EN

Cyberbloc
series 02
Mobile C-arm unit for fluoroscopy and radiography

Distributed by:
30-34 av. Henri Matisse
06200 NICE – FRANCE
tel. : +33 492 292 330
fax : +33 493 713 520
e-mail:sales@primaxint.com
The Cyberbloc consists of the following versions:

Cyberbloc MF

Cyberbloc MR

Cyberbloc PFk

Cyberbloc Rk5-HCF

CAUTION:
Read all the enclosed documents before using the EM equipment
 Part 0 : PREFACE

CONTENTS

pages rev. date

0.1 to 0.5 0 29/06/18

1 DESCRIPTION OF THE EQUIPMENT
2 IDENTIFICATION / SERIAL NUMBERS
3 LIABILITY STATEMENT
4 CONFORMITY AND REFERENCE ADDRESS

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1 DESCRIPTION OF THE EQUIPMENT

The Cyberbloc is a mobile X-ray machine fitted with an image intensifier for the following applications:

- orthopaedic surgery (X-ray control of the position of the protheses, the installation of plates and
general interoperative monitoring),

- general surgery (intraoperative monitoring),

- heart surgery (pace-maker implants and electro-physiology),

- pain therapy, urology and lithotripsy monitoring

The equipment comes in the following versions:

Version Memory/ TV Camera Layout Infrared

Vers. Name Processor X-Ray Model I.I. Tube Footswitch Monitor Remote
Tube Control
Video Fixed
1 Cyberbloc MF Memory Anode CD100ca 9” 1 command Landscape No
SBFM
Video Rotating
2 Cyberbloc MR Memory Anode CD100ca 9” or 12” 1 command Landscape No
SBFM
Fixed
3 Cyberbloc PFk Video CD1030ca 9” 3 Portrait Yes
Anode
Processor commands
RTP_NW
Rotating
4 Cyberbloc Video CD1030ca 9” or 12” 3 Portrait Yes
Anode
Rk5-HCF Processor commands
RTP_NW-HCF

Table 1

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2 IDENTIFICATION / SERIAL NUMBERS

The equipment is identified by two labels, A and B.

The individual components are also labelled:

- C: X-ray monoblock
- D: I.I. tube
- E: Monitor (1)(5)
- F: TV Camera CD1030ca (2) (versions 3 and 4 only)
(3)
- G: Rack for TV Camera CD100ca (versions 1 and 2 only)
- H: Video processor RTP_NW(4) (versions 3 and 4 only)

The positions of these labels are indicated in the figures below:

Cyberbloc XX Cyberbloc XX ATS

SN XX XXX 66 XX AAAA-MM
XX XXX 66 XX
CD1030ca
Distributed by PRIMAX international SERIAL: XX XXX 82 XX
230 Vac / 50Hz
Follow instructions ATS SUPPLY: 24VDC 9VA
12A max Fluoroscopy modality for use Via A. Volta, 10 -
24060 Torre de' Roveri (BG) ITALY Via A. Volta,10
23A Radiography modality
24060 Torre de' Roveri (BG), ITALY
0051
Apparent resistance : 0,4 ohm
Circuit breaker : In=10A - Characteristic=D B: System F: TV camera
Physiological effects : ionising radiation Max 120 kV

ATS
Distributed by PRIMAX international
30-34 av. Henri Matisse 06200 NICE - FRANCE

ATS Applicazione Tecnologie Speciali s.r.l.

Via A. Volta, 10 - 24060 Torre de' Roveri (BG) ITALY

CAMERA CCD100/CA
SERIAL XX XXX 57 XX
http://www.atsmed.it
SUPPLY 230V~ 50/60Hz 30VA
MADE IN ITALY
0051

G: TV camera rack
A: System

(5)
E
E

G/H

B
C
A

Note (1) : Versions 1 and 2 – labels only accessible after removing the monitor.
Note (2) : Label only accessible after removing the I.I. tube panel.
Note (3) : Label only accessible after removing the display unit panel.
Note (4) : Label only accessible after removing the display unit panel.
Note (5) : For version with carter the label only accessible after removing the carter (see paragraph 2.2 in Part 2
of Technical manual)

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The following ID plates are also found on the components:

1-command footswitch
Cyberbloc XX
FOOTSWITCH
IP 48
Distributed by PRIMAX international
ATS
Via A. Volta, 10 -
24060 Torre de' Roveri (BG) ITALY

0051

Cyberbloc XX
3-command footswitch
INFRARED REMOTE CONTROL
Distributed by PRIMAX international
ATS
Via A. Volta, 10 -
24060 Torre de' Roveri (BG) ITALY

0051

Infrared remote control

Cyberbloc XX
CASSETTE HOLDER
Distributed by PRIMAX international
ATS
Via A. Volta, 10 -
24060 Torre de' Roveri (BG) ITALY

0051

Cassette holder (Optional)

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3 LIABILITY STATEMENT

The manufacturer can only be held liable for the safety of its products if serviced and
repaired by the manufacturer or by suitably trained and qualified personnel. The
manufacturer holds regular training courses for technicians, fitters and maintenance workers
at its head offices for this purpose.

The manufacturer cannot be held liable for any malfunction, loss or danger arising
from improper use of the EM equipment or from non observance of the maintenance
instructions.

The organisation responsible for the EM equipment is responsible for making sure that it
is only and exclusively used by suitably trained and qualified operators.

Never attempt to modify the EM equipment without first obtaining written authorisation to do
so from the manufacturer.

The manufacturer provides working diagrams and layout drawings, component lists and
descriptions and calibration instructions to assist the technical personnel when repairing parts
of the EM equipment.

4 CONFORMITY AND MANUFACTURER’S ADDRESS

This X-ray device is produced by:

Applicazione Tecnologie Speciali srl

Via A. Volta, 10
24060 Torre de’ Roveri (BG) - Italy -
TEL. +39/035584311
FAX +39/035580220
e-mail: infoats@atsmed.it
http://www.atsmed.it/

The equipment complies with European Directive 93/42 EEC and subsequent amendments,
2007/47 EEC.

The following harmonised standards apply to the EM equipment:

EN 60 601-1 (3rd ed.)

EN 60 601-1-3 (2nd ed.)
EN 60 601-2-54 (1st ed.)
EN 60 601-1-2 (3rd ed.)
EN ISO 14971: 2004
EN 60601-1-6 (3rd ed.)
EN 62366 (1st ed.)
IEC 60825-1(2nd ed.)

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USER MANUAL

User Manual
EN code 66 80 022

MAIN CONTENTS

PART 0 : PREFACE
PART 1 : GENERAL DESCRIPTION
PART 2 : USE
PART 3 : TECHNICAL DATA

User Manual
issued on 29/06/18

series 02

Attention:

Each Part is preceded by its own contents pages showing the latest
available version of each chapter.

This is a translation of the Italian text, which prevails in case of doubts.

MAIN CONTENTS
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USER MANUAL

Part 1: GENERAL DESCRIPTION

CONTENTS
pages rev. date
CONTENTS I.1 0 29/06/18

1 DESCRIPTION OF THE EM EQUIPMENT 1.1 to 1.14 0 29/06/18

1.1 Applications
1.2 Composition of the EM equipment
1.2.1 Composition of versions with video memory
1.2.2 Composition of versions with video processor
1.3 Stand
1.3.1 Control panel
1.3.1.1 Buttons
1.3.1.2 Indicators
1.3.2 Stand commands
1.4 Monitor unit
1.5 Exposure commands

2 SAFETY 2.1 to 2.21 0 29/06/18

2.1 Introduction
2.2 Safety procedures
2.2.1 Mechanical safety
2.2.2 Electrical safety
2.2.3 Equipotential earth connector
2.2.4 Laser radiation
2.2.5 Protection against ionising radiation
2.3 Residual risks
2.4 Scrapping the EM equipment
2.5 Warnings
2.5.1 Symbols used
2.5.2 Warnings and alarm messages on the touch
screen panel
2.6 Manufacturer’s guidelines and statement
2.6.1 Electromagnetic emissions
2.6.2 Electromagnetic immunity
2.6.3 Recommended separation distances for cordless
and mobile radio – communication devices

2.7 Daily checks

2.7.1 Dose level
2.7.2 Dose Area Product (DAP)
2.7.3 Max X-ray collimator aperture
2.7.4 Safety of C-arm up/down movement
2.7.5 Monitor adjustment (versions with video processor
only)

3 ANNEXES (versions with video processor ONLY) 3.1 to 3.10 0 29/06/18

3.1 Working monitor
3.1.1 Image area
3.1.2 Command strip
3.2 Infrared remote control

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1 DESCRIPTION OF THE EM EQUIPMENT

1.1 APPLICATIONS

This machine is a mobile X-ray device with image intensifier for applications in:

– orthopaedic surgery (X-ray control of the position of protheses, the installation of plates and
intraoperative monitoring in general)

– general surgery (intraoperative monitoring)

– heart surgery (pace-maker implants and electro-physiology)

– pain therapy, urology and lithotripsic controls.

It normally allows for acquisition of X-ray images in the following modes

- Continuous fluoroscopy
- Low mA continuous fluoroscopy
- High mA continuous fluoroscopy (boosted)
- Pulsed fluoroscopy
- “One shot” fluoroscopy
- Cassette radiography.

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USER MANUAL

1.2 COMPOSITION OF THE EM EQUIPMENT

The electro-medical (EM) equipment comes in various versions, the main difference being the image
acquisition device installed:
- Versions with video memory or
- Versions with video processor.

1.2.1 COMPOSITION OF VERSIONS WITH VIDEO MEMORY

1 Stand
2 X-ray footswitch
3 Monitor station

1 Stand

3 Monitor station

2 Footswitch

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USER MANUAL

1.2.2 COMPOSITION OF VERSIONS WITH VIDEO PROCESSOR

1 Stand
2 X-ray footswitch
3 Monitor unit
4 Remote control

1 Stand

4 Remote control

2 Footswitch

3 Monitor Unit

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 USER MANUAL

1.3 STAND

1 Control panel
2 X-ray monoblock
3 Collimator ; DAP (optional)
4 I.I. tube
5 TV camera with CCD sensor
6 Stand containing: Control unit
X-ray generator inverter
Column movement motor
Front wheel rotation mechanism
Power transformers
7 C-arm sliding grip
8 C-arm sliding brake
9 C-arm rotation brake
10 Horizontal C-arm positioning brake
11 Horizontal C-arm movement grip
12 “Wig-wag” angle brake
13 Guide knob (±90°) for rear wheels and stand parking brake control
14 Handles for moving the stand
15 X-ray command button
16 Emergency button
17 Stand / monitor unit connector
18 Footswitch cable connector
19 Equipotential earth connector
20 Laser light localiser (optional)

7 14 11 12 9
5

20
A

10 17 6 15 18 19

16

13
View from A
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Fig. 2
USER MANUAL

1.3.1 CONTROL PANEL

The control panel on the stand is the main control unit.

It has a graphic touch screen display showing the working parameters and a knob that lets you set
these.

X-ray emission warning

light

Graphic touch
screen display

Rotating encoder

The control panel has 2 working frames:

- FLUORO for X-ray exposure in fluoroscopy mode

- RAD for X-ray exposure in cassette radiography mode.

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FLUORO:

for X-ray exposure in continuous fluoroscopy,

pulsed fluoroscopy and one-shot fluoroscopy
modes.

Version with video memory

Version with video processor

RAD:

for cassette radiography.

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USER MANUAL

There are three possible settings for the touch screen:

- Direct control, by pressing the corresponding icon:

o To select the FLUORO or RAD working frame
o To select automatic or manual fluoroscopy
o To select a normal or low working dose
o To activate the boosted fluoroscopy function
o To select the fluoroscopy mode: continuous, pulsed or one shot
o To select the X-ray emission rate in pulsed fluoroscopy mode
o To activate the laser localiser
o To flip the image (horizontally)
o To save the image
o To transfer the image to the reference monitor
o To activate the cineloop function
o To reset the accumulated fluoroscopy time
o To reset the accumulated X-ray dose
o To select the road mapping function (DSA exams only) *
o To select the image subtraction function (DSA exams only)*
o To select the mask (DSA exams only)*

* optional

- Parameter selection/editing using the knob:

o To set the kV for fluoroscopy and radiography
o To set the mAs
o To open/close the X-ray collimator iris
o ATo open/close the X-ray collimator shutters
o To rotate the X-ray collimator shutters
o To rotate the image on the monitor
o To find individual saved images
o To find a series of saved images (Run)
o To find an image on the reference monitor

- Parameter selection/editing in a new window:

o To select the anatomical exam
o To select the I.I. tube field

The various buttons and indicators on the control panel are described in the following paragraphs.

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USER MANUAL

1.3.1.1 BUTTONS

The OFF / ON status of each button is normally shown by inversion of the grey scale.

OFF ON

Adjustment of the KV (fluoroscopy/cassette radiography) by turning the rotating

X-RAY PARA,METERS
ADJUSTMENT OF THE

encoder

Adjustment of the mAs (by turning the rotating encoder)

(cassette radiography only)

Automatic/manual fluoroscopy mode

Fluoroscopy mode
(press icon to switch to cassette radiography)

Cassette radiography mode

(press icon to switch to fluoroscopy)

Fluoroscopy
low mA / normal mA / boosted mA

(low mA and normal mA modes can be enabled by pressing the icon

EXPOSURE MODES

on the left; press that below to enable the boosted mA mode)

OFF ON
Boosted mA fluoroscopy command

(max 10s for monoblock with fixed anode; max 30s for monoblock with
rotating anode)

Selection and indication of continuous / pulsed / one-shot fluoroscopy

(SBFM video memory only)

Selection of pulsed / continuous fluoroscopy to disk. Current mode is

shown on the monitor.
(video processor only)

Selection and indication of pulsed fluoroscopy rate

(video memory only)

Selection of pulsed fluoroscopy rate. Selected value is shown on the

monitor.
(video processor only)
ANATOMICAL

Selection and indication of exams

EXAMS

Selection and indication of DSA exams

(video processor and DSA option only)

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USER MANUAL

Selection of the road mapping function

(video processor and DSA option only)
DSA FUNCTIONS

Mask pick-up command

(video processor and DSA option only)

Image subtraction mode indication

(video processor and DSA option only)

OFF ON Version with 9” I.I. Version with 12”I.I.

/ Nominal field (29cm)

I.I. TUBE FIELDS

Nominal field (21cm) 1st zoom factor (21cm)

1st zoom factor (16cm) 2nd zoom factor (16cm)

2nd zoom factor (12cm) /

OFF ON

Lase localiser ON/OFF (10s shut down time)

View X-ray collimator commands

X-RAY COLLIMATOR and LASER

(video processor and DSA option only )

Full aperture of X-ray collimator in cassette radiography mode

Open/Close X-ray collimator iris

Open/Close X-ray collimator shutters

Rotate X-ray collimator shutters

OFF ON

Rotate image
ORIENTATION

(keep pressed for more than 3 seconds to reset)

IMAGE

Horizontal image flip

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USER MANUAL

OFF ON

Save image being acquired or that shown on monitor (last image hold) (LIH) after
emission
IMAGE SAVING AND MANAGEMENT

Find a single saved image

Find a series of saved images (Run)

(video processor only)

Activate cine-loop
(video processor only)

Transfer image to reference monitor

(video processor only)

Find image on reference monitor

(video processor only)

Reset accumulated X-ray dose on DAP

(keep pressed for at least 3 seconds)
RESET INDICATIONS

Reset total fluoroscopy timer

Reset 5 minute fluoroscopy alarm

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USER MANUAL

1.3.1.2 INDICATORS

Working mode / status messages / alarms

Accumulated X-ray dose during study (dose x area)

% of heat units available in monoblock

(100% = monoblock is cold)

% of heat units available in anode

(100% = anode is cold)

Fluoroscopy / radiography kV

Fluoroscopy time
INDICATORI

Fluoroscopy mA

Remaining Fluoroscopy emission time before heat units are all used up
(estimated and only shown when the remaining time is less than 30
minuites)

Radiography mAs

Duration of radiography exposure

Reference Air Kerma Rate

Reference Air Kerma accumulated during the study

1.3.2 STAND COMMANDS

The stand has its ON/OFF commands together with those for raising/lowering the C-arm:

Stand OFF Stand ON

Raise C-arm

Lower C-arm

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USER MANUAL

1.4 MONITOR UNIT

Versions with video memory:

1 Working monitor (W.M.): this displays the images during X-ray emission and the LIH
2 Reference monitor (R.M.): this displays the saved images
3 ON/OFF key
4 SBFM video memory (inside)
5 Video printer compartment (optional)
6 Power unit (inside)
7 Parking brakes
8 Emergency button
9 X-ray emission warning light
10 Handles for moving the unit
11 Cable support (after use)
12 Magnetothermal switch
13 Power cable
14 Monitor unit/stand connection cable

Note. The image shows the version with monochrome monitors, model IVL-GEV955IMI.

9 1

10 3

4 8

5 10

6 11

14
7

12 7

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USER MANUAL

Versions with video processor:

1 Working monitor (W.M.): this displays the images during X-ray emission, the LIH and the images
saved on the video processor hard disk
2 Reference monitor (R.M.): this displays the saved images
3 ON/OFF key
4 Touch-pad keyboard
5 Infrared remote control sensor
6 CD/DVD burner
7 USB socket for transferring saved images
8 RTP_NW video processor
9 USB printer compartment
10 Power unit
11 Parking brakes
12 Monitor commands
13 Ethernet cable connector
14 Emergency button
15 X-ray emission warning light
16 Handles for moving the unit
17 Cable support (after use)
18 Infrared remote control
19 Magnetothermal switch
20 Power cable
21 Monitor unit/stand connection cable

Note. The image shows the version with colour monitor, model EM19TFTI/MCIIL-C1.

1
12

2
13

3
14

4
15

5
16

6
17

7
18

8
19

9
20

10
21

11 11

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USER MANUAL

1.5 EXPOSURE COMMANDS

The EM equipment has a button and a footswitch

for giving the X-ray exposure commands.

Versions with video memory:

• The one-pedal footswitch activates all the fluoroscopy X-

ray emission modes (continuous, pulsed, one-shot).
The emission mode is selected using the stand control
panel.

• The two-click button is used for both fluoroscopy and

radiography.

In fluoroscopy mode:
- the first click commands X-ray emission
- the second click commands the saving of the
current image

In radiography mode:
- the first click commands RAD preparation,
- the second click commands the actual X-ray
emission.

Versions with video processor:

• The footswitch has three pedals, used to select each

fluoroscopy mode directly:

- the right pedal commands continuous fluoroscopy,

one shot
- the left pedal commands pulsed fluoroscopy or
continuous fluoroscopy with acquisition to HD,
depending on the setting on the stand control panel.

pulsed continuous
- the mushroom pedal commands one shot fluoroscopy.

• The two-click button is used for both fluoroscopy and radiography.

In fluoroscopy mode:
- the first click commands X-ray emission
- the second click commands the saving of the
current image

In radiography mode:
- the first click commands RAD preparation,
- the second click commands the actual X-ray emission.

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USER MANUAL

2 SAFETY

2.1 INTRODUCTION

The equipment must be used solely in accordance with the safety instructions contained in this manual
and must never be used for purposes other than those for which it is intended.

Attention:

The equipment must only be used by personnel with proper knowledge of radiation protection
and full training in the use of X-ray equipment.

The EM equipment must always be manned when switched on.

The equipment must not be used if there are any electrical, mechanical or radiological
failures. Likewise, it must not be used in the event of a faulty alarm or signal.

Prior authorisation must be obtained in writing from the manufacturer before making any
modifications to this equipment or its safety system.

Never remove any parts or covers, as this could compromise the equipment’s
electromagnetic compatibility.

If you wish to use the equipment in combination with other devices, components or modules
whose compatibility is not certain, you must make sure that there are no risks for patients or
operators. Consult the manufacturer of the device in question or an expert.

As with any technical apparatus, the X-ray equipment must be used in a proper manner and
receive regular checks and maintenance as specified in the "Maintenance" section of this
manual.

The monoblock may reach a temperature close to 60 °C after prolonged use. Do not touch
the monoblock or move it near the patient.
When not in use, remove the sterile covers to help the monoblock cool down.

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USER MANUAL

2.2 SAFETY PROCEDURES

2.2.1 MECHANICAL SAFETY

Attention:

After positioning the equipment, apply the parking brakes.

Only use the special steering handles to move the equipment.

Avoid knocks.

Never remove the guards unless for the maintenance operations expressly foreseen by and
described in this manual.

2.2.2 ELECTRICAL SAFETY

Attention:

Never use the EM equipment in potentially explosive environments.

Never use the EM equipment in oxygen-rich environments

Unplug the equipment from the mains before cleaning, disinfecting and sterilizing it.

Cleaning products and disinfectants, including those used for patients, can form explosive
gas mixtures. Therefore, only use products that comply with the relevant safety regulations.

Take care not to spill conducting liquids on the equipment as these could infiltrate and so
damage the equipment and render it unsafe to use.

Protection against electric shock is provided by an earth connection (EM equipment, class I).
Make sure that the electrical plant to which the EM equipment is connected is properly
earthed in compliance with current laws and regulations.

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USER MANUAL

If the equipment suddenly malfunctions, use the emergency button (on the monitor unit or the
stand, as shown in the figure) to stop it and prevent the emission of X-rays.

Always switch the equipment off after use. When in use, always switch the equipment off using
the OFF key on the stand.
To switch the system off completely, use the key switch on the monitor stand, but only after
switching the stand off first.

Unplug at the mains only after first switching the system off using the key switch on the monitor
unit.
If the power cable becomes damaged, carefully remove it (holding it by the plug) and
replace with a new one from the manufacturer.

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USER MANUAL

2.2.3 EQUIPOTENTIAL EARTH CONNECTOR

For maximum patient and medical staff safety,

the patient bed must be earthed using the equipotential earth
connector on the stand.
Use a cable with a Multi-Contact POAG-K4 or POAG-K6 connector to
connect this (see detail in figure below).

The equipotential earth connector MUST NOT be used for connection to the EARTH.

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USER MANUAL

2.2.4 LASER RADIATION

In order to centre the X-ray beam, the equipment uses 2 laser beam centring devices (optional) with class
1M laser diodes (optional) placed on the I.I. tube.

Never look directly at the laser beam through a lens.

Beware that the laser beam may be reflected by surgical instruments or other accessories used
during an operation.

A special warning plate (see figure) is fixed on the I.I. tube near the flange containing the two centring
devices, in the position shown in the figure below.

The laser diodes used are class 1M laser diodes (IEC/EN standard 60825-1 Ed.2).

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USER MANUAL

2.2.5 IONISING RADIATION PROTECTION

The EM equipment emits ionising radiation for medical purposes.

X-ray equipment can be harmful if not used in a proper manner.

These instructions must therefore be read in full and fully understood before the equipment can be used.

The use of this device involves two types of exposure to ionising radiation:
 occupational, for operators
 diagnostic, for patients being scanned.

Even though the equipment provides a high standard of protection against X-rays, beyond the actual
beam, no occupational measure can guarantee total protection. The operator must, therefore, take all
the necessary safety precautions to avoid the risk of exposure, to himself and others, arising from incorrect
or excessive exposure to radiation.

All operators must receive suitable training and adopt all necessary safety measures to avoid the risk of
harm.
The equipment is sold on the following condition (clause in the sale contract): the Manufacturer, its
agents and representatives cannot be held liable for any loss or injury that may be caused by improper
use of the equipment.

Before carrying out any exposure, make sure that all the necessary radiation protections have
been activated.
During X-ray use, the personnel present in the X-ray room must observe the radiation
protection regulations in force.

Always provide patients with the necessary radiation protection.

Use suitable personal radio-protective equipment. A radio-protective material equivalent to

0.35 mm of lead gives 99.95% protection against radiation of 50 kV and 94.5% protection
against radiation of 100 kV.

Below are examples of such personal radio-protective equipment:

Protective aprons
for operators

Protective aprons for patients

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USER MANUAL

Head protection for operators

Thyroid protection for operators

Scrotum protection for

male patients

Ovary protection
for female patients

Distance is the best protection against radiation: always keep as far away from the source of
the X-rays and the exposure objective as possible.
Use the manual switch at least 2 m from the X-ray beam to protect yourself further from the risk
of dispersed radiation.
Accordingly, the coiled cable of the manual switch is about 4 long when fully extended.

Always set the smallest exposure field possible by closing the collimator shutters/iris. In fact,
dispersed radiation depends to a large extent on the volume of the irradiated object.

Avoid moving or remaining within the X-ray trajectory.

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Use the largest possible skin-focussing distance to minimise the dose absorbed by the patient.

The dose values for the patient shown above (distance from focus = 100 cm and 50 cm) are:

2
 50cm 
dose" A" =   × dose" B"
 100cm 

For example, if a patient at a distance of 50 cm from the focus receives a dose of 250uGy (dose “B”),
when that distance becomes 100 cm the received dose is:

2
 50cm 
dose" A" =   × 250uGy = 62,5uGy
 100cm 

During every exposure, always make sure that the edge of the iris collimator is visible on the
image: if it is not possible to collimate this correctly, call the manufacturer Technical Service as
there is the risk that the collimator is not working and remains open at an excessive value.

Make sure that there are no materials within the X-ray beam that could diminish the intensity
of the X-rays and so lead to sub-standard images.
For example, the patient bed must conform with standard EN60601-2-54 table 203.104
(equivalent aluminium filtration less than 2.3mm).

Patient and operator radiation must be kept as low as reasonably possible without
compromising the benefits of the radiological procedure.

Deterministic effects can occur after prolonged exposure, when the X-ray dose received by
a given organ or tissue exceeds a specific value (threshold dose).
The SKIN and the EYE LENSES are the tissues most affected during radiodiagnostics. The
recommended threshold dose is between 1Gy and 3Gy.

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2.3 RESIDUAL RISKS

The EM equipment has been designed and built in full respect of the safety regulations.
Nevertheless, there are still some risks involved in the use of this equipment if it is used incorrectly or the
prescribed safety measures are faulty.

With regard to risks due to improper use of the EM equipment, see the instructions and recommendations
above.

Note also that:

• Patients or operators may be harmed by uncontrolled movement of the monitor unit or the stand due
to excessively fast movement or steep surfaces.
- Never allow the monitor unit or the stand to pick up too much speed during movement.
- Never move the monitor unit or the stand on stairs or inclined surfaces with a gradient of more
than 10°.
- When moving the stand or monitor unit, avoid all obstacles on the ground (e.g. cables and
steps.

• The stand and monitor unit have been tested for stability during movement on inclined surfaces (up to
10° and all other positions on slopes of up to 5°.
- Never use the stand or monitor unit on surfaces with an incline of more than 5° (or 10° during
transit).
- Never try to move the stand or monitor unit when their brakes are engaged.

• In the case of uncontrolled movement of the C-arm, the mechanical structure may hit the patient or
operators.
- Keep the movement of the C-arm under control at all times.

• The monoblock may overheat after continuous and prolonged use of the equipment.
- Never cover the surfaces of the monoblock with material that prevents heat dispersion.

• Inflammable gases may be ignited by electric arcs due to the operation of electrical components.
- Never use the equipment in the presence of anaesthetics or other inflammable products.
- Check that there is a fire extinguisher in the room where the equipment is to be used and that
this is efficient.

With regard to residual risks due to faults in the prescribed safety measures, note that:

• Protection against electric shocks is provided by means of an efficient earth system for all metal parts
covering the equipment.
- The full earth circuit (for both internal and external parts and the mains supply) should
therefore be checked for efficiency on a regular basis (see the "Routine Maintenance"
schedule described in this manual).

• If the LCD monitor screen is hit hard enough, it could break and scatter liquid crystal, which is toxic.
- Avoid hitting the monitor with any objects.

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• The column that raises the monoblock C-arm is motorised.

