HX50R-AHigh Frequency High-voltage X-ray

Generator for Medical Diagnosis

Operation Manual

Healicom Medical Equipment Co.,Ltd

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 CONTENTS
1. OVERVIEW ..................................................................................................................... 1

2. PRODUCT STRUCTURE, WORKING PRINCIPLE, TECHNICAL PERFORMANCE

AND APPLICABLE SCOPE................................................................................................ 2

2.1 STRUCTURE AND COMPOSITION OF PRODUCT................................................................... 2

2.1.1 Model name.......................................................................................................... 2
2.2 WORKING PRINCIPLE OF PRODUCT AND TECHNOLOGY PERFORMANCE ................................ 3
2.2.1 System chart ........................................................................................................ 3
2.2.2 Working principle .................................................................................................. 3
2.2.3 Main technical parameter ..................................................................................... 3
2.3 APPLICATION ................................................................................................................ 6

3. CAUTIONS, SAFETY AND GRAPHIC SYMBOL INSTRUCTION .................................. 6

3.1 CAUTIONS .................................................................................................................... 6

3.2 SAFETY AND MARK INSTRUCTION .................................................................................... 7
3.3 GRAPHIC SYMBOL INSTRUCTIONS .................................................................................... 7

4. EQUIPMENT INSTALLATION AND TEST ..................................................................... 8

4.1EQUIPMENT INSTALLATION .............................................................................................. 8

4.1.1 Installation preparation ......................................................................................... 9
4.1.2 Part installation of high frequency high voltage generator .................................. 11
4.2 EQUIPMENT DEBUGGING .............................................................................................. 18
4.3 CONSOLE OPERATION .................................................................................................. 20
4.3.1 Emergency stop switch ...................................................................................... 21
4.3.2 Turn on and turn off ............................................................................................ 22
4.3.3 Adjustment of radiography condition .................................................................. 23
4.3.4 Radiography condition set of body part .............................................................. 25
4.3.5 Large or small focus choice ................................................................................ 27
4.3.6 Data storage ....................................................................................................... 27

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 4.3.7 Function and password setting ........................................................................... 28
4.3.8 Preparation and exposure .................................................................................. 28
4.3.9 Cautions ............................................................................................................. 28
4.4 EQUIPMENT OPERATION ............................................................................................... 29
4.4.1 Starting up .......................................................................................................... 29
4.4.2 Radiography condition setting ............................................................................ 29
4.4.3 Common position condition extract .................................................................... 29
4.4.4 Pre-existing radiography parameters modification ............................................. 30
4.4.5 Radiography radiation field location ................................................................... 30
4.4.6 Testing ............................................................................................................... 30
4.4.7 General radiography operation ........................................................................... 31

5. OPERATION INSTRUCTION ........................................................................................ 31

5.1 SAFETY ...................................................................................................................... 31

5.1.1 Summarization ................................................................................................... 31
5.1.2 Responsibility ..................................................................................................... 32
5.1.3 X-ray prevention ................................................................................................. 33
5.1.4 Radiation prevention standard............................................................................ 35
5.1.5 Individual dose detection .................................................................................... 35
5.1.6 Prevent risk of electric shock .............................................................................. 36
5.1.7 Explosion prevention .......................................................................................... 36

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1. Overview
The high frequency high-voltage x-ray generator for medical diagnosis belongs to type I of
medical instrument equipment, which is widely used in productive establishment for
producing high frequency x-ray machine for medical diagnosis as the supporting of high
frequency x-ray machine core components for medical diagnosis and upgrade the
technology of the high frequency x-ray machine for medical diagnosis. The maximum
power output is 50kW, the adjusting range of radiography tube current is 10mA ~ 630mA,
the adjusting range of radiography tube voltage is 40 kV ~ 150 kV, the range of current-time
product is 0.5mAs ~ 630mAs, and working frequency ≥ 100 kHz. The product has the
following prominent features:

a) Simulation and digital double loop accuracy control method: With high frequency
inverter circuit and microprocessor, simulation make up of the special chip PWM,
digital double loop feedback control method, to achieve high accuracy high voltage
output, even if power fluctuation, still can output stable x-rays;
b) High precision radiography time control: The shortest exposure time is 0.002
seconds, can make radiography fast at any time and completely free the influence
of power phase, and produce high quality x-ray images easily and reduce patients
suffering x-ray radiation at the same time.
c) High precision tube current control: x-ray tube current is adopted two grades high
frequency converter, sampling tube current of high speed A/D converter through
microprocessor calculation for the real-time control, microprocessor manage the
allowing load of x-ray tube, x-ray tube efficiently capable radiography conditions can
be set.
d) Kinds of setting modes for radiography conditions: Choose kV, mA and mAs
respectively for radiography conditions set, the quick anatomy programming
radiography (APR) for human body is simplified for the operation; According to x-ray
tube capacity limit locking three parameters select and make capacity protection;

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 e) Default self-protection, self-diagnosis: Once appear malfunction, generator chain
protection, alarm device, inquiring fault code, convenient for maintenance
treatment;
f) Small size, light weight, reducing installation space.

