Portable i5 — DR2GO

Operator’s Manual
October 2010

Fully digital & portable solution

Extends equipment life

Supports wireless flat panel detectors

Technology that grows as imaging demands change.

Operator’s Manual: Portable i5 — DR2GO A

721-301-G1, Rev. [D]
InfiMed Customer Support
Call Customer Care weekdays from 8:15 a.m. – 5:00 p.m., USA - Eastern
Time (08:15 – 17:00)

Technical support & customer service, +1 315-453-4553

Parts & order services, +1 315-453-4545.

InfiMed’s answering service is open from 5:00 p.m. – 8:15 a.m. USA - Eastern
Time (17:00 – 08:15) and on weekends and holidays.

Phone +1 315-453-4553
A Customer Care technician will respond to your inquiry as soon as possible.

Please have the following information ready before making your service call:

• System Serial Number (S/N) — found on the identification tag on the

rear of the PC.
• Software version. To find the software version, click on the InfiMed logo
(top of Main Menu in Clinical Mode) for the About screen, or look for
the Versions button (toward the bottom of the Service Mode menu).

Thank you for choosing InfiMed.

The InfiMed i5™ Digital X-ray Imaging System is a high resolution digital imaging system intended to replace
conventional film techniques, or existing digital systems, in multipurpose or dedicated applications specified
below. The i5™ Digital X-ray Imaging System enables an operator to acquire, display, process, export images to
portable media, send images over a network for long term storage and distribute hardcopy images with a laser
printer. Image processing algorithms enable the operator to bring out diagnostic details difficult to see using con-
ventional imaging techniques. Images can be stored locally for temporary storage. The i5™ Digital X-ray Imaging
System has the ability to interface with a variety of image receptors from CCD cameras to commercially available
flat panel detectors. The major system components include an image receptor, computer, monitor and imaging
software.

For the DR application, the InfiMed i5™ Digital X-ray Imaging System is intended for use in general radiographic
examinations and applications (excluding fluoroscopy, angiography, and mammography).

InfiMed’s Portable i5 — DR2GO product is also referenced as DR2GO in this document. Document part number
721-301-G1, Rev. [D]; - -. Document status: Removes references to 2.4 GhHz access point, expands information
about 5.0 GHz access point, general updates to reference i5 DR version 1.3. ECN: Pending.
Documents in this set: Service manual, 721-302-G1 - Operator’s manual, 721-301-G1.

B Operator’s Manual: Portable i5 — DR2GO

 Portable i5 — DR2GO

Operator’s Manual

Fully digital & portable solution

Extends equipment life

Supports wireless flat panel detectors

Operator’s Manual: Portable i5 — DR2GO i

Portable i5 — DR2GO
an innovative diagnostic digital imaging application by InfiMed, Inc.

© 2010 InfiMed Inc. All Rights Reserved. InfiMed Operator’s Manual, part number 721-301-G1, Rev. [D]
InfiMed hereby grants its customers the right to reproduce this manual. For files in Adobe Acrobat pdf or
Framemaker 9 format, contact InfiMed Technical Publications at +1 315-453-4545 x232.

Revision History

Revision Date ECN Description of release

A May 2010 4947 Initial release
B August 2010 5047 Portablei5—DR2GO,Addssupportforadditionalwirelessoptions,troubleshootingchapter
[D] October 2010 Pending Portablei5—DR2GO,Removesreferencesto2.4GhHzaccesspoint,expandsinformation
about 5.0 GHz access point, general updates to reference i5 DR version 1.3.

InfiMed, i5, iCynergy, InfiVision, & InfiStitch are trademarks of InfiMed, Inc. Windows is a registered trademark of
Microsoft Corporation in the United States and other countries. Carestream Health Detector is a brand name of Car-
estream Health, Inc. The Saraha Slate PC i440D is a product of Tablet Kiosk. This product includes Touch-It Virtual
Keyboard developed by Chessware SA.

While every precaution has been taken in the preparation of this book, InfiMed assumes no responsibility for errors or
omissions or for damage resulting from the use of the information contained herein. The information in this manual is
subject to change without notice.

Applicable standards & compliance EU Authorized Representative:

FDA 510(k) Medical Device & QA Services
CE Mark to MDD 76, Stockport Road, Timperly
ETL approved Cheshire UK, WA15 7SN
CAN/CSA C22.2 No. 601-1 Email: [email protected]
IEC 60601-1, 60601-1-1, 60601-1-2, 60601-1-4
UL 60601-1
IHE Integration (see Appendix A)

This product conforms to the necessary ICE standards for patient safety and isolation as it is shipped from the factory.It
is the responsibility of the end user and/or the installer to insure that when connected, as a system with other devices,
all the rules of applicable IEC60601-1-1 standards are met.

HIPAA logging: Portable i5 — DR2GO supports HIPAA Access Control Standards. Unique user identification and auto-
matic logoff are implemented through user configuration and the login/logoff features of the Clinical mode. HIPAA Audit
Control Standards are used in the Service Mode logs to record user actions.

10/20/10

ii Operator’s Manual: Portable i5 — DR2GO

Operator’s Manual: Portable i5 — DR2GO iii
 Welcome

The InfiMed i5 Platform adapts to the needs of the user. Its menu interface may be customized, and it sup-
ports multiple wireless flat panel detectors. The i5 series defines convenience. InfiMed's open platform
allows the technologist to adapt on the fly to changes in the industry and to clinical requirements.

InfiMed's i5 Platform

InfiMed's i5 Platform is specifically designed for routine radiographic exposures where the image is cap-
tured on a digital sensor and stored as an electronic patient file in the computer. Acquired images are
instantly viewable. DR2GO presents an intuitive touch screen. It supports cutting-edge flat panel detectors.

DR2GO's user-friendly interface is tailored to exceed the needs and requirements of today's busy work
environment. It standardizes and minimizes the steps required from image acquisition to optimal viewing
and storage.

User customizable acquisition profiles and work procedures can optimize patient throughput and image
quality. With the use of advanced image processing algorithms, premium image quality is realized on the
first view. Patient through-put is enhanced while minimizing user intervention by reducing or eliminating the
need for retakes.

Portable i5 — DR2GO combines new and old x-ray technology to provide a fully digital and portable solu-
tion. Portables are essential to every radiology department’s day-to-day success. A portable with InfiMed’s
acclaimed DR software is an effective and productive solution. DR2GO extends the life of an asset by
keeping the cart in nearly constant use.

This Manual together with InfiMed training gives radiologic technologists the step-by-step instructions that
they need to acquire, review, and store images with Portable i5 — DR2GO.

This manual has two parts: (1) getting started and using the DR2GO application and (2) information about
the hardware used in DR2GO, including safety information.

We think that you will find our system to be easy, accurate, and reliable. Please be sure to read and follow
the safety guidance in the chapter Equipment Handling.

We are pleased that you have chosen InfiMed. Thank you.

iv Operator’s Manual: Portable i5 — DR2GO

Recommendation

The clinical site’s information technology department (IT) should be consulted during the set-up of the new
digital equipment. The clinical site’s IT will be able to determine the selection of channels in which optimal
equipment performance can be obtained. (See “Selecting Channel for Wireless Router” on page 127 for tips.)

Even where the clinical site’s IT department has been consulted, some areas with high concentrations of
monitoring or wireless communication equipment may cause a disruption of connectivity between the detec-
tor and the PC/ tablet. The PC/tablet will prompt the user when such disruptions have occurred. Following the
PC/tablet prompts should allow the user to re-establish connectivity and regain the last image taken. In some
severe conditions the user may have to remove the tablet and the detector from the influenced area and
repeat the prompts in order to re-establish the connection.

Where there is a need for frequent use in the above-mentioned areas, the manufacturer recommends the
optional detector tether. See your provider for details.

Operator’s Manual: Portable i5 — DR2GO v

vi Operator’s Manual: Portable i5 — DR2GO
 Contents

Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Figures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix

Part 1. Using DR2GO1

CHAPTER 1 Start-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Power-up equipment 3
Login levels 4
Clinical Mode 4
Guide to DR2GO tools 5
Detector information 7
Additional menu choices 8
Image quality 9
Data & privacy 9
Exit & power-down 9

CHAPTER 2 Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Using the worklist 11
The patient list 13
Add patient 14
Edit patient 16
Customize presentation of data 17
Search records 18
Delete 18
Export & import data 19

CHAPTER 3 Acquire Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Acquisition profiles & work procedures 22
Modify acquisition profiles 24
Using a work procedure 25

CHAPTER 4 Review Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Preview image 29
Rejecting images 29
Image processing 30
Annotations & pointers 34
Measuring tools 37

Operator’s Manual: Portable i5 — DR2GO vii

 Image zoom 39
Key image note 39

CHAPTER 5 Export, Import & Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Export & print basics 42
Dicom preferences 43
Export to USB flash drive 44
Export to disc aborts 44
Export from the patient list 45
Tracking exports & printing 46
Managing exports & printing 46
Modality performed procedure step (MPPS) 47

CHAPTER 6 Operator’s Use of Service Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Logs 50
Image processing 51
User preferences 51
Test the monitor: Test patterns 51
Version information 52

Part 2. DR2GO’s Hardware53

CHAPTER 7 Equipment Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Warranty 55
Preventive maintenance 56
Standards & regulations, Tablet PC 56
Safety 56
Electromagnetic compatibility 58

CHAPTER 8 Review Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Tablet PC 64
Touch-It virtual keyboard 66
Batteries 67
Wireless access points & network adapter cards 68

CHAPTER 9 Carestream Health Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Cautions, maintenance 70
Specifications for detector 71
LED states 72
Batteries & charger for the panel 72
Calibration 74
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

viii Operator’s Manual: Portable i5 — DR2GO

 Figures

FIGURE 1. DR2GO image area and Clinical Mode Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

FIGURE 2. Information about detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
FIGURE 3. Additional commands — DR2GO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
FIGURE 4. Add or remove Operators’ initials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
FIGURE 5. Worklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
FIGURE 6. Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
FIGURE 7. Add or edit patient data — add study — add physician . . . . . . . . . . . . . . . . . . . . . . . . . 16
FIGURE 8. Reorder data on the screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
FIGURE 9. Patient List window ways to filter records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
FIGURE 10. DR2GO — Main Menu, ready to acquire images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
FIGURE 11. Modify acquisition profile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
FIGURE 12. Work procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
FIGURE 13. Overlay — on main menu— for work procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
FIGURE 14. Work item complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
FIGURE 15. DR2GO image review tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
FIGURE 16. Process the image: Modify AIE or acquisition profile . . . . . . . . . . . . . . . . . . . . . . . . . . 32
FIGURE 17. Options for annotations & pointers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
FIGURE 18. Add annotations & initials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
FIGURE 19. Add new note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
FIGURE 20. Annotations & pointers: Change appearance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
FIGURE 21. Key image notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
FIGURE 22. Export & print basics — i5 Portable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
FIGURE 23. Pop-up menu: Set i5 Portable preference for export to network . . . . . . . . . . . . . . . . . . 44
FIGURE 24. Export to network — options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
FIGURE 25. Tracking icon on Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
FIGURE 26. Service Mode menu features — Portable i5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
FIGURE 27. Major hardware components of DR2GO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
FIGURE 28. Power switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
FIGURE 29. Back of Tablet PC — Not covered by battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Operator’s Manual: Portable i5 — DR2GO ix

FIGURE 30. Tablet PC, battery, & power pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
FIGURE 31. Tablet PC: top & left side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
FIGURE 32. Tablet PC auxiliary battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
FIGURE 33. Wireless access point, network adapter card, & antenna . . . . . . . . . . . . . . . . . . . . . . 68
FIGURE 34. Carestream Health Detector (right) & battery charger (left) . . . . . . . . . . . . . . . . . . . . . 69
FIGURE 35. Panel’s battery charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
FIGURE 36. Battery replacement for panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
FIGURE 37. Carestream dark calibration through DR2GO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

x Operator’s Manual: Portable i5 — DR2GO

 Part 1. Using DR2GO

Operator’s Manual: Portable i5 — DR2GO 1

2 Operator’s Manual: Portable i5 — DR2GO
CHAPTER 1 Start-up

Each component of DR2GO was specially selected and tested to provide optimum image acquisition,
viewing, and processing. DR2GO uses a Tablet PC that controls image acquisition, processing, and stor-
age. The Tablet PC’s screen is touch-sensitive. Thus, Operators can quickly navigate and act on imaging
requirements through DR2GO’s menus.
This chapter orients an Operator to the basic appearance and features of DR2GO. Instructions for acquir-
ing and reviewing images as well as other topics are presented in later chapters.