- If the motor responsible for moving the column is accidentally powered up, the operator
should immediately push the emergency button placed on the stand or on the monitor unit.

• If smoke is seen or unusual noises are heard:

- Switch the equipment off immediately and unplug at the mains.

To control the residual risk of X-ray emission in the event of a system fault or incorrect
adjustment, we recommend checking the dose level every day, immediately after switching on
the equipment and before using it on patients (details of this test are given in paragraph 2.7).

2.4 SCARPPING THE EM EQUIPMENT

Once the EM equipment reaches the end of its useful life, dispose of all its components in accordance
with the European Waste Electrical and Electronic Equipment Directive 2012/19/EU (disposal of waste
electrical and electronic equipment - WEEE).

Some parts of the EM equipment are built using hazardous materials, such as lead.

The batteries used must be disposed of in accordance with European Directive 2006/66/CE and
subsequent modifications and supplements. (On batteries and accumulators and waste batteries and
accumulators).

See chapter 4 in Part 5 of the Technical Manual for further details.

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2.5 WARNINGS

2.5.1 SYMBOLS USED

Symbols are used on the equipment and serial n° plate, as follows:

Caution: read the accompanying documents before use

Note: This symbol, on the stand control panel, draws your attention to the absolute
need to adhere to the instructions in this manual when using the equipment.
Laser localiser present

Live parts

Potentially harmful physiological effects

Electrical safety factor: equipment class B

Equipotential pole

X-ray focus position

Risk of crushed hands

Reference index

Switch open

Switch closed

Brake off

Brake on

Wheels in normal position

Wheels ready for sideways movement

Radiography

Continuous fluoroscopy

Pulsed fluoroscopy

Fluoroscopy with saving to HD

One shot fluoroscopy

Equipment to be disposed of in accordance with European Directive 2012/19/UE

requirements (“WEEE” - Handling of waste electrical and electronic equipment)

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2.5.2 STATUS AND ALARM MESSAGES ON THE TOUCH SCREEN PANEL

Messages
status and alarms

MESSAGE MEANING ACTION

WAIT… System asks you to wait Wait…

READY System ready for X-ray emission in continuous

/ pulsed / one-shot / radiography mode
RAD PREPARATION Preparing for radiography

READY FOR RAD RAD preparation completed

RADIOGRAPHY X-ray emission in radiography mode

FLUOROSCOPY X-ray emission in continuous fluoroscopy

mode, with normal mA
PULSED FLUOROSCOPY X-ray emission in pulsed fluoroscopy mode,
with normal mA
ONE SHOT X-ray emission in one-shot fluoroscopy mode

LOW mA X-ray emission (fluoroscopy) with low mA, The normal mA value is automatically
depending on temperature of the X-ray tube reset as the temperature of the X-ray
or X-ray monoblock tube or monoblock falls
BOOSTED X-ray emission (fluoroscopy) with high mA, for
the time set on the equipment
FLUOROSCOPY PEDAL Continuous fluoroscopy footswitch error: Call Technical Service.
CLOSED already “on” when system switched on.
PULSED PEDAL CLOSED Pulsed fluoroscopy footswitch error: already Call Technical Service.
“on” when system switched on.
1-SHOT PEDAL CLOSED One-shot fluoroscopy footswitch error: Call Technical Service.
already “on” when system switched on.
X-RAY BUTTON CLOSED X-ray command footswitch error: already Call Technical Service.
“on” when system switched on.
LOW DOSE AT MAX kV No image is detected when using the max kV Reboot system and give exposure
setting. command (without patient).
Call Technical Service if the alarm
persists.
kV ERROR I.I. tube voltage during exposure fails to reach Reboot system and give exposure
the set value. command (without patient).
Call Technical Service if the alarm
persists.
SET kV ERROR The kV setting supplied by the X-ray generator Call Technical Service
does not match the value shown on the
control panel (10% outside tolerance)

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MESSAGE MEANING ACTION

mA TOO LOW mA value too low during radiography Check mains voltage.
exposure (below 10 mA). Call Technical Service if the problem
persists.
mA value below 0.1 mA for more than 10
seconds during exposure in continuous
fluoroscopy mode.

mA value below 0.3 mA during exposure in

pulsed HCF fluoroscopy mode

INVERTER FAULTY Generic X-ray generator inverter error Reboot system and give exposure
command (without patient).
Call Technical Service if the alarm
persists.
TIMER FAULTY Malfunction in the main controller clock in the Call Technical Service.
equipment
DOSE CONTROL FAULTY Malfunction in the X-ray dose reading circuit Call Technical Service.
EEPROM FAULTY Malfunction in the permanent memory of the Call Technical Service.
main controller in the equipment
FILAMENT OFF Problem with the circuit that switches on the Reboot system.
X-ray tube. Call Technical Service if the alarm
persists.
VIDEOP. NOT READY No response from the video processor Reboot system and give exposure
PRONTO command (without patient).
No response from the video memory Call Technical Service if the alarm
MEMORY NOT READY persists.
TV CAMERA OFFLINE TV camera not communicating with the main Reboot system.
controller in the equipment Call Technical Service if the alarm
persists.
THERMAL SAFETY DEVICE The over-temperature thermal safety device Wait for the X-ray monoblock to cool
in the X-ray monoblock has tripped down.
CG-uP376 +24V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
CG-RKMC +15V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
CG-RKMC -15V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
CG-RKMC +24V FAULTY Problem in the main controller power circuits Reboot system.
in the equipment Call Technical Service if the alarm
persists.
NO X-RAYS No X-ray emission detected after giving the X- Reboot system and give exposure
ray command command (without patient).
Call Technical Service if the alarm
persists.
MANUAL X-RAY STOP The radiography command button has been Assess image quality and repeat
released before exposure has ended. exposure if necessary.
MAX RADIOGRAPHY TIME Radiography exposure has been interrupted Probably due to a big dip in the mains
by the max admissible exposure time-out (5’’) voltage during exposure.
Assess image quality and repeat
exposure if necessary, increasing the
kV.
MAX FLUOROSCOPY TIME Fluoroscopy exposure has been interrupted Reset fluoroscopy timer.
by the accumulated fluoroscopy timer.
COLLIMATOR FAULT The collimator is not connected, incorrectly
connected or does not function properly.
The nominal I.I. tube zoom is automatically Call Technical Service.
selected.
X-ray exposure is permitted in order to finish
the operation.
IRIS FAULT The iris has not reached the right position. Call Technical Service if the alarm
persists.
X-RAY TUBE TOO HOT Radiography exposure is not permitted as the Wait for the X-ray tube to cool down.
X-ray tube is too hot.

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MESSAGE MEANING ACTION

DAP FAULTY Problem in the Dose Area Product Call Technical Service.

DAP NOT CONNECTED Dose Area Product not connected Call Technical Service.

MAX DOSE 999999.9 Warning that the max accumulated dose Reset the DAP.
setting (DAP) has been exceeded
STARTER ANODE FAULTY Problem in the rotating anode circuit Call Technical Service.

X-RAY ORDER FAULTY Video processor makes an X-ray emission Call Technical Service.
request at wrong time
RKCA BOARD OFFLINE The RKCA board is not connected. Call Technical Service.
X-ray emission in ONE SHOT and high dose
PULSED FLUOROSCOPY modes is inhibited.
All other emission modes are permitted in
order to finish the operation.
XRAY-ON SIGNAL FAULT Incorrect X-ray signal from the X-ray Call Technical Service.
generator.
All emission commands are inhibited.
DETERMIN. EFFECTS! Caution: the accumulated Kerma value is
higher than the safety threshold:
DETERMINISITIC EFFECTS could be possible.
CONTROL PANEL NOT The CONTROL PANEL is not connected.
CONNECTED Call Technical Service.
Video processor versions: all fluoroscopy
emissions are still permitted in order to finish
the operation.

Video memory versions: all X-ray emissions are

inhibited.

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2.6 MANUAFACTURER’S GUIDELINES AND STATEMENT

Never remove any parts or covers as this may compromise the electromagnetic compatibility of
the system.

Caution: Cordless and cell phones may affect the efficiency of the device.

2.6.1 ELECTROMAGNETIC EMISSIONS

Table 1

Manufacturer’s guidelines and statement – electromagnetic emissions

In accordance with EN standard 60601-1-2:2007, the system is intended for use

in the electromagnetic environment specified below.
The customer or the user of system should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment - guidelines

RF emissions Group 1 The system uses RF energy only for its internal function. Therefore,
CISPR 11 its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
Class A The system is suitable for use in all establishments, excluding
domestic establishments and those directly connected to the
Harmonic emissions Not Applicable public low-voltage power supply network that supplies buildings
EN 61000-3-2 used for domestic purposes.
Voltage fluctuation / flicker Not Applicable
emissions
EN 61000-3-3

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2.6.2 ELECTROMAGNETIC IMMUNITY

Table 2

Manufacturer’s guidelines and statement – electromagnetic emissions

In accordance with EN standard 60601-1-2:2007, the system is intended for use

in the electromagnetic environment specified below.
The customer or the user of system should assure that it is used in such an environment.

Test level Electromagnetic environment -

Immunity test Compliance level
EN 60601-1-2 guidelines

Electro-static discharge ±6kV contact ±6kV contact Hospital environment:

(ESD) Floors should be wood, concrete
±8kV air ±8kV air or ceramic tile. If floors are
EN 61000-4-2 covered with synthetic material,
the relative humidity should be
at least 30%.
Electrical fast transient / ±2kV for power lines ±2kV for power lines Mains power quality should be
burst that of a typical hospital
±1kV for input/output ±1kV for input/output lines environment.
EN 61000-4-4 lines >3 m >3 m
±1kV differential mode ±1kV differential mode Mains power quality should be
Surge that of a typical hospital
±2kV common mode ±2kV common mode environment.
EN 61000-4-5
Voltage dips, short 0% UT for 0.5 cycles 0% UT for 0.5 cycles Mains power quality should be
interruptions and that of a typical hospital
voltage variations on 40% UT for 5 cycles 40% UT for 5 cycles environment.
power supply input
lines 70% UT for 25 cycles 70% UT for 25 cycles

EN 61000-4-11 0% UT for 5 s 0% UT for 5 s

Power frequency 3 A/m 3 A/m The main power frequency
(50/60Hz) magnetic magnetic fields should have
field levels typical of a hospital
environment.
EN 61000-4-8

Note: UT is the AC mains voltage prior to application of the test level.

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Table 4

Immunity test Test level Electromagnetic environment -

Compliance level
EN 60601-1-2 guidelines

Cordless and mobile RF

conducted RF 3 Vrms 3 Vrms communication devices should
150 kHz - 80 MHz not be used closer to the system,
EN 61000-4-6 including the cables, than the
recommended separation
distance calculated using the
correct equation for the
transmitter frequency.

Recommended separation
distance:
d = 1.2 √P
150 MHz - 80 MHz

d = 1.2 √P
80 MHz - 800 MHz

d = 2.3 √P
800 MHz - 2.5 GHz
irradiated RF 3 V/m 3 V/m
80 MHz - 2.5 GHz where P is the maximum nominal
EN 61000-4-3 output rate of the transmitter in
Watts according to the
transmitter manufacturer and d
is the recommended separation
distance in metres.

The field intensity for fixed RF

transmitters, as measured during
an electromagnetic survey of
the area, could be less than the
compliance level for each
interval of frequency.

Interference may occur close to

devices marked with the
following symbol:

Note 1: These guidelines might not apply to all situations. Electromagnetic wave propagation is influenced by the
absorption and reflection properties of structures, objects and people.

Note 2: The field intensity for fixed transmitters, such as docking stations for radio telephones (mobile phones and
cordless phones), two-way radio transmitters, pagers, amateur radio devices, AM and FM radio transmitters and TV
transmitters, cannot be determined in theory or to any degree of accuracy. A thorough electromagnetic survey of
the site is required to assess the electromagnetic environment caused by fixed RF transmitters. If the intensity of the
field measured in the room where the system is used exceeds the applicable compliance level indicated above,
you need to monitor the normal functioning of the system carefully. Additional measures may be required in the
case of abnormal performance, such as a different orientation or position for the system or use in a boosted RF
shielded environment enclosure.

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2.6.3 RECOMMENDED SEPARATION DISTANCES FOR CORDLESS AND MOBILE RADIO-COMMUNICATION

DEVICES

The system is designed to work in an electromagnetic environment where irradiated RF interference is

kept under control.
The client or system operator can help prevent electromagnetic interference by ensuring a minimum
distance between mobile/cordless RF communication devices (transmitters) and the system as indicated
below (with reference to the max output power of the radio-communication devices).

Table 6
Separation distance / Transmitter frequency
Max nominal output
m
power of the transmitter
150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
W
d = 1.2 √P d = 1.2 √P d = 2.3 √P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
Note 1: In the case of transmitters with a max nominal output rate not indicated above, the recommended
separation distance d (in metres) can be calculated by using the correct equation for the transmitter frequency,
where P is the maximum nominal output rate of the transmitter in Watts according to the transmitter manufacturer.

Note 2: These guidelines might not apply to all situations. Electromagnetic wave propagation is influenced by the
absorption and reflection properties of structures, objects and people.

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2.7 DAILY CHECKS

2.7.1 DOSE LEVEL

In order to minimise the risk of X-ray emission at the wrong dose, we recommend carrying out the
following check on the dose level on a daily basis, immediately after switching on the equipment and
before starting to scan patients:

a) Place either of the two 2mm copper plates supplied

with the equipment on the monoblock and then give
the command for continuous fluoroscopy in
automatic mode, with nominal field (9” or 12”), X-ray
collimator fully open and normal mA:
- Check that the kV automatically set by the system
are equal (or within the tolerance) to those
indicated in the table below.

b) Repeat, this time using both copper filters (total Cu

thickness = 4 mm):
- Check that the kV automatically set by the system
are equal (or within the tolerance) to those
indicated in the table below.

This table shows the typical kV values:

kV Tolerance

2 mm Cu 65 ±1kV

4 mm Cu 81 ±1kV

If the kV values are not correct, discover what the error is.
If you believe that the system has malfunctioned, do not use the equipment and call Technical
Service.

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2.7.2 DOSE AREA PRODUCT (DAP)

In order to minimise the risk of X-ray emission at the wrong dose, we recommend carrying out the
following check on the dose level on a daily basis, immediately after switching on the equipment and
before starting to scan patients.

Place either of the two 2mm copper plates supplied with the equipment on the monoblock as shown in
the previous paragraph.

Give the command for continuous fluoroscopy in automatic mode, with nominal field (9” or 12”), X-ray
collimator fully open and normal mA:

- Check that the increase indicated by the DAP after 10 seconds of emission is that shown in the table
below:

DAP increase
X-ray emission (µGy x m2)
Filter kV
time
9” I.I. 12” I.I.

2 mm Cu 65 ±1kV 10 seconds 24 ± 50% 28 ± 50%

If the kV values are not correct, discover what the error is.
If you believe that the system has malfunctioned, do not use the equipment and call Technical
Service.

2.7.3 MAX X-RAY COLLIMATOR APERTURE

With the iris collimator fully open, make sure that the edges of the image can just be seen: this ensures
against the risk of excessive exposure as the result of incorrect calibration or the malfunctioning of the
collimator.

If the edge of the collimator cannot be seen at max aperture, try using the manual close
control to see this.
If you suspect a malfunction, do not use the equipment and call Technical Service.

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2.7.4 SAFETY OF C-ARM UP/DOWN MOVEMENT

To check the safety circuit that prevents accidental movement of the C-arm column, we recommend
carrying out the following operation on a daily basis, within 20 seconds of switching the equipment on:
- press one of the up and one of the down movement buttons at the same time for a few seconds;
- on releasing these buttons:
o the column does not move if there are no problems,
o the column moves if there is a fault in the safety circuit, first up and then down, bya bout
1 cm.

In the event of a malfunction, do not use the equipment and call Technical Service.

2.7.5 MONITOR ADJUSTMENT (versions with video processor only)

On opening a new study, the two monitors display a “test” image that lets you check their brightness and
contrast settings.

A B

The monitors are correctly set when you can:

- see the grey box inside the black square (position A),
- see the grey box inside the white square (position B).

Adjust the settings, if necessary, following the instructions in point 6.2 of Part 2 of this manual.

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3 ANNEXES (versions with video processor only)

3.1 WORKING MONITOR

The Study List (see Part 2, paragraph 2.1.2 STUDY LIST FRAME) automatically opens when the equipment
is switched on. You can then open the working frame from this page on starting a new study.

The Working frame is split between:

Image Area

Control Strip

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3.1.1 IMAGE AREA

This area shows all the images and the relevant patient and exam data. The data is split into 6 groups,
as shown in the figure below.

2
1

6
5

4
3

This table provides details of the information shown:

Group Information Example Notes / Meaning

Patient: name / surname Rossi Mario

ID 654217

1 date of birth / sex 30 Nov 1989 M

description exam x

accession number A1B2E3D4E5

Station name C-arm

Institute name Hospital Name

2
Date of acquisition 03 May 2011

Run acquisition start time 10:24:18

Mask ID Mask: 10/13 Mask: 10th image (of 13)

6th series (of 6)

Image ID SER 6/6 FRM 10/13
3 10th image (in a run of 13 images)

Reference Air Kerma Rate RAKR: xxx.x mGy/min

Reference Air Kerma RAK: xxx mGy RAK accumulated during the study

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continuous fluoroscopy

continuous fluoroscopy with automatic saving of

images to HD

Acquisition mode pulsed fluoroscopy

continuous fluoroscopy with peak opacification /

road mapping

one shot

KV KV: 43 kV value at which image acquired

4
mA mA: 0.3 mA value at which image acquired

SHP: -11 horizontal shifting: 11 pixels to the left (in DSA)

Pixel shift
SHS: 15 vertical shifting : 15 pixels down (in DSA)

Image Level L: 3584 range 0 – 4095

Image Window W: 1024 range 50 – 4095

Edge enhancement applied to image: Type

Edge EDGE: SH 2
Sharp, Weight 2

Labelling Image tagged by operator

Mask Mask image

Subtraction Subtracted image

Grey scale revere Image shown as a negative

Horizontal flip Image flipped horizontally

Digital rotation 45° Angle of digital rotation applied to the image

5 Image sent to DICOM Store device

(marker) Stored / Printed marker
Image sent to DICOM Print device

Pending

Store OK

Store FAIL
Storage Commitment status
Autocommit OK

Store OK + Commit OK

Store OK + Commit FAIL

Automatic mask pick-up

6 Delay of 3 seconds after start of X-ray emission
time

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3.1.2 CONTROL STRIP

The control strip is split into 9 zones, as shown in the figure below:

1 3 6 8

2
4

7
5

1 Study List and DAP Dose

2 Acquisition

3 Orientation

4 Documentation

5 DSA

6 Post Processing

7 Reference Monitor

8 Search

9 Automatic mask pick-up

1) STUDY LIST AND DAP DOSE

A B

A) To close the study and return to the Study List.

B) To open the frame showing the total accumulated dose (X-ray dose x area) for the current study
(optional).

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2) ACQUISITION

The Acquisition zone lets you select and view the system acquisition conditions.

A C

B G

D E F

A) To select pulsed fluoroscopy or continuous fluoroscopy with automatic saving to HD.

(using the left pedal on the footswitch).

B) • If you select pulsed fluoroscopy, a choice of X-ray emission

rates appears: pulsed fluoro
1 i / 0.5 s
1i/1s
1i/3s

• If you select continuous fluoroscopy with saving to HD, contin. fluoro

a choice of image saving rates appears: 1i/s
3i/s
6i/s
12 i / s
25 i / s

C) To select between continuous fluoroscopy and continuous fluoroscopy with max opacification and
road mapping (using the right pedal on the footswitch).
The max opacification and road mapping modea are optional with the DSA function.

D) To select the weight of the recursive filter.

The envisaged weights are: 1, 2, 4, 8, 16. (value1 = no filter)

E) To enable/disable the SMART filter (recursive filter with movement detection).

F) To enable boosted continuous fluoroscopy:

Boosted OFF Boosted ON

G) To select the size of the area of interest for automatic X-ray

dose control:
The size is set automatically to suit the anatomical exam.
If necessary, you can change this manually as explained
below:

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• The active area of interest is shown on first pressing this control:

• Press the control again to switch the next size (loop, 6 sizes available):

Window diameter
1/5 image
1/4 image
1/3 image
1/2 image
1/3 image – LEFT SIDE
1/3 image – RIGHT SIDE

3) ORIENTATION

The controls in the Orientation zone let you rotate the image clockwise and anti-clockwise and to reset
the default orientation.
These controls are active during both acquisition and post-processing.

clockwise anti-clockwise

reset default orientation

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4) DOCUMENTATION (optional)

The controls in the Documentation zone let you manage the transmission of the di images to the DICOM
STORE and PRINT devices.

A B C D

A) STORE DICOM for a single image.

B) STORE DICOM for a series of images (run).

C) To open the Film Editor function that lets you compose a DICOM PRINT film with a series of images in
the study.

D) PRINT DICOM for a single image.

5) DSA FUNCTIONS (optiional)

See Part 2 – chapter 2.6.6 for full details of these functions.

A B C D E

A) Image subtraction: to switch to the subtracted image mode in a run with a mask image.

B) Mask pick-up: to define the current image as the mask and then use subtraction mode.

C) Pixel Shift: to enable the Pixel Shift function for a subtracted image: you can shift the image in steps
of 2/16 of a pixel or 2 pixels.

D) Land Marking: only used with subtracted images. This function lets you overlay the contrast medium
and the patient’s anatomical structure.

E) Automatic mask pick-up:

disabled enabled

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6) POST PROCESSING

See Part 2 – chapter 2.6 for a detailed description of the Post Processing functions.
A B C

D E F

A) To open the contrast, brightness and gamma adjustment menu.

B) To open the electronic zoom selection and setup menu.

C) To open the spatial filter setup menu (edge enhancement).

D) To open the electronic shutter menu.

E) To open the graphic functions and measurements menu.

F) To print the selected image on the system printer (if present).

7) REFERENCE MONITOR

See Part 2 - paragraph 2.2.9 for a detailed description of these functions.

A B C

A) Image transfer from the working monitor to the reference monitor.

B) Find reference images, forwards.

C) Find reference images, backwards.

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8) IMAGE MANAGEMENT

See Part 2 - paragraph 2.5 for a detailed description of these functions.

A B A

C C

E D F G

A) Select last or next image in the current run.

B) View images in Cineloop mode.

C) Select last or next run, showing the image in the middle of the run.

D) Open Overview menu to view images in mosaic mode.

E) Label an image.

F) Save to hard disk either current image (during fluoroscopy) or last image (LIH).

G) Delete a run or single image.

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3.2 INFRARED REMOTE CONTROL

A LED indicating transmission in progress

Image subtraction

Mask pick-up

Enable Peak Opacification + Road Mapping modes (fluoroscopy)

Switch between normal fluoroscopy / boosted fluoroscopy

Enable Smart filter

Select recursive filter

Switch between pulsed fluoroscopy / continuous fluoroscopy with saving to

HD

Select rate for pulsed fluoroscopy or continuous fluoroscopy with saving to

HD

Cine-loop

Find reference image (forwards)

Transfer image to reference monitor

Save current image (during fluoroscopy) or last image (LIH) to hard disk

Find images (backwards/forwards)

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Part 2 : USE

CONTENTS

pages rev. date

CONTENTS I-1 to I-3 0 29/06/18

1 INSTRUCTIONS AT START AND END OF USE 1.1 to 1.13 0 29/06/18

1.1 Switching-on
1.1.1 Initialising test for main controller in stand
1.1.2 Switching on the monitor unit with video
memory
1.1.3 Switching on the monitor unit with video
processor
1.2 Positioning
1.2.1 Steering the stand
1.3 End of use
1.4 Parking and moving
1.4.1 Monitor unit
1.4.2 Stand

2 USE: VERSIONS WITH VIDEO PROCESSOR 2.1 to 2.62 0 29/06/18

2.1 Opening a study
2.1.1 Study List frame
2.1.2 Alphanumerical keyboard and touch-pad
2.1.3 Online manuals
2.1.4 Opening an archive
2.1.5 Creating a new study
2.1.6 Opening a study
2.1.7 Changing study data
2.1.8 Selecting the exam type on the stand control
panel
2.2 Image acquisition
2.2.1 Acquiring images using version 3 (see table 1
on preface chapter)
2.2.1.1 Acquisition modes
2.2.1.2 Continuous fluoroscopy
2.2.1.3 Continuous fluoroscopy with saving of
images to HD
2.2.1.4 Boosted continuous fluoroscopy
2.2.1.5 Pulsed fluoroscopy
2.2.1.6 “One shot” fluoroscopy
2.2.1.7 Continuous fluoroscopy with real time
subtraction (optional)
2.2.1.8 Continuous fluoroscopy with Peak
Opacification and Road Mapping
(optional)
2.2.2 Acquiring images with version 4 (see table 1 on
preface chapter)
2.2.2.1 Acquisition modes

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2.2.2.2Continuous fluoroscopy
2.2.2.3Boosted continuous fluoroscopy
2.2.2.4Pulsed HCF fluoroscopy
2.2.2.5“One shot” fluoroscopy
2.2.2.6Pulsed HCF fluoroscopy with real time
subtraction (optional)
2.2.2.7 Continuous fluoroscopy with Peak
Opacification and Road Mapping
(optional)
2.2.3 Fluoroscopy timer
2.2.4 Thermal Unit Count
2.2.5 Display of envisaged X-emission time
(fluoroscopy)
2.2.6 Image intensifier zoom
2.2.7 Image rotation / flip
2.2.8 X-ray collimators
2.2.81 Virtual collimators on monitor
2.2.9 Reference images
2.3 Cassette radiography
2.3.1 Installing the cassette drive
2.4 Patient dose metering (optional)
2.5 Finding and viewing images
2.5.1 Image searches
2.5.2 Overview (mosaic)
2.5.3 Cine-loop
2.6 Post-processing of images
2.6.1 Brightness and contrast controls
2.6.2 Digital zoom
2.6.3 Spatial filters
2.6.4 Electronic shutters
2.6.5 Text and measurements
2.6.6 Post-processing of angio images (optional)
2.6.6.1 Pixel shift
2.6.6.2 Land Mark
2.6.7 Image marking
2.6.8 Deleting images
2.6.9 Image records
2.6.9.1 Direct print-outs
2.6.9.2 Saving of studies to USB pen-drive

3 DICOM FUNCTIONS FOR VERSIONS WITH VIDEO PROCESSOR 3.1 to 3.15 0 29/06/18
(optional)
3.1 DICOM Worklist
3.2 DICOM Store
3.2.1 Transferring a study
3.2.2 Transferring a series of images
3.2.3 Transferring a single image
3.3 DICOM Print
3.3.1 DICOM printing of a single image
3.3.2 DICOM printing of a composition (Film Editor)
3.4 DICOM Spooler
3.5 Saving images to CD/DVD
3.6 Query / Retrieve

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4 USE: VERSIONS WITH VIDEO MEMORY 4.1 to 4.20 0 29/06/18

4.1 Introduction
4.1.1 Selecting the exam type on the stand control
panel
4.2 Image acquisition
4.2.1 Acquisition modes
4.2.2 Continuous fluoroscopy
4.2.3 Continuous fluoroscopy (Boosted)
4.2.4 Pulsed fluoroscopy
4.2.5 “One shot” fluoroscopy
4.2.6 Fluoroscopy timer
4.2.7 Thermal Unit Count
4.2.8 Display of envisaged X-emission time
(fluoroscopy)
4.2.9 Image intensifier zoom
4.2.10 Image rotation / flip
4.2.11 X-ray collimators
4.2.12 Memory images
4.3 Cassette radiography
4.3.1 Installing the cassette drive
4.4 Patient dose metering (optional)
4.5 Medical video recorder Medicap (optional)
4.5.1 General description
4.5.2 Inserting a USB flash drive
4.5.3 Switching on the Medicap
4.5.4 Viewing the Medicap video output on the
monitor
4.5.5 Creating a patient folder
4.5.6 Image acquisition
4.5.7 Video acquisition
4.5.8 Reviewing acquired images and videos
4.5.9 Deleting an image
4.5.10 Transferring images to computer

5 MAINTENANCE 5.1 to 5.3 0 29/06/18

5.1 Routine maintenance
5.1.1 General recommendations
5.1.2 User controls and inspections
5.2 Cleaning and disinfecting
5.2.1 Microbic contamination
5.3 Replacing the remote control battery

6 ANNEXES 6.1 to 6.24 0 29/06/18

6.1 Changing the stand control panel language
6.2 Monitor setup
6.2.1 Monitor setup restore (Video processor version
only)
6.2.2 Adjusting the monitor
6.3 Annexes for versions with video processor
6.3.1 Creating a new archive
6.3.2 Managing the Study List

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6.3.2.1 Sorting the Study List

6.3.2.2 Finding a study
6.3.2.3 Deleting a study
6.3.3 Viewing images on CD/DVD in DICOM format
on an external PC
6.3.4 QA stenosis (optional)
6.3.4.1 Precision
6.3.4.2 Menu
6.3.4.3 Procedure
6.3.4.4 Axis tracing
6.3.4.5 Edge tracing
6.3.4.6 Edge correction
6.3.4.7 Analysis of stenosis
6.3.4.8 QA report print-outs

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1 INSTRUCTIONS AT START AND END OF USE

1.1 SWITCHING-ON

1. Connect the stand to the monitor unit: insert the connector (make sure the red arrow on the cable
connector is lined up with the red dot on the stand connector) and then secure by turning the
external ring nut clockwise.

