Agfa CR 35-X

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CR 35-X

User Manual

4454A EN 20060907
0413
No part of this document may be reproduced, copied, adapted or transmitted in any form or by any means
without the written permission of Agfa-Gevaert N.V.
Agfa-Gevaert N.V. makes no warranties or representation, expressed or implied, with respect to the accuracy,
completeness or usefulness of the information contained in this document and specifically disclaims warran-
ties of suitability for any particular purpose. Agfa-Gevaert N.V. shall under no circumstances be liable for any
damage arising from the use or inability to use any information, apparatus, method or process disclosed in this
document.Agfa-Gevaert N.V. reserves the right to make changes to this document without prior notice.
Agfa-Gevaert N.V., Septestraat 27, B-2640 Mortsel, Belgium.
CR 35-X, NX, Agfa and Agfa-Rhombus are trademarks of Agfa-Gevaert N.V., Belgium or one of its affiliates.
Powerware is a trademark of Powerware Corporation.

For more information on Agfa products and Agfa HealthCare products, please visit www.agfa.com.
© Agfa-Gevaert N.V. 2006.

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4454A EN 20060907
Table of contents
Chapter 1: Introducing the CR 35-X ........................................................................ 5
CR 35-X intended use............................................................................................. 6
CR 35-X features .................................................................................................... 7
Safety precautions .................................................................................................. 8
Safety compliance................................................................................................. 12
Operating modes .................................................................................................. 13
Configurations....................................................................................................... 14
The user interface ................................................................................................. 16
Switching on the CR 35-X ..................................................................................... 24
Switching off the CR 35-X ..................................................................................... 26

Chapter 2: Basic operation (‘Operator mode’) ..................................................... 27


Workflow ............................................................................................................... 28
Reading an image plate ........................................................................................ 29
Reading an emergency image plate...................................................................... 35
Re-erasing an image plate .................................................................................... 42
Reading the identification data of a cassette (Dedicated configuration only)......... 46
Changing the image plate type (Dedicated configuration only) ............................. 48

Chapter 3: Advanced operation (‘Key-operator mode’) ...................................... 51


Survey of advanced functions (‘Key-operator mode’) ............................................ 52
Checking the image quality ................................................................................... 53
Troubleshooting checklist...................................................................................... 54

Appendix A: Equipment information sheet .......................................................... 59

Appendix B: CR cassettes ..................................................................................... 65

Appendix C: Remarks for HF-emission and immunity ....................................... 75

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4454A EN 20060907
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4454A EN 20060907
Chapter 1
Introducing the CR 35-X

This chapter draws attention to important safety precautions and


introduces the CR 35-X.

❑ CR 35-X intended use


❑ CR 35-X features
❑ Safety precautions
❑ Safety compliance
❑ Operating modes
❑ Configurations
❑ The user interface
❑ Switching on the CR 35-X
❑ Switching off the CR 35-X
CR 35-X intended use
This device must only be used to scan exposed X-ray cassettes, containing an
erasable image plate (IP). This device is part of a system, consisting of
X-ray cassettes with erasable phosphor image plates, an identification station for
the cassettes and a workstation where the resulting digital image information is
further processed and routed. This device is intended to be operated in a
radiological environment by qualified staff.

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4454A EN 20060907
CR 35-X features
The CR 35-X is a Digitizer for image plates retaining latent X-ray images. It has
been developed by Agfa.

■ The CR 35-X accepts one cassette containing one image plate at a time. The
CR 35-X:
• takes the cassette containing the image plate from the cassette slot;
• removes the image plate from the cassette;
• scans the image plate;
• converts the information of the latent image to digital data;
• transmits the image data to the preview station;
• erases the image plate and re-inserts it into the cassette;
• gives the cassette ID data the status ‘erased’;
• returns the cassette;
• transmits the digital image data to an image processing station (‘destination’).

■ The CR 35-X allows assigning the status ‘emergency’ to an image.


The Digitizer gives an image priority to be sent to the image processing station if the
“Emergency key” was pressed before inserting an unidentified cassette.

■ The CR 35-X allows re-erasing an image plate before re-using it. In specific
cases, this is necessary to prevent ghost images caused by previous exposures
or stray radiation from interfering with the image of interest.

■ If the CR 35-X is dedicated to one ID Station, additional features are available:


• quickly identifying cassettes without the need for an ID Tablet;
• reading the identification data of a cassette;
• initializing a cassette, i.e. changing the image plate type.

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4454A EN 20060907
Safety precautions

General safety instructions


• For software and other technical platforms, and/or if valid in combination with any
consumable, which constitute, after installation, a system for the interpretation of
medical image data by trained and qualified professionals: it is the user's
responsibility to ensure that image quality, display quality, environmental lighting and
other possible distractions are consistent with the clinical application.
• Make sure that the CR 35-X is constantly monitored in order to avoid inappropriate
handling, especially by children.
• Only trained service personnel must make repairs. Only authorized service personnel
must make changes to the CR 35-X.
• If there is any visible damage to the machine casing, do not start nor use the
CR 35-X.
• If you want to connect the CR 35-X with other devices, components or assemblies
and if the technical data do not allow determining whether the combination with these
devices, components or assemblies involves hazards, you must consult the
respective manufacturers to avoid danger for operating personnel or the environment.
• Do not override or disconnect the integrated safety features.
• As is the case for all technical devices, the CR 35-X must be operated, cared for and
serviced correctly.
• If you don’t operate the CR 35-X correctly or if you don’t have it serviced correctly,
Agfa-Gevaert is not liable for resulting disturbances, damages or injuries.
• When installing the CR 35-X, care must be taken to ensure that there is either a mains
plug or an all-cable disconnecting device in the internal installation fitted near the
CR 35-X and that it is easily accessible.
• If you notice conspicuous noise or smoke, disconnect the CR 35-X immediately.
• Check that the mains voltage is within the specified range of the self adapting power
supply of the machine.

Markings and labels


Always take into account the markings and labels provided on the inside and out-
side of the machine. A brief overview of these markings and labels and their
meaning is given below.

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4454A EN 20060907
Safety warning, indicating that the CR 35-X manuals should be
consulted before making any connections to other equipment. The
use of accessory equipment not complying with the equivalent
safety requirements of this Digitizer may lead to a reduced level of
safety of the resulting system. Consideration relating to the choice
of accessory equipment shall include:
• Use of the accessory equipment in the patient vicinity,
• Evidence that the safety certification of the accessory equipment
has been performed in accordance with the appropriate IEC 601-
1 and IEC 601-1-1 harmonized national standard.
In addition all configurations must comply with the medical
electrical systems standard IEC 601-1-1. The party that makes the
connections acts as system configurator and is responsible for
complying with the systems standard.
If required contact your local service organization.

In order to reduce the risk of electric shock, do not remove any


covers.

Caution hot:
Keep hands clear from the erasure unit.

Type B equipment:
Indicates that the CR 35-X complies with the limits for type B
equipment.
Supplementary protective earth connector:
Provides a connection between the CR 35-X and the potential
equalization busbar of the electrical system as found in medical
environments. This plug should never be unplugged before the
power is turned off and the power plug has been removed.
Intergrounding connector:
Provides a connection between the Digitizer and other equipment
which might exhibit minor ground potential differences. These
differences may degrade the quality of communication between
different equipment. Never remove connections to this terminal.
Protective earth (ground):
Provides a connection between the Digitizer and the protective
earth of the mains. Do not remove this connection, because this
will have a negative influence on the leakage current.