2. Product structure, working principle, technical performance and

applicable scope
2.1 Structure and composition of product
2.1.1 Model name
The model make up of four parts: the name code of equipment, nominal output power,
function code and type, such as:

2.1.2 Structure and composition

The model product makes up of two parts: Host generator and operation console,:

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 1. Console communication wire 2. Operating console 3. High voltage cable
4. High frequency high-voltage generator
Figure 1 Diagram of high frequency high-voltage x-ray generator for medical diagnosis
2.2 Working principle of product and technology performance
2.2.1 System chart

Figure 2 System block diagram

2.2.2 Working principle
380V alternating current voltage goes through the filter, alternating current contactor,
rectifier filter and turns into direct current voltage. The direct current voltage is inverted for
more than 100 kHz high-frequency alternating current voltage by inverter device. The input
30 kHz alternating current voltage turns into a high frequency 40 kV to 150 kV direct current
voltages through booster transformer in high voltage oil tank and rectifier. The direct current
high voltage loads on x-ray tube to produce x-rays. The central controller control x-ray tube
voltage, filament heating unit modulate filament current to control tube current. Choose
each operation and control mode through the control panel choice and set up conditions.
The control panel transfers order to the central controller. The central controller unit
controls x-ray output doses according to input order.
2.2.3 Main technical parameter
2.2.3.1 Working condition:

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 a) Environmental temperature: +10℃ ~ +40℃
b) Relative humidity: 30% ~ 75%
c) Atmospheric pressure: 70kpa ~ 106kpa
2.2.3.2 Transportation and storage condition:
a) Environmental temperature: -20℃～+70℃
b) Relative humidity: 10% ~ 100% (including condensing)
c) Atmospheric pressure: 50Kpa ~ 106Kpa
2.2.3.3 Power requirement
a) Power voltage: AC380V ± 22 V
b) Phase number: Three phase five wires
c) Power frequency: 60Hz±1Hz
d) Power inner resistance: less than 0.5 Ω
2.2.3.4 Working system: Intermittent load and continuous run
2.2.3.5 Input power: ≤ 80kVA
2.2.3.6 Maximum output power
P= 100kV×500mA = 50kW
2.2.3.7 Nominal power:
100kV, 500mA, 0.1s, 50kW
2.2.3.8 Adjusting range of tube voltage and current
a) Radiography tube voltage: 40 kV ~ 150 kV;
Radiography tube current: 10mA ~ 630mA
b) The deviation of x-ray tube voltage: ±10%
c) The deviation of x-ray tube current: ±20%
Notice: Current and current-time product arrange are according to R' 10 number
system.
Operations Console:
Microprocessor controlled Digital display, LCD touch screen
Line voltage adjustment 180-260V
Overload protection system
Emergency switch

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Circuit breaker main switch
High voltage generator (including computer console):

50KW/150kVp energy storage type high frequency

Input power: 380V, 60Hz ± 1Hz.

Power internal resistance: < 0.5Ω
Output power: 50kW output voltage: 40 ~ 150kV output current: 10~630mA
nominal frequency ≥ 100kHz high voltage generator
Time range: 0.0025-6.3s

X-ray Tube:
Dual Focus: small 0.6mm/ large1.2mm,

Table:
Stationary
Radiographic Enclosed Style Table;
Wall mounted

Bucky Grid, Ratio: 12:1

2.2.3.9 Working frequency

The working frequency of generator: ≥100kHz

2.2.3.10 Current time-product range：0.1mAs ~ 630mAs

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2.2.3.3.11 Adjusting range of loading time: 2ms ~ 6300ms
2.2.3.12 Current release character: AC220V 16 A.
2.3 Application
Apply to assemble high frequency X-ray machine for medical, upgrade and transform
traditional power frequency X-ray machine.

3. Cautions, safety and graphic symbol instruction

3.1 Cautions
a) Equipment setting and keeping place should note the following matters:
1) Please don't use and save in the place where easy to touch water.
2) Please don't use, save equipment in the environment where atmospheric
pressure, temperature, humidity are beyond the allowing range.
3) Keep ventilation well, avoid direct sunlight, prevent contains dust and corrosive
air erosion.
4) Please avoid tilt instability, vibration and impact (including carry).
5) Please don't use and save in the place where has chemicals and flammable
gas.
b) Please pay attention to the following items before using the equipment:
1) Please confirm the connection condition of equipment, check the equipment
whether it is working normally.
2) Please confirm equipment grounding is good, all the yellow or green insulating
wires in the machine are protective grounding wires.
3) Protective grounding wires of the machine should connect to special protection
grounding device, don't use power null wire instead.
4) Please don't transform the equipments.
Don't connect the irrelevant equipments to the machine.
Please check and maintain the equipments regularly.
5) A period of time without using equipments, when put into using again, must make
inspection for equipment operation before using, and make sure the equipments
are normal, work securely.

