Apollo DRF

0051
User Manual
Version 26 January 2022 – Rev. 5
User Manual - Revision history
Rev. 5
Revision history Manual code 698492

69849 2 51 03
Rev. Date Page/s Modification description
0 06.04.2018 - Document approval.

1 18.10.2019 36, 39, 41, 43, Release of SW version 1.0.1 on Touch Screen CPU board
49, 93, 95, 99, 100, (Apollo logo removal from the TSC page header).
102, 107, 109, 114, Added paragraph "Parts to be replaced periodically".
116, 131 "Standards and regulations" paragraph revised.
(Ref. RDM 8824, Complaint M18022)
2 03.02.2020 31 Revised tabletop characteristic data.

(Ref. RDM 9052)
3 27.11.2020 All Release of generator console integrated into Touch Screen

Console.
(Ref. RDM 9127)
4 15.03.2021 5, 19, 29, 33, 35, Touch Screen console generator integration extended to
40, 49, 50, 93, 94 Genius HF-C MK2.
Tomosynthesis: 20°, 30° scan angles added.
Revised Figure 14 – DRF mode with generator console not
integrated.
Revised cMETus label.
(Ref. RDM 8925, RDM 9201, Complaint M21008)
5 26.01.2022 6, 17, 19, 20 Compliance with the General Safety and Performance
Requirement no. 23.4 (z) of the MDR.
Introduction of new identification labels.
(Ref. RDM 9282, RDM 9338)
Villa Sistemi Medicali

User Manual – Revision history
Rev. 5
THIS PAGE IS INTENTIONALLY LEFT BLANK

User Manual - Contents
Rev. 5
Contents
1. INTRODUCTION 1
1.1 Icons appearing in the manual 1
2. USABILITY 2
2.1 Application 2
2.1.1 Medical purposes 2
2.1.2 Clinical applications 2
2.1.3 Anatomical part or tissue type 3
2.1.4 Intended patient population 3
2.1.5 Operator profile 3
2.1.6 Application environments 3
2.1.7 Applied parts 4
3. SAFETY INFORMATION 5
3.1 Warnings 7
3.1.1 Electromagnetic emissions 10
3.1.2 Electromagnetic immunity 11
3.1.3 Recommended separation distances for non-life supporting equipment 12
3.2 Radiological protection warning 13
3.3 Environmental risks and disposal 16
3.4 Symbols used 17
4. DESCRIPTION 18
4.1 Identification labels 18
4.1.1 Identification plates "380/400V" version 19
4.1.2 Identification plates "415/480V" version 20
4.2 Description 21
4.3 Touch screen command console 24
4.3.1 Room console (Optional) 26
4.4 Keyboard on the table 27
4.5 Collimator panel 28
4.6 X-ray control pedals 29
5. TECHNICAL DATA 30
5.1 Technical features 30
5.2 Standards and regulations 36
5.3 Footprint dimensions 38
5.3.1 Version with 2 way tabletop 38
5.3.2 Version with 4 way tabletop 39
Villa Sistemi Medicali i

User Manual – Contents
Rev. 5
6. PRELIMINARY OPERATIONS
OPERATIO NS 40
6.1 ON and OFF operation 40
6.2 Touch Screen 43
6.3 Key conditions 44
6.4 "SETUP" page 45
6.4.1 User settings menu 46
6.4.2 Language selection menu 48
6.4.3 "Beep on Keypress" 48
6.4.4 "Units" 48
6.4.5 "Fluoro-store" 49
6.4.6 "Orientation" 49
6.4.7 Intercom audio volume levels 49
6.4.8 "Tomo Direction" 50
6.4.9 "DAP Test" (G100RF Rev.Q only) 50
6.4.10 Automatic centering 50
6.4.11 "Receptor Selection" 51
7. OPERATING FUNCTIONS 52
7.1 Touch Screen collimator 52
7.1.1 Collimator working modalities 54
7.1.2 Collimator rotation 56
7.1.3 Collimator automatic aperture 57
7.1.4 Collimator manual mode. (only for examinations performed with direct mode) 59
7.1.5 Motorised additional filters (optional) 60
7.2 Movements 61
7.2.1 Automatic centering system 62
7.2.2 Angulation movement 65
7.2.3 Tabletop - Scan movement 67
7.2.4 Longitudinal tabletop movement (for 4-way tabletop version only) 70
7.2.5 Tilting movement 72
7.2.6 Source-Detector distance movement (SID) 74
7.2.7 Compressor 75
7.2.8 Rotation of the tube-collimator unit 79
7.3 Limitations and Safeties 80
7.3.1 Collision limits 80
7.3.2 Safety barrier 84
7.3.3 Anti-entrapment system 85
7.4 Zoom selection 86
7.5 Monitor image scan reverse 87
7.6 X-ray-Fluoro control 88
ii Villa Sistemi Medicali

User Manual - Contents
Rev. 5
7.7 Fluoro Store control 89

7.8 PREP command 90
7.9 Intercom: voice communication between patient and operator 91
7.9.1 Automatic voice messages 92
7.10 Camera live display 93
8. GENERATOR CONSOLE INTEGRATION

IN TEGRATION 94
8.1 Generator status 94
8.1.1 Tube selected / Anode heating status 94
8.1.2 Tube anode heat warning / Alarm 94
8.1.3 DAP 94
8.1.4 Air Kerma 95
8.1.5 Air Kerma/DAP accumulated data RESET 95
8.2 DRF workplace 96
8.2.1 Fluoroscopy 97
8.2.1.1 Fluoro AUTO/MAN 97
8.2.1.2 Fluoro kV and mA display 97
8.2.1.3 Continuous / Pulsed Fluoro 98
8.2.1.4 Fluoro Time 98
8.2.2 Radiography 99
8.2.2.1 PREP 99
8.2.2.2 RAD 99
8.2.2.2.1 RAD techniques 100
8.2.2.2.2 Focal spot selection 100
8.3 DIRECT workplace 101
8.3.1 AEC (Wall Bucky) 102
8.3.1.1 AEC Field Selection 102
8.3.1.2 Film Density 102
9. GENERATOR CONSOLE NOT

NOT INTEGRATED 103
9.1 DRF workplace 103
9.1.1 Manual adjustment of Fluoro kV and mA 104
9.2 DIRECT workplace 105
10. EXAMINATION PROCEDURE

PROCEDUR E 106
10.1 DRF mode 106
10.1.1 Tomography mode 109
10.1.1.1 Layer position adjustment 112
10.1.1.2 Perform an examination 113
10.1.1.3 Tomo test 114
Villa Sistemi Medicali iii

User Manual – Contents
Rev. 5
10.1.2 Tomosynthesis mode 115

10.1.2.1 Layer position adjustment 118
10.1.2.3 Tomosynthesis test 120
10.1.3 Stitching mode 121
10.1.3.2 Stitching test 125
10.2 DIRECT mode 126
11. DIAGNOSIS 127

11.1 Alarms 129
12. CLEANING AND DISINFECTION

DISINFE CTION 136
13. MAINTENANCE 137

13.1 Parts to be replaced periodically 138
Note
No part of this publication can be reproduced, transmitted, transcribed or translated
without the approval of VILLA SISTEMI MEDICALI S.p.A.
This Manual in English is the original Manual version.
iv Villa Sistemi Medicali

User Manual - Introduction
Rev. 5
1. INTRODUCTION
Note
This manual is updated for the product it is sold with, in order to guarantee an adequate
reference to use the product properly and safely.
The manual may not reflect changes to the product that do not affect operating modes
or safety.
The aim of this manual is to instruct the user on the safe and effective use of the device.
The device must be used in compliance with the procedures described, and never be used for
purposes different from those herewith indicated.
The user is liable as concerns the legal fulfilment related to the installation and the operation of
the device.
1.1 Icons appearing in the manual

manua l
This icon indicates a “NOTE”: please read the items marked by this icon thoroughly.
This icon indicates a "WARNING": the items marked by this icon refer to safety aspects
of the patient and/or operator.
Villa Sistemi Medicali 1

User Manual – Usability
Rev. 5
2. USABILITY
2.1 Application
The remote controlled table Apollo EZ/DRF is an X-ray equipment that allows to perform general
radiographic and fluoroscopic examinations. The system is a fixed position type. The movements
of the table and tube support are motorized and remote-controlled.
2.1.1 Medical purposes
The medical purpose is the diagnosis, visualization and documentation of various diseases or
injuries.
2.1.2 Clinical applications
Apollo EZ/DRF can be used for routine radiographic examinations and special examinations of
patients standing, sitting or lying down.
This includes the following standard fluoroscopic or radiographic procedures:

• Lung fluoroscopy
• Bariatric examinations of the upper and lower gastrointestinal tract
• Other examinations of the digestive tract
• Urography, IVP (intravenous pyelography) and cysto-urethrographic studies
• Myelography
• Radiography of the limbs
• Hysterosalpingography
• Phlebography
• Examination of the gallbladder and liver (OSCE)
• Paediatric examinations
• Tomography
• Skeletal radiographs including skull, ribs, spine, pelvis, upper and lower extremities, etc.
• Pulmonary X-rays
• X-rays of the soft tissues such as the abdomen
• Stitching examinations (optional - mainly the lower limbs and spine).
• Tomosynthesis
The exams are part of the common medical diagnostics and are described in the medical literature.
2 Villa Sistemi Medicali

User Manual - Usability
Rev. 5
2.1.3 Anatomical part or tissue type
Apollo EZ/DRF allows X-rays of the whole body and all human tissues. The patient is exposed
to ionizing radiation. Direct contact is made between the patient's intact skin and the surface of
some system components such as the tabletop and resting handgrips.
2.1.4 Intended patient population
Apollo EZ/DRF table can be used with the following typology of patient:
• Age: pediatric to geriatric
• Weight: ≤ 200 kg
• Patient status:
− self-sufficient patient (patient can autonomously place himself as requested by the
physician)
− non self-sufficient patient (patient is properly placed on the equipment by hospital
personnel).
• Nationality: multiple.
2.1.5 Operator profile
The device can be used only by personnel with the necessary expertise concerning protection
from X-rays and that has been trained in the use of radiographic equipment.
The operator must be physically able to operate the system, which includes sufficient auditory,
visual and mobility capabilities.
2.1.6 Application environments
The application environments of the Apollo EZ/DRF are hospitals, private clinics or consultants
or other radiology facilities.
See Technical Data (chapter 5) for additional information.

User Manual – Usability
Rev. 5
2.1.7 Applied parts
Apollo EZ/DRF table applied parts (that in normal use are intended to be in contact with the
patient) or other parts which could anyway come in touch with the patient, are:
• Tabletop
• Patient footrest
• Compressor
• Patient handgrip
• Band-tightener with compression band
• Shoulder rest.

User Manual - Safety information
Rev. 5
3. SAFETY INFORMATION
Warning
All information provided in this chapter should be carefully read, and where appropriate,
implemented to avoid damage to equipment or injury to persons.
Warning
In case of Touch Screen console integrating the generator console, refer to generator
Operator's Manual.
Note
The information for a proper installation and maintenance of the equipment are present
in the Service Manual.
Villa Sistemi Medicali designs and builds the devices in compliance with the safety requirements;
furthermore it supplies all information necessary for correct use, and the warnings related to
danger associated with X-ray generating units.
Villa Sistemi Medicali cannot be held responsible for:

• the use of Apollo EZ/DRF equipment different from the one it was originally designed for
• damage to the unit, the operator or the patient, caused both by incorrect installation and
maintenance different from the procedures described in the User's and Service Manual
supplied with the unit, and by incorrect operations
• mechanical and/or electrical modifications made during and after installation.
Warning
Do not modify this equipment without authorization of the manufacturer.
Technical intervention must only be performed by qualified technicians authorised by Villa Sistemi
Medicali.

User Manual – Safety information
Rev. 5
Only authorised personnel can remove the protections to the electrical cabinet and the equipment
and gain access to live and moving parts.
Note
Any serious incident that has occurred in relation to the device should be reported to
the manufacturer and the competent authority of the Member State in which the
user and/or patient is established.
“Serious incident” means any incident that directly or indirectly led, might have led or
might lead to any of the following:
a) The death of a patient, user or other person
b) The temporary or permanent serious deterioration of a patient’s, user’s or other
person’s state of health
c) A serious public health threat.

Rev. 5
3.1 Warnings
Apollo EZ/DRF is suited for use in hospital, therefore the line connection may not be carried out
in buildings with domestic-type power supply lines.
Warning
To avoid risk of electric shock, this equipment must only be connected to a supply
mains with protective earth.
This device has not been designed to be used in environments where vapours, anaesthetic
mixtures flammable with air, or oxygen and nitrous oxide, can be detected.
Avoid the entry of water or other liquids into the device to prevent short circuits and corrosion.
Before cleaning the device, please disconnect it from the line voltage.
All movements are controlled by a powerful and sophisticated electronic microprocessor system.
The speeds, positions, the start and stop of these movements are controlled and managed by
the logic of the unit. The safety devices play a fundamental aspect in this logic so as to ensure
maximum safety for both patient and operator. Nevertheless, the operator MUST ALWAYS
PAY THE UTMOST ATTENTION when a movement is activated. The red EMERGENCY
buttons on the control console and on the front panel of the unit can be pressed in the event
the user experiences a situation of danger. These buttons will immediately stop any movement
and operation and are a valuable tool offered to the operator in addition to the unit's intrinsic
safety devices.
Before activation of the motorised parts such as tilting, the tabletop, the angulation
and the scan, make sure the patient is properly positioned and has the legs and arms
inside the perimeter of the tabletop. Use the handgrips where possible. During the motorised
movements, objects that may interfere with the movements themselves should not be close to
the table.
Pay close attention to people in the X-ray room.

Rev. 5
Warning
When the system is powered on, motorized movements can be intentionally or
accidentally activated.
In the areas highlighted in the following picture the risk of squeezing is present
between the detector carrier structure and the tabletop supporting arms in case the
motorized movements are activated.
IT IS FORBIDDEN TO ENTER
ENTER OR STAY IN SUCH AREAS WHEN
THE SYSTEM IS POWERED
POWERE D ON.
The following signs applied to the table structure indicate the risk of squeezing and
the prohibition to enter the area:
This symbol indicates This symbol indicates:

"Warning: Risk of squeezing" "Do not enter the area inside the
(ISO 7010:2011 W019) tabletop support arms"

Rev. 5
In the remote event that a person is present within the danger area and a movement is
accidentally or intentionally activated, an emergency pushbutton shall by
immediately activated.
activated Such buttons are coloured in bright red for immediate visibility
and can be activated by firmly pushing it. Upon activation of an emergency button, power
supply to system is shut down and all movements are immediately stopped.
The location of emergency buttons is shown in the following pictures:
Emergency button on Emergency button on

Touch Screen Console detector carrier
(depending on system configuration, (two buttons are present, on both left
one or two touch screen consoles and right side of the detector carrier)
might be present)
Please note that, according to local regulations, additional emergency buttons might be
installed in the examination and/or control room.
The users shall familiarize with the location and operation of such emergency device
before using the equipment.
In the event of loss of voltage for longer than that sustainable by the electronic control of the
table, it is possible that the examination taking place is cancelled, with the inhibition of the
tabletop, scan and angulation movements that may harm the patient.
Apollo EZ/DRF cannot be installed in operating theatres.
Apollo EZ/DRF must be powered off when using the electrosurgery cutter or similar devices.
Keep clean, and if disinfection of the parts that may come into contact with the patient is deemed
necessary, follow the instructions in Chapter 12.

