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Technical Publication

OM-0298R1

Operation
Mobile X-ray Unit

TRANSPORTIX
TX-16-MLP / TX-20-MLP / TX-32-MLP
This product bears a CE marking in accordance with the provisions of the 93/42/EEC MDD dated June 14, 1993.

Este producto ostenta una marca CE de acuerdo con las disposiciones de la Directiva 93/42/CEE del 14 de Junio de 1993 sobre Productos Médicos.

Ce produit porte la marque CE de conformité aux réglements de la Directive 93/42/CEE du 14 juin 1993 relative aux Produits médicaux.

The information comprised in this manual applies to the following equipments


La información contenida en este manual se aplica a los siguientes equipos
L’information contenue dans ce manuel est appliquée aux équipements suivants

TX-16-MLP, TX-20-MLP,TX-32-MLP

Manufactured by:
Fabricado por:

SEDECAL
Sociedad Española de Electromedicina y Calidad S.A.
Pelaya, 9 -- 13. Polígono Industrial “Río de Janeiro”
28110 Algete, Madrid -- España (Spain)

Phone: +34 916 280 544 Fax: +34 902 190 385 www.sedecal.com
¡ IMPORTANTE ! ... Protección ante los rayos-X
LOS EQUIPOS DE RAYOS-X SON PELIGROSOS PARA EL PACIENTE Y EL OPERADOR
A MENOS QUE LAS MEDIDAS DE PROTECCION SEAN ESTRICTAMENTE OBSERVADAS
Si el equipo de rayos-X no se usa adecuadamente, puede causar lesiones. Por este motivo, las instrucciones
aquí incluidas se deben leer y comprender en su totalidad antes de intentar poner el equipo en funcionamiento.
Estaremos gustosos de asistir y cooperar en poner el equipo en marcha.
Aunque el equipo está construido según las normas de seguridad más estrictas y presenta un alto grado de protección contra las
radiaciones-X, ningún diseño practico puede ofrecer una protección completa. Tampoco ningún diseño practico puede obligar al operador
a tomar las precauciones adecuadas para prevenir la posibilidad de que cualquier persona de manera descuidada, poco sensata o
ignorante, se exponga a radiaciones directas o indirectas.
Es importante que cualquier persona relacionada con radiaciones-X esté debidamente entrenada y tome las medidas adecuadas para
asegurar la protección contra posibles lesiones.
El fabricante asume que todo operador y personal de servicio autorizado para manejar, instalar, calibrar o mantener este equipo, es
consciente del peligro que conlleva la exposición excesiva a las radiaciones-X, está suficientemente entrenado y posee los conocimiento
necesarios para ello. Por lo tanto, el equipo aquí descrito se vende entendiendo que el fabricante, sus agentes y representantes
no tienen ninguna responsabilidad en caso de lesiones o daños que puedan resultar de la exposición a dichas radiaciones.
Existen diversos materiales y dispositivos protectores, cuyo uso es recomendable.

IMPORTANT ! ... X-ray Protection


X-RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR
UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED
X-ray equipment if not properly used may cause injury. Accordingly, the instructions herein should be thoroughly
read and understood before attempting to place this equipment in operation. We will be glad to assist and
cooperate in placing this equipment in use.
Although this apparatus is built to the highest safety standards and incorporates a high degree of protection against X-radiation other
than the useful beam, no practical design of equipment can provide complete protection. Nor can any practical design compel the
operator to take adequate precautions to prevent the possibility of any persons carelessly, unwisely, or unknowingly exposing themselves
or others to X-radiation.
It is important that everyone working with X-radiation be properly trained and take adequate steps to insure protection against injury.
The manufacturer assumes that all operator and service personnel authorized to use, install, calibrate and maintain this equipment
is cognizant of the danger of excessive exposure to X-radiation, is sufficiently trained and has the required knowledges for it. The
equipment herein described is sold with the understanding that the manufacturer, its agents, and representatives are not liable for
injury or damage which may result from exposure to X-radiation.
Various protective material and devices are available. It is recommended that such materials and devices be used.

IMPORTANT ! ... Protection contre les rayons-X


L’EQUIPEMENT RAYONS-X EST DANGEREUX A LA FOIS POUR LE PATIENT ET POUR L’OPERATEUR
A MOINS D’OBSERVER STRICTEMENT LES CONSIGNES DE PROTECTION
L’équipement à rayons-X peut provoquer des blessures s’il n’est pas correctement utilisé. En conséquence,
les instructions de ce manuel doivent être lues attentivement et bien assimilées avant de tenter de mettre en
route ce matériel. Nous serons heureux de vous assister et de coopérer à l’installation de ce matériel.
Bien que cet équipement soit construit selon les normes de construction les plus sévères et qu’il comporte un haut degré de protection
contre le rayonnement-X en dehors du rayon utile, aucune conception n’apporte une protection totale. De même qu’aucune conception
ne peut obliger l’opérateur à prendre les précautions adéquates afin d’éviter que toute personne ne s’expose ou n’expose les autres
au rayonnement sans précaution, de façon imprudente et inconsciente.
Il est important que toutes les personnes travaillant avec le rayonnement-X soit correctement formées et prennent les mesures adéquates
afin de se protéger contre toute blessure.
Le constructeur suppose que tous les utilisateurs et le personnel d’entretien autorisé à utiliser, installer, calibrer et entretenir cet équipement
est conscient du danger de l’exposition excessive au rayonnement-X, est suffisamment formé et possède les connaissances nécessaires
pour cela. L’équipement décrit dans le présent manuel est vendu sous réserve que le fabricant, ses agents et représentants ne soient
pas tenus pour responsables des blessures ou dommages qui pourraient résulter d’une exposition aux rayons-X.
Plusieurs matériels de protection et systèmes sont disponibles. L’utilisation de ces matériels et systèmes de protection est recommandée.
DECLARACION AMBIENTAL
SOBRE LA VIDA UTIL DEL EQUIPO O SISTEMA

Este equipo o sistema contiene componentes y materiales peligrosos para el medioambiente (tales
como tarjetas de circuito impreso, componentes electrónicos, aceite dieléctrico usado, plomo,
baterías, etc), los cuales se consideran y son residuos peligrosos al finalizar la vida útil del equipo o
sistema, según establecen las normas internacionales, nacionales y locales.
El fabricante recomienda que al finalizar la vida útil de equipo o sistema, se contacte con un
representante autorizado del fabricante o con un gestor autorizado de residuos para la retirada de este
equipo o sistema.

ENVIRONMENTAL STATEMENT
ON THE LIFE CYCLE OF THE EQUIPMENT OR SYSTEM

This equipment or system contains environmentally dangerous components and materials (such as
PCB‘s, electronic components, used dielectric oil, lead, batteries etc.) which, once the life-cycle of the
equipment or system comes to an end, becomes dangerous and need to be considered as harmful
waste according to the international, domestic and local regulations.
The manufacturer recommends to contact an authorized representative of the manufacturer or an
authorized waste management company once the life-cycle of the equipment or system comes to an
end to remove this equipment or system.

DECLARATION D’ENVIRONNEMENT
SUR LA VIE UTILE DE L’EQUIPEMENT OU SYSTEME

Cet équipement ou système contient des composants et matériaux dangereux pour l’environnement
(ex: électroniques cartes, composants électroniques, huile diélectrique usée, plomb, batteries, etc.),
lesquels sont considérés comme résidus dangereux en cycle terminal de vie d’un équipement ou
système, en accord avec les normes internationales, nationales et locales en vigueur.
Le fabricant recommande une fois le cycle terminal de l’équipement ou système atteint, de contacter
un représentant autorisé du fabricant ou les autorités compétentes en la matière afin d’organiser et
de gérer le recyclage adéquat de cet équipement ou appareil.
Mobile X-ray Unit
Operation

REVISION HISTORY

REVISION DATE REASON FOR CHANGE

0 OCT 04, 2006 First Edition

1 APR 29, 2010 Removed Line Selector Board

This Document is the original English version, edited and supplied by the manufacturer.

The Revision state of this Document is indicated in the code number shown at the bottom of this page.

ADVISORY SYMBOLS
The following advisory symbols will be used throughout this manual. Their
application and meaning are described below.

DANGERS ADVISE OF CONDITIONS OR SITUATIONS THAT


IF NOT HEEDED OR AVOIDED WILL CAUSE SERIOUS
PERSONAL INJURY OR DEATH.

ADVISE OF CONDITIONS OR SITUATIONS THAT IF NOT


HEEDED OR AVOIDED COULD CAUSE SERIOUS PERSONAL
INJURY, OR CATASTROPHIC DAMAGE OF EQUIPMENT OR
DATA.

Advise of conditions or situations that if not heeded or


avoided could cause personal injury or damage to equipment
or data.

Note . Alert readers to pertinent facts and conditions. Notes represent


information that is important to know but which do not necessarily
relate to possible injury or damage to equipment.

OM-0298R1
Mobile X-ray Unit
Operation

SAFETY SYMBOLS

The following safety symbols will be used in the equipment.


Their meanings are described below.

Attention, consult accompanying documents.

Ionizing radiation.

Type B equipment.

Dangerous voltage.

Ground.

This symbol indicates that the waste of electrical and


electronic equipment must not be disposed as unsorted
municipal waste and must be collected separately. Please
contact an authorized representative of the manufacturer or
an authorized waste management company for information
concerning the decommissioning of your equipment.

OM-0298R1
Mobile X-ray Unit
Operation

TABLE OF CONTENTS

Section Page

1 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

1.1 General Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

1.2 Product Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

1.3 Certifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

1.4 Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

2 SAFETY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

2.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

2.2 Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2.3 Maximum Permissible Dose (MPD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2.4 Radiation Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

2.5 Monitoring of Personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

2.6 Protection against Electric Shock Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

2.7 Protection against Hazards from Unwanted or Excessive Radiation . . . . . . . . 11

2.8 Designated Significant Zones of Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

2.9 Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

3 GENERAL AND MOTION CONTROLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

3.1 Mains connection and Line Circuit Breaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

3.2 Generator Control Console . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

3.3 Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

3.4 Bucky / AEC External Connection (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

3.5 X-ray Handswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

3.6 Infrared Remote Control (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23


3.6.1 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.6.2 The “Remote Finder” Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

OM-0298R1 i
Mobile X-ray Unit
Operation

Section Page
3.7 Motion Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3.7.1 Control for Arm Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3.7.2 Parking Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
3.7.3 Displacement Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

3.8 Collimator Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

3.9 Dosimetry (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

4 CONTROL CONSOLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

4.1 Power ON / OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

4.2 Exposure Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

4.3 Workstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

4.4 Focal Spot Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

4.5 Radiographic Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

4.6 Automatic Exposure Control (AEC) (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 36

4.7 Anatomical Programmer (APR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

4.8 Heat Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

4.9 Exposure Counters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

4.10 Self-diagnosis Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

4.11 Error Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

5 OPERATING SEQUENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

5.1 Start-up Routine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

5.2 X-ray Tube Warm-up Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

5.3 Radiographic Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

5.4 AEC Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

5.5 APR Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

6 PERIODIC MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

6.1 Operator Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

6.2 Service Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

7 TECHNICAL SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

ii OM-0298R1
Mobile X-ray Unit
Operation

SECTION 1 INTRODUCTION

This manual contains all the information necessary to understand and operate
the Mobile X-ray Unit. It provides a general description, safety and regulatory
information, operation instructions and specifications concerning the
equipment.

This equipment is designed for general radiography. It provides all the


advantages of high frequency waveform Generators including lower patient
dose, shorter exposure times as well as greater accuracy and consistency.