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 6) About electromagnetic compatibility problem: because the equipment produces
high power, high frequency and high pressure in instant, and may produce
resonance, surge peak, electromagnetic interference to power grid and nearby
space, etc. And the control circuit may be affected by external high-power electric
electromagnetic interference, so the power must meet the manual requirements.
c) Power supply requirements
1) Power supply equipment is alternating current power with 60Hz single-phase five
wires, main circuit design for 220V voltage, range of power voltage fluctuation
within ±22V. Power inner resistance ≤0.5Ω.
2) Don't allow small and middle size of capacity power generating equipment to
supply power, also not allow other instantaneous high power loading equipment
to install at the same place and make power supply.
3.2 Safety and mark instruction
3.2.1 All electrical connections in the machine belong to permanent connections,
and all metal shells has made protective grounding, grounding resistance is not
more than 0.2 Ω.
3.2.2 Shocking protection type: make up of basic insulation and protective
grounding structure, namely type I equipment.
3.2.3 Mark instruction

If ignore this logo to use equipment, may cause death or serious

injury, may cause the parts of high frequency high-voltage
generator or whole equipment damage.

If ignore this logo to use equipment, may cause serious personal

injury or equipment parts or whole equipment damage and data
loss.

Although not warning mark, provide correct use and operation

method, avoid operation mistake and false action.

3.3 Graphic symbol instructions

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 Warning or draw attention Dangerous high voltage

Protection grounding Functional grounding

terminal terminal

Emergency switch Producing x-ray

Power connected Power disconnected

Type B equipment

4. Equipment installation and test

4.1Equipment installation
The equipment installation and test only can be completed by
formal training, technical personnel who keep the operation
qualification.

High-voltage generator belongs to precision product, must pay

attention to carry and put it down softly to avoid damage in the
process of installation and testing. Even if after turning off power,
may be still existing deadly high-voltage in generator and
high-voltage cables and x-ray tube, have to be very careful.

Once connect high-voltage generator and x-ray tube and switch on

power, may produce x-rays, so equipment installation and
operation must be operated in the place where radiation meets
safety protection regulation requirements. In the operating process,
in order to ensure safety of operation personnel and environment,
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 have to take all necessary measures to prevent and protect.

The insulation oil has toxic substances in high pressure oil tank, if
keep improperly, cause pollution for environment easily, the
disposal of waste oil must be in strict accordance with the legal
regulations of local environmental protection department.
May cause harm for patients, operators and environment if violate
user operation file and installation supervision. The manufacturer
shall not be responsible for the effect of violating user operation file
and installation guide.

4.1.1 Installation preparation

4.1.1.1 Preparation in installation area
4.1.1.1.1 When users take delivery (take equipment), should check the equipment packing
logo carefully, count the number of equipments and the marks whether are consistent,
packing number and whole set whether are consistent, and cases whether have any
breakages or other abnormalities, if discover any problems or questions, shall make
diplomacy to freight units immediately, Document checking has to be done, and notice
shipping unit in time before taking delivery, please handle with precatory delivery unit assist.
Otherwise, supplier will not bear the responsibility of freight loss.

4.1.1.1.2 After equipment arriving installation place, first uncover packing cover plate of
high frequency high-voltage generator, take out the packing list, count boxes one by one, if
discovery any problem should put forward to supply unit in time, because high frequency
high-voltage x-ray generator is more accurate medical electrical equipment, carry should
put softly. To requirements of installation personnel, because relative particularity and
complexity of x-ray equipment, equipment installation must be obtained certified personnel
by the company who can finish installation.

4.1.1.1.3 Selection of installation place, room size, covering area and structure should
consider fully to the convenience of medical work. At the same time, x-ray protective
requirements must comply with the provisions of health epidemic prevention department.
Machine room area is not less than 5.5m x 4.5m, room width≥4.5m, the room door width

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should be not less than 1.5m, height ≥2.0m, and ground must be smooth, should keep dry
and ventilated indoor. X-ray attenuation of the wall in front of x-ray window and floor surface
or floor ≥2mmPb, other parts attenuation ≥1-1.5mmPb.

Notice: Thickness of other building materials meets equivalent 1mmPb (2.4 g/cm3
solid concrete density should be 210mm; 1.6g/cm3 solid brick density should be
290mm).
4.1.1.1.4 Equipment layout should be appropriate in machine room, but must comply with
machine itself related requirements of position and size, and make full consideration to
medical diagnosis operation and equipment function works normally, more attention to
x-ray protection, should set up effective measures between operating console and x-ray
source (x-ray tube components). Now, offer figure 3 for user reference. So ensure to meet
installation requirements of basic flatness and immobility when users implement local civil
engineering for machine room before installation.

4.1.1.1.5 The requirements of power, power inner resistance: Although the machine isn't
equip with special power transformer, still has strict requirements for the power (show in
2.2.3.3); In installation site, the special power switch of machine should set up in one meter
away wall from operating console, wires length and sectional area of power switch to
outside power transformer are the important factors which relate to inner resistance, so,
should choose big enough cross-sectional area wires according to the input power
requirements.

4.1.1.1.6 The machine room layout should be reasonable, and shall not pile up sundries
what not relate to diagnosis, and keep ventilation well. Machine room outside should mark
ionizing radiation, and put a huge working red light.4.1.1.1.7 Protective requirements of
grounding devices, shall ensure grounding device and terminal safe and reliable, and the
cross-sectional area of copper wire ≥6mm2.

