AccuRay D5 6 Operating Manual E-3 20190515 º ¡

OME-HX-DxH Series-3
Digital X-ray HF Generator
HX-DxH Series
Operation Manual
This manual is for professional service engineers.

Do NOT use this manual unless you have received proper training.
Keep this manual in the safe place.
This page is intentionally blank.
3 HX-DxH Series Operation Manual OME-HX-DxH Series-3

52, Chupalsandan 1-gil, Paengseong-eup, Pyeongtaek-si,
Gyeonggi-do, 17998 / Tel :+82-31-658-7231~7
Digital X-ray HF Generator
HX-DxH Series
Operation Manual
Read this service & installation manual thoroughly before you use the product.
Keep this instruction manual for future reference.
Copyright © 2018, DK Medical Systems

Revision History
Revision Date Changes
0 Oct. 2016 First Edition (Translated Korean to English)
1 Jan. 2017 Modified specification (Added accuracy and AEC)
2 Feb, 2018 Corrected the specification and rearranged the contents
3 May, 2019 Change Model AccuRay D to HX-DxH.
Manual Notation
The number of this manual is entitled on the basis of the following standard:
X M X - Y Y Y Y - Z
(1) (2) (3) (4) (5)
(1) S : Service
O : Operation
(2) M : Manual
(3) K : Korean
E : English
(4) Y : Model Name
(5) Z : Version
Ex: OME – HX-DxH series - 2

Important !
X-ray equipment is dangerous to both patient
X-ray and operator unless measures of protection are
strictly observed.
X-ray equipment, if not properly used, may cause injury. Accordingly, the
instructions herein should be thoroughly read and understood before
attempting to place this equipment in operation. We are glad to assist and
cooperate in placing this equipment in use.
Although this apparatus is built to the highest safety standards and

incorporates a high degree of protection, nor can any practical design compel
the operator to take adequate precautions to prevent the possibility of any
persons carelessly, unwisely, or unknowingly exposing themselves or others
to X-radiation.
It is important that a personnel who is responsible for this equipment has to

be properly trained and take adequate steps to insure protection against
injury. It is also imperative that these persons be fully acquainted with the
recommendations or the International Commission on Radiation Protection
contained in Annals No. 26 of the ICRP, with the recommendations of the
National Council on Radiation Protection and Measurements, as published in
NCRP Reports, and with other applicable standards.
The manufacturer assumes that only authorized operator and service

personnel use and/or install this machine.
Preface
This operation manual must be carefully read prior to using the “Digital X-ray HF
Generator HX-DxH Series" (after referred to as "equipment") and thoroughly
followed for proper use.
This manual should be kept available for future reference.
In case of any changes in its user or location, ensure that this service & installation
manual is always kept together with the equipment. Periodically check to be sure
that the manual and the warning labels are not missing or damaged. If they are,
contact your DK Medical Systems service representative for replacement.
Original version is approved in English.
Notice
• All copyrights regarding this manual are property of DK Medical Systems.
Neither all nor part of these contents shall be reproduced or duplicated without the
express permission of DK Medical Systems.
• Content of this manual may be changed for improvement without prior notice.
Although every possible effort has been made to avoid errors while creating this
manual, immediate revision may not be possible in the event that errors or missing
information are detected.
• Screen images and illustrations contained in this manual may differ from those in
actual use, and are intended for example purposes only. Illustrations may also use
partial images.
© 2014-2018 DK Medical Systems. All rights reserved.

Thanks for purchasing product of DK Medical Systems.
Before using the system, please read this manual thoroughly and use the system correctly.
The precaution and prohibition seen though the manual are classified as follows:
DANGER
Indicates an imminently hazardous situation which, if not avoided, will result in serious
injury or death.
WARNING
Indicates a potentially hazardous situation which, if not avoided, could result in serious
injury or possibly death.
CAUTION
Indicates a potentially hazardous situation which, if not avoided, may result in minor to
moderate injury or equipment damage.
NOTE
Emphasizes additional information that is provided to ensure the proper use of this
product.
Indicates information provided to improve product performance.
Indicates information provided to improve product performance.
Preface 8
Operating Precautions
(for Both the Safety and the Prevention of Danger)
on Using Electric Medical Equipment
1. Only personnel with the following experience and knowledge can use the equipment.
1) Medical radiographic training (if particular qualifications are required in the country
concerned, those qualifications must be held).
2) A capacity to read and understand the instruction manual.
2. When installing the equipment, pay attention to the following items:
1) Do not install it near water faucet or similar equipment.
2) Install it away from potential sources of problems such as abnormal pressure, temperature,
humidity, drafts, direct sunlight, dust, chlorine or sulphur gas.
3) During transportation and operation of the equipment, avoid tilting, vibration and sharp
impact against it.
4) Keep the equipment away from area where chemical or gas is stored.
5) Use only correct electrical power source with matching frequency, voltage and current
(or wattage).
6) Check the conditions of the battery power source (power and polarity) before operating the
equipment.
7) Properly ground the equipment.
8) When using this equipment, an operator shall be in an X-ray protection room.
3. Before operating the equipment, pay attention to the following items:
1) Check the conditions of switch contacts, polarity, dial settings, and meters, and make sure
the equipment performs smoothly.
2) Confirm that the ground is connected properly.
3) Check all wirings for proper and correct connections.
4) Pay attention when using more than one unit at a time, because it may lead to an incorrect
diagnosis and cause a hazard.
5) Check the condition of external electric circuit, which will be directly connected to a patient.
6) Check the condition of battery power source.
4. While operating the equipment, pay attention to the following items:
1) Do not exceed the time or the amount of equipment use needed for a diagnosis or a therapy.
2) Observe the equipment and a patient continuously, for early detection of a problem.
3) When a problem is detected with the equipment or a patient, take proper actions to stop
the equipment without harming the patient.
4) Do not let a patient touch the equipment.
5) When using the equipment, a user must wear protective gear against X-ray.