The Generator is controlled by multiple microprocessors providing increased


exposure consistency, efficient operation and extended Tube life. A high level
of self-diagnostics greatly increases serviceability and reduces down time.

All functions, displays and controls are logically arranged, easily accessible and
identified to prevent confusion. Technique factors and functions are selected
on the Control Console.

Illustration 1-1
Mobile X-ray Unit

OM-0298R1 1
Mobile X-ray Unit
Operation

The Unit consists of the following fundamental parts:

• Control Console, operator controls and displays for radiographic


operations and general functions. The Console is designed for ease
operation.

• Generator that includes:

G Power Module, which contains the Power and Control


components.

G High Voltage Transformer.

G Capacitor Module, with the Energy Storage Capacitors and the


charge / control components.

• Tube-Collimator Assembly, that comprises the X-ray Tube and the


Collimator.

• Column and Arm, holding the Tube-Collimator Assembly and allows its
positioning.

• X-ray Cassette Basket for cassettes of 35 x 43 cm or smaller sizes.

2 OM-0298R1
Mobile X-ray Unit
Operation

1.1 GENERAL FEATURES

The main features of this equipment are:

• A solid and ergonomic design. Easy operation, security and precision of


all positioning movements relative to the position of the patient.

• Constant potential high frequency.

• Tube-Collimator Assembly rotation in relation to its transverse axis


(¦90o) and horizontal axis (205o). Collimator rotation in relation to its
vertical axis (¦90o).

• Three point control by selecting kVp, mA and Exposure Time, or two point
control by selecting kVp and mAs, or one point control by selecting kVp
with AEC operations.

• Anatomical Programmer (APR), for six patient sizes (three adults and
three children), with pre-programmed anatomical views for automatic
selection. The operator may introduce modifications manually in all the
original APR techniques and store them for later use.

• Automatic Exposure Control (AEC) (optional), which accommodates


most popular exposure detectors.

• Direct connection for one Bucky / Ion Chamber (optional).

• X-ray Handswitch for making Radiographic X-ray exposures.

• Remote infrared X-ray Handswitch (optional).

• Manual Collimation.

• Heat Unit storage for the X-ray Tube, even after turning On / Off the
equipment.

OM-0298R1 3
Mobile X-ray Unit
Operation

• Tube protection circuitry prolongs Tube life and increases system


performance.

• Equipped with closed loop control of X-ray Tube current, kVp and
filaments, which minimize potential errors and the need for
readjustments.

• Standard electrical outlet operation with single-phase line at 100 / 110 /


120 / 208 / 230 / 240 ¦10% VAC.

• Under normal operating conditions, the Storage Capacitors are kept at


an optimum charge level by the Capacitor Charger which controls the
level and performs charges periodically.

The Capacitors Module undergoes the charge-up process in the


following conditions (a whistle sounds during charge-up inside the
Generator).

G When the Unit is turned ON and makes the first charge. The total
charge time depends on both the input voltage of mains where the
Unit is plugged-in and the initial charge level of the Capacitors
(maximum 4 seconds for a line of 230 VAC with selection of 16 A
in the Generator; or maximum 40 seconds for a line of 110 VAC
with selection of 8 A in the Generator).

G During X-ray exposures.

G During periodic charges with the Generator turned ON (in


stand-by), approximately every 150 seconds.

Note . The mAs value is limited and depends on the selected kVp and mA
values. Higher mAs values are obtained when selecting lower kVp
and mA values.

4 OM-0298R1
Mobile X-ray Unit
Operation

1.2 PRODUCT IDENTIFICATION

To provide manufacturer and product information, each major item in the


equipment has identification labels attached. The labels contain the following
information:

• Product

• Model.

• Volts (V), Line Phases, Frequency (Hz), and Power (kVA, kW).

• Date of manufacture.

• Serial number.

• Manufacturer.

• Place of manufacture.

• Certification

OM-0298R1 5
Mobile X-ray Unit
Operation

1.3 CERTIFICATIONS

The Mobile X-ray Unit covered by this Operation Manual is authorized to be


marked with CE MARKING in accordance with the provisions of the Council
Directive 93 / 42 / EEC concerning Medical Devices.

1.4 CLASSIFICATION

The Mobile X-ray Unit covered by this Operation Manual is classified as:

• Protection against Electric Shock: Class I -- Type B applied parts.

• Protection against Harmful Ingress of Water: Ordinary.

• Degree of Safety in the presence of Flammable Anesthetics Mixture with


air or with oxygen or with nitrous oxide: Not suitable for use in the
presence of Flammable Anesthetics Mixture with air or with oxygen or
with nitrous oxide.

• Mode of Operation: Continuous operation with intermittent loading.

6 OM-0298R1
Mobile X-ray Unit
Operation

SECTION 2 SAFETY

2.1 GENERAL

Keep this Operating Manual with the equipment at all times and periodically
review the Operating and Safety instructions.

For a continuous and safe use of this equipment follow the


instructions in this Operating Manual. Study this manual
carefully before using the equipment and keep it at hand for
quick reference.

THE EQUIPMENT DESCRIBED IN THIS MANUAL MUST ONLY


BE HANDLED BY PREVIOUSLY TRAINED AND QUALIFIED
PERSONNEL.

X-RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND


OPERATOR UNLESS PROTECTIVE MEASURES ARE
STRICTLY OBSERVED.

EVERYONE ASSOCIATED WITH THIS EQUIPMENT MUST BE


FAMILIAR WITH THE SAFETY AND REGULATORY
INSTRUCTIONS CONTAINED WITHIN THIS MANUAL AND IN
PARTICULAR, THE STATEMENT AT THE BEGINNING OF THIS
MANUAL ENTITLED “IMPORTANT!... X-RAY PROTECTION”.

THESE INSTRUCTIONS SHOULD BE THOROUGHLY READ


AND UNDERSTOOD BEFORE ATTEMPTING TO PLACE THIS
EQUIPMENT IN OPERATION.

Although X-ray radiation can be hazardous, X-ray equipment does not pose any
danger when it is properly used. Please ensure that all service and operating
personnel are properly trained and informed on the hazards of radiation. Those
responsible for the system must understand the safety requirements for X-ray
operation. Please study this manual and the manuals for each system
component to be fully aware of all the safety and operational requirements.

OM-0298R1 7
Mobile X-ray Unit
Operation

SPECIAL ATTENTION MUST BE GIVEN TO DIAGNOSTIC


X--RAY EQUIPMENT SPECIFIED TO BE USED IN
COMBINATION WITH ACCESSORIES OR OTHER ITEMS. BE
AWARE OF POSSIBLE ADVERSE EFFECT ARISING FROM
THESE MATERIALS LOCATED IN THE X--RAY BEAM. (SEE
THE TABLE BELOW FOR THE MAXIMUM EQUIVALENT
ATTENUATION OF MATERIALS POSSIBLY LOCATED IN THE
X-RAY BEAM).

MAXIMUM ATTENUATION EQUIVALENT mm AL


ITEM
21 CFR IEC 60601--1--3

FRONT PANEL OF WALL SUPPORT OR BUCKY 1.2 1.2

PATIENT SUPPORT, MOVABLE, WITHOUT ARTICULATED JOINTS 1.7 1.7

PATIENT SUPPORT, CANTILEVERED 2.3 2.3

2.2 RESPONSIBILITIES

ENSURE THAT ALL PERSONNEL AUTHORIZED TO USE THE


EQUIPMENT ARE AWARE OF THE DANGERS OF EXCESSIVE
EXPOSURE TO X-RAY RADIATION.

THE EQUIPMENT HEREIN DESCRIBED IS SOLD WITH THE


UNDERSTANDING THAT THE MANUFACTURER, ITS
AGENTS, AND REPRESENTATIVES ARE NOT LIABLE FOR
INJURY OR DAMAGE WHICH MAY RESULT FROM
OVEREXPOSURE OF PATIENTS OR PERSONNEL TO X-RAY
RADIATION.

8 OM-0298R1
Mobile X-ray Unit
Operation

THE MANUFACTURER DOES NOT ACCEPT ANY


RESPONSIBILITY FOR OVEREXPOSURE OF PATIENTS OR
PERSONNEL TO X-RAY RADIATION GENERATED BY THIS
EQUIPMENT WHICH IS A RESULT OF POOR OPERATING
TECHNIQUES OR PROCEDURES.

NO RESPONSIBILITY WILL BE ASSUMED FOR ANY


EQUIPMENT THAT HAS NOT BEEN SERVICED AND
MAINTAINED IN ACCORDANCE WITH THE MANUFACTURER
INSTRUCTIONS, OR WHICH HAS BEEN MODIFIED OR
TAMPERED WITH IN ANY WAY.

IT IS THE RESPONSIBILITY OF THE OPERATOR TO ENSURE


THE SAFETY OF THE PATIENT WHILE THE X-RAY
EQUIPMENT IS IN OPERATION BY VISUAL OBSERVATION,
PROPER PATIENT POSITIONING, AND USE OF DEVICES
THAT ARE INTENDED TO PREVENT PATIENT INJURY.

ALWAYS WATCH ALL PARTS OF THE SYSTEM TO VERIFY


THAT THERE IS NEITHER INTERFERENCE NOR
POSSIBILITY OF COLLISION WITH THE PATIENT OR WITH
OTHER EQUIPMENT.

MAKE SURE THAT THE X-RAY TUBE IS SET IN WORKING


POSITION WITH THE REFERENCE AXIS (X-RAY BEAM)
POINTING TO THE RECEPTION AREA.

2.3 MAXIMUM PERMISSIBLE DOSE (MPD)

Before operation, persons qualified and authorized to operate this equipment


should be familiar with the Recommendations of the International Commission
on Radiological Protection, contained in Annals Number 60 of the ICRP, with
applicable National Standards; and should have been trained in use of the
equipment.

THE OPERATOR SHALL USE THE LARGEST POSSIBLE


FOCAL SPOT TO SKIN DISTANCE IN ORDER TO KEEP THE
ABSORBED DOSE AS LOW AS REASONABLY ACHIEVABLE.

OM-0298R1 9
Mobile X-ray Unit
Operation

2.4 RADIATION PROTECTION

Because exposure to X-ray radiation can be damaging to the health, use great
care to ensure protection against exposure to the primary beam. Some of the
effects of X-ray radiation are cumulative and may extend over a period of
months or years. The best safety rule for an X-ray operator is “Avoid exposure
to the primary beam at all times”.

Any object in the path of the primary beam produces secondary (scattered)
radiation. The intensity of secondary radiation depends on the energy and
intensity of the primary beam and the atomic number of the object material
struck by the primary beam. Secondary radiation may be of greater intensity
than that of the radiation reaching the film. Take protective measures to
safeguard against this.

An effective protective measure is the use of lead shielding. To minimize


dangerous exposure, use such items as lead screens, lead impregnated
gloves, aprons, thyroid collars, etc. Lead screens should contain a minimum
of 2.0 mm of lead or equivalent and personal protective devices (aprons,
gloves, etc.) must contain a minimum of 0.25 mm of lead or equivalent. For
confirmation of the local requirements at your site, please refer to your “Local
Radiation Protection Rules” as provided by your Radiation Protection Advisor.

WHILE OPERATING OR SERVICING X-RAY EQUIPMENT,


ALWAYS KEEP A DISTANCE OF NOT LESS THAN 2 METERS
FROM THE FOCAL SPOT AND X-RAY BEAM, PROTECT
BODY AND DO NOT EXPOSE HANDS, WRISTS, ARMS OR
OTHER PARTS OF THE BODY TO THE PRIMARY BEAM.