Rev. 5
3.1.1 Electromagnetic emissions
In accordance with the IEC 60601-1-2 standard, Apollo EZ/DRF is suitable for use in the specified
electromagnetic environment. The purchaser or user of Apollo EZ/DRF should assure that it is
used in an electromagnetic environment as described below:
Emissions test Compliance Electromagnetic environment

RF emissions Group I Apollo EZ/DRF uses RF energy only for its
CISPR 11 internal function. Therefore the RF emission is
very low and not likely to cause any interference
in nearby electronic equipment.
Class A Apollo EZ/DRF is suitable for use in all
establishments, other than domestic and those
directly connected to the public low voltage power
supply network that supplies buildings used for
domestic purposes.
Harmonics emissions Not applicable
IEC 61000-3-2
Voltage fluctuations/ Not applicable
flicker emissions
IEC 61000-3-3

Rev. 5
3.1.2 Electromagnetic immunity
In accordance with the IEC 60601-1-2 standard, Apollo EZ/DRF is suitable for use in the specified
electromagnetic environment. The purchaser or user of Apollo EZ/DRF should assure that it is
used in an electromagnetic environment as described below:
Immunity IEC 60601-

60601 - 1 - 2 Compliance Electromagnetic
Elect romagnetic
test test level level environment
Electrostatic 8 kV contact IEC 60601-1-2 Floors should be wood. concrete
discharge (ESD) 2/4/8/15 kV air Test level or ceramic tile. If floors are
IEC 61000-4-2 covered with synthetic material.
the relative humidity should be
at least 30%.
Radiated 3 V/m IEC 60601-1-2 Portable and mobile RF
electromagnetic 80 MHz to 2.7 GHz Test level communications equipment
field should be used no closer to any
IEC 61000-4-3 part of the Apollo EZ/DRF.
including cables.
Minimum distance 30 cm
Electrical fast 2 kV for power IEC 60601-1-2 Mains power quality should be
transient/burst supply lines Test level that of a typical commercial or
IEC 61000-4-4 hospital environment.
1 kV for input/output
lines > 3 m
Surge 0.5/1 kV differential IEC 60601-1-2 Mains power quality should be
IEC 61000-4-5 mode Test level that of a typical commercial or
hospital environment.
0.5/1/2 kV common
mode
Conducted 3V IEC 60601-1-2 Portable and mobile RF
disturbances 150 kHz to 80 MHz Test level communications equipment
induced by RF should be used no closer to any
fields 6V part of the Apollo EZ/DRF.
IEC 61000-4-6 ISM frequencies including cables.
Minimum distance 30 cm
Voltage dips. short 0% Un for 0.5 cycle IEC 60601-1-2 Mains power quality should be
interruptions and 0 % Un for 1 cycle Test level that of a typical commercial or
voltage variations 70 % Un for 25 cycles hospital environment. If the user
on power supply 0 % Un for 5 s of the Apollo EZ/DRF requires
input lines continued operation during
IEC 61000-4-11 power mains interruptions. it is
recommended that the
Apollo EZ/DRF be powered
from an uninterruptible power
supply or a battery.
Power frequency 30 A/m IEC 60601-1-2 Power frequency magnetic fields
(50/60 Hz) Test level should be at levels characteristic
magnetic field of a typical location in a typical
IEC 61000-4-8 commercial or hospital
environment.

Rev. 5
3.1.3 Recommended separation d istances for non-

non - life supporting
equipment
Apollo EZ/DRF is intended for use in an electromagnetic environment in which radiated RF

disturbances are controlled.
The customer or the user of the system can help prevent electromagnetic interference by
maintaining a distance between portable RF communications equipment (including peripherals
such as antenna cables and external antennas) and any part of the Apollo EZ/DRF no closer than
30 cm (12 inches). Otherwise, degradation of the performance of this equipment could result.

Rev. 5
3.2 Radiological protection warning

Villa Sistemi Medicali designs and builds the devices in compliance with the safety requirements;
furthermore it supplies all information and warnings related to hazards associated with apparatus
connected to X-ray generating units.
Personnel authorised to perform radiological examinations must observe the protection

regulations against ionising radiation as shown below:
• Where appropriate, dedicated protection must be used (lead-lined clothing) to protect the
patient from the stray radiations in areas adjacent to those from X-ray.
• Only the patient must be present in the room while the X-ray examinations is being
performed. If the examination requires, medical and paramedical personnel or personnel
specifically authorised can be present, only if provided with radiation protective clothing.
Depending on the ongoing examination, the staff in the room must stand in the areas shown
in the diagram below during ray emissions.
6
Occupation zone
5 (see Figure 2)
Figure 1: Horizontal table, front view
Note
The front view shows a 600x600x2000 mm (23.6"x23.6"x78.7") occupation zone as
required by the applied standards. In reality, since the Tube unit moves through
1344 mm (52.9"), the total occupation area is that shown in Figure 2. This zone takes
into account the aforementioned range.

Rev. 5
Occupation zone
600x2243 mm
(23.6"x88.3")
H = 2000 mm (78.7")
Figure 2: Horizontal table, plan view
Occupation zone
(see Figure 4)
1400 mm
B (55.1")
Figure 3: Vertical table, front view

Rev. 5
Occupation zone
600x600 mm (23.6"x23.6")
H = 1700 mm (66.9")
Figure 4: Vertical table, plan view
The maximum values of stray radiations in the indicated zones are given in the table below.
These values were measured as described in the reference standard IEC 60601-1-3 and
particularly for radiological factors with a continuous emission value of 120 kV, 3 mA.
Figure Ref. H from the ground Dose

1 1 350 mm (13.8") 0.055 mGy/h
1 2 600 mm (23.6") 0.22 mGy/h
1 3 834 mm (32.8") 2.42 mGy/h
1 4 1200 mm (47.2") 7.6 mGy/h
1 5 1400 mm (55.1") 6.9 mGy/h
1 6 1600 mm (63.0") 7.32 mGy/h
1 7 1800 mm (70.9") 5.25 mGy/h
1 8 2000 mm (78.7") 3.37 mGy/h
3 A 350 mm (13.8") 1.1 mGy/h
3 B 600 mm (23.6") 4.68 mGy/h
3 C 1000 mm (39.4") 3.6 mGy/h
3 D 1200 mm (47.2") 3.05 mGy/h
3 E 1400 mm (55.1") 2.21 mGy/h
3 F 1600 mm (63.0") 2.6 mGy/h
3 G 1700 mm (66.9") 3.25 mGy/h
3 H 2000 mm (78.7") 3.7 mGy/h

Rev. 5
3.3 Environmental risks and disposal

disp osal
Some of the Apollo EZ/DRF components contain material and liquid that, at the end of the
equipment life-cycle, must be disposed of at the recycling centres appointed by the Local Health
Units.
In particular, the device contains the following materials and/or components:
• Motor reduction gears: lubricating oil, steel, aluminium
• Motors: iron, copper, non-biodegradable plastic casings
• Electrical cabinet: iron, aluminium, copper, non-biodegradable plastic materials, supports for
printed circuits.
Note
Information for users of the European Community according to 2011/65/EU
Directive on the restriction of the use of certain hazardous substances in electrical
and electronic equipment.
The symbol of the crossed waste container on the equipment or packaging shows
that the product, at the end of its lifecycle, must be collected separately from other
types of waste.
The separate collection of this equipment at the end of its lifecycle is organised and
managed by the manufacturer. Users who need to dispose of this equipment should
therefore contact the manufacturer and follow the procedure adopted by the
manufacturer for the separate collection of the equipment at the end of its lifecycle.
Proper separate collection for subsequent recycling, treatment and compatible
environmental disposal of equipment helps avoid possible negative effects on the
environment and on health and encourages the reuse or recycling of materials the
equipment is made from.
Illegal disposal of the product by the owner of the equipment will result in
administrative sanctions, as provided for by applicable regulations.

Rev. 5
3.4 Symbols used
Symbol Description
Device with type B applied parts
Some parts of the equipment contain materials and liquids that must be
disposed of at reclamation centres designated by the Local Health
Authorities at the end of its life cycle
∼ Alternating Current
N Connection point to the neutral conductor
R S T Connection point to the three-phase line conductors
Earth protection
Dangerous voltage
Follow instructions for use
Product identification code
Serial number
UDI (Unique Device Identification) code
Medical Device
Date of manufacture
Manufacturer
Conformity to the EC 93/42 Directive and its revised version

0051

User Manual – Description
Rev. 5
4. DESCRIPTION
4.1 Identification labe

labe ls
3
4
5
5
4
1b

User Manual - Description
Rev. 5
4.1.1 Identification plates "380/400V" version
1a 1b
Apollo EZ/
EZ / DRF features label Apollo EZ/
EZ/DRF
DRF ID label
(located on the electric cabinet) (located on the equipment)
2 3
Warning label "Read the user instructions"
label
4 5
"Warning: Risk of squeezing" "Do not enter the area inside
(ISO 7010:2011 W019) the tabletop support arms"
label label
6a 6b
"Warning: Do not install footrest in "Warning: Install footrest in
this side of table top" label. this side of table top" label.
Present only in case of shoulder rest Present only in case of shoulder rest
(optional accessory) (optional accessory)

Rev. 5
4.1.2 Identification plates "415/480V" version
1a 1b
Apollo EZ-
EZ - DRF features label Apollo EZ
EZ-- DRF ID label
(located on the electric cabinet) (located on the equipment)
1c
cMETus certification label
(located on the electric cabinet)
2 3
Warning label "Read the user instructions" label
4 5
"Warning: Risk of squeezing" "Do not enter the area inside
(ISO 7010:2011 W019) label the tabletop support arms" label
6a 6b
"Warning: Do not install footrest in "Warning: Install footrest in
this side of table top" label. this side of table top" label.
Present only in case of shoulder rest Present only in case of shoulder rest
(optional accessory) (optional accessory)

Rev. 5
4.2 Description
The remote controlled Apollo EZ/DRF is designed to be coupled with a large acquisition area
"Dynamic detector" (43x43cm) with 1 or 2 grids, used for both static and dynamic acquisitions
(continuous or pulsed fluoroscopy, single or pulse radiography).
The fundamental functional concepts of the Apollo EZ/DRF table are:

• footprint as small as possible
• transverse movement (2 way) or transverse and longitudinal (4 way) Tabletop
• reduced skin-imaging receptor distance
• carbon fiber or polycarbonate tabletop, with a slight curvature or flat depending on the
model, with integrated accessory holder profiles
• reduced-dimension console with new functional concepts
• connection integrated with digital acquisition system.
The movements and functions are controlled by a remote Touch Screen Console (TSC) located
in the control room.
The TSC may integrate the generator control console (optional): in this case all the information
concerning generator status (dose parameters, Fluoro and RAD modality, AEC, DAP and Air
Kerma) are displayed on the main menu page together with all the generators commands.
The main movements of the table are doubled on the table-side control panel.
An automatic collimator sets the limits for the irradiated area. The collimator is square-
rectangular collimation type; in DRF mode it is adjusted so that the X-ray beam is aligned to the
image receptor within the whole range of movements (minimum and maximum SID) and column
angulation (from –40° to +40°) according to IEC 60601-2-54 standard.
All the movement commands are "deadman".
Apollo EZ/DRF was designed and built in compliance with European directives for obtaining the
CE mark as specified in the European Directive 93/42 for Medical Devices, guaranteeing the
highest safety for both the operator and the patient.
Apollo EZ/DRF is available with both standard and optional accessories. The following table lists
all available accessories making the distinction between standard, being those normally supplied
with the equipment, and optional accessories that need to be specifically requested when ordering.

Rev. 5
Ref. Description Accessory type
A Patient footrest Standard

B Patient handgrip (No. 2 items) Standard
C Shoulder rest Optional
D Leg rest (No. 2 items) Optional
E Band-tightener with compression band Optional
F Cassette side support Optional
G Patient loading step Optional
B
A C
D
E
Figure 5: Tabletop accessories
All accessories are easily applied as they are mounted directly on the tabletop's profile.

Rev. 5
Warning
• Check that the accessories are securely fastened before positioning the patient for
the examination.
• Check that the patient footrest is properly engaged and locked to the table top
metallic profile; the correct position is reached when both the unlocking buttons
are completely out and it is not possible to see the red line on the buttons area.
If the condition is not reached, using the handles, move the footrest without
pressing the buttons, until it locks properly (red line on the buttons area no more
visible).
Warning
In case of presence of shoulder rest (accessory type "C"), on table top will be present
labels indicating the side where it is possible to install foot rest.
NEVER insert foot rest in table top side where is present the prohibition label.

Rev. 5
4.3 Touch screen command console

The remote controlled Apollo EZ/DRF table is equipped with a command console with the
following functions:
Figure 6: Command console top view

Topview description:
1 System ON button
2 System OFF button
3 Emergency button
4 Touch screen
5 Preparation button
6 Exposure button
7 Collimator axis control joystick
8 Angulation and compressor control joystick
9 SID and tilting control joystick
10 Tabletop longitudinal movement (for 4-way tabletops only), stored positions
and function control joystick
11 Tabletop and scan control joystick
12 Intercom microphone
13 Intercom loudspeaker

Rev. 5
Figure 7: Command console rear view
Rear view description:

1 4 DRF 4343 remote ON/OFF switch

Rev. 5
4.3.1 Room console (Optional)
A second touch screen console can be added on request in the examination room.
This console has the same positioning functions as the main console, but in any case no generator
interface is available. Moreover it is not equipped with bidirectional audio intercom device.
On the activation of one or more commands on one of the two consoles, the other will be disabled
until the commands are released on the first activated one.