2. Plug the monitor unit into the mains.

Attention: Use only earthed 230 V - 16 A type-approved sockets.

3. Connect the X-ray command footswitch.

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4. Connect the patient bed to the equipotential earth connector on the stand.

5. Switch the monitor unit on using the key provided.

The LED belonging to the on/off button will light up on the stand control panel.

6. Switch the stand on by pressing the ON button: the main controller initialising test starts (see para.
1.1.1 below).

7. Wait for this test to be completed successfully before positioning the machine (para. 1.2) and then
exposure (para. 1.4).

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1.1.1 INITIALISING TEST FOR MAIN CONTROLLER IN STAND

After switching on the stand, the main controller automatically starts the initialising test:

1. The stand control panel display shows the current software versions for a few seconds.

2. If no errors or malfunctions are detected, a short acoustic signal (2 beeps) warns you that the
machine is ready.

The display shows the fluoroscopy frame with:

- the default parameters;
- the percentage of the available Thermal Units in the anode (e.g. “a 100%” means that the anode is
“cold”);
- the word READY.

Note: An alarm message appears on the display if an error or malfunction is detected.

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1.1.2 SWITCHING ON THE MONITOR UNIT WITH VIDEO MEMORY

The monitors are ready shortly after switching these one (see figure below).
The reference monitor has the number “1” to indicate that it is ready to display the first image.

WORKING MONITOR REFERENCE MONITOR

1.1.3 SWITCHING ON THE MONITOR UNIT WITH VIDEO PROCESSOR

After switching the monitors on, the working monitor displays the status of the video processor start-up
(this lasts about 3 minutes). Once complete, the Study List appears.

WORKING MONITOR

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1.2 POSITIONING

Never attempt to move the machine when the brakes are on.
Always use the handles provided to move the machine

After switching the EM equipment on and moving it to its final position:

1. Engage the parking brakes on the stand (A) and on the monitor unit (B) (see figure).

A
B

B B
A

2. Adjust the height of the C-arm using the keys on the stand as shown in the figure below.
This operation is only possible when the equipment is switched on.

3. Adjust the horizontal position of the trolley.

FREE

LOCKED

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4. Adjust the sliding of the C-arm.

LOCKED

FREE

The scale on the inside of the C-arm indicates the rotation angle with respect to the vertical position
(0°).

5. Adjust the wig-wag of the C-arm.

LOCKED

FREE

6. Adjust the rotation of the C-arm (the goniometer scale shows the angle of rotation).

FREE

LOCKED

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7. You can now enable the laser localiser (optional) using the corresponding key on the stand control
panel. This device makes it easier to centre the EM equipment on the patient.

All brakes must be engaged after positioning.

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1.2.1 STEERING THE STAND

The stand is fitted with guided rear wheels and caster wheels at the front.
The rear wheels are steered by the guide lever shown in the figure below.

Transport position

• The parking brake is engaged by turning

the guide lever fully anti-clockwise or
clockwise, as shown in the figure.

Engaged

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1.3 END OF USE

Switch off the equipment at the end of a session as follows:

• Take the stand to its parking position (see paragraph 1.4

below).

• Switch the stand off using the OFF switch.

Versions with video processor:

- Use the “Study List” command in the image frame to close the
current study and return to the Study List.

- Use the “Shutdown” key in the Study List.

- Wait for the monitor to display this message: “It’s now safe to turn off your computer”.

Problems can arise in the video processor operating system If you switch off the monitor unit
before the Shutdown procedure has been completed.
It is therefore important that you follow the above procedure to switch off the video
processor.

• Switch off the monitor unit by turning the key switch to "OFF".

• Disconnect the cable between the stand and the monitor

unit and then wind it around its supports.

Never disconnect the stand/monitor unit cable before

the stand has been switched off.

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• Unplug the power cable and then wind it around its supports
on the monitor unit.

Never unplug the cable before the monitor unit has

been switched off.

• Park the monitor unit by engaging the brakes on the front

and/or rear wheels (see paragraph 1.4 below).

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1.4 PARKING AND MOVING

1.4.1 MONITOR UNIT

The parking and moving position is shown in the A

figure: the power cable and the stand/monitor unit
cable must be disconnected and wound around
their supports at the back.

F
Use only the side handles (A) to move the unit after first
releasing (by pressing with your foot) the parking brakes
on the front wheels (F). F

1.4.2 STAND

The parking and moving position must be that shown in the figure below:

1 2 3 4

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- Horizontal trolley fully retracted and

locked in position by brake 1,

- Wig-wag at 0°, locked in position by brake 2,

- C-arm rotated in the vertical position and locked in

position by brake 3,

- Monoblock and I.I. tube sitting in a vertical position and

locked by brake 4,

- C-arm fully lowered.

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To move, release the parking brake (F) and use only the handles (A).
If necessary, turn the rear wheels using the steering lever (F).

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2 USE: VERSIONS WITH VIDEO PROCESSOR

2.1 OPENING A STUDY

Start-up ends with the automatic opening of the Study List frame.

2.1.1 STUDY LIST FRAME

The Study List is split into 2 lists:

- Study Directory list of past studies (with at least one image),

- Worklist Directory list of studies to be done (still without any images).

workstation name
archive name
menu bar lists control icons

Study List preview of images in selected study selected study data

STUDY LIST FRAME

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You can now:

- select and open (double click) an existing study to post-process its images or to acquire further
images (see para. 2.1.6);

- create a new study using the Study menu or the corresponding icon (see para. 2.1.5);

- open a new study immediately, in an emergency, without entering any patient

data.
Such a patient will automatically be tagged as “Unnamed”.
His data can then be entered later, after dealing with the emergency;

- change the archive or create a new one using the File menu (see para. 2.1.4);

- check the software version (using the Help menu);

- consult the user manual (using the Help menu: see para. 2.1.3).

2.1.2 ALPHANUMERICAL KEYBOARD AND TOUCH-PAD

Patient data are entered using the alphanumerical keyboard and touch-pad; these are also used for
the video processor functions.

Each video processor function can normally be activated in one of the following ways:
- by selecting it using the touch-pad and then confirming your choice using ENTER on the keyboard,
- by selecting it using the touch-pad and then confirming your choice using the OK on the monitor (if
this appears),
- by selecting the function key on the monitor and then double-clicking on the touch-pad.

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2.1.3 ONLINE MANUALS

The equipment user manual is available online in PDF format.

Open by clicking on Help / Operator Manual from the Study List frame.

The Acrobat Reader application opens and the manual appears with its list of contents.

Note: The index shown in the bookmarks section contains links to each paragraph.

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2.1.4 OPENING AN ARCHIVE

Patient studies can be saved in one or more archives depending on particular needs and ease of
operation.
For example, different archives can be created to suit the exam types or the operator, etc.

To create a new archive: see paragraph 6.3.1 in this Part of the manual.

To go to another archive:

● Close the study (if open) by clicking on the “Study List” icon
in the control strip on the working frame.

● From the Study List frame, lose the current archive by using
the Close option in the File menu.

You now return to the ”Home Frame”.

● You can now open the new archive in one of two ways:

- by clicking directly on the “Open Archive” icon:

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- or by selecting “Open” in the File menu:

● The “Archive Manager” dialog box appears, listing all existing archives:

- use Remove to remove an archive from the list (the archive is not deleted);

- use Browse to search for archives not in the “Archive Manager” list;

- use Exit to quit this dialog box without opening any archive.

● Select the archive you want and then click on Open to open it: a list of all the studies in the archive
appears.

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2.1.5 CREATING A NEW STUDY

You can create a new study from the Study List.

• Click on “New” in the “Study” menu or directly on the “New Study” icon:

The “Study Data” window appears:

MPPS mode only

Most of the required data fields are automatically filled by the system via the DICOM Worklist and MPPS
functions.

If not, simply enter the main data required in the Patient Data and Study Data boxes and then confirm
using:

- Open: to open the “Working frame” of that study directly.

- OK: to transfer the study to the list of studies to be done: Worklist Directory.

See the following paragraph “Opening a study”.

Notes: - If the equipment is fitted with the DICOM MPPS option, you must enter data in all the fields in
the Patient Data box.

- The Patient Data appear in the working frame.

- You can enter up a total of 60 characters in the “Family Name” and “First Name” fields.

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2.1.6 OPENING A STUDY

Studies are split into 2 lists:

- Study Directory list of past studies (containing at least 1 image),

- Worklist Directory list of studies still to be performed.

You can now:

• open a study in the Study Directory to post-process the images or acquire new images to be
added to those already saved,
• open a new study to be performed from the Worklist Directory,

Note: If the study list is particularly long, you can sort it or use the search functions to find the study
you want. See Annex 6.3.2 in this Part of the manual.

• Select the study you want and double-click to open this or use the Open key in the Study menu.

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2.1.7 CHANGING THE STUDY DATA

If you want to change the data of a study, return to the Study List and then:

• Select the study you want to change,

• Click on “Modify” in the “Study” menu or on the “Modify Study” icon.

The “Study Data” frame now opens: make the changes and then confirm with the OK key.

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2.1.8 SELECTING THE EXAM TYPE USING THE STAND CONTROL PANEL

During installation the EM equipment can be set with 7 exam types, 2 of which using the DSA technique
(optional).
These default settings mean that certain parameters are automatically loaded when you select a given
exam type.

Exam Use

Hip/femur replacements / Tibia or humerus bone fractures /

Pelvis / Small parts.

Spine fixation (cervix , thorax) /

Pain therapy / Neuromodulation / Hypophysectomy /
Laser nucleolysis.

Percutaneous nephrolythotomy / Ureteroscopy / Cystoscopy

/ Cholangiography.

Pacemaker connections / Electrophysiology / Biopsy /

Ventricular-abdominal shunt.

Generic exams, defined during installation in collaboration

with the operator

Femoral artery / Popliteal artery / Endoarterectomy / Bypass

checks
DSA
Generic DSA exams, defined during installation in
collaboration with the operator

The following parameters are involved when selecting the exam type:

Parameter Settings Notes

Max accepted kV 80 … 120 kV

Working X-ray dose (fluoroscopy) low mA or normal mA You can always change the mA
using the control panel.
Enable boosted fluoroscopy Function permitted/not permitted

Recursive filter weight (used to reduce No filter … k=16 You can always change the recursive
photonic noise) during continuous filter using the remote control.
fluoroscopy.
Pulsed fluoroscopy rate 1 image every: - 0.5s You can always change the rate
- 1s using the remote control or the
- 3s control panel.

Automatic saving to hard disk of last Function enabled/disabled Even if not enabled, you can
continuous fluoroscopy image (LIH) manually force saving to HD using the
remote control or the control panel.
Default acquisition rate during 1 i/s … 25 i/s You can always change the rate
continuous fluoroscopy with automatic using the remote control or the
saving to HD control panel.
Edge enhancement Function enabled/disabled You can only change the function in
post-processing.
Smart noise reduction filter during Function enabled/disabled Function active during acquisition
continuous fluoroscopy

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Parameter Settings Notes

Automatic cineloop start at end of Function enabled/disabled Even if disabled, you can still activate
exposure in continuous fluoroscopy with the cineloop manually.
saving to HD mode
Default exposure mode controlled by left Pulsed or continuous fluoroscopy You can always change the working
pedal on footswitch with automatic saving to HD mode using the remote control or the
control panel.
Size of area of interest for automatic 1/5 … 1/2 size of image You can always change the size of
dose control the area of interest.

The two DSA exams have the following extra parameter:

Delay in automatic mask pick-up after No delay … 20 seconds Fixed value (during installation);
start of exposure cannot be changed.

To select an exam:

• Press the relevant button on the stand

control panel:

• Select one of the exams displayed:

Check the parameters using the control panel to make sure they are those you want to use.
The parameters set at the time of delivery of the equipment are merely a starting point and
should be corrected with the specific values required by the user.

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2.2 IMAGE ACQUISITION

Before any exposure always make sure that all the necessary precautions against the risk of
irradiation have been taken.
Make sure also that the patient bed has been earthed via the equipotential connector on the
stand.

During each exposure always make sure that the edge of the iris collimator is visible on the
image: if you cannot close this manually, contact Technical Service, as there is the risk that the
collimator is not working and so remains open at an excessive exposure value.

Fluoroscopy exposure is still permitted in order to finish the surgical operation in the presence
of the following alarms: COLLIMATOR FAULT, RKCA BOARD OFF LINE or CONTROL PANEL NOT
CONNECTED alarm.
Command exposure only where absolutely necessary and for as short a time as possible.
Call Technical Service to restore the correct functioning of the equipment.

X-ray emission is indicated by lights on:

- the control panel touch screen on the stand,
- above the monitor unit.

2.2.1 IMAGE ACQUISITION FOR VERSION 3 (see table 1 on preface chapter)

2.2.1.1 SELECTING THE ACQUISITION MODE

Possible acquisition modes:

• Fluoroscopy: - continuous
- continuous with saving to HD
- pulsed
- one-shot

optional modes with DSA:

- continuous with real time subtraction
- continuous with Peak Opacification + Road Mapping

• Cassette radiography.

Use the controls on the stand control panel to switch between Fluoroscopy and Radiography:

Fluoroscopy is current mode (continuous, pulsed, one-shot).

• Press to switch to radiography.

Radiography is current mode.

• Press to switch to fluoroscopy,

To select the fluoroscopy acquisition mode, first select on the monitor either:
- continuous fluoroscopy and “Peak opacification + road mapping”
- or continuous fluoroscopy with saving to HD and pulsed fluoroscopy
one-shot

Then use the relevant X-ray command on the footswitch

- pulsed fluoroscopy - continuous fluoroscopy

- continuous fluoroscopy with saving to HD - continuous fluoroscopy with Road Mapping
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The figure and table below sum up the various settings and controls:

- continuous fluoro.
- pulsed fluoro.

- continuous fluoro with

- continuous fluoro with Peak Op + Road
saving to HD Mapping

Select rate Select boosted ON/OFF

Mode Pre-setting Control Notes

Continuous fluoroscopy

Select rate of saving.

Continuous fluoroscopy
with automatic saving
of images to HD

Select frequency of
X-ray emission.
Pulsed fluoroscopy

No pre-setting
One-shot fluoroscopy

Continuous fluoroscopy Press pedal once for “Max

with Peak Opacification + Opacification”.
Road Mapping
Press again for the various stages in
(optional) “Road Mapping”

The boosted (high mA) function can only

be activated in continuous fluoroscopy
mode (with or without automatic saving
to HD)
This is a HIGH LEVEL CONTROL operating
Boosted mode (HLC) as the air kerma generated
at the patient input point at max kV is
higher than 88mGy/m. This means that a
continuous acoustic signal is sounded to
warn the operator when the equipment
generates X-rays in this mode.

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2.2.1.2 CONTINUOUS FLUOROSCOPY

• Fluoroscopy mode must be selected on the control panel

touch screen.

• Select the mode using the monitor.

• The equipment automatically starts the automatic

dose control after being switched on.
The kV/mA values are automatically set to suit the
exam subject.

If you want to use manual kV/mA control:

- select this mode on the control panel,

- access the kV parameters and adjust their value
using the encoder dial.

• There are two set mA levels to choose between.

normal mA / low mA

The choice normally depends on the exam type.

• Use the right-hand pedal on the footswitch to get X-ray emission:

- the word FLUOROSCOPY appears on the stand control

panel,

- the relevant mode symbol appears on the monitor.

The last image is frozen on the working monitor when

you release the X-ray command button.
The word LIH (Last Image Hold) appears under the
mode symbol,

• During X-ray emission, the stand control panel shows:

- the mA value,

- the exposure time count (in minutes and seconds),

- the available Thermal Units.

An acoustic signal (beep) also sounds after every 3 seconds of fluoroscopy.

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• An intermittent acoustic alarm sounds if the available Thermal Units (anode and monoblock) drop
below 10% during X-ray emission (double beep every 3 seconds).

Exposure can continue, but the value of the mA is automatically halved in order to
prevent the X-ray monoblock from overheating (low dose).
The mA values returns to normal when the level of available Thermal Units is more than
20%.

• If the EM equipment is fitted with the DAP module (optional), the

accumulated “X-ray dose x area” value appears on the control panel.

The following indications also appear in the image area of the working monitor:
- Reference Air Kerma accumulated during the study
- Reference Air Kerma Rate

• If necessary, you can change the weight of the recursive filter by

using the relevant key on:

- the monitor,

- the remote control.

The value is shown on the monitor:

Indication Meaning
1 filter disabled
2 filter weight 2
4 filter weight 4
8 filter weight 8
filter weight 16
16
(max filtering level)

• You can also select the SMART function linked to the recursive filter for
dynamic investigations. Press the relevant key on:

- the monitor,

- the remote control.

The SMART function is very useful when you select a recursive filter of high weight, as it detects any
movement in the image (e.g. catheter) and so reduces the weight of the filter in this area of the
image to avoid the risk of a dragging (blurred) effect on the image.

• During X-ray exposure, you can transfer the fluoroscopy image to the reference monitor: the image
will thus be one of the reference images (max 8) for the current exam (see para. 2.2.9 below). Use
the following keys to transfer the image:

- on the monitor,

- on the control panel touch screen,

- on the remote control.

You can also transfer the LIH image in the same way.

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• You can also save the current image to HD.

This image is then a saved image for archiving, printing, post-processing or DICOM transmission. Use
the relevant keys on:

- the monitor,

- the control panel touch screen,

- the remote control.

Note: You can transfer as many images as you want (the number is only limited by the storage
capacity of the HD.

2.2.1.3 CONTINUOUS FLUOROSCOPY WITH SAVING OF IMAGES TO HD

In this mode, images are automatically saved to HD at the selected rate.

• Select this mode and then the saving rate you want by
using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control. +

• Give the exposure command using the left-hand pedal on the

footswitch.

• The symbol indicating this mode appears on the monitor.

• All the acquired images are then saved on the HD and numbered progressively in the study:

e.g.: SER 1/4 Image belongs to 1st run in the study (study has 4 runs)
FRM 5/12 Image is the 5th image in the run (run has 12 images).

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2.2.1.4 BOOSTED CONTINUOUS FLUOROSCOPY

"Boosted" continuous fluoroscopy involves emitting X-rays at a high mA value.

This function lets you reduce the quantic noise of the images.

This function can be enabled for both normal continuous fluoroscopy and continuous fluoroscopy with
automatic saving of images to HD.

Only use this mode when absolutely necessary to avoid excessive exposure of patients. In fact,
this is a HIGH LEVEL CONTROL operating mode (HLC) as the air kerma generated at the patient
input point at max kV is higher than 88mGy/m.

The exposure time in this mode is automatically limited to max:

- 10 seconds (version with monoblock with a fixed anode),
- 30 seconds (version with monoblock with a rotating anode).

• Select the boosted function using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

• Give the fluoroscopy command using the right-hand pedal for continuous fluoroscopy or the left-
hand pedal for continuous fluoroscopy with image acquisition to HD.

The word BOOSTED appears on the stand control panel and a continuous acoustic signal sounds to
indicate X-ray emission in this mode.

• If you keep the fluoroscopy command pressed for more than 10 seconds (or 30 seconds for the
rotary anode version), fluoroscopy continues automatically with normal mA. The boosted function is
automatically disabled as soon as you release the fluoroscopy pedal.
Repeat the above steps if you want to acquire another image with boosted fluoroscopy.

Note: This function is not automatically disabled if the X-ray emission lasts for less than 5 seconds.

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2.2.1.5 PULSED FLUOROSCOPY

Pulsed fluoroscopy is intermittent fluoroscopy that holds the image in the memory during the interval
between one X-ray flash and the next.

The equipment performs one X-ray emission at 300 ms, at three set rates:
 1 image every 3 seconds
 1 image every 1 second
 1 image every 0.5 seconds

• Select fluoroscopy mode on the control panel.

• Select the mode and the X-ray emission rate you want by
using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control. +

• Give the X-ray emission command by pressing on the left-hand pedal on

the footswitch:

- the word PULSED appears on the control panel,

- the symbol for the selected mode appears on the

monitor.

• During exposure, the automatic dose control circuit changes

the kV and mA to suit the subject: if necessary, the system
switches automatically to continuous fluoroscopy mode to
adjust the kV and mA quickly to the best value and then
returns to pulsed fluoroscopy mode.

If you want to control the kV/mA manually:

- select the mode on the control panel,

- enable kV adjustment and then set the value you want
using the encoder dial.

• You can select one of two possible working mA scales.

normal mA / low mA

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• During X-ray emission, the control panel shows:

- the mA value,

- the exposure time count (minutes and seconds),

- the available Thermal Units.

A beep sounds at each X-ray flash.

• An intermittent acoustic alarm (double beep) sounds every 3 seconds if the available Thermal Units
drop below 10% during X-ray emission.

Exposure can continue, but the value of the mA is automatically halved, in order to
prevent the X-ray monoblock from overheating (low dose).
The mA values returns to normal when the level of available Thermal Units is more than
20%.

• If the system is fitted with the DAP module (optional), an indication of the
accumulated X-ray dose appears on the control panel.

The image area of the working monitor also shows the:

- Reference Air Kerma accumulated during the study
- Reference Air Kerma Rate

• You can transfer the fluoroscopy image to the reference monitor: this image then becomes one of
the reference images (max 8 images) for the current study (see para. 2.2.9 below). To transfer the
image, press the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

You can transfer the LIH image in the same way.

• You can also save the current image to HD.

This image is then a saved image for archiving, printing, post-processing or DICOM transmission. Use
the relevant keys on:

- the monitor,

- the control panel touch screen,

- the remote control.

Note: You can transfer as many images as you want (the number is only limited by the storage
capacity of the HD.

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2.2.1.6 "ONE SHOT" FLUOROSCOPY

This mode lets you acquire a single image with low noise, by adding 16 consecutive scans during the
emission of a single X-ray whose duration is controlled by the equipment (approx. 1 second), using high
mA.

This mode can be used in either automatic or manual mode.

• Select fluoroscopy mode on the control panel.

• Give the X-ray command by using the mushroom pedal (top

left) on the footswitch and keep pressed down until the end
of exposure(1 beep):

- the word ONE SHOT appears on the control panel,

- the mode symbol appears on the monitor.

• If in automatic fluoroscopy mode, the equipment

automatically adjusts the kV and the mA to the best levels; it
then performs the “one-shot” function.

• If in manual mode, press the pedal on the footswitch to get

X-ray emission in “one-shot” mode.

• The image is automatically saved to HD at the end of X-ray emission.

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2.2.1.7 CONTINUOUS FLUOROSCOPY WITH REAL TIME SUBTRACTION (optional)

This function is only possible with the DSA option.

The commands shown here appear in the DSA area.

The real time subtraction function can only be enabled in continuous fluoroscopy with saving to
HD mode.

• Select one of the two possible DSA exams on the control panel:

• Select fluoroscopy with saving the HD and the saving rate

using the relevant keys on:

- the monitor,

- the control panel touch screen,

- the remote control. +

• If the selected exam foresees automatic mask pick-up

(shown by the icon on the monitor):

the mask delay after the start of X-ray emission is shown in the
image frame.

You can change this delay by double-clicking on the touch pad,

after having moved the pointer to the value.
Use the alphanumerical keyboard to change this value and
confirm with ENTER.

• Give the exposure command by pressing the left-hand pedal on the

footswitch.

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● If the automatic mask pick-up function is not available, you can pick up a mask at any
time during image acquisition by using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

Manual mask pick-up is also possible when automatic mask pick-up is enabled.

● All the images from this point onwards will automatically be shown as
subtracted and accompanied by the subtraction symbol:

The subtraction symbol appears on the monitor:

together with the number of the image within the run (e.g. 9th image
of 14) plus the word Mask:

Note: See para. 2.6.6 below for full details of the angio functions available during post-processing.

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2.2.1.8 CONTINUOUS FLUOROSCOPY WITH PEAK OPACIFICATION AND ROAD MAPPING (optional)

This function is only available with the DSA option.

It involves 2 distinct steps:

- the first X-ray emission creates the Peak Opacification image, saving the opacity peak created by
the passage of the contrast medium in a blood vessel;

- the next X-ray emissions create subtracted images with respect to the Peak Opacification image,
used as a mask. This makes it easier to monitor the introduction of a catheter in the chosen vessel
(Road Mapping).

● Select continuous fluoroscopy with Peak Op. + Road Mapping using

the relevant key on:

- the monitor,

- the control panel,

- the remote control.

● Give the X-ray command by pressing the right-hand pedal on

the footswitch.

- the Peak Op icon appears in the image frame and starts flashing.

• Inject the contrast medium once this stops flashing.

The system saves the path of the contract medium and so creates the “Peak Op” image.

• The “Peak Op” image is frozen on the monitor when you release the X-ray command. The word LIH
(Last Image Hold) appears on this image.

• Give another fluoroscopy command and the Road Mapping function

starts: i.e. subtraction of the LIVE image and the Max OP image on the
monitor: the artery with the contrast medium appears white, while the
catheter will be black:

During Road Mapping the subtraction symbol appears on the image

frame:

• This function stays active for all following fluoroscopy emissions.

• The function only ends when you select a different acquisition mode.

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2.2.2 IMAGE ACQUISITION FOR VERSION 4 (see table 1 on preface chapter)

2.2.2.1 SELECTING THE ACQUISITION MODE

Possible acquisition modes:

• Fluoroscopy: - continuous
- pulsed HCF
- one-shot

optional modes with DSA:

- pulsed HCF with real time subtraction
- continuous with Peak Opacification + Road Mapping

• Cassette radiography.

Switch between Fluoroscopy and Radiography modes by using the keys on the stand control panel:

Fluoroscopy is current mode (continuous, pulsed, one-shot).

• Press to switch to radiography.

Radiography is current mode.

• Press to switch to fluoroscopy.