The hardware for DR2GO requires the Operator’s attention. For detailed information, see the hardware
chapter in Part 2 of this manual. It explains how the Tablet PC works, how to keep the batteries charged.
In this chapter, you learn how to turn on the equipment and how to login with your username and password
to work with Clinical Mode. (Clinical Mode is the aspect of DR2GO that permits image acquisition, image
review, and image export.) This chapter also explains how to turn off the power safely so that no data is
lost.
The chapter entitled “Operator’s Use of Service Mode” on page 49 discusses the aspect of DR2GO that
organizes the software to work with a particular clinical site. For the most part, a Service Technician will
already have organized the system for your clinical site before you begin using it. So, you will have little
reason to use Service Mode.
The chapters of Part 2 of this manual help you to get familiar with the Tablet PC and its batteries, the flat
panel detector, and the wireless networking equipment.

Power-up equipment

DO NOT USE THE X-RAY GENERATOR DURING THE DR2GO POWER-UP CYCLE.

Turn on the power to the hardware in this sequence:

1. X-ray generator
2. PC.

Service Manual: Portable i5 — DR2GO 3

After a few minutes, once DR2GO has completed its power-up self-test routine, the login screen displays
on the PC. The individuals who have been assigned to use DR2GO are listed on the login screen. Select
your assigned identity from the login screen, and type in your password. Please note that the password is
case-sensitive; so, match upper- and lower-case letters exactly.

The tablet PC does not have a phys-

ical keyboard, the on-screen touch
keyboard appears to permit you to
type in the username and password
(see figure for typical appearance of
keyboard). This keyboard appears
when DR2GO requires input.
Simply touch the keys on-screen as you would a physical keyboard. When input is complete,
touch the appropriate DR2GO on-screen button to accept the input — such as a floppy disc icon
to save the input. To dismiss the keyboard from the screen, touch the on-screen button display-
ing a square with a dot (see image at left).

Calibrate the panel? Just after you turn on DR2GO system, it may tell you that the detector panel needs to
be calibrated. See Information on your flat panel detector in Part 2 of this manual for instructions.

Login levels

Accounts were created for users when DR2GO was set up. Users were assigned to one of the following
three groups: Operator, Superuser, or Service Technician. Operators have full access to use the system in
Clinical Mode. The subject of this manual is the use of Clinical Mode by Operators.
Both Superusers and Service Technicians may work on DR2GO in Service Mode and configure basic ele-
ments of the software in ways that affect the use of DR2GO at the clinical site. They may also assign addi-
tional users to DR2GO.

Clinical Mode

After you login, a small title screen for DR2GO displays, showing the system name and manufacturer. This
is quickly followed by DR2GO's main image screen for Clinical Mode (below). Details of how to work with
DR2GO are presented in later chapters of this manual. In broad terms, DR2GO's tools and controls are in
the band on the right — although you can put the controls on the left (with Service Mode, discussed later),
if that is preferred. Most of the screen's space is available for the x-ray images to appear on the left.

4 Operator’s Manual: Portable i5 — DR2GO

 FIGURE 1. DR2GO image area and Clinical Mode Main Menu

Software version

If you have questions about DR2GO and need to communicate to your supervisor or to InfiMed the version
of the software that you are using, touch the InfiMed logo at the top of the menu controls (Figure 1, upper-
right corner). A new window opens, and it shows you the software version number.

Guide to DR2GO tools

When you operate Portable i5 — DR2GO, generally you touch or click icons on the screen. If an icon is
dim — grayed out — that particular function is unavailable at the moment.

The most common functions that you use with DR2GO are collected
just under the InfiMed logo in the five Main Menu icons. They have
the following functions:
• Open patient list
• Image emergency patient
• Look in user help files
• Close patient
• Access study list
• Send study to network storage.

The function of each of these items is explained later in this manual.

Operator’s Manual: Portable i5 — DR2GO 5

 NOT ALL MENU CHOICES ARE AVAILABLE AT ALL TIMES.
IF YOU SEE ICONS OR PANELS THAT APPEAR DIM,
THEY ARE UNAVAILABLE WHILE YOU ARE PERFORMING YOUR CURRENT FUNCTION.
FOR EXAMPLE, IF YOU HAVE NOT YET OPENED A PATIENT LIST,
THERE IS NO FILE TO BE(1) CLOSED OR (2) SENT TO NETWORK.

The open record

The name of the patient and study that is open displays below the Main Menu icons. In this way, you
always have a check on the patient at hand and the purpose of the imaging. In Figure 1, the record dis-
plays an emergency patient (EP, with an artificial ID). For non-emergency patients, the actual name dis-
plays here. The chapter “Patient Data” on page 11 explains how you work with patient data.

Help

To review DR2GO help information on the monitor at any time, select the icon with the question
mark.

Changeable menu area

The Main Menu area (the icons located just under the manufacturer’s logo) does not change, but much of
the rest of the menu band varies depending on the task at hand. In general terms, the basic functions of
DR2GO are acquiring images, reviewing and processing images, and storing or printing images. In each
instance, the middle part of the menu band changes to give you tools specific to the work that you are
doing.
The x-ray generator with your system is not integrated.

Additional tools

Important features of DR2GO — such as acquisition profiles, dose — are discussed in later chapters of
this manual.

6 Operator’s Manual: Portable i5 — DR2GO

 FIGURE 2. Information about detector

Detector information

Several different x-ray detector panels may be used with DR2GO. The Service Technician will already
have configured one or more panels for use at your site. Neither the Operator nor the Superuser may alter
the panel that has been configured. For additional information about the panel itself, see Part 2 of this
manual.

The name of flat panel detector that is available to the Operator and in use displays below the Acquire and
Review Tabs on the menu band. In Figure 1, it is simply named New Detector. To see details about the
detector, touch or click the detector's name, and a new window appears. Figure 2 shows an example of
how the window might look — depending on your particular detector. The top pane of this window lists the
detector that is in use. Status information displays in the lower pane (detector temperature and so forth).

Calibration

When you begin your daily use of DR2GO, the system may require or suggest that the panel be calibrated.
You may select to perform calibration.
Calibration requirements of detectors vary. Please see the detailed information about your detector in Part
2 of this manual. DR2GO also provides on-screen directions for calibration.

Operator’s Manual: Portable i5 — DR2GO 7

Additional menu choices

Additional tools are available to the technologist. To find these choices, touch or click the arrow
pointing left at the bottom of the Main Menu screen. A new menu appears across the bottom of
the screen. This menu gives you the additional choices shown in Figure 3 and explained below.
To hide these options, click the arrow icon again.

FIGURE 3. Additional commands — DR2GO

a. Dim main display. Darken or brighten the user interface portion of the screen, as you please, for conve-
nient viewing. The image area's brightness is not altered.

b. DICOM jobs status: View and control the files or images sent to the network, to disc, or to print. For each
job, the status lists the patient, the destination of the file or image (such as to a PACS device), the
stage of the job, and the job's progress.

c. Tech's initials: You may add or remove a technologist's initials to DR2GO's records. When
you select this icon, a small box pops up on the screen (Figure 4, left). Touch or click
the middle icon — the pad and pen with the plus sign. That action opens another box,
and there you may enter or remove the initials of the Operators of DR2GO.

FIGURE 4. Add or remove Operators’ initials

If initials are selected before image acquisition, the selected initials are also used to identify the
Operator during DICOM transfers. (The Service Technician who configured DR2GO for your loca-
tion had an option to enable a prompt for technologist's initials or not.)
d. Enter Service Mode: All users may operate in Clinical Mode. In Service Mode, however, privileges are
restricted. Operators have access only to the log function and some user preference settings such
as language. Superusers have access to DICOM, acquisition profiles, users, and logs. Service
Technicians have access to all service functions. Your use of Service Mode, as an Operator, is
explained in “Operator’s Use of Service Mode” on page 49. When an Operator enters Service
Mode, he or she is required to login again.

e. Exit from DR2GO. When your work is finished, select this icon to exit and shut-down DR2GO.

8 Operator’s Manual: Portable i5 — DR2GO

Image quality

It is prudent to check image quality daily, before any patient images have been acquired but
after any necessary calibration.

To do so, acquire an image using a phantom — if a phantom is available. Otherwise, acquire an

image using a radiopaque object that is consistently available. (Use the same object daily.) Then, retrieve
and review the image to see if it meets your site’s quality requirements. The objective is to look for possible
trends in image degradation. Finally, delete the image.

Data & privacy

To assist clinical sites in maintaining the privacy of records, DR2GO may be configured to implement two
features:
Screen saver. If a patient's record is not open, a screen saver can activate in 1 to 30 minutes after the
technologist's last input. The screen saver hides the data on the screen. Strike a key, move the
mouse, or touch the screen to displace the screen saver.

Auto logout. DR2GO can log out the technologist after a given time period (1 to 30 minutes) once a
patient's record is closed.

The Service Technician who set up DR2GO specified the time intervals before activation of these features
in DR2GO’s Service Mode. Alternatively, the Service Technician may have disabled these features to pre-
vent their activating.

Exit & power-down

To exit DR2GO, select the left-pointing arrow at bottom of menu in Clinical Mode,
and then select the closing door icon on the horizontal menu.
The system terminates unless it has work in progress such as acquiring images or
sending files to DICOM or to the printer. Once these tasks are complete, DR2GO
returns you to the login screen. At that point, you or another individual may login and use DR2GO.
Don't shut down DR2GO by turning off the power switch on the PC. The computer itself will turn off the
power as part of the shutdown procedure. If you turn off the power prematurely, data could be lost.
Once the DR2GO system has terminated power to the Tablet PC, move the dial to the upper-left of the
Tablet PC — but on the cart, not on the Tablet PC — to Off. Then, turn off the breaker at the back of the
cart’s cabinet. See Figure on page 4. Finally, you may plug in the cart to keep its battery charged.

If the computer does not power-off when you follow this procedure, contact your information technology
department for assistance.

Operator’s Manual: Portable i5 — DR2GO 9

 WE RECOMMEND THAT YOU TURN OFF THE DR2GO SYSTEM AT THE END OF EACH DAY’S WORK.

HOWEVER, LET THE SYSTEM FINISH BEFORE SHUTDOWN

DICOM STORAGE OR A PRINTER.
IF IT IS ACQUIRING IMAGES OR SENDING IMAGES TO

10 Operator’s Manual: Portable i5 — DR2GO

CHAPTER 2 Patient
Data

This chapter helps you to understand how to work with the data associated with patients and their images.
On a typical day, a worklist of patients and information about the patients’ imaging requirements will be
presented to you. You may need to query the system to find other specific patients, too.
The goals of this chapter are to:
• Familiarize you with patient and study records
• Show you how to maintain the records.

SOURCES OF DATA FOR DR2GO:

- IMPORT FROM WORKLIST

- CREATE NEW PATIENT, AND MANUALLY ADD DATA.
- CREATE EMERGENCY PATIENT.

Using the worklist

A study commences when a patient is selected for an exam that requires the creation of an
image. To begin, touch or click the Open Patient List icon (see Figure 1 on page 5).

Once a patient is open, you can immediately go to his or her studies by selecting the Studies
List icon from the main menu (Figure 1 on page 5).

The open patient is closed when you select the Close Patient icon in the main menu area
(Figure 1 on page 5).

Service Manual: Portable i5 — DR2GO 11

Worklist & patients

If your system has been configured to communicate with a worklist device, you next see a new window
with two tabs in the upper left of the window: patient list, worklist (Figure 5). When this window opens, the
worklist tab is selected by default. (If you don't see the worklist tab, no worklist device has been configured
with your system.)

DR2GO searches the worklist device — shown as Primary Worklist in Figure 5 — to list the scheduled
patients.
When your DR2GO system was configured in Service Mode to use a worklist, the Service Technician set
up the default worklist device for your use. If more than one worklist device was configured for your sys-
tem, you may choose to query one of the other devices. Select the device of your choice from the drop-
down menu (see Figure 5).
After you enter your choices for the patients to be selected, refresh the list by touching or clicking
the two circular arrows. In most cases, however, DR2GO will refresh the list automatically and
download the patients immediately. (Such an automatic refresh option was set by the Service
Technician when the DR2GO was set up for your site. This automatic refresh is a practical choice
because it saves the technologist one step in the process.)

FIGURE 5. Worklist

When it selects records, DR2GO uses a default query. The default query finds patients with:

• Modality: DX
• Schedule: Today
• Location: Local system.

If necessary, you may alter that query. Note that in Figure 5, location has been changed to Any System.

12 Operator’s Manual: Portable i5 — DR2GO

You may further refine the query with patient last name and the other data fields shown in Figure 5. If the
screen does not auto-refresh, click Refresh after each change that you make in the worklist query.

USE PARTIAL DATA IN YOUR SEARCHES OF FIRST NAME, LAST NAME, OR PATIENT ID.
FOR EXAMPLE, TO FIND JOHNSON, JOHNSTON, OR JOHNS, JUST ENTER JOHN IN THE QUERY.

From among the patient records returned by your query, touch or click on the record of interest to
select it. To open this record, touch or click the Open icon (lower-right in Figure 5). DR2GO puts
the selected record into the patient database and opens the selected patient.

