MX-600 S2 Operation

Mammography X-ray System MX-600
Operation Manual
Section 2.
Operation Manual
of the
MX-600
Diagnostic Mammography X-ray System
ECORAY CO., LTD. MX-600（Rev.1.0） 1

Operation Manual
Table of Contents
1. Structure ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 4
1.1. Standard structure ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 4
1.2. Optional unit ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 4
2. Specification ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 5
2.1. Ratings ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 5
2.2. X-ray high voltage generator ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 5
2.3. X-ray tube head ass‟y ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 6
2.4. Additional filter ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 6
2.5. Radiography unit ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 6
2.6. Bucky device ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 7
2.7. Magnification device ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 7
3. Operating conditions ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 8
3.1. Power source ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 8
3.2. Circumstance ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 8
4. Explanation ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 9
4.1. Names of each sections ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 9
4.2. Radiography unit ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 10
4.3. Stand panel ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 15
4.4. Foot switch ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 19
4.5. X-ray control unit ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 20
4.6. X-ray control console panel ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 21
5. Operation instruction ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 26
5.1. Pre-inspection ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 26
5.2. How to set accessories ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 27
5.3. Basic operation ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 31
5.4. Manual radiography ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 32
5.5. Semi AEC radiography ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 32
5.6. Full AEC radiography ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 33
5.7. Emergency stop switch ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 33
5.8. After-inspection ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 34

Operation Manual
6. Error messages and corrective reactions ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 35

6.1. Error & Check messages ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 35
7. Maintenance ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 37
7.1. Daily check point ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 37
7.2. Check point after use in short time ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 37
8. Layout ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 38
8.1. Body ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 38
8.2. X-ray control unit ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 38
8.3. X-ray control console panel ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 39

Operation Manual
1. Structure
1.1. Standard structure
1）Body ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 1 set
2）X-ray tube（VARIAN B110 / RAD-85S） ‐‐‐‐‐‐‐‐‐ 1 set
3）X-ray high voltage generator ‐‐‐‐‐‐‐‐‐‐‐‐‐ 1 set
4）X-ray control console panel ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 1 set
5）Accessories
・ Compression paddle unit（18×24 cm）; Compression use ‐‐‐‐‐‐‐ 1 set
・ Compression paddle unit ; Compression spot use ‐‐‐‐‐‐‐‐‐‐‐ 1 set
・ Beam limiting mask, 18×24 cm（“D” type, Type 1） ‐‐‐‐‐‐‐‐‐‐‐ 1 set
・ Beam limiting mask, 18×24 cm （“□” type） ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 1 set
・ Beam limiting mask, 18×24 cm （Spot） ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 1 set
・ Bucky device（18×24 cm） ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 1 set
1.2. Optional unit

1）Auto-film changer（Factory option）
2）Bucky device（24×30 cm）and compression paddles
3）Magnification device and compression paddles
4）Exposure hand switch
5）Biopsy unit（Factory option）and compression paddles

Operation Manual
2. Specification
2.1. Ratings
1）Range
（1）Small focus：1mAs ~ 100mAs, 22kV ~ 39kV
（2）Large focus：1mAs ~ 600mAs, 22kV ~ 39kV
Reference； ① Automatic filter change

22kV ~ 35k Mo filter
36kV ~ 39kV Al filter
Filter is automatically selected according to kV range
② Manual filter change

Mo filter 22kV ~ 35kV
Rh filter 26kV ~ 39kV
The filter is set Mo / Al or Mo / Rh when the unit is released from factory.
2.2. X-ray high voltage generator

