Skanmobile User Manual
Skanmobile User Manual
Skanmobile User Manual
User Responsibility
This product is designed to perform its intended function when operated in accordance with the instructions
provided in this manual and other accompanying labels and accessories. A defective unit should not be used.
Parts that are broken, plainly worn, missing, incomplete, distorted or contaminated should be replaced
immediately.
There are no user repairable components / modules used as a part of this product. In case of a defective or
malfunctioning unit the repair should be carried out by a trained technician authorised by Skanray. The user
shall have the sole responsibility of any outcome originating from this product resulting from improper use, faulty
maintenance, damage or use of accessories / replacements parts not approved by Skanray.
Accessories
Use of accessories / replacement parts that are not recommended by Skanray could compromise
the performance of the unit if not compromise operator / patient safety.
Skanray will not be able to honour any warranty claims due to the usage of accessories / replacement parts not
recommended by it. Additionally Skanray shall not be liable for any losses incurred due to the usage of any such
non-recommended accessories/parts. For Continued protection against risk of fire and electric shock, replace
the fuse with type 16A / 250V, Fast blow. Ensure the power inlet to the system is disconnected or mains switch
is switched off before replacing fuse.
For improving product quality and customer experience, we at Skanray are dedicated to
upgrading the technology and processes used in our product. The information provided in this
document is subject to change without prior notice. Please contact Skanray for latest updates on
the product and services.
Revision 17 Page I of IV
Revision 17 Page II of IV
Table Of Contents
1 Introduction ............................................................................................................................................... 1
1.1 Your X-Ray Equipment ...................................................................................................................... 1
1.2 Indication for Use .............................................................................................................................. 1
1.3 This Manual ...................................................................................................................................... 1
2 Safety and Precautions ............................................................................................................................. 3
2.1 Patient and Operational Safety .......................................................................................................... 3
2.2 Conventions ...................................................................................................................................... 5
3 Know Your X-Ray Unit............................................................................................................................... 7
3.1 X-Ray System Components – A Checklist ......................................................................................... 7
3.2 Identification of Main Parts ................................................................................................................ 7
3.3 System Labels, Controls and Indicators............................................................................................. 9
3.4 Control and Indicators– Identifications (Integrated Console) ............................................................ 16
3.5 Control and Indicators– Identifications (External Console) ............................................................... 18
3.6 Mechanical Dimensions .................................................................................................................. 20
4 Operating The Unit.................................................................................................................................. 23
4.1 Before You Begin ............................................................................................................................ 23
4.2 Power ON And Initial Checks........................................................................................................... 23
4.3 Positioning of the Tube Head........................................................................................................... 24
4.4 Positioning X-Ray Beam Using Collimator ....................................................................................... 24
4.5 Modifying exposure parameters ...................................................................................................... 25
4.5.1 Parameter Modification Screen: kV.......................................................................................... 25
4.5.2 Parameter Modification Screen: mAs....................................................................................... 25
4.5.3 Mode Selection Screen ........................................................................................................... 25
4.5.3.1 MEDIUM 26
4.5.3.2 THIN 26
4.5.3.3 THICK 26
4.5.4 Exposure History ..................................................................................................................... 27
4.5.5 Sleep Mode ............................................................................................................................. 27
4.6 Delivering an Exposure ................................................................................................................... 27
4.7 User Default Parameter Configuration Settings................................................................................ 29
5 Maintenance ........................................................................................................................................... 31
5.1 Cleaning and Disinfecting................................................................................................................ 31
5.2 Caring for Your Equipment .............................................................................................................. 31
5.3 Shipping and Long Term Storage .................................................................................................... 31
5.4 Preventive Maintenance .................................................................................................................. 32
5.4.1 General Preventive Maintenance Procedure ............................................................................ 32
5.5 Disposal of the Unit ......................................................................................................................... 32
6 Troubleshooting ...................................................................................................................................... 33
6.1 Errors & Warnings........................................................................................................................... 33
7 Technical specifications for Skanmobile and Skanmobile for vet application ............................................. 35
7.1 Tube-head Specifications ................................................................................................................ 35
7.2 X-Ray Tube Insert Specifications ..................................................................................................... 35
7.3 Dimensions and Weight .................................................................................................................. 38
7.4 Mains Power Requirements ............................................................................................................ 39
7.5 Environmental Conditions................................................................................................................ 39
Annex A: Exposure Time & mA List For Selected kV And mAs (230 V /110 V) .............................................. 41
Annex B: Basic X-Ray techniques used for Different Anatomy .................................................................... 45
Annex C: APR Chart – Basic X-ray techniques used for veterinary use........................................................ 73
Annex D: Declaration of Conformity ............................................................................................................ 75
Annex E: Guidance and Manufacturer’s Declaration.................................................................................... 77
Annex F: Contact details ............................................................................................................................. 81
Annex G: Preparation of Detachable Power Cord (Appliance Mains Connector) .......................................... 83
1 Introduction
This manual describes how to use the SKANMOBILE High frequency diagnostic X-Ray system. Read this
manual carefully before using the equipment. Instructions or training to use the system shall be given by an
authorised Skanray personnel.
This manual is applicable to the following variants of SKANMOBILE:
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2 Safety and Precautions SKANMOBILE‒ High Frequency
Diagnostic X-Ray system
Warranty of this equipment will be void in the event of any modifcation done to the equipment,
misuse of the equipment and opening or servicing by an unauthorized personnel.
This x-ray equipment may give hazardous x-ray to the patient and the operator unless safe
exposure factors and operating instructions are observed.
4) Patients should be provided with lead apron and thyroid collar while being exposed.
6) Operator should be at a distance of at least 2 meters away from the Tube Head while carrying
out the exposure.
8) Operator should stand behind the Tube head assembly during exposure.
ELECTRICAL 1) This equipment must only be used in rooms or areas that comply with all applicable laws and
SAFETY
recommendations concerning electrical safety in rooms used for medical purposes, e.g., IEC, US
National Electrical code, or VDE standards concerning provisions of an additional protective earth
(ground) terminal for power supply connection.
2) This Equipment is rated IP2X, that is without protection against Ingress of liquids. To protect
against short-circuit and corrosion, no water or any other liquid should be allowed to leak inside the
Equipment.
3) For the User, no serviceable parts are provided inside the Equipment.
4) To avoid the risk of electric shock, this Equipment shall be connected to a mains supply with
protective earth and do not touch patient and accessible conductive parts of the system
simultaneously
5) Always switch OFF the unit and remove the mains plug when cleaning and disinfecting the unit.
6) The unit contains lethally high voltages. Do not attempt to open covers or repair the unit on
yourself or by non certified service personnel.
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7) Switch OFF the Equipment after the use to Isolate from the mains.
9) Do not modify this Equipment without written authorization from the manufacturer.
11) There is No User Serviceable parts in the Equipment. Skanray Europe will make available on
request circuit diagrams, component part lists, descriptions, calibration instructions, or other
information that will assist Skanray Authorised Personnel to repair those parts of ME Equipment that
are designated by the manufacturer as repairable by Skanray Authorised Personnel.
EXPLOSION 1) This equipment must not be used in the presence of flammable or potentially explosive
SAFETY
disinfecting gases or vapours, which could ignite causing personal injury and/or damage to the
equipment. If such disinfectants are used, the vapour must be allowed to disperse before using the
equipment.
ELECTRO 1) Interference between the unit and other sensitive electronics can occur under extreme
MAGNETIC
conditions.
INTERFERENCE
2) Do not use the X-Ray equipment in close conjunction with other sensitive devices or devices
which create high electromagnetic disturbance.
PHYSICAL 1) The Swivel arm lifts up suddenly if the Tube Head assembly is removed from the arm of the
INJURY
trolley.
2) Operator should be at a distance of at least 2 meter away from the Tube Head to avoid any
unintended movement.
INSTALLATION 1) Ensure that your X-Ray unit is assembled and installed inside the Hospital or clinic building, by
AND SERVICE
authorised Skanray personnel.
2) Take the services of authorised Skanray personnel when relocating the unit.
3) The location should be such that it is possible to use the SKANMOBILE X-ray system with ease
for all recommended imaging procedures on the patient with respect to the patient location.
MOBILITY 1) Care must be taken for the movement and positioning of the system.
2) The system must be disconnected from the main power before moving.