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4454A EN 20060907
Power On

Power Off
Note that the power cord has to be disconnected from the wall
outlet in order to disconnect the unit entirely from the mains.
Precautions for use in USA only:
Make sure that the circuit is single-phase center-tapped, if the
Digitizer is connected to a 240 V/60 Hz source instead of a 120 V/
60 Hz source.

• You can hurt your fingers if they are caught between the ADC Cassette and the
edge of the input slot. Insert the cassette in the input buffer as described in
‘Reading an image plate’ on page 29. At all times, keep your fingers clear of the
input slot. As soon as the cassette enters the CR 35-X, release it.

System configuration responsibility


Accessory equipment connected to the analog and digital interfaces must be
certified according to the respective IEC standards (e.g. IEC 950 for data
processing equipment and IEC 601-1 for medical equipment). Furthermore all
configurations shall comply with the valid version of the system standard IEC 601-
1-1. Everybody who connects additional equipment to the signal input part or
signal output part configures a medical system, and is therefore responsible that
the system complies with the requirements of the valid version of the system
standard IEC 601-1-1. If in doubt, consult your local service organization.

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4454A EN 20060907
Safety instructions for laser products

The CR 35-X is a Class 1 Laser Product. It uses a 2x50 mW laser diode,


classification class IIIb.
Under normal operating conditions - when both doors are closed - there can be no
laser radiation outside the CR 35-X. It is nonetheless imperative that the local
radiation safety regulations regarding the protection of staff against scattered
radiation are complied with, if the CR 35-X is located in the immediate vicinity of
an X-ray room.
Open the front left and right door only to solve cassette or image plate jams. When
you open either of the doors, the power supply of all critical components is
switched off automatically as a precaution.
Observe the Caution instructions on the Optical module label:

CAUTION! CUIDADO!

CLASS 3B LASER RADIATION: RAYO LASER CLASE 3B:


WHEN OPEN AVOID DIRECT EVITAR LA EXPOSICIÓN AL HAZ
EXPOSURE TO THE BEAM! CUANDO LA TAPA ESTÁ ABIERTA.

VORSICHT ! ATTENTION!

LASERSTRAHLUNG KLASSE 3B: FAISCEAU LASER CLASSE 3B:


WENN ABDECKUNG GEÖFFNET QUAND CAPOT OUVERT ÉVITER
NICHT DEM STRAHL AUSSETZEN! DE S´EXPOSER AU RAYÓN!

User interventions other than those described in this manual can be


hazardous with regard to laser radiation.

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4454A EN 20060907
Safety compliance

Certificates
The CR 35-X complies with:
• the general safety regulations:
EN 60601-1 :1990 / A1:1993, A2:1995, A13:1996,
EN 60601-1-2 :2001,
IEC 601-1 :1988/A1 :1991, A2 :1995,
IEC 601-1-1 / EN 60601-1-1,
UL 60601-1:2003,
CAN / CSA C22.2 No.601.1-M90.
• the laser safety regulations:
EN 60825-1: 1994 / A1:2002, A2:2001,
DHHS/FDA 21 CFR, Parts 1040.10 and 1040.11,
ANSI Z 136-1980.
• EN ISO 14971:2000,
EN 1041:1998,
EN 980:1996/A1.

❖ The Digitizer is in compliance with the EG regulation 93/42/EEC Directive


(Medical Device).

Radio Interference Suppression


It is hereby certified that the Digitizer has interference suppression according to
the EN 55011 Class B as well as the FCC Rules CR47 Part 15 Class B (North-
America).

Short-range devices
EN 300 330-2 V1.1.1
EN 301 489-03 V1.2.1

For USA only:


This equipment has been tested and found to comply with the limits for a
Class B digital device, pursuant to part 15 of the FCC Rules. These limits are
designed to provide reasonable protection against harmful interference in a
residential installation. This equipment generates, uses and can radiate radio
frequency energy and, if not installed and used in accordance with the
instructions, may cause harmful interference to radio communications. In
case the equipment causes harmful interference to other devices, see the
User manual for help.

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4454A EN 20060907
Operating modes
The CR 35-X can be operated in three modes: operator mode, key-operator
mode, and service mode.

Operator mode
The operator mode groups all basic functions which are aimed at radiographers:
• Reading an image plate;
• Reading an emergency image plate;
• Re-erasing an image plate;
• Reading the identification data of a cassette (Dedicated configuration only);
• Changing the image plate type (Dedicated configuration only).

All functions of the operator mode are described in Chapter 2, ‘Basic operation
(‘Operator mode’)’.

Key-operator mode
The key-operator mode groups advanced functions which are aimed at
technicians.
The key-operator mode can be accessed via the Key-operator key on the keypad
and is menu-driven. The key-operator functions are described in Chapter 3,
‘Advanced operation (‘Key-operator mode’)’.

Service mode
The service mode functions are reserved for trained service personnel. They are
password protected.

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4454A EN 20060907
Configurations
The CR 35-X can be used in two configurations: either one or more ID Stations
serve a range of Digitizers, or one ID Station is dedicated to one Digitizer. For the
ID Station a CR User Station with included ID Tablet can be used as well as a
stand-alone ID Tablet. The ID Software installed on the PC is slightly different
depending on the configuration. For more information, contact your local service
organization.

Interchangeable configuration
One or more ID Stations can serve a range of Digitizers, provided that each ID
Station has an ID Tablet. There is no physical link required between the ID Station
and the Digitizer.
In this configuration, a cassette can be identified via any of the ID Stations and
subsequently be scanned using any of the Digitizers. The patient demographic
data and examination data are entered via the ID Viewer Software and stored in
the memory chip of the ADC cassette via the ID Tablet. As a result the
identification data are linked to the cassette and any Digitizer can be used to scan
the cassette.
The interchangeable configuration allows the flexible use of several Digitizers and
ID Stations depending on the workload.

CR 35-X

ID Station with
ID Tablet

Interchangeable configuration

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4454A EN 20060907
Dedicated configuration
If one ID Station is dedicated to one Digitizer, cassettes can be identified without
using an ID Tablet. The identification data are transmitted from the ID Station to
the Digitizer via the network.
The dedicated configuration reduces the time required for identifying and scanning
a cassette because both actions can be performed simultaneously.

CR 35-X

ID Station without ID Tablet

Dedicated configuration

❖ In the dedicated configuration, you can still use the CR 35-X to digitize
cassettes which have been identified on an ID Station or a CR User Station.

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4454A EN 20060907
The user interface
The CR 35-X has three operation modes:
• the operator mode for basic operation;
• the key-operator mode for advanced operation;
• the service mode reserved for trained service personnel.

The functions of the operator mode are described in Chapter 2, ‘Basic operation
(‘Operator mode’)’. An overview of the functions of the key-operator mode is given
in ‘Survey of advanced functions (‘Key-operator mode’)’ on page 52. For detailed
information on the key-operator mode, refer to the CR 35-X Reference manual.
The CR 35-X interfaces with the user via:
• a keypad and a display;
• a status indicator;
• emergency buttons;
• audio signals.

1 2 3

1 Status indicator
2 Emergency buttons
3 Keypad and display

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4454A EN 20060907
The keypad

The CR 35-X keypad features the following keys:

To give an image priority to be sent to the image


Emergency processing station if other images are already waiting
key in the image queue.
This key can only be used for unidentified cassettes.
To erase images without digitizing them.
This must be done if:
• an image plate has not been used for more than
Erase key
3 days;
• an image plate has been exposed to an
exceptionally high X-ray dose.
Key-
To access advanced functions (‘key-operator
operator
functions’).
key

To access service-level functions.