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 Figure 3 Installation diagram (for reference)

4.1.1.2 Preparation of tools and auxiliary materials

a) 8 inches flexible wrench
b) Cross screwdriver and straight screwdriver
c) One set of hexagonal wrench
d) A multimeter (with current shift of alternating current)
e) Water level device
f) Applicable gauze, toilet paper, no water ethanol or carbon tetrachloride
g) Standard engineering toolbox
h) Moderate dehydration vaseline
4.1.2 Part installation of high frequency high voltage generator
High frequency high-voltage generator appearance schematic diagram 4

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 Figure 4 High frequency high-voltage generator diagram

Equip anode cable and cathode cable according to the space layout (cable length). High
frequency high-voltage generator installation includes:

a) High-voltage cables connection

b) Rotating anode cables connection
c) Generator and console connection
d) Other signal cables connection for generator
e) Power cables connection of generator
4.1.2.2 High-voltage cables connection
The high-voltage cables terminal plugs are extremely easy
damage, please take special attention when use. Ensure these
end plugs to keep straight and split cotters open (edge and
boundary is parallel).
a) Comply with instruction of cable manufacturer, to install each terminal plug accessory;

b) Ensure x-ray tube high-voltage port clean, the entire surface of high-voltage plug which
connect to x-ray the tube including metal to wipe dehydration vaseline; Take high-voltage
cables to connect to corresponding x-ray tube input port carefully, ensure all the interface
connections are correct, tighten the cable nuts.

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c)Wipe dehydration vaseline to the high voltage cables plug which will connect high-voltage
generator to high-pressure socket, the connected x-ray tube and high-voltage cables
connect to the corresponding high-voltage generator socket, ensure all the joints connect
correctly, tighten the cable nuts. (Refer to following picture 5)

Picture 5 HV cables connection

4.1.2.3 Rotating anode cables connection
Connect anode cables properly to rotating anode terminalX4 in high voltage generator
cabinet (shown in figure 8). Terminal X4 function shows in figure 6. Among, foot 1 of
terminal X4 is public connecting terminal for anode motor coil, foot 2 is output terminal of
starting motor coil, foot 3 is motor running terminal, foot 4, 5 are rotating anode temperature
protection interface, foot 6 is grounding terminal of tube cabinet.

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 Figure 8 Rotating anode unit and rotating anode motor connection diagram
4.1.2.4 Generator and console connection
A) Plug accessory communication cable to generator communication port, twist plug
screws well. Lay communication cable well. Shown in figure 9.
B) Insert the other end of communication cable into control unit terminal of console
keyboard display unit, twist plug screws well and finish communication cable connection.

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 Figure 9 Communication cable and generator connection diagram
4.1.2.5 Other signal cable connection of generator
A) Power management unit circuit to external connection (terminals X6 function show figure
7) Provide power for radiography bed and diagnosis bed and emergency stop control
terminal X6 in generator, show in figure13. Among, foot 1, 2 are providing power for
external radiography bed etc., and 220V alternating current power output. Terminal foot 3,
4 are emergency stop control pin, it is normal working condition when pin 3, 4 are short
circuit, cut off power when open circuit.

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 Figure 13 The figure of power management unit with external power terminals

4.1.2.6 Power cables installation steps

a) Must select high quality insulated cables with more multi-strand copper cores to be
generator power cables. The multi-strand cables area is not less than 6mm2.When
use single-phase three wires power cables, protective grounding cables need to
choose double color of yellow green insulated multi-strand cables with high quality
copper cores, area is not less than 4mm2;
b) Suggest one emergency switches to install near console;
c) Ensure electric cabinet circuit breakers open;
d) Cut suitable length for cables, remove both ends of cable insulating layer
respectively, weld wires well;
e) Connect each power fire wire U, V, W and null wire N to corresponding connection
ports on power source terminal X1, and connect protective grounding wire to PE port
on power interface terminal X1. Show in figure 11;

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f) Set power well, and connect them to corresponding interface on electrical box, show
in figure 12;
g) Ensure emergency switch has connected to console correctly; Make sure it can cut
off generator power when you press emergency switch;
h) Measure and verify that power wires are connected correctly.

Notice: The impedance of protective grounding wires contacting

resistance must meet the standard.

Figure 11 Terminal X1 connecting diagram

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 Figure 12 Power net connection

Danger: Generator and power cables still keep connecting,

unless close the circuit breakers which installed in electric
cabinet, otherwise, the power is in connecting condition.