1）High frequency inverter type
2）X-ray exposure settings
a）kV ：22kV ~ 39kV（1kV step）
b）mAs ：1mAs ~ 600mAs（100mAs at small focus）
3）AEC function
a）kV ：22kV ~ 35kV
b）mAs ：1mAs ~ 600mAs（100mAs at small focus）
c）film density ：-9 ~ +9 (19steps)
d）Actual mAs indicator ：Shows actual mAs value when exposured.
4）Exposure control
a）FULL AEC ：Auto kV / auto mAs select control
b）SEMI AEC ：Manual kV / auto mAs select control
c）MANUAL ：Manual kV / manual mAs select control
5）X-ray exposure inter-lock function.
a）Rotation anode disorder self-diagnostic.
b）Filament circuit disorder self-diagnostic
c）High frequency inverter circuit disorder self-diagnostic.
d）Bucky device disorder self-diagnostic.
e）X-ray exposure disorder self-diagnostic.
f）When cassette is not inserted in bucky device.
g）When cassette is not inserted in magnification device.

Operation Manual
h）Cassette with exposed film is placed on radiography table.

i）Film exchange disorder self-diagnostic.
j）When beam limiting mask is not inserted.
k）When exposure is made at another（or more）X-ray system is being exposed simultaneously.
2.3. X-ray tube ass‟y

1）Model name ：VARIAN B110 (RAD-85S)
2）Focal size ：0.1 mm / 0.3 mm
3）Heat unit ：300kHU（210kJ）
4）Target angle ：16°
5）Anode material ：Mo
6）X-ray window ：Be. window.
7）Peculiar filtration ：0.63mmBe
2.4. Additional filter

1）Additional filter ：0.03 mmMo filter / 0.5 mmAl filter.
0.03 mmMo filter / 0.025 mmRh filter.
2）Conversion type ：Automatic by kV or manual conversion by panel filter key
2.5. Radiography unit

1）C-arm up / down travel
a）Stroke ：600 mm（Electric move）
Distance from floor to radiography table at C-arm is 0°is 730 mm ~ 1330 mm
b）Locking ：Self-locking type
2）C-arm rotation
a）Range ：0°～－180°（Rotating to left direction from patient view）
0°～＋180°（Rotating to right direction from patient view）
b）Locking ：self-locking type
3）Focus film distance（FFD）：600 mm ( constant )
4）Compression mechanism
a）Type ：Electric and manual compression
b）Locking ：Electro-magnetic lock
c）Comp. force range ：3~ 20kg（1kg step）
d）Comp. operation ：Up / down travel is operated by foot switch
5）Beam limiting mask
a）Type ：Exposure field limited by masks as below,
・18×24 cm（“D” type, Type 1）
・18×24 cm（“□” type）
・18×24 cm（Spot）
b）Exposure field indicating lamp ：Max. 30 sec（lamp is turned on by lamp switch or foot switch）

Operation Manual
6）X-ray exposure field by AEC

a）Point nos. of exposure field ：3 points（Manual）
（4 points when auto-film changer is installed.）
2.6. Bucky device

a）Grid density ：31 lines / cm
b）Ratio ：5 : 1
c）Reciprocating type ：Inter-space material：Fiber
d）Material ：Surface material：Carbon-fiber
2.7. Magnification device

a）Magnification ratio ：1.5 times
b）Cassette size ：24×30 cm
18×24 cm

Operation Manual
3. Operation conditions
3.1. Power source
1）Voltage ：Single phase 220VAC
2）Allowable voltage ：220V within ±10%
3）Power capacity ：5kVA
4）Earth ：3 earthling type.
3.2. Circumstance
1）Room temperature ：5 ~ 40℃
2）Air pressure ：70 ~ 106 kPa
Danger； Keep the unit away from the chemicals and explosive gas.
3）Operation place
Do not store the unit at places like shown below for longer life.
・Poisonous gas.
・Hot steams.
・Water drop.
・Sand or dusty.
・Oily steams.
・Shock or vibration.
・Voltage changes violently.
・Voltage severely drops at overloaded.
・Direct sun ray.

Operation Manual
4. Explanation
4.1. Names of each section.
Fig. 4.1
Further information and explanation, see each section.
① Radiography unit 4.2.

② Stand panel 4.3.
③ Compression foot switch 4.4.
④ X-ray control unit 4.5.
⑤ X-ray control operation panel 4.6.