10 OM-0298R1
Mobile X-ray Unit
Operation

2.5 MONITORING OF PERSONNEL

Monitoring personnel to determine the amount of radiation to which they have


been exposed provides a valuable cross check to determine whether or not
safety measures are adequate. It may reveal inadequate or improper radiation
protection practices and potentially serious radiation exposure situations.
The most effective method of determining whether or not the existing protective
measures are adequate is the use of instruments to measure the exposure.
These measurements should be taken at all locations where the operator, or
any portion of the body may be exposed. Exposure must never exceed the
accepted tolerable dose.
A frequently used, but less accurate, method of determining the amount of
exposure is the placement of film at strategic locations. After a specified period
of time, develop the film to determine the amount of radiation.
A common method of determining whether personnel have been exposed to
excessive radiation is the use of personal radiation dosimeters. These consist
of X-ray sensitive film or thermoluminescent material enclosed within a holder
that may be worn on the body. Even though this device only measures the
radiation which reaches the area of the body on which they are worn, they do
provide a reasonable indication of the amount of radiation received.

2.6 PROTECTION AGAINST ELECTRIC SHOCK HAZARDS

This X-ray Unit has been classified as a type-B ( ) device in accordance with
IEC 60601-1.
This equipment meet the following Safety Standards: IEC 60601-1,
IEC 60601-1-1, IEC 60601-2-7.

ACCORDING TO MDD/93/42/CEE, THIS UNIT IS EQUIPPED


WITH EMC FILTERS. THE LACK OF PROPER GROUNDING
MAY PRODUCE ELECTRICAL SHOCK TO THE USER.

2.7 PROTECTION AGAINST HAZARDS FROM UNWANTED OR EXCESSIVE


RADIATION

Statement of compliance: X-ray Unit with radiation protection in accordance


with IEC 60601-1-3.

OM-0298R1 11
Mobile X-ray Unit
Operation

2.8 DESIGNATED SIGNIFICANT ZONES OF OCCUPANCY

X--RAY EQUIPMENT specified for any RADIOLOGICAL examination shall


have at least one SIGNIFICANT ZONE OF OCCUPANCY for the use of the
OPERATOR and staff, designated as follow:

RADIOGRAPHIC EXAMINATION ON THE CHEST UNIT OR FRONT PANEL

CHEST UNIT Dimensions in cm

100 Minimum 200


PROTECTIVE DEVICE

SIGNIFICANT ZONE OF OCCUPANCY

Minimum 200
X--RAY UNIT TUBE STAND

Min. 60

100 Minimum 200


SIGNIFICANT ZONE OF OCCUPANCY
PROTECTIVE DEVICE

X--RAY UNIT
Minimum 80

TUBE STAND

CHEST UNIT

12 OM-0298R1
Mobile X-ray Unit
Operation

RADIOGRAPHIC EXAMINATION ON ANY PATIENT SUPPORT OR ANY TABLE

Minimum 200 Minimum 200

X--RAY UNIT
SIGNIFICANT ZONE OF OCCUPANCY

SIGNIFICANT ZONE OF OCCUPANCY


100
Minimum 200

Minimum 200
TUBE STAND
EXAMINATION TABLE

Dimensions in cm
Min. 60

SIGNIFICANT ZONE OF OCCUPANCY

Minimum 80

Minimum 200 Minimum 200


Minimum 200

Min. 60 Min. 60

X--RAY UNIT
SIGNIFICANT ZONE OF OCCUPANCY

SIGNIFICANT ZONE OF OCCUPANCY


Minimum 80

Minimum 80

TUBE STAND
EXAMINATION TABLE
Minimum 200

Min. 60

SIGNIFICANT ZONE OF OCCUPANCY

Minimum 80

OM-0298R1 13
Mobile X-ray Unit
Operation

2.9 ELECTROMAGNETIC COMPATIBILITY (EMC)

This equipment generates, uses, and can radiate radio frequency energy. The
equipment may cause radio frequency interference to other medical or non
medical devices and radio communications. To provide reasonable protection
against such interference, this product complies with emissions limits for a
Group 1, class A Medical Devices Directive as stated in EN 60601--1--2.
However, there is no guarantee that interference will not occur in a particular
installation.

If this equipment is found to cause interference (which may be determined by


turning the equipment on and off), the operator (or qualified service personnel)
should attempt to correct the problem by one or more of the following measures:

• reorient or relocate the affected device,

• increase the separation between the equipment and the affected device,

• power the equipment from a source different from that of the affected
device,

• consult the service engineers for further suggestions.

To comply with the regulations on electromagnetic interference for a Class A


FCC Device, this equipment must be used in shielded areas and all
interconnect cables to peripheral devices must be shielded and properly
grounded. Use of cables not properly shielded and grounded may result in the
equipment causing radio frequency interference in violation of the FCC
regulations.

Before using this equipment make sure that all requirements


about EMC included in this manual are accomplished.

It is customer responsibility to assure that this equipment


and vicinity equipment complies the value of radio frequency
interferences shown in General Regulation for safety
according to IEC 60601- 1- 2 Tables as described in this
section.

14 OM-0298R1
Mobile X-ray Unit
Operation

Do not use devices which intentionally transmit RF Signals


(Cellular Phones, Transceivers or Radio Controlled
Products) in the vicinity of this equipment as it may cause
performance outside the published specifications. Keep the
power to these type devices turned off when near this
equipment. Is the responsibility of the operator to instruct
patients and other people who may be around this equipment
to fully comply with the above requirement.

The manufacturer is not responsible for any interference


caused by using other than recommended interconnect
cables or by unauthorized changes or modifications to this
equipment.

GUIDANCE AND MANUFACTURER’S DECLARATION -- ELECTROMAGNETIC EMISSIONS

This Mobile Unit is intended for use in the electromagnetic environment specified below.
The customer or the user of this Mobile Unit should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment -- guidance

This Mobile Unit uses RF energy only for its


RF emissions internal function. Therefore, its RF emissions are
Group 1
CISPR 11 very low and are not likely to cause any
interference in nearby electronic equipment.

RF emissions
Class A
CISPR 11
This Mobile Unit is suitable for use in all
establishments other than domestic and those
Harmonic emissions
N/A directly connected to the public low--voltage power
IEC 61000--3--2
supply network that supplies buildings used for
domestic purposes.
Voltage fluctuations/flicker emissions
N/A
IEC 61000--3--3

OM-0298R1 15
Mobile X-ray Unit
Operation

GUIDANCE AND MANUFACTURER’S DECLARATION -- ELECTROMAGNETIC IMMUNITY

This Mobile Unit is intended for use in the electromagnetic environment specified below.
The customer or the user of this Mobile Unit should assure that it is used in such an environment.

Compliance
Immunity test IEC 60601 test level Electromagnetic environment -- guidance
level

Electrostatic discharge (ESD) ¦ 6kV contact ¦ 6kV Floors should be wood, concrete or ceramic
tile. If floors are covered with synthetic material,
IEC 61000-4-2 ¦ 8kV air N/A the relative humidity should be at least 30%.

Electrical fast transient/burst ¦ 2kV for power supply lines ¦ 2kV


Mains power quality should be that of a typical
commercial or hospital environment.
IEC 61000-4-4 ¦ 1kV for input/output lines ¦ 1kV

Surge ¦ 1kV line(s) to line(s) ¦1kV


Mains power quality should be that of a typical
commercial or hospital environment.
IEC 61000--4--5 ¦ 2kV line(s) to earth ¦ 2kV

< 5% UT > 95%


(>95% dip in UT) for 0.5 periods
for 0.5 cycle

40% UT
Voltage dips, short (60% dip in UT) N/A Mains power quality should be that of a typical
interruptions and voltage for 5 cycles commercial or hospital environment. If the user
variations on power supply of the Mobile Unit requires continued operation
input lines. during power mains interruptions, it is
70% UT recommended that the Mobile Unit be powered
IEC 61000--4--11 (30% dip in UT) N/A from a uninterruptible power supply or a battery.
for 25 cycles

< 5% UT > 95%


(>95% dip in UT) for 250 periods
for 5s

Power frequency (50/60 Hz)


Power frequency magnetic fields should be at
magnetic field
3 A/m 3 A/m levels characteristic of a typical location in a
typical commercial or hospital environment.
IEC 61000--4--8

NOTE -- UT is the a.c. mains voltage prior to application of the test level.

16 OM-0298R1
Mobile X-ray Unit
Operation

GUIDANCE AND MANUFACTURER’S DECLARATION -- ELECTROMAGNETIC IMMUNITY

This Mobile Unit is intended for use in the electromagnetic environment specified below.
The customer or the user of this Mobile Unit should assure that it is used in such an environment.

Immunity test IEC 60601 test level Compliance level Electromagnetic environment -- guidance

Portable and mobile RF communications


equipment should be used no closer to any part
of this Mobile Unit, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.

Recommended separation distance

d = 1.2 P

d = 1.2 P , 80 MHz to 800 MHz

d = 2.3 P , 800 MHz to 2.5 GHz


Conducted RF 3Vrms 3Vrms
IEC 61000--4--6 150kHz to 80MHz 150kHz to 80MHz where ’P’ is the maximum output power rating
of the transmitter in watts (W) according to the
Radiated RF 3V/m 3V/m transmitter manufacturer and ’d’ is the
IEC 61000--4--3 80MHz to 2.5GHz 80MHz to 2.5GHz recommended separation distance in meters
(m).

Field strengths from fixed RF transmitters, as


determined by an electromagnetic site
survey a), should be less than the compliance
level in each frequency range b).

Interference may occur in the vicinity of


equipment marked with the following symbol:

NOTE 1 -- At 80MHz and 800MHz, the higher frequency range applies.

NOTE 2 -- These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.

a) Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur
radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which this Mobile Unit is used exceeds the applicable RF compliance level above, this Mobile Unit should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as re--orienting or relocating this
Mobile Unit.
b) Over the frequency range 150kHz to 80MHz, field strengths should be less than 3 V/m.

OM-0298R1 17
Mobile X-ray Unit
Operation

RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT AND
THE MOBILE UNIT

This Mobile Unit is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of this Mobile Unit can help prevent electromagnetic interference by maintaining a minimum distance
between portable and mobile RF communications equipment (transmitters) and this Mobile Unit as recommended below, according to
the maximum output power of the communications equipment.

Separation distance according to frequency of transmitter


Rated maximum output power of m
transmitter
150KHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz
W
d = 1.2 P d = 1.2 P d = 2.3 P

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73

1 1.2 1.2 2.3

10 3.8 3.8 7.3

100 12 12 23

For transmitters rated at a maximum output power not listed above, the recommended separation distance ’d’ in metres (m) can be
estimated using the equation applicable to the frequency of the transmitter, where ’P’ is the maximum output power rating of the transmitter
in watts (W) according to the transmitter manufacturer.

NOTE 1 -- At 80MHz and 800MHz, the separation distance for the higher frequency range applies.

NOTE 2 -- These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.

18 OM-0298R1
Mobile X-ray Unit
Operation

SECTION 3 GENERAL AND MOTION CONTROLS

Operation is carried out from the different controls:

• Front Panel with controls to turn ON / OFF the Unit, Line Connection
Indicator and Collimator Lamp control.

• Generator Control Console.

• Handswitch.

• Remote Infrared Handswitch (optional).