Notice: Although console has closed already, the interior

auxiliary power and control circuit in generator that still
connecting with power wires. Ensure system and power grid
open completely before repairing and maintaining.
X1-PE is protective grounding port. Protective grounding wires
should be copper wires. Cross-sectional area shall not be less
than 4mm2; Grounding wires should connect with external
special grounding wires well.
4.2 Equipment debugging
4.2.1 No-load test
The equipment has had a comprehensive adjusting test before leaving factory, consider
vibration in transportation, damp and installation area in some place are different, so still
should make comprehensive inspection and test for the equipment when complete
installation, before test, should have clear and overall understanding of 4.2 operating
instruction first, then can make a test.
4.2.1.1 Comprehensive inspection
Make comprehensive inspection for each electric part, whether have any damage, loose, or
wire connection loose, and the grounding connecting condition whether is favorable.
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4.2.1.2 Connect each component according to above mentions.
4.2.1.2.1 Connect each component according to above mentions.
a) Connect the knife switch on the wall to generator power wire and grounding wire
provisionally.
b) Connect stator coil terminal 1, 2, 0, temperature protection contact and grounding
wire of x-ray tube components.
4.2.1.2.2 Connect power, turn on equipment (should test as follows).
4.2.1.2.3 Start up normally, choose 16 ~ 630mA shifts in turn, watch all the shifts value
whether is normal one by one.
4.2.1.2.4 Starting up normally, press each mA shift separately, according to the equipment
highest using condition, tests the protective circuit capacity interlocking limit whether is
normal. When selective condition is more than rated using condition, the displayed value on
console whether is limited.
4.2.1.2.5 Check the key of selecting exposure time (mAs), each shift limit whether is
normal.
4.2.1.3 Test whole combination equipment (with tube)
4.2.1.3.1 Connect wires
a) The connection between console and high-voltage generator.
b) The connection between high-voltage generator and x-ray tube, high-voltage
cable, rotating anode wire.
c) Each part of grounding wire (notice: Offered grounding wire is yellow/green wire).
4.2.1.3.2 According to the described requirements above, use dehydrated vaseline as filler
between high-voltage plug and high-voltage socket, insert high-voltage cable between
high-voltage generator component and x-ray tube component.

Notice: Terminal mark "+" and "-" on high-voltage generator

assembly should be corresponding with the terminal mark "+"
and "-" on x-ray tube, can't stagger.

4.2.1.3.3 Connect power and start up, observe lighting situation of x-ray tube filament,
choose 16mA ~ 630mA phase in turn, large focus and small focus should light respectively

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base on the corresponding choice of focus filament, avoid large focus and small focus light
at same time, or not light phenomenon.
4.2.1.3.4 Set equipment in a common radiography state, mA chooses 50mA, current-time
product selects 16mAs, observe filament heat situation and anode rotating situation, press
the first shift of hand switch will increase the filament brightness, anode rotation stator coil
electrify and rotate.
4.2.1.3.5 Check emergency stop button whether can cut off generator and console power.
4.2.1.3.6 Set equipment in a common radiography state, anode starts rotation after
pressing hand switch first shift, make radiography work after pressing hand switch second
shift.
4.2.2 Tube voltage and tube current calibration
After confirming no-loading test is normal, then make loading test.
This equipment has adjusted value kV exactly before it leaves factory, don't need to adjust
again generally, if necessary, can be operated only by the technical personnel who got
formal training, has operation qualification.
4.2.3 Default parameters when start up
The default parameters on system are the last time parameters which display on console
panel when turn off generator.
4.2.4 When finish debugging, use testing card or water bag to test objects for radiography,
to determine equipment is normal or not.
4.3 Console operation
All controls and displays of high frequency X-ray generator are on the console, using liquid
crystal display touch screen for console buttons, voice prompt. The console panel show in
figure 7.

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 Figure 7 Schematic diagram of console operation panel

1. Turn off key 11. Storage key

2. KV display window 12. Function key
3. MA display window 13. Position selection/display key
4. MS/mAs display window 14. Tube switch key (this machine
invalid)
5. KV minus key 15. Focal switch key
6. KV plus key 16. Filter select key
7. MA minus key 17. AEC function key
8. MA plus key 18. AEC control key
9. MS/mAs minus key 19. Exposure key
10. MS/mAs plus key

4.3.1 Emergency stop switch

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 When control panel displays confusion, parameters are beyond the normal
range, or other unpredictable anomalies such as emergencies, or on/off button
is no response, can press the emergency stop switch, and cut off the generator
power supply.

4.3.2 Turn on and turn off

Generator is in standby mode when power on (show in figure 8), press the power button on
upper left corner, the generator opens and turn into normal working state (show in figure 7).

Figure 8 Turn on diagram

Notice: Before starting, please make sure the emergency stop switch on

console in loosen condition, or the generator can't power on. If meet

emergency situation can press down emergency stop switch to cut off power

supply. The air switch must switch off after turn off the machine, or

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 completely cut off power supply.

4.3.3 Adjustment of radiography condition

When generator goes into the normal working state (show in figure 7), console displays the
present radiography condition and state. Need to change the condition, click plus and
minus key under the corresponding display window.

Figure 9 Diagram of radiography condition selection

4.3.3.1 Tube voltage regulation

Click plus kV or minus kV key, can make kV value to 1 kV step quantity change, press the
key don't loosen that can change the kV value quickly. The kV value range: 40-150 kV.

4.3.3.2 Adjustment of tube current

Click mA plus key or mA minus key, can make mA value increase or decrease, each step
has been pre-existing in generator. Press the key don't loosen that can change mA value
quickly.