_____________________

THE PATIENT IS NOW READY FOR IMAGE ACQUISITION.

____________________

The patient list

The patient list offers many ways to manage patient information. With the patient list, you can:

• Add, edit, or delete patient and study data

• Customize the presentation of the studies on-screen
• Use sophisticated search tools to find specific patients
• Export data to network storage.

A patient may need to be added to the system manually, or the patient's data may need to be
changed. The procedure is the same as opening the worklist see “Using the worklist” on
page 11. To begin, touch or click the Open Patient List icon. That action opens the Patient List/
Worklist window with the worklist records visible, if so configured (Figure 5). If a worklist device
is not configured, the Patient List window opens by default.

Select the Patient List tab, if necessary. See Figure 6; note that this figure shows the Patient List with study
details including a preview image that are already displayed, not as it would appear when first opened.

Operator’s Manual: Portable i5 — DR2GO 13

 FIGURE 6. Patient List

From this window, you may select a patient or study that already exists.

At this point, your work can proceed in one of three ways:

Patient & study contain no images. Touch or double-click on the text that lists the study to
open it, or select the Open icon. Study opens in Acquire Mode.

Patient & study contain images. You are prompted whether you want to add images to the
study. If Yes, study opens in Acquire Mode. If No, study opens in Review Mode.

Patient & study contain images. You may select the icon for Add Images To Study. This action
bypasses a prompt and opens the study in Acquire Mode.

Add patient

You add a new patient in two ways:

1. Start a new record manually, and enter identifying information. Add images later. To start a
new patient manually, choose the Add Patient icon. A new window opens with data fields for you
to fill in. See Figure 7. The data that DR2GO might request when you start a new patient is listed
in Table 1. Your clinical site probably asks for just a few of these items.

14 Operator’s Manual: Portable i5 — DR2GO

 TABLE 1. Data for patient record

Patient data Study data

-Name -Study ID
-Patient ID -Study type
-Date of birth -Description
-Address -Referring physician
-Telephone 1 -Performing physician
-Telephone 2 -Accession #
-Region of residence -Patient sex
-Country of residence
-Government ID • Scheduled procedure descrip-
-Occupation tion
• Requested procedure descrip-
tion
• Requested procedure ID
• Scheduledprotocolcodevalue.

2. To image an emergency patient, select the ambulance icon from either the Main Menu
(Figure 1 on page 5) or the Patient List (Figure 6). You may begin imaging immediately. No
identifying information needs to be entered. The patient record can be completed or modified
later.

Figure 7 shows you all the patient data fields, but some fields are shaded (not used at your site). Other
boxes have an outline (red on color monitors), and these fields must be filled in. The remaining fields are
simply open boxes; you may add data to these fields or not.

When DR2GO was configured for your site, the Service Technician specified which data fields were:

• Used
• Not used
• Required.

This configuration can be changed in Service Mode.

A note about adding birth dates. Enter the date directly from the keyboard. Alternatively, touch or click the
calendar icon. Then, touch or click the month and year at the top of the calendar. A new calendar with just
year and month appears. Select the year (< for back and > for forward). Select the month. Then, select the
day.

Operator’s Manual: Portable i5 — DR2GO 15

 FIGURE 7. Add or edit patient data — add study — add physician

Edit patient

PATIENTS IMPORTED FROM A WORKLIST CANNOT BE EDITED.

Select the patient and study from the patient list, and touch or click the Edit Patient icon (man with note
pad). An edit dialog window opens with the currently stored patient, study, series, and sequence data filled
in. The fields may be edited, with the same conditions stated for adding a patient.

Add study data

Each time you create a patient, the record begins with a new study; the first study that you add is titled
“Study 1" by default; see the left pane of Figure 7. You may change the study's name in the appropriate
field of the right-bottom pane (Study ID).

Add a study. To add a study for the selected patient who is being added or edited, touch or
click the left-most icon along the bottom row of the screen (Figure 7). A new listing appears in
the left pane (for example, Study 2). You may then add the descriptive information to the data
fields to define this new study. Information for this new study is added directly with this dialog
window (Figure 7).

Physicians. Select the referring and performing physicians from the drop-down menus. If the
physicians for the particular patient are not listed, touch or click the physician icon (second-
from-left at the bottom of Figure 7). A new window opens (not shown here) that permits you to
add physicians. Note that it is important to classify the physicians as referring or performing or

16 Operator’s Manual: Portable i5 — DR2GO

both. A list of all the doctors whose names have been added to DR2GO displays on the right side of this
new window. You may also remove physicians' names through this window.

When you are satisfied with the patient data that you entered, save the record. Touch or click
the floppy disc icon with the checkmark on it. This action returns you to the patient list. Alter-
nately, touch or click the open icon (second from right in Figure 7, next to X), and the selected
study is both saved to the database and then opened.

Adding images

Once you save the data that you entered to describe the new study, you may begin to add
images to it. Touch or click the Open Study icon on the bottom row of the window (Figure 7).
DR2GO is now ready to acquire images, and the images will be filed in the new study.

You may also add images to an existing study that already contains images. First, select the
study in the left pane of the window (Figure 7). Next, touch or click the Add Images icon, located
in the middle of the bottom row of icons. DR2GO becomes ready to add images to the selected
study.

Note: If you select the Open icon for a patient that already contains images, DR2GO asks whether you
wish to add images to the study. If Yes, the study opens in Acquire Mode; if No, the study opens in Review
Mode.

Customize presentation of data

When you select and view a study from the Patient List, the data is arrayed in columns. The columns show
you the study date and time, image count, study ID, and accession #. Initially, data are sorted by date with
the latest study first.

If you must find one of many studies for a patient, it may be convenient for you to reorder the list of studies.
To do so:

Reorder the studies from ascending to descending order and vice versa. Touch or click the column
header, such as Study Date/Time. You can reorder the data under each of the other columns in
the same way. Note the triangle in the Study Date/Time column in Figure 8. Its direction, up or
down, indicates the sorting order for that column, ascending or descending respectively.

Reorder the columns. For example, you can put the column for accession # first. To do so, touch- or
click-and-drag the column header to the position you prefer.

Alter the width of each column. Touch or click the dividing line between each column, and drag it to the
width that you prefer.

Alter the way records are viewed. Select from full descriptive data, medium (name, ID, and image
count), or minimal (just names). See Style in upper-right of the Patient List (Figure 6).

Operator’s Manual: Portable i5 — DR2GO 17

 FIGURE 8. Reorder data on the screen

Search records

The upper-right part of the Patient List window (Figure 6) gives you tools to search for the
patient(s) that you need. Touch or click the Search icon (man with binoculars). Once you do so,
additional tools become available on that same window (Figure 9), and these tools permit you to
filter by patient last name, accession #, patient ID, and physician.

FIGURE 9. Patient List window ways to filter records

(only top of window is shown)

Once your filter criteria have been entered, touch or click the funnel icon to begin the filter (or
the funnel with the X to cancel the filter). Records that meet your criteria are then listed on the
page. Use the option to the right of the Search icon — Sort By — to sort the records by date,
name, or patient ID.

Delete

You may remove patient records or specific studies from the Patient List (Figure 6). To
do so, highlight the records to be deleted, and then select the delete patient or delete
study icon.

18 Operator’s Manual: Portable i5 — DR2GO

 IF YOU DELETE PATIENTS OR STUDIES FROM THE PATIENT LIST,
THE DATA IS REMOVED AND CANNOT BE RETRIEVED.

BE SURE TO EXPORT AND STORE NEEDED RECORDS ON PACS OR ANOTHER DEVICE

BEFORE DELETING THE RECORDS FROM THE PATIENT LIST.

Export & import data

While you are working with a study, you may send the study to a DICOM storage device. Touch or
click the network icon on the Main Menu of DR2GO (Figure 1 on page 5) or on the Patient List
window (Figure 6).

See details on how DR2GO can export and import data in “Export, Import & Print” on page 41.

Operator’s Manual: Portable i5 — DR2GO 19

20 Operator’s Manual: Portable i5 — DR2GO
CHAPTER 3 Acquire Images

This chapter explains how to:

• Acquire images
• Optimize workflow while reducing dosage levels
• Work with your x-ray generator and DR2GO.

BEFORE YOU ACQUIRE AN IMAGE:

1. OPEN PATIENT & STUDY.

2. CONFIRM OR SELECT WORK PROCEDURE.
3. SEE THAT X-RAY GENERATOR AND DETECTOR ARE READY TO ACQUIRE.

Figure 10 shows DR2GO as ready for image acquisition. Note that a study is open. The patient's name
(Jason Ballmer) is listed along with his study (#1), and the acquisition profile is visible (#2). Additionally,
information is available about the flat panel detector that is in use.

Operator’s Manual: Portable i5 — DR2GO 21

3. ACQUIRE IMAGES

FIGURE 10. DR2GO — Main Menu, ready to acquire images

(cutaway view of screen)

Acquisition profiles & work procedures

By the time that the technologist begins to work with DR2GO, DR2GO should already have been config-
ured with acquisition profiles and work procedures:

Acquisition profiles supply you with built-in image processing to provide the most favorable imaging pro-
cedure for each work item.

22 Operator’s Manual: Portable i5 — DR2GO

 3. ACQUIRE IMAGES

Work procedures step you through a sequence of images that are commonly used together.

The acquisition profiles and work procedures were configured in Service Mode and can be modified by the
Service Technician or Superuser. When collecting individual images, the technologist can change the
parameters of an acquisition profile.

At start-up before a patient has been opened, DR2GO begins to operate in Idle Mode. Much of the menu
area is grayed-out because the functions are unavailable in Idle Mode. Note that no acquisition profile is
listed when in Idle Mode. Without an open patient, there is no reason yet to have an acquisition profile for
images.

When you open a patient, DR2GO switches to Acquire Mode to permit you to collect images. When in
Acquire Mode, many functions of i5 are available.

After you open a new patient study or an existing study to which you wish to add images, the images may
be acquired with DR2GO. As soon as the patient has been opened in acquire mode, DR2GO selects the
acquisition profile or work procedure.

As discussed in the chapter on patient data, one of four data items can be used to describe each study:
• Scheduled procedure description
• Requested procedure description
• Requested procedure ID
• Scheduled protocol code value.

The ID used at your site is matched to set up a work procedure on DR2GO. With that match, DR2GO orga-
nizes the images — work items — that are necessary to serve the patient. See Table 2.
TABLE 2. Work procedures organize multiple work items

Work procedure — used to organize Image acquisition

Work item #1 Work item #2 . . . And so forth
- Region - Region
- Exam - Exam
- Position - Position

The acquisition profiles and work procedures are meant to assist the technologist, yet the technologist can
always override the settings.

If you wish to use settings different from those specified in the acquisition profile for an image. You may
alter the acquisition profiles themselves — substitute one for another, say. More on these topics later in
this chapter.

Operator’s Manual: Portable i5 — DR2GO 23

3. ACQUIRE IMAGES

Modify acquisition profiles

The imaging work for the patient listed in the figure above was opened from a worklist. Therefore, the
patient’s acquisition profile was automatically set.
If the patient had been entered manually, no acquisition profile would have been attached to the patient’s
procedure, and DR2GO's default acquisition profile would show the following manufacturer’s default set-
tings:
• Region: none
• Exam: none
• Position: none

(Your site's defaults may differ, however, because when the Service Technician set up your system, he or
she may have selected a different acquisition profile as the default.)
To modify this acquisition profile, touch or click the small box on the Main Menu area that is entitled Acqui-
sition Profile (located below the Acquire Tab). A new window opens, and it gives you access to the
already-configured acquisition profiles of DR2GO. These profiles were configured by InfiMed, and, if nec-
essary, the Service Technician modified them to suit your site when DR2GO was put in order for your use.
FIGURE 11. Modify acquisition profile

When you invoke the acquisition profile selection window (above), the current acquisition profile displays
by default. If you select a different region, that region's default exam and position are highlighted.
You may select other settings as you wish; just touch or click the region, exam, and position desired.
Touch or click the checkmark in the lower-right of the window to accept your newly selected region, exam,
position combination, and it will be used for the next image acquired.
The effect of your action is as follows:

• If you are not using a work procedure, the region-exam-position combination you select sets the
image profile settings for the next image that is acquired — replacing the previous settings.

24 Operator’s Manual: Portable i5 — DR2GO

 3. ACQUIRE IMAGES

• If you are using a work procedure, the selections that you make will be added as a work item to the
work procedure and displayed as the current work item.

These settings are used for the next image that you acquire.

Using a work procedure

A work procedure is a set of work items (region, exam, and position settings) grouped together in a specific
order. The work procedure is designed to assist your daily work by sequencing routine imaging exams and
providing the appropriate settings for each image acquired.

THE WORK PROCEDURES TAB IS ONLY AVAILABLE

IF NO IMAGES HAVE BEEN ACQUIRED INTO A PREVIOUSLY SELECTED WORK PROCEDURE.