To select the fluoroscopy mode, first select on the monitor either:

- continuous fluoroscopy and “Peak opacification + road mapping”
- or pulsed HCF fluoroscopy [continuous fluoroscopy with saving to HD and pulsed fluoroscopy]

Then use the relevant X-ray command on the footswitch

one shot

pulsed HCF - continuous fluoroscopy

- continuous fluoroscopy with Road Mapping

The figure and table below sum up the various settings and controls:

pulsed fluoro - continuous fluoro

- continuous fluoro with

PEAK Op + Road
Mapping

Select rate Select boosted ON/OFF

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Mode Pre-setting Control Notes

Continuous fluoroscopy

Select X-ray emission

rate.
Pulsed HCF

No pre-setting

One-shot

Continuous fluoroscopy Press pedal once for “Max

with Peak Opacification + Opacification”.
Road Mapping
Press again for the various stages in
(optional) “Road Mapping”.

The boosted (high mA) function can only

be activated in continuous fluoroscopy
mode.
This is a HIGH LEVEL CONTROL operating
mode (HLC) as the air kerma generated
Boosted at the patient input point at max kV is
higher than 88mGy/m. This means that a
continuous acoustic signal is sounded to
warn the operator when the equipment
generates X-rays in this mode.

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2.2.2.2 CONTINUOUS FLUOROSCOPY

• Fluoroscopy mode must be selected on the control panel

touch screen.

• Select the mode using the monitor.

• The system automatically starts the automatic dose

control after being switched on.
The kV/mA values are automatically set to suit the
exam subject.

If you want to use manual kV/mA control:

- select this mode on the control panel,

- access the kV parameters and adjust their value
using the encoder dial.

• There are two set mA levels to choose between.

normal mA / low mA

The choice normally depends on the exam type.

• Use the right-hand pedal on the footswitch to get X-ray emission:

- the word FLUOROSCOPY appears on the stand control

panel,

- the relevant mode symbol appears on the monitor.

X-ray emission stops and the last image is frozen on the

working monitor when you release the X-ray command
button. The word LIH (Last Image Hold) appears under
the mode symbol,

• During X-ray emission, the stand control panel shows:

- the mA value,

- the exposure time count (in minutes and seconds),

- the available Thermal Units.

An acoustic signal (beep) also sounds after every 3 seconds of fluoroscopy.

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• An intermittent acoustic alarm sounds if the available Thermal Units drop below 10% during X-ray
emission (double beep every 3 seconds).

Exposure can continue, but the value of the mA is automatically halved in order to
prevent the X-ray monoblock from overheating (low dose).
The mA values returns to normal when the level of available Thermal Units is more than
20%.

• If the EM equipment is fitted with the DAP module (optional), the

accumulated “X-ray dose x area” value appears on the control panel.

The following indications also appear in the image area of the working monitor:
- Reference Air Kerma accumulated during the study
- Reference Air Kerma Rate

• If necessary, you can change the weight of the recursive filter by using the
relevant key on:

- the monitor,

- the remote control.

The value is shown on the monitor:

Indication Meaning
1 filter disabled
2 filter weight 2
4 filter weight 4
8 filter weight 8
filter weight 16
16
(max filtering level)

• You can also select the SMART function linked to the recursive filter for
dynamic investigations. Press the relevant key on:

- the monitor,

- the remote control.

The SMART function is very useful when you select a recursive filter of high weight, as it detects any
movement in the image (e.g. catheter) and so reduces the weight of the filter in this area of the
image to avoid the risk of a dragging (blurred) effect on the image.

• During X-ray exposure, you can transfer the fluoroscopy image to the reference monitor: the image
will thus be one of the reference images (max 8) for the current exam (see para. 2.2.9 below). Use
the following keys to transfer the image:

- on the monitor,

- on the control panel touch screen,

- on the remote control.

You can also transfer the LIH image in the same way.

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• You can also save the current image to HD.

This image is then a saved image for archiving, printing, post-processing or DICOM transmission. Use
the relevant keys on:

- the monitor,

- the control panel touch screen,

- the remote control.

Note: You can transfer as many images as you want (the number is only limited by the storage
capacity of the HD.

2.2.2.3 BOOSTED CONTINUOUS FLUOROSCOPY

"Boosted" continuous fluoroscopy involves emitting X-rays at a high mA value.

This function lets you reduce the quantic noise of the images.

This function can be enabled for both normal continuous fluoroscopy and continuous fluoroscopy with
automatic saving of images to HD.

Only use this mode when absolutely necessary to avoid excessive exposure of patients. In
fact, this is a HIGH LEVEL CONTROL operating mode (HLC) as the air kerma generated at the
patient input point at max kV is higher than 88mGy/m.

The exposure time in this mode is automatically limited to max:

- 10 seconds (version with monoblock with a fixed anode),
- 30 seconds (version with monoblock with a rotating anode).

• Select the boosted function using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

• Give the fluoroscopy command using the right-hand pedal for continuous fluoroscopy or the left-
hand pedal for continuous fluoroscopy with image acquisition to HD.

The word BOOSTED appears on the stand control panel and a continuous acoustic signal sounds to
indicate X-ray emission in this mode.

• If you keep the fluoroscopy command pressed for more than 10 seconds (or 30 seconds for the
rotary anode version), fluoroscopy continues automatically with normal mA. The boosted function is
automatically disabled as soon as you release the fluoroscopy pedal.
Repeat the above steps if you want to acquire another image with boosted fluoroscopy.

Note: This function is not automatically disabled if the X-ray emission lasts for less than 5 seconds.

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2.2.2.4 PULSED HCF FLUOROSCOPY

Pulsed HCF fluoroscopy is intermittent fluoroscopy at high mA values that holds the image on the
monitor during the interval between one X-ray flash and the next.
All the images are saved to HD.

The emission rates range from 1 image per second to 25 images per second.

• Select fluoroscopy mode on the control panel.

• Set the X-ray emission rate you want by using the relevant
key on:

- the monitor,

- the control panel touch screen,

- the remote control.

• Give the X-ray emission command by pressing on the left-hand pedal on

the footswitch:

- the word PULSED appears on the control panel,

- the symbol for the selected mode appears on the

monitor.

• During exposure, the automatic dose control circuit changes

the kV and mA to suit the subject.
If the acquisition rate drops below 6 i/s, there is a series of pulses
at 6 i/s to speed up the process to find the correct X-ray dose.

If you want to control the kV/mA manually:

- select the mode on the control panel,

- enable kV adjustment and then set the value you want
using the encoder dial.

• You can select one of two possible working mA scales:

normal mA / low mA

Attention:
On selecting normal mA at a rate of 25 images/s, you enter HIGH LEVEL CONTROL operating
mode (HLC) as the air kerma generated at the patient input point at max kV is higher than
88mGy/m.

Only ever use this mode when absolutely necessary to avoid excessive exposure for the patient.
A continuous acoustic signal is sounded to warn the operator when the equipment generates X-
rays in this mode.

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• During X-ray emission, the control panel shows:

- the mA value,

- the exposure time count (minutes and seconds),

- the available Thermal Units.

A beep sounds at regular intervals.

• An intermittent acoustic alarm (double beep) sounds every 3 seconds if the available Thermal Units
drop below 10% during X-ray emission.

Exposure can continue, but the value of the mA is automatically halved, in order to
prevent the X-ray monoblock from overheating (low dose).
The mA values returns to normal when the level of available Thermal Units is more than
20%.

• If the system is fitted with the DAP module (optional), an indication of the
accumulated X-ray dose appears on the control panel.

The image area of the working monitor also shows the:

- Reference Air Kerma accumulated during the study
- Reference Air Kerma Rate

• All the acquired images are saved to HD and given a progressive number within the run:

e.g.: SER 1/4 Image belongs to the 1st series (run) of exposures (study has 4 runs in all),

FRM 5/12 Image is the 5th image in the run (run has 12 images in all).

• After X-ray emission, you can transfer each fluoroscopy image to the reference monitor: these
images then become reference images (max 8 images) for the current study (see para. 2.2.9 below).
To transfer the image, press the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

You can transfer the LIH image in the same way.

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2.2.2.5 "ONE SHOT" FLUOROSCOPY

This mode lets you acquire a single image with low noise, by adding 16 consecutive scans during the
emission of a single X-ray whose duration is controlled by the system (approx. 1 second), using high mA.

This mode can be used in either automatic or manual mode.

• Select fluoroscopy mode on the control panel.

• Give the X-ray command by using the mushroom pedal (top

left) on the footswitch and keep pressed down until the end
of exposure(1 beep):

- the word ONE SHOT appears on the control panel,

- the mode symbol appears on the monitor.

• If in automatic fluoroscopy mode, the equipment

automatically adjusts the kV and the mA to the best levels; it
then performs the “one-shot” function.

• If in manual mode, press the pedal on the footswitch to get

X-ray emission in “one-shot” mode.

• The image is automatically saved to HD at the end of X-ray emission

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2.2.2.6 PULSED HCF FLUOROSCOPY WITH REAL TIME SUBTRACTION (optional)

This function is only possible with the DSA option.

The commands shown here appear in the DSA area.

The real time subtraction function can only be enabled in pulsed HCF fluoroscopy mode.

• Select one of the two possible DSA exams on the control panel:

• Select the saving rate using the relevant keys on:

- the monitor,

- the control panel touch screen,

- the remote control.

• If the selected exam foresees automatic mask pick-up

(shown by the icon on the monitor):

the mask delay after the start of X-ray emission is shown in the
image frame.

You can change this delay by double-clicking on the touch pad,

after having moved the pointer to the value.
Use the alphanumerical keyboard to change this value and
confirm with ENTER.

• Give the exposure command by pressing the left-hand pedal on the

footswitch.

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● If the automatic mask pick-up function is not available, you can pick up a mask at any
time during image acquisition by using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

Manual mask pick-up is also possible when automatic mask pick-up is enabled.

● All the images from this point onwards will automatically be shown as
subtracted and accompanied by the subtraction symbol:

The subtraction symbol appears on the monitor:

together with the number of the image within the run (e.g. 9th image
of 14) plus the word Mask:

Note: See para. 2.6.6 below for full details of the angio functions available during post-processing.

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2.2.2.7 CONTINUOUS FLUOROSCOPY WITH PEAK OPACIFICATION AND ROAD MAPPING (optional)

This function is only available with the DSA option.

It involves 2 distinct steps:

- the first X-ray emission creates the Peak Opacification image, saving the opacity peak created by
the passage of the contrast medium in a blood vessel.

- the next X-ray emissions create subtracted images with respect to the Peak Opacification image,
used as a mask. This makes it easier to monitor the introduction of a catheter in the chosen vessel
(Road Mapping).

● Select continuous fluoroscopy with Peak Op. + Road Mapping using

the relevant key on:

- the monitor,

- the control panel,

- the remote control.

● Give the X-ray command by pressing the right-hand pedal on

the footswitch.

- the Peak Op icon appears in the image frame and starts flashing.

• Inject the contrast medium once this stops flashing.

The system saves the path of the contract medium and so creates the “Peak Op” image”.

• The “Peak Op” image is frozen on the monitor when you release the X-ray command. The word LIH
(Last Image Hold) appears on this image.

• Give another fluoroscopy command and the Road Mapping function

starts: i.e. subtraction of the LIVE image and the Max OP image on the
monitor: the artery with the contrast medium appears white, while the
catheter will be black:

During Road Mapping the subtraction symbol appears on the image

frame:

• This function stays active for all following fluoroscopy emissions.

• The function only ends when you select a different acquisition mode.

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2.2.3 FLUOROSCOPY TIMER

• The control panel display shows the total X-ray emission time (minutes and
seconds) in the fluoroscopy modes.

• An acoustic alarm sounds after every 5 minutes of emission and the LED on the
alarm icon flashes.
Silence the acoustic alarm by pressing the alarm key.

• You can always clear the accumulated emission time count by pressing
the timer reset key for at least 2 seconds.

X-ray emission is automatically cut if the X-ray command remains continuously active for more
than 10 minutes; press the X-ray command pedal again to continue.
(30 seconds before reaching the 10 minute level, an acoustic alarm sounds to warn you that
X-ray emission is about to be cut.)

2.2.4 THERMAL UNITS COUNTER

The equipment automatically counts the Thermal Units for the anode (a, see
figure on right) and the monoblock (m).

The control panel display only shows one of the two Thermal Unit values (%) at
a time, alternating between the anode and monoblock units.

An intermittent acoustic alarm sounds (double beep every 3 seconds) if the anode or monoblock
Thermal Units fall below 10% in fluoroscopy mode.

Exposure can continue, but the mA value is automatically halved to prevent the X-ray
monoblock from overheating (if the low mA option is being used, the X-ray dose remains
the same and so the kV increase by a few points).
The mA value returns to normal when the available Thermal Units are more than 20%.

In radiography mode, exposure is automatically inhibited if the Thermal Units available are less than
those required for the programmed exposure.
If you then give the X-ray command, the X-RAY TUBE TOO HOT alarm is generated.

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2.2.5 ENVISAGED X-RAY EMISSION TIME DURING FLUOROSCOPY

The stand control panel shows the approximate value of the X-ray emission time remaining in
fluoroscopy mode before the available Thermal Units in the X-ray tube run out.

This value is calculated on the basis of the X-ray exposure parameters ( kV, mA and X-ray emission rate).

The time (minutes and seconds) is only shown when less than 30 minutes remain.

The time shown is calculated using the current radiological parameter settings. If these are
changed during exposure (e.g. by the automatic dose control function), the remaining time is
automatically updated.
It is therefore crucial that you check the plausibility of the parameters for the patient before
starting exposure.

2.2.6 I.I. TUBE ZOOM

The equipment can be fitted with either 9” or 12” image intensifying tube.

In both cases, the I.I. tube has three working fields: nominal, zoom1 and zoom2. Use the control panel to
change the working field.

Press the current field key (example shown here):

To view the possible options:

• 9” version:

nominal zoom1 zoom2

(21cm) (16cm) (12cm)

• 12” version:

nominal zoom1 zoom2

(29cm) (21cm) (16cm)

Select the required field by pressing the corresponding key.

Each key shows the size (in cm) of the diameter of the input field.

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2.2.7 IMAGE ROTATION / FLIP

During image acquisition, you can change the orientation of the image by using the rotation and
horizontal flip commands.

• Rotate:

Select this function by using the corresponding key on the

control panel and then give the command using the encoder
dial.

Press the rotation key for at least 3 seconds to reset the default
rotation (0°).

You can also rotate the LIH image.

The orientation will be valid for the subsequent acquisition, meaning you can adjust the image
orientation without X-ray emission.

Note: the image rotation keys are also found in the control strip on the monitor:

rotate clockwise rotate anti-clockwise

reset rotation
• Flip:
The horizontal flip function can be used for both image acquisition and the LIH image.

Use the corresponding key on the control panel.

2.2.8 X-RAY COLLIMATOR

The X-ray collimator is fitted with an iris and parallel shutters, both which are adjustable.
You can control their aperture from the control panel by selecting the required function and then using
the encoder dial to adjust the values.

regulate iris aperture

regulate shutter aperture

rotate shutters

The max iris aperture is automatically decided to suit the I.I. tube zoom factor.
Make sure that the edges of the iris collimator are visible on the image during fluoroscopy.

Note: You can ONLY command max aperture of the iris/shutters in radiography mode
(see para. 2.3 below).

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2.2.8.1 VIRTUAL COLLIMATORS ON THE MONITOR

This function lets you position the collimators on the area of interest without X-ray emission thanks to
virtual indication of the collimators on the LIH image (with obvious benefits for the patient and medical
staff).

To view the virtual collimator, use one of the following commands in the absence of X-ray emission:

A) open/close iris

B) open/close shutters
A B C
C) rotate shutters.

The iris is shown on the monitor by a circle; the shutters by two parallel segments.
The collimator is shown for 5 seconds and then disappears if no adjustments are made.

Examples:

Assuming we have the LIH image here, you can use the
following commands:

• Close iris

If you want to collimate the centre of the image, activate

the open/close iris function and then adjust using the
encoder dial to get the required result.

After giving the X-ray emission command, you get this image:

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• Close shutters

If you want to collimate the centre of the image, activate

the open/close shutters function and then adjust using the
encoder dial to get the required result.

After giving the X-ray emission command, you get this

image:

• Rotate shutters

If you want to collimate the centre of the image by

rotating the shutters, activate the rotate shutters function
and then adjust using the encoder dial to get the required
result.

After giving the X-ray emission command, you get this

image:

2.2.9 REFERENCE IMAGES

You can transfer the working image to the reference monitor and so create a reference image for
current study.

• To transfer the image, use the relevant key on:

- the monitor,

- the control panel touch screen,

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- the remote control.

You can transfer the LIH image in the same way.

working monitor reference monitor

You can have up to 8 reference images for the study.

The number of reference images is shown by white squares in the
identification bar (see figure).
The current image is indicated by the arrow inside its square.

All the squares are white when there are 8 reference images; when you next transfer an image, the new
image automatically replaces the oldest one.

• To select one of the reference images, use the relevant keys on:

- the monitor,
Search: forward s backwards

Search forwards/backwards using the

- the control panel, encoder dial

- the remote control. Search backwards only

Note: You can select the Auto Store LIH option during installation. This lets you:
- automatically save the LIH image (Last Image Hold) to HD,
- automatically transfer the LIH image to the reference monitor at the next exposure.

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2.3 CASSETTE RADIOGRAPHY

• Install the cassette holder on the I.I. tube (see point 2.3.1 below) and check that it is securely fixed.

• Insert a cassette and make sure it is secured in position by the safety clip.

• Select the cassette radiography mode using the relevant key.

The word READY appears on the control panel display,

together with the radiology data.

• The kV value will be the same as that for the last fluoroscopy exposure.
You can change this by:
- activating the kV adjustment function and then selecting
the value you want by using the encoder dial.

• Set the mAs by:

- activating the mAs adjustment function and then
selecting the value you want by using the encoder dial.

• Find the X-ray collimator aperture.

The iris/shutter position will be the same as that for the last
fluoroscopy exposure. This ensures that you only expose that
part of the body as shown before.

Alternatively, you can only open the collimators to their max

aperture values (both the iris and the shutters), by pressing
the open iris key.

• Remove the extractable radiology button from its seat and give the
X-ray command.

Use the flex on the button at its full length and so

stand as far away as possible from the irradiated
zone.
The button is only active when removed from its seat.

- The first time you press the button, you command RAD preparation.
The control panel display reads RAD PREPARATION and then, when the equipment is ready,
READY FOR RAD.

- Press the button again to command X-ray emission (the display reads RADIOGRAPHY).
Keep pressed down until you hear 3 beeps, indicating the end of exposure.

• After exposure, the display on the stand shows the actual exposure
time.

• The equipment adds a pause between each X-ray. Its duration depends on the previous exposure.
The control panel reads WAIT…
You can only command a new X-ray when the control panel once again reads READY.

Exposure is inhibited when there are fewer available Thermal Units than needed for the set
exposure. In this case, the equipment generates the X-RAY TUBE TOO HOT alarm.

• If the equipment is fitted with the DAP module (optional), the control panel
display shows the accumulated “X-ray dose x area” value.

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The control panel also shows:

- the Reference Air Kerma accumulated during the study (RAK)

2.3.1 INSTALLING THE CASSETTE HOLDER

Fix the cassette holder to the I.I. tube using

the 3 stops (2 fixed stops A and one
retractable stop B) which slot into the groove
on the leading edge of the I.I. tube. I.I. tube

Groove

C
(cassette clip)

Cassette holder

The figures below show the right procedure:

A B

1. Secure the 2 stops A 2. Secure the retractable stop B

A A
A
C C

3. Cassette holder correctly installed

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2.4 PATIENT DOSE METERING (OPTIONAL)

If the equipm ent is fitted with the DAP module, the accumulated “X-ray dose x
exposed area” value is shown on the stand control panel, expressed as µGy*m2.

The image area of the working monitor also shows the:

- Reference Air Kerma accumulated during the study (RAK)
- Reference Air Kerma Rate (RAKR)

Press the reset button for at least 3 seconds to reset the dose count.

Note: The patient dose is automatically cleared (zeroed) when you

open a new study.

You can view the Rx Dose Exposed frame by pressing the corresponding button
in the working frame toolbar on the working monitor:

This shows (in addition to the patient data / study data / general data):

- the dose accumulated during the study,

- the total fluoroscopy time,

- the number of cassette radiography exposures,

- the Reference Air Kerma accumulated during the study.

This page can be printed, just like a normal image.

Use Exit to quit the Rx Dose Exposed page.

Note: Accumulated dose data are automatically updated and saved after each
fluoroscopy/radiography exposure.

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2.5 FINDING AND VIEWING IMAGES

2.5.1 FINDING IMAGES

• You can use the preview function in the Study List frame to see the first few images in each run; this
function makes it easier to select the studies you want.
Select the preview images you are interested in by using the browse keys (see figure).

selected study preview STUDY LIST FRAME

run browsing keys

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• After selecting and opening the study, find the image you want by using:

- the find run keys to browse through the first few images in each run in the study,

- the find image keys to browse all the images in the run.

These keys are on:

- the monitor, in the Search group in the working frame:

find image

find run

- on the control panel of the stand (using the encoder dial):

find image

find run

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2.5.2 OVERVIEW

After opening a study, you can view all the images in this in overview (mosaic)
mode. To do this, use the relevant key in the Search group.

The Overview Manager menu opens, showing the mosaic by run (first image in each run), starting with
that currently open on the monitor.
You can select the number of images to be shown (4, 9 or 16).

Overview images are identified by the number of the run and then their individual number within the run
(see figure).
subtracted image / run with more than 1 image / 10th run / 1st of 2 images

image overview / run overview

search keys

Runs with more than one image (multiframe) are indicated by a double frame.
Double-click on a multiframe run to view the overview of each image in that run.

Use the overview key to return to the run overview.

The search keys in the menu are active for both run and image searches. In both cases they let you
browse the full contents (forwards, backwards).

You can select an image using the touch-pad (or more than one by pressing Ctrl at the same time) and
then:

- label it (to make subsequent deletion or DICOM transfer easier)

- delete it.

To quit the Overview mode:

- press Exit in the menu,

- or double-click on a single image in a run.

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2.5.3 CINE-LOOP

The “cine loop” function lets you review all the images in a run in the actual sequence of acquisition
(continuous fluoroscopy with saving to HD).
The rate at which these are displayed is normally the same as that used for acquisition, though you can
select different rates.

• Select any image in the run you want to view.

• Enable the cine-loop function by using the relevant key on:

- the monitor,

- the control panel touch screen,

- the remote control.

• The Cineloop Manager menu opens. This has a “Stop”

command:

stop

• Use the “Stop” command to activate the other cine loop commands:

• These commands let you:

- search for each image manually,

- view the First / Last image in the cine loop,

- set a different image as the start image (left-hand symbol) or the

end image (right-hand symbol) in the cine loop.
On using the cine loop function, only the images falling within these
start/end images will be shown,

- cancel the set start/end limits,

- select the viewing speed (1 - 25 i/s),

- view the cine-loop at the original acquisition speed.

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• All the images are identified by their position within the cine loop.
The images selected as the first/last in the cine loop are marked by an arrow (see figure below).

cine-loop enabled: 15th image of 31

6th image of 31, marked as Start

Cine-Loop

28th image of 31, marked as End

Cine-Loop

• Use Exit to quit the Cine Loop function:

Alternatively, press the cine loop key again on the monitor, the control panel or the remote control.

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2.6 IMAGE POST-PROCESSING

All the post-processing functions can be enabled using the keys in the control strip on the working
frame.

Post-processing
functions

The Find image, Cine loop and Overview functions have already been described (see previous chapter
for details.

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2.6.1 BRIGHTNESS AND CONTRAST

You can change the look of saved images, mainly by adjusting the:

- Brightness (Level)
- Contrast (Window)
- Gamma: aspect of the LUT curve on the monitor.

Use the commands in the “LUT MANAGER” menu (see figure below).

Brightness (L) Reverse polarity

Contrast (W)
Linear GAMMA
Gamma

• Gamma:

You can change the way the images look on the

monitor by applying non linear correction curves
(gamma).
This is handy when you want to improve the look of an gamma = +10

image, especially when shown as a negative.

You can choose between 20 different curves: 10
logarithmic curves and 10 exponential curves.

The selected LUT curve is automatically applied

to all images in the same run as the image
shown on the monitor.
gamma = -10

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2.6.2 DIGITAL ZOOM

Use the “Zoom Manager” option to zoom into a specific area of the image.

The Zoom Factor ranges from 1 to 3. The zoom factor is shown on the image.
This function works by zooming into the centre of the image. To view other areas (“off monitor”), use the
sliders at the side of the image:

image sliders

Zoom Factor: M=2.0

The selected zoom is applied to all the images in the same run.

Use “Exit” to quit this function and confirm the settings.

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2.6.3 SPATIAL FILTERS

A spatial filter can be applied to acquired images, usually to improve the visibility of the edges (edge
enhancement).

Use the “Edge Manager” menu to apply these filters.

Filter type

Filter weight

The filter is defined by setting the following parameters:

● Type: - NULL (no filter applied),

- SMOOTH (edge smoothing),
- SHARP (edge enhancement).

● Weight: weight of the applied filter:

1, 2, 3, 4, 5

The filter settings are shown on the image:

SMOOTH, weight 4 SHARP, weight 2

Use “Exit” to quit and confirm the settings for all images in the run.

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2.6.4 ELECTRONIC SHUTTERS

Use the “Electronic Shutters” menu to enable the electronic shutters.

Find last / next image

Find last / next run

Mouse pointer position

● After finding the image you want using the keys in the menu above, apply the shutters as follows:
- position the pointer of the touch-pad in the top left-hand corner of the portion of the image you
want to collimate;
- Keeping the left-hand key pressed, drag the pointer using the touch-pad to start drawing a frame
around the area of the image you are interested in;
- Release the touch-pad key and the image is collimated and centred on the screen.

Collimation is only possible if the portion of the image selected is at least a few cm wide.

Simply double-click anywhere outside the image to remove the collimation.

Use “Exit” to quit and confirm the collimation settings for all images in the run.

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2.6.5 TEXT AND MEASUREMENTS

You can add text to the images and measure the images using the “Overlay Manager” menu.

Angle / Arrow / Grid / Calibrate / Text

Ruler / Frame / Stenosis / Statistics / Q.A.

Angle:

This lets you measure the angles in the image.

• Click on the function key to activate the angle measurement pointer.
• Drag the pointer to the point required on the image.
• Draw the first segment by keeping the left-hand key on the touch-pad pressed and then releasing
this once the vertex has been reached.
• Repeat, this time drawing the second segment: on releasing the key the value of the angle is
automatically shown.
• You can pick up the ends and the angle to move it to the required area of the body part. The
measurement is automatically updated.
• You can also pick up the box indicating the angle and move it at will.

Arrow:

This lets you draw an arrow on the image.

• Select the function.
• Drag the pointer to the position you want on the image.
• Use the touch-pad to draw an arrow, keeping the left-hand key pressed down.
• You can pick up the ends of the arrow and then drag it to adjust its position.

Grid:

This function lets you add a grid to the image.

• Select the function.
• Drag the pointer to the required position and then click: a grid appears on top of the image with a
sample segment used for the unit of measurement.
• To change the size of the grid, you need to change the size of the sample segment by dragging the
corners with the touch-pad.
• The grid can be moved using the touch-pad by picking up one of the corners

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Text:

This lets you add text to the image.

• Select the function.
• Drag the touch-pad pointer to the required position on the image.
• Click on the touch-pad to fix the start point.
• Enter the text.
• Use the touch-pad to select the text and drag it to any point on the screen.

You can also change the size of the text:

• Right-click on the touch-pad above the text: a menu opens letting you change the font size.
• Click on the zoom+ and zoom- symbols until you get the text size you want.

Ruler:

This function lets you measure the image.

• Select the function.
• Draw a segment (ruler) using the touch-pad between the two points you want to measure: the
measurement automatically appears in pixels.
• The calibration command described below lets you switch to mm (provided this function is already
active).
• You can adjust the ruler measurement by picking up the ends of the segment and moving these
using the touch-pad.
• You can also pick up the field indicating the measurement and move it at will.