• Line Circuit Breaker.

• Connection for a Bucky / Ion Chamber (optional).

• Controls for Unit motion.

• Manual Collimator Panel with controls for opening or closing the


Collimator blades and to switch ON the Collimator Lamp.

Collimator Panel

Front Panel
Handles of Tube-Collimator Assembly

Control Console

Bucky / AEC External Connection (optional)


Front Handle

Arm Security Hook for Parking Position

Cassette Basket

OM-0298R1 19
Mobile X-ray Unit
Operation

3.1 MAINS CONNECTION AND LINE CIRCUIT BREAKER

The Unit should be plugged into a wall socket that complies with local
regulations and electrical requirements for the equipment (refer to Section 7 for
Technical Specifications).

FOR SAFETY REASONS AND FOR PROPER FUNCTIONING,


MAKE SURE THAT THE UNIT IS CONNECTED TO A
STANDARD OUTLET WITH GND.

The Line Circuit Breaker must always be in the ON position (refer to “Power Line
Connector Lamp” to check the status of the Line Circuit Breaker). This device
is located underneath the Console Cover. If access to the Line Circuit Breaker
is necessary, remove the 6 screws of the Console Cover, carefully lift the cover
and check its position.

ALWAYS IN “ON” POSITION

OPERATION ALWAYS REQUIRES A CONTINUOUS MAINS


CONNECTION AND THE CIRCUIT BREAKER IN THE “ON”
POSITION.

3.2 GENERATOR CONTROL CONSOLE

The Generator Control Console includes the controls, indicators and displays
needed to perform radiographic exams. It is also equipped with an Anatomic
Programmer and an optional Automatic Exposure Control (AEC). (Refer to
Section 4 for its description).

20 OM-0298R1
Mobile X-ray Unit
Operation

3.3 FRONT PANEL

EMERGENCY SWITCH OFF

POWER LINE CONNECTION LAMP

SWITCH ON BUTTON OF COLLIMATOR LAMP SWITCH ON / OFF KEY

GENERAL CIRCUIT BREAKER / EMERGENCY SWITCH OFF: In the event


of an emergency, the equipment is turned OFF by forcibly pressing this switch
(red mushroom-shaped switch).

SWITCH ON / OFF KEY: This key is used to switch ON the Generator for
radiographic operation.

The key in “OFF” position switches OFF all equipment functions, including the
Charging Circuits.

POWER LINE CONNECTION LAMP: Whenever illuminated, this indicates that


the Unit is connected to the mains.

COLLIMATOR LAMP: This button is used to turn ON the Collimator Lamp from
the Front Panel whenever the Key is in the “ON” position. The Lamp remains
illuminated for a few seconds before automatically switching off.

PROLONGED LIGHTING WITHOUT ALLOWING SUFFICIENT


TIME FOR THE LAMP TO COOL CAUSES THE COLLIMATOR
TO OVERHEAT IN THE INTERNAL AREA NEAR THE LAMP.

OM-0298R1 21
Mobile X-ray Unit
Operation

3.4 BUCKY / AEC EXTERNAL CONNECTION (OPTIONAL)

This connector is used to connect an external Bucky and/or Ion Chamber


(AEC). Do not remove the connector security cover unless the Bucky / AEC
connection is going to take place.

Bucky / AEC External Connection

3.5 X-RAY HANDSWITCH

OFF / Prep / Exp Radiographic exposures are made with the “Prep” (preparation) and “Exp”
(X-ray exposure) Handswitch. The status of the exposure is shown by the
“Ready” and “X-ray On” indicators for the duration of the exposure.

PREP: Press the Handswitch button half-way (”Prep” position) to prepare the
selected X-ray Tube for exposure. The “Ready” indicator on the Console will
light when the X-ray Tube is prepared and there are no interlock failures or
Collimator Lamp system faults.

After pressing this push-button, the following functions are activated:

• Anode rotation.

• Filament current switches from stand-by to the selected mA.

EXP: After the “Ready” indicator is illuminated, fully press the Handswitch
button to start an X-ray exposure. If the button is released before the Generator
completes the selected time or the AEC time, the exposure will be prematurely
terminated and the actual mAs and Exposure Time will be displayed.

The “X-ray On” indicator remains illuminated and a sound is emitted during the
length of exposure.

COLLIMATOR LAMP: This X-ray Handswitch includes a button to turn on the


Collimator Lamp.

22 OM-0298R1
Mobile X-ray Unit
Operation

3.6 INFRARED REMOTE CONTROL (OPTIONAL)

The Infrared Remote Control allows the operator to perform exposures at a long
distance from the X-Ray Tube which helps to protect the operator against
radiation.

Collimator Lamp Button Infrared Window

Battery Level Indicator

Remote Finder Compartment

Exposure Button

Batteries Compartment

Prior to starting the exposure, make sure there are no other


equipment operating with an Infrared Remote Control at the
same time, neither close to it nor behind leaded glass
windows or partitions. Before performing an exposure with
this device, turn off any other units operating with Infrared
Remote Control that could be affected by this Exposure
Control.

OM-0298R1 23
Mobile X-ray Unit
Operation

3.6.1 OPERATION

Take the Remote Exposure Control device out of its cradle. Aim the Remote
Control at the sensor on the Mobile Unit from a maximum distance of 10 meters.

COLLIMATOR LAMP: Press this button to turn on the Collimator Lamp. This
control is disabled with Manual Collimators.

EXPOSURE CONTROL : Press this button once to prepare the X-ray Tube for
exposure (”Prep” position). When the green light is on, press this button a
second time and hold it down until the X-ray Unit completes the exposure (”Exp”
position).

When the exposure is completed the green light indicator turns off. Return the
Control Remote device back to its cradle on the Mobile Unit.

Note . A built-in remote beeping feature will alert the operator when the
Remote Control device is left uncradled.

The preparation cycle is automatically interrupted and returns to stand-by not


only when an exposure is not initiated within 15 seconds after the “Prep” action
but also when the Collimator Lamp is turned on.

If the “Exposure” button is released while making an exposure, the exposure is


automatically aborted.

3.6.2 THE “REMOTE FINDER” DEVICE

The Remote Exposure Control has a built-in remote finder which is very useful
for locating the remote control device should it become misplaced.

If the Remote Exposure Control is not returned back to its cradle within three
minutes after use, the device will repeat a series of beeps. This series of beeps
will continue indefinitely until the device is located and put back into its cradle.

24 OM-0298R1
Mobile X-ray Unit
Operation

3.7 MOTION CONTROLS

UNIT TRAVEL MUST BE PERFORMED IN PARKING


POSITION. FOR SAFETY REASONS, OPERATIONAL AND
TRAVEL SURFACES SHOULD NOT EXCEED 5O INCLINATION
RAMPS.

MONITOR THE SYSTEM MOVEMENTS WITH SPECIAL CARE.


AVOID ANY IMPACT OF THE UNIT WITH WALLS, FURNITURE
OR OTHER ELEMENTS IN THE ROOM THAT MAY CAUSE
DAMAGE TO THE EQUIPMENT.

DO NOT DRIVE THE MOBILE UNIT OVER WET SURFACES


AND / OR IMPREGNATED WITH CLEANING PRODUCTS
(SPECIALLY BLEACH, AMMONIA, ETC.), THE UNIT COULD
SLIP AND MOMENTARILY LOSE CONTROL. IT ALSO MAY
BLEACH THE WHEELS CAUSING DAMAGES TO THE FLOOR.

MONITOR WITH SPECIAL CARE THE PATIENT POSITION OR


ANYONE PRESENT, TO AVOID INJURY CAUSED BY UNIT
MOVEMENTS.

INTRAVENOUS TUBING, CATHETERS AND OTHER PATIENT


CONNECTED LINES SHOULD BE ROUTED AWAY FROM
MOVING EQUIPMENT.

3.7.1 CONTROL FOR ARM POSITIONING

Both Handgrips of the Tube-Collimator Assembly are used to position the


Tube-Collimator Assembly in relation to the position of the patient.

ALWAYS USE THESE HAND-GRIPS TO DRIVE THE ARM


MOVEMENTS, NEVER PUSH DIRECTLY ON X-RAY TUBE OR
COLLIMATOR.

OM-0298R1 25
Mobile X-ray Unit
Operation

The Arm can be turned up to 106o from its vertical position to allow a maximum
Focal Distance of 2020 mm (79.5“) from the Floor.

106o
max. 2020 (79.5”)

min. 500 (19.6”)

The Tube-Collimator Assembly can rotate from its vertical position in:

75o

• +165o / -- 40o in relation to its horizontal axis.

90o

40o
• ¦90o in relation to its transversal axis. This movement has detents every
90o. The performed angle is indicated in the rotation indicator located on
the X-Ray Tube.

90o 90o

The Collimator can rotate ¦90o respect to its vertical axis while the Tube
remains in the same position. This movement has detents every 90o and it is
performed by manually turning the Collimator.
¦ 90o

26 OM-0298R1
Mobile X-ray Unit
Operation

3.7.2 PARKING POSITION

The parking position of the unit provides a safe and easy motion and transport.
Bend the Arm and block it with the Arm Safety Hook.

Arm Safety Hook

Parking Position

ALWAYS KEEP THE ARM IN PARKING POSITION EXCEPT


WHEN PERFORMING RADIOGRAPHIC EXAMS. THIS WILL
PREVENT INJURIES OR UNIT DAMAGE DURING
DISPLACEMENT.

OM-0298R1 27
Mobile X-ray Unit
Operation

3.7.3 DISPLACEMENT CONTROLS

The only displacement controls of the Unit are the Front Handle Bar, the Brake
Control Bar and the Blocking Button.

The brakes are released by gripping and holding the Brake Control Bar towards
the Front Handle Bar. The Unit is manually moved pushing or pulling it from both
Bars. The front steering wheels and the back main wheels provide comfortable
driving as well as easy positioning of the Unit.

Also, the Unit is provided with a Blocking Button that keeps brakes released for
longer distances. Grip Front Handles and press Blocking Button to release
brakes and start motion. Press on both Bars to release the Blocking Button and
then release both Bars to stop motion.

TAKE SPECIAL CARE WHEN GRIPPING BOTH BARS TO


PREVENT INJURIES CAUSED BY FINGER PINCH .

Front Handle Bar Blocking Button

Brake Control Bar

The Unit can be transported over floor differences of up to 50 mm (curbs, steps,


elevator gaps, etc). Step down on the base of the Unit to raise the directional
wheels, as shown in the picture below.

28 OM-0298R1
Mobile X-ray Unit
Operation

3.8 COLLIMATOR CONTROLS

Collimator controls consist of a push-button to switch ON the Collimator Lamp


and two knobs to open or close the internal blades. (Also refer to the Collimator
Manual).

After pressing the push-button, the Collimator Lamp remains illuminated for a
few seconds before automatically switching OFF.

PROLONGED LIGHTING WITHOUT ALLOWING SUFFICIENT


TIME FOR THE LAMP TO COOL CAUSES THE COLLIMATOR
TO OVERHEAT IN THE INTERNAL AREA NEAR THE LAMP.

The exposure field is adjusted by setting the two knobs (shown below). The
table on the Collimator Panel shows the number to set with the knobs to open
the blades according to the SID and cassette size to be used.

Collimator Lamp Push-button

Knobs to open or close the Collimator blades

3.9 DOSIMETRY (OPTIONAL)

The Radiation Meter VacuDAP 2000 (optional) consists of an Ionization


Chamber installed under the Collimator. This shows the radiation measure as
the Dose Area Product (DAP = Dose Area Product) in mGy*cm2.
Press the “Reset” button to set the radiation value to zero for every new patient.
(Refer to the Radiation Meter Manual for further information).