Operation Manual
4.2. Radiography unit
Fig. 4.2
① Face guard
It prevent patient‟s face or head go into the range of X-ray exposure field.
Reference； Insert face guard in any time except Magnification radiography.
② Beam limiting mask

It should be exchanged according to film size and radiography type.
・18×24 cm（“D” type, type 1）
・18×24 cm（“□” type）
・18×24 cm（Spot）
Caution； Beam limiting masks are preferred to be used its own options.
When the mask is not set, inserted inappropriately or other units‟ one is used,
Reference；
“INHIBIT” lamp turns on then exposure is not made.

Operation Manual
③ Exposure field indicating lamp switch

It indicates breast‟s field (range) to be exposed.
Reference； The lamp keeps turned on for 30 sec and automatically turned on during exposure.
④ Compression paddle fixing metal

Turn left to fix and right to release the compression paddle.
Fix Release
When compression paddle is set, insert paddle properly up to the end and make
Cautions；
sure fixing metal is surely fastened.
If compression paddle is set inappropriately, compression force dose not acts

Reference；
properly.

Operation Manual
⑤ Breast compression paddle

Paddle should be exchanged according to film size and radiography type.
・Compression paddle 18×24 cm Compression radiography use
・Compression paddle Compression spot use
Compression paddle replacement
Release
Setting
Insert up to the end
Fastening
Material of compression plate is a transparent poly-carbonate
There‟s AEC X-ray exposure field mark on compression plate except that of spot
Reference；
use.

Operation Manual
⑥ Manual compression knob

This knob is used for manual compression on / off.
Compression on
Compression off
When blackout or fatal trouble on the unit, release compression paddle with this
Reference；
manual knob immediately.
⑦ Hand grip
This is used for patient relax during exposure. Let patient hold this grip to be stable.
⑧ Device setting connector

This is setting connector of bucky device and magnification device.
⑨ Device table
Bucky device and magnification device is placed in this unit.
⑩ AEC field adjustment knob

AEC exposure field can be adjusted by moving the knob.
In case of that the breast is out of AEC detector's field, un-proper film is made.
Reference； AEC field should be placed at nearest part of patient's chest when spot radiography.
If AEC field is focused out of breast, overloaded exposure is made.

Operation Manual
⑪ Compression force adjusting knob

Compression force can be selected（3kg ~ max. 20kg, 1 kg step up / down）
The value of compression force is shown on SETTING window in stand.
Compression force adjusting knob
Check the value of compression force shown in SETTING window before

Warnings；
operating the paddle then adjust proper force according to breast.
⑫ Bucky device
Basically size is 18×24 cm（optionally 24×30 cm can be installed.）
⑬ Magnification device
Magnification proportion is 1.5 times.

Operation Manual
4.3. Stand panel
Fig. 4.3

Operation Manual
No. Display Name Performance
In case of operation by AEC detector movement knob

X-ray detector field under the radiography table or auto film-changer, the
① indicator for AEC available point to be exposed and transferable point is
exposure indicated by AEC detector field switch.（transferable
point is light green, current point is green color.）
When compression force is loaded on breast（more

than 3 kgf）, shows actual force.
②
Compression force (At this moment, “SETTING” at left side is turned off.)
indicator When compression force is unloaded, setting force is
indicated.
(At this moment, “SETTING” at left side winks.)
Breast thickness
③ It indicates breast thickness（1 mm step）
Indicator
It indicates C-arm‟s current angle（1°step）. And when

Angle indicator for rotation angle setting switch is pressed on, set angle is
④ displayed.
C-arm.
To reset rotation angle, see rotation angle setting
switch in this section.
This switch is used when C-arm‟s rotation stop angle is

Rotation stop angle
⑤ set as operator‟s desire.
setting switch
1°step up / down in range of 0°~ 90°.
ISO-Level lamp ISO-Level operation is available during this lamp is on.