Frame:

his lets you draw a frame on the image around the body part you are interested in.
• Select the function.
• Drag the pointer to the position you want on the image.
• Use the touch-pad to draw a rectangular frame.
• You can pick up the sides and corners of the frame and then drag these to adjust the frame’s
position.

Calibrate:

You can measure the image in mm (using the Ruler function) after “calibrating” a sample object of
known measurements on the image.

There are 2 calibration modes:

Free: letting you use any detail in the image (of a known size) for
calibration:
- Draw a segment using the touch-pad exactly along the
known measurement of the detail used for calibration: the
measurement in pixels automatically appears.
- Enter the known measurement in mm in the mm field: all
the measurements on the image (including the calibration
detail) are shown in mm.

To guarantee precision, the size of the object used for

calibration must be bigger than 10 mm.

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Catheter: this mode lets you use a catheter in the image of known diameter for calibration purposes:
- Draw a segment at least 1 cm long inside the catheter in Free mode. The diameter of the
catheter will be calculated along this segment.
- Activate the Catheter mode and select the measurement of the current catheter in the
corresponding window.
- All the measurements on the image (including the calibration detail: the catheter) are
automatically shown in mm.

To guarantee precision, it is crucial that:

- the selected section of the catheter (at least 1 cm) is as straight as possible,
- the max contrast is found for the catheter (W and L adjustments).

Once defined, the calibration is valid for the entire run to which the image belongs, provided that the
images were acquired using the same I.I. tube zoom factor.

The calibration function is not active if a different calibration object has already been set for the run.
If you want to change the size of the calibration, first delete the existing object (see end of this
paragraph for details).

Stenosis:

This lets you measure the percentage of stenosis.

• Select the function to activate the stensosis pointer.
• Using the touch-pad, draw 3 segments (a, b, c) outlining the stenosis: the value is automatically
displayed (percentage of the ratio between the size of stenosis and the mean size of the vessel
above and below the stenosis.

a +c
S% = b ÷   × 100 b
 2  a c

• You can pick up the edges of the segments and correct their position on the body part: the stenosis
measurement is automatically updated.
• You can also pick up the box containing the stenosis value and move it at will.

Deletion operations:
All the graphic objects on the image can be deleted. To do this:
- Highlight the object (click near the one of the corners of the graphic object),
- Right click on the touch-pad,
- Use the Delete command that now appears.

Statistics:

The “Pixel View Manager” menu detects the position and value of the pixel in a given area of the
image selected using the touch-pad.

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Use the Neighbor field that lets you select the area of the image whose values you want to read:
- 7x7 pixels
- 9x9 pixels
- 15x15 pixels
- 31x31 pixels

The following values are shown:

- Center : value in the centre of the square
- Min : min value
- Max : max value
- Mean : mean value
- Std Dev : standard deviation.

Q.A. Stenosis:

See the annexes to paragraph 6.3.4.

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2.6.6 POST-PROCESSING OF ANGIO IMAGES (OPTIONAL)

The post-processing functions for angio images are activated by using the keys in the DSA group.

Subtraction / Mask pick-up / Pixel shift / Land marking

Mask pick-up:
You can use any image in a run as the
mask, replacing any mask that may have
been applied during image acquisition.

The mask image is identified by a marker.

Subtraction:
This function switches the image display from
subtracted mode to normal mode (and vice-
versa) in a run with a mask image. Subtracted
images are identified by a marker.

PIXEL SHIFT

Movements of the C-arm or the patient during image acquisition may create “artefacts” in the
subtracted image.

Use the pixel shift function to move the mask image in order to realign the two images.

• Select a subtracted image.

• Press Pixel shift to open the “Shifting Pixel Manager” menu:

• Use the pointer keys to move the image in

steps of 2/16 pixel or 2 pixels.

• The shift is shown on the monitor:

SHP: xx means horizontal shift
SHS: xx means vertical shift.

The max shift in any direction is 10 pixels

(value 160).
Shift: steps of 2/16 pixel
• Use Exit to quit this function.
The shifting is automatically applied to all
Shift: steps of 2 pixels
images in the run.
Cancel shift

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LAND MARK

The Land Mark function lets you overlay a part of the mask image on the subtracted image. Reference
body parts are thus created for better orientation of the images.

• Select the subtracted image you want to use.

• Press Land Mark to open the corresponding menu:

• Using the Weight pointer, select the overlay percentage of

the mask image (0% - 75%).

2.6.7 IMAGE MARKING

Saved images can be marked (labelled) to facilitate deletion and DICOM transmission operations (see
relevant paragraphs).
In fact, the system checks whether there are any marked images when you select these functions and
displays them (with a message) so you can decide what to do.

• To mark an image, press the Label command, as

shown in the figure here:

• The labelled image is indicated by the

relevant symbol at its side:

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2.6.8 DELETING IMAGES

Individual images can be deleted directly from the working frame using the command in the “Search”
group or by using the delete command in the “Overview” menu.

• Use the browse keys in the Search group to select the image you want to delete.

• Use the Delete command:

A dialog window asks for confirmation:

- if the image is marked

- or the image has yet to be sent to the DICOM Store

server (if the DICOM Storage Commitment options
exists).

Individual images can also be deleted in Overview mode using the relevant menu command (see
below).

An entire image run can be deleted, but only from the “Overview” mode.

• Select the run (or images) you want to delete by selected run selezionata
using the browse keys in the Overview menu.
Your selection is shown by the highlighted border or
the run/image(s).
You can select multiple runs/images by pressing Ctrl
when making your selection.

Select the delete command.

A dialog box asks for confirmation and tells you if an

image is marked or if the images have yet to be sent to
the DICOM Store server (if the DICOM Storage
Commitment option exists).

An entire study can be deleted from the “Study List” frame (see Annex 6.3.2.3 in this Part of the manual).

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2.6.9 IMAGE RECORDS

Image records can be produced as follows (optional):

• Local printer (Windows compatible)

You can get a print-out in BMP format of a single image on the monitor using the working frame (see
para. 2.6.9.1 below).

• Saving to USB pen-drive

You can save the entire study in BMP format from the Study List, or save an individual image on the
monitor in BMP format using the working frame (see para. 2.6.9.2 below).

• Burning to CD/DVD
You can burn a study selected from the Study List to CD/DVD in
DICOM format (see para. 3.5 below).

• STORE DICOM to workstation

From the Study List you can:

- STORE the entire study (see para. 3.2.1 below)

From the working frame you can:

- STORE a run (see para. 3.2.2 below),

- STORE an individual image shown on the monitor (see para. 3.2.3 below).

• PRINT DICOM to printers

From the working frame you can:

- PRINT a single image shown on the monitor (see para. 3.3.1 below),

- PRINT a composed image using the Film Editor function (see para. 3.3.2 below).

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2.6.9.1 DIRECT PRINT-OUTS

The live image on the monitor (single or overview) can be sent to the system printer.

Select the corresponding icon in the “Post Processing” group of

the working frame on the monitor:

Wait for the image to be printed: do not keep pressing

the key (thereby sending new copies of the same
image to the print queue).

Print-outs may take a few seconds. Once printed successfully, an OK message appears.

2.6.9.2 SAVING IMAGES TO USB PEN-DRIVE

A study can be saved in BMP format on an USB Pen-Drive.

To do this:

• Insert the pen-drive in the USB socket on the front panel of the monitor unit:

USB

• Select the study in the Study List:

• Open the Study menu and select “Save as…”

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• A menu opens letting you search and select the directory where you want the study to be saved (in
this case “KINGSTON (F)”, the name/path of the pen-drive).

• Confirm the path with OK.

The study is then saved to the pen-drive. A progress bar
appears and then disappears once the study has been
saved.

Note: Repeat the same steps to save a single LIVE image in the working frame in BMP format. To select
the image, right-click on the image using the touch-pad and then select “Save frame to BMP”:

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3 DICOM FUNCTIONS (optional) FOR VERSIONS WITH VIDEO PROCESSOR

Available DICOM options:

Function Paragraph
DICOM Worklist 3.1
DICOM Store 3.2
DICOM Print 3.3
Save to CD/DVD 3.5
Query/Retrieve 3.6

3.1 DICOM WORKLIST

The DICOM Worklist function lets the equipment receive a list of the studies to be performed from the
hospital computer system (Worklist).
The study data do not need to be entered manually in this case, as they are already entered in the
Worklist.

● On selecting Worklist Directory from the Study List, the Study List appears with all the studies still to be
performed in the equipment.

● To update the list: open the Worklist menu using the relevant icon
and then follow these steps:

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A B C

G D H

A) Select the device you want to receive the list from.

B) Set the date interval. If not the current day, set the request date using From and To (start and
end dates for the search).

C) If necessary, you can enter the name or code for reception of a given study in one of the 4
available fields (Patient Name, Patient ID, Accession Number or Requested Procedure ID).

D) Download the list by using the Get List command.

E) If necessary, use the Remove or Remove All commands to eliminate a study or all the studies
from the list.

F) If necessary, use the Edit List command to change the study parameters. To be used by the
Technical Service.

G) Transfer the studies to the archive (Worklist Directory) by selecting them and then using the
Create Study Sel command.

H) Close the menu (Hide) to return to the Worklist Directory page.

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3.2 DICOM STORE

The equipment lets you transfer the following to a DICOM STORE device:
- a study,
- a run,
- a single image.

3.2.1 TRASFERRING AN ENTIRE STUDY

You can only transfer an entire study from the Study Directory frame in the archive:

● Select the study you want from the list in the Study Directory frame.

● Open the Dicom menu and use the Store Selected command:

Alternatively, you can select this function using the

Store Study icon:

● If the Default Store device is not already set in the equipment, another window opens letting you
select the destination device. The options are shown in the figure below:

select destination device

select N° transmission attempts

priority in the Spooler (transmission queue)

select transmission time

set transmission date

i.e. immediately

● Confirm with OK.

Transmission of the study starts.
The Operation Progress window opens in the centre of the image.
This window closes when transmission is completed.

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3.2.2 TRANSFERRING A RUN

You can select this option from the working frame showing either a single image or an overview.

Single image:

● Select the image you want in the run.

● Start the transfer using the Store Run icon in the Documentation group
in the working frame:

Alternatively, you can select this function from the single image working
frame by right-clicking on the image area (using the touch-pad) and
then selecting Store Current Image.

Overview:

● Select the run you want.

● Use the Store command in the Overview Manager menu.

● In both cases, the following options appear if the run contains

marked images:

- Store Only Labelled: transfer only the marked images,

- Store All: transfer all images.

● Another window opens if no default store server has

been set in the equipment. This lets you choose the
destination device (see para. 3.2.1 above for a full
description).

● Confirm with OK.

Transfer of the run starts.
The Operation Progress window opens.
This window then closes when transfer is completed.

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3.2.3 TRANSFERRING A SINGLE IMAGE

You can select this option from the working frame showing either a single image or an overview.

Single image:

● Select the image you want.

● Start the transfer by using the Store single icon in the Documentation
group in the working frame:

Alternatively, right-click on touch-pad in the image area and then

select Store Current Frame.

Overview:

● Select the image you want.

● Start the transfer by using the Store command in the Overview

Manager menu:

● Another window opens if no default store server has

been set for the equipment. This lets you choose the
destination device (see para. 3.2.1 above for a full
description).

● Confirm with OK.

Transfer of the image starts.
The Operation Progress window opens.
This window then closes when transfer is completed.

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3.3 DICOM PRINT

Single images or a composition of images can be sent to a DICOM printer.

3.3.1 DICOM PRINTING OF A SINGLE IMAGE

You can select this option from the working frame showing either a single image or an overview.

Single image on working frame:

● Select the image you want.

● Send to the printer using the Print icon in the Documentation:

Overview on working frame:

● Select the image you want.

● Send to the printer using the Print command in the Overview

Manager menu:

● Another window opens if no default printer has been set for the equipment. This lets you choose the
destination device (see figure):

select print device

select N° print attempts

priority in Spooler (transmission queue)

select print time

set print date

i.e. immediately

● Confirm with OK.

Transfer to the print queue starts.
The Operation Progress window opens in the centre of the image.
This window then closes when transfer is completed.

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3.3.2 DICOM PRINTING OF A COMPOSITION (FILM EDITOR)

The Film Editor function lets you compose a series of images (the film) to be printed.

You can compose this from the working frame, whether showing a single image or in overview mode.

● Select the Film Editor menu using its icon to open the composition
frame (showing the last format used).

Film frame:
set for 2 rows / 2 columns

Print menu

Close: to quit the function

Expand: to open the setup page

Print All

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● Select Expand to open the setup menu and so set the film format parameters:

Custom: lets you choose between a few set compositions.

FilmSize: lets you choose the size of the film.

e.g.: 8INX10IN (8 inch x 10 inch)

Orientation: to print: - horizontally (LANDSCAPE)

- vertically (PORTRAIT)

Format: to choose the way the film is divided (set

configurations: number of images in rows and
columns

Cols / Rows as an alternative to using the Format parameter,

enter the film division manually (rows and columns).

Get Defaults to recall default film parameters (usually set during

installation).

Exit to quit the menu and return to the working frame.

The printer settings are normally

done during installation.
Printer settings

Film format settings

To use the default settings

To quit the setup menu

● Composition can be done:

- automatically by selecting the Print All command:

The system automatically loads all the images in the run, filling each box in the film frame in turn.
When this is full, the system sends it to the print queue and then starts filling the next film frame
and so on until all the images have been loaded.

Once all the images have been sent to the printer, the following
message appears FILM SENT TO SPOOLER.

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- manually by selecting the images you want and then dragging them (with the touch-pad) to
the boxes in the film frame.

As soon you transfer the first image in the film Selected box
frame, the Print and Delete commands are
added to the menu.

The figure shows a film format with

“2 Columns / 2 Rows”.

Delete all
Delete selected image

Print entire run

Print film

You can always transfer the same image to the boxes, e.g. because subject to different
forms of post-processing.

Use the Print film command to start printing.

Once all has been sent to the printer, the following message appears:
FILM SENT TO SPOOLER.

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3.4 DICOM SPOOLER

The transmission commands used to send images to the DICOM network (as explained above) send
them to the DICOM SPOOLER, responsible for managing the network and image transmission.

As the images arrive at the DICOM SPOOLER, they are added to the transmission queue and then sent
to the destination device as soon as possible, thus deleting them from the transmission queue.

If there are errors or malfunctions during transmission, the DicomSpooler window appears showing the
status of the transmission queue and any alarm messages (see Technical Manual for details).

Enable / Disable the filling of the image queue and their

Delete selected images from the queue transmission

Alarms Silence alarm Confirm settings and Hode application

close application

The DicomSpooler window can also be opened manually by right clicking

on the image using the touch-pad and selecting: Show Spooler to check
the status of the print queue (i.e., images waiting to be sent to the DICOM
network).

If the system continues to warn you that transmission has been unsuccessful, despite several
attempts, we recommend deleting the image concerned from the transmission queue.

• To remove an image from the print queue:

- use Disable Queue to disable the filling of the transmission queue momentarily,
- use Disable Spool to disable transmission of the images in the queue momentarily,
- select the image you want to delete in the DicomSpooler menu,
- click on Delete to delete this,
- then re-enable the Spooler functions by clicking on Enable Queue and Enable Spool.

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3.5 BURNING IMAGES TO CD/DVD

You can save studies to CD/DVD in DICOM format.

● Place a new CD/DVD in the CD/DVD burner drive on the front of the monitor unit.

● Select the study you want in the Study Directory.

● Start the burning function: by selecting the Burn To CD command in the Dicom menu or by using the
relevant icon. Both commands are only active if a CD/DVD is inserted in the burner drive.

● The images are now converted into DICOM format.

The window closes once conversion is complete. The CD-Writer menu opens, listing the converted
studies:

● You can now open the burning options menu (Options) and set these:

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- Beep to get a beep at the end of burning,

- Eject to eject the disk automatically after

burning,

- Multisession to add other studies to the same disk,

- Speed we recommend using the MAX option.

- Add utility folder to copy the DICOM viewer to the disk

(e.g. DGViewer).

The DICOM viewer lets you view the images on the

CD/DVD on an external PC.
See Annex 6.3.3 in this Part of the manual.

● Close the options menu and start the burning process (Start Write).
The progress is shown in the Status Writer area of the menu, followed by a success message.

● After burning:
- remove the CD/DVD,
- quit the function with Exit.

● The images in the studies on the CD/DVD can now be viewed on an external PC (see Annex 6.3.3 of
this Part of the manual).

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3.6 QUERY / RETRIEVE

The DICOM QUERY / RETRIEVE functions let you view digital images generated by other image
diagnostics programs on the equipment (e.g. CT, MR, ECHO, etc.).
This is useful, for instance, when comparing acquired images with those in the hospital archive for the
same patient.

The QUERY function searches for all the studies concerning a give patient in the hospital archive.
This may be done by entering the patient name or the PATIENT ID parameter.
All the results that satisfy the search conditions are then listed on the screen.

After selecting the one(s) of interest, use the RETRIEVE function to copy the selected study(ies) on the
local disk.

• The Query/Retrieve functions are found in the Study List. Press button:

The Query/Retrieve Studies window appears:

Exam search LOG / QR server

parameters communication

Select QR SERVER

• Select the QR SERVER to be used to find the studies.

• Enter the key words to search for the study(ies). These can be simply the PATIENT NAME, the PATIENT ID
or a combination of both.

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• Click on the QUERY button to display a list of all

corresponding studies.

List of patients satisfying search parameters

You can also run the search using partial data, with the
character *.
For example, if you enter ABCD* in the PATIENT NAME
field, all patients whose name starts with ABCD will be
listed.

Likewise, if you enter DCBA* in the PATIENT ID field, all

studies whose PATIENT ID parameter starts with the
sequence DCBA are listed.

• Select the study you want in the results window.

You can also check the study details by clicking on the
STUDY INFO button before using the Retrieve function.

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• Click on Retrieve Study to transfer the selected study(ies)

from the hospital archive (QR Server) to the local disk.

The retrieved study(ies) are then listed in the RETRIEVED

STUDIES window and can be:
- viewed by pressing VIEW STUDY,
- deleted by pressing DELETE STUDIES.

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4 USE: VERSIONS WITH VIDEO MEMORY

4.1 INTRODUCTION

As described in para. 1.1.2 above, the monitor screens are blank when the equipment is first switched
on (see figure below).
The reference monitor is numbered 1, indicating that it is ready to show the first image.

WORKING MONITOR REFERENCE MONITOR

4.1.1 SELECTING THE EXAM TYPE USING THE STAND CONTROL PANEL

During installation the EM equipment can be set with 5 exam types.

These default settings mean that certain parameters are automatically loaded when you select a given
exam type.

Exam Use

Hip/femur replacements / Tibia or humerus bone fractures /

Pelvis / Small parts.

Spine fixation (cervix , thorax) /

Pain therapy / Neuromodulation / Hypophysectomy /
Laser nucleolysis.

Percutaneous nephrolythotomy / Ureteroscopy / Cystoscopy

/ Cholangiography.

Pacemaker connections / Electrophysiology / Biopsy /

Ventricular-abdominal shunt.

Generic exams, defined during installation in collaboration

with the operator

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The following parameters are involved when selecting the exam type:

Parameter Settings Notes

Max accepted kV 80 … 120 kV

Working X-ray dose (fluoroscopy) low mA or normal mA You can always change the mA
using the control panel.
Enable boosted fluoroscopy Function permitted/not permitted

Recursive filter weight (used to reduce No filter … k=16 You can always change the recursive
photonic noise) during continuous filter using the remote control.
fluoroscopy.
Pulsed fluoroscopy rate 1 image every: - 0.5s You can always change the rate
- 1s using the remote control or the
- 3s control panel.

Automatic saving to memory Function enabled/disabled Even if not enabled, you can still save
(temporary) of last continuous the LIH image to memory
fluoroscopy image (LIH) (temporary) using the control panel
All saved images will be lost when the
equipment is switched off.

To select an exam:

- Press the relevant button on the stand control

panel:

- Select one of the exams displayed at the bottom:

Check the parameters using the control panel to make sure they are those you want to use.

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4.2 IMAGE ACQUISITION

Before any exposure always make sure that all the necessary precautions against the risk of
irradiation have been taken.
Make sure also that the patient bed has been earthed via the equipotential connector on the
stand.

During each exposure always make sure that the edge of the iris collimator is visible on the
image: if you cannot close this manually, contact Technical Service, as there is the risk that the
collimator is not working and so remains open at an excessive exposure value.

Fluoroscopy exposure is still permitted in order to finish the surgical operation in the presence
of the following alarms: COLLIMATOR FAULT, RKCA BOARD OFF LINE or CONTROL PANEL NOT
CONNECTED alarm.
Command exposure only where absolutely necessary and for as short a time as possible.
Call Technical Service to restore the correct functioning of the equipment.

X-ray emission is indicated by lights on:

- the control panel touch screen on the stand,
- above the monitor unit.

4.2.1 SELECTING THE ACQUISITION MODE

Possible acquisition modes:

• Fluoroscopy: - continuous
- pulsed
- one shot

• Cassette radiography.

Use the controls on the stand control panel to switch between Fluoroscopy and Radiography:

Fluoroscopy is current mode (continuous, pulsed, one-shot).

• Press to switch to radiography.

Radiography is current mode.

• Press to switch to fluoroscopy

To select the fluoroscopy acquisition mode use the corresponding key on the control panel to switch
between:

Continuous fluoroscopy

Pulsed fluoroscopy

One-shot fluoroscopy

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4.2.2 CONTINUOOUS FLUOROSCOPY

• Select the continuous fluoroscopy mode on the control

panel.

• The equipment automatically starts the automatic

dose control after being switched on.
The kV/mA values are automatically set to suit the
exam subject.

If you want to use manual kV/mA control:

- select this mode on the control panel,

- access the kV parameters and adjust their value
using the encoder dial.

• There are two set mA levels to choose between.

normal mA / low mA

The choice normally depends on the exam type.

• Command exposure using the pedal on the footswitch or

the extractable (1st + 2nd clicks); the word FLUOROSCOPY
appears on the stand display.

The button is only active when extracted from its seat.

• The last image (LIH) is frozen on the working

monitor when you release the X-ray command
button: a square marker in the top left-hand
corner warns you that the image is not live, but
saved.

WORKING MONITOR

• During X-ray emission, the stand control panel shows:

- the mA value,

- the exposure time count (in minutes and seconds),

- the available Thermal Units.

An acoustic signal (beep) also sounds after every 3 seconds of fluoroscopy.

• An intermittent acoustic alarm sounds if the available Thermal Units (anode and monoblock) drop
below 10% during X-ray emission (double beep every 3 seconds).

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Exposure can continue, but the value of the mA is automatically halved in order to
prevent the X-ray monoblock from overheating (low dose).
The mA values returns to normal when the level of available Thermal Units is more than
20%.

• If the EM equipment is fitted with the DAP module (optional), the

accumulated “X-ray dose x area” value appears on the control panel.

The following indications also appear on the control panel:

- Reference Air Kerma Rate (RAKR)
- Reference Air Kerma accumulated during the study (RAK)

• During X-ray emission you can save the live image by using
the specific key on the control panel.

The saved image appears on the reference

monitor and has a white marker.
You can save up to 4 or 110 images (depending
on type of memory).

All saved images will be lost when the equipment is

switched off.

The last image is marked “1” (the most recent).

The number that appears on each image 3
indicates its order of saving.
REFERENCE MONITOR

4.2.3 BOOSTED CONTINUOUS FLUOROSCOPY

Boosted" continuous fluoroscopy involves emitting X-rays at a high mA value (twice the normal level).
This function lets you reduce the quantic noise of the images.

Only use this mode when absolutely necessary to avoid excessive exposure of patients. In
fact, this is a HIGH LEVEL CONTROL operating mode (HLC) as the air kerma generated at the
patient input point at max kV is higher than 88mGy/m.

The exposure time in this mode is automatically limited to max:

- 10 seconds (version with monoblock with a fixed anode),
- 30 seconds (version with monoblock with a rotating anode).

• Select the boosted function using the specific key

on the control panel.

• Give the fluoroscopy command using the footswitch pedal or the extractable button (1st + 2nd
click); the word BOOSTED appears on the stand control panel and a continuous acoustic signal
sounds to indicate X-ray emission in this mode.

• If you keep the fluoroscopy command pressed for more than 10 seconds (or 30 seconds for the
rotary anode version), fluoroscopy continues automatically with normal mA. The boosted function is
automatically disabled as soon as you release the fluoroscopy pedal.
Repeat the above steps if you want to acquire another image with boosted fluoroscopy.

Note: This function is not automatically disabled if the X-ray emission lasts for less than 5 seconds.

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4.2.4 PULSED FLUOROSCOPY

Pulsed fluoroscopy is intermittent fluoroscopy that holds the image in the memory during the interval
between one X-ray flash and the next.

The equipment performs one X-ray emission at 300 ms, at three set rates:
 1 image every 3 seconds
 1 image every 1 second
 1 image every 0.5 seconds

• Select fluoroscopy mode on the control panel:

• Select the X-ray emission rate you want by using the

relevant key:

• During exposure, the automatic dose control circuit changes

the kV and mA to suit the subject: if necessary, the system
switches automatically to continuous fluoroscopy mode to
adjust the kV and mA quickly to the best value and then
returns to pulsed fluoroscopy mode.

If you want to control the kV/mA manually:

- select the mode on the control panel,

- enable kV adjustment and then set the value you want
using the encoder dial.

• You can select one of two possible working mA scales.

normal mA / low mA

Your choice of level normally depends on the type of exam.

• Use the footswitch pedal or the extractable button (1st and

2nd clicks) to command X-ray emission; the words PULSED
FLUOROSCOPY appear on the stand display.

The button is only active when extracted from its seat.

• On releasing the X-ray command, the last

image (LIH) is frozen on the working monitor and
identified by a square marker in the top left-
hand corner.

WORKING MONITOR

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• As with continuous fluoroscopy, the stand control panel shows the mA value, the exposure timer
count (minutes and seconds) and the available Thermal Units.

A beep sounds at each X-ray flash.

• An intermittent acoustic alarm (double beep) sounds every 3 seconds if the available Thermal Units
drop below 10% during X-ray emission.

Exposure can continue, but the value of the mA is automatically halved, in order to
prevent the X-ray monoblock from overheating (low dose).
The mA values returns to normal when the level of available Thermal Units is more than
20%.

4.2.5 "ONE SHOT" FLUOROSCOPY

This mode lets you acquire a single image with low noise, by adding 16 consecutive scans during the
emission of a single X-ray whose duration is controlled by the equipment (approx. 1 second), using high
mA.

This mode can be used in either automatic or manual mode.

• Select one-shot fluoroscopy mode on the control panel..

• Use the footswitch pedal or the extractable button (1st and

2nd clicks) to command X-ray emission; the worsd ONE
SHOT appear on the stand display.
Keep the command pressed until the end of exposure (i.e.
the acquired image appears on the reference monitor).

• If in automatic fluoroscopy mode, the equipment

automatically adjusts the kV and the mA to the best levels; it
then performs the “one-shot” function.

• If in manual mode, one-shot X-ray emission starts immediately

you press the pedal / button.

• The image is automatically saved and shown on the reference monitor at the end of X-ray emission.

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4.2.6 FLUOROSCOPY TIMER

• The control panel display shows the total X-ray emission time (minutes and
seconds) in the fluoroscopy modes.

• An acoustic alarm sounds after every 5 minutes of emission and the LED on the
alarm icon flashes.
Silence the acoustic alarm by pressing the alarm key.

• You can always clear the accumulated emission time count by pressing
the timer reset key for at least 2 seconds.

X-ray emission is automatically cut if the X-ray command remains continuously active for more
than 10 minutes; press the X-ray command pedal again to continue.
(30 seconds before reaching the 10 minute level, an acoustic alarm sounds to warn you that
X-ray emission is about to be cut.)