5. After operating the equipment, pay attention to the following items:
1) Turn off the switches and return the dial to their original positions before use in the
prescribed order. Then, turn off the main power switch.
2) Do not pull the power cable forcibly from the outlet.
3) When storing the equipment, pay attention to the following items:
ⓐ Keep it away from water.
ⓑ Store it away from a potential cause of problem such as abnormal pressure, temperature
and humidity, draft, direct sunlight, dust, chlorine or sulphur gas.
ⓒ During transportation and storage of the equipment, avoid tilting, vibration and sharp
impact against it.
ⓓ Store the equipment away from areas where chemicals and gases are stored.
4) Clean all attachments, cables and contacts, and store them in one place.
5) Keep the equipment clean to avoid problems during the next use.
6. When the equipment is found to be out of order, do not try to repair it. Display an appropriate
sign to indicate that the equipment is out of order, and contact a DK Medical Systems Service
Representative for repair.
7. Do not modify any part of the equipment.
8. Preventive maintenance: The equipment and its parts should be periodically checked.
If the equipment has not been in operation for an extended period of time, test it prior to actual
operation to make sure it works correctly and safely.
9. Concerning other items, operate properly according to the operation manual.
WARNING
· The responsibility of proper use and maintenance of the machine lies with a user.
· Only a diagnostic radiography technician and/or any personnel with a certificate
indicating equal proficiency can use the machine.
· Since an inspection and a repair of the inside of the machine are dangerous, if an error
occurs, make sure to put up a sign of defect of the machine. Then, contact your DK
Medical Systems service technician or a personnel with a certificate indicating equal
proficiency to repair the apparatus.
· In general, modifications of the machine are strictly prohibited by the Regulatory
Requirements of the Law of the country where the device is installed. Nevertheless, if
any modification should be made, consult it first with the manufacturer and/or seller.
Preface 10
Perform Periodic Inspection
Preventive maintenance is required to maintain safety and performance of this system for a
long time. As to the maintenance and inspection that specially trained experts exclusively
can perform, utilize the maintenance agreement offered by our company.
Wa r r a n t y
The warranty of this system is valid for one (1) year as from the date of purchase.
Please note that our company is not responsible for the following failures and damages:
1. Failure/damage caused by installation, movement, maintenance and repair performed by

anyone other than our company and companies specified by our company.
2. Failure/damage in a product of our company caused by a product of other company which is
not delivered by our company.
3. Failure/damage based on maintenance, repair, etc. using a spare part other than the
genuine parts specified by our company.
4. Failure/damage based on a result caused by disobedience to the Cautions and operating
procedures described in this instruction manual.
5. Failure/damage caused by the ambient condition beyond the service condition of this system
such as the power supply and in this instruction manual.
6. Failure/damage caused by natural disaster such as fire, earthquake, flood damage and
thunderbolt.
7. The servicing after expiration of the guarantee period will be offered with charge. Contact our
service agency nearest to you.
8. In case of failure/damage caused by a consumer, fee for parts, etc. can be imposed during
the guarantee period.
Service after the expiration of warranty is available at reasonable cost and should be performed
by your DK Medical Systems service representative.
IN NO EVENT SHALL DK MEDICAL SYSTEMS AND ITS AFFILIATED ENTITIES BE LIABLE

TO ANY PERSON OR ENTITY FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL OR
CONSEQUENTIAL DAMAGES (INCLUDING, WITHOUT LIMITATION, ANY DAMAGES
RESULTING FROM LOSS OF USE, BUSINESS INTERRUPTION, LOSS OF PROFITS, LOSS
OF SAVINGS, THE COST OF PROCUREMENT OF SUBSTITUTED GOODS, SERVICES OR
TECHNOLOGIES), OR FOR ANY MATTER ARISING OUT OF OR IN CONNECTION WITH THE
USE OR INABILITY TO USE THE SYSTEM.
In some jurisdictions, some of the foregoing warranty disclaimers or damage limitations may not
be applied. DK Medical Systems will be indemnified for any claim, liability, or damage arising out
of the misuse or non-compliance with this manual by the purchaser or lessee of the system.