ONCE AN IMAGE HAS BEEN ACQUIRED INTO A WORK PROCEDURE,

THE WORK PROCEDURE CANNOT BE CHANGED.

A patient that is imported from a worklist has an already-configured work procedure selected automatically.
If you enter a patient manually, however, you must select a work procedure from the dialog window.
To begin, select the Work Procedure tab of the Acquisition Profile selection window (above). The work pro-
cedures window presents all the work procedures that have been configured for your site (see figure
below).
FIGURE 12. Work procedure

Operator’s Manual: Portable i5 — DR2GO 25

3. ACQUIRE IMAGES

Highlight the work procedure that you wish to use, and confirm by touching or clicking the checkmark icon
in the lower right. The work procedure, see figure below, then appears as an overlay on the Main Menu
screen — over the Acquisition Profiles box.

ONCE THE SETTINGS ARE SATISFACTORY,

YOU MAY ACTIVATE THE GENERATOR,
AND ACQUIRE THE IMAGE.

FIGURE 13. Overlay — on main menu— for work procedure

Having selected this work procedure, you can follow the progress of its individual imaging work items. The
overlay on the Main Menu screen also shows each work item in the sequence of the work procedure.
Once the first image in this work procedure has been acquired, a checkmark appears in the region-exam-
position box. When all work items have been completed, a checkmark appears next to the work proce-
dure's name (below).
FIGURE 14. Work item complete

WHEN RADIATION IS ACTIVE,

DR2GO DISPLAYS A RADIATION SYMBOL IN THE LOWER LEFT OF THE MAIN IMAGE AREA.
WHEN RADIATION CEASES,
THE EXPOSURE AND ITS SETTINGS ARE LISTED IN THE STATUS AREA.

26 Operator’s Manual: Portable i5 — DR2GO

 3. ACQUIRE IMAGES

Auto advance

The DR2GO system for your site can be set up to (a) advance automatically to the next work item in a work
procedure as soon as the current image is accepted or (b) require that the technologist specify to advance
to the next work item at his or her choice. (The Service Technician implemented this setup when DR2GO
was installed. It can be modified in Service Mode.)

If you must specify when to advance, use the arrows on either side of the work procedure inset window
(above) to advance the imaging sequence in the work procedure.

Operator’s Manual: Portable i5 — DR2GO 27

3. ACQUIRE IMAGES

28 Operator’s Manual: Portable i5 — DR2GO

CHAPTER 4 Review
Images

This chapter shows you how to enhance and annotate DR images for review. The review function of
DR2GO is available immediately when you open a patient whose records contain images.
You may evaluate or print images with the review function. To begin, touch or click the Review Tab on the
Main Menu. The tools you need to evaluate, process, and annotate images become available. You may
also reject images.

Export images during review

While you are reviewing images, you may export one or more to:

• Network storage location

• USB flash drive.

Preview image

The preview image is the single small image in the Review Mode menu area. Use the arrows beneath the
image to scroll through all the images in the current study.

Rejecting images

As you review images, you may mark them for rejection. Touch or click the Reject
Image icon, the photo with an X in the lower-right corner. When you reject an image,
a large red X (right) appears in the main image area, and on the preview image. To

Operator’s Manual: Portable i5 — DR2GO 29

4. REVIEW IMAGES

“un-reject” the image, select the Reject Image icon again. It acts as a toggle. Note: You may have to pro-
vide a reason for rejecting the image — depending on how your DR2GO system was set up in Service
Mode by the Service Technician.

When you reject an image, the image is not deleted but just marked as rejected. When images of a partic-
ular study are reviewed, rejected images appear with all accepted images; the red Xs just denote that par-
ticular images were not accepted.

Rejected images cannot be printed, marked, or annotated. When the study’s images are sent to network
storage, the rejected images are not sent.

Image processing

THE MOST RECENT IMAGE PROCESSING CHANGES THAT YOU MAKE

ARE MAINTAINED AT THE CLOSE AND RE-OPENING OF THE STUDY.

When DR2GO was installed at your site, the Service Technician should have taken into account your doc-
tors' preferences for image presentation. Those preferences were configured into the way DR2GO oper-
ates.

Figure 15 shows the image review options that you have available with DR2GO. Touch the plus-
sign icon to switch from one set of tools to the other. Each of these tools is explained below.

30 Operator’s Manual: Portable i5 — DR2GO

 4. REVIEW IMAGES

FIGURE 15. DR2GO image review tools

Automatic image enhancement

When you review images, you have some latitude to refine individual images with the AIE (automatic
image enhancement) drop-down menu, see Figure 15 “AIE Settings,” lower area). This is the image pro-
cessing function. If you choose to change the AIE, your options are off, low, medium, or high.
You may save the image that you altered through the image processing function. The saved image, the
copy, becomes a new image in the current study. DR2GO places a notation on this new image to identify it
as a copy when the image is exported to storage or printed. See “Dicom preferences” on page 43 for infor-
mation about exporting the copy.

The icon with three overlapping circles — one of DR2GO’s review tools — permits you to alter
AIE, and it permits you to select a different acquisition profile (region, exam, and position) for the
image at hand. See Figure 16, for example. No acquisition profile was used on the original
image in Figure 16, left side. An acquisition profile was specified, however, for the image on the
right.

Operator’s Manual: Portable i5 — DR2GO 31

4. REVIEW IMAGES

FIGURE 16. Process the image: Modify AIE or acquisition profile

When you are satisfied with the appearance of the image, save it. Touch or click the floppy disc
icon with the check mark — next to the AIE drop-down menu (Figure 16).

Rotate & flip image

Three menu icons available with the review function permit you to:

• Rotate the image by 15º, 30º, 45º, and 90º

• Flip the image horizontally
•Flip it vertically.

Brightness & contrast

The brightness of the image may be raised or lowered. And the contrast between light and dark
areas can be increased or toned-down. Use the brightness-contrast icon. When you select the
icon, the cursor changes to mimic the icon as you move across the main image. Touch- or click-
and-drag the icon across the image. Table 3 shows the effects of dragging the cursor. You may
also combine cursor moves; for example, moving the cursor to the left and up both increases contrast and
reduces brightness.

The preview image shows the changes to contrast and brightness as does the main image.

TABLE 3. Cursor movement & contrast-brightness

Cursor movement Brightness Contrast

Left - Sharper
Right - Duller

32 Operator’s Manual: Portable i5 — DR2GO

 4. REVIEW IMAGES

TABLE 3. Cursor movement & contrast-brightness

Cursor movement Brightness Contrast

Up Darker -
Down Lighter -

Manual shutters

NO ANNOTATIONS, MARKERS, OR MEASUREMENTS SHOW WHILE YOU USE THE MANUAL SHUTTERS.

THEY RETURN ONCE YOU ACCEPT A DEMARCATED (SHUTTERED) AREA.

The manual shutters control allows you to demarcate a region of interest within the main image.
Touch or click the Manual Shutters icon. A new menu, specific to manual shutters, appears just
below. If manual shutters had been applied to the image previously, your action of selecting the
manual shutters nullifies the previously demarcated area. You may then re-demarcate the ima-
geUse the new menu to add a rectangle, to add a polygon — up to eight points, to edit a shuttered area
(touch- or click-and-drag the corner points), and delete shuttered area.

Once you elect to create a rectangle or polygon:

1. Move the cursor to the point at which you wish to start, and touch the screen or click the mouse.
2. Move the next location, where the shutters are to be applied. Touch or click again, and If you are cre-
ating a rectangular area, the shutters now appear.
3. If you are creating a polygonal area, go to the next point; repeat the process until you reach the last
point of the polygon. At the polygon’s last point, double-touch or -click, and the polygon closes. The
polygon also closes once eight points, the DR2GO’s maximum, is reached.

Once you have created a rectangle or polygon, you can reshape it by touching- or clicking-and-dragging
the corner points to new locations on the image.

When you are satisfied with the demarcated area, touch or click the original icon for manual shutters. That
action causes the following to happen:

• The demarcated area zooms to the center of the main image area; the spaces outside the rectangle
or polygon go black.
• The thumbnail of the image shows the demarcated area, too.
• The image shows you the location of the demarcated image within the full area of the original image.

When you finish with the manual shutters feature and exit, the image reverts to the zoom level that you
previously had selected — including no zoom if that were the case.

Operator’s Manual: Portable i5 — DR2GO 33

4. REVIEW IMAGES

Polarity (black to white, white to black)

Viewing a particular image may be more convenient with the polarity reversed. Touch or click
the polarity icon on the Review Mode menu. This is a toggle, and activating it a second time
causes the image to revert to its last appearance. By default, DR2GO applies the lightest parts
of the image to the densest body parts (bone).

Revert to saved image

You may revert to the original appearance of the image (with the image processing last applied
as the patient record was closed) at any time. Touch or click the Revert icon (arrow circling
left). This action removes any changes in AIE as well as other image processing that you have
added in the current session. Annotations and pointers, however, remain.

Annotations & pointers

UP TO 10 NOTES & POINTERS MAY BE PUT ON A SINGLE IMAGE

A NOTE MAY HAVE UP TO 30 CHARACTERS.

To add text or arrows to an image, select the Review Mode tool for Annotations and Pointers.
DR2GO offers a variety of functions to marking up an image both with predefined notes and
with custom notes and arrows. When you select the tool for Annotations and Pointers, DR2GO
gives you a set of tools for using predefined notes and another set for using managing notes
and pointers.

34 Operator’s Manual: Portable i5 — DR2GO

 4. REVIEW IMAGES

FIGURE 17. Options for annotations & pointers

Using predefined notes

In Figure 17 (left) the tool for predefined notes is circled. Below it is a tool for adding notes (the
letter A with a plus sign) and several already-defined notes — such as “left,” “right,” “supine.”
You may drag these notes to the image and drop them where you wish to locate them.

You may define additional notes and add your notes to this list. You may also add the initials of technolo-
gists who use the DR2GO system. Then, you will be able to drag-and-drop your own notes to the image.

To create your own notes or initials and add them to the list, select the Add Annotation icon.
That action opens a new window (Figure 18). Add your new note or initials. Put the new note in
the box at the top of the dialog window. When you are satisfied with the new note, select the
plus sign. Then, select the checkmark, and the new note joins the others that are already pre-
defined. When more notes are defined than fit on the screen, you may scroll through the predefined notes
with the up and down arrows.

Predefined notes or initials may be removed from this same dialog window. Highlight the item, and select
the large minus sign. Then, click on the checkmark.

Operator’s Manual: Portable i5 — DR2GO 35

4. REVIEW IMAGES

FIGURE 18. Add annotations & initials

Managing notes & pointers

In Figure 17 (right) are the tools used to manage notes and pointers. These tools are explained below.

Add note Add pointer Add note & Clear all

pointer —
linked

Edit notes & Copy to all Detachlinked Delete

pointers frames note&pointer

Select the Add Note icon, and the cursor becomes the letter A when you place it over the main image.
Touch or click on the main image at the location where you wish to add your note. A small window opens
(Figure 19), and you simply enter the text for the note. The note appears at the location when you touch or
click the checkmark. If you wish to move the text, move the cursor on the text until it appears in the shape
of a hand with an extended index finger. Touch- or click-and-drag the note to the place on the image that
you wish.

FIGURE 19. Add new note

A pointer is added in a similar way. First, select the Add Pointer icon. The pointer may also be moved on
the image when you have the cursor in the form of an index finger. The pointer maintains its orientation
during the move.

You may also move the start tip or end tip of the pointer. To do so, move the cursor to the tip, and when it
takes the form of a four-arrow pointer, move the tip to the desired location.

36 Operator’s Manual: Portable i5 — DR2GO

 4. REVIEW IMAGES

When you add a note and a pointer at the same time, the note and pointer are attached to each
other. Once you add the note and select the okay (green checkmark) button, both the note and
pointer appear. You may move the note around, but the base of the arrow stays with it. You
may alter the length and orientation of the arrow. With the attached note.

To modify a note or pointer, select the Edit icon. Touch or click the item of interest. For text, a
new window opens that allows you to modify the words, change the size of the text, and toggle
bold or italic (Figure 20, left). For a pointer, a new window opens that gives you options for the
appearance of the pointer, such as a dashed or dotted shaft for the arrow and different types of
arrow heads (Figure 20, right).

FIGURE 20. Annotations & pointers: Change appearance

Remove notes and pointers from the image, select the Delete icon, and then select the note or
pointer to be eliminated from the image.

Measuring tools

DR2GO offers a number of ways to measure image components. To make these functions
available — or to hide them — select the measuring tape icon below the Review Tab. The mea-
surement tools enable you to calibrate against a catheter of known length, to measure length,
and to measure angles. Technologists may find that using a mouse for pointing is more accurate
with measurement tools than is touch.
You may apply any of the other controls — such as printing, measuring, or send to storage — to
the current image. Additional controls are available when you select the blue plus sign.