Note . The radiation measure must be performed without any accessory


installed between the Collimator and the patient (filters or
diaphragms).

Radiation Meter (optional)

OM-0298R1 29
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30 OM-0298R1
Mobile X-ray Unit
Operation

SECTION 4 CONTROL CONSOLE

All controls, indicators and displays located on the Control Console are
positioned depending upon their functions.

The Radiographic module consists of: Power On / Off, Bucky / No Bucky


Selection, Focal Spot Indicators, RAD Displays, Controls to Increase or
Decrease the Radiographic Parameters, Self-diagnostics and X-ray Exposure
Status Indicators.

Note . Use the operating controls as described in this manual. Any other
non-indicated combination may cause an incorrect operation of
the equipment.

2 1
10

11 11

12
3

9
12

13 8

1. Power On 8. Film / Screen Combination


2. Power Off 9. AEC Reset
3. Bucky Selection 10. Patient Size Selection (APR)
4. Focal Spots Indicators 11. APR Display Selectors
5. Radiographic Values 12. Self-Diagnosis Indicator
6. AEC Density Values 13. Exposure Indicators
7. AEC Field Selection

OM-0298R1 31
Mobile X-ray Unit
Operation

4.1 POWER ON / OFF

ON: Console and the Generator are turned ON by pressing this push-button.
This starts a power-up routine, displaying the software version on the Console.
After the power-up routine, the last Workstation used (Bucky or No-Bucky) will
be automatically selected.

OFF: The Console / Generator is turned OFF by pressing this push-button.

4.2 EXPOSURE INDICATORS

READY: Indicates that the technique selected is properly set, there are no
interlock failures or system faults, the anode is rotating and the X-ray Tube is
ready for exposure.

X-RAY ON: Indicates that the X-ray exposure is in progress. An audible signal
will be heard during the exposure.

4.3 WORKSTATIONS SELECTION

BUCKY SELECTOR: Selects the Bucky (push-button lighted) or No-Bucky.

32 OM-0298R1
Mobile X-ray Unit
Operation

4.4 FOCAL SPOT INDICATORS

SMALL FOCAL SPOT: Indicates that the “Small Focal Spot” of the X-ray Tube
has been selected.

LARGE FOCAL SPOT: Indicates that the “Large Focal Spot” of the X-ray Tube
has been selected.

Note . The Focal Spot is automatically selected according to the mA


station. The mA station set for the Focal Spot change is
configured by the field engineer during the installation.

The Focal Spot may also be selected (keeping kVp and mAs constant) by
pressing:

• “ON” + “mA or mAs Increase” push-buttons to select Large Focal Spot.

• “ON” + “mA or mAs Decrease” push-buttons to select Small Focal Spot.

Constant mAs set the maximum mA available and the minimum exposure time.

Note . The Focal Spot change can be done whenever the present
conditions of the X-ray Tube allow it.

OM-0298R1 33
Mobile X-ray Unit
Operation

4.5 RADIOGRAPHIC PARAMETERS

Note . Refer to section 6.3 for Radiographic Operation Modes

kVp DISPLAY can show:

kVp • The radiographic kVp value selected for the technique.

• The actual X-ray Tube heat unit value after pressing the “On”
push-button (refer to Section 4.8).

• The error messages during a system fault, preceded by the letter “E”
(e.g. E02) (refer to Section 4.11).

mAs DISPLAY can show:

mAs • The radiographic mAs value selected for the technique.

• When an exposure is made with AEC, it shows the actual mAs at the end
of the exposure whenever the “Prep” push-button has not been released.

• If an exposure is aborted by releasing the “Exp” push-button during the


exposure, it shows the actual mAs value until the “AEC Reset”
push-button is pressed to reset the error condition.

mA DISPLAY: Shows the radiographic mA value selected for the technique.

mA

Time DISPLAY can show:

s • The Time value (in seconds) selected for the technique.

• When an exposure is made with AEC, it shows the back-up Time during
the exposure and the actual Time at the end of the exposure whenever
the “Prep” push-button has not been released.

• If an exposure is aborted by releasing the “Exp” push-button during the


exposure, it shows the actual Time until the “AEC Reset” push-button is
pressed to reset the error condition.

RAD Displays can also show:

• The actual Time, the calculated mAs, and the selected kVp and mA
radiographic parameters of the last exposure, with or without AEC, after
pressing the “AEC Reset” push-button (values flashing).

• The exposure counters (refer to Section 4.9).

34 OM-0298R1
Mobile X-ray Unit
Operation

INCREASE / DECREASE: Radiographic technique values are increased or


decreased by pressing the respective push-buttons. The values increase or
decrease step-by-step each time the corresponding push-button is pressed,
and changes faster when either of them is pressed continuously.

• kVp: Selects the X-ray Tube voltage.

• mAs: Selects the exposure in mAs.

• mA: Selects the X-ray Tube current.

• s: Selects the exposure time in seconds.

(Refer to Section 7 for Factor ranges)

Note . If after pressing any of these push-buttons, the technique value is


blocked and an acoustic signal is emitted it could mean that:

Radiographic Parameters Blockage. Whenever the maximum


or minimum limit for any radiographic parameter is reached, the
related Display blinks.

Generator Power Limit. If the power limit (kV x mA) is reached


by increasing the mA up to a maximum possible value, the mA
value is blocked. Flashing values on kV and mA Displays will alert
operator about the situation.

If required, kV could be increased up to its maximum value while


mA value may automatically decrease, as long as mAs value is
kept the same.

Space Charge. If a variation of the kV or mA induces to surpass


the space charge limit in the selected tube, the parameter is
blocked, and a flashing value on the kV Display will alert the
operator about the situation.

Maximum Energy (60 kJ). Only in AEC mode, if a variation of the


parameters means that the maximum energy (60 kJ) will be
exceeded, the parameter is blocked. Flashing values on kV and
mAs Displays will alert operator about the situation.

Instantaneous Power. If a technique reaches the instantaneous


power limit of the X-ray Tube (ratings limit or the X-ray Tube is
momentarily overheated), some techniques cannot be selected.
Flashing values on kV and mAs Displays will alert operator about
the situation.

OM-0298R1 35
Mobile X-ray Unit
Operation

4.6 AUTOMATIC EXPOSURE CONTROL (AEC) (OPTIONAL)

Automatic Exposure Control (AEC) produces consistent film density with


excellent contrast regardless of the selected radiographic technique. The AEC
module comprises the controls to activate the Exposure Detector (Ion
Chamber), the Film/Screen Combination, Film Density Compensation and
AEC Reset.

The AEC mode is selected by pressing any of the three AEC Field
push-buttons. To exit the AEC mode, press all the illuminated AEC Field
push-buttons until none are lit.

In AEC mode the back-up time (or back-up mAs) MUST BE SET MANUALLY
by the operator using the Console controls.

Note . The value of the back-up time (or mAs) must be set greater than
the previously considered value for the exposure time (or mAs).
A value above 50% of the considered value is the recommended.
Very extreme values of back-up time (or mAs) should be avoided
to prevent patient from excessive exposure when a control error
is produced.

EXPOSURE DETECTOR: Press central push-button to activate or deactivate


the Mobile-AID Ion Chamber. Buttons at right and left are not used to select the
Mobile-AID Ion Chamber.

FILM / SCREEN COMBINATION: Each of these push-buttons allows


adjustment of the mAs in relation to a programmed Film / Screen combination
that may be in use: slow, medium, or fast respectively (200, 400, 800). Each
time a Film / Screen push-button is selected (illuminated), the others are
automatically deselected.

DENSITY: These push-buttons are used to adjust the radiographic film density.

Film density can be proportionally increased or decreased in several steps. The


selected value is shown in the Density Display. The variation percentage
density between steps can be changed during the equipment calibration by the
engineer according to customer preferences (the percentage by default is
25%).

36 OM-0298R1
Mobile X-ray Unit
Operation

AEC RESET: If the exposure is aborted by the AEC back-up timer, the indicator
on the “AEC Reset” push-button blinks accompanied by an audible alarm. The
next exposure is inhibited until the AEC function is reset by pressing the “AEC
Reset” push-button. When the Generator is in “Prep” mode, the AEC function
can not be reset.

The “AEC Reset” push-button may blink when the kVp value, the AEC Density
and the Film/Screen Combination select a technique that is out of the operative
range with AEC, inhibiting the next exposure. Change any parameter (kVp
value, AEC Density and/or Film/Screen Combination) in order to obtain a
technique enabled for AEC.

4.7 ANATOMICAL PROGRAMMER (APR)

The Anatomical Programmer (APR) module is comprised of the controls which


select the Patient Size and Display Selectors. The process is shown on the
APR Display.

The APR techniques are factory pre-programmed according to different


standard techniques that combines six Body Regions with their Anatomical
Views (Organ + Projection). Besides the radiographic parameters, selections
of the workstation or AEC can be assigned to the APR techniques. These
selections will always be common for all the patient sizes of each Anatomical
View. These techniques may be modified and stored again by the operator in
the “APR working File” .

The APR techniques are intended as a guide only. Accurate exposure factors
depend, among other things, on Bucky grid factors, table top absorption, screen
film combinations and film processing.

APR mode activates when one of the three Patient Size (small, medium or large
size) is selected (push-button lighted), and deactivates by deselecting any of
them.

Note . APR language may be changed by pressing the “Power On”


push--button immediately after selecting one of the patient size
(APR activation). Language selected remains stored even after
the equipment is turned Off. Different languages available
according to order specifications.

Note . If an APR technique is to be stored with AEC parameters, a


suitable back-up time (and/or mAs) MUST be stored in the
programme by the operator.

OM-0298R1 37
Mobile X-ray Unit
Operation

APR DISPLAY: Shows the different Body Regions and Anatomical Views
available for each APR technique, and the final APR selection.

Because each area of the APR Display is limited in length to eight characters,
some regions and views are abbreviated.

PATIENT SIZE: These push-buttons are used to adapt the APR technique
chosen according to patient size. Six patient sizes are available. The three
right-hand push-buttons select Small, Medium and Large adult sizes (only one
is illuminated when selected). The left-hand paediatric push-button changes
the function of the right-hand three push-buttons from adult patient size to
paediatric patient size. (In this mode, the “Paediatric” push-button and one of
the other three buttons may be illuminated at the same time).

ANATOMICAL VIEW SELECTORS: Each push-button is related with the


nearest area of the APR Display and they are used to select one of the displayed
Body Regions, Organs and Projections. The selected Region and Views
appears in negative block ( SKULL ).

The APR display shows the Body Regions, Organs and Projections. When a
Body Region has been selected its indication is locked on the screen and the
APR Display shows directly all its respective Organs. In some cases, an Organ
may show several Projections.

When the APR selection is finished, the Console shows the final selection (APR
Display), its respective parameters (RAD Display), the Workstation and AEC
controls related to the technique.

To go back to the previous level, press on the right-lower APR push-button


which displays the “return” symbol.

38 OM-0298R1
Mobile X-ray Unit
Operation

APR TECHNIQUE CHANGES

The APR techniques are factory pre-programmed to standard technique sets.


All parameters of the APR techniques may be manually overridden as required
by the operator and stored in the non-volatile memory for later use.