Precautions in Use
When using this equipment, please observe the following precautions for the safety of
operator and patient.
WARNING
The responsibility for management of use and maintenance of medical equipment

lies with a user.
This equipment is restricted to use by, or under supervision of, a diagnostic radiography
technician or a person with a certificate indicating adequate proficiency. Repair and
inspection of the inside of the equipment can be dangerous. Be sure to contact your DK
Medical Systems service representative for such repair and inspection.
WARNING
NEVER MODIFY THE EQUIPMENT!

In general, modification is strictly prohibited by the Regulatory requirements of the law of
the country in where the equipment is installed. Please contact your DK Medical
Systems service representative if it is necessary to modify the equipment.
WARNING
PERFORM PERIODIC INSPECTION!

Preventive maintenance is required to maintain long-term safety and performance of the
system. This manual gives detailed description of occasional and periodic maintenance
and inspection that a user should perform. As to the maintenance and inspection that
trained specialists can perform exclusively, utilize the maintenance agreement offered by
our company.
Preface 12
WARNING
Repair and maintenance of the inside of the equipment can only be performed by
an engineer assigned by DK Medical Systems.
Maintenance must be assigned to specially trained expert. Contact your DK Medical
Systems service representative for repair and maintenance.
WARNING
To ensure the safety of equipment when using it, thoroughly read the manual
provided with the equipment. Also, fully understand all of precautions written in
this manual regarding the equipment use.
WARNING
If connecting this equipment to another one, make sure that another equipment is
certified by DK Medical Systems, does not cause degrading any system
performance and/or guarantees its safety.
CAUTION
If an operator has no experience in operating the equipment, be sure that he or she

receives instruction on how to operate it by DK Medical Systems’ service
personnel or someone who has adequate experience of using the equipment.
In order to operate the equipment safely, enough instruction on the operation needs to be
given. When installing the equipment, DK Medical Systems service personnel will explain
the operating procedure using this operation manual. Follow their directions and operate
the equipment correctly.

CAUTION
Make sure that operator and patient can communicate while taking X-ray
irradiation.
If the equipment use can put a patient in danger, stop the examination or treatment
immediately.
Be Sure To Read the Following To Prevent Explosion, Electric Shock,

or Injury
DANGER
Do not use the system in combustible gas-contained atmosphere.

The system is not an AP device. If using it in where the combustible gas exists, it may
cause a fire or explosion.
WARNING
Check the position and condition of a patient before conducting a study.

If equipment usage is deemed to put a patient at risk due to his or her condition, cease
conducting study or treatment.
Preface 14
WARNING
Do not put this equipment in a place where any liquid may exist, nor put such
liquid into the equipment. Avoid letting any liquid be spilled on the surface of the
equipment, nor enter into the equipment.
Otherwise, an electric shock may occur.
In case of liquid being entered inside of the equipment, turn off the power immediately,
and contact DK Medical Systems Service Representative.
WARNING
In case when any abnormality is found during the system operation, stop operating it
immediately and contact our service agents. Repair and inspection of the system need to
be conducted by them.
WARNING
Do not open the covers, otherwise an electric shock may occur.
WARNING
When moving the equipment, always be very careful to avoid contact with a
patient or an operator and ensure that they do not become caught between the
equipment and any neighboring devices.
Otherwise, it may cause injury.

WARNING
Do NOT use the equipment in a place where metal fragments may enter.
Otherwise, it may result in an electric shock.
WARNING
Prior to conducting a study, check that the equipment is functioning correctly and all
system components and attachments are securely fastened.
WARNING
Exercise CAUTION when using a sanitary spray.

Do not use a sanitary spray that is flammable or can cause an explosion.
Vapor from a sanitary spray may ignite, causing life-threatening, serious injury or
damage to the system.
WARNING
This equipment has no protection against exposure to liquids.

Do not operate this equipment in a place with a possibility of exposure to liquids.
Otherwise, an electric shock may occur.
Pay attention not to spill liquids on the surface or inside of this equipment. In case of
liquid spillage on the equipment, stop operating the equipment immediately and contact
our service department.
Preface 16
NOTE
Accuracy of displayed values is not guaranteed. Displayed values measured by the

measurement functions of this equipment are not absolute but relative, depending on
capability of the equipment used.
Cautions on Storage
CAUTION
Abide by the conditions for correct usage.