Rev. 5
4.4 Keyboard on the table

The remote controlled Apollo EZ/DRF table is equipped with a keyboard on the table presenting
the following commands:
Figure 8
Description of buttons of the table on-board keyboard:

1 Collimator light on-off
2 Head side scan command
3 Internal side tabletop command
4 External side tabletop command
5 Feet side scan command
6 SID control UP
7 SID control DOWN
8 Right side tabletop control
9 Left side tabletop control
10 Tabletop centering command
11 Angulation centering command
12 Head side angulation command
13 Feet side angulation command
14 Tendelenburg tilting command
15 Vertical tilting command
16 Tilting centering command

Rev. 5
4.5 Collimator panel

7
1 2
4 5
8 6 8
Figure 9
Collimator panel description:

1 SID display
2 Angulation display
3 Beam size display
4 Additional Filter selection command and display
5 X-ray ON indicator
6 Collimator light ON/OFF
7 Table movement commands (Scan, Transversal tabletop, Angulation)
8 Collimator beam manual adjustment knobs

Rev. 5
4.6 X - ray control pedals

pedal s
1 2
Figure 10
Pedal commands:
1 PREP and RAD pedal control button
2 Fluoro and Fluoro Store pedal control button

User Manual – Technical data
Rev. 5
5. TECHNICAL DATA
5.1 Technical features
Warning
Operator's Manual.
General features
Type of equipment Apollo EZ/DRF
Manufacturer VILLA SISTEMI MEDICALI S.p.A.
Buccinasco (Milan) Italia
Class
Class I with type B applied parts
Grade of protection in compliance with IPX0

IEC 60529 standard regulation
Operating mode Continuous functioning
Use Equipment not suitable for use in presence of
inflammable anaesthetic mixtures
Electric features
Available voltage 3N~ 380/400 Vac ±10%
3N~ 415/480 Vac ±10%
Frequency 50/60 Hz
Absorbed current 5 A @ 380/400 Vac
4 A @ 415/480 Vac
Fuses on insulation transformer T1 T 7A H – 500V @ 380/400 Vac
(F1, F2, F3) T 6A H – 500V @ 415/480 Vac
Device protection 8 A with magnetothermic circuit breaker
Power 3 kVA
Line impedance < 1.0 ohm @ 380/400 Vac ±10%
< 1.0 ohm @ 415/480 Vac ±10%
Load voltage drop < 2 % @ 380/400 Vac ±10%
< 2 % @ 415/480 Vac ±10%

User Manual - Technical data
Rev. 5
Mechanical features
Table weight 860 kg (1892 lbs) – 2 way tabletop
960 kg (2112 lbs) – 4 way tabletop
Height horizontal table and minimum SID 229 cm (90.2")
Height horizontal table and max SID 299 cm (117.7")
Total width with tabletop completely 198 cm (78.0")
retracted 228 cm (89.8") with patient loading step
Length (horizontal table) 225 cm (88.6") - 2 way tabletop
345 cm (135.8") - 4 way tabletop
Total length with +90 /-30 max SID 369 cm (145.3")
Minimum tabletop height from the ground 83 cm (32.7")
Electric cabinet containing all electric and 52 x 55 x 195 cm
electronics controls (20.4" x 21.6" x 76.8")
Electric cabinet weight 145 kg (320 lbs)
Runs
Tilting + 90° / - 30°
Longitudinal tabletop 120 cm = ± 60 cm
(with 4 way tabletop only) (47.2" = ± 23.6")
Transversal tabletop 35 cm = ± 17.5 cm (13.8" = ± 6.9")
Scan 134 cm (52.8") – 2 way tabletop
117 cm (46") – 4 way tabletop
Source-to-detector distance 110 - 180 mm (43.3" - 70.9")
Angulation + 40° / - 40°
Compressor (cone run in X-ray field) 37 cm (14.6")
Tube rotation + 180° (cw) / - 90° (ccw); stop points at 0°,
±15°, ±30° and then every 10° until the limits
Collimator rotation + 45° / - 45°

Rev. 5
Speed
Tilting Slow 4.5 °/sec
Fast 6 °/sec (adjustable)
Longitudinal tabletop (for 4 way tabletop 5.5 cm/sec (2.2"/sec) ±10% (fixed)
models only)
Transversal tabletop 5 cm/sec (2"/sec) ±10% (fixed)
Scan Motorized progressive variable speed: the
movement starts slowly for accurate
adjustments and is progressively increased for
quick run over long distances.
Maximum speed 20 cm/sec (7.9"/sec)
Source-to-detector distance Up: 2.3 cm/sec (0.9"/sec) standard; 3 cm/sec
(1.2"/sec) max
Down: 3.5 cm/sec (1.4"/sec) standard;
4.5 cm/sec (1.8"/sec) max
Tolerance ±10%
Angulation 11°/sec (adjustable)
Compressor 5 cm/sec (1"/sec) (adjustable)
Tabletop
Max patient weight Up to 200 kg (440 lbs), without any movement
limitations
Dimension 210 x 74 cm (82.7" x 29") – 2 way tabletop
225 x 74 cm (88.6" x 29") – 4 way tabletop
Dimension of the radio-transparent zone 201.4 x 55.6 cm (79.3" x 21.9") – 2 way tabletop
213 x 50 cm (83.9" x 19.7") 4 way tabletop
Tabletop height from floor 83 cm (32.7") (with standard under-floor
installation plate) in the center of the tabletop
Surface Flat
Standard material Laminated
Optional material Microsandwich: carbon fiber+rohacell+HPL
Filtration for standard model ≤ 1.1 mm Al eq @ 100 kVp SEV 3.6 mm Al
Filtration for Microsandwich model ≤ 0.5 mm Al eq @ 100 kVp SEV 3.6 mm Al
Minimum distance between central X-ray 38 cm (14.9") both sides for 2-way tabletop
beam and tabletop edges 0 cm (0") for 4-way tabletop
Skin to detector distance 10 cm (3.9") minimum for 2-way tabletop
10.5 cm (4.1") minimum for 4-way tabletop
Accessories holder guides Integrated

Rev. 5
Accessories for tabletop

Footrest (standard) Support surface 30 x 55 mm (11.8" x 21.6") ca
Handgrips (standard) Ergonomic
Headrest and shoulder rest (optional) With shoulder stoppers
Compression band (optional) With winder
Legs support (optional) Adjustable
Lateral cassette holder (optional) Adjustable for lateral projections
Patient loading step (optional) Folding
Detector holder
AEC Pre-set
Grid Stationary, optimized for use with Flat Panel
Parkable
Multi-Grid system Motorized insertion of two grids optimized for
two different examination protocols:
- grid 1: focal 120 cm (43") for general rad exams
- grid 2: focal 180 cm (72") for chest exams
- no grid: for pediatric and extremity exams
Collimator
2 axis collimator Rectangular and square
Additional filtration (optional) With additional filters motorized movement
(2 mm Al / 1 Al + 0.2 mm Cu / 1 Al +
0.1 mm Cu)
Limitation Automatic
Manual by means of joystick on touch screen
console and buttons on collimator
Operating mode Automatic with / without Hold mode
Light for centering With timed LED source (min 160 lux @ 1 m) or
with on-demand switching off
Minimum dimension X-ray field @ 1m < 1 cm2 (0.39 inch2)
X-ray field coverage @ 1 m > 43 cm2 (17 inch2)
Stray radiation ≤ 40mR/h @ 150 kVp 4mA
Minimum filtration 2 mm Al eq @ 100 kVp SEV 3.6 mm Al
Maximum filtration 8 mm Al eq @ 100 kVp SEV 3.6 mm Al (with
1mmAl+0,2mm Cu filter inserted)

Rev. 5
Compressor
Useful distance between compressor and 13 ÷ 50 cm (5.1” ÷ 19.7”)
tabletop
Compression force 3 kg (6.6 lbs) to 15 kg (33.1 lbs) with 0.5 kg
(1.1 lbs) step
Tomography
Type Semi arc / flat with electronic algorithms
Max. layer position 35.0 cm (13.8")
Layer adjust 0.1 cm step
Automatic layer increase Selectable with automatic increase based on
the Tomo angle
Speed 11.2 – 22.4 °/sec (modifiable)
Angles 7° – 20° – 30° – 45°
Tomography exposure times (in sec) Degrees 1^ 2^ 3^ 4^
speed speed speed speed
7° 0.6 0.5 0.4 0.3
20° 1.8 1.3 1.1 0.8
30° 2.5 1.9 1.7 1.2
45° 3.7 2.8 2.5 1.7
Direction Right to Left or vice versa (selectable)
Scan movement range Tomography is allowed for variable scan
positions depending on the selected angle and
layer
Tomosynthesis (optional)
Type Semiarc / plane with electronic algorithm
Layer max height 35.0 cm (13.8")
Layer adjust 1 mm step
Speed 5.33 °/sec (Thales RF4343 F3/F4 detector)
4.0 °/sec (Thales RF4343 FL detector)
Angles 40° (± 20°)
Direction Right to Left or vice versa (selectable)
Tomosynthesis scan duration (sec) Scan Thales Thales
Exposure type: pulsed RAD range RF4343 F3/F4 RF4343 FL
20° 3.75 5
30° 5.65 7.5
40° 7.5 10

Rev. 5
Stitching (optional)
Type 2, 3, 4 contiguous images acquired and
stitched; scan, SID, angulation adjusted each
step
Scan Step (cm) 30 cm
Number of Stations 2, 3 or 4
Scan Direction Left-Right or Right-Left (user selectable)
SID Can be set at installation: 140 cm to
180 cm
Overlap Default 8 cm (can be changed by Service
Technician)
Tomosynthesis scan duration (sec) Step Sec
Exposure type: pulsed RAD 2 7
3 13
4 22
Scan movement range Allowed on the whole scan range.
Commands
Movement commands on the console with joystick
on the table with buttons
Function commands on the console
User interface with graphic touch screen, function keys
Command characteristics with deadman
Movements safeties single fault on the HW chain responsible for
the movement and the feed back
Environmental conditions
Operating conditions Temperature: from +10 to +40°
Humidity: from 30 to 75 %
Pressure: from 700 to 1060 hPa
Transport and storage conditions Temperature: from -20 to +70°
Humidity: ≤ 95% non-condensing
Pressure: > 630 hPa

Rev. 5
5.2 Standards and regulations
Warning
Operator's Manual.
Apollo EZ/DRF was designed and built in compliance with the following regulations:
IEC 60601 1:2005, IEC 60601-1:2005/AMD1:2012
Medical electrical equipment - Part 1: General requirements for basic safety and essential
performance
IEC 60601-1-2:2014
Electromagnetic compatibility – Requirements and test
IEC 60601-1-3:2008, IEC 60601-1-3:2008/AMD1:2013
Medical electrical equipment - Part 1-3: General Requirements for Radiation Protection in
Diagnostic X-Ray Equipment
IEC 60601-1-6:2010, IEC 60601-1-6:2010/AMD1:2013
Medical electrical equipment - Part 1-6: General requirements for safety - Collateral Standard:
Usability including IEC 62366: Application of usability engineering to medical devices.
IEC 60601-2-54:2009, IEC 60601-2-54:2009/AMD1:2015
Medical electrical equipment - Part 2: Particular requirements for the basic safety and essential
performance of X-ray equipment for radiography and radioscopy
IEC 62366:2007, IEC 62366:2007/AMD1:2014
Medical devices – Application of usability engineering to medical devices
IEC 62304:2006, IEC62304:2006/AMD1:2015
Medical device software - Software life-cycle processes.
0051 The EC symbol certifies the conformity of Apollo EZ/DRF to Directive 93/42/EEC
and its revised version.
The Manufacturer, according to the Directive 93/42/EEC is:

Villa Sistemi Medicali S.p.A.
Via delle Azalee, 3
20090 Buccinasco – MILANO (Italia)

Rev. 5
Versions FDA approved are in compliance with the standard indicated below:
CFR 21
Code Federal Regulation. Sub Chapter J
Versions 415/480V are manufacturer in compliance, more than above listed standards, also with
as indicated below:
CAN/CSA-C22.2 No 60601-1:14
Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential
Performance
ANSI/AAMI ES60601-1:2005/A2:2010/®2012
Medical electrical equipment, Part 1: General requirements for basic safety and essential
performance.

Rev. 5
5.3 Footprint dimensions
5.3.1 Version with 2 way tabletop
Figure 11
Rev. 5
5.3.2 Version with 4 way tabletop
Figure 12

User Manual – Preliminary operations
Rev. 5
6. PRELIMINARY OPERATIONS
OPERATIONS
6.1 O N and OFF

O FF operation
The Apollo EZ/DRF table is switched ON depending on the type of connection implemented for
the system. If the generator console is integrated into Touch Screen Console (TSC), ON and OFF
buttons are located on the upper-left corner of the TSC (see Figure 6).
In case the generator console is not integrated in the TSC, the ON/OFF buttons are located in
the upper-left corner of the generator console itself.
Note
Start-up requires about one minute.
Subsequently one of the following two pages ("DRF" or "DIRECT") will appear, depending on the
workplace currently selected on the generator, if "DRF" or "DIRECT". In both cases, the screen
shows the position data of the unit, and the command keys available for the active modality.

User Manual - Preliminary operations
Rev. 5
Figure 13: DRF Mode (generator console integrated into Touch Screen Console)
Figure 14: DRF Mode (generator console NOT integrated into Touch Screen Console)

Rev. 5
Figure 15. Direct Mode (generator console integrated into Touch Screen Console)
Figure 16: Direct Mode (generator console NOT integrated into Touch Screen Console)

Rev. 5
6.2 Touch Screen

The screen is divided into working areas described in the following figure:
1 2 3
4 5
Figure 17
Touch Screen Legend:

1 Geometrical position of the table: Angulation, Tilting, SID, Collimator and Grid
2 Operating mode and selected user
3 Setup menu and camera live image commands
4 Operator's message area
5 WARNING message area

Rev. 5
6.3 Key conditions

The keys on the touch screen can have three conditions:
Not Selected
Inactive
Selected

Rev. 5
6.4 "SETUP" page

Pressing the "SETUP" key in the upper right corner of the screen, allows to access the parameters
setup page.
Figure 18: "SETUP" page
Note
The "Position set data transfer" menu is reserved for the service technician. For the
use mode, refer to the related chapter in the Service Manual.
Upon receipt from DRF 4343 of the first examination, the menu will be disabled until
next time the table is switched on.
To exit the "SETUP" page, use the "Ret" key that takes the place of the "SETUP" key on the
screen.
The following paragraphs describe the custom setting options.

Rev. 5
6.4.1 User settings menu
This function gives the possibility to store settings for five different users.
On start-up, the box will display the last user selected before the system was turned OFF or no
user if the settings were not assigned.
It is now possible to:
• Select, with the related drop-down menu, a user already stored
• Proceed with the available options or change them according to preference
Note
Any option setting changes concerning the user selected, will determine the return to
a generic user status (user field blank).
• Create a new user or overwrite an existing one.
To create a new user:

1. Set the menu options that you want to associate with the new user, including the language.
2. Open the "User" drop-down menu by clicking the arrow on the bottom-right and hold down
the button related to the user until the following window appears:

Rev. 5
3. Keep the "Change Name 'USER-X' " pressed to set the user name using the alphanumeric
keypad displayed; confirm with the key (Enter).

4. Save the settings by keeping the "Store ' USER-X ' " key
5. Press the "Exit" key to exit the function.
Note
The selected user will also be displayed in the information area of the main menu
screen (Figure 17).

Rev. 5
6.4.2 Language selection menu
This function allows to set the desired language via the drop-down menu by clicking the arrow
on the bottom-right.
6.4.3 "Beep on Keypress"
This setting allows to enable (Yes) or disable (No) an acoustic signal when keys are pressed.
6.4.4 "Units"
This function allows to set the display of the units of measure from "cm / kg" to "inch / lbs".

Rev. 5
6.4.5 "Fluoro-
"Fluoro - store"
If enabled, Fluoro store will be activated via the second switch of Fluoro pedal.
6.4.6 "Orientation"
This setting allows to coordinate the movement of the tabletop control joystick and the scan
referring them to the movement of the table or the display on the monitor (see paragraph 7.2.3).
6.4.7 Intercom audio volume levels
The intercom audio volume levels can be independently set, 0% to 100%, for Operator side (OPE),
Patient Side (PAT), Automatic Message (MSG).