3) Before moving system around, the system must be positioned to the parking position to avoid
unnecessary damage to the system.
4) While bringing the Tube Head into parking position, make sure Tube Head is positioned at 90
degrees to the swivel arm to avoid tube-head hitting the lower portion of trolley.
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6) After the system is placed at the desired location, the wheels should be locked.
2.2 Conventions
WARNING - Warning statements describe conditions or actions that may result in personal injury or loss
of life.
CAUTION - Caution statements describe conditions or actions that may result in damage to the
equipment or software.
NOTE - Notes contain additional information on the use of the system.
Take Note
This symbol points to an important detail / tip in the operation of the unit.
Protective Earth
Warning: Electricity
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High Voltage
WARNING: X-Ray
X-Ray Source Assembly / Tube Head capable of generating X-Rays. This X-Ray unit may be
dangerous to patient & operators unless safe exposure factors and operating instructions are
observed.
Manufacturing date
Manufacturer’s address
Temperature range
Requires special disposal methods. Consult local regulatory body for identifying proper disposal
method.
Alternating current
Focal Spot
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SYSTEM LABEL SKANMOBILE- 230V (L9) SYSTEM LABEL SKANMOBILE- 110V (L9)
[COUNTRY SPECIFIC]
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DOME LABEL
(L25) SKANMOBILE DECORATIVE STICKER (L26)
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kV INCREMENT KEY
X-RAY ON LED
LED Indications
PREP / READY LED • Yellow colour indicates system is getting prepared to take X-Ray by
preheating filament.
FAULT LED When there is a fault in the system, FAULT LED will glow in Red colour.
KEY Functions
kV INCREMENT KEY • Increments the set kV in steps of 1 and jumps to steps of 5 for continuous
pressing.
• Inactive if kV is preset at 100.
kV DECREMENT KEY • Decrements the set kV in steps of 1 and jumps to steps of 5 for continuous
pressing.
mAs INCREMENT KEY mAs range shall increment from 0.1 to 250mAs (@ 40kV) as per the
following:
0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, 1, 1.1, 1.3, 1.4, 1.6, 1.8, 2, 2.2, 2.5,
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2.8, 3.2, 3.6, 4, 4.5, 5, 5.6, 6.3, 7.1, 8, 9, 10, 11, 12.5, 14, 16, 18, 20, 22, 25,
28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90, 100, 110, 125, 140, 160, 180, 200,
220, 250
mAs range is limited to maximum power.
Inactive if mAs is preset at maximum setting.
mAs DECREMENT KEY mAs range shall decrement from 250 (@ 40kV) to 0.1mAs as per the
following:
250, 220, 200, 180, 160, 140, 125, 110, 100, 90, 80, 71, 63, 56, 50, 45, 40,
36, 32, 28, 25, 22, 20, 18, 16, 14, 12.5, 11, 10, 9, 8, 7.1, 6.3, 5.6, 5, 4.5, 4,
3.6, 3.2, 2.8, 2.5, 2.2, 2, 1.8, 1.6, 1.4, 1.3, 1.1, 1, 0.9, 0.8, 0.7, 0.6, 0.5, 0.4,
0.3, 0.2, 0.1
RESET KEY • In fault state, this key resets the generator to standby mode. Some faults
cannot be reset by this key. They are reset only by switching off the power
once and switching on again. These are called as “Power on reset faults”
and list is given in generator fault list Section 6.1.
LAMP KEY • Switches on and off the collimator lamp. Internal timer switches off the light
after 30seconds.
DISPLAY Indications
KV DISPLAY • Displays default/set KV value in standby mode.
• Displays Error message Exx(where xx stands for code) in fault mode
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LED Indications
PREP / READY / X-RAY • Yellow colour indicates system is getting prepared to take X-Ray by
ON LED preheating filament.
• Green colour indicates system is ready to take X-Ray.
• X-Ray on Indication
FAULT LED When there is a fault in the system, FAULT LED will glow in Red colour.
LAMP ON LED When the lamp is switched ON, LAMP ON LED will glow in yellow colour
KEY Functions
kV INCREMENT KEY • Increments the set kV in steps of 1 and jumps to steps of 5 for continuous
pressing.
• Inactive if kV is preset at 100.
• When MODE key is pressed, kV increment key is used to scroll various
program modes
kV DECREMENT KEY • Decrements the set kV in steps of 1 and jumps to steps of 5 for continuous
pressing.
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mAs INCREMENT KEY mAs range shall increment from 0.1 to 250mAs (@ 40kV) as per the following:
0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, 1, 1.1, 1.3, 1.4, 1.6, 1.8, 2, 2.2, 2.5,
2.8, 3.2, 3.6, 4, 4.5, 5, 5.6, 6.3, 7.1, 8, 9, 10, 11, 12.5, 14, 16, 18, 20, 22, 25,
28, 32, 36, 40, 45, 50, 56, 63, 71, 80, 90, 100, 110, 125, 140, 160, 180, 200,
220, 250
mAs range is limited to maximum power.
Inactive if mAs is preset at maximum setting.
mAs DECREMENT mAs range shall decrement from 250 (@ 40kV) to 0.1mAs as per the
KEY following:
250, 220, 200, 180, 160, 140, 125, 110, 100, 90, 80, 71, 63, 56, 50, 45, 40, 36,
32, 28, 25, 22, 20, 18, 16, 14, 12.5, 11, 10, 9, 8, 7.1, 6.3, 5.6, 5, 4.5, 4, 3.6,
3.2, 2.8, 2.5, 2.2, 2, 1.8, 1.6, 1.4, 1.3, 1.1, 1, 0.9, 0.8, 0.7, 0.6, 0.5, 0.4, 0.3,
0.2, 0.1
RESET KEY In fault state, this key resets the generator to standby mode. Some faults
cannot be reset by this key. They are reset only by switching off the power
once and switching on again. These are called as “Power on reset faults” and
list is given in generator fault list Section 6.1.
LAMP KEY Switches on and off the collimator lamp. Internal timer switches off the light
after 30 seconds.
DISPLAY Indications
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+4º
Illustration 6: Overall Dimension (Min position at 23° ): 1344×1188×716 (±50mm)
−1º
(Parking Position)
All dimensions are in mm
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Illustration 7: Overall dimension (Max position at 139° ±4°): 2050×1110×716 (±50 mm)
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4 Operating The Unit SKANMOBILE‒ High Frequency
Diagnostic X-Ray system
Ensure that the operator has read and understood this manual regarding
operation of the system. Government regulators may require a licensed operator
to use this equipment. Check with your local seller regarding this.
You should be well acquainted with the radiation protection methods for both the
operator and patient before attempting to use this equipment.
FILM DEVELOPMENT Majority of repeat exposures and inferior X-Ray images are attributed to the
storage, handling, use and developing of X-Ray films rather than the equipment
itself. Ensure that the image capture films are stored and used as per
instructions.
Let the patient know that he/she is going to be X-Rayed. Avoid X-Rays or take
necessary precautions when X-Raying pregnant patients.
• Turn OFF the supply mains switch before connecting the equipment to wall socket.
• Ensure that the supply mains has the protective earth connection to avoid risk of electric shock.
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SKANMOBILE‒ High Frequency
4 Operating The Unit
Diagnostic X-Ray system
• Position the Equipment such that the appliance coupler and mains switch are easily accessible to turn
off in case of Emergency.
• Ensure that during the use keep the User Manual handy to know about the reference dose as per Annex
B.
• On power up, integrated console will initially display the firmware version and then displays default kV
and mAs values. Default values will be 40 KV and 0.1 mAs or the previously configured value.
• While this is displayed the console goes through a state of self test for making sure that all the internal
and external components of the console are working fine.
During this stage please do not press any keys on the keypad for they will be treated as a
keyboard error.
• Immediately following a successful self test the console displays a screen similar to the one as shown
below. All the processes in this console starts from the home screen.
• Default KV and mAs values will be displayed once the generator is ready to take X-Ray. Default values
will be 40 KV and 0.1 mAs or the previously configured value.
• Rotate the handle anticlockwise to release the movement of the gas spring.
• Rotate the handle clockwise to arrest the movement of the gas spring.