• Atmosphere: No explosive or corrosive gases
• Storage temperature: -10 to 65 °C
• Relative humidity: 10 to 95 % (non condensing)
• Atmospheric pressure: 800 to 1060 hPa
• Environment luminosity: 150 to 500 lx
• Ambient noise level: Under 70 dB
Note also that there must be no sudden changes in temperature or humidity.

Otherwise, it will cause condensation, which can lead to trouble.

Cautions on Cleaning and Disinfection
WARNING
Be sure to turn the equipment power OFF before cleaning and disinfecting the
equipment.
Otherwise, malfunction may occur in the equipment, or the equipment may operate in
an unintended way. Thoroughly ventilate the room before turning ON the power after
disinfection work is completed.
CAUTION
Be sure to clean and disinfect the equipment periodically.

Cleaning and disinfection are very important to ensure that the equipment is used
hygienically and safely. Strictly follow the methods described in this manual.
CAUTION
Do NOT directly apply rubbing alcohol or water nor spray it onto the equipment.
Wipe off the surface of the equipment with a cloth soaked with rubbing alcohol.
If rubbing alcohol gets inside the equipment, it can cause failure or accidents.
CAUTION
Observe the following precautions when cleaning and disinfecting a touch panel:
• Turn the equipment power OFF before cleaning and disinfecting.
• Clean and disinfect the touch panel periodically.
• Wipe the surface of the equipment with a cloth soaked with disinfectant or cleaner.
If liquid gets inside the equipment, it can cause failure or accident.
• Do NOT rub or hit the panel surface because it can be scarred easily.
• Wipe the panel gently with moistened soft cloth to remove the dust from the surface.
Preface 18
CAUTION
Use the following disinfectant and/or cleaner:

• Rubbing alcohol
• Glass cleaner *
* Only onto the touch panel
CAUTION
Do NOT use the following disinfectant:

If any of the following disinfectants is applied, the equipment performance and safety
cannot be guaranteed.
• Chlorine-based disinfectant
• Disinfectant that corrodes metals, plastics, rubber, or paint
• Disinfectant unsuitable for metals, plastics, rubber, or paint
• Spray-gas type disinfectant
• Volatile disinfectant
• Disinfectant that may enter the equipment
CAUTION
Do NOT use an organic solvent.

Organic solvents may change the surface color. If an organic solvent adheres to the
surface, wipe it off immediately.

CAUTION
Use minimum amount of disinfectant only.

Repeated disinfection over a long time may lead to discoloring and crack on the
equipment surface, and deterioration of rubber and plastic. If any abnormality is found
on the equipment after disinfection, stop using the equipment immediately. Contact your
DK service representative for repair.
On completing the work, check the following points before switching the power ON
again.
• There must be no water or disinfectant adhering to the equipment.

• The tools used in cleaning and disinfecting work must be tidied away.
WARNING
When turning the power ON after cleaning, make sure the examination room is
properly ventilated.
Turning the power ON when any flammable gas remains in the examination room could
lead to fire, smoke, explosion or electrocution.
CAUTION
When disinfecting acrylic tabletop, do NOT use rubbing alcohol.

Rubbing alcohol may lead to deformation or crack of acrylic tabletop. Wipe it off
immediately when they are spilled on the tabletop.
Preface 20
Cautions on Electromagnetic Compatibility (EMC)
WARNING
This equipment needs special precautions regarding EMC.

Install and use the equipment according to the EMC standard.
WARNING
Make sure that electromagnetic compatibility is obtained.

All peripheral devices must satisfy EMC standards regarding emission of electromagnetic
energy and susceptibility to electromagnetic environment.
Devices that do not satisfy these standards may disturb correct functioning of the
equipment. In the worst case, it can cause serious injury or clinical error.
WARNING
Do NOT use this equipment adjacent to, or stacked with other equipment.
If adjacent or stacked use is necessary, be sure that this equipment works properly in
such environment.

Cautions Relating to Cellular Telephone
WARNING
Do NOT bring any cellular telephone or related device into the examination room
with their power ON.
Such devices can exceed the EMC standard limitations, and under some conditions it
can impair the proper functioning of the equipment. In the worst case, it can cause
serious injury or clinical error.
Cautions on Radiation
WARNING
Do not allow any personnel to use the equipment unless he/she is a qualified one (such
as a doctor, X-ray technician or X-ray engineer). The equipment can only be used under
a supervision of such qualified personnel.
WARNING
Be aware of danger of X-Ray irradiation.