Service key
Reserved for trained service personnel.

To quit the current function or exit a menu without


Escape key
saving modifications.

In key-operator mode:
• to select a menu.
Confirm key
• to accept an entry in a menu and go back to
operator mode.

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4454A EN 20060907
• To move the cursor to the previous entry field.
Up key • To scroll upwards.
• To increment the number in a numeric entry field.
• To move the cursor to the next entry field.
Down key • To scroll downwards.
• To decrement the number in a numeric entry field.
• To scroll backwards through multiple choices within
a field.
Left key • To move the entry position in a numerical entry field
from right to left.
• To toggle between values in a field.
• To scroll forwards through multiple choices within a
field.
Right key • To move the entry position in a numerical entry field
from left to right.
• To toggle between values in a field.

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4454A EN 20060907
The display
The CR 35-X control panel has a backlit LCD display with 8 lines of
40 characters each. Its lay-out depends on the operating mode.
◆ In operator mode, the display has dedicated areas for specific information:

1 2 3 4

Set-up STATUS
OPERATION MODE 5
1ST MESSAGE
2nd Message
8.1 Patient_Last_Name Sub_Exam
8.2 Patient_Last_Name Sub_Exam
8.3 Patient_Last_Name Sub_Exam
Station Name ERROR 6

1 Set-up of image processing station:


• [blank]: Default image processing station selected.
• Off line: Transmission to all image processing stations disabled.
• [process.station] not ready: Image processing station not available.
• [process.station] rerouted: Images rerouted to other image processing
station (ask the Agfa service technician if your system supports this
configuration).
2 Type of message
3 Extra comment or action to take
4 System status:
• READY: The CR 35-X is ready for operation.
• BUSY: The CR 35-X is treating an image plate.
• ERROR: An error has occurred. Refer to ‘Troubleshooting checklist’ on
page 54.
• LOCKED: id.
• WARNING: id.

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4454A EN 20060907
5 Operation mode:
• [blank]: Normal operation mode.
• EMERGENCY: Emergency function for image plates with ID data.
• EMERGENCY BUTTON: Emergency function for image plates without
ID data.
• ERASURE: Re-erasure function.
• DIRECT ID: Operation in dedicated configuration.
6 Error status: service code (SERVICE XXXXX) or error code (CODE XXXXX)
7 Station name of the CR 35-X
Identifier of image plate being treated:
8.1 After image ID data is read;
8.2 During scanning of image plate and transmittal of image data;
8.3 During transmittal of image data to image processing station.

The operator main screen is:

READY

When the CR 35-X is treating an image plate, it displays the following screen:

BUSY

Miller Chest AP

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4454A EN 20060907
◆ In key-operator mode, operation is menu driven. The menu displays the key-
operator functions, the active keys, and the service code.

Queue management KEY-OPERATOR


Digitizer set-up MENU
Date and Time
: quit
1 Send test image
System info
: ok 2
: select
Install
Save configuration
SERVICE XXXXX 3

1 Key-operator functions
2 Active keys
3 Service code

◆ In operator mode and in key-operator mode, both informational and warning


messages can be displayed. Informational messages are displayed as black text
against a white background; warning messages are displayed in reverse mode.

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4454A EN 20060907
The status indicator
The light at the top of the CR 35-X indicates the status of the CR 35-X.

Constant/
Color Status Action
Flashing
Constant Ready. Proceed.
• Busy (treating image
Green plate).
Flashing • Reading Wait.
identification data of
a cassette.
• Check display for messages.
Constant Error. • Refer to ‘Troubleshooting
checklist’ on page 54.
Flashing Initializing a cassette. Wait.
• Locked or warning.
Red • Power on/self-test in
progress. • Check display for messages.
• Key-operator mode. • Refer to ‘Troubleshooting
Flashing
• Service mode. checklist’ on page 54.
• CR 35-X not
connected to image
processing station.

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4454A EN 20060907
Emergency buttons
Two emergency buttons are located at the front of the CR 35-X. The emergency
buttons determine the speed class, i.e. the sensitivity, which will be used to digitize
the image plate. The sensitivity associated with the emergency buttons has been
set during the configuration of your system. For more information, contact your
local service organization.
The emergency buttons have the following labels:

For digitizing images of the trunk.

For digitizing images of the limbs.

■ In the interchangeable configuration, the emergency buttons allow you to


digitize emergency image plates without ID data.

■ In the dedicated configuration, the emergency buttons allow you to digitize an


image plate while you are entering the identification data via the ID Station.

Audio signals
The CR 35-X gives status information via beeps. The length of the beep indicates
the response of the system to a key command.
• A short beep means that CR 35-X has accepted the key command and is starting
the operation.
• A long beep means that you have pressed a non-active key or that the CR 35-X
has rejected the key command.
• An interval beep accompanies an error, locked or warning message. Refer to
‘Troubleshooting checklist’ on page 54.

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4454A EN 20060907
Switching on the CR 35-X
1 Make sure that the setting of the voltage selector at the back of the machine
matches the power supply voltage.

230-240
120
100

2 Locate the main switch and place it in position ‘I’.

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4454A EN 20060907
The machine starts a self-test which may take up to 3 minutes. The following screen
is displayed:

WAIT
Self test proceeding

❖ During the self-test, you cannot activate any functions.


If the CR 35-X has completed the self-test successfully, the CR 35-X enters the
operator mode and displays the operator main screen:

READY

❖ If the CR 35-X displays:

ERROR
Self test failed

SERVICE XXXXX

... contact your local service organization.

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4454A EN 20060907
Switching off the CR 35-X

Before switching off


Check that the CR 35-X is not scanning an image plate. If the CR 35-X is scanning
an image plate, the status indicator at the top of the machine is green and
flashing.

Switching off
It is recommended to switch off the CR 35-X at the end of the day.

Leave the CR 35-X on if you intend to use it overnight. Switching on the


CR 35-X takes approximately 3 minutes. During this time emergency
digitizing is not possible!

Place the main switch in position ‘0’.

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4454A EN 20060907
Chapter 2
Basic operation
(‘Operator mode’)

This chapter provides basic information on how to digitize


image plates under normal conditions and in emergency
situations. It also treats how to re-erase an image plate to
prevent ghost images caused by previous exposures or by
stray radiation. These functions are available in operator
mode.

❑ Workflow
❑ Reading an image plate
❑ Reading an emergency image plate
❑ Re-erasing an image plate
❑ Reading the identification data of a cassette (Dedicated
configuration only)
❑ Changing the image plate type (Dedicated configuration
only)
Workflow
The workflow for identifying cassettes and digitizing image plates depends on the
configuration of your system.

■ In the interchangeable configuration a cassette is uniquely identified by the


identification data in the cassette chip. Therefore, you must first identify the
cassette via the ID Station with ID Tablet before you can digitize the image plate.
Refer to ‘Reading an image plate in the interchangeable configuration’ on
page 29.

❖ An exception are emergency image plates which you can digitize without
having identified the cassette. The unidentified emergency image plate will
be given default ID data. Refer to ‘Reading an emergency image plate in the
interchangeable configuration’ on page 35.

■ In the dedicated configuration the identification data are transmitted from the
ID Station to the dedicated CR 35-X via the network. Therefore, the CR 35-X can
digitize the image plate while you are entering the identification data on the ID
Station. Refer to ‘Reading an image plate in the dedicated configuration’ on
page 32.