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Diagnostic X-Ray system
• Adjust the light field using the 2 knobs(Dials) provided in collimator, as per the table below. The light
field adjusted will be the X-Ray field while taking X-Ray. Align the centre of the grid to centre of the
Image receptor. Grid is indicating centre of the X-Ray beam axis.
• There is an automatic timer of 30 seconds for collimator light. This will switch off the light after 30
seconds. If the light field adjustment is still required, press the LAMP KEY again.
• Press LAMP KEY or the preparation button in the Exposure Hand Switch to switch off the collimator
lamp, if it is on.
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4.5.3.1 MEDIUM
• Under this there is a list of 23 different Anatomy that the User can configure for each anatomy for a
particular image receptor.
S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy
1 Chest AP 5 Hip 9 Ankle 13 Humerus 17 Hand 21 L-Spine Lat
2 Chest Lat 6 Femur 10 Foot 14 Elbow 18 T-Spine AP 22 C-Spine AP
3 Abdomen 7 Knee 11 Shoulder 15 Forearm 19 T-Spine Lat 23 C-Spine Lat
4 Pelvis 8 Tibia 12 Swimmers 16 Wrist 20 L-Spine AP
• Use the kV INCREMENT / DECREMENT keys to navigate within the list. Press these buttons until the
desired setting is highlighted.
• Press the SET key to use the highlighted mode. The default values are displayed. Pressing the MODE
key without saving returns to home screen without any changes.
• Now set kV and mAs parameters and press SET key, automatically save the parameters into particular
anatomy.
4.5.3.2 THIN
• Under this there is a list of 23 different Anatomy that the User can configure for each anatomy for a
particular image receptor.
S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy
1 Chest AP 5 Hip 9 Ankle 13 Humerus 17 Hand 21 L-Spine Lat
2 Chest Lat 6 Femur 10 Foot 14 Elbow 18 T-Spine AP 22 C-Spine AP
3 Abdomen 7 Knee 11 Shoulder 15 Forearm 19 T-Spine Lat 23 C-Spine Lat
4 Pelvis 8 Tibia 12 Swimmers 16 Wrist 20 L-Spine AP
• Use the kV INCREMENT/DECREMENT keys to navigate within the list. Press these buttons until the
desired desired setting is highlighted.
• Press the SET key to use the highlighted mode. The default values are displayed. Pressing the MODE
key without saving returns to home screen without any changes.
• Now set kV and mAs parameters and press SET key, automatically save the parameters into particular
anatomy.
4.5.3.3 THICK
• Under this there is a list of 23 different Anatomy that the User can configure for each anatomy for a
particular image receptor.
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4 Operating The Unit
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S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy S/N Anatomy
1 Chest AP 5 Hip 9 Ankle 13 Humerus 17 Hand 21 L-Spine Lat
2 Chest Lat 6 Femur 10 Foot 14 Elbow 18 T-Spine AP 22 C-Spine AP
3 Abdomen 7 Knee 11 Shoulder 15 Forearm 19 T-Spine Lat 23 C-Spine Lat
4 Pelvis 8 Tibia 12 Swimmers 16 Wrist 20 L-Spine AP
• Use the kV INCREMENT/DECREMENT keys to navigate within the list. Press these buttons until the
desired desired setting is highlighted.
• Press the SET key to use the highlighted mode. The default values are displayed. Pressing the MODE
key without saving returns to home screen without any changes.
• Now set kV and mAs parameters and press SET key, automatically save the parameters into particular
anatomy.
• Press the actuator of the exposure handswitch to level I prep (preparation) as shown in Illustration 8.
PREP/READY LED will glow in yellow colour and the buzzer will beep audibly in periodic fashion. This
indicates system is getting prepared to take X-Ray.
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Diagnostic X-Ray system
• When the generator is ready to take X-Ray, PREP/READY LED will turn to green and buzzer will beep
audibly in periodic fashion at twice the rate of the beep during preparation mode. The external console
displays as shown below
• Press the actuator of the exposure handswitch to level II exposure as shown in Illustration 8 to take X-
Ray and hold till the buzzer stops or X-RAY ON LED goes off. Buzzer and X-RAY ON LED will be
continuously ON throughout the exposure time. During exposure the external console displays as
shown below
• Feed back kV and mAs values will be displayed after exposures for few seconds.
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• Generator enters cooling mode after taking each X-Ray. Generator cooling mode is indicated in display
as “CLG Prd”. Cooling period depends on the exposure time. The external console displays as shown
below.
• Generator will display previously set kV and mAs values after the completion of cooling period and is
ready to take next exposure.
• Press RESET KEY once to take the Generator to parameter display mode.
• After one second delay, press RESET KEY once more to take the generator to standby mode (Shows
default kV and mAs) followed by mAs DECREMENT KEY immediately.
• The generator enters into Default Parameter Configuration mode (It shows last configured parameters if
set, if not, then it shows 40 kV, 0.1 mAs).
• After the values are set, press RESET KEY once followed by mAs DECREMENT KEY immediately.
• The unit enters into standby mode with the previously configured parameters.
• The configuration will be retained once the unit is switched OFF and ON and will be displayed as default
value henceforth.
• If the operator wants to change the default values, repeat the above procedure
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5 Maintenance SKANMOBILE‒ High Frequency
Diagnostic X-Ray system
5 Maintenance
5.1 Cleaning And Disinfecting
CAUTION: Switch off the device and disconnect from supply mains prior to cleaning. Preventive Maintenance
and Replacement of spares are to be done only by Authorized Personnel.
1) Use a soft cloth damped in a mild soap solution for cleaning the outside
surfaces of the unit.
• Switch off the unit when leaving for the day or when not used for a long time.
• Do not force the arm mechanisms or Tube Head into a position it is not designed for. There are
movement stoppers provided.
• Do not hang external loads or weights on the Tube Head or extension arm. The arm and base units are
designed for its own weight and may not hold an additional weight.
• Place the Tube Head assembly to the parking position (23º angle of swivel arm) when not in use- Refer
Illustration 6.
• When not using for a long time, cover the unit with dust proof covers and ensure the unit is not exposed
to harsh environments
• When re-starting after long (more than 3 months) storage, take the unit through a ‘seasoning’ procedure
to ensure the Tube Head operates at its optimum. Following procedure explains the seasoning process.
• Give 5 exposures
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5 Maintenance
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• For the continued safety of the Equipment/Operator, the preventive maintenance should be performed
by Skanray Authorized Personnel. It is recommended to subject the equipment to preventive
maintenance schedule of once in every year after the first year of operation
• In case of long storage or non usage of the equipment more than 3 months user can perform quality
control tests.
• Set the kV and mAs to the minimum value (40kV and 0.1mAs)
• Give 5 Exposures.
• Check if there are oil marks on the Tube Head, if yes, then it should be replaced.
• Check if the exposure handswitch is damaged or broken, if yes, then it should be replaced.
• Check if the swivel arm is balanced, if not, then the adjustment for balancing the arm needs to be
performed.
• Check if the X-Ray beam is centred, if not, then the Collimator needs to be adjusted to centralise the
Light field and X-Ray field.
• Check for the proper functioning of X-Ray Exposure LED and Exposure buzzer.
• Check if there are any external damages to the equipment which could make it unsafe in terms of
protection from radiation.
• Adjustment of the rotation, friction mechanism parts needs to be performed whenever found loose.
• Do not open the unit. The unit can be refurbished only by a Skanray qualified technician.
• Local governments would have rules and regulations on waste disposal of electronic goods. Please
follow the local guidelines.
• Your distributor could also buy back the unit to be disposed off.
• Contact the factory for shipping back units for disposal against relevant disposal charges.
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6 Troubleshooting SKANMOBILE‒ High Frequency
Diagnostic X-Ray system
6 Troubleshooting
6.1 Errors & Warnings
When generator is in fault mode, fault code and fault description will be displayed as “E” followed by 2 digit fault
code in kV DISPLAY and 3 digit fault description in mAs DISPLAY. Refer table below for complete list.
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Listed below are the troubleshooting tips to help you recover from an error condition.
Error state with error code from S / N 1 Press RESET KEY. Generator will return to standby state.
1.
to S / N 20 If the problem persists, request service call
Error state with error code from S / N Switch off mains power. Wait for 2 minutes. Switch on mains power.
2.
21 to S / N 24 If the problem persists, request service call.
Or the wall outlet is not receiving power. Check local electrical circuit
for trips.