If not using the X-Ray machine, its operator as well as other related personnel can be
exposed to X-ray beyond necessity. During X-ray irradiation, make sure that no one is in
the examination room except a patient. If, for some reason, there should be another
personnel other than a patient, then ensure that the person takes proper actions (e.g.,
wearing a protective apron, screen, etc.)
Preface 22
WARNING
During X-ray irradiation, ensure that the X-ray irradiates the necessary region only.
To avoid unnecessary exposure to X-ray radiation, narrow down the area to be shoot by
a collimator, and take protective measures like wearing a lead apron.
WARNING
Always check the X-ray exposure region by using the collimator lamp.
If irradiating outside of the required region of a patient, there may be a risk of exposing
the patient to unnecessary radiation.
WARNING
A user of the equipment is liable for a patient and/or user’s injury or wound caused from
an X-ray exposure. Since the manufacturer provides all necessary information
regarding the equipment and its possible risk if not being properly used, the
manufacturer is not liable for managing the equipment after its installation nor for safety
practices that a user does.
Also, it is emphasized that the manufacturer has no responsibility of maintenance
and/or services of any equipment if it is not maintained properly along with the
instruction, or is modified and/or changed.
In this manual, there are proper information including warning, caution and product
labels attached to the surface of the equipment. And the manufacturer does not have
any liability for a user’s equipment use or violence against the safety rules/
recommendations.
Also, the manufacturer is not liable for any patient or individuals over-exposed to X-ray
resulted from a user’s misuse of the equipment.

CAUTION
This X-ray unit may be dangerous to both patient and operator unless safe exposure
factor, operating instruction and maintenance schedule are observed.
CAUTION
Do not exceed the maximum tube operation limits shown in the X-Ray tube data of its
manufacturer. Intended life and reliability may not be obtained unless a generator is
operated within published specifications.
WARNING
To avoid the risk of electric shock, this equipment must be connected to supply mains
with protective ground.
CAUTION
In order to minimize the absorbed dose, make the distance to the focal spot as far as
possible (Minimum 45 cm).
Preface 24
CAUTION
Do NOT perform unnecessary standby operation.

If standby status continues after the radiography preparation button is pressed, wire
disconnection or withstand voltage failure may occur owing to an evaporation of the X-
ray tube filament.
CAUTION
Perform aging if an arc occurs.

It may result in arc if suddenly using the X-ray tube unit near the nominal X-ray tube
voltage (above 100 kV) after using the unit at a relatively low tube voltage (80 kV max.)
for a long period. This arc occurs due to loss of the aging effect at high tube voltage
after the X-ray tube unit has been used at a relatively low tube voltage for a long time.
CAUTION
Keep pressing the radiography preparation button (or the first stage of hand switch) and
the radiography button (or the second stage of hand switch) until exposure time is
completed. Releasing them before completing X-ray irradiation will stop the procedure in
the middle, and thus a suitable radiography image will not be acquired.

Cautions on Radiography
WARNING
Do not allow operation of this apparatus by any person other than qualified personnel
(physician, radiotherapy engineer and clinical X-ray engineer), or allow a person to use
this equipment under the supervision of qualified personnel.
WARNING
The equipment can be operated only by qualified personnel, such as radiography
technician or a person with equivalent qualification.
WARNING
No person but only a patient is allowed to stay in the examination room during X-
ray irradiation.
If the equipment is not used correctly, operator, patient, and others may receive a greater
dose of radiation than necessary. If someone has to be in the examination room with a
patient for some reason, then that person must take adequate measures to protect
him/herself against the radiation (e.g., wearing a protective apron, screen, etc.).
* During radiography, the radiography indicator illuminates and the buzzer rings for
audible warning.
WARNING
Perform X-ray irradiation carefully according to doctor's direction when using the
equipment with expectant mother, woman who is suspected as pregnant, lactating
woman, or children.
Particular ways of using the equipment may increase the scatter dose absorbed into the
patient, which may cause a radiation hazard.
Preface 26
WARNING
Always check the X-ray exposure region by using the collimator lamp.
If irradiating outside of the required region of a patient, there may be a risk of exposing
the patient to unnecessary radiation.
WARNING
During X-ray irradiation, ensure that the X-ray irradiates the necessary region only.
To avoid unnecessary exposure to X-ray radiation, narrow down the shooting area of
collimator and take protective measures, such as wearing a lead apron.
WARNING
Do NOT place any unnecessary object in the X-ray exposure area.

Otherwise, it may result in unnecessary radiation exposure to a patient.
CAUTION
Be sure to carry out aging before taking a radiograph.

Before taking a radiograph, running-in operation of the X-ray tube assembly called
"aging" is required.
Refer to “X-ray Tube Aging” (p.30) for details.

CAUTION
Be sure to carry out aging (running-in operation of the X-ray tube unit) before
taking an X-ray radiography.
Refer to the ‘aging’ procedure described in the X-ray high voltage generator manual.
CAUTION
Perform the aging if an arc occurs.