4.2.7 THERMAL UNITS COUNTER

The equipment automatically counts the Thermal Units for the anode (a, see
figure on right) and the monoblock (m).

The control panel display only shows one of the two Thermal Unit values (%) at
a time, alternating between the anode and monoblock units.

An intermittent acoustic alarm sounds (double beep every 3 seconds) if the anode or monoblock
Thermal Units fall below 10% in fluoroscopy mode.

Exposure can continue, but the mA value is automatically halved to prevent the X-ray
monoblock from overheating (if the low mA option is being used, the X-ray dose remains
the same and so the kV increase by a few points).
The mA value returns to normal when the available Thermal Units are more than 20%.

In radiography mode, exposure is automatically inhibited if the Thermal Units available are less than
those required for the programmed exposure.
If you then give the X-ray command, the X-RAY TUBE TOO HOT alarm is generated.

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4.2.8 ENVISAGED X-RAY EMISSION TIME DURING FLUOROSCOPY

The stand control panel shows the approximate value of the X-ray emission time remaining in
fluoroscopy mode before the available Thermal Units in the X-ray tube run out.

This value is calculated on the basis of the X-ray exposure parameters ( kV, mA and X-ray emission rate).

The time (minutes and seconds) is only shown when less than 30 minutes remain.

The time shown is calculated using the current radiological parameter settings. If these are
changed during exposure (e.g. by the automatic dose control function), the remaining time is
automatically updated.
It is therefore crucial that you check the plausibility of the parameters for the patient before
starting exposure.

4.2.9 I.I. TUBE ZOOM

The equipment can be fitted with either 9” or 12” image intensifying tube.

In both cases, the I.I. tube has three working fields: nominal, zoom1 and zoom2. Use the control panel to
change the working field.

Press the current field key (example shown here):

To view the possible options;

• 9” version:

nominal zoom1 zoom2

(21 cm) (16 cm) (12 cm)

• 12” version:

nominal zoom1 zoom2

(29 cm) (21 cm) (16 cm)

Select the required field by pressing the corresponding key.

Each key shows the size (in cm) of the diameter of the input field.

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4.2.10 IMAGE ROTATION / FLIP

During image acquisition, you can change the orientation of the image by using the rotation and
horizontal flip commands.

• Rotate:

Select this function by using the corresponding key on the

control panel and then give the command using the encoder
dial.

Press the rotation key for at least 3 seconds to reset the default
rotation (0°).

You can also rotate the LIH image.

The orientation will be valid for the subsequent acquisition, meaning you
can adjust the image orientation without X-ray emission.

• Flip:

The horizontal flip function can be used for both image acquisition and the LIH image.

Use the corresponding key on the control panel. INVERTED

IMAGE

4.2.11 X-RAY COLLIMATOR

The X-ray collimator is fitted with an iris and parallel shutters, both which are adjustable.
You can control their aperture from the control panel by selecting the required function and then using
the encoder dial to adjust the values.

regulate iris aperture

regulate shutter aperture

rotate shutters

The max iris aperture is automatically decided to suit the I.I. tube zoom factor.
Make sure that the edges of the iris collimator are visible on the image during fluoroscopy.

Note: You can ONLY command max aperture of the iris/shutters in radiography mode
(see para. 4.3 below).

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4.2.12 REFERENCE IMAGES

The equipment can be fitted with a video memory that lets you save up to 4 or 110 images (in a non
permanent manner).

• Use the relevant command on the control panel to command

saving to memory.

• Memory-saved images are shown on the reference

monitor and marked with a number that indicates the
order of acquisition (the most recent image is image
number “1”).

3
REFERENCE MONITOR

Once you have saved 4 / 110 images, the next image to be saved will
automatically replace the oldest saved image.

• Select the relevant key on the control panel and use the
encoder dial to view the saved images.

All images are lost when the equipment is switched off!

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4.3 CASSETTE RADIOGRAPHY

• Install the cassette holder on the I.I. tube (see point 4.3.1 below) and check that it is securely fixed.

• Insert a cassette and make sure it is secured in position by the safety clip.

• Select the cassette radiography mode using the relevant key.

The word READY appears on the control panel display,

together with the radiology data.

• The kV value will be the same as that for the last fluoroscopy exposure.
You can change this by:
- activating the kV adjustment function and then selecting
the value you want by using the encoder dial.

• Set the mAs by:

- activating the mAs adjustment function and then
selecting the value you want by using the encoder dial.

• Find the X-ray collimator aperture.

The iris/shutter position will be the same as that for the last
fluoroscopy exposure. This ensures that you only expose that
part of the body as shown before.

Alternatively, you can only open the collimators to their max

aperture values (both the iris and the shutters), by pressing
the open iris key.

• Remove the extractable radiology button from its seat and give the
X-ray command.

Use the flex on the button at its full length and so stand as
far away as possible from the irradiated zone.
The button is only active when removed from its seat.

- The first time you press the button, you command RAD preparation.
The control panel display reads RAD PREPARATION and then, when the equipment is ready,
READY FOR RAD.

- Press the button again to command X-ray emission (the display reads RADIOGRAPHY).
Keep pressed down until you hear 3 beeps, indicating the end of exposure.

• After exposure, the display on the stand shows the actual exposure
time.

• The equipment adds a pause between each X-ray. Its duration depends on the previous exposure.
The control panel reads WAIT…
You can only command a new X-ray when the control panel once again reads READY.

Exposure is inhibited when there are fewer available Thermal Units than needed for the set
exposure. In this case, the equipment generates the X-RAY TUBE TOO HOT alarm.

• If the equipment is fitted with the DAP module (optional), the control panel
display shows the accumulated “X-ray dose x area” value.

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The control panel also shows:

- the Reference Air Kerma accumulated during the study (RAK)

4.3.1 INSTALLING THE CASSETTE HOLDER

Fix the cassette holder to the I.I. tube using

the 3 stops (2 fixed stops A and one
retractable stop B) which slot into the groove
on the leading edge of the I.I. tube. I.I. tube

Groove

C
(cassette clip)

Cassette holder

The figures below show the right procedure:

A B

1. Secure the 2 stops A 2. Secure the retractable stop B

A A
A
C C

3. Cassete holder correctly installed

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4.4 PATIENT DOSE METERING (OPTIONAL)

If the equipm ent is fitted with the DAP module, the accumulated “X-ray dose x
exposed area” value is shown on the stand control panel, expressed as µGy*m2.

The control panel also shows the:

- Reference Air Kerma Rate (RAKR)
- Reference Air Kerma accumulated during the study (RAK)

Press the reset button for at least 3 seconds to reset the dose count.

The patient dose is automatically cleared when you switch on the equipment.

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4.5 MEDICAP MEDICAL VIDEO RECORDER (OPTIONAL)

4.5.1 GENERAL DESCRIPTION

The MediCap USB200 video recorder lets you acquire images (single and composed images, i.e.
videos) and then save them to a USB flash drive.

Backwards / Select / Forwards USB port

LCD monitor
Capture single image
Menu button LED: power

Capture film New patient

Delete ON/OFF

4.5.2 INSERTING A USB FLASH DRIVE

Before using the Medicap module, you must insert the “MediCapture” USB flash drive supplied with the
module in the USB port:

Note: We recommend you always use a MediCapture USB flash drive, as these units have been
compatibility tested with the Medicap module. You can, however, use other brands.

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4.5.3 SWITCHING ON THE MEDICAP

The power LED on the front panel lights up (orange) when you plug the equipment into the mains.

• To switch the Medicap on, press the Power (ON/OFF) button; the LED becomes green.
LED

ON/OFF button (Power)

4.5.4 VIEWING THE MEDICAP VIDEO OUTPUT ON THE REFERENCE MONITOR

MEDICAP images can also be viewed on the reference monitor belonging to the equipment, as well as
on its own LCD display.
In order to view the images on the reference monitor, turn the deviator switch (see below) from the REF.
position (saved images on the reference monitor) to the Medicap position:

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4.5.5 CREATING PATIENT FOLDERS

You can create a new folder at the start of a new work session so you can save the images and videos
(thus keeping the images and videos acquired during the new session separate from those in previous
sessions).

• To create a new folder, press the New Patient button:

New Patient

A new folder is created on the UBS flash drive every time you press the New Patient button. These folders
are numbered consecutively (CASE.001, CASE.002, CASE.003, etc.).

Note: If the USB flash drive has no folders, a new folder is automatically created the first time you press
either the Capture Photo or the Capture Video button.
If the USB flash drive already has at least one folder, you must press the New Patient button to
create a new folder.

If the Patient Info function was enabled during installation, the “Patient Info” screen appears on the
monitor each time you create a new folder:

• Using the keyboard at the top of the monitor unit, you can enter some basic patient data:
Name, Surname, Patient ID, Date of birth, Sex

The field “Other” lets you add further information (e.g. the name of the doctor).

• Use the tab keys on the keyboard to go to the next fields. Press the tab key several times if you need
to return to a previous field; the cursor returns to the top of the screen (alternatively, you can use
Shift+Tab to go back).

• Press Enter on the keyboard after entering all the data. If you have no data to enter, simply press
Enter as soon as this “Patient Info” screen appears.

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The patient info for each session is saved in a text file in the same folder as the images (e.g.:
1_Patient_Info_mario_rossi_123ab456.txt):

Note: If the DICOM option was set as the format for saving single images, then the patient information
will also appear in the DICOM heading.

4.5.6 IMAGE ACQUISITION

• Press the Capture Photo button whenever an image appears on the monitor that you want to
acquire (capture). The image will be saved directly to the USB flash drive in the module (you can
then transfer all the images to PC at a later date).

Capture Photo

A new image is acquired each time you press Capture Photo (unless the Multi-Shot option was set
during installation, in which case the module captures three images).

You can check that an image has been acquired correctly in two ways:
- the number of the image appears in the top left-hand corner on the monitor,
- the “Capture LED” between the two capture buttons flashes once.

4.5.7 VIDEO ACQUISITION

Follow the steps below to acquire video:

• Simply press Capture Video to start acquiring a video.

Capture Video

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• Press this button again to stop recording.

The video will be saved directly to the USB flash drive (you can then transfer all the videos to PC at a later
date).

You can check that a video has been acquired correctly in two ways:
- the “Capture LED” between the two capture buttons flashes during recording,
- a recording symbol appears on the monitor during recording.

4.5.8 REVIEWING ACQUIRED PHOTOS AND VIDEOS

You can review an photo or video at any time during the session for the current patient.

• Press Backwards and Forwards on the front panel.

This lets you browse the photos and videos.

• Simply press Select if you see a video you want to view: the video then starts. Press Select again to
stop the video (pause).

Backwards Select Forwards

Delete

After reviewing the images and films, you can continue acquiring new ones by pressing the Capture
Photo and Capture Video buttons.

Note: The review function only shows the images and films in the current session.
You need to access the photo and video files saved on the USB drive via a PC in order to view
these.

4.5.9 DELETING IMAGES

You can delete the images on the USB flash drive while reviewing these.

• Press the Delete button on the front panel (hold down for about 3 seconds). The image or video
currently shown on the monitor is deleted.

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4.5.10 TRANSFERRING IMAGES TO PC

• Insert the USB flash drive containing the images in the USB port on the computer.

• The computer treats the USB flash drive exactly as any another computer periphery. Open and
explore the drive to view the folders.

• You can now click on the images or videos to review them while still on the USB flash drive;
alternatively, you can drag them to the computer’s hard drive and then save them
(recommended).

Note: double-click on JPG, TIFF or PNG image files to view these in Windows. You need to use a DICOM
viewer to view DICOM image files (not supplied).

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5 MAINTENANCE

See the Technical Manual for details of extraordinary maintenance, required in the event of a fault or
the replacement of parts.
This manual only deals with routine maintenance operations.

5.1 ROUTINE MAINTENANCE

5.1.1 GENERAL RECOMMENDATIONS

The equipment requires regular checks and maintenance. The following recommendations are aimed
at maintaining good operating and safety conditions.
The equipment contains mechanical parts subject to wear and tear as a result of their use. After a
prolonged period of use, it is possible that safety will be reduced due to wear and tear of the
components.
Regular inspections and maintenance are also needed to protect patients and operators from injury
arising from broken mechanical parts.
Correct adjustment of the electromechanical and electronic modules directly affects the efficiency of
the equipment, image quality, electrical safety and the radiation exposure level to which both hospital
personnel and patients are subjected.
The maintenance schedule consists of checks and preventive measures. These are the responsibility of
the owner and should only be carried out by expressly authorised personnel.

Always use original spare parts only whenever parts that can affect machine safety need to
be replaced.

5.1.2 USER CONTROLS AND INSPECTIONS

The user must ensure that his operators receive special training to carry out the daily and weekly checks
detailed in the table below.
Any other checks should be carried out by authorised qualified Technical Service personnel, in
accordance with current laws and safety regulations.

Daily: - Check that the signals, displays, laser localizer and LEDs are working.
- Check that the warning and danger signs are not damaged.
- Check the efficiency of the fans at the rear of the monitor unit.
- Check the X-Ray dose level (see Part 1, paragraph 2.7.1 of this manual).
- Check for unusual noises coming from the monoblock during X-ray emission.
- Check the max aperture of the X-ray collimator (see Part 1, paragraph 2.7.3).
- Check the adjustment of the two monitors (see Part 1, paragraph 2.7.5).
Weekly: - Check for oil leaks coming from the monoblock.
- Check the state of the cable sheaths.
- Check the state of the power connectors, the X-ray command footswitch and the
connections between the stand and the monitor unit.

Any other checks (described in the Technical Manual) should only be carried out by qualified
and authorised Technical Service Personnel in line with local legal requirements.

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5.2 CLEANING AND DISINFECTING

Do not use cleaning products that have a high alcohol content to clean the surfaces of the equipment.
Do not use corrosive detergents, abrasive products or solvents.
Only use disinfectants that fully comply with existing disinfecting and explosion prevention procedures
and regulations.

Observe the following precautions when cleaning and disinfecting:

- Switch the equipment off and unplug at the mains.
- Make sure that no liquids infiltrate the equipment to prevent short circuits and corrosion of
the electrical and electromechanical components.
- Clean the panels with a soft damp cloth and a little soapy water.
- Wait for the panels to dry completely before using the equipment again.
- When cleaning the monitor, always add the soapy water to the cloth first before wiping the
screen.

If using disinfectants that form explosive vapours, make sure that the vapours have had time
to disperse before using the equipment again.

5.2.1 MICROBIC CONTAMINATION

To avoid problems with microbic contamination for patients and operators, the user must ensure that
the equipment is protected using disposable sterile sheets, or sheets that can be sterilised.

To this end, the equipment can be delivered with a small supply of disposable sterile sheets (optional):
always use methods that comply with current health and safety standards to sterilise these.

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5.3 CHANGING THE REMOTE CONTROL BATTERIES

The infrared remote control is powered by a 9 V DC battery, model 6LR61.

The battery is flat when LED A (in the figure below) fails to light up when you press any of the keys.

If you need to replace a flat battery, undo the screw (see figure below) to remove the cover on the
battery compartment.

screw

battery
compartment

Note: The infrared remote control sensor is found in the

front panel of the monitor unit.

sensor

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6 ANNEXES

6.1 CHANGING THE STAND CONTROL PANEL LANGUAGE

The status and alarm messages that appear on the stand control panel can be in English, French or Italian.
The language is selected during installation of the equipment.

Call Technical Service to change the language, following the instructions given in the Technical Manual.

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6.2 MONITOR SETUP

6.2.1 MONITOR SETUP RESTORE (VIDEO PROCESSOR version only)

The video processor is supplied as standard with the following monitor setup:
- Resolution: 1024x1280
- Orientation: Portrait (flipped)
- Multiple Displays: Extend these displays

If the system loses this setup, you can restore it following the procedure below:

- Close the DIP340 application.

- Switch off the processor: click on START in the Windows task-bar and select Shut Down > Shut Down.

- Switch the monitor unit off using the key. Verify that the video cables of the monitors are correctly
plugged.

- Switch the monitor unit on again and wait a few seconds.

- Close the DIP340 application.

It is required to access the Windows operative system with the Administrative privileges (see Paragraph
6.2.2, Part 2 of the Technical Manual) and carry out the following procedure:

- Press START in the Windows task-bar and write “screen resolution” in the Search box. Now, press
Enter key.

- Check the correct settings of the 2 monitors as shown in the figure below:

- Press Apply and then OK.

- Reboot DIP340 application and verify that both monitors work correctly.

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6.2.2 ADJUSTING THE MONITOR

You must check the correct monitor adjustments each time you start a new study.
A test image appears on the working monitor (also on the reference monitor), which you can use to adjust
the brightness and contrast:
A B

VERSIONS WITH
VIDEO PROCESSOR:

The brightness and contrast of the monitors must be adjusted so that the entire grey scale is visible (each
box indicates the brightness %). More specifically, it must be possible to see:
- the grey square in the black box (A),
- the grey square in the white box B).

Below are details of the monitor adjustment procedure, necessary if you have to replace the monitor.

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• Valid for model:

- IVL-GEV955IMI Part. No: FPM1152 19” monochrome

Use the dual-purpose OSD control knob:

Manopola comandi
regolazione

Monitors mounted horizonatally (Landscape) Monitors mounted vertically (Portrait)

Simply turn the OSD knob to adjust the brightness

(clockwise or anti-clockwise).
The control page appears on the screen.

To adjust the contrast:

• enter the menu by pressing the OSD knob,
• select the IMAGE SETTINGS page by turning the knob,
• select CONTRAST by pressing the knob.

Adjust the contrast by turning the OSD (clockwise or anti-

clockwise).

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Note: You cannot adjust the monitor brightness and contrast if the gamma is set as DICOM.

To select the gamma:

• Select the Color Mode Settings menu

• Select:
Gamma and set “2.4”

Note: On setting the DICOM gamma, you cannot

adjust the brightness and contrast, as these are
dictated by the gamma curve.

You may need to select a different video input type if no image appears on the monitor. The input must suit
the version of the memory or video processor being used:

• Access the main menu.

• Select Input Source Settings.

• Select:
- Analog VGA if the monitor is connected via a VGA
connector (versions with DIP340 video processor),
- or Analog BNC if the monitor is connected via a BNC
connector (versions with SBFM video memory).

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• Valid for model:

- EM19TFTI/MCIIL-C1 19” colour, LED technology

Access the settings by using the button shown below:

Monitors mounted horizontally (Landscape) Monitors mounted vertically (Portrait)

Use the 5 buttons shown in the figure here to adjust the monitor settings.

Settings

Monitor status

ON/OFF

The status LED can be one of three colours:

green indicating that the monitor is switched on;
orange indicating that the monitor is not being used, but not switched off (stand-by);
black indicating that the monitor is not powered up.

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Press the MENU button to open the OSD setup menu (see figure below):

Use the following buttons to move within this menu:

To select the next item below (down)

To select the next item above (up)

To confirm your selection (Enter)

To increase the selected value

To decrease the selected value

Video input setup

The monitor has 3 video inputs:

- VGA
- composite BNC video
- DVI

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Use the buttons described above to select the INPUT menu and then the VGA1 option.

Display LUT setup

We recommend setting the LUT as DICOM 9300°K.

Use the buttons described above to select the PICTURE menu, highlight the GAMMA field and then
select DICOM9300°K.

You can also use the setup menu in a simpler manner to adjust the monitor BRIGHTNESS nad
CONTRAST only.

• Without entering the general setup menu, press one of the two buttons shown below as required:

BRIGHTNESS

CONTRAST

• then use the “+” and “-“ buttons to increase or decrease the selected value.

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6.3 ANNEXES FOR VERSIONS WITH VIDEO PROCESSOR

6.3.1 CREATING A NEW ARCHIVE

An ARCHIVE is the directory where the studies are saved. Several directories may be used to store the
studies in accordance with specific criteria.

If you want to create a new archive:

● Close the working frame if already open, using the icon that opens the Study
List for the current archive.

current archive

● Close the archive using the File / Close command.

● Select the New Archive icon.

The Create New Archives menu appears:

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● Select the directory (default: Archives) and name

the new archive you want to create (figure:
archivio 3).

● Confirm the data with Open: the new archive now opens.

name of new archive

6.3.2 STUDY LIST MANAGER

The system archive should be considered a permanent archive: we recommend transferring

all the images to a general external archive (via DICOM, see chapter 3 above) at the end of
each session, before closing the operations and switching the equipment off.

The following functions help you manage the Study List in each archive:
- Sort list
- Find study
- Delete study

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6.3.2.1 SORT LIST

The Study List is normally sorted in chronological order (exam date).

It can, however, also be sorted in alphabetical order (Patient Name, Patient ID, etc).

Click at the top of the parameter column you want to use to sort the studies by. Click again to reverse the
order.
Click on another column for multiple resorting; the last command decides the main sort factor.
The list in the figure below has been ordered by clicking on “Patient Name”:
Sort command:
“Patient Name”

6.3.2.2 FIND STUDY

The usual way to find an existing study in an archive study list is to enter the first initial of the patient name
(Patient Name):

• Press the letter on the keyboard: the first study in the list that satisfies this criterion is selected.

• Press the same letter again to select the next such study in the list.

6.3.2.3 DELETE STUDY

You can delete a study from the archive (from both the Study Directory and the Worklist Directory).

• Select the study you want to delete,

• Click on “Delete” in the “Study” menu or on the “Delete Study” icon.

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• Confirm deletion by clicking on Yes in the confirmation window that now appears:

• If a warning window appears, you need to confirm (Yes) a second time before the selected study can
be deleted:

For example, in the example shown here, you are

asked to confirm deletion of a study containing:

- 1 labelled image
- 8 images not sent to the DICOM Store server
- 1 image with pending status (Dicom Storage
Commitment)

6.3.3 VIEWING CD/DVD IMAGES IN DICOM FORMAT ON AN EXTERNAL PC

The studies saved to CD/DVD in DICOM format (see para. 3.5 above) can be opened and viewed using an
external PC.
DICOM images are read using the DgViewer program that was automatically copied to the disk when
burning the CD/DVD.

To view the images:

● Enter the disk in the CD/DVD drive in the external PC: the DgViewer program will automatically open in
a few seconds; it shows the images of the study previously saved on the CD.

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● The box on the left displays the archive structure: Patient / Series / Image, that could be presented as
DicomDir or Files, depending on the TAB selected.

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● In the central area it is shown the first image of the study. This could be presented as Header or Image,
depending on the TAB selected.

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● The following keys are available in the toolbar:

- View box: to show data about the selected image, press Info

- Zoom box: to change image zoom factor.

Zoom + Acquisition scale 1:1

Zoom - Restore full size

- Lut box: to change image Windows and Level.

Changing L Changing W

Restore initial values

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- Frame box: browse through images or sequences

Previous image Next image

First image of the series Last image of the series

- Cine box: to replay a sequence

Start sequence
Set different images as first and last
Stop sequence

Change presentation speed Reset initial images as first and last

● If the system is provided with DICOM Dose SR function, the related box can be displayed as Header or
Image, depending on the selected TAB.

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6.3.4 QA STENOSIS (OPTIONAL)

The QA Stenosis option is a useful tool for studying vessels and stenosis in angiographic images.
In fact, the QA function lets you identify automatically the edges of a stretch of the vessel and to measure
any stenosis. Measurements include:
- reference diameter
- min diameter of the stretch in question
- average diameter of the stenosis
- average percentage of the stenosis.

A vessel diameter profile graph is also created.

All the parameters extracted from the radiological image can be provided in mm, provided that the
calibration function has been used beforehand using a calibration object of known dimensions on the
image.

6.3.4.1 PRECISION

The precision of the measurements using the QA function depends on various factors. The main factors are:
- precision of the method used,
- accuracy of calibration.

The test procedure used to validate the method has found a error level of less than 10% in the automatic
calculation of measurements under the following conditions:
- automatic calibration using a catheter,
- the dimensions of the objects being measured falling within 7 and 20 mm.

See the recommendations already provided in this manual regarding the accuracy of calibration (see
para. 2.6.5: GRAPHIC FUNCTIONS – Calibration).

6.3.4.2 MENU

The QA Stenosis menu is opened from the Post Processing group of the
OVERLAY MANAGER.

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Digital image enlargement Vessel diameter profile display

commands commands

Status messages Report print-outs and

Vessel tracing commands and Reports (showing calculated values saving commands
automatic calculation commands of the traced stenosis)

6.3.4.3 PROCEDURE

Follow the steps below for QA (details of each step are provided in the points that follow):

● Select the run in the study.

● Calibrate the run (see para. 2.6.5 above: TEXT AND MEASUREMENTS – Calibrate).

● Open the QA Analysis menu.

● Select the image in the run that best shows the vessel to be analysed and use the Digital zoom to get a
clearer picture, if necessary.

● Use the Edit axis command to define the stretch of the vessel to be analysed.

● Use the Recalculate command to activate automatic tracing of the edges of the vessel; the Vessel
diameter profile graph appears on the image.

● Using the touch-pad, define the area of interest on the graph (i.e. where the stenosis is to be
calculated, the results appearing in the Report area); these limits will also be shown on the vessel edges.

● If necessary, use the Edit edges key to correct any edge tracing errors manually.

● Save the “QA report” in one of the modes foreseen and get a print-out (if required) by using the Print
report key.

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6.3.4.4 AXIS TRACING

Accurate tracing of the axis is crucial as the automatic reconstruction of the vessel profile and the
precision of the analysis both depend on this.
Automatic reconstruction of the profile is obtained by using a series of segments within the edges of the
vessel and at right-angles to the traced axis; the edges are defined on the basis of the variation in contrast
along these segments.

To trace the axis:

● Select the image in the run that best shows the vessel to be analysed.

● Get the best picture of the vessel; you can use the Digital zoom function to do this, as well as the W and
L controls (you need to quit the QA analysis menu in order to adjust the W and L).
Use the relevant button to activate the Digital zoom; use the “+” and “–”keys to increase/decrease the
enlargement.
If necessary, centre the area of interest in the viewer: take the touch-pad cursor to the area of interest
and then left-click on this and drag the image to the required position.
Press the Digital zoom button again to quit this function.

● Use the Edit axis command, define the area of the vessel you want to analyse by drawing a line along
the median axis of the vessel:
- press Edit axis,
- take the touch-pad cursor to the starting point of this line and then left-click on this and drag the
cursor to the end point,
- release the key.

Touch-pad cursor for image positioning

(zoom active)

● Correct the axis if the stretch of the vessel in question is particularly curved (you can construct an axis
with 18 intermediate points):
- take the touch-pad cursor to the point you want to move and then left-click and drag the cursor to
the centre of the axis,
- release the key.

The correct definition of the vessel edges depends on your accuracy when tracing the axis:
- all points of the axis must be as centred on the vessel as possible,
- the axis must never be outside the edges of the vessel.

● If you are not happy with the tracing of the axis, use the Reset command to cancel and then repeat
the tracing.

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6.3.4.5 EDGE TRACING

● Use the Recalculate button to get automatic tracing of the edges of the vessel:
- if the axis has been correctly traced, the broken line(s) showing this are replaced by a suitable
curved line;
- the edges for the stretch of vessel in question are traced on the image,
- a graph showing the diameter of the vessel is generated and displayed (Vessel diameter profile).

- The Recalculate button cannot be used when the Zoom function is active.
- The Vessel diameter profile graph can be picked up using the touch-pad and moved at will on
the image.
- If there are errors in tracing the edges, you can correct these manually by using the Edit edges
command (see para. 6.3.4.6 below).

● After tracing the edges, you can now select the stretch of stenosis:
- on the graph (inside the area covered by the co-ordinates) by left-clicking on the touch-pad to
select the proximal point,
- by right-clicking to select the distal point.