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4454A EN 20060907
Reading an image plate
The main function of the CR 35-X is digitizing image plates and transmitting the
digital image data to the preview station and the image processing station. The
actual workflow depends on the configuration of your system.

Reading an image plate in the interchangeable configuration


In the interchangeable configuration, you must first identify the cassette via an ID
Station with ID Tablet before you can digitize the image plate.
To read an image plate:

1 Make sure the cassette has been identified properly via the ID Station.

2 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

QS not ready READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

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4454A EN 20060907
3 Insert the cassette containing the image plate into the cassette slot of the
CR 35-X as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

While treating the image plate, the CR 35-X will display the following screen:

BUSY

Miller Chest AP

The CR 35-X:
• reads the cassette identification data;
• converts the information of the latent image to digital data;
• erases the image plate and re-inserts it into the cassette;
• gives the cassette ID data the status ‘erased’;
• returns the cassette;
• transmits the digital image data to the image processing station (‘destination’).
When the CR 35-X has treated the cassette, it displays the operator main screen.

❖ If the CR 35-X displays an error message, refer to ‘Troubleshooting check-


list’ on page 54.

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4454A EN 20060907
4 Remove the cassette from the cassette slot.

When the CR 35-X returns the cassette, it is ready to be re-used


immediately. However, if you leave it for more than 3 days before re-using it,
you must re-erase it first. Refer to ‘Re-erasing an image plate’ on page 42.

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4454A EN 20060907
Reading an image plate in the dedicated configuration
In the dedicated configuration, the CR 35-X can digitize the image plate while
you are entering the identification data via the ID Station.
To read an image plate:

1 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

QS not ready READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

2 Press the appropriate emergency button at the front of the CR 35-X.


The emergency button determines the speed class, i.e. the sensitivity, which will be
used to digitize the image plate.

For digitizing images of the trunk.

For digitizing images of the limbs.

The button which you have pressed will be lit and the display will read:

BUSY
DIRECT ID
Please enter unidentified cassette
or press to cancel

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4454A EN 20060907
3 Insert the cassette containing the image plate into the cassette slot of the
CR 35-X as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

The CR 35-X starts digitizing the image plate. You can enter the identification data,
refer to step 4.
While treating the image plate, the CR 35-X will display the following screens:

BUSY
DIRECT ID

please wait

BUSY
DIRECT ID
Identify at ID station
or press to use emergency data

The CR 35-X converts the information of the latent image to digital data.

❖ If the CR 35-X displays an error message, refer to Chapter 3, ‘Advanced


operation (‘Key-operator mode’)’.

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4454A EN 20060907
4 Enter the identification data via the ID Station.
For detailed information, refer to the User manual of the ID Software.
As soon as you have entered the identification data, the CR 35-X displays:

BUSY

Miller Chest AP

As soon as the CR 35-X has digitized the entire image plate and you have entered
the identification data:
• the CR 35-X erases the image plate and re-inserts it into the cassette;
• the CR 35-X gives the cassette ID data the status ‘erased’.
• the cassette is returned to the cassette slot;
• the digital image data is sent to the image processing station (‘destination’).
When the CR 35-X has treated the cassette, it displays the operator main screen.

5 Remove the cassette from the cassette slot.

When the CR 35-X returns the cassette, it is ready to be re-used


immediately. However, if you leave it for more than 3 days before re-using it,
you must re-erase it first. Refer to ‘Re-erasing an image plate’ on page 42.

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4454A EN 20060907
Reading an emergency image plate
You may have an image plate which you wish to give priority over other image
plates which are being processed by the image processing station. Such image
plates are referred to as 'emergency image plates'. The actual workflow depends
on the configuration of your system.

Reading an emergency image plate in the interchangeable configu-


ration
In the interchangeable configuration, you can treat either:
◆ emergency image plates with ID data via the Emergency key on the keypad;
◆ emergency image plates without ID data via the emergency buttons at the
front of the CR 35-X.

Reading emergency image plates with ID data


To read an emergency image plate with ID data:

1 Make sure the cassette has been identified properly via the ID Station.

2 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

QS not ready READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

35
4454A EN 20060907
3 Press the Emergency key on the keypad.

The display will read:

READY
EMERGENCY
WARNING
Next cassette gets emergency status

The emergency status will only be assigned to the first image plate which
you insert into the CR 35-X cassette slot after pressing the Emergency key.

4 Insert the cassette containing the emergency image plate into the cassette slot
as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

When the CR 35-X has treated the emergency image plate, it displays the operator
main screen. The image processing station will give the emergency image priority
over the other images in the image processing queue.

❖ If you do not enter a cassette within 1 minute after pressing the Emergency
key or if you enter a cassette without ID data, the CR 35-X will quit the emer-
gency function and return to the operator main screen.

5 Remove the cassette from the cassette slot.

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4454A EN 20060907
Reading emergency image plates without ID data
To read an emergency image plate without ID data:

1 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

2 Press the appropriate emergency button at the front of the CR 35-X.


The emergency button determines the speed class, i.e. the sensitivity, which will be
used to digitize the image plate.

For digitizing unidentified emergency images of the trunk.

For digitizing unidentified emergency images of the limbs.

The button which you have pressed will be lit and the display will read:

READY
EMERG. BUTTON
WARNING
Please enter unidentified cassette
or press to cancel

The emergency status will only be assigned to the first image plate which
you insert in the CR 35-X cassette slot after pressing the emergency button.

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4454A EN 20060907
3 Insert the cassette containing the emergency image plate into the cassette slot
as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

The image plate will be digitized using the speed class, i.e. the sensitivity,
corresponding to the emergency button as defined during configuration.
When the CR 35-X has treated the emergency image plate, it displays the operator
main screen. The digital image data are transmitted to the image processing station
accompanied by default ID data. The image processing station will give the
emergency image priority over the other images in the image processing queue.

❖ If you do not enter a cassette within 15 seconds after pressing the emer-
gency button, the CR 35-X will quit the emergency button function and
return to the operator main screen.

❖ To change the speed class corresponding to the emergency button, contact


your local service organization.

4 Remove the cassette from the cassette slot.

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4454A EN 20060907
Reading an emergency image plate in the dedicated configuration
In the dedicated configuration, you can digitize unidentified emergency image
plates. The digital image data will be assigned default ID data.

To digitize an emergency image plate, you must press the Confirm key after
you have inserted the cassette (refer to step 4). Image data transmission to
the preview and the image processing station will be suspended until you
have pressed the Confirm key.

To read an emergency image plate:

1 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

QS not ready READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

2 Press the appropriate emergency button at the front of the CR 35-X.


The emergency button determines the speed class, i.e. the sensitivity, which will be
used to digitize the image plate.

For digitizing images of the trunk.

For digitizing images of the limbs.

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4454A EN 20060907
The button which you have pressed will be lit and the display will read:

BUSY
DIRECT ID
Please enter unidentified cassette
or press to cancel

3 Insert the cassette containing the image plate into the cassette slot of the
CR 35-X as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

The CR 35-X starts digitizing the image plate.


While treating the image plate, the CR 35-X will display the following screen:

BUSY
DIRECT ID
IDENTIFY AT ID STATION
or press to use emergency data

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4454A EN 20060907
4 Press the Confirm key.