ISO-Level means that breast position（Vertical height）
dose not change during C-arm‟s rotation action.
⑥
ISO- Level switch ISO-Level lamp is turned on / off when this switch is
pressed.

Operation Manual
C-arm rotation This switch can make C-arm‟s rotation.

Switch Keep pressing to make c-arm‟s continuous moving.
：Counterclockwise
：Clockwise.
C-arm automatically stops at 0°and 90°. The next

⑦ rotation can be made after C-arm stops.
Rotation can be done in the range of ±180°
C-arm Up / Down
This switch can make C-arm‟s up / down.
switch
Keep pressing to make c-arm‟s continuous moving.
：Up movement
：Down movement
This mode moves C-arm automatically in order as

programmed to perform the Standard exposures such
as mediolateral oblique view and Craniocaudal view
Auto Standard what you set the angles.
⑧ exposure
Positioning switch Caution； ASP mode doesn‟t work with
ISO-Level mode „On‟ . The ISO level
mode should be turned off for ASP
available.
This area displays the order of ASP exposures.

Normal order is the following way.
RCC  LCC  RMLO  LMLO
⑨ ASP Lamp Reference； The angle that rotates to RMLO

position
Will follow the angle has been set up
in ⑤, LMLO rotating angle is being
decided at RMLO stage.

Operation Manual
This button works when the position goes from LCC

to RMLO and from RMLO to LMLO.
⑩ ASP „Next‟ button. * C-Arm moves automatically when you press this
key, so please check out the overall conditions before
you press.
C-Arm turn back to 0˚ position by itself when you

Auto rotation switch
press RCC and LCC button. And RMLO and LMLO
⑪ RCC, LCC
RMLO, LMLO buttons will turn the Arm to 45˚ location for each
way.
Auto rotation switch

The buttons lead the C-Arm to the both of Lateral
⑫ LML, RLM
position (90˚ )
RML, LLM

Operation Manual
4.4. Foot switch
Fig. 4.4
No Display Name Performance
When compression paddle is to be released

Compression
① from breast.
releasing switch
（paddle moves up direction.）
When compression paddle is to be loaded

Compression
② on breast.
loading switch
（paddle moves down direction.）
X-ray field lamp is turned on when Compression loading switch (②) switch is
Reference；
pressed.

Operation Manual
4.5. X-ray control unit
Fig. 4.5
No Name Performance
There are X-ray output control circuit, power source circuit

① Control unit
and circuit for radiography table is placed inside of the unit.
This is main power switch for the whole system.
Main circuit Do not allow patient approaches to

②
breaker Caution； radiography table or do not put object on,
as when main breaker is on.
③ Pb Acryl This is X-ray isolation plate. (0.5mmPb)

Operation Manual
4.6. X-ray control console panel
Fig 4.6

Operation Manual
ON switch Operation available with this switch
OFF switch Operation finishes.
Voltage can be adjusted in range of 22 kV ~ 39 kV at 1 step.

Voltage adjusting
② ▼：Reduce kV value.
Switch
▲：Raise kV value.
1 mAs ~ 600 mAs ( Large focus )

1 mAs ~ 100 mAs ( Small focus )
③ mAs setting switch
▼：Reduce mAs value.
▲：Raise mAs value.
It arranges film density when AEC.

Film density ＋1 ~＋9：Contrast increases as value‟s growth
④
adjusting switch
0：Standard density
－1 ~ －9：Contrast increases as value‟s deduction

Operation Manual
It shows breast compression force and Breast thickness,

⑤ Indicating window
C-arm‟s rotation angle.
Compression
⑥ When compression paddle is to be released from breast.
releasing switch
An X-ray tube anode starts rotating when this switch is pressed

X-ray ready switch
and beam indicating mirror gets out of X-ray beam way.
⑦
When X-ray exposure is to be made, this switch is pressed.
X-ray exposure
switch
This switch should be pressed when an
Warning；
exposure is to be made ONLY.
Exposure ready It shows an exposure is ready to make pressing