If the operator determines that some factors in an APR technique should be


re-programmed, use the following procedure:

1. Select an APR technique and modify the factors and selections of


Workstations or AEC which require to be re-programmed.

2. Verify that all factors of the technique are at the required values.

3. Store the new technique by first pressing the selected Patient Size and
without releasing it press the Projection selected. (Refer to
Illustration 4-1).

The newly selected technique is now stored in the memory and can be
recalled for future examinations.

Note . This procedure only changes the technique values of the selected
patient size; repeat the procedure for other patient sizes.

Illustration 4-1
APR Storage Push-buttons

1 AP/PA SPECIAL 5
SKULL
2 LATERAL 6
SKULL
3 SEMIAX. 7
LATERAL
4 AXIAL 8

Example : press push-buttons: 1st Medium Patient Size and Lateral Projection, to store the APR technique selected.

OM-0298R1 39
Mobile X-ray Unit
Operation

Table 4-1
APR Projections (English version)

BODY REGION / ORGAN / PROJECTION

AP/PA

LATERAL
AP
SKULL SEMIAXIAL THORAX ODONTOID AP
LATERAL
AXIAL

SPECIAL

AP
AP/PA
ORBITA -- UPPER RIBS C-SPINE LATERAL
OBLIQUE
OBLIQUE

AP
PETROUS AP/PA
BONES -- LOWER RIBS T-SPINE LATERAL
SKULL / STENVERS THORAX OBLIQUE SPINE
OBLIQUE

AP
LATERAL
MASTOID -- STERNUM L-SPINE LATERAL
OBLIQUE
OBLIQUE

AP/PA
AP
PARANASAL
-- SCAPULA LATERAL L5-- S1
SINUSES
LATERAL
OBLIQUE

AP
SELLA LATERAL CLAVICLE AP/PA SACRUM
LATERAL

NOSE LATERAL

AP/PA
AP
LATERAL AP
ABDOMEN FEMUR SHOULDER SEMIAXIAL
DECUBITUS LATERAL
OBLIQUE
STANDING

AP AP
KIDNEY AP KNEE HUMERUS
LATERAL LATERAL

LATERAL PA
KIDNEY
AP PATELLA ELBOW
/ URETER
AXIAL LATERAL

AP AP PA
ABDOMEN / GALL- LOWER UPPER
LOWER LEG FOREARM
PELVIS BLADDER EXTREMITIES EXTREMITIES
OBLIQUE LATERAL LATERAL

AP AP
AP
PELVIS ANKLE LATERAL WRIST LATERAL
LATERAL
OBLIQUE OBLIQUE

AP AP AP

HIP MED / LAT FOOT LATERAL HAND LATERAL

AXIAL OBLIQUE OBLIQUE

AP
TOES AP/LAT/OBLIQ FINGER
LATERAL

40 OM-0298R1
Mobile X-ray Unit
Operation

Table 4-1 (cont.)


APR Projections (Spanish version)

ZONA CUERPO / ORGANO / PROYECCION

AP/PA

LATERAL
AP
CRANEO SEMIAXIAL TORAX ODONTAL AP
LATERAL
AXIAL

ESPECIAL

AP
AP/PA
COSTILLAS COLUMNA
ORBITA -- LATERAL
SUPERIORES CERVICAL
OBLICUO
OBLICUO

AP
AP/PA
COSTILLAS COLUMNA
PEÑASCO -- LATERAL
INFERIORES DORSAL
CRANEO TORAX OBLICUO COLUMNA
OBLICUO

AP
LATERAL
COLUMNA
MASTOID -- ESTERNON LATERAL
LUMBAR
OBLICUO
OBLICUO

AP/PA
AP
SEN. PAR. -- ESCAPULA LATERAL L5-- S1
LATERAL
OBLICUO

AP
SILLA TURCA LATERAL CLAVICULA AP/PA SACRO
LATERAL

NARIZ LATERAL

AP/PA
AP
LATERAL AP
ABDOMEN FEMUR HOMBRO SEMIAXIAL
DECUBIT0 LATERAL
OBLICUO
CARGA

AP AP
RIÑON AP RODILLA HUMERO
LATERAL LATERAL

LATERAL PA
RIÑON /
AP ROTULA CODO
URETRA
AXIAL LATERAL

AP AP PA
ABDOMEN / VESICULA EXTREMIDADES PIERNA EXTREMIDADES
ANTEBRAZO
PELVIS BILIAR INFERIORES INFERIOR SUPERIORES
OBLICUO LATERAL LATERAL

AP AP
AP
PELVIS TOBILLO LATERAL MUÑECA LATERAL
LATERAL
OBLICUO OBLICUO

AP AP AP

CADERA MED / LAT PIE LATERAL MANO LATERAL

AXIAL OBLICUO OBLICUO

AP
DEDOS DEDOS DE
AP/LAT/OBL
DEL PIE LA MANO
LATERAL

OM-0298R1 41
Mobile X-ray Unit
Operation

Table 4-1 (cont.)


APR Projections (French version)

REGION DU CORPS / ORGANE / PROJECTION

AP/PA

LATERAL
AP
CRANE SEMIAXIAL THORAX ATLAS AP
LATERAL
AXIAL

SPECIAL

AP
AP/PA
ORBITAE -- COTES SUP. COL. CERV LATERAL
OBLIQUE
OBLIQUE

AP
AP/PA
M. PEDRO -- COTES INF. COL. DORS LATERAL
CRANE THORAX OBLIQUE COLONNE
OBLIQUE

AP
LATERAL
MASTOID -- STERNUM COL. LOMB LATERAL
OBLIQUE
OBLIQUE

AP/PA
AP
SINUS -- OMOPLATE LATERAL L5-- S1
LATERAL
OBLIQUE

AP
SELLA LATERAL CLAVICLE AP/PA SACRUM
LATERAL

NEZ LATERAL

AP/PA
AP
LATERAL AP
ABDOMEN FEMUR EPAULE SEMIAXIAL
DECUBITUS LATERAL
OBLIQUE
DEBOUT

AP AP
REINS AP GENOU HUMERUS
LATERAL LATERAL

LATERAL PA
URETERE AP ROTULE COUDE
AXIAL LATERAL

AP AP PA
ABDOMEN / EXTREMITES EXTREMITES
VES. BIL. JAMBE INF. BRAS. INF.
BASSIN INFERIEUR SUPERIEUR
OBLIQUE LATERAL LATERAL

AP AP
AP
PELVIS CHEVILLE LATERAL POIGNET LATERAL
LATERAL
OBLIQUE OBLIQUE

AP AP AP

HANCHE MED / LAT PIED LATERAL MAIN LATERAL

AXIAL OBLIQUE OBLIQUE

AP
ORTEIL AP/LAT/OBLIQ DOIGTS
LATERAL

42 OM-0298R1
Mobile X-ray Unit
Operation

Table 4-1 (cont.)


APR Projections (German version)

REGION / ORGAN / PROJEKTION

AP/PA

LATERAL
AP
SCHÄEDEL HALBAX. THORAX DENS AP
LATERAL
AXIAL

SPEZIAL

AP
AP/PA
OBERER
ORBITA -- HWS LATERAL
RIPPEN
OBLIQUE
OBLIQUE

AP
AP/PA
UNTERER
STENVERS -- BWS LATERAL
RIPPEN
SCHÄEDEL THORAX OBLIQUE W. SAEULE
OBLIQUE

AP
LATERAL
MASTOID -- STERNUM LWS LATERAL
OBLIQUE
OBLIQUE

AP/PA
AP
NNH -- SCAPULA LATERAL L5-- S1
LATERAL
OBLIQUE

AP
SELLA LATERAL CLAVICUL AP/PA SAKRUM
LATERAL

NASE LATERAL

AP/PA
AP
LATERAL AP
ABDOMEN O. SCHENKEL SCHULTER HALBAX.
DECUBIT. LATERAL
OBLIQUE
STEHEND

AP AP
NIERE AP KNIE OBERARM
LATERAL LATERAL

LATERAL PA
NIERE / UR AP PATELLA ELLENBOGEN
AXIAL LATERAL

AP AP PA
ABDOMEN / GALLEN- UNTERER OBERER
U. SCHENKEL UNTERARM
BECKEN BLASE EXTREM. EXTREM.
OBLIQUE LATERAL LATERAL

AP AP
AP
BECKEN SPRGEL. LATERAL HANDGELENK LATERAL
LATERAL
OBLIQUE OBLIQUE

AP AP AP

HUEFTE MED / LAT FUSS LATERAL HAND LATERAL

AXIAL OBLIQUE OBLIQUE

AP
ZEHEN AP/LAT/OBLIQ FINGER
LATERAL

OM-0298R1 43
Mobile X-ray Unit
Operation

Table 4-1 (cont.)


APR Projections (Polish version)

REGION APR / ORGAN / PROJEKCJA

AP/PA

BOCZNE
AP
CZASZKA POLOSIOWE KLATKA P OBROTNIK AP
BOCZNE
OSIOWE

SPECIAL

AP
AP/PA
OCZODOLY -- ZEBRA G. KR. SZYJ. BOCZNE
SKOS
SKOS

AP
AP/PA
USZY SR. -- ZEBRA D. KR. PIER. BOCZNE
CZASZKA KLATKA P SKOS KREGOSL.
SKOS

AP
BOCZNE
PODSTAWA -- MOSTEK KR. LEDZ. BOCZNE
SKOS
SKOS

AP/PA
AP
ZATOKI -- LOPATKA BOCZNE C. L5-- S1
BOCZNE
SKOS

AP
SIODELKO BOCZNE OBOJCZYK AP/PA K. KRZYZ.
BOCZNE

NOS BOCZNE

AP/PA
AP
BOCZNE AP
J. BRZUSZ UDO BARK POLOSIOWE
BOK-LEZ BOCZNE
SKOS
BOK-STOJ

AP AP
NERKI AP KOLANO RAMIE
BOCZNE BOCZNE

BOCZNE PA
P. MOCZ. AP RZEPKA LOKIEC
OSIOWE BOCZNE

AP AP PA
J. BRZUSZ P. ZOLCI. KONCZ D. GOLEN KONCZ G. PRZEDR.
SKOS BOCZNE BOCZNE

AP AP
AP
MIEDNICA STAW ZK. BOCZNE NADGARS. BOCZNE
BOCZNE
SKOS SKOS

AP AP AP

BIODRA BOCKNE STOPA BOCZNE DLON BOCZNE

OSIOWE SKOS SKOS

AP
PALCE AP/BOK PALCE
BOCZNE

44 OM-0298R1
Mobile X-ray Unit
Operation

Table 4-1 (cont.)