Rev. 5
6.4.8 "Tomo Direction"
This setting allows to modify the Tomography and Tomosynthesis direction (Left-Right / Right-
Left) (see paragraph 10.1.1 and 10.1.2).
6.4.9 "DAP Test" (G100RF Rev.Q only)
This key will be displayed only in case of integrated generator console, if the DAP is available in
the system. This function allows to perform DAP test: 'DAP Test' is replaced by the string 'DAP
Test: doing…'. When the test is finished, the string will display 'DAP Test: Passed!' or 'DAP Test:
Failed!'.
6.4.10 Automatic centering
These keys allows the automatic centering of the movements (see paragraph 7.2.1).
The tilting speed of the table can be increased by selecting key (see paragraph 7.2.5).

Rev. 5
6.4.11 "Receptor Selection"
These keys will be displayed only in case of integrated generator console and allow to select the
different workplaces as defined into the system. Typically WS1 will be the DRF workplace, WS2
the Wi-Fi detector workplace (if available), AUX the DIRECT workplace.
Note
Each single workplace can be enabled or disabled according to system configuration
and a custom name can moreover be assigned. Only enabled workplace buttons will be
displayed.
These operations can only be set by Technical engineer.

User Manual – Operating functions
Rev. 5
7. OPERATING FUNCTIONS
7.1 Touch Screen collimator

c ollimator
The Apollo EZ/DRF table is equipped with a square-rectangular collimator with which will operate
in different modes, according to the selected exam.
The collimator is provided with a LED lamp projecting a light beam the same size and shape as
the X-ray beam.
The user interface consists of:

• Touch Screen display, which includes a filter selection button and displays useful data
• Movement command buttons
• Light button
See Figure 19 for a complete description of available commands and displayed data.
1 2
4 5
8 6 8
Figure 19

User Manual - Operating functions
Rev. 5
Ref. Description Units Details

1 SID display cm/inch The SID icon will change according to the operating
modality. Unit of measure is set via Touch Screen console.
2 Angulation degree Displays angulation value, in the range -40°<--->+40°.
Value not displayed if tube is NOT at 0°.
3 Beam size cm/inch Unit of measure is set on the Touch Screen console.
4 Additional Filter n.a. The selected filter is displayed on the button icon. The
selection filter can also be selected via the Touch Screen console.
command and The cyclic selection sequence is:
display (optional) No Filter, 2 Al, 1 Al + 0.2 Cu, 1 Al + 0.1 Cu.
5 X-ray ON n.a. This icon is displayed yellow when X-ray exposure is
active (Fluoro or RAD).
6 Collimator light n.a. This button switches ON or OFF the light. The light is
automatically turned ON when activating scanning,
tabletop, collimation, angulation; it is turned OFF after 30
sec.
7 Movement n.a. These buttons replicate scan, transversal tabletop,
commands angulation commands
8 Collimator beam n.a. Allow to manually set the beam size
adjust knobs

Rev. 5
7.1.1 Collimator working modalities
 Description
There are three different working modalities for the collimator, each one with some
difference in the behaviour and for some display details.
 Operation
• Undertable exposure (standard

( standard DRF modality)
modality )
– SID displays the distance between focal spot and DRF detector, both on the Touch
Screen console and on the collimator Touch Screen.
– The beam size is referred to the DRF detector surface. It can be manually adjusted
within the Field Of View size. It will be automatically adjusted when changing SID.
– SID icon:
• Over table direct exposure

An external detector (wireless digital, film, CR) is used to acquire the single RAD image,
the tube is at 0°, i.e. not rotated.
– SID displays the distance between focal spot and tabletop surface.
– The beam size is referred to the SID as above defined, i.e., to the tabetop surface.
It is not automatically limited and can be manually adjusted: it is up to the operator
to fit the desired size inside the area of the external detector. It will be
automatically adjusted when changing SID.
– SID icon:
– “DIRECT” string is displayed above the SID icon:

Rev. 5
• External direct exposure

An external detector (wireless digital, film, CR) is used to acquire the single RAD image,
the tube is NOT at 0°, i.e. it is rotated with respect to the perpendicular to the tabletop.
– SID displays the distance between focal spot and detector, but it cannot be
automatically calculated: it has to be manually entered by the operator via the "+"
and "-" keys on collimator Touch Screen. Valid range is 50 cm to 250 cm (18" to
100"). The first value displayed when entering this mode is the last one previously
displayed in red, or "---" at start-up.
– The beam size is referred to the SID as above defined. It is not automatically
limited and can be manually adjusted: it is up to the operator to fit the desired size
inside the area of the external detector used.
– The Touch Screen console shows "---" instead of the SID value.
– “DIRECT” string is displayed above the SID icon.
– Angulation value is NOT displayed.
– SID icon:

Rev. 5
7.1.2 Collimator rotation

r otation
The collimator can be rotated around the vertical axis within the range +/- 45°. The 0° degree
rotation (i.e., alignment with the DRF detector) is set with a mechanical stop point.
When the collimator is rotated, the message "Collimator not at 0°" is displayed on the Touch
Screen it can be used both in DRF and Direct Mode (over table or external). In DRF mode, in
order to avoid the beam to be collimated externally to the detector area, X and Y shutters of the
collimator will be limited to a square whose diagonal is no greater than the FOV size:
• FOV 43x43 means maximum size = 43/sqr(2) = 30 cm

Rev. 5
7.1.3 Collimator a utomatic aperture
 Description
The collimator is automatically positioned on the format pre-set in the examination
procedure selected on DRF 4343.
In stand-by, or during fluoroscopy, the operator may manually change the size of the
collimation using the related joystick.
In radiography, the collimator keeps the beam size previously defined; if any manual
adjustment is done, after having selected the procedure on the workstation and before
exposure, it holds the last adjusted position.
Note
The zoom selection 20x20cm or 30x30cm takes precedence on the collimator format.
Paragraph 1.13 describes how to select the zoom level.
 Operation
• DRF mode
Using the joystick controls and the controls on the panel of the collimator, an aperture
of any size can be set between the maximum and minimum size available. Maximum
available size is given by the active Field Of View (FOV): 43x43, 30x30, 20x20 or 15x15.
When one or both axes are in a position corresponding to the minimum, the display
shows the message:
<< Collimator closed >>

Rev. 5
• Direct Mode
The automatic collimation can never be set in the direct mode.
Size and shape of the beam can be freely adjusted by the user. It is in this case exclusive
responsibility of the user the proper adjustment of X-ray beam with respect to the
placement of the external image detector.

Rev. 5
7.1.4 Collimator manual mode.

mode .
(only for examinations performed with direct mode)
 Description
The manual adjustment function of the collimator allows to freely move the axes of the
collimator from the minimum to the maximum position without any constraints related to
the SID or other constraints and is mainly used in examinations with direct mode.
Warning
To reduce the amount of radiation in manual mode, the opening of the collimator should
be reduced and the maximum source to image receptor distance (SID) implemented
based on the type of examination in progress.
 Operation
The manual collimation function is enabled by just activating the Direct mode.
Thanks to the manual collimator function, projections can be performed on a wall stand or
on cassettes, CR or wireless detector in direct contact with the patient freely moving the
axes of the collimator from the minimum to the maximum position, through relevant
joysticks or via the commands on the collimator panel.
When one or both axes are in a position corresponding to the minimum, the display shows
the message:
<< Collimator closed >>

Rev. 5
7.1.5 Motorised additional filters (optional)
If the collimator with additional motorized filters option is available, on receipt of the APR mode
settings from the DRF 4343 workstation, the additional filter selected from the following will be
displayed:
• NO FILT no additional filter
• 2 Al 2 mm of Al are positioned on the beam in addition to the filtration of the
unit
• 1 Al 0.2
0. 2 Cu 1 mm of Al + 0.2 mm of Cu are positioned on the beam in addition to the
filtration of the unit
• 1 Al 0.1
0. 1 Cu 1 mm of Al + 0.1 mm of Cu are positioned on the beam in addition to the
filtration of the unit.
The following message is displayed if the additional filter is not in position:
<< Collim. filter out of position >>
X-ray exposure is not allowed under this condition.

Rev. 5
7.2 Movements
This paragraph will describe the movements of certain parts of the apparatus obtained manually,
thanks to the joystick on the control console or through the keys on the table control panel.
These movements are:
• Angulation
• Tabletop and Scan (Detector-tube)
• Tilting
• SID
• Compressor
• Tube-collimator unit.
During the movements listed above, the apparatus is able to detect potential collision between
parts of the apparatus and the barriers within the room and automatically limit the movements
to prevent risks or damage (see paragraph 7.3.1 – Collision limits).
However, the operator must always pay close attention during the execution of the table's
movements, to avoid any risk to the patient.
Apollo EZ/DRF can be equipped with anti-entrapment devices that stop the angulation and
tabletop inside movements if the patient is in contact with those areas where anti-entrapment
sensors are placed.
In these cases the angulation and/or tabletop inside movements are automatically stopped and
only the opposite direction of the movement that caused the entrapment can be performed.
Apollo EZ-DRF is equipped with anti-entrapment devices to avoid that parts of the staff in the
vicinity become trapped between the tabletop side support during vertical tilting an additional
circuit is incorporated in this system which blocks the movement in the event that patient is
trapped between the tabletop and the beam or column.
If the intervention occurs during one or more movements, no movement will be permitted until
the release of all joysticks that are pushed at the time, except for tilting and angulation that if
pressed in automatic will move of 5 degree in the opposite direction to that at the time of the
intervention.
Once the joysticks are released, if the tapping is freed through the automatic movements, all
movements will be enabled once again. Otherwise it is assumed that trapping is due to the
movement of the transversal tabletop, therefore only that movement will be enabled again in the
opposite direction to that detected when trapping occurred.
If the intervention is detected with the machine ON without any movement active, only tilting
movement to the zero Trendelenbourg position will be permitted.

Rev. 5
7.2.1 Automatic
Aut omatic centering system
 Description
The Apollo EZ/DRF table allows the automatic cente
cent e ring of the tabletop in relation to the
X-ray beam according to the choice made in the "SETUP" page (Figure 18).
 Operation
By selecting key the angulation movement will stop during its run so that it is
perpendicular to the image receptor, and releasing it and pressing the corresponding joystick,
the angulation run resumes. Centring can be accessed by means of key "11 1" on the table.

Rev. 5
By selecting key the tilting movement will stop during its run so that it is perfectly
horizontal, and releasing it and pressing the corresponding joystick, the tilting run resumes.
Centring can be accessed by means of key "11 6 " on the table.
By selecting the longitudinal tabletop key (active only with 4-way tabletop) the
tabletop movement will stop during its run so it can be centred in relation to the X-ray
beam; releasing it and pressing the corresponding joystick, the run of the tabletop resumes.

Rev. 5
By selecting the transversal tabletop key the tabletop movement will stop during its
run so it can be centred in relation to the X-ray beam, and releasing it and pressing the
corresponding joystick, the run of the tabletop resumes. Centring can be accessed by means
of key "11 0" on the table control panel (Figure 8).
 Limitations
• The movement of tube-spot film device scan will be inhibited when the following
message is displayed:
<< CEIL. TUBE IN FIELD >>
This is caused by an accessory present in the room (ceiling suspended tube) out of the
park position.
• The movement of the tube-spot film device scan is limited in particular tilt and table
eight conditions to avoid collisions.
In these cases, by acting on the scan movement command, the display shows:
<< SCANNING LIMIT >>
accompanied by an audible signal.

Rev. 5
7.2.2 Angulation movement
 Description
The angulation movement allows the angulation of the column within a range between +40°
and -40°, allowing oblique projections of the organs to be examined. The tilt value in degrees
is displayed.
 Operation
The angulation towards the head of the table (negative angle) is obtained by moving the
joystick to the left or by pressing key "11 2 " on the table (Figure 8).
In contrast, the angulation towards the feet side of the table (positive angle) is obtained by
moving the joystick to the right or by pressing key "11 3 " on the table.
The movement stops automatically in correspondence with the end run (±40°).
Key "11 1 " on the table can be used to vertically centre the column in relation to the table.
Activating the movements joystick, automatic centering can be achieved if the button
has been activated as described in paragraph 7.2.1.
Warning
When the angle of angulation approaches the value of +40 or -40 collision can occur
between the collimator and the patient's footrest. Therefore, check the position of the
scan during the angulation, to prevent this risk.
Note
The movement is limited if the angulation control of the column is activated when the
compressor is not in the parked position, (see paragraph 7.2.7, point "Activation of
angulation movements").

Rev. 5
 Limitations
The angulation of the column is inhibited when:
• Tilting movement active
• Tomography function is active
• When the following message appears:
indicating that there is an accessory in the room that could cause conflict with the
Apollo EZ/DRF table and is not in the park position.

Rev. 5
7.2.3 Tabletop - Scan movement
 Description
The Apollo EZ/DRF table allows the broad coverage of the patient both transversely through
the movement of the tabletop, and longitudinally through the scan movement.
 Operation
The movements of the tabletop and the scan are controlled by the control console of the
Apollo EZ/DRF table through the joystick.
Unlike other commands, the movements associated with the joystick change depending on
the orientation-movements mode selected by the operator on the "SETUP" page (Figure 18),
using keys:
The operating logic of the two modes is as follows:
1. The "MONITOR" orientation mode is activated by selecting the key which

co-ordinates the movements of the joystick to the movement of the image displayed
on the monitor.
In this mode the movements associated with the operation of the joystick are:
• Joystick down:
down scan movement towards head
• Joystick up:
up scan movement towards feet
• Joystick right:
right outward movement of the tabletop
• Joystick left:
left inward movement of the tabletop.

Rev. 5
Note
When installing the system, the direction of movement can be set upside down from
what is described, depending on the user's needs.
If image inversion commands are activated, the movements are automatically reversed
to maintain the movement in phase with the image.
With the left/right inversion the movement of the tabletop is inverted, with the
up/down inversion, the scan is inverted.
2. The orientation mode is activated by selecting the "TABLE" key which

co-ordinates the movements of the joystick to the actual movement of the table.
• Joystick down:
down outward movement of the tabletop
• Joystick up:
up inward movement of the tabletop
• Joystick right:
right scan movement towards feet
• Joystick left:
left scan movement towards head.
The movements of the tabletop and the scan can also be controlled using keys "2
2, 3, 4, 5"
on the table control panel.
• key "3" activates the inward movement of the tabletop

• key "4" activates the outward movement of the tabletop
• key "2" activates the scan towards the head side
• key "5" activates the scan towards the feet side.
The movements controlled by these keys are independent of the orientation mode set on
the console.

Rev. 5
The system also allows automatic centering of the tabletop in relation to the X-ray beam.
Centering is performed with key "11 0 " on the table control panel. Moving the movements
joystick downwards, automatic centering can be achieved if the button has been
activated as described in paragraph 7.2.1.
Warning
In the event the movement controls of the tabletop or tube-spot film device scan are
activated when the compressor is not parked, the compressor is automatically
commanded to the parked position for a moment before the tabletop or scan start
their movement.
 Limitations
The movement of the scan is inhibited in the following conditions:
• Tilting movement active
This is caused by an accessory present in the room (ceiling suspended tube) out
of the park position.
The movement of the scan is limited in particular tilt and table height conditions to avoid
collisions.
In these cases, by acting on the scan movement command, the display shows:
<< SCANNING LIMIT >>
The tilt of the table must be altered to remove this condition.