The unit does not power on when
4. If switch is illuminating, then check the following.
mains is switched on.
Ensure that the mains cable connection to the power socket in
system is proper.
Switch off mains power. Wait for 2 minutes. Switch on mains power.
This can be due to normal wear and tear or using excess force on
Tube Head generator assembly drifting
6. the Tube Head generator during its rotation.
with respect to swivel arm axis.
Tighten the Nylock nut as described in the integration procedure.
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7 Technical specifications for Skanmobile and Skanmobile for vet SKANMOBILE‒ High Frequency
application Diagnostic X-Ray system
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7 Technical specifications for Skanmobile and Skanmobile for vet SKANMOBILE‒ High Frequency
application Diagnostic X-Ray system
Page 36 of 83
7 Technical specifications for Skanmobile and Skanmobile for vet SKANMOBILE‒ High Frequency
application Diagnostic X-Ray system
Page 37 of 83
7 Technical specifications for Skanmobile and Skanmobile for vet SKANMOBILE‒ High Frequency
application Diagnostic X-Ray system
Illustration 14: Indication of angle between X-Ray beam axis & image receptor plane.
Page 38 of 83
7 Technical specifications for Skanmobile and Skanmobile for vet SKANMOBILE‒ High Frequency
application Diagnostic X-Ray system
Type of painting
: Semi Glossy
+30 +4º
Vertical travel at minimum position : 384 mm @ 23º
− 10 − 1º
Page 39 of 83
Annex A: Exposure Time & mA List For Selected kV And mAs (230 V / SKANMOBILE‒ High Frequency
110 V) Diagnostic X-Ray system
Annex A: Exposure Time & mA List For Selected kV And mAs (230 V /110 V)
Definitions:
kV Set kV
mAs Set mAs
Exp-Time(mSec) Calculated X-Ray ON time for set mAs, in milliseconds
mA Calculated mA for set mAs
4 40 0.4 10 40 32 50 0.1 10 10
5 40 0.5 10 50 33 50 0.2 10 20
6 40 0.6 10 60 34 50 0.3 10 30
7 40 0.7 10 70 35 50 0.4 10 40
8 40 0.8 10 80 36 50 0.5 10 50
9 40 0.9 10 90 37 50 0.6 10 60
10 40 1 10 100 38 50 0.7 10 70
11 40 2 20 100 39 50 0.8 10 80
13 40 4 40 100 41 50 1 12.50 80
14 40 5 50 100 42 50 2 25 80
16 40 7.1 71 100 44 50 4 50 80
17 40 8 80 100 45 50 5 62.50 80
18 40 9 90 100 46 50 6.3 78 80
22 40 40 800 50 50 50 10 142.86 70
23 40 50 1000 50 51 50 20 400 50
24 40 63 1260 50 52 50 32 780 40
25 40 71 1420 50 53 50 40 1000 40
26 40 80 1600 50 54 50 50 1250 40
27 40 90 1800 50 55 50 63 1550 40
Page 41 of 83
Annex A: Exposure Time & mA List For Selected kV And mAs (230 V /110 SKANMOBILE‒ High Frequency
V) Diagnostic X-Ray system
57 50 80 2000 40 92 70 0.2 10 20
58 50 90 2250 40 93 70 0.3 10 30
Page 42 of 83
Annex A: Exposure Time & mA List For Selected kV And mAs (230 V /110 SKANMOBILE‒ High Frequency
V) Diagnostic X-Ray system
Page 43 of 83
Annex A: Exposure Time & mA List For Selected kV And mAs (230 V /110 SKANMOBILE‒ High Frequency
V) Diagnostic X-Ray system
Note:
• The above indicated mA and exposure time are valid for nominal input voltage of 230 Vac / 110 Vac
• If the input voltage goes above 230 Vac / 110 Vac, mA increases and exposure time decreases for
corresponding mAs.
• If the input voltage goes below 230 Vac / 110 Vac, mA decreases and exposure time increases for
corresponding mAs.
Page 44 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
1) The below mentioned X-Ray protocol and methods are for recommendation only. Operator is solely responsible for deciding the protocol and method of taking
X-Ray. Final results depend on many factors.
2) Image quality can get affected due to chemical degradation over a period of time or wrong film developing techniques. Please check with chemical
manufacturer for proper usage of the developing chemicals.
4) For a patient of average of more than 70 kgs, increase kV and mAs as required.
5) For a patient of average of less than 70 kgs, decrease kV and mAs as required.
7) If images are too dark (Over Exposed), decrease mAs; if images are too light (Underexposed), Increase mAs. Adjust the kV and mAs accordingly using a
different FFD or varying the kV or settings.
8) The Reference dose is for FFD of 100 cm and can change ± 20 % depending upon Accuracy of Dose meter and Accuracy of the kV and mAs delivered.
9) The Dose will Significantly increase with Decrease in FFD and dose will Significantly reduce with Increase in FFD.
CAUTION: Always position the Equipment such that minimum FFD (100cm) is met.
Page 45 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient stands erect AP median saggital plane 90
Direct lead rubber gonad
degrees to the film coronal plane parallel to the film. The arm
Shoulder protection using a "half
is placed in normal anatomical position palm forwards with the
1 survey apron". Avoid irradiating the 65 8 28.43 100
distal humeral epicondyles equidistant from the film, with
AP thyroid and breast tissue as
slight (15 degree) abduction. Take care to prevent the patient
much as possible.
leaning backwards and hunching up the shoulder
The patient stands erect AP median saggital plane 90
degrees to the film coronal plane parallel to the film, the
Direct lead rubber gonad patient is then rotated 35 to 45 degrees to the affected side
protection using a "half until the dorsal surface of the scapula is parallel to the film.
Shoulder
2 apron". Avoid irradiating the 55 10 23.42 100 The arm is placed in normal anatomical position palm
joint AP
thyroid and breast tissue as forwards with the distal humeral epicondyles equidistant from
much as possible. the film, with slight (15 degree) abduction. Take care to
prevent the patient leaning backwards and hunching up the
shoulder.
The patient lies supine with the shoulder raised up on a small
pad about 2 inches and the head supported, the trunk and
Direct lead rubber gonad legs are angled away from the side to be imaged which is
Infro – protection using a "half placed safely near the edge of the trolley or couch top. The
3 superior apron". Avoid irradiating the 55 12.5 28.65 100 arm of the affected side is abducted 90 degrees and the
Supine thyroid and breast tissue as elbow flexed to aid external rotation and supported (a drip
much as possible. stand can be a useful aid). A small cassette is placed using a
small sandbag above the skin surface of the shoulder well into
the root of the neck which is fixed towards the opposite side
Page 46 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient is seated with their back to the couch or horizontal
Direct lead rubber gonad
Modified bucky, the trunk is rotated 30 degrees to the affected side so
protection using a "half
axial that the blade of the scapula is parallel to the edge of the
4 apron". Avoid irradiating the 65 8 28.43 150
(Wallace table, if possible the tip of the elbow rests on the edge of the
thyroid and breast tissue as
) table top. The cassette is placed horizontally behind the
much as possible
humerus and in contact with the arm.
The patient stands erect facing the cassette and is rotated into
the 60 degree anterior oblique position, of the side under
Direct lead rubber gonad
investigation, the radiographers hand placed on the posterior
protection using a "half
Scapula skin surface should be at right angles to the film, the median
5 apron". Avoid irradiating the 65 9 31.93 100
Lateral saggital plane at approximately 60 degrees to the cassette.
thyroid and breast tissue as
The arm of the affected side should be brought posterior to
much as possible
the elbow flexed slightly and the back of the hand placed on
the buttock of the affected side.
Direct lead rubber gonad The patient stands erect facing the film, leans forward to bring
protection using a "half the clavicle as close as possible and parallel to the film,
Clavicle
6 apron". Avoid irradiating the 65 6.3 21.35 100 coronal plane approximately 20 degree anterior angle, median
PA
thyroid and breast tissue as saggital plane 10 degrees forward into the anterior oblique
much as possible position of the side under investigation.