APR Projections (Turkish version)

VÜCUT KISMI / ORGAN / PROJEKSIYON

AP/PA

LATERAL
AP
KAFA SEMIAKSIYAL TORAKS ODONTOID AP
LATERAL
AKSIYAL

ÖZEL

AP
AP/PA
GÖZ ÇUK -- Ü. KABUR. C. OMUR LATERAL
OBLIK
OBLIK

AP
AP/PA
STENVERS -- A. KABUR. T. OMUR LATERAL
KAFA TORAKS OBLIK OMURGA
OBLIK

AP
LATERAL
MOSTOID -- STERNUM L. OMUR LATERAL
OBLIK
OBLIK

AP/PA
AP
SIN.PAR. -- SKAPULA LATERAL L5-- S1
LATERAL
OBLIK

AP
SELLA LATERAL KLAVICU. AP/PA SAKRUM
LATERAL

BURUN LATERAL

AP/PA
AP
LATERAL AP
BATIN FEMUR OMUZ SEMIAKS
DEKUBIT LATERAL
OBLIK
AYAKTA

AP AP
BÖBREK AP DIZ KOL
LATERAL LATERAL

LATERAL PA
ÜRINER AP PATELLA DIRSEK
AKSIYAL LATERAL

AP AP PA
A. Ü.
BATIN/PELVIS SAFRA K. CRURAL ÖN KOL
EXTREM EXTREM
OBLIK LATERAL LATERAL

AP AP
AP
PELVIS A. BILEGI LATERAL BILEK LATERAL
LATERAL
OBLIK OBLIK

AP AP AP

KALÇA MED / LAT AYAK LATERAL EL LATERAL

AKSIYAL OBLIK OBLIK

AP
A. PARMAK AP/LAT/OBLIK PARMAK
LATERAL

OM-0298R1 45
Mobile X-ray Unit
Operation

4.8 HEAT UNITS

This X-ray Generator is equipped with a Heat Unit Calculator. During


exposures, the Heat Units are calculated and totalled.

To view the remaining Heat Units, press and hold the “On” push-button. The kVp
Display shows the percentage of Heat Units that remain preceded by the letter
“H”. For example, a display of “H75” would indicate that 75% of Heat Units
capacity of the X-ray Tube remains. “H -- -- ” indicates that all the capacity
remains. The kVp Display reverts to its normal function after releasing the “On”
push-button.

4.9 EXPOSURE COUNTERS

The operator can read the number of exposures made by the Generator, as
indicated below:

Press and hold and press once

The number of exposures are shown on the kVp and mAs Displays, up to a
maximum of 999,999 exposures.

= 123,456 exposures

kVp mAs

4.10 SELF-DIAGNOSIS INDICATORS

ERROR INDICATOR: Lights when a malfunction is detected in the system,


alerting the operator that one of the following error inhibits X-ray exposures.
During normal operation of the system, these error indicators are directly shown
on the APR Display or as an error code on the kVp Display. (Refer to Section
4.11).

• Tube Overload (T.OVL): Indicates that either technique selected is


beyond the X-ray Tube ratings or the present conditions of the X-ray
Tube inhibit the exposure (anode overheated). Parameters for next
exposure may be temporally limited by the Generator (change the
exposure values or wait for the X-ray Tube to cool).

Check that heat units available are lower than the ones calculated for the
next exposure (heat units close to zero). Reduce exposure factors or
wait for the X-ray Tube to cool. (To display Heat Units refer to Section
4.8).

46 OM-0298R1
Mobile X-ray Unit
Operation

• Generator Overload (G.OVL): Indicates that the exposure was


interrupted because arcing or malfunctioning occurred during exposure
on the HV circuitry (X-ray Tube, HV Transformer and/or HV Cables) or
a failure of IGBT module (overheated or defective IGBTs) was detected.

It can also appear when making a lengthy or high powered exposure with
the X-ray Tube cool (X-ray Tube has not been sufficiently warmed-up).

• Rotor Error (ROTOR) : Indicates that the X-ray Tube anode is not
rotating while “Prep” is active, then exposures are inhibited.

• Heat Unit (HEAT): Indicates that the X-ray Tube thermostat /


pressurestat is open due to overheating of the Tube housing (housing is
too hot; wait for the housing to cool) or to a thermostat / pressurestat
malfunction (housing is cool). Heat units may rise to any value.

• Technique Error (TECH): If activated during exposure it means that:

EXPOSURE HAS BEEN INTERRUPTED BY THE “SECURITY


TIMER” BECAUSE OF A FAILURE IN THE SYSTEM. TURN
THE GENERATOR OFF AND CALL FIELD SERVICE.

This error can be also shown after an APR technique selection to advise
that exposure parameters displayed on the Console are not the values
stored for this APR technique. Exposure parameters are adapted by the
Generator to enable other permitted values.

4.11 ERROR CODES

Error codes indicate the potential cause of a system failure. They are
intermittently shown on the kVp Display at the same time an alarm sounds. In
general, to remove the error indication on the Console keep pressed the “AEC
Reset” push-button till the alarm goes off. (Refer to Table 4-2).

All these error codes are preceded by the letter “E” (i.e., E01) and they will
enable the operator to indirectly convey the possible source of error to service
personnel. This may prevent the need for a service call or enable service
personnel to anticipate corrective actions prior to arriving on site.

OM-0298R1 47
Mobile X-ray Unit
Operation

Table 4-2
Error Codes

ERROR DESCRIPTION WHAT TO DO

System failure. This indication may appear together with an


-- -- -- -- -- -- Turn the Generator OFF and ON.
error on the Console, and indicates that the error is not
on Display If the equipment remains inoperative, turn it OFF and call Field Service.
correctable unless the equipment is turned OFF.

Turn the Generator OFF, check the proper external cable connections
E01, E02 Communication error. and then turn the Generator ON. If the equipment remains inoperative,
turn it OFF and call Field Service.

E03 System failure.


Turn the
T th Generator
G t OFF and d ON.
ON
The Power Cabinet has activated “Preparation” without a If the equipment remains inoperative, turn it OFF and call Field Service.
E04
Console command intervention.

Release any external exposure device or push-buttons.


E05 External exposure activated during power-up. Turn the Generator OFF and ON.
If the equipment remains inoperative, turn it OFF and call Field Service.

Release all the controls.


“Exposure” or/and “Preparation” orders are activated during
E06 Turn the Generator OFF and ON.
power-up.
If the equipment remains inoperative, turn it OFF and call Field Service.

Press the “AEC Reset” push-button.


E07, E08 X-ray Tube configuration error. If the error code persists, turn the Generator OFF and ON.
If the equipment remains inoperative, turn it OFF and call Field Service.

Generator Overload error. The exposure has been


interrupted because an arcing or malfunction on the HV
circuitry (X-ray Tube, HV Transformer and/or HV Cables) This error does not require to press the “AEC Reset” push-button, its
has occurred during the exposure; or a failure of IGBT indication disappears automatically.
E09 module (overheated or defective IGBTs) has been detected. If the error code persists, turn the Generator OFF and wait 30 minutes
before turning it ON again.
A lengthy and high powered exposure with the X-ray tube If the equipment remains inoperative, turn it OFF and call Field Service.
cool (X-ray Tube has not been warmed-up) will also show
this error.

Press the “AEC Reset” push-button.


E10, E11 System failure. If the error code persists, turn the Generator OFF and ON.
If the equipment remains inoperative, turn it OFF and call Field Service.

E12 No mA during exposure or mA value is out of range.

No kV during exposure or kV value is out of range. Press the “AEC Reset” push-button.
Repeat with same technique values, If the error code persists try with
E13 This error may be due to the value introduced in memory another combinations of kV and mA values.
E69 (line current) and the configuration of the line current If the equipment remains inoperative, turn it OFF and call Field Service.
jumper on the Capacitors Charging Board not coinciding.

Press the “AEC Reset” push-button.


E14, E15 System failure. If the error code persists, turn the Generator OFF and ON again.
If the equipment remains inoperative, turn it OFF and call Field Service.

Decrease kV, mA or both. Press the “AEC Reset” push-button.


E16 Invalid value of: kV, mA or kW. If the error code persists, turn the Generator OFF and ON.
If the equipment remains inoperative, turn it OFF and call Field Service.

Turn the Generator OFF and ON.


E17 Communication error or system failure.
If the equipment remains inoperative, turn it OFF and call Field Service.

This error does not require to press the “AEC Reset” push-button, its
Rotor error. The X-ray tube anode is not rotating while
indication disappears automatically.
E18 “Prep” is active, then exposures are inhibited, or the X-ray
If the error code persists, turn the Generator OFF and ON.
tube anode is rotating without console command.
If the equipment remains inoperative, turn it OFF and call Field Service.

Turn the Generator OFF and ON.


E19, E20 System failure.
If the equipment remains inoperative, turn it OFF and call Field Service.

48 OM-0298R1
Mobile X-ray Unit
Operation

Table 4-2 (cont.)


Error Codes

ERROR DESCRIPTION WHAT TO DO

E21, E22 Incorrect selection of the X-ray Tube.

E23 System failure. Press the “AEC Reset” ppush-button.


If the
h error code
d persists,
i turn the
h Generator
G OFF and
d ON.
ON
E24 Bucky not ready for an exposure. If the equipment remains inoperative, turn it OFF and call Field Service.
E26, E27 System failure.

Press the “AEC Reset” push-button.


Check that communication cable between Generator and console is
E33 Serial Communication error. properly connected.
If the error code persists, turn the Generator OFF and ON.
If the equipment remains inoperative, turn it OFF and call Field Service.

Technique error. If it activates during the exposure it means


that the exposure has been interrupted by the “Security
Timer” because of a system failure. Call Field Service.
This error can also be shown after an APR technique
E34
selection to advise that exposure parameters displayed on
the console are not the values stored for this APR
technique. Exposure parameters are adapted by the
Generator to enable other values.

Heat Units error. The X-ray Tube thermostat / pressurestat


is open due to an overheated tube housing (housing is too These errors do not require the “AEC Reset” push-button to be pressed,
E36 hot, wait for the housing to cool) or a thermostat / their indications disappear automatically.
pressurestat malfunction (housing is cool). Heat units may If the error code persists, turn the Generator OFF and ON.
rise to any value. If the equipment remains inoperative, turn it OFF and call Field Service.

Tube Overload error. The technique selected is beyond the


X-ray tube ratings or present conditions of the X-ray tube
inhibit the exposure (anode overheated). Parameters for
next exposure may be temporally limited by the Generator
E37
(change the exposure values or wait for the X-ray tube to
cool). Check that heat units available are lower than the
calculated for the next exposure (heat units close to zero).
Reduce exposure factors or wait for the X-ray tube to cool.

Press the “AEC Reset” push-button.


Wait one minute for the Capacitor to charge-up before activating the
Capacitors are not charged when “Prep” control is activated.
E47 “Prep” control.
The exposure is inhibited until the Capacitors are charged.
If the error code persists, turn the Generator OFF and ON.
If the equipment remains inoperative, turn it OFF and call Field Service.

Collimator Error. A failure on the Automatic Collimator has


E48 been detected (blades are fully open or in movement during Press the “AEC Reset” push-button.
exposure, etc. ) If the error code persists,
p , turn the Generator OFF and ON.
If the
th equipment
i t remains
i inoperative,
i ti turn
t it OFF and
d callll Field
Fi ld Service.
S i
E50 Exposure has been aborted by the Operator.

Press the “AEC Reset” push-button. Select the correct Ion Chamber or
E95 Exposure aborted by the AEC Rapid Termination. modify parameters. Repeat the exposure.
If the equipment remains inoperative, turn it OFF and call Field Service.

E96 Voltage missing in the Capacitors Charger Board. Press the “AEC Reset” ppush-button.
If the
h error code
d persists,
i turn the
h Generator
G OFF and
d ON.
ON
E97 Unbalanced charge level in Capacitors. If the equipment remains inoperative, turn it OFF and call Field Service.
Press the “AEC Reset” push-button and call Field Service. This error
E98 Service Mode Active.
does not inhibit normal operation.

OM-0298R1 49
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50 OM-0298R1
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SECTION 5 OPERATING SEQUENCES

5.1 START-UP ROUTINE

After turning ON the Console, the Generator will go through a start-up routine
conducting an automatic self-test that will show information usable only by
service personnel.