Rev. 5
7.2.4 Longitudinal tabletop movement (for 4-

4- way tabletop version
only)
 Description
This movement will allow the movement of the tabletop along the longitudinal axis of the
patient.
The maximum longitudinal movement is ± 600mm (23.6") in relation to the central position.
 Operation
The longitudinal movement of the tabletop is controlled by the related joystick on the Apollo
EZ/DRF table control console.
Unlike other controls, the movements associated with the joystick change depending on the
orientation-movements mode selected by the operator on the "SETUP" page (Figure 18)
using keys:
The operating logic of the two modes is as follows:
1. The "MONITOR" orientation mode is activated by selecting the key which

co-ordinates the movements of the joystick to the movement of the image displayed
on the monitor.
• Joystick right:
right tabletop movement to the left
• Joystick left:
left tabletop movement to the right.
Note
When installing the system, the direction of movement can be set upside down from
what is described, depending on the user's needs.

Rev. 5
If image inversion controls are activated, the movements are automatically reversed to
maintain the movement in phase with the image.
With the up/down inversion the movement of the longitudinal tabletop is inverted.
2. The orientation mode is activated by selecting the "TABLE" key which

co-ordinates the movements of the joystick to the actual movement of the table.
• Joystick right:
right tabletop movement to the left
• Joystick left:
left tabletop movement to the right.
The movement of the longitudinal tabletop can also be controlled by keys "8
8 " and "9
9 " on the
table control panel.
• "8
8 " key activates the movement of the tabletop to the right
• "9
9 " key activates the movement of the tabletop to the left.
The movements controlled by these keys are independent of the orientation mode set on
the console.
Warning
In the event the movement controls of the longitudinal tabletop are activated when
the compressor is not parked, the movement will be inhibited and the compressor is
automatically commanded to the maximum raised position before the tabletop starts
its movement.
 Limitations
To avoid collisions due to the tilt of the table or the size of the room, the longitudinal
tabletop movement is restricted in certain conditions.
In these cases, by acting on the tabletop movement control, the display shows:
<< LIMIT TABLE TOP >>

Rev. 5
7.2.5 Tilting movement
 Description
This movement included in a range between +90° and -30°, allows to perform examinations
on the patients in an upright position (+90°), horizontal position (0°), Trendelenburg position
(-30°) or in all intermediate positions.
The tilt value in degrees is displayed.
Angles towards the Trendelenburg position are intended as negative.
 Operation
Tilting is achieved towards the Trendelenburg position (negative angles) by moving joystick
to the left or by using key "11 4 ".
The movement stops automatically in correspondence with the end run (-30°).
This also applies for the opposite side of the joystick or key "115 ".
Press key "11 6 " on the table control panel (Figure 8) to obtain the automatic horizontal
centring. Automatic centring can be performed by means of the movement joystick, pressing
button as described in paragraph 7.2.1.
The tilt function is designed to maintain the position of the table as close as possible to the
ground at any angle, for maximum comfort of the patient.
The Apollo EZ/DRF table gives the operator the chance to choose between two tilting
speeds, slow and fast .
This setting makes the movement of the patient more comfortable.

Rev. 5
The speed of the position transfer can be increased by selecting a higher tilting speed with
key .
When the spot film device scan is in a position where the angulation motor exceeds the slow
zone (set during installation), the tilting movement slows down and changes its functionality
in order to exit this condition.
The advantage of this feature is to allow the operator to complete the positioning without
stopping the movement and without changing the position of the scan.
 Limitations
The tilting movement is inhibited when:
• Angulation movement is active
• Compressor movement is active
• The following message is displayed:
park position.

Rev. 5
7.2.6 Source-
Source - Detector distance movement (SID)
 Description
The movement can change the distance between the source and the image receptor to
change the magnification of the object and adjust the device to different types of
examination.
The value of the actual distance, expressed in centimetres or inches depending on the
selection set during installation, is displayed.
 Operation
The SID is increased by pushing the joystick upwards or by pressing key "6 6 " on the table
control panel (Figure 8). Whereas, the SID is decreased by pushing the joystick downwards
or by pressing key "7
7 " on the table control panel.
The movement stops automatically in correspondence with the end run.
 Limitations
The movement is prohibited:
• When the tomo function is active
park position.

Rev. 5
7.2.7 Compressor
 Description
The compression device is applied for the examinations of the digestive system.
Warning
The SID must be set at a value greater or equal to 110 cm (43.3") to insert / remove
the compressor cone.
The movement of the compressor is made by the up/down movement of the compression
cone in relation to the tabletop.
The compression force is not displayed with the cone absent. Furthermore, if the compressor
is in the beam (i.e not in the parked position), any movement, not of the compressor, will
cause the complete raising of the compressor (compressor out of beam).

Rev. 5
 Operation
Pushing the joystick down, the cone of the compressor will move into the X-rays beam and
then down towards the patient.
Pushing it upwards, the compressor will move up and then out of the X-ray beam.
The device is designed to apply compression forces between 3 and 15 kg (6.6 and 33.3 lbs)
with steps of 0.5 kg (1.1 lbs). Use keys and of the touch screen to set the
compression force; the assigned value is indicated in the box and will be displayed in "kg" or
"lbs" according to the choice made in the "SETUP" page (Figure 18), using keys:
When the cone is in contact with the patient the compression movement is automatically
stopped based on the force selected.
Note
The default compression force when the cone leaves the "PARK" position is always
equal to 5 kg (11.1 lbs).
Warning
In the case of failure of the compression force detection device, a safety circuit
interrupts the compression at a value slightly higher than the maximum force
(15 kg / 33.3 lbs).
When the compressor is in a different position from the park position, the following
conditions may occur:
• Activation of the angulation movement
– For controlled angulation movements with an angulation of the column within ±15°,
the compressor automatically performs a raising motion until the full release of
the patient. When release is complete, the movement is further activated to
achieve a safe distance between cone and patient.
In the event the cone is not touching the patient, the raising movement of the
compressor will be activated for a pre-set time.
The angulation movement will be enabled within a range of ± 15° by releasing and
pressing the Joystick.
– For controlled angulation movements with an angulation of the column greater
than +15° or lower than -15°, the compressor will automatically go to the park
position and then begin the angulation movement.

Rev. 5
• Activation of the tabletop or scan movements

The requested movement does not activated until the compressor reaches a patient
safety position as follows:
– if the compressor is not in contact with the patient and is not in the park position,
it performs a quick raising movement
– if the compressor is acting on the patient, it performs a movement to free the
patient and then completes the function raising briefly.
In both cases, an audible signal is emitted at the end of the movement.
At this point the movement joystick must be released and pressed again.
The compressor raising movement is "dead man", so the movement will stop if the
joystick is released during the ascent.
Repressing the joystick, the raising function is activated again disregarding the previous
partial raising movement.
Only when the raising function is completed will the 2 or 4 movements of the tabletop
and the 2 movements of the scan be free.
This allows to perform the movement of the patient in relation to the X-ray beam, or
vice versa, without risk to the patient.
The compression can be performed again once the desired movement has been
performed.
• Removal of the compression cone
If necessary the cone compression can be removed from the compressor device through
the quick release "A" (Figure 19).
 Limitations
The movement of the compressor is prohibited when the tomographic function is active.
Access to this function causes the movement of the compressor to the park position.

Rev. 5
Warning
If the apparatus stops when the compression cone is in contact with the patient, the
patient can be quickly released by removing the cone by means of the release lever
"A".
Figure 20

Rev. 5
7.2.8 Rotation of the tube-

tube - collimator unit
 Description
The rotation movement of the tube-collimator unit allows to project the X-ray beam on an
image receptor different from the Detector.
In order to perform exposures with the tube in a different position from 0° the direct
operating mode must be selected on the generator.
 Operation
Use the release handgrip on the side of the collimator to rotate the tube-collimator unit.
By pushing the release handgrip to the inside the tube can be positioned in one of the
following stop positions:
• counterclockwise:
counterclockwise 15°, 30°, 40°, til 90° with 10° step
• clockwise:
clockwise -15°, -30°, -40°, til -180° with 10° step
in relation to the central position (0°).
The tube locks when the handgrip is released.
The following message will be displayed on the touch screen control console:
<< Tube not at 0° >>
Note
When the tube is not in position 0°, the fluoro command is inhibited, while the PREP
and RAD commands are active on the generator, only if the direct mode workstation
has been set on the generator.

Rev. 5
7.3 Limitations and Safeties
7.3.1 Collision limits
All machine movements are software controlled to prevent collisions between elements of the
equipment and the surroundings (floor, walls, ceiling). The anti-collision system is programmed by
software during installation by the service technician that sets the dimensions of room.
The parts of the table that may collide with walls, floor or ceiling are: the extremities of the main
beam (corresponding to the extremities of the tabletop), the tube-collimator unit, the angulation
motor and the tabletop in the case of the 4-way version.
When one of these parts reaches the set safety limit, the movement stops and the display shows
a message, accompanied by an audible signal, indicating the part of the equipment that has
reached the limit.
When the ends of the beam, the tabletop or the compressor reach this limit the movements that
are moving the parts towards the danger are inhibited, while those moving away are not inhibited.
In the case of the 4-way version, if the collision limits with the floor are reached during tilting,
the SW will have to manage the return of the tabletop scan assembly maintaining the centre of
the patient unaltered.
As a representation of the various conditions, four tables are illustrated below, each representing
the "LIMIT REACHED" condition for the tube-collimator unit with the right-hand wall, the left-
hand wall, the ceiling and the floor.
The first two columns indicate the angles at which the table (TILT) or column (ANG) might be
when the limit was reached.
"0
0 " for the tilting means that the table is horizontal, "+ + " that the table is tilted towards the
vertical position and "-
- " that the table is tilted towards the Trendelenburg position.
"0
0 " for the angulation means that the column is perpendicular to the table, "+ + " that the column
is tilted towards the feet and "- -" that it is tilted towards the head.
Boxes marked "YESYES"

YES indicate that the movement is not inhibited, boxes with "NO NO"
NO indicate that
the movement is inhibited, while grey boxes indicate that a potential collision will never be possible
for that particular combination of tilting angle and angulation.

Rev. 5
Permitted movements table for Tube collision – Right wall
ANGLES S CAN A NGULATION T ILT SID

TILT ANG HEAD FEET HEAD FEET TREND VERT UP DOWN
0 0
0 + YES NO YES NO YES NO NO YES
0 -
+ 0 YES NO YES NO (*1*) (*2*) NO YES
- 0
YES NO NO YES (*1*) (*2*) NO YES
+ +
YES NO YES NO (*1*) (*2*) NO YES
+ - YES NO YES NO (*1*) (*2*) NO YES
- + YES NO YES NO YES NO NO YES
- -
(*1*) YES if the point of collision is higher than the centre of tilt, otherwise NO
(*2*) YES if the point of collision is lower than the centre of tilt, otherwise NO
Permitted movements table for Tube collision – Left wall

0 0
0 +
0 - NO YES NO YES NO YES NO YES
+ 0
- 0 NO YES NO YES NO YES NO YES
+ +
+ - NO YES NO YES NO YES NO YES
- + NO YES NO YES NO YES NO YES
- - NO YES NO YES NO YES NO YES

Rev. 5
Table showing movements allowed for tube – ceiling collision

0 0 YES YES YES YES (*3*) (*4*) NO YES
0 + YES YES NO YES (*3*) (*4*) NO YES
0 - YES YES YES NO (*3*) (*4*) NO YES
+ 0 NO YES NO YES (*3*) (*4*) NO YES
- 0 YES NO YES NO (*3*) (*4*) NO YES
+ + NO YES NO YES (*3*) (*4*) NO YES
NO YES YES NO
+ - (*3*) (*4*) NO YES
NO YES NO YES
YES NO YES NO
- + (*3*) (*4*) NO YES
YES NO NO YES
- - YES NO YES NO (*3*) (*4*) NO YES
(*3*) NO if the point of collision is right of the centre of tilt, otherwise YES.
(*4*) YES if the point of collision is right of the centre of tilt, otherwise NO.
Table showing movements allowed for tube – floor collision

0 0
0 +
0 -
+ 0 YES NO YES NO YES NO YES YES
- 0
+ + YES NO YES NO YES NO NO YES
+ - YES NO YES NO YES NO YES YES
- +
- -

Rev. 5
Permitted movements table for Tabletop collision – Right wall
ANGLES L ONG TABLETOP T ILT
TILT HEAD FEET TREND VERT
0 YES NO YES YES
+ YES NO NO YES
- YES NO YES NO
Permitted movements table for Longitudinal tabletop collision – Left wall
0 NO YES YES YES
+ NO YES NO YES
- NO YES YES NO
Permitted movements table for Longitudinal tabletop collision – Ceiling
+ NO YES YES NO

Rev. 5
7.3.2 Safety barrier
In the event the room where the appliance is installed has dimensional characteristics with
irregularities that would require the use of additional safety devices, Apollo EZ/DRF is able to
protect itself from possible collisions against these irregularities.
Depending on individual requirements, devices such as beam photocells or antenna switches,
which if activated avoid collisions between parts of the apparatus and items in the room.
Once the safety device has been activated, the movement in progress stops and the display
shows the message:
<< BARRIER LIMIT >>
accompanied by an intermittent audible signal.
To exit from this condition and restore the normal functioning of the appliance, the movement
opposed to that which was present when the "limit barrier" condition occurred can be
independently activated.
All other commands (console joystick and push keys on the table) are disabled until the message
"barrier limit" is removed.
Nevertheless, the movement of the tabletop remains active always.
If the safety barrier is broken during the following conditions:
• switching on the apparatus
• tomo mode access
• execution of a Tomographic examination
• reaching a memorised position by means of command "0"
the movement is stopped and the active functionality, if any, is reset.
In this condition no joystick or button of the "on board keyboard" is active, then to exit from this
"limit barrier" lock it is necessary to keep pressed at the same time function joystick (F) together
with the joystick of the movement causing the alarm in the opposite direction.
Warning
This procedure can be very dangerous since a wrong command can cause the table
hitting an obstacle in the room. Before giving any movement command it is necessary
to check carefully which movement will bring the table far away from the obstacle. In
any case always activate the movement with great care in short pulses.

Rev. 5
7.3.3 Anti-
Anti - entrapment system
The Apollo EZ/DRF table is equipped with anti-entrapment circuit to avoid that personnel in the
vicinity become trapped between the tabletop side support during vertical tilting. An additional
circuit is incorporated in this system which blocks the movement in the event the patient is
trapped between the tabletop and the beam or column.
If the intervention occurs during one or more movements, no movement will be permitted until
the release of all joysticks that are pushed at the time, except for tilting and angulation that if
pressed in automatic will move of 5 degree in the opposite direction to that at the time of the
intervention.
Once the joysticks are released, if the tapping is freed through the automatic movements, all
movements will be enabled once again. Otherwise it is assumed that trapping is due to the
movement of the transversal tabletop, therefore only that movement will be enabled again in the
opposite direction to that detected when trapping occurred.
If the intervention of the safety device is detected with the machine ON without any movement
active, only tilting movement to the zero Trendelenbourg position will be permitted.