It may result in arc if suddenly using the X-ray tube unit near the nominal X-ray tube
voltage (above 100 kV), after using the unit at a relatively low tube voltage (80 kV max.)
for a long period. This arc occurs due to loss of the warm-up effect at high tube voltage
after the X-ray tube unit has been used at a relatively low tube voltage for a long time.
In this case, conduct the aging for X-ray tube unit by referring to the procedure described
in the X-ray high voltage manual.
CAUTION
In order to minimize the radiation dose on a patient, make the distance between
the focus and the patient's body surface as far as possible (Minimum 45 cm).
The shorter the distance becomes, the greater the amount of scatter dose will be
absorbed into the patient, which may cause a radiation hazard.
CAUTION
Pay extra attention, when irradiating X-ray for a long time or repeatedly.
It may cause a radiation hazard.
Preface 28
Cautions on Operation
CAUTION
1. Before operating the equipment, be careful with the followings:

1) Operation of switches, meters, etc. and connection status of high-voltage cables and
earth cord.
2) Exposure condition settings for general radiography
2. While operating the equipment, be cautious on the followings:

1) Do not exceed exposure time and radiation amount needed for examination.
2) In addition to the apparatus display circuit, always observe the whole apparatus and
the patient for freedom from any problems.
3) If any problem is found with the apparatus or a patient, take a proper action such as
shut-down of the apparatus in state securing safety of the patient, etc.
4) Do not allow the patient to touch the apparatus unnecessarily.
3. Observe the following items after end of operation of the apparatus.

1) For the sake of safety, leave the hand switch opened to which the apparatus power
cord is connected.
2) Make sure of cleanliness of the apparatus, so that no problem is brought about
during the next operation.
4. In case of trouble occurrence, do not take any operation by yourself, butmake a

proper sign. For compensation or repair, take appropriate treatment by a qualified
person, or contact the trader or service man.
NOTE
Basically, this manual prohibits the following two items:

1. When the equipment is locked, do not operate it.
2. Do not operate this equipment forcefully.
Also, necessary information is described herein this manual regarding proper use of the
equipment.

Cautions on X-ray Tube Aging
CAUTION
The activity called as ‘aging’ is efficient to check that X-ray tube does not have any
problem as well as to prevent the equipment from its electric discharge. If the equipment
runs abnormally, turn off the equipment and the main board. Then contact the client
service team of DK Medical Systems.
1. Select a large focus and conduct radiography in the following order. Take the interval
time around 60 secs between your shootings.
2. If any error occurs during the aging, wait for a while and reduce the X-ray tube
voltage to 30 kV before conducting X-ray shooting.
3. Check if the X-ray tube can change during X-ray shooing if the tube has two or more
focuses.
4. Perform aging for each unit if there are two or more X-ray tube units.
5. After radiating three times, an operator needs to spend five minutes to cool down the
X-ray tube.
1st 50 kV/5.0 mAs, 3 times of irradiation
2nd 70 kV/5.0 mAs, 3 times of irradiation
Preface 30
Service Life
The equipment lifetime is 10 years (based on DK Medical Systems’ criteria) assuming the
specified maintenance checks are performed.
Disposal Precaution
CAUTION
When disposing of the equipment, contact your DK Medical Systems service

representative.
Improper disposal of this equipment may pollute the environment due to substances
contained in parts.
Language(s) Provided
DK Medical Systems provides technical documents in English. Providing language(s) of
each country will be added at DOC and label and packaging chapter.
Software Revision
This manual applies to the software revision 1.0 ∗

Notes for Users
Use the following cassette for the Bucky device. Other cassettes can not be used.
CM or INCH size cassette based on IEC standard 60406.
Attenuation equivalent should not be greater than 1.6Vmm Al but thinner than 15mm
thickness. All parts of the cassette such as hinges, locks and marking device shall be
within the minimum radii for corners and edges. The flatness shall be 1mm warp or less.
Action for Environment (WEEE)

To All Users of DK Medical Systems
Equipment in the European Union:
Equipment marked with this symbol indicates that it was sold on or after 13th August
2005, which means it should not be disposed of with general household wastes. Note
that our equipment is for industrial/professional use only.
WEEE Mark
Contact your DK Medical Systems service representative when the equipment has
reached the end of its life. They will advise you regarding the equipment take-back.
With your co-operation, we are aiming to reduce contamination from waste electronic and
electrical equipment and preserve natural resource through re-use and recycling. Do not
hesitate to ask your DK Medical Systems service representative, if you require further
information.
Preface 32
Abbreviations
Abbr. Full Description Abbr. Full Description
Acryl Acryl MOT Motor
ATR Actuator Off-CNT Off-Centered
Base Base PTM Potentiometer
BR Bearing PRS Pressure
BK Bracket Rail Rail
CRG Carriage SFT Shaft
CNT Center SOL Solenoid
CHN Chain SPG Spring
Clutch Clutch SPT Sproket
CSH Cushion STD Stand
DTR Detector STP Stopper
EMG Emergency SW Switch
EXT Extend TB Timing Belt
FXD Fixed TP Top Plate
Lock Lock WIT Weight
Mcr SW Micro Switch Wire Wire
Options
The "Options" described in this manual may be provided as standard, or may be
unavailable, depending on its sales format.