⑧
completion lamp READY switch.
X-ray exposure
⑨ It lamps on during exposure is being made.
lamp

Operation Manual
This lamp turns on before an exposure when beam limiting

mask, cassette device or filter is not set in, or device
combination is wrong.
When INHIBIT lamp is on, press HELP
(21) and checking number C○○－○○
at an exposure condition indicating
⑩ INHIBIT lamp
window will be showed.
Reference； Then eliminate INHIBIT as shown in
section 6.1.
And checking number might be duplicated
from time to time, therefore press HELP
button and follow instruction above.
This lamp turns on and alarm when X-ray is intercepted at

check mAs value.
⑪ CHECK lamp X-ray can not be made during check lamp

Reference； is on.
Press CLR (⑫) switch to restart.
⑫ Clear switch This switch is resets CHECK lamp.
Device check Its lamp turns on when bucky device or magnification device is
⑬
lamp set.
Filter selection
⑭ Current filter being used is displayed.
status indicator

Operation Manual
When filter is exchanged manually.

Filter exchange
⑮ Manual filter exchange mode is factory
switch Reference；
option ONLY.
Film & Screen

⑯ It shows film and screen speed at AEC mode.
speed lamp
Film and screen

⑰ speed selection It chooses film speed at AEC mode.
switch
FULL AEC（auto kV / auto mAs control）

SEMI AEC（manual kV / auto mAs control）
AEC selection
⑱ MANUAL（manual kV / manual mAs control）
status indicator
It indicates a status of above three.
AEC selection
⑲ It chooses AEC mode.
switch
Currently selected focus is displayed.

Focus status Small focus is selected when
⑳
indicator Reference； magnification device is set at automatic
focus exchange mode.
Checking number is displayed at an exposure condition

Help switch
indicating window when HELP button is pressed.

Operation Manual
5. Operation Instruction
5.1. Pre-inspection
Follow the instruction for operating the unit in safe.
1）Visible check with eyes.

（1）Whether there‟s any obstacle in the range of unit‟s action.
（2）Whether water drop or chemical is stuck on the unit.
（3）Whether there‟s nail or any metal stuff on the radiography table.
（4）Whether any strangeness is on cables.
2）Confirmation movement sound and position.

（1）The sound when power is on. ：Whether no strange sound on the unit.
As soon as power breaker is on, compression paddle unit starts to move down first
then down.
Reference； Accordingly, “__” appears at kV indicating window after approximately 10
seconds.
The system is ready to be operated by pressing “ON” switch.
（2）C-arm up / down movement ：1．Whether strange sound is audible.

2．Whether unit‟s movement sound gets louder.
3．Whether C-arm stops at limited position.
（3）C-arm rotation movement ：1．Whether strange sound is audible.

3．Whether C-arm stops at limited angle.
（4）Compression paddle ：1．Whether strange sound is audible.

movement 2．Whether unit‟s movement sound gets louder.
3．Whether compression paddle stops at limited position.
（5）Sound when exposure made ：Whether rotating sound of tube anode is ok.
3）Other check point.

（1）Compression paddle ：If paddle‟s movement of down direction gets slow at the
moment of 3 kgf of compression force is loaded
（2）Screws ：If screws are loosened or lacked

Operation Manual
5.2. How to set accessories
1）Fix and release of bucky device
Cassette releasing lever
Cassette Fix and release lever
Fig 5.1
（1）Adjust bucky device fit to guide rail on device table.

（2）Smoothly push it in up to the end and securely fastened.
（3）Insert cassette into bucky device.
Reference； Cassette can be inserted into from both side of bucky device.
（4）When cassette to be released, push lever to inside direction of the unit then pull it out.
（5）To pull out bucky device, push fix and release lever under the device table and then pull out
bucky device as some as cassette releasing.