Rev. 5
7.4 Zoom selection
 Description
With this function the zoom dimension of the detector can be selected: 43x43cm (17"x17") -
full field - 30x30cm (12"x12"), 20x20cm (8"x8") and 15x15 (6"x6"), with the aim to enlarge or
reduce and magnify the FOV (Field Of View).
 Operation
Press key to reduce and magnify the FOV or to enlarge the FOV. The current
FOV is displayed above the keys.
The collimator beam will be adjusted to the selected FOV.
Note
The FOV in Stitching mode is 43x43cm, and can not be modified.

Rev. 5
7.5 Monitor image scan reverse
 Description
This adjustment allows to invert the image on the monitor adjusting it to the required
perspective.
 Operation
Pressing key to obtain the vertical inversion (high-low) of the image on the display.
Pressing key the image on the monitor can be horizontally inverted (right-left).
Note
Those keys work as "toggle" commands: the actual status of image inversion(s) is only
displayed on the workstation monitor.

Rev. 5
7.6 X - ray-
ray - Fluoro control
 Description
The execution of a fluoroscopic examination is needed to locate the area to be x-rayed.
 Operation
Upon receipt of an anatomical program from DRF 4343, pressing the right control on the
foot pedal control gives the emission of fluoroscopic radiation.
 Limitations
The Fluoroscopic function is inhibited in the following conditions:
• Tube not at 0°
• Preparation command active
• "Direct" workstation selected.

Rev. 5
7.7 Fluoro Store control
 Description
Provided that Fluoro Store function has been enabled in "SETUP" page (see paragraph 6.4.5),
this command can be activated in order to start fluoro run image store on the DRF
workstation; depending upon how long this command is kept active, a single image or the
whole run following the activation of the command will be stored, until the command is
disabled.
 Operation
During fluoro, the user further presses the fluoro pedal in order to activate Fluoro Store
function through the second "click" of the pedal. This function will remain active until the
user will partially release pressing the fluoro pedal, so that fluoro keeps running but fluoro
store is stopped, or totally releases the pedal, so stopping fluoro exposure. Fluoro Store
status is displayed on workstation monitor.
 Limitations
The Fluoro Store function is only available during Fluoro Exposure.

Rev. 5
7.8 PREP command
 Description
Performing a radiographic examination is the primary aim of a radiological apparatus.
 Operation
Upon receipt of an anatomical program from DRF 4343, pressing the 1st click of the left
pedal control the generator can achieve all actions to prepare the X-ray tube for the emission
or rays.
At the same time the apparatus prepares some parts to receive radiation.
The X-rays are emitted by pressing the 2nd click of the control.
The activation of the preparation control, stops all movements included the collimator's
manual movement, leaving the possibility to act on scanning and lateral table top movement
during multi exposure radiography, with the limitation due to the possible presence of
compressor in field.
Only the angulation movement during the tomography program is enabled.
The following preparation-X-ray programs are possible:

• DRF mode:
– Single or sequential radiography
– Tomography
– Tomosynthesis
– Stitching
• Direct mode:
Exposure on external detector; in this case, the PREP command on generator console
is active.

Rev. 5
7.9 Intercom:
Intercom : voice communication between patient and
operator
 Description
Apollo EZ/DRF main touch screen control console is provided with an intercom device
allowing operator talking to/listening from the patient from the command room, while the
patient is placed on the table.
See paragraph 6.4.7 for audio level adjustment.
 Operation
The intercom system is one way, i.e. it is not allowed to talk and listen at the same time.
The intercom direction can be activated from the Touch Screen console: by hitting the key
the icon will become active: ; this activates the function "OPE
OPE",
OPE operator voice
will be heard by the patient.
By hitting the key the icon will become active: ; this activates the "PAT
PAT"
PAT function,
the patient can so talk to the operator.
Activation logic:
• PATIENT → OPERATOR (PAT PAT):
PAT anytime the key is hit, this function toggles and
remains active ore inactive until next key hit.
• OPERATOR → PATIENT (OPE OPE):
OPE it toggles ON and OFF if PAT is not active. If
PAT was active before hitting OPE, it will turn ON again when OPE is released.

Rev. 5
7.9.1 Automatic v oice messages
Automatic voice messages (MSG MSG) are available, selectable among 3 languages chosen at
MSG
installation, for RAD procedures. A 3-letter code under the MSG icon indicates the correspondent
language.
The main available languages are: English (EN), French (FR), Spanish (SP), Italian (IT),
German (DE), Russian (RU), Arabian (AR), Chinese (ZH). Other languages might be available upon
request.
Some languages may be available both with male (m) or female (f) voice.
Such messages are started by using PREP and RAD buttons available on the Touch Screen
console instead of using the pedal:
• "Take a big breath - Hold your breath", activated during PREP phase.
• "You can breath", activated after X-rays go OFF or if PREP and/or RAD command is
released.

Rev. 5
7.10 Camera live display

The Touch Screen collimator may integrate a video camera; a live image of the patient on the
table will be displayed on the DRF workstation monitor or on the Touch Screen Console of the
table.
The camera live key enables or disables the live image display on the touch screen: this can be
of help to speed up patient positioning and check during the examination.
Camera live key
Live image display
Figure 21

User Manual – Generator console integration
Rev. 5
8. GENERATOR CONSOLE INTEGRATION

IN TEGRATION
This chapter covers the case when Apollo Touch Screen Console (TSC) includes the generator
console, otherwise please refer to generator User's Manual.
8.1 Generator status
8.1.1 Tube selected / Anode heating status
The selected tube is shown into this frame; the anode heating status of this tube, expressed in
thermal unit (HU) percentage, is also displayed and refreshed after each Fluoro or RAD exposure,
or in any case each minute.
8.1.2 Tube anode heat warning / Alarm
An anode heat warning message will be displayed at an installer-programmable level, typically

80 %. Exposures that will exceed a value of typically 90 % will be inhibited (this is also installer
programmable).
8.1.3 DAP
When available, DAP/DAP Rate data will be displayed with indication of the unit of measure:
mGy*cm2(/sec) or mGy*m2(/sec). Accumulated DAP value is updated after each Fluoro or RAD
exposure. DAP Rate will be refreshed every second during exposure.
For further details refer to generator Operator's Manual.

Rev. 5
8.1.4 Air Kerma
When available, AK/AK Rate data will be displayed with indication of the unit of measure:
mGy (mGy/min). Accumulated AK value is updated after each Fluoro or RAD exposure. AK Rate
will be refreshed every second during exposure.
For further details refer to generator Operator's Manual.
8.1.5 Air Kerma/DAP accumulated data RESET
The key will reset both DAP and AK accumulated data.

Rev. 5
8.2 DRF workplace

When the DRF workplace is selected, the main Menu page is displayed as follows:

Rev. 5
8.2.1 Fluoroscopy
The Fluoroscopy command is activated via the Fluoro pedal (see Figure 10).
8.2.1.1 Fluoro AUTO/MAN
• Key sets Automatic Fluoroscopy mode, i.e. kV and mA are adjusted automatically
during Fluoro and cannot be changed via the console. The / keys are disabled
and grayed.
• Key sets Manual Fluoroscopy mode, i.e. kV and mA are set manually.
− Key decreases Fluoroscopy kV/mA according to the active curve, down to the
minimum allowed value. Short command will decrease kV by 1 unit. If kept active, it
decreases at a rate of 1 each 500ms, after 3 seconds it will start decreasing a rate at
a rate of 1 each 200ms. mA will change according to the programmed ABS curve.
− Key increases Fluoroscopy kV/mA according to the active curve, up to the

maximum allowed value. Short command will increase kV by 1 unit. If kept active, it
increases at a rate of 1 each 500ms, after 3 seconds it will start increasing a rate at a
rate of 1 each 200ms. mA will change according to the programmed ABS curve.
8.2.1.2 Fluoro kV and mA display
Fluoro kV and mA programmed values are displayed in stand-by; during Fluoroscopy exposure,
the actual values are shown.

Rev. 5
8.2.1.3 Continuous / Pulsed Fluoro
For DRF system, Fluoro modality (continuous or pulsed) can only be selected on DRF workstation.
Warning
Icon is displayed if "Continuous Fluoro" has been selected.
Icon is displayed if "Pulsed Fluoro" has been selected.

The selected icon is displayed yellow if Fluoro exposure is running.
During Fluoro exposure, an audible sound will be emitted:
emitted : one single beep
every second in Continuous or one double beep every second in Pulsed Fluoro.
8.2.1.4 Fluoro Time
Accumulated Fluoro time in minutes with one decimal digit is displayed.

After the defined time warning interval (typically 4.30 minutes) expires, an audible and visual
warning is displayed to advise the operator. If the operator proceeds with Fluoro and the time
limit (typically 5 minutes) is reached, then an audible and visual alarm message will be displayed,
exposure will be stopped and the timer will need to be reset in order to go ahead with further
Fluoro exposure.
Command toggle key , selects if the "Fluoro Time display" shows the total "Accumulated
Fluoro Time" or the "Interval Fluoro Time" (since last Fluoro Time Reset).
Key clears the "Fluoro Time" displayed, i.e. the "Accumulated Fluoro Time" or the "Interval
Fluoro Time".

Rev. 5
8.2.2 Radiography
The Radiography command is activated via the PREP+RAD pedal (see Figure 10) or the
PREP+RAD buttons on the Touch Screen Console (see Figure 6).
8.2.2.1 PREP
This command must be activated and kept active to start RAD preparation phase and then
execute RAD.
Icon will be shown orange color after PREP start, then turn to green when the generator
is READY.
8.2.2.2 RAD
This command must be activated and kept active together with PREP in order to execute RAD
exposure.
Warning
Icon will be shown yellow color during RAD exposure. As long as the X-
X-
Ray ON status is active, an audible sound will be emitted.

Rev. 5
8.2.2.2.1 RAD techniques
• AEC enabled : user can select kV and mA parameters; the AEC (Automatic Exposure
Control) will automatically stop the exposure when the target dose has been reached. AEC
can only be enabled/disabled from the digital DRF workstation.
• "2 points" technique : user can set kV and mAs parameters; mA and sec cannot be
set separately.
• " 3 points" technique : user can set kV, mA and sec parameters.
Only one modality can be selected at a time.
The parameters can be changed via the / keys.

kV: short commands will decrease/increase by 1 unit. If kept active, the decrease/increase rate
kV
is 1 each 500ms, after 3 seconds the rate speeds up to 1 each 200ms. The "3-digit kV display"
shows the current value of RAD kV.
mA / mAs: mAs short commands will decrease/increase by 1 step. If kept active, the
decrease/increase rate is 1 step each 500ms, after 3 seconds the rate speeds up to 1 step each
200ms. If "3 points technique" is selected such keys will change mA; if "2 points technique" is
selected those keys will change mAs.
ms:
ms short commands will decrease/increase by 1 step. If kept active, the decrease/increase rate
is 1 step each 500ms, after 3 seconds the rate speeds up to 1 step each 200ms.
− If "AEC technique" is selected such display will show "AEC".
− If "2 points technique" is selected such display will remain OFF.
− If the "3 points technique" is selected such display shows the current value of RAD ms.
8.2.2.2.2 Focal spot selection
• Icon select large focus.
• Icon select small focus.
If the RAD parameters are set beyond the small focal spot limits, the large focal spot is
automatically selected.
The focal spot can also be set by imaging workstation.

Rev. 5
8.3 D IRECT workplace

When the DIRECT workplace is selected, the main Menu page is displayed as follows:
The DIRECT workplace requires using an external image Detector (WiFi Digital Detector, CR,
film/screen) for single RAD acquisition, with no Fluoro capability.
If a WiFi Detector is used in conjunction with DRF workstation and with a Wall Bucky, the Wall
Bucky AEC will be connected to the workstation as for the dynamic Detector.
If CR or film/screen image receptor is used with a Wall Bucky, the Wall Bucky AEC can be
selected and programmed on the Touch Screen Console.

Rev. 5
8.3.1 AEC (Wall Bucky)
8.3.1.1 AEC Field Selection
Each key enables/disables one of the 3 available AEC fields. At least one AEC zone must remain
active, as long as AEC RAD Technique is enabled.
8.3.1.2 Film Density
Keys / select “Film/Screen density”.

The range is typically -8 to +8. This varies the optical density by changing the dose. The % dose
change per density step change is installer programmable. The current density value is displayed,
associated to a bar, whose length is half when the value is 0.

User Manual – Generator console not integrated
Rev. 5
9. GENERATOR CONSOLE NOT

NOT
INTEGRATED
In case the generator console is not integrated into Touch Screen Console (TSC), refer to the
generator console and relevant Operator's Manual.
9.1 DRF workplace

When the DRF workplace is selected, the main Menu page is displayed as follows:

Rev. 5
9.1.1 Manual adjustment of Fluoro kV and mA
The manual adjustment is enabled by pressing key on the touch screen of the
Apollo EZ/DRF table. In this condition the fluoro kV/mA can be decreased and increased by
means of and keys.
The function is disabled by pressing key once again.
Warning
This setting can only be changed through those keys and is not related to the patient,
nor to the selected exam.
The user has to verify that this setting is correct as it might cause image quality issues.

Rev. 5
9.2 DIRECT workplace
The DIRECT workplace requires using an external image Detector (WiFi Digital Detector, CR,
film/screen) for single RAD acquisition, with no Fluoro capability.
PREP and RAD commands are activated from generator console.

User Manual – Examination procedure
Rev. 5
10. EXAMINATION PROCEDURE

PROCEDUR E
When the system is switched ON, depending upon the workplace selected on generator, the
Apollo EZ/DRF will display "DRF Mode" or "Direct Mode" (see paragraph 6.1).
10.1 DRF mode

DRF mode refers to all the exams where the dynamic Detector is used.
When the user selects the exam on DRF workstation, Apollo EZ/DRF will set the grid, the opening
of the collimator and additional collimator filter (optional).
Upon receipt of the settings for the APR mode from the DRF workstation, the following actions
are possible:
• Go ahead and execute the exam if no further positioning is required. All the movements are
allowed.
This is not applicable for Tomography, Tomosynthesis and Stitching, where initial automatic
positioning is mandatory (see paragraph 10.1.1, 10.1.2 and 10.1.3).

User Manual - Examination procedure
Rev. 5
• Hit and hold the joystick down (position >0<).
The table is moved into the position relative to selected anatomical program. The stored
positions are achieved with simultaneous movements, except for angulation-scan / tilting.
An audible signal confirms that the positions have been reached.
• If the "Position set" related to the selected program is not "01", the key (Programming)
allows to access, via password, the modification menu of the Apollo EZ/DRF table position
settings, associated with the current value of the "Position Data" field.
The window is displayed to enter the password.
Note
The password can be requested from the Technical Service.