The CR 35-X displays:

BUSY

CR35 EMERGENCY [Examination type]

• If you pressed the emergency button for digitizing images of the limbs,
[Examination type] equals ‘Extremities‘.
• If you pressed the emergency button for digitizing images of the trunk,
[Examination type] equals ‘Corpus’.
When the CR 35-X has treated the emergency image plate, it displays the operator
main screen. The digital image data are transmitted to the image processing station
accompanied by default ID data. The image processing station will give the
emergency image priority over the other images in the image processing queue.

5 Remove the cassette from the cassette slot.

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4454A EN 20060907
Re-erasing an image plate
At the end of a normal or emergency digitizing cycle, the CR 35-X returns an
erased image plate. However, in the following cases, you must re-erase the image
plate before re-using it in order to prevent ghost images from interfering with the
image of interest:
• If the image plate has not been used for more than 3 days.
In this case, the image plate may have been exposed to stray radiation.
• If an image plate has been exposed to an exceptionally high X-ray dose.
In this case, deep layers of the image plate may still retain a latent image after
standard erasure. Leave the image plate to rest at least one day before re-erasing
it.

You can erase image plates which you have given the status ‘to be erased’ via the
ID Station or image plates which have the status ‘erased’.

Re-erasing image plates with status ‘erased’


To re-erase an image plate which has been erased as part of a normal or
emergency digitizing cycle:

1 Check that the CR 35-X is ready for operation:


• the CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

READY Status

• the status indicator at the top of the CR 35-X must be green and be lit constantly.

2 Press the Erase key on the keypad.

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4454A EN 20060907
The display will read:

READY
ERASURE
WARNING
The next cassette will be erased

Put cassette in slot or press to quit

3 Insert the cassette into the cassette slot.


While erasing, the CR 35-X will still display the above screen. When the CR 35-X has
erased the image plate, it displays the operator main screen.

Warning

If the above screen is not displayed but the display reads:

LOCKED
ERASURE
ERASE “PATIENT NAME”?
Press to erase or to scan

you have entered a cassette with ID data not having the status ‘erased’. You now
have the choice, either cancel erasing or erase the image plate.
◆ To cancel erasing and make a regular scan: press the Escape key.

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4454A EN 20060907
◆ To erase the image plate: press the Confirm key.

While erasing, the CR 35-X will display:

READY
ERASURE
WARNING
The next cassette will be erased

Put cassette in slot or press to quit

When the CR 35-X has erased the image plate, it displays the operator main
screen.

4 Remove the cassette from the cassette slot.

44
4454A EN 20060907
Re-erasing image plates with status ‘to be erased’
To re-erase an image plate which you have given the status ‘to be erased’ via the
ID station:

1 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

READY Status

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

2 Insert the cassette into the cassette slot.


The CR 35-X will automatically erase the image plate. The display will read:

BUSY

* * * ERASING * * *

When the CR 35-X has erased the image plate, it displays the operator main screen.

3 Remove the cassette from the cassette slot.

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4454A EN 20060907
Reading the identification data of a cassette
(Dedicated configuration only)
In the dedicated configuration, the identification data stored in the memory chip of
the cassette can be read via the CR 35-X.
To read the identification data of a cassette:

1 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

QS not ready READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

2 In the ID Software on the ID Station, select the mode for reading cassettes.
Refer to the User manual of the ID Software.
The display of the CR 35-X will read:

BUSY
DIRECT ID
READ CASSETTE MODE
Enter cassette or press to cancel

46
4454A EN 20060907
3 Insert the cassette containing the image plate into the cassette slot of the
CR 35-X as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

While the CR 35-X reads the identification data from the cassette chip, the status
indicator at the top of the machine is red and flashing.
The identification data will be displayed on the ID Station. Subsequently, the CR 35-X
returns the cassette to the cassette slot and displays the operator main screen.

4 Remove the cassette from the cassette slot.

47
4454A EN 20060907
Changing the image plate type (Dedicated
configuration only)
If you use new generation ADC phosphor plates, the cassettes containing the
plates must first be initialized. The new generation of plates can be identified by
the plate type and the initializing code printed on the back (e.g. MD 30 19).
If you purchased cassettes already containing ADC phosphor plates, the
cassettes are ready for use. If you purchased ADC phosphor plates or cassettes
separately, the cassettes must be initialized first.
In the dedicated configuration, you can initialize cassettes via the CR 35-X.
To initialize a cassette:

1 Check that the CR 35-X is ready for operation:


• The CR 35-X must display the operator main screen with ‘Ready’ status, e.g.:

QS not ready READY Status field

• The status indicator at the top of the CR 35-X must be green and be lit constantly.

❖ The CR 35-X is operational if the status field equals ‘READY’, even if status
messages of the destination are shown (e.g. ‘QS not ready’).

2 In the ID Software on the ID Station, select the mode for initializing cassettes.
Refer to the User manual of the ID Software.
The display of the CR 35-X will read:

BUSY
DIRECT ID
SET PLATE TYPE MODE
Enter cassette or press to cancel

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4454A EN 20060907
3 Insert the cassette containing the image plate into the cassette slot of the
CR 35-X as shown below.
Make sure to insert the cassette with the hinge [1] at the top and the locking
mechanism [2] at the bottom.

4 Enter the initialization code in the ID Software.


Refer to the User manual of the ID Software.
While the CR 35-X initializes the cassette, the status indicator at the top of the
machine is red and flashing.
When the cassette has been initialized, the CR 35-X returns the cassette to the
cassette slot and displays the operator main screen.

5 Remove the cassette from the cassette slot.

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4454A EN 20060907
50
4454A EN 20060907
Chapter 3
Advanced operation
(‘Key-operator mode’)

This chapter gives an overview of the key-operator functions,


preventive maintenance actions and troubleshooting. For detailed
information on these topics, refer to the Reference manual.

❑ Survey of advanced functions (‘Key-operator mode’)


❑ Checking the image quality
❑ Troubleshooting checklist
Survey of advanced functions
(‘Key-operator mode’)
A survey of the functions which are available in key-operator mode is given below.
For detailed information, refer to Chapter 3, ‘Advanced operation (‘Key-operator
mode’)’ of the CR 35-X Reference manual.

Function in key-operator
Section in Reference manual Page
main menu
Queue management ‘Consulting the image transmission
52
queue (‘Queue management’)’.
Digitizer set-up ‘Customizing the CR 35-X (‘Digitizer set-
56
up’)’.
Date and Time ‘Setting the date and time’. 61
Send test image ‘Sending test images’. 62
System info ‘Consulting information on the CR 35-X’. 63
Install ‘Installing a new software version’. 63
‘Installing a new language’. 73
‘Installing new customer parameters’. 79
Save configuration ‘Saving the configuration data on a
85
diskette (backup)’.

52
4454A EN 20060907
Checking the image quality
The only maintenance action which you must perform is checking the image
quality. Refer to the Reference manual of the image processing system.

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4454A EN 20060907
Troubleshooting checklist
A survey of possible problems is listed below. If corrective actions are
straightforward, they are given below. The more elaborate troubleshooting
procedures are explained in detail in Chapter 4, ‘Preventive maintenance and
troubleshooting’ of the CR 35-X Reference manual.

General errors

Error Action
Refer to ‘Checking the voltage supply’ on
The CR 35-X does not start up.
page 102 of the Reference manual.

Errors during operation

Set-up display STATUS


FUNCTION MODE
1ST MESSAGE ARRAY
2nd Message Array
Patient_Last_Name Sub_Exam
Patient_Last_Name Sub_Exam
Patient_Last_Name Sub_Exam
Station Name ERROR

Status field: ERROR


Error field: ‘SERVICE XXXXX’
Contact your local service organization.