Preset current of small focus (mA):

16, 20, 25, 32, 40, 50, 63, 80, 100, 125, 160

Preset current of large focus (mA):

200, 250, 320, 400, 500, 630

Notice: Maximum current of small focus is 80 mA, minimum current

of big focus is 100 mA, the plus and minus current to a certain
value will switch automatically to small focus or large focus.

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4.3.3.3 MS/mAs adjustment

Click ms/mAs display window selection window, switch respectively to ms or mAs mode in
exposure time (show in figure 10 and figure 11).

Figure 10 Diagram of ms radiography condition

Figure 11 Diagram of mAs radiography condition

When choose ms exposure time control, click the corresponding window ms or mAs plus
key, ms or mAs minus key, ma value is 1 ms step quantity change. Click mAs plus key, can
make mAs value increase, each parameter has been pre-existing in generator, click mAs
minus key can reduce mAs value, each value has been pre-existing in generator, press the
key don't loosen can change mAs quickly.

Each set mAs parameter as follow:

0.5,1,1.2,1.6,2,2.5,3.2,4,5,6.3,8,10,12,16,20,25,32,40,50,63,80,100,125,160,200,250,
320

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MAs maximum value is 630 mAs, X-ray tube capacity limits, when kV value and mA value
are larger, mAs maximum value will get corresponding limit, it depends on the relation
between console panel set parameter and X-ray tube capacity, automatic processing by
microprocessor.

4.3.4 Radiography condition set of body part

In order to convenient for doctor use, set up 48 kinds of radiography parameter storage
units in this equipment, store in different parts of radiography parameter. Click body part
selection key into the radiography condition interface as shown in figure 12. This interface
radiography conditions consist of two switch keys of front and side part, four kinds of body
form keys and six kinds of part keys, combined use of total 12 keys for selection, provide
total of 48 kinds of memory exposure parameters, selections and use, can be used rapidly
in use process. All exposure parameters can be modified by users according to their
requirement, the button icon will brighten when chose by operator. Choose radiography
conditions (body parts, body form, front or side part), the stored parameters of
corresponding selection keys will display on the panel window, this parameters to be
exposure conditions, also can be used for storage after fine-tuning. After exiting setting
panel window of radiography condition, the selected parameters will be displayed on the
radiography condition window (show in figure 13).

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Figure 12 Setting interface diagram of body parts radiography conditions

Figure 13 Setting diagram of radiography condition parameters

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4.3.4.1 The front and side switch key for human body

Body part selection, including front part key and side part key select any
key which will brighten.

4.3.4.2 Body form selection

Four typical selections of fat from,

normal form, thin form, and child form. Switch to anybody form key which brightness will be
obviously different.

4.3.4.3 Quick parameter setting

These six parameter memory keys are

head, chest, belly, butt, hand and leg. These six keys use with above front or side switch
key together, providing total of 48 kinds of exposure parameters for choosing to use.

4.3.5 Large or small focus choice

Click "focus-switch" key, the generator will switch large or small focus, small
focus image is clear, but the load is better than large focus, and will produce a lot of heat
load to anode. Large focus image is not good as small image, but load capacity is bigger.
Tube current value increase to 100 mA will automatically switch to the large focus, less than
or equal to 80 will switch to the small focus automatically.

4.3.6 Data storage

The parameters only through the "save" key can be deposited in the
storage unit of system. Click "save" key, after sending the "di" sound from console,
parameters are stored.

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4.3.7 Function and password setting

In order to improve the system security, reduce wrong operation, prevent

internal parameters changing by mistake, when enter any testing state or modify some
internal parameters that need to enter testing state. Only the technical personnel who
through formal training, has the operation qualification can operate.

4.3.8 Preparation and exposure

Radiography exposure can be used hand switch control that is available,

also can use the control button on panel.

If use control button on panel, press the light button directly, generator will make
preparation, exposure. Loosen that button when you terminate exposure.

If use hand switch for control, press the first phase enter preparing state, press the second
phase to make exposure, also can press two phases at the same time, the generator enter
preparing state first and finish exposure immediately.

Notice: After finishing preparation, if press preparing button within

3 seconds and don't make exposure, generator will exit preparing
state automatically, if you want to stop exposure, you can loosen
the button or loosen the hand switch to stop exposure.

4.3.9 Cautions

a) Avoid high power and full load continuous exposure, between

two powerful exposures and full load exposure should have
enough rest time ( time interval ≥ 3 minutes).

b) When make radiography, press the preparing button, tube

rotating anode will start, about 1.2 seconds will enter normal
phase, preparing indicator lights, press the exposure button and

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 begin exposure, after finishing exposure time, exposure will stop
automatically.

c) When take radiography should use lead screen as far as possible

(user should prepare by themselves) and observe window and keep
contact with patient, to avoid the stray radiation.

d) When make radiography, the distance from focus to patient

(focal skin distance) should be as large as possible, must be ≥ 35
cm (except dental radiography), when take radiography with filter, if
filter gathering distance is 100 cm, so the distance from focus to
skin should control between 80 cm - 120 cm that is advisable.

e) In order to improve image sharpness greatly, when take

radiography, should avoid inserting X-ray attenuation object
(including clothing apparel of patient) between X-ray tube focus
and film.