Once you have added a measurement to the image, you may edit it, delete it individ-
ually, or delete all measurements. Use the eraser icon (right) to delete all measurements. While
using the length or angle functions, you may adjust the gray-shade of the lines on the screen;
right-click your mouse with the screen cursor on the line.

Operator’s Manual: Portable i5 — DR2GO 37

4. REVIEW IMAGES

Calibrate first

Calibrate a measurement for each image sequence that you wish to work with. Select the cali-
bration icon. The cursor, when over the main image, changes to appear just as the icon. You
may calibrate at any time while you are making measurements. If you recalibrate after having
made some measurements, all measurements are updated to match the new calibration on the
currently displayed image. If you do not calibrate, measurements are displayed in pixels (picture dots).
In the main image area, click one point on your reference catheter or other reference marker; move the
cursor; click a second reference point. The calibration dialog opens. It shows a default of 5 French units.
Change the 5 to the correct value (from 3 to 8), or insert a specific value in millimeters.
The calibration marks on an image disappear when you switch to use the length or angle measurement
tools. They are not part of the image.

LENGTH AND ANGLE MEASUREMENTS BECOME PART OF THE IMAGE

— AND ARE SAVED WITH THE IMAGE.

Length

Select the ruler icon to measure a length on the main image. Mark the first point on the image
with a mouse click or touch, and then mark the second point. The measured length appears on
the image.
Once you place a measurement on the image, you may modify it. Touch or click an endpoint,
and move the point as you wish. The new length displays on the image. You may also move the line seg-
ment. Click on the line — not on an endpoint — and move the entire line while maintaining the current
length. Note: To move a line, the length icon must be selected (active).
Length measurements become part of the image — not an overlay — when they are drawn on the image.
Therefore, such measurements accompany the image when it is exported or printed.

Angle

Select the protractor icon to begin to trace an angle on the image. On the main image, select
three points to define the angle you wish to measure. The measured extent of the angle
appears on the image. You may modify the point of the angle with the cursor while the angle
icon is active.
You may also move the entire angle. Touch a line — not an endpoint — and move the lines and angle
measurements to the new location.

Distance

You may arrange a series of lines on the image and have DR2GO sum the lengths of the lines.
Select the Distance icon, and move the cursor over the image. The cursor takes the form of a
small ruler. Double-click or -touch the starting point, and select additional points with a touch or
click to mark the points between the line segments for which you wish to have distance mea-

38 Operator’s Manual: Portable i5 — DR2GO

 4. REVIEW IMAGES

sured. When you reach the endpoint, double-click or -touch. The total length of the line segments shows at
the start point.

To move the line segments, touch- or click-and-drag from the middle of one of the line segments once the
cursor has taken the form of an index finger.

To change the color of the line segments, use the Edit Measurement icon.

Image zoom

The menu area of the image review function gives you three ways to change the magnification of the main
image:

• Zoom in and magnify: Four levels of magnification (125, 150, 175, and 200%), starting when the
image fully fits the screen.
• Zoom out and reduce: Two levels (25 and 50%) to reach the stage when the image fully fits the
screen.
• Fit image to main image area.

When the image is magnified, you may touch- or click-and-drag on the image to
move it around (pan). You have the ability to pan across the entire image. If you
have applied manual shutters to the image, you can still pan across the entire
image area; the area outside the shutters, however, will just appear black (the
shutters).

Key image note

You may associate one comment with each image. To do so, first select the Key Image Note
icon. This action opens a new window that lists all image notes that apply to the current study
(Figure 21). If a note has been associated with the current main image, that note is highlighted.

Operator’s Manual: Portable i5 — DR2GO 39

4. REVIEW IMAGES

FIGURE 21. Key image notes

You may also associate an existing note with the current image. To do so, select the note from the window
(figure above), and touch or click the checkmark in the lower-right corner.

The two icons in the lower left of this window permit you to:

Add a note. When you elect to add a key note, a new dialog opens (not shown), and you may choose
notes from pre-made lists. Some of the selections, such as Quality Issue, present you with another
menu of choices so you may specify what the issue is. A small key icon displays on the border of
images that have these notes and on their thumbnails.

Remove a note. If you disassociate a note from an image, the note itself is not deleted from those perti-
nent to the study at hand, only its association with the current main image is lost.

Key image notes stay with images when they are sent to a DICOM storage device.

40 Operator’s Manual: Portable i5 — DR2GO

CHAPTER 5 Export, Import
& Print

DR2GO provides several ways to archive patient images and related data. You can export images to
DICOM network storage and to USB flash drive. You can also import such data to DR2GO. The system can
be configured — by a Service Technician using Service Mode — to communicate with several DICOM
devices.
This chapter explains:
• Exporting and printing basics
• Exporting from the patient list
• Tracking exported data and prints
• Importing from disc.

NEW IMAGES AND UPDATED DATA SHOULD BE EXPORTED TO A STORAGE FACILITY SUCH AS PACS.
IT IS NOT A GOOD PRACTICE
TO STORE IMAGES ON THE COMPUTER THAT IS RUNNING DR2GO.

Note the following points about exporting and importing:

• You cannot exit and shutdown while images are being exported or imported.
• Images and data exported by DR2GO cannot be correctly read by other imaging systems — though
the images can be seen with DICOM viewers. Use another DR2GO system to read the files.

DICOM IS THE ONLY FORMAT THAT PRESERVES IMAGE QUALITY.

AVOID USING ANY OTHER IMAGE FORMAT IN A CLINICAL ENVIRONMENT.
------------
DR2GO CAN BE CONFIGURED IN SERVICE MODE
TO SEND EACH IMAGE, AS IT IS ACQUIRED, TO DICOM

Service Manual: Portable i5 — DR2GO 41

Export & print basics

Whether you send an image to a DICOM network, to USB flash memory, or to a printer, DR2GO uses the
same approach:

Steps Action Example icon

1 Mark each image or sequence you wish to send. As an image is marked, DR2GO
places an icon to the lower right of the image on the screen to indicate it is so
marked.

2 If you change your mind, unmark the image.

3 Once all images are marked, select export options.

4 Invoke DR2GO's “send” function to trigger the action; for example, to send the
marked images to the network, select the icon of the network with the white check
mark in the green circle

Figure 22 shows the way these steps are arranged on the menu bar for each type of export and for print-
ing. The numerals in Figure 22 correspond to the steps in the table above.
FIGURE 22. Export & print basics — i5 Portable

Notes:

• Send to printer and send to USB flash drive are different because you can mark individual images in
a sequence (printer/USB flash drive with plus sign), or you can mark all images in a sequence
(printer/USB flash drive with two plus signs).
• See special notes about send-to-USB flash drive on page 44.

42 Operator’s Manual: Portable i5 — DR2GO

You may export all images to network; alternately, you may select individual frames for export. Table 4
indicates how to send single or all frames, depending on whether you are viewing the screen in single- or
multiple-image display style.

TABLE 4. DICOM send options — individual or many frames

Action desired Single-image display Multiple-image display

Sendindividualimage(s)orindivid- Select image. Selectindividualframewithtouchor
ual frame(s) of sequence Then, select Send icon. click.Formultipleimages,useCtrl-
touch or Ctrl-click on each image.
Send entire sequence (all frames) Select any single frame to send all. -
Then, select Send icon.

DICOM preferences

Once you've selected which images are to be exported or printed, specify how the images are to be sent.
You have the options listed in Table 5. For network export, these choices are made in a separate menu
that pops up (Figure 23) when you select the Preferences icon (#3 inFigure 22). For the printer, these pref-
erences are on the printer's menu are

TABLE 5. Preferences for exporting to network & printing

To network To printer
Select storage device Select printer
With or without processing Always includes processing
With or without notes & pointers* Always includes notes & pointers
Send as copy NA
Exclude patient data Includes on-screen data only
NA NA
NA NA
NA Number of copies
NA Format of images on paper
*To preserve notes & pointers, image must be sent with processing.

What options does the window give you for the way you wish the image exported (Figure 23,
Table 5)? With regard to export to the network, you may choose to:

•Export with image processing

• Export with patient information
• Export as a copy
• Export without patient information — anonymized.

Operator’s Manual: Portable i5 — DR2GO 43

 FIGURE 23. Pop-up menu: Set i5 Portable preference for export to network

When the selected images have been successfully exported or printed, DR2GO unmarks them. If you exit
DR2GO or close its export function, the images are unmarked.

Export to USB flash drive

A USB flash drive is portable memory storage. It is re-writable and holds its memory without having a
power supply.

WANT TO PUT IMAGES ON YOUR USB FLASH DRIVE?

USE ONLY USB FLASH DRIVES THAT ARE VIRUS-FREE & APPROVED BY YOUR IT GROUP.

Images in a study may be exported to a removable USB flash drive that is con-
nected to a USB connection port on the PC. The images that are exported are
not in DICOM format. They are individual images that are put in.jpeg [“JAY-peg”]
format. Alternatively, a series of images can be put into a movie format [.avi].
See icons at right for individual image and movie formats. Only the images and no associated patient or
study data are exported; that is, the records are anonymized.

Images can be exported to a removable drive while a study is being reviewed. Select the Export Frames
As Jpeg icon. Then, select the images you wish to send to the removable drive. Each image of the study
that is sent in this manner is marked with the icon to indicate that it has been exported.

Export to disc aborts

If DR2GO gives you a message saying that it aborted an attempt to export data to disc, that data may not
have been archived. Check the disc’s directory to see what data was actually archived before you delete
the data from the DR2GO computer.
IF YOU LEAVE THE EXPORT FUNCTION OF DR2GO
BUT STILL HAVE IMAGES MARKED FOR EXPORT,
THOSE IMAGES ARE THEN UNMARKED AND NOT EXPORTED.

44 Operator’s Manual: Portable i5 — DR2GO

Export from the patient list

With the Patient List open, you may select the patients or studies that you wish
to send to storage. Once you have selected them and they are highlighted on
the screen, touch or click the icon for Export to Network on the Patient List win-
dow. Alternately, you may select the Network icon on the Main Menu (icons at
top of Main Menu) to send the study to storage.
A new window appears (Figure 24). Its left pane shows the patient(s) and study(ies) that you selected for
export to storage. If you are using the patient list to send data to storage, all items from the list display, and
those you selected for storage have a box marked with an X. The items that are gray in the listing do not
contain images and cannot be sent to storage.
FIGURE 24. Export to network — options

In the window in the figure above, you may select the specific storage device from the drop down menu
labeled “Storage Device.” For export to disc, there is, of course, no such choice. Additional options, as indi-
cated by the icons in the figure, are to:

Include image processing

Operator’s Manual: Portable i5 — DR2GO 45

 Include embedded annotations

Exclude patient data (anonymize)

When you are satisfied with the conditions of the archive, select the Export To Network icon (circled in the
figure above), and the job begins. To check the job's status, select the Stoplight icon at the bottom of the
window.

Tracking exports & printing

DR2GO helps you to track which images have been exported or printed. In the patient list, DR2GO places
a tiny icon next to each image that has been sent. See Figure 25.
FIGURE 25. Tracking icon on Patient List

Managing exports & printing

You may always check on and control the status of export and print jobs through the
function menu of DR2GO (see Figure 3 on page 8for function menu). With the status
screen that the stoplight icon invokes, you may abort the current export or printing job.
For jobs that have not yet started, you may abort, pause, resubmit, and delete. You may
also move the job to the top of the queue.

46 Operator’s Manual: Portable i5 — DR2GO

Modality performed procedure step (MPPS)

DR2GO can send information to an MPPS device, if such a device has been configured in Service Mode to
work with DR2GO. MPPS can be specified to work only with patients from the work list or with all patients.
In general, the technologist has no role in MPPS and probably will never interact with the MPPS function of
DR2GO.
With MPPS, if a patient is opened for image acquisition, an MPPS message (with a DICOM tag 0040,0252)
saying “in progress” is sent to the MPPS device after the first sequence in the study is stored. The message
“complete” is sent after the patient is closed. No MPPS message is sent if no image sequence is stored.

Operator’s Manual: Portable i5 — DR2GO 47

48 Operator’s Manual: Portable i5 — DR2GO
CHAPTER 6 Operator’s Use
of Service Mode

Operators of DR2GO spend most of their time using Clinical Mode to acquire, review, and store images.
On some occasions, the Operator may use Service Mode to review log records that describe the function-
ing of the DR2GO system, to move the Main Menu from one side of the monitor to the other, and to change
the language used on the screen interface. Operators have limited use of Service Mode. Service Techni-
cians have full use of Service Mode.
Use the functional menu to reach DR2GO’s Service Mode from Clinical Mode. Fol-
low these steps:

1.Select left-pointing arrow at bottom of the Clinical Mode menu area.