7 Acromio Direct lead rubber gonad 65 8 28.43 100 The patient stands erect AP median saggital plane 90
clavicula protection using a "half degrees to the film coronal plane parallel to the film. Take care
r Joints apron". Avoid irradiating the to prevent the patient leaning backwards and hunching up the
AP thyroid and breast tissue as shoulder. Two exposure one each side / both sides are made,
much as possible. Rather the first pair in the normal relaxed position and the second
than irradiating the whole with the patient holding a 1.5 kg wt in each hand to stress the
width of the chest some joint and accentuate any subuxation or an unstable joint.
Page 47 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
centres prefer individually
centred collimated images of
each area. However this does Weights suspended from wrist band rather than being held
not demonstrate the medial reduces shoulder hunching.
end of clavicles which may be
involved in an injury
The patient stands erect AP; the position of the film is
Direct lead rubber gonad adjusted to include the shoulder and elbow joints. The
protection using a "half patients arm is abducted approximately 20 degrees and
Humerus
8 apron". Avoid irradiating the 65 7.1 24.98 100 externally rotated to bring the distal epicondyles equidistant
AP
thyroid and breast tissue as from the film, the patient may need to be rotated to the
much as possible affected side. The humerus may need to be positioned
diagonally across the film to include the full length.
The patient stands erect PA, the position of the film is
adjusted to include the shoulder and elbow joints, with the
humerus in contact with the cassette, i.e. rotated into the
Direct lead rubber gonad
anterior oblique position approximately 20 degrees. The arm
protection using a "half
Humerus is abducted approximately 35 degrees away from the trunk
9 apron". Avoid irradiating the 48 6.3 9.513 100
Lateral and the palm of the hand placed on the iliac crest to bring an
thyroid and breast tissue as
imaginary line through distal humeral epicondyles at 90
much as possible
degrees to the film, elbow in true lateral position. The
humerus may need to be positioned diagonally across the film
to include the full length
Page 48 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient sits alongside the end of the table with the
affected arm fully extended and the hand supinated, the table
Direct lead rubber gonad top should be raised to the level of the lower border of the
protection using a "half axilla so the whole arm is supported and parallel to the
Forearm
10 apron". Ensure lower limbs 50 6.3 10.86 100 cassette. The patient should lean externally to bring the
AP
and torso are not below table humeral epicondyles equidistant from the film, in this position
top in primary beam the wrist will be externally rotated from AP. It is not possible to
view proximal and distal ends in true AP position, it is best to
ensure that the area of most interest is projected correctly
The patient sits alongside the end of the table with the
Direct lead rubber gonad
affected elbow flexed at 90 degrees and the hand rotated
protection using a "half
externally into the true lateral position, the table top should be
Forearm apron".
11 50 6.3 10.86 100 raised to the level of the lower border of the axilla so the
Lateral Ensure the lower limbs and
whole arm is supported and parallel to the cassette. The hand
torso is not below the table
may need to be supported on a small pad to bring to
top in the primary beam.
superimpose the humeral epicondyles.
The patient sits alongside the end of the table with the
Direct lead rubber gonad affected arm fully extended and the hand supinated, the table
protection using a "half top should be raised to the level of the lower border of the
Elbow
12 apron". Ensure lower limbs 48 6.3 9.51 100 axilla so the whole arm is supported and parallel to the
AP
and torso are not below table cassette. The patient should lean externally to bring the
top in primary beam humeral epicondyles equidistant from the film, in this position
the wrist will be externally rotated from AP
Page 49 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient sits alongside the end of the table with the
Direct lead rubber gonad affected elbow flexed at 90 degrees and the hand rotated
protection using a "half externally into the true lateral position, the table top should be
Elbow
13 apron". Ensure lower limbs 50 7.1 12.46 100 raised to the level of the lower border of the axilla so the
Lateral
and torso are not below table whole arm is supported and parallel to the cassette. The hand
top in primary beam may need to be supported on a small pad to bring to
superimpose the humeral epicondyles
The patient sits alongside the end of the table with the
Direct lead rubber gonad affected elbow flexed at 90 degrees and the hand rotated
Elbow protection using a "half externally into the true lateral position, the table top should be
14 head of apron". Ensure lower limbs 55 6.3 14.56 100 raised to the level of the lower border of the axilla so the
radius and torso are not below table whole arm is supported and parallel to the cassette. The hand
top in primary beam may need to be supported on a small pad to bring to
superimpose the humeral epicondyles
Direct lead rubber gonad The patient sits alongside the long edge of the table arm
protection using a "half extended palm downwards, or at the end of the table with the
16 Wrist PA apron". Ensure lower limbs 46 3.2 4.01 100 elbow flexed at 90 degrees, hand and wrist flat on the
and torso are not below table cassette with the fingers flexed to maximize contact of the
top in primary beam wrist with the cassette
Page 50 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
Direct lead rubber gonad The patient sits alongside the long edge of the table arm
protection using a "half extended palm downwards, or at the end of the table with he
Wrist
17 apron". Ensure lower limbs 48 4 6.12 100 elbow flexed at 90 degrees, hand and wrist flat rotated
Lateral
and torso are not below table external to bring the radio and ulna styloid processes in
top in primary beam vertical alignment
The patient sits alongside the long edge of the table arm
Direct lead rubber gonad
extended palm downwards, or at the end of the table with he
protection using a "half
Wrist elbow flexed at 90 degrees, hand and wrist flat on the
18 apron". Ensure lower limbs 45 5 6.23 100
Oblique cassette with the fingers flexed to maximize contact of the
and torso are not below table
wrist with the cassette. The wrist and forearm are then
top in primary beam
externally rotated 45 degrees and supported on a foam pad.
Wrist The patient sits alongside the long edge of the table arm
Direct lead rubber gonad
Angled extended palm downwards, or at the end of the table with he
protection using a "half
for elbow flexed at 90 degrees, hand and wrist flat on the
19 apron". Ensure lower limbs 50 5 8.71 100
Scaphoi cassette with the fingers flexed to maximize contact of the
and torso are not below table
d + Ulnar wrist with the cassette. The hand and fingers are then
top in primary beam
deviation maximally deviated laterally (ulna deviation).
Direct lead rubber gonad The patient sits alongside the end of the table elbow flexed
Hand protection using a "half palm downwards, or at the end of the table with he elbow
20 Dorsi- apron". Ensure lower limbs 45 5 6.23 100 flexed at 90 degrees, hand and wrist flat on the cassette the
Palmar and torso are not below table elbow may need a small pad to promote contact of the hand
top in primary beam with the cassette. The fingers can be spread slightly
Page 51 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
Direct lead rubber gonad The patient sits alongside the end of the table elbow flexed
protection using a "half palm downwards, or at the end of the table with he elbow
Hand DP
21 apron". Ensure lower limbs 45 5 6.23 100 flexed at 90 degrees, hand and wrist flat on the cassette the
Oblique
and torso are not below table hand is then rotated laterally 35 to 45 degrees laterally and
top in primary beam supported so that the fingers are parallel to the film
The patient sits alongside the end of the table elbow flexed
Direct lead rubber gonad and the hand in true lateral position the fingers are then flexed
protection using a "half and the finger in question extended parallel to the film, a radio
Finger
22 apron". Ensure lower limbs 50 5 8.71 100 lucent pointer may aid maintenance of the extension. For
Lateral
and torso are not below table fingers other than the middle the hand is rotated to the lateral
top in primary beam position bringing the finger in question nearest the film or in
contact with it for the 2nd and 5th
The PA position is easiest for the patient however the AP
projection produces less magnification and better detail as the
thumb is in contact with the cassette. PA Position, The patient
sits alongside the end of the table elbow flexed palm
Direct lead rubber gonad
downwards, or at the end of the table with he elbow flexed at
protection using a "half
Thumb 90 degrees, the hand is rotated into the true later position
23 apron". Ensure lower limbs 45 5 6.23 100
PA/AP projecting the thumb clear of superimposition with the fifth
and torso are not below table
metacarpal. AP Position, The patient stand with their back to
top in primary beam
the table and the arm is extended and internally rotted to bring
the palmar aspect of the thumb facing upwards, adjust the
table height to a comfortable position, adjust the rotation of
the arm to bring the thumb into true AP position
Page 52 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient sits alongside the end of the table elbow flexed
palm downwards, or at the end of the table with he elbow
Direct lead rubber gonad
flexed at 90 degrees, hand and wrist flat on the cassette the
protection using a "half
Thumb elbow may need a small pad to promote contact of the hand
24 apron". Ensure lower limbs 50 5 8.71 100
Lateral with the cassette. The fingers can be spread slightly. The
and torso are not below table
thumb is abducted and the hand internally rotated and
top in primary beam
supported in position such that the thumb is lateral and in
contact with the cassette.