Rev. 5
Enter the operative password and confirm with the key (Enter); the display will show:
The table can now be positioned using the movement controls. When the desired position
has been reached, hit the key to overwrite an existing setting and store the new
condition; hit the key to not store. The display returns to the standard view.
Note
After configuration is complete, the operator can still manually change the positions of
the table through the related commands.
Note
The "Position set" field is identified by a number between 1 and 100; each value of this
field is associated with a positioning configuration of the table. Value 1 is reserved and
can not be changed and corresponds to the default position (0 machine) with the
following characteristics:
– 0° tilting
– 0° angulation
– tabletop to the centre
– minimum SID
– compressor parked
– scan to the centre.
Warning
In the "Exam folder" menu of DRF 4343, a value of the "Position set" field is associated
to each exam.
A service technician is required in order to change this association.

Rev. 5
10.1.1 Tomography
Tomograph y m ode
With the Tomography mode selected, the following menu page is displayed:
Hit and hold the joystick down (position >0<).

Rev. 5
The table is moved into the position relative to selected Tomography anatomical program. The
stored positions are achieved with simultaneous movements, except for angulation-scan / tilting.
Note
When the tomography anatomical program is active, the SID is always prepared at
114cm and angulation at 0° (cannot be modified). The angulation and SID movement
joysticks are inactive.
If the joystick is released before reaching the final positions, the movements are interrupted and
the display remains in the current view.
If, during the movement, a collision or limit barrier error occurs, this condition will be displayed
and the movements will be interrupted. To complete positioning, move, by means of the related
joystick, the parts of the table in order to avoid the collision or the interception of the barrier
limits, then hit the preparation joystick again.
Note
In Tomography mode, the SID and angulation movement joysticks are inactive because
these two settings must not be modified.
Tomography mode will be enabled and the touch screen will display:

Rev. 5
• Key : "MAN" means that the layer position can only be increased/decreased manually
using the related keys. "AUT" means that the layer position setting, after the first
Tomography scan, occurs automatically depending on the selected angle (see paragraph
10.1.1.1).
• The speed and angle settings are determined by the Tomography anatomical program
present in the DRF workstation and can only be changed by modifying the program itself.
• The Tomography direction can be set in the "SETUP" page (see Figure 18).
Note
the table through the related commands, except for the movement angulation, SID and
compressor movements.
Note
RAD time cannot be changed: the display shows Tomo backup time.
Access to Tomography is inhibited if:

• The tube is not at 0°
• The direct mode is set on the generator console.
A Tomographic examination is not performed if:

• The movement may cause the exit of the scan from the run limits. The Tomographic range
of the scan is variable depending on the angle and layer position set. Therefore this condition
may occur when changing the tomography angle or layer.
In this situation an intermittent audible signal is given and the display shows:
<< Scanning out of range modify
layer or scan position >>
alerting the operator that the examination is possible if one or more of these parameters is
modified.
• The movement could cause collisions. In this situation an intermittent audible signal is given
and the display shows:
<< Possible collisions detected
change positions >>
alerting the operator that the examination is possible if the position of the component at
the collision limit is changed.
A Tomographic examination is not completed if the movement causes a collision with the "Barrier
limit" safety (see paragraph 7.3.2).

Rev. 5
10.1.1.1 Layer position adjustment
 Description
The adjustment of the layer position allows to change the virtual section inside the organ
under examination.
The layer position value is shown on the display. The range is 0.0 cm to 35.0 cm with
0.1 cm adjustment step. On access to the Tomo mode the value is set by default to 8.0 cm.
The value of Tomo thickness will depend upon the selected Tomo angle.
 Operation
The layer position can be set by means of keys and . The refresh rate of this
setting depends on the activation time of the key.
Function key allows to choose between the manual increase function (MAN) and the
automatic increase function (AUT).
• MAN:
MAN When this function is set, the layer is maintained in the same position after each
tomography.
• AUT:
AUT This function determines that the height of the layer at the end of a tomography,
automatically increase by an amount depending on the tomography angle set, according
to the following table:
Angle Increase
7° 3.0 cm
20° 2.0 cm
30° 1.0 cm
45° 0.5 cm

Rev. 5
10.1.1.2 Perform an examination
By pressing and holding the exposure pedal (PREP+RAD),

(PREP+RAD) the TOMO exam is automatically
activated; Apollo EZ/DRF will position the start angle, then the column movement will begin, the
exposure will be made within the angle established, then the test will end.
After the examination, keeping the pedal pressed, the unit will move to the memorised start
position.
If the pedal is released before the completion of the examination, the procedure is suspended
and the message:
<< Initializing positions
Pull function joystick >>
is displayed; move the joystick upwards (F) to take the Apollo EZ/DRF to the examination start
position.

Rev. 5
10.1.1.3 Tomo test
To perform the TOMO procedure without the emission of rays, rays press key and keeping
it pressed, move the joystick upwards (F).
With the joystick active only, Apollo EZ/DRF will simulate the entire TOMO procedure.

Rev. 5
10.1.2 Tomosynthesis m ode
With the Tomosynthesis mode selected, the Touch Screen of Apollo EZ/DRF displays:
Press and hold the joystick down (position >0<).

Rev. 5
The table is moved into the position relative to selected Tomosynthesis anatomical program. The
stored positions are achieved with simultaneous movements, except for angulation-scan / tilting.
Note
When the tomosynthesis anatomical program is active, the SID is always prepared at
114cm and angulation at 0° (cannot be modified). The angulation and SID movement
joysticks are inactive.
If the joystick is released before reaching the final positions, the movements are stopped and the
display remains in the current view.
and the movements will be stopped. To complete positioning, move, by means of the related
limits, then press the preparation joystick again.
Note
In Tomosynthesis mode, SID and angulation movement joysticks are inactive because
these two settings must not be modified.
Tomosynthesis mode will be enabled and the touch screen will display:

Rev. 5
• Tomosynthesis is always performed at fixed angle (40°) and speed.
• The Tomosynthesis direction can be set in the "SETUP" page (Figure 16).
Note
Note
RAD time cannot be changed: the display shows single pulse time duration.
Access to Tomosynthesis is inhibited if:

A Tomosynthesis examination is not performed if:

• The movement may cause the exit of the scan from the run limits. The Tomosynthesis
range of the scan is variable depending on the layer position set. Therefore this condition
may occur when changing the Tomosynthesis layer.
<< Scanning out of range modify
layer or scan position >>
alerting the operator that the examination is possible if one or more of these parameters is
modified.
<< Possible collisions detected
change positions >>
A Tomosynthesis examination is not completed if the movement causes a collision with the
"Barrier limit" safety (see paragraph 7.3.2).

Rev. 5
10.1.2.1 Layer position adjustment
 Description
The adjustment of the layer position allows to change the virtual section inside the organ
under examination.
The layer position value is shown on the display. The range is 0.0 cm to 35 cm with 0.1 cm
adjustment step. On access to the Tomosynthesis mode the value is set by default to
8.0 cm.
The value of Tomosynthesis thickness will be selected on the workstation's processing menu.
 Operation
The layer position can be set by means of keys and . The refresh rate of this
setting depends on the activation time of the key.

Rev. 5
By pressing and holding the exposure pedal (PREP+RAD),

(PREP+RAD) the Tomosynthesis exam is
automatically activated; Apollo EZ/DRF will position the start angle, then the column movement
will begin, the exposure will be made within the angle established, then the test will end.
position.
If the pedal is released before the completion of the examination, the procedure is suspended
and the message:
p ositions
position.

Rev. 5
10.1.2.3 Tomosynthesis test
To perform the Tomosynthesis procedure without the emission of rays, rays press key and
keeping it pressed, move the joystick upwards (F).
With the joystick active only, Apollo EZ/DRF will simulate the entire Tomosynthesis procedure.

Rev. 5
10.1.3 Stitching mode
With the Stitching mode selected, the Touch Screen of Apollo EZ/DRF displays:
Press and hold the joystick down (position >0<).

Rev. 5
The table is moved into the position relative to selected Stitching anatomical program. The stored
positions are achieved with simultaneous movements, except for angulation-scan / tilting. An
audible signal confirms that the positions have been reached.
If the joystick is released before reaching the final positions, the movements are interrupted and
the display remains in the current view.
Note
When the stitching anatomical program is active, the SID is fixed at the value set during
installation and can be changed by the service engineer. A SID as high as possible
should be chosen in order to obtain the best image quality.
The angle will be automatically calculated and set at each step in relation to the latter
and the total number of steps.
and the movements will be interrupted. To complete positioning, move, by means of the related
limits, then press the preparation joystick again.
In both cases, the Stitching mode will be enabled and the touch screen will display:

Rev. 5
• The direction settings, the number of stations and step size are determined by the
anatomical Stitching program of the DRF workstation and can only be changed by modifying
the program itself, with the exception of the step size that is fixed.
• The zoom size is fixed at 43x43cm and cannot be changed during the Stitching procedure.
• The height of the collimator is automatically defined based on the step length. This size
cannot be changed by means of the related joystick.
Note
Access to Stitching is inhibited if:

• The compressor cone is present
A Stitching examination is not performed if:

• The movement may cause the exit of the scan from the run limits. The Stitching range of
the scan is variable depending on the number of stations and the step size.
<< Scanning out of range >>
alerting the operator that the examination is possible if the start position of the scan is
changed in order to obtain sufficient space to complete the requested procedure.
<< Possible collision detected
change positions >>
A Stitching examination is not completed if the movement causes a collision with the "Barrier
limit" safety (see paragraph 7.3.2).

Rev. 5
By pressing and holding the exposure pedal (PREP+RAD), (PREP+RAD) the Stitching exam is
automatically activated; station 1 exposure, movement of the scan to the next station, SID and
angulation correction, station 2 exposure; repetition of the same sequence for station 3 and 4 if
present, then the exam will end.
position.
If the pedal is released before the completion of the examination, the procedure will be suspended
and the warning message "078 078 – Program failed"
failed is displayed.
This alarm can be reset; the message:
position.

Rev. 5
10.1.3.2 Stitching test
To perform the Stitching procedure without the emission of rays,

rays press key and keeping
it pressed, move the joystick upwards (F).
With the joystick active only, Apollo EZ/DRF will perform the entire Stitching procedure.
If the joystick is released before the end of the test, the error message "079
079 – Stitching test
suspended" is displayed. This alarm can be reset.
suspended

Rev. 5
10.2 DIRECT mode

m ode
In Direct mode (see Figure 16 and Figure 17), examinations can be performed using image
receptors external to Apollo EZ/DRF table, such as film cassette, CR or wireless Detector in
Chest Stands or in direct contact with the patient.
It may therefore be necessary to rotate the tube-collimator obtaining a position which is not
centred on the Digital Detector.
To rotate the tube-collimator refer to paragraph 7.2.8.
To access the Direct mode the related workstation must be selected by means of the command
on the generator console.
The fluoro command is inhibited in this mode, while PREP and RAD commands are active on the
generator.
Apollo EZ/DRF can integrate the generator console into the Touch Screen Console (TSC): in this
case all reference made to generator console must be referred to TSC.

User Manual - Diagnosis
Rev. 5
11. DIAGNOSIS
The alarms present appears on the console display accompanied by an audible signal.
The alarms are divided in 3 groups:
 Warnings (see complete list in paragraph 11.1)

11.1 )
Alarms in this group are generated by functional errors due to mishandling by the operator
or malfunction of external accessories.
Since these alarms do not generate conditions of risk or danger to the patient, the operator
and the apparatus, they can be reset without powering down the system.
Press the "RESET" key to reset the alarm.
 Errors (see complete list in paragraph 11.1)

11.1 )
The alarms in this group are generated by faulty components of the apparatus. Since these
situations may generate conditions of risk or danger to the patient, the operator or the
equipment the alarms of this group cannot be reset.
The alarms generated have the following appearance:
It is possible to stop the audible signal relevant to these types of alarms, by hitting inside
the error message box. A second hit will activate the signal again.
Take note of the displayed error message, turn OFF the equipment and alert the qualified
technician to remove the causes of failure.

User Manual – Diagnosis
Rev. 5
 Generator ALARM
The alarms in this group refer to generator.
The alarms are divided in 2 groups: the alarms with the yellow background will disappear
automatically after 3 seconds.
The alarms with the red background have the following appearance:
Press the "RESET" key to reset the alarm.
Note
The generator ALARMS are listed and described in the generator Operator's Manual.

Rev. 5
11.1 Alarms
Note
The resettable alarms are highlighted with (*).
(*)
Code Message Description
59 X-ray ON from generator X-rays from the generator have been detected (input
without fluoro or exposure X0-13 active) without any fluoro or exposure request,
request or the presence of X-rays has remained active for
longer than 700ms from the interruption of the fluoro
or exposure request
62 (*) Ready from generator not The generator has not activated the "ready" signal
present within 2 seconds from the 2nd click ray request
64 (*) X-ray ON not present from The generator has not activated the "rays" signal
generator within 2 seconds from the fluoro or exposure request
65 (*) Generator does not stop The X-ray time from the generator has lasted more
exposure than 6.5 sec
66 (*) Exposure command released The exposure request has been released before the
before end of X-ray time X-ray time (input X0-13) had terminated
67 (*) Preparation command The Preparation request has been released before the
released before end of X-ray X-ray time (input X0-13) had terminated
time
68 (*) Generator stops X-ray during The generator has stopped issuing X-rays before the
tomo tomography angle was over
69 (*) Generator does not stop The generator has continued the emission of X-rays
exposure at the end of tomo for more than 0.2 sec. after the X-ray control has
angle been disabled
70 Compressor does not reach The compressor has not reached the parked position
park position within 30 sec from the activation of the tomo mode
access command
71 (*) Wrong anatomic program Non-arrival of data from the digital acquisition
system related to an anatomic program within 5
seconds.
72 (*) Anatomic not available The APR code related to the TOMO or STITCHING
examination is not present
78 (*) Program failed The exposure command is issued during the
STITCHING examination
79 (*) Stitching test suspended The test command was issued prior to completion

Rev. 5
80 General emergency The power relay (input X15-10) has been disabled by
external causes
82 Safety crushing circuit The control circuit for the anti-entrapment safety
damaged device is interrupted
83 (*) Grid 2 not active Grid 2 is disabled, therefore the calibration of the
related potentiometer is not possible
90 EEPROM data damaged The RAM has detected an unintentional modification
of the data in EEprom
91 (*) Angulation movement over During the movement, the angulation has gained an
max error error position greater to that set in cell 311
92 (*) Scanning movement over max During the movement, the scan has gained an error
error position greater to that set in cell 329
93 (*) Tilting movement over max During the movement, the tilting has gained an error
error position greater to that set in cell 346
94 (*) Longitudinal tabletop During the movement, the longitudinal tabletop has
movement over max error accumulated an error position over the one set in cell
346
99 Fault on inverter One or both of the inverters are in a state of alarm,
therefore input X18-1 is disabled
101 Angulation potmeter under The angulation potentiometer value is less than that
min stored in EEPROM
102 Angulation potmeter over The angulation potentiometer value is greater than
max that stored in EEPROM
103 Scanning potmeter under min The scan potentiometer value is less than that stored
in EEPROM
104 Scanning potmeter over max The scan potentiometer value is greater than that
stored in EEPROM
105 Tilting potmeter under min The tilting potentiometer value is less than that
stored in EEPROM
106 Tilting potmeter over max The tilting potentiometer value is greater than that
stored in EEPROM
107 Longitudinal tabletop The value detected for the longitudinal tabletop
potmeter under min potentiometer is below that stored in Eeprom
108 Longitudinal tabletop The longitudinal tabletop potentiometer value is
potmeter over max greater than that stored in EEPROM
111 Transversal table top The tabletop potentiometer value is less than that
potmeter under min stored in EEPROM
112 Transversal table top The tabletop potentiometer value is greater than
potmeter over max that stored in EEPROM