Status field: ERROR


Error field: ‘CODE XXXXX’
MESSAGE 1 Message 2 Action
1. Check setting of
voltage selector
switch on back
panel. Refer to ‘Checking the voltage
POWER SUPPLY OUT
supply’ on page 102 of the
OF TOLERANCE 2. Check fuses of
Reference manual.
the machine
3. Check supply
voltage.

54
4454A EN 20060907
Status field: ERROR
Error field: ‘CODE XXXXX’
1. Remove right side
panel
Refer to ‘Solving image plate
2. Put plate back
IP JAM and cassette jams’ on page 105
into cassette.
of the Reference manual.
3. Close right side
panel.

Status field: WARNING


MESSAGE 1 Message 2 Action
• Press Confirm key.
Press to
ERASURE LAMP • Refer to ‘Replacing the
complete, IP is not
[X], [Y], [Z] DEFECTIVE erasure lamps’ on page 97 of
erased
the Reference manual.
• Press Confirm key.
Possible bad image,
SCANNER WARNING • Contact your local service
press
organization.
• Check image processing
Please check and station.
[PPNAME] NOT READY
press • If image processing station is
ready, press Confirm key.
• Press Confirm key.
• Refer to ‘Consulting the
CORRUPTED Please press and image transmission queue
MESSAGE IN QUEUE check queue (‘Queue management’)’ on
page 52 of the Reference
manual.
• Press Confirm key.
• Refer to ‘Consulting the
UNKNOWN
Please press and image transmission queue
DESTINATION
check queue (‘Queue management’)’ on
[PPNAME]
page 52 of the Reference
manual.
• Press Confirm key. English
will be used.
ERROR WHILE Default language is
• Restart CR 35-X.
LOADING LANGUAGE used, please
FILE press • If the problem persists,
contact your local service
organization.

55
4454A EN 20060907
Status field: WARNING
MESSAGE 1 Message 2 Action
PARTLY SCANNED IP Possible loss of • Press Confirm key.
DETECTED image, press • Check image at destination.

Status field: LOCKED


MESSAGE 1 Message 2 Action
• Press Confirm key.
IP NOT SUFFICIENTLY Press and erase
• Refer to ‘Re-erasing an
ERASED again
image plate’ on page 42.
• Press Confirm key.
Press to get • Remove cassette.
EMPTY CASSETTE
cassette • Insert cassette containing
image plate.
• Press Confirm key.
• Remove cassette.
CASSETTE WRITE Press to get • Use another cassette.
ERROR cassette • If problem persists with other
cassettes, contact your local
service organization.
• Press Confirm key.
Press and remove • Remove cassette.
WRONG CASSETTE
cassette. • Insert correct cassette in the
right way.
• Press Confirm key.
CASSETTE
Press , remove • Remove cassette.
IDENTIFICATION
and identify • Re-identify cassette.
ERROR
• Re-insert cassette.
• Press Confirm key.
• Remove cassette.
• Re-insert cassette.
CASSETTE READ/ Press , remove • If problem persists, initialize
WRITE ERROR and try again and identify cassette via ID
Station.
• If problem persists with other
cassettes, contact your local
service organization.

56
4454A EN 20060907
Status field: LOCKED
MESSAGE 1 Message 2 Action
• Press Confirm key.
CASSETTE NOT Press , remove • Remove cassette.
IDENTIFIED and identify • Identify cassette.
• Re-insert cassette.
• Press Confirm key to treat
24 x 30 cm image plate
24 X 30 CM without calibration or press
Press to accept Cancel key to treat cassettes
CALIBRATION
or
MISSING with other formats.
• Contact your local service
organization.
SERVICE MODE Please wait Wait.
• Remove cassette.
CASSETTE SLOT Remove cassette,
• Remove obstructing objects.
BLOCKED press
• Press Confirm key.
• Refer to ‘Consulting the
image transmission queue
(‘Queue management’)’ on
page 52 of the Reference
IMAGE-QUEUE FULL Check queue manual.
• Check that the CR 35-X is not
off line (Refer to ‘The display’
on page 19).
• Press Confirm key.
• Remove cassette.
UNKNOWN
Press , remove • Identify cassette.
DESTINATION
cassette and identify • Re-insert cassette.
[PPNAME]
• Check the configuration of
the system.
RIGHT SIDE PANEL Close right side
Close the right side panel.
NOT CLOSED panel
• Press Confirm key.
Press , remove
• Remove cassette.
UNKNOWN IP-TYPE cassette, call
Service. • Contact your local service
organization.
• Press Confirm key
EMERGENCY DATA Emergency keys
• Contact your local service
NOT DEFINED disabled, press
organization.

57
4454A EN 20060907
Errors when handling diskettes

Error Action
• Remove floppy.
Wrong or missing volume label • Insert floppy with correct label.
• Press Confirm key.
• Remove floppy.
Floppy not formatted • Insert formatted floppy.
• Press Confirm key.
• Remove floppy.
Floppy full • Insert empty formatted floppy.
• Press Confirm key.
• Remove floppy.
• Remove write protection from floppy.
Floppy write protected
• Re-insert floppy.
• Press Confirm key.

58
4454A EN 20060907
Appendix A
Equipment information sheet
Specifications

Product description
Type of product Digitizer
Commercial name CR 35-X
Model number 5158
Original seller/manufacturer Agfa-Gevaert NV-Mortsel

Labelling
EN 60601-1 + A1 + A2
CE EN 60601-2
EN 60825-1
UL UL 60601-1
CSA 22.2 601-1
CUL
CSA 22.2 601-2

Dimensions
Length, at cassette slot 750 mm
Length, at foot 710 mm
Width 450 mm
Height 1408 mm

Weight
Unpacked 215 kg

Electrical connection
• 230 V / 240 V ± 10%
Operating voltage • 120 V ± 10%
• 100 V ± 10%
Europe: 16 A, slow blow
Mains fuse protection
USA & Japan: 15 A, slow blow
Mains frequency 50/60 Hz

60
4454A EN 20060907
Power consumption
Standby
• 230 V/ 50 Hz configuration 250 W
• USA: 120 V/ 60 Hz configuration 250 W
• Japan: 100 V/ 60 Hz 250 W
During operation
• 230 V/ 50 Hz configuration max. 1610 W
• 120 V/ 60 Hz configuration (USA) max. 1440 W
• 100 V/ 60 Hz (Japan) max. 1500 W

Environmental requirements
Room temperature 15 °C - 30 °C
Maximum temperature change 0.5 °C/min.
Relative humidity 15 % - 80 %
Magnetic field (Dynamic) compliant with EN 61000-4-8, Level 3
Sunlight exposure not be operated in full sunlight

Warming-up time
• Cold start fully operational after max. 30 min.
• Warm start fully operational after self-test
if not switched off for more than 3 min.,
after 30 min. operation

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4454A EN 20060907
Physical emissions
Noise emission (sound power level according to ISO 7779)
• During scanning max. 65 dB(A)
• Standby max. 45 dB(A)
according to EN 55022:1997, Class B and
Radio frequency emission Radio frequency emission FCC, Part 15,
Subchapter B, Class A
Heat emission
• During scanning max. 1610 W
• Standby 250 W

Cassette return time 51 - 95 secs

Performance
Throughput 71 plates/h (size dependent)

End of Life
Estimated product life
(if regularly serviced and maintained 7 yrs.
according to Agfa instructions)
Grayscale resolution
Data acquisition 12 bits/pixel
Output to processor 12 bits/pixel