The patient lies supine on the table with the femur under
examination aligned to the midline of the table. The femur is
Femur Direct lead rubber gonad
25 50 8 14.19 100 aligned in slight internal rotation to bring the distal femoral
AP protection
condyles equidistant from the film, ensure the knee joint is
projected onto the film
(Non Trauma)The patient lies on the affected side and the
upper limb is flexed maximally and drawn up over and in front
of the affected limb and supported suitably. the knee of the
affected side is flexed 20 degrees to aid stability, and the long
Femur Direct lead rubber gonad axis of the femur is aligned to the long axis of the table.
26 52 10 19.95 100
Lateral protection (Trauma cases require a horizontal ray lateral)With the patient
supine on the table and the affected limb aligned to the long
axis of the table. A small support is placed under the knee to
raise the knee off the table, the unaffected leg is flexed 90
degrees at the hip and knee and supported
Page 53 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies supine on the table legs extended and the
affected limb aligned to the long axis of the table. The leg is
Direct lead rubber gonad
27 Knee AP 48 6.3 9.51 100 rotated inwards until the femoral condyles are equidistant from
protection
the film or the patella is midway between the femoral
condyles. The tibia should be parallel to the film
Page 54 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies prone on the table with the leg aligned to the
Direct lead rubber gonad long axis of the table, and supported so that the femoral
Knee PA
30 protection using a "half 55 7.1 16.42 100 condyles are equidistant from the film and the patella centred
Patella
apron". midway between the condyles. Note this position may note be
possible on an injured patient
The patient sits on the table with the long axis of the leg in line
with the long axis of the table, the affected limb is flexed to
Knee bring the internal angle to 45 degrees, the tibia and fibula are
Direct lead rubber gonad
Axial in line with the femur There are several variations to this
31 protection using a "half 55 7.1 16.42 100
Patella projection in position of the patient for minimizing radiation
apron".
"Skyline" dose to the gonads by avoiding directing the central ray in line
with the rest of the body and comfort and ease of performing
the examination.
The patient lies supine on the table with the long axis of the
tibia and fibula in line with the long axis of the table. If the leg
is positioned in true anatomical normal position with neither
Tibia & Direct lead rubber gonad
the knee or ankle joint will be projected in the "normal " AP
32 Fibula protection using a "half 48 7.1 10.99 100
position, therefore it is probably best to position the joint
AP apron".
nearest the suspected anomaly in correct AP position, i.e.
when the knee is in true AP position the ankle will be internally
rotated more than normal
Page 55 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies supine on the table with the long axis of the
tibia and fibula in line with the long axis of the table and then
rotates externally to the affected side. If the leg is positioned
Tibia & Direct lead rubber gonad in true anatomical normal position with neither the knee or
33 Fibula protection using a "half 50 7.1 12.46 100 ankle joint will be projected in the "normal " lateral position,
Lateral apron". therefore it is probably best to position the joint nearest the
suspected anomaly in correct lateral position, i.e. when the
knee is in true lateral position the ankle will be externally
rotated more than normal
The patient lies supine on the table legs extended, long axis
of the limb in line with the long axis of the table, the foot is
dorsi flexed to bring the plantar aspect 90 to the film. The
patient then rotates externally onto the affected side and
flexes the knee slightly to aid stability; a small pad under the
Direct lead rubber gonad
Ankle knee will aid correct positioning. The position is correct when
34 protection using a "half 50 8 14.19 100
Lateral the tibial and fibula malleoli are not in vertical alignment but
apron".
with the tibial malleolus approximately one centimetre anterior
to the fibula malleolus approximately. Note that the foot is
extremely mobile and rotating the foot externally may not
rotate the tibia and fibula, when rotating the ankle the whole
leg has to be rotated.
Page 56 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies supine on the table legs extended, long axis
of the limb in line with the long axis of the table, the foot is
dorsi flexed to bring the plantar aspect 90 to the film. The
patient then rotates externally onto the affected side and
Ankle flexes the knee slightly to aid stability; a small pad under the
Direct lead rubber gonad
AP & knee will aid correct positioning. The position is correct when
35 protection using a "half 48 6.3 9.51 100
Oblique the tibial and fibula malleoli are not in vertical alignment but
apron".
(mortice) with the tibial malleolus approximately one centimetre anterior
to the fibula malleolus approximately. Note that the foot is
extremely mobile and rotating the foot externally may not
rotate the tibia and fibula, when rotating the ankle the whole
leg has to be rotated.
The patient sits on the table legs extended, long axis of the
Ankle limb in line with the long axis of the table, the foot is dorsi
Direct lead rubber gonad
Axial for flexed to bring the plantar aspect 90 to the film, a bandage
36 protection using a "half 50 7.1 12.47 100
Calcane round the foot held by the patient may help to maintain this
apron".
um dorsi-flexion of the foot. the long axis of the foot is positioned
vertically
Direct lead rubber gonad The patients lies or sits on the table legs extended, the
37 Foot DP protection using a "half 45 6.3 8.26 100 affected limb is flexed at the knee to bring the plantar aspect
apron". of the foot in flat contact with the cassette
Page 57 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies supine on the table legs extended, long axis
of the limb in line with the long axis of the table, the foot is
Direct lead rubber gonad
Foot dorsi flexed to bring the plantar aspect 90 to the film. The
39 protection using a "half 48 7.1 10.99 100
Lateral patient then rotates externally onto the affected side and
apron".
flexes the knee slightly to aid stability; a small pad under the
knee will aid correct positioning.
Axial Skeleton
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The 28 day rule should be applied for female
patients. In males direct lead rubber gonad
The patient lies supine on the table with the mid-
protection can be applied at all times In females
saggital line in the center of the table. The legs
direct lead rubber gonad protection is generally
Pelvis are internally rotated approximately ten degrees
1 not advised on the first examination, however if 70 71 296.54 100
AP by separating the heels 5 cm and bring the toes
the patient is subsequently examined gonad
together in order to bring the femoral necks
protection may be used if the area of interest is
parallel to the film to reduce foreshortening
not obscured. On small patients the omission of
a grid will reduced the exposure
Page 58 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The 28 day rule should be applied for female
patients. In males direct lead rubber gonad
The patient lies supine on the table with the mid-
protection can be applied at all times In females
saggital line in the center of the table. The legs
Hip joint direct lead rubber gonad protection is generally
are internally rotated approximately ten degrees
2 AP not advised on the first examination, however if 60 50 146.90 100
by separating the heels 5 cm and bring the toes
(implant) the patient is subsequently examined gonad
together in order to bring the femoral necks
protection may be used if the area of interest is
parallel to the film to reduce foreshortening
not obscured. On small patients the omission of
a grid will reduced the exposure
The patient lies supine on the table, A.S.I.S.s
The 28 day rule should be applied for female equidistant from the table top with the
patients. In males direct lead rubber gonad midsaggital line in the center of the table, the
protection can be applied at all times In females affected limb is turned inwards 10 degrees and
direct lead rubber gonad protection is generally supported using a sandbag or similar. The
Pelvis
not advised on the first examination, however if 70 63 256.69 100 unaffected limb is flexed 90 degrees at the hip
3 Hip
the patient is subsequently examined gonad and knee and supported. A 24×30 cm grid is
lateral
protection may be used if the area of interest is placed upright with the medial side well into the
not obscured. On small patients the omission of waist and parallel to the neck of the femur. A
a grid will reduced the exposure small pad under the patients buttocks raising the
of the table may ease positioning
Page 59 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The 28 day rule should be applied for female
patients. In males direct lead rubber gonad The patient lies supine on the table, A.S.I.S.s
protection can be applied at all times In females equidistant from the table top with the
Pelvis
direct lead rubber gonad protection is generally midsaggital line in the center of the table. The
Hips
4 not advised on the first examination, however if 70 63 256.69 100 hips and knees are flexed and the soles of the
"Frogs"
the patient is subsequently examined gonad feet placed together in the midline, the knees
Lateral
protection may be used if the area of interest is are forced down towards the table top as far as
not obscured. On small patients the omission of possible. Ensure leg positioning is symmetrical
a grid will reduced the exposure
The patient lies supine on the table with the
The 28 day rule should be applied for female
midsaggital line in the centre of the table. The
patients. In males direct lead rubber gonad
Pelvis affected side is raised 45 degrees and
protection can be applied at all times In females
Hip supported on pads with the legs extended or
direct lead rubber gonad protection is generally
Judets minimally flexed to aid support. A second
5 not advised on the first examination, however if 80 50 283.45 100
view of projection may be made with the patient rotated
the patient is subsequently examined gonad
Acetabul 45 degrees onto the affected side and the
protection may be used if the area of interest is
um(1) central ray directed to a point midway along an
not obscured. On small patients the omission of
imaginary line from the ASIS to the symphysis
a grid will reduced the exposure
on the affected side
Page 60 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The 28 day rule should be applied for female
patients. In males direct lead rubber gonad
The patient lies on the table with the mid
Pelvis protection can be applied at all times In females
saggital plane parallel to the table, support
Leonard direct lead rubber gonad protection is generally
under the waist may be required. The long axis
6 George not advised on the first examination, however if 80 50 283.45 100
of the patient should be in line with the long axis
lateral the patient is subsequently examined gonad
of the table, the hips and knees flexed to aid
protection may be used if the area of interest is
comfort and stability
not obscured. On small patients the omission of
a grid will reduced the exposure
The patient lies supine on the table with the long
The 28 day rule should be applied for female
axis of the body in line with the centre of the
patients. In males direct lead rubber gonad
Sacrum table, legs and knees extended. The anterior
7 protection can be applied at all times On small 70 63 256.69 100
AP superior iliac spines should be equidistant from
patients the omission of a grid will reduced the
the table ensuring there is no rotation of the mid
exposure.