Rev. 5
113 SID potmeter under min The SID potentiometer value is less than that stored
in EEPROM
114 SID potmeter over max The SID potentiometer value is greater than that
stored in EEPROM
123 Compression potmeter under The compressor potentiometer value is less than that
min stored in EEPROM
124 Compression potmeter over The compressor potentiometer value is greater than
max that stored in EEPROM
125 Grid 1 potmeter under min The grid 1 potentiometer value is less than that
stored in EEPROM
126 Grid 1 potmeter over max The grid 1 potentiometer value is greater than that
stored in EEPROM
127 Grid 2 potmeter under min The grid 2 potentiometer value is less than that
stored in EEPROM
128 Grid 2 potmeter over max The grid 2 potentiometer value is greater than that
stored in EEPROM
133 (*) Angulation potmeter max An angulation potentiometer max under the min was
lower than min stored
134 (*) Scanning potmeter max lower A scan potentiometer max under the min was stored
than min
135 (*) Tilting potmeter max lower A tilting potentiometer max under the min was
than min stored
136 (*) Longitudinal tabletop A longitudinal tabletop potentiometer max under the
potmeter max lower than min min was stored
138 (*) Transversal table top A tabletop potentiometer max under the min was
potmeter max lower than min stored
139 (*) SID potmeter max lower than A SID potentiometer max under the min was stored
min
144 (*) Compression potmeter max A compressor potentiometer max under the min was
lower than min stored
145 (*) Grid 1 potmeter max lower A grid 1 potentiometer max under the min was stored
than min
146 (*) Grid 2 potmeter max lower A grid 2 potentiometer max under the min was stored
than min
156 Serial line: timeout from The data does not arrive on the serial line from the
Supervisor to Main uP Supervisor to the main µP for a time exceeding
0.3 sec

Rev. 5
157 Serial line: timeout from Main The data does not arrive on the serial line from the
uP to Supervisor main µP to the Supervisor for a time exceeding
0.3 sec
158 Single fault open at switch on The Single Fault circuit is not closed therefore the
input X13-24 is not at 0 V when the table switched
on
159 Inputs close at switch on A joystick or a key of the dual control is active when
the table is switched on
160 Single fault open SID up=1 / The SID up command is presumably active since the
serial bit 0=0 SF is open and the output port active but the
Supervisor does not receive serial confirmation of the
control activation
161 Single fault open SID up=0 / The Supervisor detects the SF open and the serial
serial bit 0=1 confirmation that the SID up command is active, but
the output port is deactivated
162 Single fault open SID The SID down command is presumably active since
down=1 / serial bit 1=0 the SF is open and the output port active but the
control activation
163 Single fault open SID The Supervisor detects the SF open and the serial
down=0 / serial bit 1=1 confirmation that the SID down command is active,
but the output port is deactivated
164 Single fault open table top The tabletop in command is presumably active since
in=1 / serial bit 2=0 the SF is open and the output port active but the
control activation
165 Single fault open table top The Supervisor detects the SF open and the serial
in=0 / serial bit 2=1 confirmation that the tabletop in command is active,
166 Single fault open table top The tabletop out command is presumably active since
out=1 / serial bit 3=0 the SF is open and the output port active but the
control activation
167 Single fault open table top The Supervisor detects the SF open and the serial
out=0 / serial bit 3=1 confirmation that the tabletop out command is active,
168 Single fault open compressor The compressor up command is presumably active
up=1 / serial bit 4=0 since the SF is open and the output port active but
the Supervisor does not receive serial confirmation of
the control activation
169 Single fault open compressor The Supervisor detects the SF open and the serial
up=0 / serial bit 4=1 confirmation that the compressor up command is
active, but the output port is deactivated

Rev. 5
170 Single fault open compressor The compressor down command is presumably active
down=1 / serial bit 5=0 since the SF is open and the output port active but
171 Single fault open compressor The Supervisor detects the SF open and the serial
down=0 / serial bit 5=1 confirmation that the compressor down command is
172 Single fault open A5 invert. The inverter A5 on command is presumably active
enable=1 / serial bit 6=0 since the SF is open and the output port active but
173 Single fault open A5 invert. The Supervisor detects the SF open and the serial
enable=0 / serial bit 6=1 confirmation that the inverter A5 on command is
174 Single fault open A6 invert. The inverter A6 on command is presumably active
enable=1 / serial bit 7=0 since the SF is open and the output port active but
175 Single fault open A6 invert. The Supervisor detects the SF open and the serial
enable=0 / serial bit 7=1 confirmation that the inverter A6 on command is
176 Single fault open A18=1 / bit The inverter A18 on command is presumably active
serial bit 8=0 since the SF is open and the output port active but
177 Single fault open A18=0 / bit The Supervisor detects the SF open and the serial
serial bit 8=1 confirmation that the inverter A18 on command is
180 Single fault closed / SID up=1 The SF circuit is OFF (closed) but the SID up control
output port is active
181 Single fault closed / SID The SF circuit is OFF (closed) but the SID down
down=1 control output port is active
182 Single fault closed / table top The SF circuit is OFF (closed) but the tabletop in
in=1 control output port is active
183 Single fault closed / table top The SF circuit is OFF (closed) but the tabletop out
out=1 control output port is active
184 Single fault closed / The SF circuit is OFF (closed) but the compressor up
compressor up=1 control output port is active
185 Single fault closed / The SF circuit is OFF (closed) but the compressor
compressor down=1 down control output port is active
186 Single fault closed / A5 The SF circuit is OFF (closed) but the A5 inverter on
inverter enable=1 control output port is active

Rev. 5
187 Single fault closed / A6 The SF circuit is OFF (closed) but the A6 inverter on
188 Single fault close / A18 The SF circuit is OFF (closed) but the A18 inverter on
191 Angulation potmeter not in The control for the angulation movement is active but
movement with active output the movement is not detected through the feedback
of the potentiometer
192 Scanning potmeter not in The control for the scan movement is active but the
movement with active output movement is not detected through the feedback of
the potentiometer
193 Tilting potmeter not in The control for the tilting movement is active but the
movement with active output movement is not detected through the feedback of
the potentiometer
194 Longitudinal tabletop The longitudinal tabletop movement control is active
potmeter not in movement but the potentiometer feedback does not detect the
with active output motion
201 Angulation potmeter in There is no angulation movement control but
movement without request movement is detected from the potentiometer
feedback
202 Scanning potmeter in There is no scan movement control but movement is
movement without request detected from the potentiometer feedback
203 Tilting potmeter in movement There is no tilting movement control but movement
without request is detected from the potentiometer feedback
204 Longitudinal tabletop There is no longitudinal tabletop movement output
potmeter in movement but motion is detected through the potentiometer
without request feedback
206 Transversal table top There is no tabletop movement output but motion is
potmeter in movement detected by the potentiometer feedback
without request
207 SID potmeter in movement There is no SID movement control but movement is
without request detected from the potentiometer feedback
212 Compressor potmeter in There is no compression movement control but
movement without request movement is detected from the potentiometer
feedback
213 Grid potmeter in movement There is no grid 1 movement control but movement
214 Grid 2 potmeter in movement There is no grid 2 movement control but movement
218 Transv. table top potmeter in The Transversal tabletop movement has exceeded
movement over max error the error set in cell 447
220 SID potmeter in movement The SID movement has exceeded the error set in cell
over max error 448

Rev. 5
226 Compressor down output There is no compressor movement feedback with the
active without feedback input descent control active
227 Compressor outputs not The compressor movement feedback is active
active with feedback active without the movement command being active
228 Compressor up output active There is no compressor movement feedback with the
without feedback input ascent control active
231 Single fault open without The SF circuit is open but no movement command is
inputs active recognised
232 Single fault close with inputs There are one or more movement commands but the
active SF circuit is not active (closed)
301 Grid 1 movement timeout The grid 1 has not reached the destination (park or
position 0) within 8 sec
302 Grid 2 movement timeout The grid 2 has not reached the destination (park or
position 0) within 8 sec
500 RAM-EEPROM: data missing EEprom malfunction detected
501 RAM-EEPROM: writing The data in Eeprom could not be transferred
timeout
503 RAM-EEPROM: wrong The data in Eeprom are not read
EEPROM reading
907 (*) Joystick or button close at An active dual control joystick or key was detected
switch ON on start-up
920 ETH communication timeout Ethernet link failure between touch screen console
to Cabinet and cabinet CPU (touch screen side)
930 (*) CAN communication timeout Collimator does not respond to commands
from collimator
940 (*) COM communication timeout Serial communication with generator does not work
from generator (only valid if Touch Screen Console includes generator
console)
999 (*) Data lost in RAM. Check The Ram no longer holds the data
battery
1800 ETH communication timeout Ethernet link failure between cabinet CPU and touch
(*) from Cabinet screen console (cabinet side)

User Manual – Cleaning and disinfection
Rev. 5
12. CLEANING AND DISINFECTION

DISINFECTION
In order to guarantee a good level of hygiene and cleaning, it is necessary to respect the following
procedures.
Warning
Disconnect the unit from the mains before
performing any cleaning.
Avoid the penetration of water or liquid in parts of the apparatus to avoid corrosion
or short circuits.
Periodically and when deemed necessary, clean the

painted surfaces and the tabletop, the footrest and
accessories with a damp cloth and mild detergent,
making sure to dry them with a dry cloth; do not
use corrosive, abrasive solvents (alcohol, petrol,
trichloro-ethylene).
When deemed necessary and at the end of each examination the cone of the compressor, the
tabletop, the patient support handgrips, the leg supports (optional) and footrest should be
disinfected using an antibacterial disinfectant solution with 2% glutaraldehyde.

User Manual - Maintenance
Rev. 5
13. MAINTENANCE
This unit, like all other electrical appliances, must be used correctly and also serviced and
controlled at regular intervals. This precaution ensures a safe and efficient performance.
The preventive maintenance consists in checks performed by the operator himself and/or by a
qualified technician.
The operator can control the following items:
Frequency Type of check Method
Daily Functioning of the indicator lights Visual inspection

Daily Functioning of joysticks and buttons located on the Visual inspection
control desk and on the panel on the side of the table
Daily Correspondence between the radiated field and the Visual inspection
light field of the collimator and its alignment compared
to the detector
Daily Correspondence between radiated field – format image Visual inspection
receptor
Daily Functionality of the compression cone release device Practical control
Daily Absence of contrast liquid residuals Visual inspection
Daily Check smooth flow and noise of movements Practical inspection
Daily Check functionality of safety device Practical control
Monthly Integrity of equipment and labels Visual inspection
Warning
If irregularities, excessive noise of motorised parts or failures are found, the operator
must immediately inform the Technical Service.
Note
The maintenance actions related to the generator are listed and described in the
generator Operator's Manual.

User Manual – Maintenance
Rev. 5
13.1 Parts to be replaced periodically

The expected service life for Apollo EZ/DRF angulation chain is 10 years.
Contact your service organization in order to plan the intervention once the unit is close to reach
the next replacement date given in the table below.
At replacement, Field Service Engineering will fill the column "Next replacement date" adding 10
years to the replacement date in both User's and Service Manuals.
Reason of the Next

Angulation chain Execute by
replacement: replacement Date /
replacement date organization
corrective maintenance date Signature
(dd/mm/yyyy) (FSE name)
/ planned maintenance (mm/yyyy)
(mm/yyyy)

User Manual - Maintenance
Rev. 3
MAINTENANCE LOGBOOK
Installation:
Installation Date Technician
Maintenance: Date Technician
Cause
Cause
Cause
Cause
Cause
Cause
Cause

User Manual – Maintenance
Rev. 5
THIS PAGE IS INTENTIONALLY LEFT BLANK

Code 6984925103_Rev5

Via delle Azalee, 3
20090 Buccinasco (Milan) - ITALY
Tel. (+39) 02 48859.1
Fax (+39) 02 4881844
www.villasm.com

Apollo DRF

Uploaded by

Copyright:

Available Formats

Apollo DRF

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Apollo DRF

Uploaded by

Copyright:

Available Formats

0051

Revision history Manual code 698492

Rev. Date Page/s Modification description

0 06.04.2018 - Document approval.

2 03.02.2020 31 Revised tabletop characteristic data.

3 27.11.2020 All Release of generator console integrated into Touch Screen

Villa Sistemi Medicali

THIS PAGE IS INTENTIONALLY LEFT BLANK

Villa Sistemi Medicali

Villa Sistemi Medicali i

ii Villa Sistemi Medicali

7.7 Fluoro Store control 89

8. GENERATOR CONSOLE INTEGRATION

9. GENERATOR CONSOLE NOT

10. EXAMINATION PROCEDURE

Villa Sistemi Medicali iii

10.1.2 Tomosynthesis mode 115

11. DIAGNOSIS 127

12. CLEANING AND DISINFECTION

13. MAINTENANCE 137

iv Villa Sistemi Medicali

1.1 Icons appearing in the manual

Villa Sistemi Medicali 1

2.1.1 Medical purposes

2.1.2 Clinical applications

This includes the following standard fluoroscopic or radiographic procedures:

2 Villa Sistemi Medicali

2.1.3 Anatomical part or tissue type

2.1.4 Intended patient population

2.1.5 Operator profile

2.1.6 Application environments

Villa Sistemi Medicali 3

2.1.7 Applied parts

4 Villa Sistemi Medicali

Villa Sistemi Medicali cannot be held responsible for:

Villa Sistemi Medicali 5

6 Villa Sistemi Medicali

Pay close attention to people in the X-ray room.

Villa Sistemi Medicali 7

This symbol indicates This symbol indicates:

8 Villa Sistemi Medicali

Emergency button on Emergency button on

Villa Sistemi Medicali 9

3.1.1 Electromagnetic emissions

Emissions test Compliance Electromagnetic environment

10 Villa Sistemi Medicali

3.1.2 Electromagnetic immunity

Immunity IEC 60601-

Villa Sistemi Medicali 11

3.1.3 Recommended separation d istances for non-

Apollo EZ/DRF is intended for use in an electromagnetic environment in which radiated RF

12 Villa Sistemi Medicali

3.2 Radiological protection warning

Personnel authorised to perform radiological examinations must observe the protection

Figure 1: Horizontal table, front view

Villa Sistemi Medicali 13

Figure 2: Horizontal table, plan view

Figure 3: Vertical table, front view

14 Villa Sistemi Medicali

Figure 4: Vertical table, plan view