image quality parameters and compared them to their corre-
sponding specification limits.

After analysis is completed, the results will be summarized by one of the fol-
lowing two messages on the Analysis Screen.

Success message when image quality is optimal:

“Quality Assurance Program has been completed successfully - Image quality
is optimal”

Failure message when image quality is not optimal:

“Quality Assurance has failed. - Image quality is not optimal. Please call GE
Service”

If a failure message is displayed, please call GE Service.

10. Exit the Service Screen by selecting the Exit button on the top menu bar.

SECTION 3
GENERAL

In order to assure continued safe performance of this x–ray equipment, a periodic

maintenance program must be established. Functional Checks will not indicate
that this x–ray system is performing to specifications. Only regular periodic main-
tenance can locate potential problems. It is the owner’s responsibility to arrange
for this service.

Inspection intervals are based on average daily use of one eight hour shift. More
frequent inspection is appropriate where equipment use is above average.

Aside from routine maintenance, any abnormal noise, vibration or unusual perfor-
mance should be reported immediately to a GE Medical Systems representative.
Before calling for service, however, be sure the equipment is being operated in
accordance with the foregoing instructions.

FAILURE TO PERFORM THE PERIODIC INSPECTION AND

MAINTENANCE COULD ALLOW DETERIORATING CONDITIONS TO
DEVELOP WITHOUT BEING DETECTED. THIS DETERIORATION
COULD RESULT IN EQUIPMENT FAILURES WHICH COULD CAUSE
SERIOUS INJURY OR EQUIPMENT DAMAGE.

ELECTRIC SHOCK HAZARD! THE OTS SUSPENSION CONTAINS NO

USER SERVICEABLE COMPONENTS. DO NOT ATTEMPT TO DISABLE
THESE COMPONENTS OR REMOVE ANY TRIM COVERS. REFER
SERVICE TO QUALIFIED PERSONNEL.

om 2297164–100 Rev 9 B-9

 3-1 Periodic Maintenance Schedule

MAINTENANCE ITEM FREQUENCY (MONTHS)

SAFETY
Check all counterweight cables 6 months
Check mounting bolts 6 months
Check ground leakage 6 months
Check loose or damaged hardware and accessories 6 months
FUNCTIONAL
Inspect components 6 months
Vacuum dust filters in cabinets, console, system control, & digital 6 months
Clean and lubricate 6 months
Check system operation 6 months
Check exposure switches and foot pedal 6 months
Check drives and locks 6 months
Check Indicators and interlocks 6 months
PERFORMANCE
Calibrate conversion factor compensation 6 months
Check half value layer 6 months
Evaluate image quality (QAP) 6 months
Verify collimator response 6 months
Check photo timer (AEC) 6 months
Check protection circuits 6 months
Review previous performance 6 months

SECTION 4
SERVICE

4-1 User Cleaning and Disinfecting

This equipment should be cleaned frequently, particularly if corroding chemicals

are present. Use a cloth moistened in warm soapy water (use mild soap) to clean
the trim and nameplate of the Operator’s Controls. Wipe with a cloth moistened in
clean water.

Check exposure switches and foot pedal for spilled contrast media.

Do not use cleaners or solvents of any kind as they may dull the finish or blur the
lettering. Polish with a pure liquid or paste wax. Other surfaces of the equipment
can be cleaned using a clean cloth moistened slightly with a good mild cleaner
and polish acceptable for use on enamelled metal surfaces.

Before each use, equipment surfaces that contact the patient should be cleaned
with an EPA registered, low–level disinfecting or sanitizing agent.

om 2297164–100 Rev 9 B-10

 On the console, clean the frame and the mylar surface with a lint–free cloth moist-
ened with alcohol. DO NOT:

1. Use alkaline products.

2. Place objects on the mylar surface which are likely to cause scratches.
3. Use the console to write on.

IN THE EVENT OF EQUIPMENT CONTACTING BROKEN SKIN OR

BEING USED WITH INFECTED OR IMMUNE COMPROMISED
PATIENTS, THE EQUIPMENT SHOULD BE CLEANED USING FDA
CLEARED AND EPA REGISTERED HIGH–LEVEL DISINFECTING
AGENTS. CIDEX LIQUID CHEMICAL GERMICIDE IS RECOMMENDED
FOR THIS PURPOSE.

NOTE: Be sure to follow the label instructions and pre–cautions for use, storage, and
disposal of all disinfecting agents.

4-2 HHS Testing (US Only)

The United States Department of Health and Human Services (HHS) has estab-
lished performance requirements for diagnostic x–ray equipment. These require-
ments are defined in Title 21 of the Code of Federal Regulations (21 CFR), and
apply only to certain specified components identified as “certified equipment.”