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4454A EN 20060907
Spatial resolution
HR: High resolution;
SR: Standard resolution
35 x 43 cm (14 x 17") HR 10 pixels/mm
35 x 43 cm (14 x 17") SR 6,7 pixels/mm
21 x 43 cm HR 10 pixels/mm
35 x 35 cm (14 x 14") HR 10 pixels/mm
35 x 35 cm (14 x 14") SR 6,7 pixels/mm
30 x 24 cm HR 10 pixels/mm
24 x 18 cm HR 10 pixels/mm
30 x 15 cm HR 10 pixels/mm
10 x 8" HR 10 pixels/mm
12 x 10" HR 10 pixels/mm
30 x 24 cm Mammo 20 pixels/mm
24 x 18 cm Mammo 20 pixels/mm
30 x 24 cm Extremities 20 pixels/mm
24 x 18 cm Extremities 20 pixels/mm

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4454A EN 20060907
Scan area (scan width x scan length)
HR: High resolution;
SR: Standard resolution
35 x 43 cm (14 x 17") HR & SR 348 x 424 mm
21 x 43 cm HR 202 x 424 mm
35 x 35 cm (14 x 14") HR & SR 348 x 348 mm
30 x 24 cm HR 292 x 232 mm
24 x 18 cm HR 232 x 172 mm
30 x 15 cm HR 292 x 142 mm
10 x 8" HR 246 x 195 mm
12 x 10" HR 297 x 246 mm
30 x 24 cm Mammo 292 x 238 mm
24 x 18 cm Mammo 232 x 178 mm
30 x 24 cm Extremities 292 x 232 mm
24 x 18 cm Extremities 232 x 172 mm

Cassette format corresponding IP format


24 x 18 cm 238 x 178 mm
30 x 24 cm 298 x 238 mm
35 x 35 cm 354 x 354 mm
35 x 43 cm 354 x 430 mm
30 x 15 cm 298 x 148 mm
12 x 10” 303 x 252 mm
10 x 8” 252 x 201 mm

64
4454A EN 20060907
Appendix B
CR cassettes
Safety precautions
Observe great care whenever removing the image plate from the CR cassette.
Refer to the cleaning procedure described further on in this manual.

Make sure that the automatic exposure control device is placed above
the cassette, to prevent patients from receiving an overdose of X-rays.
When it is located underneath the cassette, the backscatter protection
(lead) contained in the red side of the cassette, retains a certain amount
of X-rays. The dose measured by the cell will then be much lower than
the dose actually given to the patient.

The image plate causes a specific X-ray scattering. This influences the response
of the exposure control device. To compensate for this, recalibration of the device
for the use with CR cassettes could be necessary.

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4454A EN 20060907
Description of the CR cassette
The CR cassette and plate are compatible with existing X-ray tables. The
exposure equipment and routines do not have to be modified when switching from
conventional to digital imaging. Although compatible with existing X-ray
equipment, a CR cassette is quite different from a conventional cassette. The
most important difference lies inside, in the image receptor.

❖ ADC Compact cassettes and ADC 70 cassettes are not interchangeable.


But the same image plates can be used for both.

RF-Tag memory Lip to hold IBM-card


chip inside the
cassette

3
49

18
x24

Clips to open
the cassette
Cassette format
Tube side

Embedded memory
The main difference lies in the RF-tag memory chip that is permanently mounted
in the cassette. Using the Agfa ID Software you can enter patient demographics
and examination data into the memory chip. The identification of this data is
performed by no-touch radiofrequency tagging via a built-in antenna card in the
CR cassette.

67
4454A EN 20060907
Image plate
Another difference between a CR cassette and a conventional cassette is the X-
ray sensitive element (image receptor). The latter is no longer a film, but an image
plate that can be re-used thousands of times.
The way in which this image plate is placed into the cassette is of great
importance. The side containing the white phosphor must be oriented towards the
black tube side of the cassette. The support side (indicated by the text “back side“)
is then oriented towards the red side of the cassette, as shown in the illustration
below.
The ‘clips’ mounted on the cassette prevent the cassette from being opened by a
conventional daylight system such as the Curix Capacity (Plus), so that even in
hybrid conventional/digital departments the occurrence of errors is avoided.

Support side

“Back side”
Ba
ck
sid
e

White, phosphor-containing side


Clip

68
4454A EN 20060907
Cleaning the image plate
Please make sure that the CR plate always goes into the same cassette when
cleaning. With the introduction of new sensitivity codes, it is important that the
CR plate does not end up in a cassette initialized for another code. In case of
doubt, you should re-initialize the cassette using the sensitivity code on the CR
plate.
Use only AGFA CR Phosphor Plate Cleaner and a soft lint-free cellulose cloth to
clean the plate.

Do not use the AGFA CR phosphor plate cleaner to clean the CR MM3.0
Mammo image plates. CR MM3.0 Mammo image plates require
dedicated wipers. Do not use these wipers to clean non-Mammo plates!

How?
• Moisten the cloth with cleaner and wipe the plate surface softly and evenly (phos-
phorous side and rear side).
• Leave the plate surface to dry for about 10 minutes to allow the solvents to evapo-
rate.
• Clean the cassette thoroughly. Use a dry cloth or blow away possible dust with
compressed air. (DO NOT USE A SCREEN CLEANER TO CLEAN THE INSIDE
OF THE CASSETTE.)
• Once the plate surface is dry (after about 10 minutes), check once again for parti-
cles of material and other impurities before placing the plate in the cassette.

When?
• At least once every month or whenever there is doubt about particles visible on
the X ray images.
• More frequent cleaning is required for CR Mammo plates.
• More frequent cleaning is also required in case of excessive dust or under very
dry conditions. (The screen cleaner contains antistatic agents which reduce
buildup of static charges and dust collection.)

69
4454A EN 20060907
Cleaning the cassettes
Clean the cassette thoroughly. Use a dry cloth or blow away possible dust with
compressed air. (DO NOT USE A SCREEN CLEANER TO CLEAN THE INSIDE
OF THE CASSETTE.)

70
4454A EN 20060907
Technical specifications of the cassettes
Sizes

■ 35 x 43 cm (14 x 17"),

■ 35 x 35 cm (14 x 14"),

■ 24 x 30 cm,

■ 18 x 24 cm,

■ 8 x 10",

■ 10 x 12",

■ 21 x 43 cm (by partial scan of dedicated 35 x 43 cm cassettes),

■ 35 x 43 cm HR high resolution cassette,

■ 35 x 35 cm HR high resolution cassette,

■ 15 x 30 cm dental cassette.

Standards

■ DIN 6832 part 1 & 2

■ ANSI/NAPM IT 1.49-1995

■ IEC 406 (draft 1995)

71
4454A EN 20060907
Weight

■ 35 x 43 cm typical 1.6 kg

Material

■ Body ABS (Acrylonitryl Butadiene Styrene)

■ Corners Polyurethane Rubber (PUR)

■ Hinge Polypropylene (PP)

■ Inner lining Makrolon

Identification

■ Memory chip (RF-tag card) embedded in the cassette

Backscatter protection

■ 150 µ lead

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Technical specifications of the image plates
Sizes

■ 35 x 43 cm (14 x 17")

■ 35 x 35 cm (14 x 14")

■ 24 x 30 cm

■ 18 x 24 cm

■ 8 x 10"

■ 10 x 12"

■ 15 x 30 cm

Plate construction

■ Protective layer Electron beam cured polymer

■ Phosphor BaSrFBrI:Eu

■ Base P.E.T.