Operation Manual
2）Fix and release of magnification device
Cassette releasing lever
Fix and release lever Cassette
Fig 5.2
（1）When magnification device is to be set in, keep in mind to replace face guard and compression
paddle first.
（2）Adjust magnification device fit to guide rail on device table
（3）Smoothly push it in up to the end and securely fastened.
（4）Insert cassette into magnification device
Reference； Cassette can be inserted into from both side of magnification device.
（5）When cassette to be released, push lever to inside direction of the unit then pull it out.
（6）To pull out magnification device, push fix and release lever under the device table and then pull
out magnification device as some as cassette releasing.
3）How to fix and release compression paddle

Exchange proper compression paddle according to film size and radiography style.
・Compression paddle 18×24 cm ：Compression radiography use.

・Mag. Compression paddle 18×24 cm ：Magnification use
・Spot compression paddle ：Compression spot radiography use.
・Mag. Spot compression paddle ：Magnification spot radiography use.

Operation Manual
How to exchange compression paddle
Loosen
Set in
Insert up to end
Fasten
Fig 5.3
Operator should insert paddle up to the end and fasten lever securely turning left
Caution；
direction.
When compression paddle is not set properly, compression force does not work
Reference；
appropriately.

Operation Manual
4）How to fix and release face guard.
Fig 5.4
（1）Adjust face guard fit to guard rail.

（2）Then push it in up to the end.
（3）Pull out face guard to release it.
Reference； Face guard is not self-locking type, therefore it should be inserted till the end.
5）How to fix and release beam limiting mask
Fig 5.5

Operation Manual
（1）Adjust beam limiting mask fit to guard rail.

（2）Then push it in up to the end.
Beam limiting mask is not self-locking type, therefore it should be inserted till the
Reference；
end.
（3）Pull out beam limiting mask to release it.
5.3. Basic operation.
1）Power on
（1）Turn circuit breaker ON.
At status of circuit breaker is ON（bar lamp on panel flashes）. When the unit is left
Reference；
at this status, beep sound alarms at every 30 seconds.
（2）Press panel ON switch “ I “
2）Set device table ( bucky device, magnification device )

3）Set compression paddle.
4）Set face guard ( unnecessary for magnification device is set )
5）Set beam limiting mask.
6）Adjust height of radiography table according to the position of patient‟s breast.
7）Specify C-arm‟s angle.
Set specified angle for C-arm to be stopped with pressing angle setting switch
Reference；
（SPECIFIED ANGLE）on stand panel.
8） Insert cassette with unexposed film inside of it.

9）Check or set the value of compression force at stand panel.
10）Make a compression on breast. Let patient position properly.
（Both automatic and manual compression should properly made）
11）Check if breast is in right position（inside of light）or not with beam limiting lamp
12）Check or set the position of beam light and its size at AEC mode exposure.
13）Set radiographic conditions at X-ray control console panel.
14）Make an exposure.
15）Auto release compression paddle from patient‟s breast

Operation Manual
When an exposure is completed, compression paddle is released automatically,

Reference；
therefore patient‟s face should be out of paddle‟s way not to be bumped to.
16）Press “ISO” button at stand panel, when radiography direction is to be exchanged, then push
C-arm‟s rotation switch.
At the status that compression action on patient‟s breast is already made（more

Reference； than 3 kgf of compression force）, rotation and up / down movement of C-arm is
automatically inter-locked for safety reason.
17）Repeat（8）~（15）.
5.4. Manual radiography
1）Select “MANUAL” at X-ray control console panel.

2）Set kV with a tube head voltage setting switch.
3）Set mAs with a mAs setting switch.
4）To make exposure, press first “READY” switch (Preparation) then “READY” lamp will light up and
press “X-RAY” switch （Exposure）simultaneously with “READY” switch remained pressed.
5）Buzzer beeps during an exposure is made and “X-RAY” lamp is lit up.
6）Leave fingers from two switches after exposure made.
If READY and X-RAY switched are not pressed at same time, and “CHECK” lamp
Reference；
lights on. Exposure is failed.
5.5. SEMI AEC radiography.
1）The first check AEC detector‟s position.