● The selected area is now shown on the graph by two vertical lines and on the image by two
perpendicular segments on the axis.

stenosis

proximal point

stenosis

distal point

proximal point distal point

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● The Report area shows the calculated stenosis values for the selection
section: the Length, Diameter and Percent values refer solely to the stretch
of the vessel between the proximal and the distal points.

● You can repeat this procedure to select the stenosis segment (for one or both points) in order to get the
best definition of the section of the vessel in question.
You can also hide the axis and the edges to make it easier to study the vessel:

- Hide axis on pressing this it becomes:

Show axis use to show the axis again.
- Hide edges on pressing this it becomes:
Show edges use to show the edges again.

Note: If the axis and/or the edges are not traced properly, you can cancel the entire tracing operation
by using the Reset command.

6.3.4.6 EDGE CORRECTION

● If there are errors in tracing the edges, you can correct these manually by using the Edit edges
command:
- press Edit edges,
- take the touch-pad cursor to the start point of the section you want to correct and then left-click
and drag the cursor to the end of that section,
- release the key.

These figures illustrate the procedure:

Incorrect tracing

Correct tracing

Cursorused to correct tracing

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Correct tracing

Note: - The Vessel diameter profile graph is lost when you use the correction procedure (Edit edges).
- After using this procedure (on releasing the Edit edges key), the values are automatically updated
in the Report.
- Use the Show graph command to view the new Vessel diameter profile graph.
- Press the Recalculate button to return to automatic analysis and thus cancel any edge correction.

6.3.4.7 ANALYSIS OF STENOSIS

The QA function automatically analyses the stenosis, producing the Vessel diameter profile graph and the
values in the Report area:

Vessel being
analysed

● Reference diameter: calculated as the average of the two values at the proximal and distal
points of the stenosis section.

● Average stenosis diameter: average value of the diameter of the stenosis section.

● Average stenosis: percentage of average stenosis (the difference between the Reference
diameter and Average stenosis diameter values):

 Reference diameter - Average stenosis diameter 

Average stenosis % =   × 100
 Reference diameter 
● Max stenosis:
- Length: length of the stenosis section (i.e. the stretch of vessel defined by the
proximal and distal points).

- Diameter: min value of the vessel diameter in the stenosis section.

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- Percent: percentage of the max stenosis (the difference between the Reference
diameter and Diameter values):

 Reference diameter - Diameter 

Percent % =   × 100
 Reference diameter 

● Use the Normalize to replace the Vessel diameter profile graph with a Normalized vessel diameter
profile graph, showing the stenosis as a percentage (calculated by taking the diameter value to 100 at
the proximal and distal points of the stenosis section).
The Normalized vessel diameter profile graph gives you an immediate idea of the two average
calculated values: Average stenosis and Percent.

6.3.4.8 QA REPORT PRINT-OUTS

The Vessel diameter profile and Normalized vessel diameter profile graphs and the data shown in the
Report area are used to create the QA Report.
This can be saved and printed using the following commands:

● Print report: to get a print-out using a DICOM printer connected to the system (the film must
be at least A4 in size to get a correct print-out).

● Save report to file: to save the “QA Report” file (in .bmp format): the operator must specify the
name of the file and its path.

● Save report for CD: to save the “QA Report” file (in .bmp format) in the study folder on the archive
disk: the file will be automatically added to the study when burning to CD/DVD.

This figure provides an example of the QA Report:

QA Report

QA Analisys

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Part 3 : TECHNICAL DATA

CONTENTS

pages rev. date

CONTENTS I-1 0 29/06/18

1 TECHNICAL DATA 1.1 to 1.37 0 29/06/18

1.1 Device class
1.2 Technical data
1.2.1 Mechanical / Electrical data
1.2.2 Imaging system
1.2.2.1 Versions 1, 2 (see table 1 on preface
chapter)
1.2.2.2 Versions 3, 4 (see table 1 on preface
chapter)
1.2.3 Exposure modes
1.2.3.1 Version 1 (see table 1 on preface
chapter)
1.2.3.2 Version 2 (see table 1 on preface
chapter)
1.2.3.3 Version 3 (see table 1 on preface
chapter)
1.2.3.4 Version 4 (see table 1 on preface
chapter)
1.2.4 mAs table
1.2.5 kV/mA correlation
1.2.5.1 Versions 1, 3 (see table 1 on preface
chapter)
1.2.5.2 Version 2 (see table 1 on preface
chapter)
1.2.5.3 Version 4 (see table 1 on preface
chapter)
1.2.6 Dose metering
1.2.6.1 Indications
1.2.6.2 Reference Air Kerma Rate
versions 1, 3 (see table 1 on preface
chapter)
1.2.6.3 Reference Air Kerma Rate
version 2 (see table 1 on preface
chapter)
1.2.6.4 Reference Air Kerma Rate
version 4 (see table 1 on preface
chapter)
1.2.7 Optional modules
1.2.7.1 Dose Area Product (DAP)
1.2.7.2 Laser localisers
1.2.7.3 Medicap USB 200 (video memory
versions only)
1.3 Fuses
1.4 Overall dimensions and weight

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1.4.1 Overall dimensions and weight of monitor unit

1.4.1.1 Video memory version
1.4.1.2 Video memory version with Medicap
1.4.1.3 Video processor version
1.4.1.4 Monitor rotation
1.4.2 Overall dimensions and weight of stand
1.4.2.1 9” version with fixed anode
1.4.2.2 9” version with rotating anode
1.4.2.3 12” version with rotating anode
1.5 Focal spot position
1.5.1 9” fixed anode
1.5.2 9” rotating anode
1.5.3 12” rotating anode
1.6 Designated significant zones of occupancy
1.6.1 Versions 1, 3 (see table 1 on preface chapter)
1.6.2 Versions 2, 4 (see table 1 on preface chapter)

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1 TECHNICAL DATA

1.1 DEVICE CLASS

Protection against electrical contact: class I

Protection factor (electrical contact): type B

Degree of protection against water penetration: common

Degree of safety in the presence of inflammable gases: not suitable for use in the presence of
inflammable gases
Operating mode: intermittent

1.2 TECHNICAL DATA

1.2.1 MECHANICAL / ELECTRICAL DATA

9” I.I. version 12” I.I. version

C-ARM:

- Motorised vertical stroke: - stroke 450 mm 400 mm

- speed 1 cm/s 1 cm/s
- Horizontal stroke 200 mm 200 mm
- Wig-wag ± 12° ± 9°
- Rotation around horizontal axis ± 200° ± 200°
- Arm sliding 135° 135°
- S.I.D.: fixed anode version 1054 mm /
rotating anode version 994 mm 930 mm
- Arm depth 662 mm 641 mm

POWER SUPPLY:

- Single-phase voltage 230 V ± 10%, 50/60 Hz, 16 A

(optional: 120 V ± 10%, 50/60 Hz, 16 A)

- Line resistance max 0.4 Ohms

- Connector (conforms to IEC 309) 16 A

ENVIRONMENTAL CONDITIONS:

- storage temperature 0 - 55 °C / relative humidity 10 - 80 %

- working temperature 10 - 40 °C / relative humidity 30 - 75 %

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Fixed anode version Rotating anode version

X-RAY GENERATOR:

INVERTER: model: HF1 5kW plus

- High frequency 40 kHz

- Max voltage 120 kVp
- Conformity EN 60601-1
- Max radiography current 100 mA
- Max radiography power @ 100kV Standard radiography 2.8kW (@ > 5 mAs)
High power radiography 4kW (@ ≤ 5 mAs)

- Max fluoroscopy current 5 mA (continuous) 5 mA (continuous)

8 mA (boosted) 10 mA (boosted)
10 mA (one shot) 12 mA (one shot)

Fixed anode version Rotating anode version

X-RAY MONOBLOCK:

- Model I-40S 3,5 RF (cod.I01.01.170.001 I-40R 15 RF

- Nominal power 4.0 kW 15 kW
- Heat capacity 900 kJ 960 kJ
- Continuous heat dissipation 85 W 85 W
- Total filtering 3.4 mm Al + 0,1mmCu 3.4 mm Al + 0,1mmCu
- Safety overload cutout temperature 60°C ±5°C 60°C ±5°C

Fixed anode Rotating anode

X-RAY TUBE:

- Model F112 RTM70

- Anode material Tungsten Rhenium/Tungsten/Molybde
num
- Focus small focus: 0.5 mm small focus: 0,3 mm
large focus: 1.5 mm large focus: 0,6 mm
- Anode angle 12° 10°
- Anode heat capacity 40 kJ 225kJ
- Max anode heat dissipation 500 W 750 W
- Nominal anode power small focus: 0.78 kW small focus: 6 kW
large focus: 4.2 kW large focus: 25 kW
- Anode rotation / 3000 rpm (50 Hz)
3600 rpm (60 Hz)

X-RAY COLLIMATOR: model: R605 DASM

- Iris: - continuously adjustable aperture

- automatic adjustment to suit I.I. field
- manual control

- Shutters: - continuously adjustable aperture

- clockwise / anti-clockwise rotation, continuously adjustable
- manual control

9” I.I. tube version 12” I.I. tube version

- Max X-ray field: (diameter) (diameter)
- Fluoroscopy mode 21cm 28 cm
- Radiography mode 23cm 24 cm

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LASER LOCALISER: Consisting of 2 laser modules, model ML635L - class 1M

- Class 1M
- Laser diode power < 5mW
- Optical output power 3.8 mW
- Wavelength 635 nm

- Laser light warning

CASSETTE HOLDER:

- Cassete dimensions 24 x 30 cm

STAND / MONITOR UNIT CONNECTION:

- Cable length 6m

1.2.2 IMAGING SYSTEM

9” I.I. tube version 12” I.I. tube version

IMAGE INTENSIFIER:

- Model TH 9428 HP2 TH 9432 HP

- Image field: - nominal 9" / 6" / 4" 12" / 9" / 6"
- working 215 mm / 160 mm / 120 mm 290 mm / 215 mm / 160 mm
- "All metal" technology yes yes
- "Hi-Res" input screen yes yes
- Typical central resolution 64, 56, 48 lp/cm (4", 6", 9") 56, 50, 44 lp/cm (6", 9", 12")
- Contrast ratio 30:1, 25:1, 23:1 (4", 6", 9") 30:1, 25:1, 22:1 (6", 9", 12")
- DQE at 59.5 keV 65% (IEC standard) 65% (IEC standard)
- Conversion factor (typical) 240 Cd/m² / mR/s 240 Cd/m² / mR/s

GRID:

- Diameter 235 mm 335 mm

- Interspace Al Al
- Ratio 8:1 8:1
- Line rate 103 lines/inch 103 lines/inch

TV MONITOR: 19" monochrome LCD 19" colour LCD

- Model IVL-GEV955IMI p/n FPM1152 Tecnint mod.EM19TFTI/MCIIL-C1

- Resolution (pixels) 1280 x 1024 1280 x 1024
- Contrast ratio 1000:1 (typ.) 2000:1 (typ.)
- Brightness 1500 Cd/m2 (max) 450 Cd/m 2 Typ. (600 Cd/m2 max)
- Technology TFT monochrome TFT colour
- Viewing angle Vertical and horizontal 170 ° Vertical and horizontal 178 °
- Overall dimensions 432 x 353 x 93 mm 422 x 347 x 80 mm
- Max consumption 80W 60W

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1.2.2.1 VERSIONS 1, 2 (see table 1 on preface chapter)

TV CAMERA: CCD100/CA

- C.C.D. sensor 1/2”, low persistence, interline

- Resolution (pixels) 752 x 582 pixels
- Video standard CCIR (625 lines, 50 Hz interlaced)
- Bandwidth 14 MHz
- Pixel clock /
- Scanning 4:3
- Signal : noise ration 40 dB at 0.12 lux
- Video signal amplitude Max 1 Vpp
- Rate 50Hz interlaced (25 i/s)

VIDEO MEMORY: SBFM

- Acquisition 576 x 576 x 10 bits

- D/A converter output 576 x 576 x 8 bits

- RAM LIH+110 images

LIH+4 images

- Real Time functions: - Edge enhancement

- Noise reduction with recursive filter + movement detection
- Horizontal image flip
- Digital rotation

- Printer output: 625 lines, 50 Hz, interlaced scanning

DIGITAL VIDEO RECORDER: Medicap USB200 **

** optional

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1.2.2.2 VERSIONS 3, 4 (see table 1 on preface chapter)

TV CAMERA: CD1030ca

- C.C.D. sensor 2/3”, interline, progressive scanning

- Resolution (pixels) 1024 x 1024 pixels
- Video standard Serialised digital (proprietory)
- Bandwidth /
- Pixel clock 33MHz
- Scanning 1:1
- Signal : noise ration 60 dB at 0.12 lux
- Video signal amplitude /
- Rate 25Hz progressive (25 i/s)

VIDEO PROCESSOR: RTP_NW

- Acquisition 1024x1024x12 bits

- D/A converter output 1280x1024x 8 bits

- Operative system Windows 7 Professional (32 bit)

- Memory: HD SSD, 250 GB

RAM 8 GB

- Real Time functions: - Noise reduction with recursive filter + movement detection
- Horizontal image flip
- Digital rotation
- Peak Opacification-Road Mapping **
- Subtraction (D.S.A.) **
- Automatic mask pickup **
-LIH

- Post-Processing functions: - Cine-loop

- Contrast / Brightness control
- Edge enhancement
- Reverse polarity
- Patient data management
- Digital zoom
- Electronic shutters
- Subtraction (D.S.A.) **
- Landmarking **
- Pixel Shift **
- Measurements

- DICOM functions - Store SCU

- Print SCU
- Worklist SCU
- Query / Retrieve SCU
- CD/DVD recorder
- MPPS SCU
- Storage Commitment SCU
-Dose SR

- Interface: - USB (for Windows printer)

- USB (for image saving)
- RJ45 (for DICOM 3 interface)

** optional

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1.2.3 EXPOSURE MODES

1.2.3.1 VERSION 1 (see table 1 on preface chapter)

CONTINUOUS FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Small focus 0.5 mm

- kVp 40 – 120 kV

- Maximum load factor of x-ray monoblock 30 sec. ON - 90 sec. OFF at 100 kV and 3,75 mA for 145 min.

- X-ray modes low mA normal mA high mA (boosted)

- mA 0.1 - 2.5 mA 0.2 - 5 mA 0.32 – 8 mA

- kV/mA correlation 40 kV / 0.1 mA 40 kV / 0.2 mA 40 kV / 0.3 mA

50 kV / 0.3 mA 50 kV / 0.6 mA 50 kV / 1.0 mA
70 kV / 2.5 mA 70 kV / 5.0 mA 70 kV / 8.0 mA
90 kV / 2.0 mA 90 kV / 4.2 mA 90 kV / 6.6 mA
120 kV / 1.5 mA 120 kV / 3.1 mA 120 kV / 5.0 mA

- Nominal working dose 35 µR/s 35 µR/s 70 µR/s

(306 nGy/s) (306 nGy/s) (612 nGy/s)

PULSED FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Focus 0.5 mm

- kVp 40 – 120 kV

- X-ray emission / Acquisition 1 image every: 0.5 sec/ 1 sec / 3 sec

- X-ray pulse time 300 ms

- X-ray modes low mA normal mA

- mA 0.1 – 2.5 mA 0.2 - 5 mA

- kV/mA correlation See continuous fluoroscopy See continuous fluoroscopy

- Nominal working dose

- 1 image every 0.5 s 21 µR/s (183 nGy/s)
- 1 image every 1 s 10.5 µR/s (91 nGy/s)
- 1 image every 3 s 3.5 µR/s (30 nGy/s)

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ONE SHOT FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- Focus 0.5 mm

- kVp 40 - 120 kV

- mA 0.4 - 10 mA

- kV/mA correlation 40 kV / 0.4 mA

50 kV / 1.2 mA
70 kV / 10.0 mA
90 kV / 8.3 mA
120 kV / 6.2 mA

- X-ray pulse time 1300 ms

- Automatic image saving yes

- Nominal working dose 80 µR (700 nGy)

RADIOGRAPHY:

- Focus 1.5 mm

- kVp 40 - 120 kV

- Standard radiography mA 23.3 - 65 mA

- High Power radiography mA 33.3 - 100 mA

- mAs 1 - 250 mAs

- Utilisation factor 1 : 14

- Max mAs 40 - 50 kV: max 250 mAs

51 - 65 kV: max 200 mAs
66 - 80 kV: max 160 mAs
81 - 100 kV: max 130 mAs
101 - 120 kV: max 100 mAs

- Power (isoWatt) 2800W in Standard radiography

4000W in High Power radiography

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1.2.3.2 VERSION 2 (see table 1 on preface chapter)

CONTINUOUS FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Small focus 0.3 mm

- kVp 40 – 120 kV

- Maximum load factor of x-ray monoblock 30 sec. ON - 90 sec. OFF at 100 kV and 3,75 mA for 155 min.

- X-ray modes low mA normal mA high mA (boosted)

- mA 0.1 - 2.5 mA 0.2 – 5 mA 0.4 – 10 mA

- kV/mA correlation 40 kV / 0.1 mA 40 kV / 0.2 mA 40 kV / 0.4 mA

50 kV / 0.3 mA 50 kV / 0.6 mA 50 kV / 1.2 mA
70 kV / 2.5 mA 70 kV / 5.0 mA 70 kV / 10.0 mA
90 kV / 2.0 mA 90 kV / 4.2 mA 90 kV / 8.3 mA
120 kV / 1.5 mA 120 kV / 3.1 mA 120 kV / 7.5 mA

- Nominal working dose 35 µR/s 35 µR/s 70 µR/s

(306 nGy/s) (306 nGy/s) (612 nGy/s)

PULSED FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Focus 0.3 mm

- kVp 40 – 120 kV

- X-ray emission / Acquisition 1 image every: 0.5 sec/ 1 sec / 3 sec

- X-ray pulse time 300 ms

low mA normal mA
- X-ray modes

- mA 0.1 – 2.5 mA 0.2 - 5 mA

- kV/mA correlation See continuous fluoroscopy See continuous fluoroscopy

- Nominal working dose

- 1 image every 0.5 s 21 µR/s (183 nGy/s)
- 1 image every 1 s 10.5 µR/s (91 nGy/s)
- 1 image every 3 s 3.5 µR/s (30 nGy/s)

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ONE SHOT FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- Focus 0.3 mm

- kVp 40 - 120 kV

- mA 0.48 - 12 mA

- kV/mA correlation 40 kV / 0.5 mA

50 kV / 1.4 mA
70 kV / 12.0 mA
90 kV / 10.0 mA
120 kV / 7.5 mA

- X-ray pulse time 1300 ms

- Automatic image saving yes

- Nominal working dose 80 µR (700 nGy)

RADIOGRAPHY:

- Focus 0.6 mm

- kVp 40 - 120 kV

- Standard radiography mA 23.3 - 65 mA

- High Power radiography mA 33.3 - 100 mA

- mAs 1 - 250 mAs

- Utilisation factor 1 : 14

- Max mAs 40 - 50 kV: max 250 mAs

51 - 65 kV: max 200 mAs
66 - 80 kV: max 160 mAs
81 - 100 kV: max 130 mAs
101 - 120 kV: max 100 mAs

- Power (isoWatt) 2800W in Standard radiography

4000W in High Power radiography

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1.2.3.3 VERSION 3 (see table 1 on preface chapter)

CONTINUOUS FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Small focus 0.5 mm

- kVp 40 – 120 kV

- Maximum load factor of x-ray monoblock 30 sec. ON - 90 sec. OFF at 100 kV and 3,75 mA for 145 min.

- X-ray modes low mA normal mA high mA (boosted)

- mA 0.1 - 2.5 mA 0.2 – 5 mA 0.32 – 8 mA

- kV/mA correlation 40 kV / 0.1 mA 40 kV / 0.2 mA 40 kV / 0.3 mA

50 kV / 0.3 mA 50 kV / 0.6 mA 50 kV / 1.0 mA
70 kV / 2.5 mA 70 kV / 5.0 mA 70 kV / 8.0 mA
90 kV / 2.0 mA 90 kV / 4.2 mA 90 kV / 6.6 mA
120 kV / 1.5 mA 120 kV / 3.1 mA 120 kV / 5.0 mA

- Nominal working dose 17 µR/s 35 µR/s 70 µR/s

(153 nGy/s) (306 nGy/s) (612 nGy/s)

PULSED FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Focus 0.5 mm

- kVp 40 – 120 kV

- X-ray emission / Acquisition 1 image every: 0.5 sec/ 1 sec / 3 sec

- X-ray pulse time 300 ms

- X-ray modes low mA normal mA

- mA 0.1 – 2,5 mA 0,2 - 5 mA

- kV/mA correlation See continuous fluoroscopy See continuous fluoroscopy

- Nominal working dose

- 1 image every 0.5 s 10,5 µR/s (91 nGy/s) 21 µR/s (183 nGy/s)
- 1 image every 1 s 5,2 µR/s (46 nGy/s) 10,5 µR/s (91 nGy/s)
- 1 image every 3 s 1,7 µR/s (15 nGy/s) 3,5 µR/s (30 nGy/s)

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ONE SHOT FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- Focus 0.5 mm

- kVp 40 - 120 kV

- mA 0.4 - 10 mA

- kV/mA correlation 40 kV / 0.4 mA

50 kV / 1.2 mA
70 kV / 10.0 mA
90 kV / 8.3 mA
120 kV / 6.2 mA

- X-ray pulse time 1300 ms

- Automatic image saving yes

- Nominal working dose 80 µR (700 nGy)

RADIOGRAPHY:

- Focus 1.5 mm

- kVp 40 - 120 kV

- Standard radiography mA 23.3 - 65 mA

- High Power radiography mA 33.3 - 100 mA

- mAs 1 - 250 mAs

- Utilisation factor 1 : 14

- Max mAs 40 - 50 kV: max 250 mAs

51 - 65 kV: max 200 mAs
66 - 80 kV: max 160 mAs
81 - 100 kV: max 130 mAs
101 - 120 kV: max 100 mAs

- Power (isoWatt) 2800W in Standard radiography

4000W in High Power radiography

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1.2.3.4 VERSION 4 (see table 1 on preface chapter)

CONTINUOUS FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Small focus 0.3 mm

- kVp 40 – 120 kV

- Maximum load factor of x-ray monoblock 30 sec. ON - 90 sec. OFF at 100 kV and 3,75 mA for 155 min.

- X-ray modes low mA normal mA high mA (boosted)

- mA 0.1 - 2.5 mA 0.2 – 5 mA 0.4 – 10 mA

- kV/mA correlation 40 kV / 0.1 mA 40 kV / 0.2 mA 40 kV / 0.4 mA

50 kV / 0.3 mA 50 kV / 0.6 mA 50 kV / 1.2 mA
70 kV / 2.5 mA 70 kV / 5.0 mA 70 kV / 10.0 mA
90 kV / 2.0 mA 90 kV / 4.2 mA 90 kV / 8.3 mA
120 kV / 1.5 mA 120 kV / 3.1 mA 120 kV / 7.5 mA

- Nominal working dose 17 µR/s 35 µR/s 70 µR/s

(153 nGy/s) (306 nGy/s) (612 nGy/s)

PULSED HCF FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- 5’ alarm timer yes
- 10’ max exposure time safety device yes

- Focus 0.3 mm

- kVp 40 - 120 kV

- X-ray emission / Acquisition 1 / 3 / 6 / 12 / 25 images / sec

- mA 1.6 - 40 mA

- kV/mA correlation 40 kV / 1.6 mA

50 kV / 4.8 mA
70 kV / 40.0 mA
90 kV / 33.2 mA
120 kV / 25.0 mA

- X-ray modes low mA normal mA

- X-ray pulse time 10 ms 20 ms

- Nominal working dose 2 µR/frame 4 µR/frame

(17.4 nGy/frame) (35 nGy/frame)

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ONE SHOT FLUOROSCOPY:

- Automatic dose control (kV-mA) yes

- Focus 0.3 mm

- kVp 40 - 120 kV

- mA 0.48 - 12 mA

- kV/mA correlation 40 kV / 0.5 mA

50 kV / 1.4 mA
70 kV / 12.0 mA
90 kV / 10.0 mA
120 kV / 7.5 mA

- X-ray flash time 1300 ms

- Automatic image saving yes

- Nominal working dose 80 µR (700 nGy)

RADIOGRAPHY:

- Focus 0.6 mm

- kVp 40 - 120 kV

- Standard radiography mA 23.3 - 65 mA

- High Power radiography mA 33.3 - 100 mA

- mAs 1 - 250 mAs

- Utilisation factor 1 : 14

- Max mAs 40 - 50 kV: max 250 mAs

51 - 65 kV: max 200 mAs
66 - 80 kV: max 160 mAs
81 - 100 kV: max 130 mAs
101 - 120 kV: max 100 mAs

- Power (isoWatt) 2800W in Standard radiography

4000W in High Power radiography

1.2.4 mAs TABLE

R’ 10
mAs values
1.00 10.0 100
1.25 12.5 125
1.60 16.0 160
2.00 20.0 200
2.50 25.0 250
3.20 32.0
4.00 40.0
5.00 50.0
6.30 63.0
8.00 80.0