2.Function Menu Bar appears across bottom of screen.
3.Select Wrench. Service Mode menu appears.

When you enter Service Mode, the menu area on the screen changes, and the service menu displays
(Figure 26). Of the several menu-command buttons at the top of the menu, one — logs — is available to
the Operator; the other buttons are grayed-out indicating that they are unavailable.

Other features on the Service Mode menu also are available, as discussed below.

Learn version of each software component of DR2GO.

Exit Service Mode (and return to Clinical Mode).

To exit DR2GO Platform from Clinical Mode:

1. Select green arrow at bottom of Clinical Mode menu.
2.Selecttheclosing-dooricononthenewlydisplayedFunctionMenuBar
at the bottom of the screen.

Service Manual: Portable i5 — DR2GO 49

 FIGURE 26. Service Mode menu features — Portable i5

Logs

To view the i5 Platform’s logs, click Logs on the Service Mode menu. A new window opens, and the left
pane of that new window shows the following logs:
Event Logs (InfiView, Security). The InfiView report compiles errors at the i5 application level. The Secu-
rity report records the identities of those who login to the i5 system.

Reject log. Images rejected.

50 Operator’s Manual: Portable i5 — DR2GO

.log files (Crash.log and Diagnostics.log). The Diagnostics.log is created when a service technician
requests such a report on the system's functions.

.txt files (AuditLog.txt, DICOMLog.txt). The Auditlog.txt report records the application of the i5 system
such as when DR2GO was started and ended. It also records the initials of the technologists who
login and logout when such actions are required. The log file DICOMLog.txt lists DICOM export,
import, and print tasks.

Image processing

On the Service Mode menu, the bar labeled Image Processing is an accordion menu — as are the two
bars below it. Click on the arrow to open the menu item; it permits you to alter the look of the images. Oper-
ators have no need of this function here because they can effect the same changes in Clinical Mode.

User preferences

Language

Select the language for DR2GO's interface, such as the menu items. Choices are English (the default),
simplified Chinese, Dutch, French, German, Italian, Portuguese, Russian, and Spanish. The language
used for acquisition profiles and other data of DR2GO, however, remains English even after the interface
language is changed.

To change other regional aspects of DR2GO, such as its keyboard, the Service Technician uses the "Utili-
ties" feature of Service Mode.

Right or left menu

You may also set the location of the menu band for both Service Mode and Clinical Mode. To change the
side where the menu appears, select Flip GUI.

Test the monitor: Test patterns

Select the tab that says Test Patterns (Figure 26). The center part of the menu screen changes
to display six test patterns. Choose the SMPTE test pattern, and use this test pattern to check
and adjust the monitor.

You may send the test pattern to a printer or to a network storage location, too, if such devices have been
configured to work with DR2GO. To do so, select the printer icon or network icon that appears below the
Test Patterns menu bar.

Operator’s Manual: Portable i5 — DR2GO 51

Version information

To learn the versions of the components of DR2GO, select Versions at the bottom left of the Service Mode
menu (Figure 26).

52 Operator’s Manual: Portable i5 — DR2GO

 Part 2. DR2GO’s Hardware

Operator’s Manual: Portable i5 — DR2GO 53

54 Operator’s Manual: Portable i5 — DR2GO
CHAPTER 7 Equipment
Handling

Warranty

U.S. law restricts this device to sale by or on order of a physician for diagnostic digital radiographic use
only. Any of the following actions voids the manufacturer's warranty1:
• Modification, abuse, misuse, neglect, or operation at ambient temperatures below 50ºF or above
90ºF (10ºC, 32Cº) or at other abnormal conditions. Ambient operating temperature for the isolation
transformer, if used, is 64-86ºF (18-30ºC). See also Table 6 on page 58.
• Use of any software other than that supplied by seller
• Use of supplied software and hardware outside seller's guidelines or applicable standards
• Unauthorized repair or alteration.

Upon receipt of your shipment from InfiMed, inspect packaging and components. If anything in the DR2GO
system appears to be damaged, contact InfiMed immediately. Do not proceed if any components or cables
are missing or damaged.

Equipment classification

Protection against electric shock - class I

Degree of protection against electric shock - type B
Degree of protection against ingress of water - Ordinary
Mode of operation - Continuous

1. InfiMed, Inc. Terms and Conditions of Sale. Part No. 200.267.G1. Sept. 5, 2006.

Service Manual: Portable i5 — DR2GO 55

Preventive maintenance

About every 6 months — or whatever frequency your site requires —check the functionality and appear-
ance of each major component of the imaging system. Inspect components for dust or debris. Clean with a
dry soft cloth, if necessary.

Shut down all components of the system before cleaning. Follow these cautions when cleaning electronic
components:

• Blow dust from the interior of the PC and from fan covers to permit air circulation.
• Never spray or squirt the liquids directly on any computer component. If you need to clean the
device, spray cloth first, then rub the equipment to clean.
• Be cautious of all cleaning solvents or chemicals when you used for cleaning. Some individuals may
be allergic to the ingredients.

Place no food, drink, or cigarettes around the computer.

Standards & regulations, Tablet PC

ACPI: 1.1 compliant

FCC: 15B, 15C

ICES-003, RSS-210
CE; EN55011, EN55022, EN55024, EN301-489-17, EN301-893, EN300-328

Safety: UL, CUL, TUV, EN60950 (IEC60950-1 A11/2004)

Safety

Apply the directions here precisely to avoid damage to the System or any of its components,
yourself, or others, loss of data, or corruption of files. The manufacturer assumes no liability for
failure to comply.

.Cautions

Mechanical. Use care to see that the image monitor is stable and cannot slip from its place. Note that the
Tablet PC may not be used when the analog box (see service manual) has been installed.

To maintain adequate signals and power among the hardware components, use securing mecha-
nisms to fasten cables and connectors.

2. InfiMed, Inc. DCP 251. i5 DR project hazardous analysis.

56 Operator’s Manual: Portable i5 — DR2GO

 See that cables and associated equipment cannot create trip or fall hazards.
Install the electronic components on secure and stable surfaces to prevent shifting and falling, to
protect the equipment from damage, and to protect users of the equipment.
Electrical. When working inside the cart, be aware that 120 V power is present at all times.

Electronic components can be damaged by electrostatic discharges. InfiMed has tested the
exposed components for ESD, and it has provided beads and shielding for cables. The party that
is the final integrator, however, is responsible to insure compliance for electrostatic compatibility.
Use the equipment in a space that is properly ventilated. Provide sufficient free space around the
components to permit their ventilation. Some electrical components, if operated beyond the stated
temperature range may emit toxic fumes. Do not permit components to overheat.
Prevent toxic or hazardous liquids from reaching the hardware.
Use rated electrical components to forestall single fault conditions.
Hardware. A stylus is provided with the Tablet PC that can be used for input to DR2GO on the screen in
place of finger touches. Avoid using a stylus that is broken, and avoid using the other items such
as the points of pens on the screen of the Tablet PC because these objects may damage the
screen.

If fuses require replacement, use the correct value fuses.

Software. Use no software other than that supplied by manufacturer on Portable i5 — DR2GO (SH15).

Patients. Once DR2GO is operational, only properly trained and authorized personnel may use DR2GO to
access patient records; training is also necessary to achieve proper operation and acceptable
image quality. InfiMed provides a manual (part number 721-301-G1) and training for operators of
DR2GO.

Do not position or use this system in a location where it may be subject to splashed or spilled liq-
uids. Review hardware safety requirements to ascertain whether the components may be cleaned
and the best means of cleaning.
Servicing. Use care when handling the hardware components of DR2GO because some may have sharp
edges.

All personnel must wear dosimeters during every phase of installation, operation, and mainte-
nance of the system and the equipment to which it is connected.
Only properly trained and authorized personnel may install or configure the Portable i5 — DR2GO.
InfiMed provides a manual (part number 721-302-G1) and training for service technicians to
instruct in the installation and configuration of DR2GO.
The power source must meet the power supply requirements defined in this service manual. Use
of the system outside these limits voids the product warranty.
This instrument contains high voltages capable of causing death. Follow instructions for correct
cabling of components.
InfiMed engages qualified translators, yet translated materials are the interpretation of the transla-
tor and are not considered InfiMed's responsibility. Each translation is based on the original Eng-

Operator’s Manual: Portable i5 — DR2GO 57

 lish version release, and the English version is the controlling authority for translated manuals. At
times, a translated manual may not be the same revision as its English counterpart.
Only properly trained service personnel may alter any hardware components except for Operator-
permitted cleaning procedures or procedures supplied as instructions with a part provided by the
manufacturer. Doing so could disrupt the functioning of the system and result in loss of images.
Service personnel should contact manufacturer for applicable part numbers from the System's
replacement parts list.
Operation. Do not use this instrument in the presence of an explosive atmosphere, including flammable
anesthetics. Failure to comply could result in fire and explosion.

Operate the system such that no patient contact with any part of the system is possible. Attempt
no maintenance, including troubleshooting, in the presence of any patients or unauthorized staff.
The system is interfaced with x-ray generating equipment. Follow the instructions for wearing
proper lead shielding that came with the x-ray generator. Do not bypass the safeties provided by
the x-ray generator during the installation or servicing of the hardware or software. Doing so could
expose personnel to unnecessary radiation.
Environment (atmospheric). At the end of its useful life, this equipment and its accessories must be dis-
posed of safely and in accordance with government regulations.

Miscellaneous (unclassified). Transport and store the electronic components within recommended
parameters.

Operate the Tablet PC and other components of DR2GO within the parameters listed in Table 6.

TABLE 6. Environmental parameters for Tablet PC — DR2GO

Storage Operation
Temperature -20 – +65°C (-4 – +149°F) +5 – +35°C (+41 – +95°F)
Humidity 8% – 90% (no condensation) 20% – 80% (no condensation)
Altitude Sea level – 12,200 m (40,000 ft) Sea level – 3,000 m (10,000 ft)

Electromagnetic compatibility

The System complies with EN 60601-1-2:2001-09 Section 6. Prevent the potential risk of electromagnetic
interference between this equipment and other devices. The device has been tested for EMC compliance,
but interference can still occur in an electromagnetically noisy environment. Maintain a suitable distance
between electrical devices to prevent cross-interference. The PC cabinet should be as far as possible from
any such device to prevent noise from affecting the image video signal.

MEDICAL ELECTRICAL EQUIPMENT NEEDS SPECIAL PRECAUTIONS

REGARDING ELECTROMAGNETIC COMPATIBILITY (EMC)
& NEEDS TO BE INSTALLED & PUT INTO SERVICE ACCORDING TO THE EMC INFORMATION PROVIDED HERE.

58 Operator’s Manual: Portable i5 — DR2GO

 PORTABLE & MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT MEDICAL ELECTRICAL EQUIPMENT.

Suggested optimum usage

Do not place equipment or system adjacent to or stacked with other equipment. Take extra precaution to
verify normal operation of the configuration used at the site.

Emissions & separation distances

Use the following guidance tables for emissions and separation distances:

Table 201 – Emissions

Table 202 – Immunity
Table 204 – Emissions, not life-supporting
Table 206 – Separation distances, not life-supporting

Guidance and manufacturer’s declaration

Table 201. Emissions - All equipment and systems — IEC 60601-1-2:2001-09 Sec 6:6.8.2.201
The DR2GO system is intended for use in the electromagnetic environment specified below. The customer
or user of the system should ensure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment guidance

RF emissions CISPR Group 1 DR2GOusesRFenergyonlyforitsinternalfunction;therefore,itsRFemissions
areverylow&unlikelytocauseanyinterferenceinnearbyelectronicequipment.
RF emissions CISPR 11 Class A or B Class A
HarmonicsIEC61000-3-2 Class A, B, C, D or NA Complies
Flicker IEC 61000-3-3 Complies or NA Complies
DR2GO is suitable for use in all establishments other than domestic & those
directlyconnectedtopubliclow-voltagepowersupplynetworkthatsuppliesbuild-
ings used for domestic purposes.
RFemissionsCISPR14-1 Complies DR2GO is not suitable for interconnection with other equipment.
RF emissions CISPR 15 Complies DR2GO is not suitable for interconnection with other equipment.

Table 202. Immunity - All equipment & systems not life-supporting — IEC 60601-1-2:2001-09 Sec
6:6.8.2.201a. The DR2GO system is intended for use in the electromagnetic environment specified below.
The customer or user of the system should ensure that it is used in such an environment.

EN/IEC 60601 test

Immunity test level Compliance level Electromagnetic environment - guidance
ESDEN/IEC61000-4- ±6 kV contact ±6 kV contact Floorsshouldbewood,concrete,orceramictile.Iffloors
2 ±8 kV air ±8 kV air are synthetic, relative humidity should be at least 30%.
EFTEN/IEC61000-4- ±2 kV mains ±2 kV mains Mainspowerqualityshouldbethatofatypicalcommer-
4 ±1 kV I/Os ±1 kV I/Os cial or hospital environment.