2）Select “SEMI” with AEC switch at X-ray control console panel.
3）Check or set FILM SPEED according to film being used.
4）Set kV with kV setting switch.
5）When it revises in case mAs value, set the value with DENSITY switch.
6）To make exposure, press first “READY” switch (Preparation) then “READY” lamp will light up and
press “X-RAY” switch （Exposure）simultaneously with “READY” switch remained pressed.

Operation Manual
1．If READY and X-RAY switched are not pressed at same time,
Reference； and “CHECK” lamp lights on. Exposure is failed
2．Even though more than mAs value of AEC back up, “CHECK” lamp is lit on.
5.6. Full AEC radiography
1）The first check AEC detector‟s position.

2）Select “FULL” with AEC switch at X-ray control console panel.
3）Check or set FILM SPEED according to film being used.
4）When it revises in case mAs value, set the value with DENSITY switch.
5）To make exposure, press first “READY” switch (Preparation) then “READY” lamp will light up
and press “X-RAY” switch （Exposure）simultaneously with “READY” switch remained pressed.
1．If READY and X-RAY switched are not pressed at same time,
Reference； and “BACKUP” lamp lights on. Exposure is failed
2．Even though more than mAs value of AEC back up, “CHECK” lamp is lit on.
5.7. Emergency stop switch
When the unit is to be stopped in urgent, press this switch.
Fig 5.6

Operation Manual
When emergency stop by any trouble, call service engineer to check and turn on
Warning；
the power after engineer‟s inspection.
5.8. After-inspection.
After operation is finished, arrange inspection according to followings.
1）Visible check with eyes.

（1）Whether there‟s any obstacle in the range of unit‟s action.
（2）Whether any strangeness is on cables.
2）Confirmation of movement sound, position.

（1）C-arm up / down movement ：1．Whether strange sound is audible.
3．Whether C-arm stops at limited position.
（2）C-arm rotation movement ：1．Whether strange sound is audible.

3．Whether C-arm stops at limited angle.
（3）Compression paddle movement ：1．Whether strange sound is audible.

2． Whether unit‟s movement sound gets louder.
3．Whether compression paddle stops at limited position.
（4）Sound when exposure made ：Whether rotating sound of tube anode is ok.
3）Other check point.

Screws ：If screws are loosened or lacked

Operation Manual
6. Messages and corrective actions
6.1. Error & Check messages

This unit has self-diagnostic function.
Check when INHIBIT lamp is on.
Code Meanings of error Corrective action
Cassette is not inserted in bucky

C01 – 00 Insert cassette into bucky device.
device
C01 – 01 Exposed cassette is in bucky. Insert cassette with new film.
Filter might be stuck at somewhere out of

C02 – 01 Sensor can not sense filter. sensing range.
If operation is unavailable, call engineer.
C04 – 00 No beam limiting mask is set. Insert beam limiting mask.
Beam limiting mask is 18×24 type

C04 – 01 Exchange cassette with same size one.
but cassette is not for it.
Beam limiting mask is 24×30 type

C04 – 02 Exchange cassette with same size one.
but cassette is not for it.
Turn off circuit breaker then ON again.

C06 – 00 BUCKY error Turn on “ I “ switch.
If error repeats, call engineer.

Operation Manual
Error code Meanings of error Corrective action

C06 – 01 Inverter / alarm 1 error Turn on “ I “ switch.

C06 – 02 Inverter / alarm 2 error Turn on “ I “ switch.

C06 – 03 Inverter / filament error Turn on “ I “ switch.

C06 – 04 X-ray tube anode rotation error Turn on “ I “ switch.

Main Board and Motor Controller
C08 – 00 Turn on “ I “ switch.
connection error
Emergency switch turn off.

C08 – 01 Emergency switch pushed Turn off circuit breaker then ON again.
Turn on “ I “ switch.