Preface 34
Warning and Caution Labels
The following safety labels, which describe handling precautions, are attached to the
equipment. With adequate understanding of the contents on these labels and the warning
/caution items in this manual, operate the equipment safely. Inspect the safety labels
periodically (once a year).
If any label is peeled or unreadable by stain or scratch, replace it with a new one. For
new labels, contact your DK service representative.
Following Labels are attached as seen on the Figure below.
z 2
<HX-DxH Appearance Label>
<Label on High Voltage Tank>
No. Label Meaning No. Label Meaning
1 Read Manual 3 Risk of Electrical Shock
2 Unauthorized Personnel 4 Risk of High Voltage

■ HX-DxH Appearance Label
1. Read Manual 2. Unauthorized Personnel
3. Risk of Electrical Shock
■ Label on High Voltage Tank
4. Risk of High Voltage
Preface 36

Contents
Preface
Operating Precautions (for Both Safety and the Prevention of 9
Danger) in the Use of Electronic Medical Equipment
Perform Periodic Inspection 11

Warranty
Precautions in Use 12
Be sure to Read the Following to Prevent Explosion, Electric 14
Shock, or Injury
Cautions on Storage 17
Cautions on Cleaning and Disinfection 18
Cautions on Electromagnetic Compatibility (EMC) 21
Cautions Relating to Cellular Telephones 22
Cautions on Radiation
Cautions on Radiography 26
Cautions on Operation 29
Cautions on X-ray Tube Aging 30
Service Life 31
Disposal Precaution
Language(s) Provided
Software Revision
Notes for Users 32
Action for Environment (WEEE) To All Users of DK Medical

Systems Equipment in the European Union
Abbreviations 33
Options
Warning and Caution Labels 35
Contents 38
01 Overview
1.1 Applications 45
1.2 Contraindications 46
1.3 Operating Principle 47
1.4 Operator’s Profile 48

1.5 Safety Symbols for System 49
1.6 Environmental Conditions 51

1.6.1 Operation Environment
1.6.2 Power Supply Requirements 52
1.6.3 Transport and Storage Conditions 53
1.6.4 Power Consumption 54
1.6.5 Classification According to the System for Protection Against
Electric Shock
02 Prior to Operation
2.1 Composition 57
2.2 Dimensions 60
2.3 Descriptions for OP Console 62

2.3.1 Operation Panel
2.3.2 How to Set Exposure Condition 65
2.3.3 How to Read the Technique Factor Display 66
03 Operation
3.1 Operation Procedure 69
3.2 Checking Safety 70

3.2.1 Starting Inspection
3.2.2 Checking Safety
3.3 Power ON/OFF 71
3.3.1 Turn ON the Power
3.3.2 Turn OFF the Power 72
3.4 Exposure Condition Settings 73
3.4.1 Changing Exposure Conditions
3.4.2 Changing Focus 74
3.4.3 Changing Patient Size 75
3.4.4 APR Settings 76
3.5 X-ray Irradiation 77
3.5.1 Radiographic Operation Using Operation Panel Keys
3.5.2 Radiographic Operation Using a Hand Switch 78
3.5.3 Additional Information for Radiographic Operation 79
3.5.4 DAP Display

04 Advanced Functions
4.1 APR Mode 81
4.1.1 APR Settings
4.1.2 How to Utilize APR Function
82
4.1.3 Change APR Address Settings 84
4.2 AEC Mode 85
4.2.1 AEC Settings
05 Troubleshooting
5.1 Error/Check Code 87
5.2 Troubleshooting 89
06 Inspection & Maintenance

6.1 Maintenance and Inspection 95
6.1.1 Daily Inspection
6.1.2 Cleaning and Sanitation
6.1.3 Periodic Inspection 98
6.2 Periodic Replaced Parts 99
6.2.1 Fuse
6.2.2 Hand Switch
07 Technical Data
7.1 Product Specification – HX-D5H 101
7.2 Product Specification – HX-D6H 103
7.3 Component Specifications 105
7.4 Environmental Conditions of EMC 107
7.5 Exposure Conditions – HX-D5H 112

7.5.1 Small Focal Spot
7.5.2 Large Focal Spot 113
7.5.3 Time & mA Table 114
7.6 Exposure Conditions – HX-D6H 115
7.6.2 Large Focal Spot 116
7.6.3 Time & mA Table 117
7.6.4 Information of Radiation Quantities 118
Contents 40
08 Checklist
8.1 Checklist 121
8.1.1 Starting Inspection Checklist
8.1.2 Ending Inspection Checklist 122
09 Appendix
9.1 Manufacturer Information 125
9.1.1 Regulatory Information
9.1.2 Company’s Quality System
9.1.3 International Standards
9.2 List of Components 126
9.2.1 Fuse List
9.2.2 Accessories
9.2.3 List of Cables 127
9.3 Attenuation Equivalent 128
9.3.1 Attenuation Equivalent Table
9.4 Connection Diagram 129