Operator’s Manual: Portable i5 — DR2GO 59

 EN/IEC 60601 test
Immunity test level Compliance level Electromagnetic environment - guidance
SurgeEN/IEC61000- ±1 kV differential ±1 kV differential Mainspowerqualityshouldbethatofatypicalcommer-
4-5 ±2 kV common ±2 kV common cial or hospital environment.
Voltage dips/dropout >95% dip for 0.5 cycle >95% dip for 0.5 cycle Mainspowerqualityshouldbethatofatypicalcommer-
EN/IEC 61000-4-11 60% dip for 5 cycles 60% dip for 5 cycles cial or hospital environment. If the user of DR2GO
30% dip for 25 cycles 30% dip for 25 cycles requirescontinuedoperationduringpowermainsinter-
>95% dip for 5 s >95% dip for 5 s ruptions, it is recommended that DR2GO be powered
from an un interruptible power supply or battery
Power frequency 50/ 3 A/m 3 A/m Powerfrequencymagneticfieldsshouldbethatofatypi-
60 Hz magnetic field cal commercial or hospital environment.
EN/IEC 61000-4-8

Table 204. Emissions - All equipment and systems not life-supporting — IEC 60601-1-2:2001-09 Sec
6:6.8.2.201b. The DR2GO system is intended for use in the electromagnetic environment specified below.
The customer or user of the system should ensure that it is used in such an environment.

EN/IEC 60601 Compliance

Immunity test test level level Electromagnetic environment - guidance
Portableandmobilecommunicationsequipmentshouldbeseparatedfrom
DR2GO by no less than the distances calculated/listed below:
Conducted RF 3 Vrms (V1)Vrms D=(3.5/V1)(√P)
EN/IEC61000-4-6 150kHz–80MHz
Radiated RF EN / 3 V/m (E1)V/m D=(3.5/E1)(√P)
IAC 61000-4-3 80 MHz – 2.5.0 80 to 800 MHz
GHz
D=(7/E1)(√P)
800 MHz to 2.5.0 GHz
Where P is the max power in watts and D is the recommended separation
distance in meters.
Fieldstrengthsfromfixedtransmitters,asdeterminedbyanelectromagnetic
site survey, should be less than the compliance levels (V1 and E1)
Interferencemayoccurinthevicinityofequipmentcontainingatransmitter

Recommended separation distances

Table 206. Equipment and systems not life-supporting — IEC 60601-1-2:2001-09 Sec 6:6.8.2.201b.
The DR2GO system is intended for use in the electromagnetic environment in which radiated disturbances
are controlled. The customer or User of DR2GO can help to prevent electromagnetic interference by main-
taining a minimum distance between portable & mobile RF communications equipment & the DR2GO sys-
tem as recommended below, according to the maximum output power of the communications equipment.

Separation (m) at:

Max output power (watts) 150 kHz to 80 MHz 80 to 800 MHz 800 MHz to 2.5.0 GHz
D=(3.5/V1)(√P) D=(3.5/E1)(√P) D=(7/E1)(√P)
0.01 0.1166 0.1166 0.2333
0.1 0.3689 0.3689 0.7378
1. 1.1666 1.1666 2.333

60 Operator’s Manual: Portable i5 — DR2GO

 Separation (m) at:
10. 3.6893 3.6893 7.3786
100. 11.6666 11.6666 23.3333

Operator’s Manual: Portable i5 — DR2GO 61

62 Operator’s Manual: Portable i5 — DR2GO
CHAPTER 8 Review
Hardware

DR2GO results when an analog film-based cart is converted to operate with a fully digital solution.
InfiMed’s i5 DR software is used for image capture, enhancement, and storage. Figure 27 shows the major
hardware elements of Portable i5 — DR2GO: a. cart, b. InfiMed-designed cover, c. Tablet PC with touch-
screen (battery pack not visible), d. Cisco 1242 wireless access point, e. flat panel detector (see “Car-
estream Health Detector” on page 23), and f. drawer insert.

FIGURE 27. Major hardware components of DR2GO

Operator’s Manual: Portable i5 — DR2GO 63

8. REVIEW HARDWARE

To begin to use the cart, first unplug the cart from its wall outlet. Next, activate power on the cart and
DR2GO in the following sequence:

1. Turn on breaker in back of cart’s cabinet (Figure 28, left).

2. Turn on switch in upper-left of cart console (Figure 28, right)
3. Turn on Tablet PC; press, and hold switch for a few seconds (Figure 28, right).

FIGURE 28. Power switches

Tablet PC
The Tablet PC has its own battery and operates independently of the power of the AMX cart. The pixel
density for the Tablet PC is 1024 x 768 landscape. The Tablet PC is configured by InfiMed at the factory.
When shipped, it includes the 2x Extended Life Battery and 10/100 Fast Ethernet notebook Adapter.

LED indicators at top-left of Tablet PC can display the following:

• Power on. Blue, standby: blue blinking

• Hard drive. Active: blue blinking
• Wireless networking. Active: blue.

The back of the Tablet PC is typically covered with the battery. Figure shows the back of the Tablet PC
without the battery covering it. When the battery is attached, it connects to the PC at the port circled in
Figure . Four large thumbscrews attach the battery to the back of the Tablet PC.

64 Operator’s Manual: Portable i5 — DR2GO

 8. REVIEW HARDWARE

FIGURE 29. Back of Tablet PC — Not covered by battery

When the battery needs to be recharged, it is connected to a power pack and the power pack is connected
to a regular outlet. The Tablet PC, Extended Life battery, and battery power pack are illustrated
inFigure 30.

FIGURE 30. Tablet PC, battery, & power pack

Use the Tablet PC with the 2x extended battery. Do not use the Tablet PC with the power
adapter that would connect the Tablet PC to an on-site electricity supply to avoid the potential
for shock, fire due to the breakdown of components, power spikes and surges, brown-outs, and
the need to use a hospital-grade ground fault interrupter. See service manual.

Connections to the Tablet PC

The following figure shows two views of the Tablet PC. The top of the Tablet PC will have a network
adapter card in the slot at the left (although this figure does not show a network adapter card inserted). The
switch to turn on the Tablet PC is also on the top.

Operator’s Manual: Portable i5 — DR2GO 65

8. REVIEW HARDWARE

FIGURE 31. Tablet PC: top & left side

The top of the Tablet PC has a port for the power pack (red square in the figure, top-left). Do not
connect the power pack to this port; always connect the power pack to the battery — as
explained below and illustrated in Figure 32.

When the power pack is connected just to the PC, it recharges only the battery inside the PC. Patient data
could be lost if both the PC and its battery attachment are not charged.

The left side of the Tablet PC has several data ports. See Figure 31, lower. The ports of interest to the
Operator in working with DR2GO are the Ethernet network connection and two USB connections. The sty-
lus that may be used with the Tablet PC’s touch screen is stored in a recess on this side of the PC, too.

During review of images — and for some backup and diagnostic functions — an external DVD player-
recorded and/or a physical keyboard can be connected through the USB ports. An additional USB port is
available in the battery (Figure 32).

Touch-It virtual keyboard

An on-screen keyboard is installed on the Tablet PC at the factory. The Touch-It virtual keyboard is
required for the Portable i5 — DR2GO software.

The tablet PC does not have a phys-

ical keyboard, the on-screen touch
keyboard appears to permit you to
type in the username and password
(see figure for typical appearance of
keyboard). This keyboard appears
when DR2GO requires input.
Simply touch the keys on-screen as you would a physical keyboard. When input is complete,
touch the appropriate DR2GO on-screen button to accept the input — such as a floppy disc icon
to save the input. To dismiss the keyboard from the screen, touch the on-screen button display-
ing a square with a dot (see image at left).

66 Operator’s Manual: Portable i5 — DR2GO

 8. REVIEW HARDWARE

The touchscreen will have been calibrated at the InfiMed factory both to facilitate use of the DR2GO sys-
tem and the on-screen keyboard.

NEED TO SIMULATE A MOUSE’S RIGHT-CLICK ON THE TOUCHSCREEN?

USING THE STYLUS OR YOUR FINGER, PRESS & HOLD AT A SINGLE LOCATION FOR A COUPLE OF SECONDS.
THE RIGHT-CLICK MENU THEN APPEARS FOR YOUR USE.

Batteries
The Tablet PC uses the 2x Extended Life Battery. This battery covers the back of the Tablet PC. Figure 32
shows the back of the battery, with two areas highlighted.

FIGURE 32. Tablet PC auxiliary battery

Examine the indicator lights at the top of the battery to determine when the battery needs to be recharged.
Press the button the to the left of the lights (at arrow). When all lights then illuminate, the battery is fully
charged.

Operator’s Manual: Portable i5 — DR2GO 67

8. REVIEW HARDWARE

At the bottom-inside of the battery is the plug where the power pack is connected to recharge the battery
and the Tablet PC together. (See a in Figure 32, bottom.) The power pack is connected to any conven-
tional outlet. It is not connected to the cart.

The battery, when attached to the Tablet PC, provides another USB port that may be used with the Tablet
PC. See b in Figure 32.

____________

RECOMMENDED PRACTICES:

TO RECHARGE TABLET PC AND ITS BATTERY:

(1) ATTACH THE BATTERY TO THE TABLET PC.
(2) ATTACH THE POWER PACK TO THE POWER PORT ON THE BATTERY.
RECHARGE ONLY WHEN DR2GO IS NOT IN USE.
____________

Wireless access points & network adapter cards

Images from the flat panel detector are sent over a wireless access point to the PC. When the Operator
deems that the acquired images are satisfactory, they are sent to the hospital network through a network
adapter card. The network adapter card fits in the slot at the top of the Tablet PC. Figure 33 shows the
hardware used to support wireless access.

FIGURE 33. Wireless access point, network adapter card, & antenna

68 Operator’s Manual: Portable i5 — DR2GO

CHAPTER 9 Carestream Health
Detector

This chapter discusses the Carestream Health Detector x-ray panel (Figure 34). The following are the
basic specifications for the Carestream Health Detector:
• Wireless cassette-sized detector, ISO 4090, Wireless standard 802.11 n
• When tethered, connection is Ethernet, PC interface is Ethernet
• Image size: 35 x 43 cm
• Maximum external dimensions: same as 35 x 43 cm cassette
• Weight: 8.5 lb (3.9 kg)
• Pixel pitch: 139 μm
• Power: External battery charger
• Captures 70 to 90 images on a single charge. Can be used with standard grid.

FIGURE 34. Carestream Health Detector (right) & battery charger (left)

If you cannot make a good connection with the wireless panel, restart the panel by taking the following
actions:

• Remove the battery from the detector.

• Wait 10 seconds.
• Replace the battery.

Operator’s Manual: Portable i5 — DR2GO 69

9. CARESTREAM HEALTH DETECTOR

Cautions, maintenance

Do not attempt mechanical or electrical repair of the panel system. Contact your service repre-
sentative if the flat panel detector does not perform to your satisfaction. The panel may be
repaired only by authorized service personnel.

The panel system must be maintained in good operating order at all times to provide safe conditions for
operating personnel and patients. It must also be maintained to prevent possible loss of patient or image
data. Note the following:

• Keep all electronic devices (wireless or hardwired) 3 ft from the detector when in use.
• The battery charger is not medical electrical equipment and should not be placed in the vicinity of
patients.
• Use only Carestream DRX-1 system batteries.

Patient weight

Since the detector is not a patient support device, it must be placed on a suitable surface, such as a table
or floor, before applying patient weight to it.

Daily maintenance

• Clean the equipment.

• Check the integrity of the equipment.
• Daily dark calibration.

Periodic maintenance or as needed

Report any unusual conditions to your authorized service representative. To make sure that the equipment
is functioning and operating safely, check that:

• Fastening hardware connects tightly

• All name plates, legal labels, and warning labels are legible and secure
• No cables have abrasions or damage, particularly in locations where cables are draped and subject
to stress.

Protective enclosure

When there is a risk of fluids contacting the detector, place the detector in a protective bag. If you are using
a protective enclosure around the detector, remove the enclosure immediately after use to prevent the
detector from overheating.

70 Operator’s Manual: Portable i5 — DR2GO

 9. CARESTREAM HEALTH DETECTOR

Specifications for detector

TABLE 7. Carestream Health Detector specifications

Applicability Factor Specifications

Environmental Shock High shock tolerance
Temperature Operating 15°-30°C (59°-86°F)
Ambient-storage 20°-70°C (68°-158°F)
Atmospheric pressure 70-106 kPa (0.010 - 0.015 lb/in²)
Relative humidity, Operating 10-86% non-condensing
Storage 10-90%, non-condensing
Mechanical Weight limit Applied to a single 5-cm (2-inch) point: 23 kg (50 lb)
Since the detector is not a patient support device, it Distributed evenly over detector area: 125 kg (275 lb)
must be placed on a suitable surface, such as a table
or floor, before applying patient weight to it.
Performance Timetoexposure-ready(minimumdetectorpreptime) 2s
Hold on prep support Up to 15 s
Time to preview <6s
Cycle time 20 s
Exposure window 1.1 s
Safety Approved to IEC 60601-1 by TUV Rheinland, CE certification
Source: Carestream Health, Inc. Carestream DRX-1 System, OEM Integration Manual. Pub. #8G8990. 17 February 2009.