4.4 Equipment operation

4.4.1 Starting up
Check all electrical components comprehensively, if damage, loosen, connection is loose,
equipment grounding is good condition or not. Ensure the emergency button is upspring
condition, and power on, click "start" key on the console, machine is in standby mode.
Before testing, the first should have a comprehensive and clear understanding of section
4.5 console operation instruction, so can operate.

4.4.2 Radiography condition setting

With the corresponding and key, press preset parameters to display KV, mA and
mAs value.

4.4.3 Common position condition extract

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Click the part selection in figure 7, and enter radiography condition setting interface, show
in figure 12. Choose the corresponding body part, body form, front or side, generator will
work with pre-existing radiography condition. For example: If you want to take waist X-ray

image for fat body patient, should follow order to press ， these two keys icon

lights that mean selected "fat" and "belly", and then check ("front" key).And kV, mA,
mAs value display on console is fat waist front pre-existing radiography condition in the

machine, click next. Exit key can exit radiography condition setting interface and
return to normal working state, selected parameter will be displayed on window at this time,
selected radiography condition will be displayed on console (show in figure 13).

When enter radiography condition settings interface, press kV, mA, ms/mAs ， key,

so can be fine-tuning for each radiography condition. Just press the any corresponding key
within twelve pre-existing keys, machine will work with required radiography parameters.

4.4.4 Pre-existing radiography parameters modification

Enter radiography parameters setting interface, select internal pre-existing parameters
which need to change, the original radiography parameters are shown in kV, mA, ms/mAs

window, press corresponding ， key, amend KV, mA, mAs value to new value, after

confirming, press save key, complete modification after hearing sound.

4.4.5 Radiography radiation field location

Turn on location light on the collimator. Adjust the lead door of collimator according to the
radiography requirement to obtain the good radiation field.

4.4.6 Testing

Before putting into use officially, or no use for a long time, should be in accordance with the
following methods to test X ray tube adaptability:

a) Ordinary radiography way, choose 50 mA, 5 ms, 70 kV, make 10 times exposure
experiment, each interval is 2 minutes, if abnormal, reduce mA value, repeat the
above test;

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 b) Choose 80 kV, 100 mA, 5 ms, make 10 times the exposure experiment, each interval
is 2 minutes, if abnormal, reduce mA value, repeat the above test.

Notice: when leave unused for a long time and use again, must carry out the testing
for X-ray tube.

Warning: When the first exposure finish, should allow 2 minutes interval before next
exposure, to ensure the X-ray tube cool down sufficiently.

4.4.7 General radiography operation

a) Through console operation to set radiography condition, according to the body
characteristic and body part to set related exposure parameters;

b) Move the patient to effective radiography location, use collimator light to locate
under X-ray radiation center;

c) Everything is ready, use hand switch or button on console for exposure;

d) Inform patients to leave after exposure, process X-ray image.

4.4.8 Turn off

a) After using equipment, should be turned off in time, press power off button .

b) Pull out the power supply plug after generator turning off, or switch off air switch.

Notice: Before turning off, must check X-ray tube whether is in initial normal
position.

5. Operation instruction
5.1 Safety
Please store this manual and equipment together, and review manual operation procedure
and safety requirement regularly.
5.1.1 Summarization

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 Please read the direction carefully before using and keeping it on
hand for reference in order to use equipment for a long time and
safely.

To operate the equipment, doctor must pass the normal, specialized

technical training by manufacturer, get operation qualification, and
get working license of radiology, which issued by local Health
Supervision and Administration Department, can operate the
equipment.

X-ray machine will harm patient and operating staff if not compliance
with protection requirement.

Anyone relates to x-ray must be familiar with safety and adjusting

requirement in the operation instruction.

Don't use to check the mental patients without cooperation;

Pregnancy period especially early pregnancy women are prohibited
strictly the x-ray radiography; If necessary should be under doctors'
guidance.

For children, youth patients, should paid attention to protect gonads,

thyroid, in order to avoid unnecessary x-ray inspection.

Although x-ray is harmful to human, it will not bring danger if operate correctly.
Please make sure maintenance and operation staff has accepted formal training and
know the danger of x-ray. Please read the direction carefully and fully know safe and
operational requirement.
5.1.2 Responsibility

Make sure authorized personnel using the equipment knows harm of

x-ray overexposure.

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 Should clear manufacturer and its agents and distributors when sell
the describing equipment in this operation instruction, are not
responsible for the injury of x-ray overexposure to patient and
operating staff.

Manufacturer is not responsible for the injury of x-ray overexposure to

patients and operating staff improper operation or wrong procedure.

Manufacturer is not responsible for operating staff is not in

accordance with manufacturer's requirement for maintenance or make
any change without authorization to cause the injury of x-ray
overexposure to patient.

Operating staff’s duty is through visual observation, place posture in

reasonable position, and prevent harm to patient, make sure patient
safety during equipment in running time.