saggital plane
The patient lies on the table with the mid
The 28 day rule should be applied for female
Sacrum saggital plane parallel to the table, support
patients. In males direct lead rubber gonad
& under the waist may be required. The long axis
8 protection can be applied at all times On small 85 80 496.35 100
Coccyx of the patient should be in line with the long axis
patients the omission of a grid will reduce the
Lateral of the table, the hips and knees flexed to aid
exposure.
comfort and stability
The 28 day rule should be applied for female
Sacro The patient lies prone on the table midline
patients. In males direct lead rubber gonad
Iliac aligned to the midline of the table coronal plane
9 protection can be applied at all times On small 75 40 196.55 100
Joints parallel to the table, a support under the ankles
patients the omission of a grid will reduced the
PA to aid comfort
exposure.
Page 61 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
Page 62 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies on the table with their long axis
in line with the long axis of the table, a line at a
tangent to the third lumbar vertebra should be in
The 28 day rule should be applied for female
Lumbar line with the midline of the table. The hips and
patients. In males and females direct lead
13 Spine 75 80 392.55 100 knees are flexed for stability and the hands are
rubber gonad protection can be applied at all
Lateral placed on a pillow in front of the patients face.
times
Ensure the line of the spinous processes are
parallel to the table if not use pads to adjust the
position
Lumbar The 28 day rule should be applied for female From the supine position the patient is rotated
Spine patients. In males and females direct lead 45 degrees with the side to be imaged raised,
14 80 80 453.20 100
Posterior rubber gonad protection can be applied at all and supported on pads, with the hips and knees
oblique times slightly flexed to aid stability.
Page 63 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient lies on one side on the table, mid-
saggital plane parallel to the table top and mid
The 28 day rule should be applied for female coronal plane midline aligned to the midline of
Thoracic
16 patients. In males and females direct lead 75 50 245.75 100 the table, the hips and knees flexed 45 degrees
Spine
rubber gonad protection can be applied at all to support the patient and minimise movement,
Lateral
times raising the arms well above the head maximises
visualisation of the upper vertebrae
The patient stands erect with the median
saggital plane parallel to the bucky face, the arm
Thoracic The 28 day rule should be applied for female
nearest the bucky is raised the elbow flexed and
Spine patients. In males and females direct lead
17 75 50 245.75 100 the forearm rested on the top of the head. The
Upper rubber gonad protection can be applied at all
other arm is positioned hanging loosely at the
Lateral times
patients side, a weight may help lower the
shoulder
The patient stands erect in the AP position
median saggital plane at 90 degrees to the film
In males and females direct lead rubber gonad with the patient’s midline in line with the center
Cervical
protection can be applied at all times, avoid the of the bucky, feet slightly apart to aid stability,
18 spine 1- 65 12.5 42.98 100
breast tissue particularly in young females; coronal plane parallel to the film. The mouth is
2 AP
collimate to prevent irradiation of the eyes. opened wide, chin is raised until an imaginary
line from the center of the mouth to a point level
with the mastoid tips is horizontal
Page 64 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
The patient stands erect in the AP position
Cervical median saggital plane at 90 degrees to the film
spine 3- In males and females direct lead rubber gonad with the patient’s midline in line with the center
7 AP protection can be applied at all times, avoid the of the bucky, feet slightly apart to aid stability,
19 65 12.5 42.98 100
(Swimm breast tissue particularly in young females; coronal plane parallel to the film. The chin is
er's collimate to prevent irradiation of the eyes. raised until an imaginary line from the upper lip
View) to the external occipital protuberance is
horizontal
Page 65 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
Page 66 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ FFD Pictorial
Image Radiation Protection kV mAs mR Patient position
N cm Representation
The patient lies supine on the table midsaggital plane aligned
central to the top, the chin is depressed until the orbital
Skull
meatal line is at 90 degrees to the trolley top, a small pad may
Mental- Collimate to limit irradiation of the
4 75 32 157.10 100 be needed below the occiput to achieve this comfortably. The
occipito- thyroid gland
interpupilary line should be parallel to the trolley top. The film
Modified
(grid cassette) is place vertical above the vertex as in the
picture below
Skull The patient lies supine on the trolley the midsaggital plane
Facial- aligned to the long axis of the trolley, interpupilary line parallel
Collimate to limit irradiation of the
5 bones 65 45 160.25 100 to the floor. The cassette is supported alongside the affected
thyroid gland
Lateral / side of the face parallel to the midsaggital plane. the chin is
Mastoid raised to bring the orbital meatal line vertical
Page 67 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
Take care with this technique, the patient may suffer vaso
vagal reactions or vertigo, it is not suitable for trauma
patients. The patient sits erect with their back to the erect
Skull Direct lead rubber thyroid
3 75 45 221.20 100 bucky, a small pillow is placed behind the shoulders and the
SMV protection advisable
patient extends the neck until the orbital meatal baseline is
parallel to the film, the interpupilary line parallel to the floor
and the median saggital plane at 90 degrees to the film
Take care with this technique, the patient may suffer vaso
vagal reactions or vertigo, it is not suitable for trauma
PNS patients. The patient sits erect with their back to the erect
Direct lead rubber thyroid
4 water's 60 56 149.84 100 bucky, a small pillow is placed behind the shoulders and the
protection advisable
view patient extends the neck until the orbital meatal baseline is
parallel to the film, the interpupilary line parallel to the floor
and the median saggital plane at 90 degrees to the film
Page 68 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
Dentures and oral jewellery should be removed. The patient
sits erect facing the erect film, the head is then turned so that
the side of the face is in contact with the bucky, median
saggital plane parallel to the film and interpupillary line
Skull Direct lead rubber thyroid
5 70 25 105.50 100 parallel to the floor. This position requires the patient to sit
Lateral protection advisable
upright as close as possible to the bucky. A grid cassette in
an erect film holder which sits away from the bucky face may
permit the patient's shoulder to be positioned below the lower
border of the film holder if the are unable to turn the head
Dentures and oral jewellery should be removed. The patient
Facial Direct lead rubber thyroid sits erect facing the bucky, midsaggital plane in the midline of
Bones protection advisable. A beam the film, coronal plane parallel to the film interpupillary line
6 OM/ delineating cone / diaphragm will 65 40 142.40 100 parallel to the floor. The chin is raised to bring the orbital
Water's limit the area irradiated reducing meatal line at 45 degrees to the film. In some centers the
view the scatter to the thyroid region patient is imaged mouth open to demonstrate the sphenoid
sinuses
Page 69 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ Pictorial
Image Radiation Protection kV mAs mR FFD cm Patient position
N Representation
Dentures and oral jewellery should be removed. The patient
sits erect facing the erect film, the head is then turned so that
Facial
Direct lead rubber thyroid the side of the face is in contact with the bucky, median
8 Bones 65 28 100.01 100
protection advisable. saggital plane parallel to the film and interpupillary line
Lateral
parallel to the floor. This position requires the patient to sit
upright as close as possible to the bucky.