Characteristics

Its luminescence spectrum is the typical Eu2+ -luminescence, which is at around


390 nm in lattices of the BaFBr-type. The top in the luminescence spectrum is
shifted slightly to longer wavelengths due to the incorporation of iodide.
The stimulation spectrum is much broader than that of pure BaFBr and is shifted
to longer wavelengths. This shift is caused in the first place by the partial
replacement of Ba by Sr, and in the second place by the incorporation of iodide.
Thanks to the red-shift of the stimulation spectrum, maximum stimulability is
assured at 633 nm, the wavelength of the stimulating laser.
The Agfa phosphor has excellent dark decay characteristics. Two hours after
exposure, approximately 80% of the energy stored upon exposure is still
available. The image retention is greater than 50% up to 24 hours after irradiation.

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Appendix C
Remarks for HF-emission and
immunity
Remarks for HF-emission and immunity

This device is intended for operation in the electromagnetic


environment given below. The user of the device should ensure that
it is used in such an environment.
Transmission Electromagnetic Environment
Agreement
Measurements Guidelines
The device uses high frequency energy
exclusively for its internal functions. For
High frequency transmissions in this reason, its high frequency transmission
Group 1
accordance with CISPR 11 is very low and it is improbable that
neighboring electronic equipment will be
disrupted.
High frequency transmissions in
Class B
accordance with CISPR 11
The device is intended for use in all
Excess oscillations in accordance buildings, including living areas and areas
Class A
with IEC 61000-3-2 directly connected to a public supply
network that also supplies buildings that
Voltage fluctuations /
are used for domestic purposes.
flickering in accordance with Fulfilled
IEC 61000-3-3

This device was tested for a normal hospital environment as described above.
Nevertheless the HF-emission and immunity can be influenced by connected data
cables depending on length and the manner of installation.

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4454A EN 20060907
This device is intended for operation in the electromagnetic
environment given below. The user of the device should ensure that
it is used in such an environment.
Resistance to IEC 60601 Level of Electromagnetic Environ-
Jamming Test Test Level Agreement ment Guidelines
Floors should consist of wood,
Discharge of static
+ 6 kV contact + 6 kV contact concrete or ceramic tiles. The
electricity in
discharge discharge relative humidity must be at
accordance with
+ 8 kV air discharge + 8 kV air discharge least 30%, if the floor is made of
IEC 61000-4-2
synthetic material.
Fast transient
electrical + 2 kV for network + 2 kV for network The quality of the voltage
disturbance leads leads supplied should correspond to a
variables / bursts in + 1 kV for entry and + 1 kV for entry and typical commercial or clinical
accordance with outlet leads outlet leads environment.
IEC 61000-4-4
Impulse voltages + 1 kV push-pull + 1 kV push-pull The quality of the voltage
(surges) in voltage voltage supplied should correspond to
accordance with + 2 kV common + 2 kV common that of a typical commercial or
IEC 61000-4-5 mode voltage mode voltage clinical environment.
• < 5% Ur (> 95% • < 5% Ur (> 95%
breakthrough of breakthrough of
The quality of the voltage supply
Ur) for ½ period Ur) for ½ period
Voltage should correspond to that of a
breakthroughs, • 40% Ur (> 60% • 40% Ur (> 60% typical commercial or clinical
short term breakthrough of breakthrough of environment.
interruptions and Ur) for 5 periods Ur) for 5 periods If the user wants the device to
variations in the • 70% Ur (30% • 70% Ur (30% work continuously, even when
voltage supplied in breakthrough of breakthrough of the energy supply is interrupted,
accordance with Ur) for 25 periods Ur) for 25 periods it is recommended to use an
IEC 61000-4-11 energy supply free of
• < 5% Ur (95% • < 5% Ur (95%
interruptions or a battery.
breakthrough of breakthrough of
Ur) for 5 s Ur) for 5 s
Magnetic field at Magnetic field at the network
the supply frequency should correspond to
frequency (50/60 3 A/m 3 A/m the typical values as they are in
Hz) in accordance a commercial and clinical
with IEC 61000-4-8 environment.
• REMARK : Ur is the alternating current in the network before the application of the test level.

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4454A EN 20060907
This device is intended for operation in the electromagnetic
environment given below. The user of the device should ensure that
it is used in such an environment.
Tests of Resistance IEC 60601 Level of
Electromagnetic Environment
to Disruption Test Level Agreement
Use portable and mobile radio
sets at a safe distance from the
device (including the leads) not
closer than the recommended
protective distance, which is
calculated according to the
equation suitable for the
transmission frequency.
Recommended protective
distance:
Conducted high
frequency disturbance 3 Veff
variables in 150 kHz 3 Veff d = 1.2 P
accordance with to 80 MHz
IEC 61000-4-6
Radiated high
frequency disturbance 3 V/m
variables in 80 MHz 3 V/m d = 1.2 P 80 MHz to 800 MHz
accordance with to 2.5 GHz
IEC 61000-4-3

d = 2.3 P 800 MHz to 2.5 GHz


With P as the rated power of the
transmitter in watts (W) in
accordance with the manufacturer
information on the transmitter and
d as the recommended protective
distance in metres (m).
The field strength of stationary
radio transmitters is lower than the
level of the agreementa at all
frequencies in accordance with an
on-site investigationb.
Disruptions are possible near
devices that carry the following
symbol:

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4454A EN 20060907
• REMARK 1: The higher value will apply at 80 MHz and 800 MHz.
• REMARK 2: These Guidelines may not apply to all situations. The dispersion of
electromagnetic waves is influenced by absorption and reflections from buildings,
objects and people.

a. The field strength of stationary transmitters, such as base stations of radio telephones, mobile
broadcasts for rural areas, amateur stations, and AM and FM radio transmitters, cannot be
precisely predetermined theoretically. An investigation of the location is recommended, to
ascertain the electromagnetic environment as a result of stationary high frequency transmitters.
If the field strength of the device exceeds the level of agreement given above, the device must
be observed with regard to its normal operation at each place of use. In case of unusual
performance characteristics, it can be necessary to take additional measures, such as the re-
orientation of the device, for example.
b. The field strength will be lower than 3 V/m above the frequency range from 150 kHz to 80 MHz.

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4454A EN 20060907
This device is intended for operation in an electromagnetic
environment in which the radiated high frequency disturbance
variables are monitored. The user of the device can help to prevent
electromagnetic disruptions by maintaining the minimum distances
between portable and mobile high frequency communication
equipment (transmitters) and the device as recommended below, in
accordance with the maximum output power of the communications
equipment.

Recommended Protective Distances between Portable and Mobile


High Frequency Communication Equipment and the Device
Rated Power of
Protective Distance in accordance with Transmission Frequency
the Transmitter
m
W
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz

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
The distance can be determined through the equation for each respective column.
P is the rated power of the transmitter in watts (W) according to the manufacturer information on
the transmitter, only for transmitters where the rated power is not mentioned in the above table.
• REMARK 1 : An additional factor of 10/3 has been used to calculate the recommended
protective distance of transmitters in the frequency range from 80 MHz to 2.5 GHz, to reduce
the probability that mobile portable communication equipment unintentionally brought into the
area of the patients will lead to a disruption.
• REMARK 2 : These Guidelines may not be relevant in all situations. The dispersion of
electromagnetic waves is influenced by absorption and reflections from buildings, objects and
people.

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0413
Printed in Belgium
Published by Agfa-Gevaert N.V., B-2640 Mortsel-Belgium
4454A EN 20060907

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