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1.2.5 kV/mA CORRELATION

1.2.5.1 VERSIONS 1, 3 (see table 1 on preface chapter)

mA fluoroscopy mA radiography
High Power Standard Max mAs
kV high mA
low mA normal mA one shot radiography radiography radiography
(boosted)
(max 5 mAs) > 5 mAs
40 0.10 0.20 0.32 0.40 100.00 65.00 250.00
41 0.12 0.24 0.38 0.48 97.56 65.00 250.00
42 0.14 0.28 0.45 0.56 95.23 65.00 250.00
43 0.16 0.32 0.51 0.64 93.02 65.00 250.00
44 0.18 0.36 0.58 0.72 90.90 63.63 250.00
45 0.20 0.40 0.64 0.80 88.88 62.22 250.00
46 0.22 0.44 0.70 0.88 86.95 60.86 250.00
47 0.24 0.48 0.77 0.96 85.10 59.57 250.00
48 0.26 0.52 0.83 1.04 83.33 58.33 250.00
49 0.28 0.56 0.90 1.12 81.63 57.14 250.00
50 0.30 0.60 0.96 1.20 80.00 56.00 250.00
51 0.40 0.80 1.28 1.60 78.43 54.90 200.00
52 0.50 1.00 1.60 2.00 76.92 53.84 200.00
53 0.60 1.20 1.92 2.40 75.47 52.83 200.00
54 0.70 1.40 2.24 2.80 74.07 51.85 200.00
55 0.80 1.60 2.56 3.20 72.72 50.90 200.00
56 0.92 1.84 2.94 3.68 71.42 50.00 200.00
57 1.04 2.08 3.33 4.16 70.17 49.12 200.00
58 1.16 2.32 3.71 4.64 68.96 48.27 200.00
59 1.28 2.56 4.10 5.12 67.79 47.45 200.00
60 1.40 2.80 4.48 5.60 66.66 46.66 200.00
61 1.52 3.04 4.86 6.08 65.57 45.90 200.00
62 1.64 3.28 5.25 6.56 64.51 45.16 200.00
63 1.76 3.52 5.63 7.04 63.49 44.44 200.00
64 1.88 3.76 6.02 7.52 62.50 43.75 200.00
65 2.00 4.00 6.40 8.00 61.53 43.07 200.00
66 2.10 4.20 6.72 8.40 60.60 42.42 160.00
67 2.20 4.40 7.04 8.80 59.70 41.79 160.00
68 2.30 4.60 7.36 9.20 58.82 41.17 160.00
69 2.40 4.80 7.68 9.60 57.97 40.57 160.00
70 2.50 5.00 8.00 10.00 57.14 40.00 160.00
71 2.50 5.00 8.00 10.00 56.33 39.43 160.00
72 2.50 5.00 8.00 10.00 55.55 38.88 160.00
73 2.50 5.00 8.00 10.00 54.79 38.35 160.00
74 2.50 5.00 8.00 10.00 54.05 37.83 160.00
75 2.50 5.00 8.00 10.00 53.33 37.33 160.00
76 2.47 4.94 7.90 9.88 52.63 36.84 160.00
77 2.44 4.87 7.79 9.74 51.94 36.36 160.00
78 2.41 4.81 7.70 9.62 51.28 35.89 160.00
79 2.37 4.74 7.58 9.48 50.63 35.44 160.00
80 2.34 4.68 7.49 9.36 50.00 35.00 160.00
81 2.32 4.63 7.41 9.26 49.38 34.56 125.00
82 2.29 4.57 7.31 9.14 48.78 34.14 125.00
83 2.26 4.52 7.23 9.04 48.19 33.73 125.00
84 2.23 4.45 7.12 8.90 47.61 33.33 125.00
85 2.20 4.40 7.04 8.80 47.05 32.94 125.00
86 2.18 4.35 6.96 8.70 46.51 32.55 125.00
87 2.15 4.30 6.88 8.60 45.97 32.18 125.00
88 2.13 4.26 6.82 8.52 45.45 31.81 125.00
89 2.11 4.21 6.74 8.42 44.94 31.46 125.00
90 2.08 4.16 6.66 8.32 44.44 31.11 125.00
91 2.06 4.12 6.59 8.24 43.95 30.76 125.00
92 2.04 4.08 6.53 8.16 43.47 30.43 125.00
93 2.02 4.04 6.46 8.08 43.01 30.10 125.00
94 2.00 3.99 6.38 7.98 42.55 29.78 125.00
95 1.97 3.94 6.30 7.88 42.10 29.47 125.00
96 1.95 3.90 6.24 7.80 41.66 29.16 125.00
97 1.93 3.86 6.18 7.72 41.23 28.86 125.00
98 1.91 3.82 6.11 7.64 40.81 28.57 125.00
99 1.89 3.78 6.05 7.56 40.40 28.28 125.00
100 1.88 3.75 6.00 7.50 40.00 28.00 125.00
101 1.86 3.72 5.95 7.44 39.60 27.72 100.00
102 1.84 3.68 5.89 7.36 39.21 27.45 100.00
103 1.82 3.64 5.82 7.28 38.83 27.18 100.00
104 1.81 3.61 5.78 7.22 38.46 26.92 100.00
105 1.79 3.57 5.71 7.14 38.09 26.66 100.00
106 1.77 3.53 5.65 7.06 37.73 26.41 100.00
107 1.75 3.50 5.60 7.00 37.38 26.16 100.00
108 1.73 3.46 5.54 6.92 37.03 25.92 100.00
109 1.72 3.43 5.49 6.86 36.69 25.68 100.00
110 1.70 3.40 5.44 6.80 36.36 25.45 100.00
111 1.69 3.37 5.39 6.74 36.03 25.22 100.00
112 1.68 3.35 5.36 6.70 35.71 25.00 100.00
113 1.67 3.33 5.33 6.66 35.39 24.78 100.00
114 1.65 3.29 5.26 6.58 35.08 24.56 100.00
115 1.63 3.26 5.22 6.52 34.78 24.35 100.00
116 1.62 3.23 5.17 6.46 34.48 24.14 100.00
117 1.60 3.20 5.12 6.40 34.18 23.93 100.00
118 1.59 3.18 5.09 6.36 33.89 23.73 100.00
119 1.58 3.15 5.04 6.30 33.61 23.53 100.00
120 1.56 3.12 4.99 6.24 33.33 23.33 100.00

Revision 0 PART 3 page 1.14

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USER MANUAL

FLUOROSCOPY

12,00

10,00

8,00
mA

6,00

4,00

2,00

0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
low mA 0,10 0,20 0,30 0,80 1,40 2,00 2,50 2,50 2,34 2,20 2,08 1,97 1,88 1,79 1,70 1,63 1,56
normal mA 0,20 0,40 0,60 1,60 2,80 4,00 5,00 5,00 4,68 4,40 4,16 3,94 3,75 3,57 3,40 3,26 3,12
high mA (boosted) 0,32 0,64 0,96 2,56 4,48 6,40 8,00 8,00 7,49 7,04 6,66 6,30 6,00 5,71 5,44 5,22 4,99
one shot 0,40 0,80 1,20 3,20 5,60 8,00 10,00 10,00 9,36 8,80 8,32 7,88 7,50 7,14 6,80 6,52 6,24
kV

RADIOGRAPHY

120,00

100,00

80,00
mA

60,00

40,00

20,00

0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
Standard 65,00 62,22 56,00 50,90 46,66 43,07 40,00 37,33 35,00 32,94 31,11 29,47 28,00 26,66 25,45 24,35 23,33
High power 100,00 88,88 80,00 72,72 66,66 61,53 57,14 53,33 50,00 47,05 44,44 42,10 40,00 38,09 36,36 34,78 33,33
kV

Revision 0 PART 3 page 1.15

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USER MANUAL

1.2.5.2 VERSIONS 2 (see table 1 on preface chapter)

mA fluoroscopy mA radiography
High Power Standard Max mAs
kV high mA
low mA normal mA one shot radiography radiography radiography
(boosted)
(max 5 mAs) > 5 mAs
40 0.10 0.20 0.40 0.48 100.00 65.00 250.00
41 0.12 0.24 0.48 0.58 97.56 65.00 250.00
42 0.14 0.28 0.56 0.67 95.23 65.00 250.00
43 0.16 0.32 0.64 0.77 93.02 65.00 250.00
44 0.18 0.36 0.72 0.86 90.90 63.63 250.00
45 0.20 0.40 0.80 0.96 88.88 62.22 250.00
46 0.22 0.44 0.88 1.06 86.95 60.86 250.00
47 0.24 0.48 0.96 1.15 85.10 59.57 250.00
48 0.26 0.52 1.04 1.25 83.33 58.33 250.00
49 0.28 0.56 1.12 1.34 81.63 57.14 250.00
50 0.30 0.60 1.20 1.44 80.00 56.00 250.00
51 0.40 0.80 1.60 1.92 78.43 54.90 200.00
52 0.50 1.00 2.00 2.40 76.92 53.84 200.00
53 0.60 1.20 2.40 2.88 75.47 52.83 200.00
54 0.70 1.40 2.80 3.36 74.07 51.85 200.00
55 0.80 1.60 3.20 3.84 72.72 50.90 200.00
56 0.92 1.84 3.68 4.42 71.42 50.00 200.00
57 1.04 2.08 4.16 4.99 70.17 49.12 200.00
58 1.16 2.32 4.64 5.57 68.96 48.27 200.00
59 1.28 2.56 5.12 6.14 67.79 47.45 200.00
60 1.40 2.80 5.60 6.72 66.66 46.66 200.00
61 1.52 3.04 6.08 7.30 65.57 45.90 200.00
62 1.64 3.28 6.56 7.87 64.51 45.16 200.00
63 1.76 3.52 7.04 8.45 63.49 44.44 200.00
64 1.88 3.76 7.52 9.02 62.50 43.75 200.00
65 2.00 4.00 8.00 9.60 61.53 43.07 200.00
66 2.10 4.20 8.40 10.08 60.60 42.42 160.00
67 2.20 4.40 8.80 10.56 59.70 41.79 160.00
68 2.30 4.60 9.20 11.04 58.82 41.17 160.00
69 2.40 4.80 9.60 11.52 57.97 40.57 160.00
70 2.50 5.00 10.00 12.00 57.14 40.00 160.00
71 2.50 5.00 10.00 12.00 56.33 39.43 160.00
72 2.50 5.00 10.00 12.00 55.55 38.88 160.00
73 2.50 5.00 10.00 12.00 54.79 38.35 160.00
74 2.50 5.00 10.00 12.00 54.05 37.83 160.00
75 2.50 5.00 10.00 12.00 53.33 37.33 160.00
76 2.47 4.94 9.88 11.86 52.63 36.84 160.00
77 2.44 4.87 9.74 11.69 51.94 36.36 160.00
78 2.41 4.81 9.62 11.54 51.28 35.89 160.00
79 2.37 4.74 9.48 11.38 50.63 35.44 160.00
80 2.34 4.68 9.36 11.23 50.00 35.00 160.00
81 2.32 4.63 9.26 11.11 49.38 34.56 125.00
82 2.29 4.57 9.14 10.97 48.78 34.14 125.00
83 2.26 4.52 9.04 10.85 48.19 33.73 125.00
84 2.23 4.45 8.90 10.68 47.61 33.33 125.00
85 2.20 4.40 8.80 10.56 47.05 32.94 125.00
86 2.18 4.35 8.70 10.44 46.51 32.55 125.00
87 2.15 4.30 8.60 10.32 45.97 32.18 125.00
88 2.13 4.26 8.52 10.22 45.45 31.81 125.00
89 2.11 4.21 8.42 10.10 44.94 31.46 125.00
90 2.08 4.16 8.32 9.98 44.44 31.11 125.00
91 2.06 4.12 8.24 9.89 43.95 30.76 125.00
92 2.04 4.08 8.16 9.79 43.47 30.43 125.00
93 2.02 4.04 8.08 9.70 43.01 30.10 125.00
94 2.00 3.99 7.98 9.58 42.55 29.78 125.00
95 1.97 3.94 7.88 9.46 42.10 29.47 125.00
96 1.95 3.90 7.80 9.36 41.66 29.16 125.00
97 1.93 3.86 7.72 9.26 41.23 28.86 125.00
98 1.91 3.82 7.64 9.17 40.81 28.57 125.00
99 1.89 3.78 7.56 9.07 40.40 28.28 125.00
100 1.88 3.75 7.50 9.00 40.00 28.00 125.00
101 1.86 3.72 7.44 8.93 39.60 27.72 100.00
102 1.84 3.68 7.36 8.83 39.21 27.45 100.00
103 1.82 3.64 7.28 8.74 38.83 27.18 100.00
104 1.81 3.61 7.22 8.66 38.46 26.92 100.00
105 1.79 3.57 7.14 8.57 38.09 26.66 100.00
106 1.77 3.53 7.06 8.47 37.73 26.41 100.00
107 1.75 3.50 7.00 8.40 37.38 26.16 100.00
108 1.73 3.46 6.92 8.30 37.03 25.92 100.00
109 1.72 3.43 6.86 8.23 36.69 25.68 100.00
110 1.70 3.40 6.80 8.16 36.36 25.45 100.00
111 1.69 3.37 6.74 8.09 36.03 25.22 100.00
112 1.68 3.35 6.70 8.04 35.71 25.00 100.00
113 1.67 3.33 6.66 7.99 35.39 24.78 100.00
114 1.65 3.29 6.58 7.90 35.08 24.56 100.00
115 1.63 3.26 6.52 7.82 34.78 24.35 100.00
116 1.62 3.23 6.46 7.75 34.48 24.14 100.00
117 1.60 3.20 6.40 7.68 34.18 23.93 100.00
118 1.59 3.18 6.36 7.63 33.89 23.73 100.00
119 1.58 3.15 6.30 7.56 33.61 23.53 100.00
120 1.56 3.12 6.24 7.49 33.33 23.33 100.00

Revision 0 PART 3 page 1.16

code 66 80 022 - mui S3 01.doc
USER MANUAL

FLUOROSCOPY

14,00

12,00

10,00

8,00
mA

6,00

4,00

2,00

0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
low mA 0,10 0,20 0,30 0,80 1,40 2,00 2,50 2,50 2,34 2,21 2,08 1,97 1,88 1,79 1,70 1,63 1,56
normal mA 0,20 0,40 0,60 1,60 2,80 4,00 5,00 5,00 4,68 4,41 4,16 3,94 3,75 3,57 3,40 3,26 3,12
high mA (boosted) 0,40 0,80 1,20 3,20 5,60 8,00 10,00 10,00 9,36 8,82 8,32 7,88 7,50 7,14 6,80 6,52 6,24
one shot 0,48 0,96 1,44 3,84 6,72 9,60 12,00 12,00 11,23 10,58 9,98 9,46 9,00 8,57 8,16 7,82 7,49
kV

RADIOGRAPHY

120

100

80
mA

60

40

20

0
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
Standard 65 62,22 56 50,9 46,66 43,07 40 37,33 35 32,94 31,11 29,47 28 26,66 25,45 24,35 23,33
High power 100 88,88 80 72,72 66,66 61,53 57,14 53,33 50 47,05 44,44 42,1 40 38,09 36,36 34,78 33,33
kV

Revision 0 PART 3 page 1.17

code 66 80 022 - mui S3 01.doc
USER MANUAL

1.2.5.3 VERSION 4 (see table 1 on preface chapter)

mA fluoroscopy mA radiography
High Power Standard Max mAs
kV high mA Pulsed HCF
low mA normal mA one shot radiography radiography radiography
(boosted) fluoroscopy
(max 5 mAs) > 5 mAs
40 0.10 0.20 0.40 0.48 1.60 100.00 65.00 250.00
41 0.12 0.24 0.48 0.58 1.92 97.56 65.00 250.00
42 0.14 0.28 0.56 0.67 2.24 95.23 65.00 250.00
43 0.16 0.32 0.64 0.77 2.56 93.02 65.00 250.00
44 0.18 0.36 0.72 0.86 2.88 90.90 63.63 250.00
45 0.20 0.40 0.80 0.96 3.20 88.88 62.22 250.00
46 0.22 0.44 0.88 1.06 3.52 86.95 60.86 250.00
47 0.24 0.48 0.96 1.15 3.84 85.10 59.57 250.00
48 0.26 0.52 1.04 1.25 4.16 83.33 58.33 250.00
49 0.28 0.56 1.12 1.34 4.48 81.63 57.14 250.00
50 0.30 0.60 1.20 1.44 4.80 80.00 56.00 250.00
51 0.40 0.80 1.60 1.92 6.40 78.43 54.90 200.00
52 0.50 1.00 2.00 2.40 8.00 76.92 53.84 200.00
53 0.60 1.20 2.40 2.88 9.60 75.47 52.83 200.00
54 0.70 1.40 2.80 3.36 11.20 74.07 51.85 200.00
55 0.80 1.60 3.20 3.84 12.80 72.72 50.90 200.00
56 0.92 1.84 3.68 4.42 14.72 71.42 50.00 200.00
57 1.04 2.08 4.16 4.99 16.64 70.17 49.12 200.00
58 1.16 2.32 4.64 5.57 18.56 68.96 48.27 200.00
59 1.28 2.56 5.12 6.14 20.48 67.79 47.45 200.00
60 1.40 2.80 5.60 6.72 22.40 66.66 46.66 200.00
61 1.52 3.04 6.08 7.30 24.32 65.57 45.90 200.00
62 1.64 3.28 6.56 7.87 26.24 64.51 45.16 200.00
63 1.76 3.52 7.04 8.45 28.16 63.49 44.44 200.00
64 1.88 3.76 7.52 9.02 30.08 62.50 43.75 200.00
65 2.00 4.00 8.00 9.60 32.00 61.53 43.07 200.00
66 2.10 4.20 8.40 10.08 33.60 60.60 42.42 160.00
67 2.20 4.40 8.80 10.56 35.20 59.70 41.79 160.00
68 2.30 4.60 9.20 11.04 36.80 58.82 41.17 160.00
69 2.40 4.80 9.60 11.52 38.40 57.97 40.57 160.00
70 2.50 5.00 10.00 12.00 40.00 57.14 40.00 160.00
71 2.50 5.00 10.00 12.00 40.00 56.33 39.43 160.00
72 2.50 5.00 10.00 12.00 40.00 55.55 38.88 160.00
73 2.50 5.00 10.00 12.00 40.00 54.79 38.35 160.00
74 2.50 5.00 10.00 12.00 40.00 54.05 37.83 160.00
75 2.50 5.00 10.00 12.00 40.00 53.33 37.33 160.00
76 2.47 4.94 9.88 11.86 39.52 52.63 36.84 160.00
77 2.44 4.87 9.74 11.69 38.96 51.94 36.36 160.00
78 2.41 4.81 9.62 11.54 38.48 51.28 35.89 160.00
79 2.37 4.74 9.48 11.38 37.92 50.63 35.44 160.00
80 2.34 4.68 9.36 11.23 37.44 50.00 35.00 160.00
81 2.32 4.63 9.26 11.11 37.04 49.38 34.56 125.00
82 2.29 4.57 9.14 10.97 36.56 48.78 34.14 125.00
83 2.26 4.52 9.04 10.85 36.16 48.19 33.73 125.00
84 2.23 4.45 8.90 10.68 35.60 47.61 33.33 125.00
85 2.20 4.40 8.80 10.56 35.20 47.05 32.94 125.00
86 2.18 4.35 8.70 10.44 34.80 46.51 32.55 125.00
87 2.15 4.30 8.60 10.32 34.40 45.97 32.18 125.00
88 2.13 4.26 8.52 10.22 34.08 45.45 31.81 125.00
89 2.11 4.21 8.42 10.10 33.68 44.94 31.46 125.00
90 2.08 4.16 8.32 9.98 33.28 44.44 31.11 125.00
91 2.06 4.12 8.24 9.89 32.96 43.95 30.76 125.00
92 2.04 4.08 8.16 9.79 32.64 43.47 30.43 125.00
93 2.02 4.04 8.08 9.70 32.32 43.01 30.10 125.00
94 2.00 3.99 7.98 9.58 31.92 42.55 29.78 125.00
95 1.97 3.94 7.88 9.46 31.52 42.10 29.47 125.00
96 1.95 3.90 7.80 9.36 31.20 41.66 29.16 125.00
97 1.93 3.86 7.72 9.26 30.88 41.23 28.86 125.00
98 1.91 3.82 7.64 9.17 30.56 40.81 28.57 125.00
99 1.89 3.78 7.56 9.07 30.24 40.40 28.28 125.00
100 1.88 3.75 7.50 9.00 30.00 40.00 28.00 125.00
101 1.86 3.72 7.44 8.93 29.76 39.60 27.72 100.00
102 1.84 3.68 7.36 8.83 29.44 39.21 27.45 100.00
103 1.82 3.64 7.28 8.74 29.12 38.83 27.18 100.00
104 1.81 3.61 7.22 8.66 28.88 38.46 26.92 100.00
105 1.79 3.57 7.14 8.57 28.56 38.09 26.66 100.00
106 1.77 3.53 7.06 8.47 28.24 37.73 26.41 100.00
107 1.75 3.50 7.00 8.40 28.00 37.38 26.16 100.00
108 1.73 3.46 6.92 8.30 27.68 37.03 25.92 100.00
109 1.72 3.43 6.86 8.23 27.44 36.69 25.68 100.00
110 1.70 3.40 6.80 8.16 27.20 36.36 25.45 100.00
111 1.69 3.37 6.74 8.09 26.96 36.03 25.22 100.00
112 1.68 3.35 6.70 8.04 26.80 35.71 25.00 100.00
113 1.67 3.33 6.66 7.99 26.64 35.39 24.78 100.00
114 1.65 3.29 6.58 7.90 26.32 35.08 24.56 100.00
115 1.63 3.26 6.52 7.82 26.08 34.78 24.35 100.00
116 1.62 3.23 6.46 7.75 25.84 34.48 24.14 100.00
117 1.60 3.20 6.40 7.68 25.60 34.18 23.93 100.00
118 1.59 3.18 6.36 7.63 25.44 33.89 23.73 100.00
119 1.58 3.15 6.30 7.56 25.20 33.61 23.53 100.00
120 1.56 3.12 6.24 7.49 24.96 33.33 23.33 100.00

Revision 0 PART 3 page 1.18

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USER MANUAL

FLUOROSCOPY

14,00

12,00

10,00

8,00
mA

6,00

4,00

2,00

0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
low mA 0,10 0,20 0,30 0,80 1,40 2,00 2,50 2,50 2,34 2,21 2,08 1,97 1,88 1,79 1,70 1,63 1,56
normal mA 0,20 0,40 0,60 1,60 2,80 4,00 5,00 5,00 4,68 4,41 4,16 3,94 3,75 3,57 3,40 3,26 3,12
high mA (boosted) 0,40 0,80 1,20 3,20 5,60 8,00 10,00 10,00 9,36 8,82 8,32 7,88 7,50 7,14 6,80 6,52 6,24
one shot 0,48 0,96 1,44 3,84 6,72 9,60 12,00 12,00 11,23 10,58 9,98 9,46 9,00 8,57 8,16 7,82 7,49
kV

RADIOGRAPHY

120

100

80
mA

60

40

20

0
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
Standard 65 62,22 56 50,9 46,66 43,07 40 37,33 35 32,94 31,11 29,47 28 26,66 25,45 24,35 23,33
High power 100 88,88 80 72,72 66,66 61,53 57,14 53,33 50 47,05 44,44 42,1 40 38,09 36,36 34,78 33,33
kV

PULSED HCF FLUOROSCOPY

45,00

40,00

35,00

30,00

25,00
mA

20,00

15,00

10,00

5,00

0,00
40 45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120
low mA / normal mA 1,60 3,20 4,80 12,80 22,40 32,00 40,00 40,00 37,44 35,28 33,28 31,52 30,00 28,56 27,20 26,08 24,96
kV

Revision 0 PART 3 page 1.19

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USER MANUAL

1.2.6 DOSE METERING

1.2.6.1 INDICATIONS

Unit of measurement Tools

DOSE PER AREA µGy * m2 See para. 1.2.7.1

REFERENCE AIR KERMA mGy Calculated at the REFERENCE INPUT POINT

FOR THE PATIENT some 30cm from the I.I.
REFERENCE AIR KERMA
mGy /minute tube.
RATE

1.2.6.2 REFERENCE AIR KERMA RATE

VERSIONS 1, 3 (see table 1 on preface chapter)

low mA normal mA high mA (boosted) one shot

kV Kerma Rate Kerma rate Kerma Rate Kerma Rate
mA mA mA mA
(mGy /min) (mGy /min) (mGy /min) (mGy /min)
Min Kerma
Rate 40 0.10 0.0867 0.20 0.17 0.32 0.27 0.40 0.34
70 2.50 11.9 5.00 23.8 8.00 38.08 10.00 47.6
Max Kerma
Rate 120 1.56 21.1 3.12 42.3 4.99 67.68 6.24 84.6

1.2.6.3 REFERENCE AIR KERMA RATE

VERSIONS 2 (see table 1 on preface chapter)

low mA normal mA high mA (boosted) one shot

kV Kerma Rate Kerma rate Kerma Rate Kerma Rate
mA mA mA mA
(mGy /min) (mGy /min) (mGy /min) (mGy /min)
Min Kerma
Rate 40 0.10 0,05 0.20 0,10 0.40 0,2 0.48 0,24
70 2.50 7,69 5.00 15,39 10.00 30,78 12.00 36,93
Max Kerma
Rate 120 1.56 18,27 3.12 36,54 6.24 73,08 7.49 87,6

1.2.6.4 REFERENCE AIR KERMA RATE

VERSION 4 (see table 1 on preface chapter)

Pulsed HCF
low mA normal mA high mA (boosted) one shot
fluoroscopy
kV Kerma Rate
Kerma Rate Kerma Rate Kerma Rate Kerma Rate
mA mA mA mA mA (mGy /min)
(mGy /min) (mGy /min) (mGy /min) (mGy /min)
at 25i/s
Min Kerma
Rate 40 0.10 0,05 0.20 0,10 0.40 0,2 0.48 0,24 1.60 0,40
70 2.50 7,69 5.00 15,39 10.00 30,78 12.00 36,93 40.00 61
Max Kerma
Rate 120 1.56 18,27 3.12 36,54 6.24 73,08 7.49 87,6 24.96 144

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1.2.7 OPTIONAL MODULES

1.2.7.1 DOSE AREA PRODUCT (DAP)

Model KermaX plus (mod. 120-122)

Power DC: 12 - 29 V (max 50 mA)

Useful Diameter 72 mm

Sensitivity 1 mGy cm2

1.2.7.2 LASER LOCALISER

Diode laser Class 1M

Power 3.8 mW

Wavelength 635nm

1.2.7.3 MEDICAP USB200 (VIDEO MEMORY VERSIONS ONLY)

Model Medicap USB200

Power 100-240V 50-60Hz 20W

Dimensions 240 x 200 x 63 mm

Weight 1.7 kg
USB flash drive / external USB
Supports
fixed drive
Image formats JPEG, TIFF, PNG, DICOM

Video formats MPEG2 PS, DVD quality

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1.3 FUSES

The equipment is fitted with a magnetothermal switch to protect the power circuit on the monitor unit.
If this trips, reset it.
If the magnetothermal switch trips again immediately after resetting, the system is malfunctioning: call
Technical Service.

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1.4 OVERALL DIMENSIONS AND WEIGHT

1.4.1 OVERALL DIMENSIONS AND WEIGHT OF THE MONITOR UNIT

1.4.1.1 VIDEO MEMORY VERSION

- With monochrome LCD monitor - model IVL-GEV955IMI

Weight: 126 kg

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- With colour LCD monitor - model EM19TFTI/MCIIL-C1

Weight : 127 kg

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1.4.1.2 VIDEO MEMORY VERSION WITH MEDICAP OPTION

- With monochrome LCD monitor - model IVL-GEV955IMI

Weight : 129 kg

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- With colour LCD monitor - model EM19TFTI/MCIIL-C1

weight : 130 kg

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1.4.1.3 VIDEO PROCESSOR VERSION

- With monochrome LCD monitor - model IVL-GEV955IMI

Weight: 136 kg

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- With colour LCD monitor - model EM19TFTI/MCIIL-C1

Weight : 137 kg

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1.4.1.4 MONITOR ROTATION

This figure is valid for all versions

Clockwise 180° Normal position Anti-clockwise 109°

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1.4.2 OVERALL DIMENSIONS AND WEIGHT OF THE STAND

1.4.2.1 VERSION WITH 9” I.I. TUBE + FIXED ANODE MONOBLOCK

ATS
ARCO 140F
S ERIAL: X X XXX 66 XX

Weight: 244 kg 9” fixed anode stand

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1.4.2.2 VERSION WITH 9” I.I. TUBE + ROTATING ANODE MONOBLOCK

ATS
ARCO 140R
S ERIAL: X X XXX 66 XX
V ia A . Vo lta,10
2 40 60 Torre d e' R ov eri (B G),ITALY

Weight: 250 kg 9” rotating anode stand

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1.4.2.3 VERSION WITH 12” I.I. TUBE + ROTATING ANODE MONOBLOCK

ATS
ARCO 140R
S ERIAL: X X XXX 66 XX

Via A. Volta,10
24060 T orre de' R overi (BG),ITALY

Weight: 265 kg 12” rotat. anode stand

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1.5 FOCAL SPOT POSITION

1.5.1 9” FIXED ANODE

Valid for versions: 1, 3, 5 (see table 1 on preface chapter)

Fixed beam limitation

Reference axis

Focal spot (red dot)

Anode angle

1.5.2 9” ROTATING ANODE

Valid for versions: 2, 4, 6 (see table 1 on preface chapter)

Fixed beam limitation

Reference axis

Focal spot (red dot)

Anode angle

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1.5.3 12” ROTATING ANODE

Valid for versions: 2, 4, 6 (see table 1 on preface chapter)

Fixed beam limitation

Reference axis

Focal spot (red dot)

Anode angle

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1.6 DESIGNATED SIGNIFICANT ZONES OF OCCUPANCY

1.6.1 VERSIONS 1, 3 (see table 1 on preface chapter)

- Measurement condition in accordance with EN 60601-2-54

- Expose conditions : Continuos fluoroscopy 120 KV/3,1 mA
- Measuring instrument : INOVISION 35050

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1.6.2 VERSIONS 2, 4 (see table 1 on preface chapter)

- Measurement condition in accordance with EN 60601-2-54

- Expose conditions : Continuos fluoroscopy 120 KV/3,1 mA
- Measuring instrument : INOVISION 35050

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