The patient sits erect facing the erect film, the head is then
turned so that the side of the face is in contact with the bucky,
Nose Direct lead rubber thyroid
9 55 2 5.64 100 median saggital plane parallel to the film and interpupillary
Lateral protection advisable.
line parallel to the floor. This position requires the patient to
sit upright as close as possible to the bucky.
Dentures and oral jewellery should be removed. The patient
Facial sits erect facing the bucky, mid-sagittal plane in the midline of
Direct lead rubber thyroid
10 Mandible 70 20 84.57 100 the film, coronal plane parallel to the film interpupillary line
protection advisable.
PA parallel to the floor. The chin is lowered to bring the orbital
meatal line at 90 degrees to the film
Dentures and oral jewellery should be removed. The patient
sits erect facing the erect film, the head is then turned so that
the side of the face is in contact with the bucky, median
saggital plane parallel to the film and interpupillary line
Mandible Direct lead rubber thyroid
11 60 12.5 35.87 100 parallel to the floor, from this position the head is then tilted
Oblique protection advisable.
20 degrees to bring the skin surface over the body of the
mandible in contact with the bucky. The chin is raised to
prevent superimposition of the mandibular structures on the
cervical spine. The jaw is closed and teeth occluded
Chest
Page 70 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ FFD Pictorial
Image Radiation Protection kV mAs mR Patient position
N cm Representation
The patient stands ERECT facing the cassette, the cassette
is raised so the top is 3cm above the skin margins above the
Direct lead rubber waist level
apices, the patient's chin is rested on the top of the cassette
protection, posterior at low kV,
1 Chest PA 65 7.1 24.98 100 holder, the patient is asked to place the backs of the hands
anteriorly at higher kV. Avoid
on the waist at the sides. The shoulders and arms are rolled
irradiation of the eyes and thyroid
forward to bring the scapulae towards the side of the chest.
Exposure is made on deep suspended inspiration
The patient stands (feet slightly apart for stability) erect left
(normally unless right lateral is indicated) side to the film /
bucky, median saggital plane parallel to the film. The patient
Direct lead rubber protection using
may need to flex forward from the waist to ensure the limits
Chest a half apron around the waist.
2 70 10 41.98 100 of the examination fit on the film. The patients arms are
Lateral Correct centering should avoid
folded across the top of the head and the elbows gripped
irradiation of the thyroid gland
with the hand of the opposite side. The chin is raised up. The
top of the film should be positioned about 3 cm above the
tops of the shoulders
The patient stands erect facing the bucky, from here the
patient is rotated 45degrees with the affected side away from
the film, the arm of the affected side is raised and placed
Chest
across the head which may need to be turned towards the
Anterior Direct lead rubber waist level
affected side for comfort and ease of positioning. Ensure the
3 oblique, protection, posterior at low kV, 70 10 41.98 100
opposite site anterior chest wall is in contact with the bucky
Ribs anteriorly at higher kV
to aid immobilization. The erect anterior oblique position
(Axillary)
reduces the dose to breast tissue compared with the
posterior oblique, however the ribs are further from the film
which may compromise image quality
Page 71 of 83
Annex B: Basic X-Ray techniques used for Different Anatomy SKANMOBILE‒ High Frequency Diagnostic X-Ray system
S/ FFD Pictorial
Image Radiation Protection kV mAs mR Patient position
N cm Representation
Sternum
Direct lead rubber waist level The patient lies prone on the table with the left side raised
PA Rt
4 protection, avoid irradiation of 70 32 134.5 100 (RAO) approximately 15 degrees, arm and knee of the raised
Anterior
thyroid side to aid stability
Oblique
The patient stands erect median sagittal plane parallel to the
Direct lead rubber waist level erect bucky, the hands are clasped together behind the
Sternum
5 protection, avoid irradiation of 66 25 92.46 100 patients back, the patient projects the chest forward on
Lateral
thyroid suspended inspiration
Page 72 of 83
SKANMOBILE‒ High Frequency
Annex C: APR Chart – Basic X-ray techniques used for veterinary use
Diagnostic X-Ray system
Annex C: APR Chart – Basic X-ray techniques used for veterinary use
SL# Anatomy KV mAs Dose in mR
16 Bird 95 14 115.2
Page 73 of 83
SKANMOBILE‒ High Frequency
Annex D: Declaration of Conformity
Diagnostic X-Ray system
ANSI / AAMI ES 60601-1: 2005 / (R) Medical electrical equipment- Part 1: General requirements for basic
2012 safety and essential performance.
IEC 60601-1: 2012 + CORR. 1 (2006) + Medical electrical equipment – Part 1: General requirements for
CORR. 2 (2007) basic safety and essential performance
Page 75 of 83
SKANMOBILE‒ High Frequency
Annex D: Declaration of Conformity
Diagnostic X-Ray system
D3: Marking:
The products described herein are conform to the following regulatory markings
A) CE marking.
D4: Declaration
Skanray Europe SRL declares that the products described herein meet all the applicable Essential
Requirements of the EC Medical Device Directive 93/42/EEC in Annex I, For Class IIb products
described herein, the product is manufactured, inspected, tested, and released in accordance with the
approved quality assurance system established in accordance with ISO 13485:2016 Annex II of the EC
Medical Device Directive under the supervision of the IMQ, a Notified Body carrying the Notified Body No.
0051.
Page 76 of 83
SKANMOBILE‒ High Frequency
Annex E: Guidance and Manufacturer’s Declaration
Diagnostic X-Ray system
SKANMOBILE-XXX is tested as per applicable IEC standards, to be used under electromagnetic environment
specified below. The customer or the user of SKANMOBILE-XXX should assure that it is used in such an
environment. Where XXX Variants = 230 Vac, 110 Vac
Electromagnetic
Immunity test EN 60601 test level Compliance level
environment – guidance
Page 77 of 83
SKANMOBILE‒ High Frequency
Annex E: Guidance and Manufacturer’s Declaration
Diagnostic X-Ray system
Electromagnetic
Immunity test EN 60601 test level Compliance level
environment – guidance
Power frequency
(50/60 Hz) Power frequency magnetic
fields should be at levels
magnetic field 3 A/m 3 A/m
characteristic of a typical
IEC 60601-1-2:2014 50Hz OR 60Hz 50Hz OR 60Hz
location in a typical commercial
IEC 61000-4-8:2009 or hospital environment.
Table 2: Guidance and Manufacturer’s Declaration – Electromagnetic Immunity – For all EQUIPMENT and SYSTEMS
Page 78 of 83
SKANMOBILE‒ High Frequency
Annex E: Guidance and Manufacturer’s Declaration
Diagnostic X-Ray system
3:2010
Note 1: At 80 MHz and 800 MHz, 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
SKANMOBILE-XXX is used exceeds the applicable RF compliance level above, the SKANMOBILE-XXX
should be observed to verify normal operation. If abnormal performance is observed, additional measures may
be necessary, such as reorienting or relocating the SKANMOBILE-XXX.
b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Table 3: Guidance and manufacturer’s declaration – electromagnetic immunity – for all EQUIPMENT and SYSTEMS that are
not LIFE-SUPPORTING
Page 79 of 83
Annex F: Contact details SKANMOBILE‒ High Frequency
Diagnostic X-Ray system
Page 81 of 83
Annex G: Preparation of Detachable Power Cord (Appliance Mains SKANMOBILE‒ High Frequency
Connector) Diagnostic X-Ray system
Note:
Country Specific Power Cord,
North American Power Cord- AWG 14 minimum, ROJ, 4.5 meters minimum
International Power Cord- 1.5 sqmm minimum, ROJ, 4.5 meters minimum
Hospital Grade Power Cord- AWG 14 minimum, ROJ, 4.5 meters minimum
or any other country specific power cord can be used.
Item # Description Qty MFR1 MFR1 Part # MFR2 MFR2 Part #
Page 83 of 83
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