5.1.3 X-ray prevention

Because X-ray is harmful to health, so take lots of measures to prevent x-ray. Some x-ray
has cumulative effect and may be latent for months or even years. To operating staff, the
safest principle is "AVOID THE DIRECT X-RAY AT ANYTIME".

X-rays pass anything will cause quadratic (dispersed) rays, secondary radiation strength is
determined by power and strength of initial ray, and atomic number of the radiation object.
Quadratic ray strength may be stronger than X-ray which reaches to film. Should take
measures to preventing quadratic ray.
Must take preventive measures to prevent x-ray:
◆ Time prevention
The longer exposure time, the larger absorbed dose gets. So everyone should shorten the
time of irradiation and reduce the time of staying in x-ray area. When make x-ray
examination, operating staff must adapt dark environment well, minimize time of irradiation,
and choose the best radiography condition to avoid condemned images.
◆ Distance prevention

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Irradiation dose is inverse proportion with distance. When people doubles the distance from
radiographic source (focus point), irradiation dose reduce to its 1/4. Therefore, when x-ray
machine is working, everyone should keep far away from radiographic source (except
inspected patient), when patient in inspection, must increase the distance between skin and
focus.
◆ Shielding prevention

When use x-ray for diagnosis or therapy, time prevention and distance prevention will get
certain restriction. The more effective measure is using shielding protection. Lead shielding
is a kind of effective method. To minimize radiation, recommend using lead shield, lead
rubber glove, lead rubber apron, lead glass, lead preventive chair, lead preventive vehicle,
and using the x-ray protective wall to reduce radiation. The thickness of lead screen must
be not less than 2mm, or amount to 2mm lead equivalent, and personal preventive
equipment (such as apron, glove, etc.) must be not less than 0.25 mm thick lead or amount
to 2mm lead equivalent. To ensure that your basic prevention requirement, please refer to
the "GB113-2002 medical X-ray diagnosis health protection standard" which your ray
prevention agent offers.

Notice: Don't make x-ray exposure directly for hand, wrist,

arm, or any other part of body when operate or maintain x-ray
equipment.

In practical work, should note the points as follow:

 Radiography stand must put to side of nearby wall; avoid ray direction on opposite
side for console. And neighboring room, darkroom, and corridor should prevent
direct x-ray.
 When make radiography, exposure field adjust strictly in accordance with projection
part and try to minimize exposure field. Take some proper preventive measures for
non-projection part.
 When irradiated part closes to generative organ, put lead rubber apron (generative
organ shield or lead rubber) on patient to minimize radiation hazard to patient.
 When make exposure, anyone close to patient must put on preventive suit (such as
lead rubber apron).

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5.1.4 Radiation prevention standard
The core of radiation prevention standard is to limit dose. All kinds of x-ray radiation studies
provide the basis for determining allowed maximum x-ray radiation dose. Refer to the
prevention standard ICRP, our country has made the “Radiation Protection Provisions”
which stipulates maximum and minimum x-ray dose (these limits should amend often,
because new information appearance), show in figure 6, figure 7 as follow:
Figure 6 Radiation prevention dose limits (AD1974)
Irradiated part
Professional Public
Organ
Organ name Annual 0.01Sv Annual 0.01Sv
classification
Body, sex gland, red
Class I 5 0.5
marrow, eye lens
Class II Skin, bone, thyroid 30 3
Hand, forearm, pes,
Class III 75 7.5
malleolus
Class IV Other organ 15 1.5
Notice: The above limits refer to total dose internal exposure and external exposure,
excluding natural exposure and medical exposure. Thyroid dose equivalent under 16
years old is 0.15 Sv/year.
Figure 7 Annual dose limits for single organ (AD1974)
Professional Public
Tissue organ
mSv 0.01Sv mSv 0.01Sv
Sex gland 200 20 20 2
Mammary gland 333 33 33 3.3
Red marrow 416 41 41 4.1
Lung 416 41 41 4.1
Thyroid * 500 50 50 5
Bone surface * 500 50 50 5
Eye lens 150 15 15 1.5
Skin * 500 50 50 5
Other organ * 500 50 50 5
Notice: * means the standard annual dose limits accord with non-stochastic effects.
Lifelong radiation prevention dose limits：10 mSv×age (professional)

1 mSv×age (public)

5.1.5 Individual dose detection

Through supervision, will determine incurred radiation dose, so that determine the safe
actions weather are suitable, and reflect the problems on radiation prevention.

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  The most effective action is using instrument to judge the safest measures whether
are expedient. Radiate any part of operating staff, radiation prevention should act
immediately. The radiation dose is not allowed to exceed the limits.
 The method often use but not accurate enough, that is putting film in key site for
regular time, and wash film to confirm radiation dose.
 The general method to determine whether suffer too much radiation dose is
wearing radiation dose plate. There are some thermo luminescence materials and
x-ray sensor film in radiation dose plate. Although the dose plate only can measure
the radiation on one part of body, but in some extent reflects radiation dose.
5.1.6 Prevent risk of electric shock
According to the standard GB9706.1 and IEC601-1, generator belongs to type I equipment.
5.1.7 Explosion prevention
The equipment is forbidden to use in explosive place.

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