Cleaning the hardware

Do not operate the equipment when cleaning the equipment. Do not spray cleaning solution
directly onto the equipment. Moisten a cloth with a 70% isopropyl alcohol solution and apply to
patient contact areas after each contact. Note: Isopropyl alcohol is a flammable solvent. Read
and follow instructions in the Material Safety Data Sheet (MSDS).

Do not immerse the equipment in liquid. To clean the detector:

1. 1. Disconnect the detector from its power source.

•Remove the tether.
•Remove the battery.
2. Moisten a cloth with a 70% Isopropyl alcohol solution.
3. Apply the moistened cloth to the equipment.

To clean the battery footprint:

1. Wipe the well clean of dust or debris with a soft cloth.

2. Use a brush or vacuum to clean out the prongs in the battery compartment well, or contact InfiMed for
assistance (+1 315-453-4553).

Operator’s Manual: Portable i5 — DR2GO 71

9. CARESTREAM HEALTH DETECTOR

LED states

Table 8 lists the LED flash codes for the Carestream Health Detector. No flashing means that the power is
off or that the panel is at high power.

TABLE 8. LED flash codes for Carestream Health Detector

LED pattern Meaning Action

1 green flash Detector is in standby No action is required. The detector is not
No study is active being used.
Console may not be connected
Low power
2 green flashes System is on and ready Noactionrequired.LEDindicatesthedetec-
tor has been selected
3 green flashes System is on and enabled but not ready. Shouldnotdisplayinnormaloperation.Ifthis
pattern is visible, call service.
4 green flashes System is on and enabled. This flash pattern Do not report an error if this patter is not visi-
appears while pressing the prep switch. ble.
5 green flashes Power fault has occurred. Detector is unus- Removeandre-insertthebatterytoclearthe
able. problem.Iftheproblempersists,callservice.
1 blue flash Detectoriscurrentlyconnectedtothesystem No action required.
console.
2 blue flashes Detector is not currently connected to the If this patterns occurs while the detector is in
system console. use, call service.
3 blue flashes Detector has rebooted and has not yet con- If patterns occurs when the detector should
nected to system console. be in use, call service.
4 blue flashes Detector is performing firmware upload. Do not interact with the detector.
5 blue flashes Detectorisattemptingtoconnecttothewire- No action required.
less access point.

Batteries & charger for the panel

The Carestream system provides a battery charger with three charging slots for batteries. The battery is
keyed for proper orientation in the detector. A battery is required for tethered or untethered use. The mini-
mum battery life is 500 charge and discharge cycles where the cell capacity remains above 80% of initial
capacity. The expected life of a battery is 1.5 years assuming one charge per day.
A new battery provides energy to acquire about ninety images — 3 hr of heavy use.

Battery charger (Figure 35) accommodates up to three batteries. Power: 90-264 V, 50-60 Hz, 75 W max.

72 Operator’s Manual: Portable i5 — DR2GO

 9. CARESTREAM HEALTH DETECTOR

FIGURE 35. Panel’s battery charger

Operating instructions:3

1. Plug the AC power cord into an AC power source and into the Charger receptacle. The LEDs flash on
when power is applied. If the LEDs do not flash, check the fuses in the in the AC power input recepta-
cle. (Replace fuses with the proper type.)
2. Insert the batteries into the charger using the arrow guides to ensure proper orientation and making
sure they are secure.
3. The green charge status LEDs flash when the battery is charging. See Table 9.
4. The top charge status LED turns solid green when the battery is charged.
5. The status LED flashes yellow if the battery temperature is too low or too high. Warm or cool the bat-
tery to a temperature between 0°–45°C (32°–113°F).
6. The status LED is solid yellow if there is a fault condition in the battery. If you find that the battery volt-
age is less than 4 V or over 18 V, or if the battery cannot be charged in less than 8 hr under specified
temperature conditions, discard it.

TABLE 9. Meaning of LEDs on battery charger

Green LED Flash Rate Description

No LED on Charger powered, no battery installed
First bar flashing Charging capacity less than 20%
First bar solid, second flashing Charging - 20%
First two bars solid, third flashing Charging - 40%
First three bars solid, fourth flashing Charging - 60%
First four bars solid, fifth flashing Charging - 80%
Top bar solid Charge complete

3. Image (Figure 35) and operating instructions adapted from Carestream Health, Inc. Battery Charger User’s Guide. PN
8H6193, Version 1.0, April 2, 2009. p. 1-4.

Operator’s Manual: Portable i5 — DR2GO 73

9. CARESTREAM HEALTH DETECTOR

Changing the battery

To remove a battery, place a tool such as a ballpoint pen in the release slot, and push down on the latch (at
B i nFigure 36 below). The battery releases and pops up for easy removal.

The battery fits into the detector in only one way. Place a fully charged battery in the battery footprint of the
detector so that the contacts on the back edge of the battery are inserted first (at A in Figure 36).

When the battery of the Carestream Health Detector requires changing, follow the steps below. The figure
shows, in the upper-left corner, a front view and side view of the detector’s batteries in the battery holder.
The right side of the figure shows the bottom of the detector, battery-side up and with the battery removed.

FIGURE 36. Battery replacement for panel

1. Take a charged battery from the battery holder.

2. Align the terminal connections of the battery with those of the panel at A in the figure above. Hold the
battery at a 30º angle.
3. Slowly lower the left side of the battery, fitting it securely in the recess.
4. Place the clamp, circled at B in the figure above, over the battery.

The recharged battery is now available to the panel.

Calibration

The Carestream Health Detector panel supports two types of calibration: dark and gain.

THE USER OF ICYNERGY MUST PERFORM A DARK CALIBRATION

EACH DAY OF OPERATION.

74 Operator’s Manual: Portable i5 — DR2GO

 9. CARESTREAM HEALTH DETECTOR

Dark calibration

The panel requires dark calibration every 24 hours, and the procedure is automated. DR2GO asks you
daily to perform a dark calibration. If you respond Yes, the daily calibration window opens (see Figure 37).

FIGURE 37. Carestream dark calibration through DR2GO

Place the detector in a location where it will not be exposed to radiation, and select the start (Play) icon. Do
not move the detector during calibration. The calibration process takes about 4 minutes.

You may interrupt and stop the calibration process at any time. Press the Stop icon. If you do so, DR2GO
notifies you that the dark calibration was canceled. It then discards any calibration data that may have
been created and reverts to using the data of the last successful calibration.

If the dark calibration process goes to completion, DR2GO reports whether the calibration was successful
or failed. If the detector fails dark calibration for 10 days in a row, the detector is disabled.

Operator’s Manual: Portable i5 — DR2GO 75

9. CARESTREAM HEALTH DETECTOR

76 Operator’s Manual: Portable i5 — DR2GO

 Index authorized personnel 57–58, 70
Auto advance 27
auto logout 9
auto send to DICOM 41

Symbols
B
.avi movie format 44
.jpeg 44 battery 9, 63–69, 72–74
.log files (Crash.log and Diagnostics.log) 51 charger 70, 72
recharge 67
.txt files (AuditLog.txt, DICOMLog.txt) 51 recharge status lights 67
temperature 73
birth dates 15
brightness 32
Numerics

5-GHz access point 65

C

cables 56–57
A damage 70
calibrate measurements 38
access point 63, 65, 68, 72 calibration 7, 9, 74
ACPI 56 dark 75
daily 70
acquire images 21–27
CAN/CSA ii
Acquire Mode 14, 23
Carestream Health Detector
acquisition profiles 21–24, 31 access point 72
defaults 24 authorized personnel 70
modify 24, 32 battery 69, 72–74
AIE 31–32 charger 70, 72
cleaning footprint, detector 71
modify 32
temperature 73
air pressure 58, 71 cables
angle 38 damage 70
calibration 74
annotations 34, 46 dark 74–75
key image note 39 dark, daily 70
management 36 CE 71
predefined 35 cleaning 70–71
annotations & pointers 34–37 battery footprint 71
connection to panel 69
anonymization 43, 46 Ethernet 69
firmware 72
AuditLog.txt 51

Operator’s Manual: Portable i5 — DR2GO 77

 humidity 71 E
IEC 71
labels
legal, safety, warning 70 electric shock 55
LEDs 72–73
liquids 70–71 electromagnetic information 58, 60
maintenance 70 emissions 59–60
patient immunity 59
vicinity 70 separation distances 60
weight 70–71 emergency patient 5, 11, 15
protective enclosure 70
temperature 71, 73 ESD 57
overheating 70 Ethernet 66, 69
UL, CUL, TUV 71
cart 64 ETL ii
power-up 63 Event Logs (InfiView, Security) 50
CE ii, 56, 71 exit 8–9, 49
channel v export 51
cleaning 56–58, 70 as copy 43
during review 29
Clinical Mode 3–4, 49 from patient list 45
compliance ii manage 46
options 43
connectivity v status 46
contrast 32
Crash.log 51
Customer Care B F

fall hazard 57
D FCC 56
FDA 510(k) ii
damage 55 film 63
detector 7, 21 fire 58, 65
Diagnostics.log 51 firmware 72
DICOM 40 flash drive 41–42, 44
image format 41
image quality 41
job status 8
DICOMLog.txt 51 G
dim main display 8
disposal 58 ground 65
distance 38
dosimeter 57
DVD 66

78 Operator’s Manual: Portable i5 — DR2GO

H liquids 55–57, 70
login 3–4
HIPAA ii levels of access 4
logs 8, 49–50
hospital network 68
humidity 58, 71

M
I
magnification 39
Main Menu 4–6, 22
ICES 56
location on screen 51
Idle Mode 23 maintenance 56, 70
IEC ii, 56, 71 measurements 37–39
IHE ii calibrate 38
image processing 22, 30, 45 monitor 3, 51, 56
image quality 9, 57–58 movie format (.avi) 44
import 51 MPPS 47
InfiMed Order Services +1 315-453-4545 B multiple-image display 43
information technology department v, 9
initials 8, 35
N

K network 5, 13, 19, 29–30, 41, 51

hospital 68
network adapter cards 65, 68
key image note 39–40
noise 58
keyboard 4, 51, 66–67
on-screen 66 notes. See "annotations."

L O

labels on-screen keyboard 66

legal, safety, warning 70 open patient 11, 21
language 8, 51 Operator 4, 7–8, 49
translated materials 58
LEDs 64, 72–73
battery 67
Tablet PC 64
length 38

Operator’s Manual: Portable i5 — DR2GO 79

P R

packaging 55 radiation 26
pan 39 exposure 26
radiopaque object 9
parts & order services B
reason reject log 30
password 4
rectangle 33
patient
records 57 reference catheter 38
vicinity 58, 70 refresh 12
weight 70–71
reject images 29
patient database 13
Reject log 50
patient list 5, 12–13, 45
customize data format 17 repair 55
PC 3, 9, 64 replacement parts 58
phantom 9 Requested procedure description 15, 23
physicians 16, 18 Requested procedure ID 15, 23
pointers 34 revert 34
management 36 review images 29–40
polarity 34
Review Mode 14, 29
polygon 33
rotate & flip image 32
power
source 57
power pack 65–66, 68
power-up 3 S
power-up self-test routine 4
preview image 29, 32 safety 56
print 51 Scheduled procedure description 15, 23
manage 46
Scheduled protocol code value 15, 23
options 43
status 46 screen saver 9
printer 51 search 13, 18
privacy of records 9 separation distances 60
serial number B
Service Mode 3–4, 8, 49
Q Service Technician 3–4, 7–9, 12, 15, 23–24, 30,
41, 49, 51
query 11–13 shock 65
partial data 13 shutters 33
single-image display 43

80 Operator’s Manual: Portable i5 — DR2GO

software 55, 57 W
versions B
spare parts 58
warranty 55, 57
study data 16
window/level 32
study list 5
work procedures 21–26
Superuser 4, 7–8, 23
worklist 11–12, 16, 24–25

T X

Tablet PC
x-ray generator 3, 6, 21, 58
LEDs 64
pixel density 64
technical support B
temperature 55, 57–58, 71, 73 Z
overheating 70
test patterns 51
zoom 39
tether v
thumbnails 33
translated materials 58
trip hazard 57

UL ii
UL, CUL, TUV 56, 71
USB 66
USB flash drive 41–42, 44

ventilation 56–57
versions (software) B, 5, 49, 52

Operator’s Manual: Portable i5 — DR2GO 81

82 Operator’s Manual: Portable i5 — DR2GO