The manufacturer of specified diagnostic x–ray components must certify that the
components:
1. Perform as required by the HHS standard when installed, adjusted, and tested
as specified in the manufacturer’s instructions to the assembler.
2. Will continue to comply when maintained in accordance with the manufac-
turer’s instructions.

4-3 Recycling

Packing Materials:
The materials used to pack our equipment are recyclable. They must be collected
and processed in accordance with the regulations in force for the country where
the machines or accessories are unpacked.
Machines or Accessories at end–of–life:
The elimination of machines and accessories must be in accordance with national
regulations for waste processing. All materials and components that could pose a
risk to the environment must be removed from the machines at end–of–life and
accessories (examples: dry and wet cell batteries, transformer oil, etc.).
Please consult your local GEMS representative before discarding these products.

om 2297164–100 Rev 9 B-11

 THIS PAGE INTENTIONALLY LEFT BLANK

om 2297164–100 Rev 9 B-12

 CHAPTER C
GLOSSARY/TERMS

SECTION 1
TABLE TERMS

1-1 Operating Modes

Fluoro: Diagnostic information obtained with a image intensifier/video system and dis-
played on a TV screen.

Spot Film: Diagnostic information recorded on a radiographic sheet of film. The radiograph
may have more than one picture per film sheet.

Digital Record: Diagnostic information obtained with a image intensifier/video digitizing system
and recorded on computer disk.

Table Bucky: Radiographic recording with an overhead X–Ray tube (Tube–2) and film receptor
within the Precision 500D table.

ILLUSTRATION C-1
LONGITUDINAL/LATERAL

LATERAL

LONGITUDINAL

om 2297164–100 Rev 9 C-1

 Head End: Looking at the front side of the table, the head of the patient is at the left end of the
table. With reference to film, it is the side of the film closest to the head end of the
table.

Foot End: Looking at the front side of the table, the feet of the patient are at the right end of
the table. With reference to film, it is the side of the film closest to the foot end of
the table.

ILLUSTRATION C-2
HEAD/FOOT

1-2 System Terms

SID Source-to-Image Distance

The distance, in inches or centimeters, from the X–ray tube focal spot to the X–ray
receptor image plane.

SOD Source-Object Distance

The distance, in inches or centimeters, from the X–ray tube focal spot to the anat-
omy of interest.

Field of View (FOV) The size of the viewed image from the image intensifier. Depending on the size of
the image intensifier this can be 16, 12, 9, 6, or 4.5 inches.

om 2297164–100 Rev 9 C-2

 SECTION 2
DIGITAL IMAGING SYSTEM TERMS

2-1 Symbols

The following symbols are used on the system hardware.

This symbol indicates the system is rated as Type B Equipment according to IEC
601 regulations. This symbol is located on the rear panel of the electronics cabi-
net.

This symbol indicates a double insulated item according to IEC 601 regulations.
This symbol is located on the system camera head.

This symbol indicates an electrostatic sensitive device. This symbol is located on

several components of the system including the interior of the electronics cabinet.
Be sure to follow proper ESD handling procedures when inspecting, installing, or
servicing any component of the system. You may connect your ground strap to
any point on the cabinet chassis.

om 2297164–100 Rev 9 C-3

 This symbol indicates the position of the lock for the front access panel of the PC
cabinet. The symbol is located just above the lock, on the left edge of the front
panel.

This symbol indicates the PC Reset switch for the system. This symbol and switch
are located on the front panel of the electronics cabinet, below the main ON/OFF
switch.

This symbol indicates the Keyboard Lock switch. This switch does not function for
the system. This switch is located on the front panel of the electronics cabinet,
below the PC Reset switch.

This symbol indicates the Disk Open button for the system Compact Disk Player
or Optical Disk Player. This symbol is located on the front panel of the electronics
cabinet, on the Disk player unit.

Protective earth (ground) – This symbol indicates a grounding location for the inter-
nal current in the system. This symbol is located inside the electronics cabinet.

This symbol indicates Caution should be used when touching hardware in this area
– refer to the Technical Manual for instructions on handling the hardware. This sym-
bol is located on the electronics cabinet, and on the Isolation Transformer.

om 2297164–100 Rev 9 C-4

 This symbol indicates the Volume control for the CD Player headset. This switch
does not function for the system. This symbol is located on the front panel of the
electronics cabinet, on the Compact Disk player unit.

Direct Current and alternating current.

Earth (ground) – Functional

N
Connection point for the neutral conductor on PERMANENTLY INSTALLED
EQUIPMENT.