C08 – 02 Motor not moving error Turn on “ I “ switch.

X-ray exposure small then setting
mAs data.

X-ray exposure large then setting
mAs data.
X-ray can not be made during check lamp

X-ray exposure mistake.
C09 – 02 is on.
CHECK lamp on error.
Press CLR switch to restart.

Operation Manual
7. Maintenance
Operator should take an inspection for longer unit‟s life.
7.1. Daily check point.

Check items in “5.1 Pre-inspection” and “5.8 After-inspection” at chapter 5.
7.2. Check point after use in short time.

Check items in “5.1 Pre-inspection” at chapter 5.
And worm up X-ray tube head.
Make three exposures at every 30 seconds at large focus, 25 kV and 10 mAs.
Clean the unit.
Clean the body with wet cloth by water or domestic detergent.
Caution； 1．Do not use an abrasive, organic detergent or chlorine compound.

2．Do not spray on the unit.

Operation Manual
8. Lay-out
8.1. Body
Fig 8.1
8.2. X-ray control unit
Fig. 8.2

Operation Manual
8.3. X-ray control console panel
Fig 8.3

MX-600 S2 Operation

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Mammography X-ray System MX-600

Diagnostic Mammography X-ray System

ECORAY CO., LTD. MX-600（Rev.1.0） 1

ECORAY CO., LTD. MX-600（Rev.1.0） 2

6. Error messages and corrective reactions ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 35

ECORAY CO., LTD. MX-600（Rev.1.0） 3

1.2. Optional unit

ECORAY CO., LTD. MX-600（Rev.1.0） 4

Reference； ① Automatic filter change

Filter is automatically selected according to kV range

② Manual filter change

The filter is set Mo / Al or Mo / Rh when the unit is released from factory.

2.2. X-ray high voltage generator

ECORAY CO., LTD. MX-600（Rev.1.0） 5

h）Cassette with exposed film is placed on radiography table.

2.3. X-ray tube ass‟y

2.4. Additional filter

2.5. Radiography unit

ECORAY CO., LTD. MX-600（Rev.1.0） 6

6）X-ray exposure field by AEC

2.6. Bucky device

2.7. Magnification device

ECORAY CO., LTD. MX-600（Rev.1.0） 7

ECORAY CO., LTD. MX-600（Rev.1.0） 8

Further information and explanation, see each section.

① Radiography unit 4.2.

ECORAY CO., LTD. MX-600（Rev.1.0） 9

4.2. Radiography unit

Reference； Insert face guard in any time except Magnification radiography.

② Beam limiting mask

ECORAY CO., LTD. MX-600（Rev.1.0） 10

③ Exposure field indicating lamp switch

④ Compression paddle fixing metal

If compression paddle is set inappropriately, compression force dose not acts

ECORAY CO., LTD. MX-600（Rev.1.0） 11

⑤ Breast compression paddle

Compression paddle replacement

Insert up to the end

Material of compression plate is a transparent poly-carbonate

ECORAY CO., LTD. MX-600（Rev.1.0） 12

⑥ Manual compression knob

⑧ Device setting connector

⑩ AEC field adjustment knob

ECORAY CO., LTD. MX-600（Rev.1.0） 13

⑪ Compression force adjusting knob

Compression force adjusting knob

Check the value of compression force shown in SETTING window before

ECORAY CO., LTD. MX-600（Rev.1.0） 14

4.3. Stand panel

ECORAY CO., LTD. MX-600（Rev.1.0） 15

No. Display Name Performance

In case of operation by AEC detector movement knob

When compression force is loaded on breast（more

It indicates C-arm‟s current angle（1°step）. And when

This switch is used when C-arm‟s rotation stop angle is

ISO-Level lamp ISO-Level operation is available during this lamp is on.

ECORAY CO., LTD. MX-600（Rev.1.0） 16

No. Display Name Performance

C-arm rotation This switch can make C-arm‟s rotation.

C-arm automatically stops at 0°and 90°. The next