After the power-up has been completed the Console should display normal
radiographic factors. If there is a malfunction, error messages will be displayed
on the RAD kVp Display specifying the fault.

Note . Some indicators on the Console are used to provide service


information during the start-up process. These indicators should
be ignored by the operator until the unit has completed its
power-up sequence.

5.2 X-RAY TUBE WARM-UP PROCEDURE

Before effecting X-ray exposures ensure that the Tube is


properly warmed-up. Make sure that no persons will be
inadvertently exposed to unnecessary X-rays during this
procedure.

Routine exposures should not be effected unless the Tube is previously


warmed-up, this prolongs X-ray Tube life.

It is recommended that the following procedure will be performed for X-ray Tube
warm-up, at the start of each day and when the Tube selected has not been in
use for approximately one hour.

This warm-up procedure is used for a typical X-ray Tube.


Consult the X-ray Tube manufacturer instructions for the
actual Tube in use, comparing its recommendations with this
procedure. If there is conflict with this procedure, comply
with the Tube manufacturer’s instructions.

OM-0298R1 51
Mobile X-ray Unit
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Perform X-ray Tube warm-up as follows:

• Close the collimator blades fully.

• Select 70 kVp, 50 mAs, 200 mA and 250 ms exposure.

• Insure that no one will be exposed.

• Make a total of three exposures, 15 seconds apart.

Excessive filament evaporation shortens X-ray Tube life.


Minimize evaporation by keeping Exposure “Preparation”
time to an absolute minimum.

5.3 RADIOGRAPHIC OPERATION

RAD operation can be performed in the following modes:

• Three point control by selecting kVp, mA and Exposure Time


independently.

• Two point control by selecting kVp and mAs independently. mAs


selection sets the maximum mA available for the selected Focal Spot
and the respective Exposure Time. In this control mode, when kVp value
is increased, the Generator will automatically look for the adequate
combination of mA and Exposure Time factors to avoid the “Tube
Overload” warning, keeping constant mAs.

• One point control by selecting kVp with AEC operations.

• Anatomical Programs (APR).

52 OM-0298R1
Mobile X-ray Unit
Operation

A typical RAD examination sequence is indicated below:

1. Make sure that the X-ray Tube is properly warmed-up.

2. Position the patient for the examination.

3. Select the “Workstation” and technique parameters using the controls on


the Console.

4. Instruct patient to maintain the required position. Prepare the X-ray Tube
by pressing the Handswitch button to the “Prep” position and maintain it
until the “Ready” indicator is illuminated.

5. Instruct patient to remain still and to hold his breath as required, then
make the X-ray exposure by pressing the Handswitch button fully to the
“Exp” position and maintain it throughout the exposure. The “X-ray On”
indicator will light and an audible signal will sound during the exposure.

6. When the exposure is finished, release the Handswitch button.

7. Repeat the procedure if additional exposures are desired.

5.4 AEC OPERATION

The proper use of AEC requires accurate patient positioning. For examination
using AEC, the operator will need to select the desired AEC parameters as
follows:

1. Make sure that the X-ray Tube is properly warmed-up.

2. Position the patient for the examination.

3. Select the “Workstation” and activate the AEC mode.

4. If required, choose another “Film Screen Combination” and adjust the


“Film Density” setting (“0” is the normal setting).

5. Select the technique parameters (back-up time / mAs) using the controls
on the Console.

6. Continue with the normal procedure for a typical RAD examination.


(Refer to Section 5.3 - step 4.)

OM-0298R1 53
Mobile X-ray Unit
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5.5 APR OPERATION

An examination using an APR technique could consist of the following:

1. Make sure that the X-ray Tube is properly warmed-up.

2. Position the patient for the examination.

3. Select the “Patient Size” corresponding to the patients anatomy. This


operation starts the APR mode. Select the “Pediatric” button if the patient
is not an adult.

4. Select a general “Body Region” and an “Anatomical View” of the


indicated on the APR Display.

5. Technique parameters, Focal Spot, AEC, etc... corresponding to the APR


selection are displayed and indicated on the Control Console. If needed,
the parameters and selections can be directly modified by the operator.

6. Continue with the normal procedure for a typical RAD examination.


(Refer to Section 5.3 - step 4.)

54 OM-0298R1
Mobile X-ray Unit
Operation

SECTION 6 PERIODIC MAINTENANCE

In order to assure continued safe performance of the equipment, a periodic


maintenance program must be established. It is the owner’s responsibility to
supply or arrange for this service.

There are two levels of maintenance, the first consists of tasks which are
performed by the user/operator, and the second are those tasks to be
performed by qualified X-ray service personnel.

The first periodic maintenance service should be performed six (6) months after
installation, and the subsequent services at twelve (12) month intervals.

The manufacturer undertakes to have available spare parts for this equipment
at least for five (5) years after the unit manufacturing.

6.1 OPERATOR TASKS

Tasks of the periodic maintenance shall include the following items:

DO NOT REMOVE ANY COVER, DISASSEMBLE OR


MANIPULATE INTERNAL COMPONENTS IN THE UNIT.
THESE ACTIONS COULD CAUSE SERIOUS PERSONAL
INJURIES AND / OR EQUIPMENT DAMAGE.

NEVER ATTEMPT TO CLEAN ANY PART OF THE UNIT WHEN


IT IS SWITCHED ON.

1. Switch the equipment OFF. Remove Switch-key and unplug it from the
mains.

2. Externally, check the proper cable connections between each major


component.

3. Clean the equipment frequently, particularly if corroding chemicals are


present. Clean external covers and surfaces, especially parts in contact
with patients, with a cloth moistened in warm water with mild soap. Wipe
with a cloth moistened in clean water. Do not use cleaners or solvents
of any kind.

OM-0298R1 55
Mobile X-ray Unit
Operation

6.2 SERVICE TASKS

Only service personnel specifically trained on this medical X-ray equipment


should work on service tasks or maintenance of the equipment. (Refer to
“Maintenance” document in the Service Manual.)

56 OM-0298R1
Mobile X-ray Unit
Operation

SECTION 7 TECHNICAL SPECIFICATIONS

Maximum Power kW
16 kW 20 kW 32 kW
(Refer to Identification Label)

40 to 125 40 to 125
40 to 150
(40 to 150 optional) (40 to 150 optional)
kV R
kVp Range
From 40 kV to 125 kV or 150 kV in 1 kV steps.
(Depending on the Generator model)

0.1 to 250 0.1 to 320 0.1 to 500

Product of mA x Time values from 0.1 mAs to 250, 320 or 500 mAs
(Depending on the Generator model)
mAs Range
(Maximum mAs are only available with Power Lines or at least 16A at 230 VAC;
for Lines with lower Voltage and/or current, maximum mAs is reducer)

(The mAs value is limited depending on the selected kVp and mA values.
The higher mAs values are obtained when selecting low kVp and mA values).

10 to 250 10 to 320 10 to 500

mA Range From 10 mA to 250, 320 or 500 mA through the following mA stations:


10, 12.5, 16, 20, 25, 32, 40, 50, 64, 80, 100, 125, 160, 200, 250, 320, 400, 500.
(Depending on the Generator model)

From 1 millisecond to 10 seconds through the following Time stations:


Milliseconds: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 20, 25, 32, 40, 50, 64, 80,
Exposure Time Range
100, 125, 160, 200, 250, 320, 400, 500, 640, 800.
Seconds: 1, 1.25, 1.6, 2, 2.5, 3.2, 4, 5, 6.4, 8, 10.

0.1 mAs to 250 mAs 0.1 mAs to 320 mAs 0.1 mAs to 500 mAs
AEC
Exposure Time: Nominal shortest irradiation Time = 1ms

150 kVp @ 200 mA


125 kVp @125 mA 125 kVp @ 160 mA
128 kVp @ 250 mA
100 kVp @ 160 mA 100 kVp @ 200 mA
Power Output (@ 0,1s) 100 kVp @ 320 mA
80 kVp @ 200 mA 80 kVp @ 250 mA
80 kVp @ 400 mA
64 kVp @ 250 mA 62 kVp @ 320 mA
64 kVp @ 500 mA

The Duty Cycle is continuous, but limits depend on the capacity of the X-ray Tube
D t Cycle
Duty C l
Maximum leakage radiation depends on the type of X-ray Tube

Collimator Manual with electronic timer and meter

Low Speed -- Rotating Anode


Focal Spots: 0.3 mm / 1.0 mm
Anode kHU / kVp: 140 kHU / 150 kVp
Standard X-ray Tube
Target Angle: 12°
Inherent Filtration of X-ray Source (Tube + Collimator): refer to Identification Label
Other X-ray Tubes available on request

OM-0298R1 57
Mobile X-ray Unit
Operation

Maximum Power kW
16 kW 20 kW 32 kW
(Refer to Identification Label)

100 / 110 / 120 / 208 / 230 / 240 VAC -- Single-Phase, 50 / 60 Hz

Automatic Line Compensation ¦10% VAC


Power Line Adaptation for local conditions from 8 to 16 A
Connection to standard outlets with GND that accomplishes local regulations

The Line Circuit Breaker installed in the Mobile Unit is 10 A (1P+N curve type D),
the Power Line Installation should be provided with a Differential of 30 mA Sensitivity
and with a Thermomagnetic Interruptor / Circuit Breaker of:
Power Line Operation ² 13 A (curve type D) or ² 20 A (curve type C) or ² 32 A (curve type B)

Line Impedance should comply with Standard IEC--60601.2.7.


Maximum Line Impedance depends on the Line Voltage as follows:
for Vrms of 240 V Max. Line Impedance is 0.38 Ω
for Vrms of 230 V Max. Line Impedance is 0.36 Ω
for Vrms of 208 V Max. Line Impedance is 0.31 Ω
for Vrms of 120 V Max. Line Impedance is 0.11 Ω
for Vrms of 110 V Max. Line Impedance is 0.10 Ω
for Vrms of 100 V Max. Line Impedance is 0.09 Ω

Minimum kW required 2.0 kW

Maximum Input Power 4 kVA

Maximum Input Current 16 A

Energy Storage Capacity 8400 Joules 11200 Joules 14000 Joules

Energy Storage Capacitors are automatically discharged below 50 V


Storage Capacitors Discharge
in less than 150 minutes after turning Off the Mobile Unit and unplugging it from mains.

Storage / Transport:
Temperature from --40 oC to 70 oC; Relative Humidity from 10% to 100%.
Atmospheric Pressure range of 500 hPa to 1060 hPa
Environmental Conditions
Operating:
Temperature from 10 oC to 40 oC; Relative Humitidy (no condensing) from 30% to 75%.
Atmospheric Pressure range of 700 hPa to 1060 hPa

PHYSICAL CHARACTERISTICS

LENGTH WIDTH HEIGHT WEIGHT

minimum 1050 mm minimum 1690 mm


700 mm 235 Kg
maximum 1910 mm maximum 2130 mm

58 OM-0298R1
Mobile X-ray Unit
Operation

Illustration 7-1
Dimensions

Rotation of Tube-Collimator Assembly

75o Focal Spot

90o

2130 (83.8”)
40o 106o
max. SID -- 2020 (79.5”)

Reference Axis

max.1150 (45.3”)

1690 (66.5”)
1098 (43.22)
950 (37.2”)
min. 430 (16.9”)

58 (2.2”)

Reception Area

max. 1910 (79.9”)


Focal Spot

90o 90o

Rotation of Tube-Collimator Assembly


700 (27.5”)

¦ 90o

Rotation of Collimator
1050 (41.3”)

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60 OM-0298R1

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