IPX1
Protected against dripping water.

Equipotentiality.

Class II Equipment.

Attention, consult ACCOMPANYING DOCUMENTS.

om 2297164–100 Rev 9 C-5

 Off (power; disconnection from the mains)

On (power; connect to the mains)

“Off” (only for a part of Equipment)

“On” (only for a part of Equipment)

Type B Equipment.

Dangerous voltage

Non–ionizing radiation.

om 2297164–100 Rev 9 C-6

 When this LED symbol is lit it indicates the Hard Disk Drive unit is active. This
symbol is located on the front panel of the electronics cabinet.

When this LED symbol is lit, it indicates the power to the system is ON. This sym-
bol is located on the front panel of the electronics cabinet.

SECTION 3
ABBREVIATIONS

Abbreviation Definition
A Amps
AC Alternating Current
ACR–NEMA American College of Radiology–National Electronics Manufacturers Association
C Celsius
CD–ROM Compact Disk – Read Only Memory
cm Centimeters
DICOM Digital Image COMmunication (Protocol)
DSA Digital Subtraction Angiography
E Expose
F Fahrenheit
FDA Food & Drug Administration
fps Frames per Second
FWD Forward
FOV Field of View
hPa Hecto Pascal (unit of pressure measurement)
Hz Hertz
II Image Intensifier
KV Kilovoltage
L Level (Brightness)
LCD Liquid Crystal Display
LED Light Emitting Diode
LIH Last Image Hold
MC Motion Correction
mA MilliAmps

om 2297164–100 Rev 9 C-7

 Abbreviation Definition
mm Millimeters
MOD Magneto Optical Drive
MTF Modulation Transfer Function
mR Milli–Rad
PACE Post–Acquisition Copy & Enhance
PC Personal Computer
P/N Part Number
RAM Random Access Memory
RF Radiation/Fluoroscopy
S/N: Serial #
REV Reverse
RMS Root–Mean–Squared
ROI Region of Interest
UL Underwriters Laboratories
uR Micro–Rad
V Volts
VCR Video Casette Recorder
W Window (Contrast)

om 2297164–100 Rev 9 C-8

 CHAPTER D
MODES OF OPERATION

The P500D has 4 operating modes:

• Fluoroscopy
• Pulsed Fluoroscopy
• Digital Subtraction Angiography (DSA)
• Radiography
The availability of a given mode depends on the selected protocol that is to be
performed. That is, not all protocols have all modes available.

Protocols that require the acquisition of both Fluoro and Radiography images are
divided into worksteps that determine the tube and mode to be used for each
stage of the exam. The selection of each workstep automatically switches system
to use the correct tube and mode.

The following sections describe each mode.

SECTION 1
FLUOROSCOPY MODE

1-1 Description

Fluoroscopy is an imaging technique commonly used by physicians to obtain real-

time images of the internal structures of a patient through the use of a fluoro-
scope.

1-2 System controlled technique factors

• Fixed or Automatically Selected Technique Factors: The AutoEx feature auto-

matically adjusts focal spot, dose rate and spectral filter to maintain constant
brightness for a given patient thickness.
• How automatic adjustment is controlled: Controlled by an exposure “trajec-
tory” calculated by the system per patient, per body part.

1-3 How to engage/ disengage

Fluoroscopy mode is engaged by selecting “Digital” on the IDD or IUI interface

screen.

IDD IUI

Press ‘Digital’ on the IDD to select digital mode of operation. If pulsed fluoro
option is available, pressing will toggle between fluoro modes. Selecting Digital
de-activates the other mode elections.

om 2297164–100 Rev 9 D-1

 1-4 How to recognize when this mode is selected

When Flouroscopy mode is selected:

• X-ray tube 1 is selected (under table x-ray tube)

• The IDD console appears as follows

• The IUI screen will display record factors as well as fluoro factors. (The lower
portion of the screen is dedicated to fluoro factors.)

• The “Digital” button on the IUI will be lit.

• Any mode that uses the Flouroscopy tube (tube 1) will display the fluoro “eye”
icon on both the IUI and IDD wnen selected/engaged:

om 2297164–100 Rev 9 D-2

 1-5 Example of specific clinical procedures

The Fluoroscopy mode is designed to be used for the following types of radiologi-
cal examinations:

• Upper Gastro–intestinal • Cholecystography

• Barium Enema • Arthrography
• Pharynx/Esophogus • Hysterosalpingography/Pelvimetry
• Myelography • Interventional Biliary/Gastro–intestinal
• General Fluoroscopy • Interventional Urinary Tract
• Retrograde Pyelography • Drainage Catheter Placement
• Cholangio/Panc. • Diskography
• Urethro/Cysto. • Lymphangiography
• Venography – extremities
• Venography – other

1-6 How mode should be used

Used by or under the direction of a physician specializing in diagnostic imaging.

SECTION 2
PULSED FLUOROSCOPY MODE

2-1 Description

Standard Fluoroscopy emits radiation continuously for the duration of the acquisi-
tion. Pulsed Fluoroscopy reduces the patient’s dose by emitting radiation in short
bursts.

2-2 System Controlled Technique Factors

• Fixed or Automatically Selected Technique Factors: Pulse rates are variable

from 15fps/7.4fps/4fps.
• How automatic adjustment is controlled: Controlled by an exposure “trajec-
tory” calculated by the system per patient, per body part.

2-3 How to engage/ disengage

If available, this mode is engaged by selecting “Dig Pulsed” on the IUI interface
screen.

If pulsed fluoro option is available, pressing “Digital” on the IDD will toggle
between fluoro modes. Selecting Digital de-activates the other mode elections.

om 2297164–100 Rev 9 D-3

 2-4 How to recognize when this mode is selected

• The “Dig Pulsed” button on the IUI interface screen will be lit when this mode
is engaged.

• Any mode that uses the Flouroscopy tube (tube 2) will display the fluoro “eye”
icon on both the IUI and IDD when selected/engaged:

2-5 Example of specific clinical procedures

Pulsed fluoro is used as a dose reduction feature and is helpful in longer studies
in which dose savings is desired, as well as pediatric applications.

2-6 How mode should be used

Used by or under the direction of a physician specializing in diagnostic imaging.

SECTION 3
DIGITAL SUBTRACTION ANGIOGRAPHY (DSA) MODE

3-1 Description

This mode is a purchasable option.

Digital Subtraction Angiography (DSA) is the procedure to visualize blood vessels

with contrast medium in a bony environment by subtracting the pre-contrast
image (the mask) from the image with contrast medium.

3-2 System Controlled Technique Factors

• Fixed or Automatically Selected Technique Factors: Allows for the subtraction

of images frames resulting in the frames difference being displayed.
• How automatic adjustment is controlled: A calibrated ion chamber controls the
duration of the exposure time for each frame.

3-3 How to engage/ disengage

This mode is engaged by selecting DSA within a protocol on the IUI interface
screen.

om 2297164–100 Rev 9 D-4

 3-4 How to recognize when this mode is selected

When this mode is engaged:

• The IDD console appears as follows

• The IUI screen will display record factors as well as fluoro factors. (The lower
portion of the screen is dedicated to fluoro/DSA factors.)

• The “DSA” button will be lit.

• Any mode that uses the Flouroscopy tube (tube 2) will display the fluoro “eye”
icon on both the IUI and IDD when selected/engaged:

om 2297164–100 Rev 9 D-5

 3-5 Example of specific clinical procedures

Primarily used for contrast filled vessels.

DSA, an electronic technique for imaging blood vessels, is useful in diagnosing

arterial occlusion, including carotid artery stenosis and pulmonary artery thrombo-
sis, and in detecting renal vascular disease. After contrast material is injected into
an artery or vein, a physician produces images that show the difference between
the contrast-filled vessels and surrounding anatomy through an image subtraction
process.

3-6 How mode should be used

Used by or under the direction of a physician specializing in diagnostic imaging.

SECTION 4
RADIOGRAPHIC MODE

4-1 Description

Standard x-ray exam using a cassette.

4-2 System Controlled Technique Factors

• Fixed or Automatically Selected Technique Factors: Fixed technique parame-

ters include: kV, mA, ms, focal spot size. In the automatic exposure control
(AEC) mode, the exposure time is determined when a pre-set density has
been reached during exposure.
• How automatic adjustment is controlled: A calibrated ion chamber controls the
duration of the exposure time.

4-3 How to engage/ disengage

om 2297164–100 Rev 9 D-6

 The mode is engaged by pressing the “Start Cassette Only Exam” button on the
IUI interface screen.

4-4 How to recognize when this mode is selected

For radiography examinations, x-ray tube 2 is selected (over table x-ray tube).
The Overhead Tube Suspension (OTS) user interface displays the following typi-
cal information:

4-5 Example of specific clinical procedures

This mode is designed to be used to perform standard radiographic views and

procedures on the table top, table bucky or wall stand (if available).

4-6 How mode should be used

om 2297164–100 Rev 9 D-7

 Used by or under the direction of a physician specializing in diagnostic imaging.

om 2297164–100 Rev 9 D-8