Contents 42

01 Overview
This chapter describes the applications and features of the HX-DxH.
1.1 Applications
1.2 Contraindications
1.3 Operating principle
1.4 Operator’s Profile
1.5 Safety Symbols for System
1.6 Environmental Conditions

Chapter
1.1 Application
1. Intended Use
The HX-D5(6) H is a high-power, high-frequency X-ray generator with excellent quality

and stability. Because of the fast kV rise, no warm-up time is required, high-speed
shooting is possible, and image quality is excellent.
The generator provides manual mode (kV, mA, ms), semi-automatic mode (kV, mAs),
automatic mode (AEC). It can store various APR (Anatomical Programming Radiograph)
by using highly integrated memory, and it can acquire an image with proper kV, mA, ms
values by an automatic control method without worrying about the subject by giving AEC
function. AEC irradiation method is an automatic control, which is convenient for a user,
and has more accurate value and time settings, so to obtain excellent image quality.
2. Notice for User
In order to use the product safely and reliably for a long period of time, you should
thoroughly familiarize yourself with the functions and operation of the product and read
the maintenance instructions of this manual before using this equipment. Special
attention should be paid to all warnings and cautions of this manual.
The manufacturer is not responsible for any damage to the equipment or a user’s injury
caused by an improper use or a failure in maintaining the equipment.
The responsibility of the device’s use and maintenance lies with a user.

Chapter
1.2 Contraindications
The HX-D5(6)H should not be used if any of the following contra-indications exists.
· protection of the embryo or fetus during a radiological examination or treatment of

woman known to be or possibly pregnant
· sensitive body organ; lens of eyes, gonad
· acute skin burns
· acute hair loss
· chronic radiation injury
CAUTION
When conducting a radiography exposure successively to a patient with his/her

pacemaker, it could result in malfunction of the pacemaker.
1. Overview 46
Chapter
1.3 Operating Principle

1. Operation Panel
The operation panel provides the function of setting the tube voltage and tube current
that are applied to the X-ray tube unit, as well as the irradiation time for performing
radiography.
2. Generator
The generator includes a power circuit. It controls the opening and closing of the main
circuit and manages the generation of high voltage to be applied to the X-ray tube
according to the tube voltage signal of the X-ray tube unit. The tube current and
irradiation time can be manipulated on the user panel.
The operating and the interface circuits are necessary ones for the external equipment
and the safety interlock, and these circuits are provided in the operation generator.
3. Essential Performance
· Accuracy of loading factor

· Reproducibility of the radiation output
· Automatic control system

Chapter
1.4 Operator’s Profile
Item Specification
Age at which a person can obtain the Radiologist or

Age
Radiology Technician license, or the one equal to it.
Sex No limitation
Nationality No limitation
Radiologist or Radiology Technician or a person who has a

Education
license equal to it.
Radiologist or Radiology Technician or a person who has a

Knowledge
license equal to it.
Language Can read and understand English
Necessary. Every operator needs to take training for

Experience
operating the equipment before using the equipment.
Corrected visibility is over 0.7 in the decimal number.

Permissible Impairments Impaired by 40% resulting in 60% of normal hearing at 500
Hz to 2 kHz.
1. Overview 48
Chapter
1.5 Safety Symbols for System

These symbols displayed on the system are described below:
Symbol Location Meaning
On the name plate of cover Alternating current
Inside the instrument, where the

protective earth conductor in the power Protective earth ground
cord is connected to
On the name plate of cover Safety classification: Type B
On warning/caution label Attention
Inside of X-ray tube, HV generator,

Risk of electric shock
and other components
On identification label Follow instructions for use
On identification label Warning: Ionizing radiation
Product label Manufactured by
Product label Manufacturing date
On the power supply panel Power on
Off the power supply panel. Power off

Symbol Location Meaning
Enclosure of collimator Laser radiation; do not stare into beam.
Enclosure of collimator Hot surface
On the table top, bucky stand,

and other moving component Pinch point
devices
On the table top Do not sit on the edge of table.
Contents of the transport package are

Outside of wooden or box
fragile, therefore it shall be handled
packing
with care.
Outside of wooden or box Hooks are prohibited for handling the

packing transport package.
Outside of wooden or box Indicates correct upright position of the

packing transport package.
Outside of wooden or box Transport package shall be kept away

packing from rain.
Indicates the center of gravity of the

Outside of wooden packing transport package handled as a single
unit.
1. Overview 50
Chapter
1.6 Environmental Conditions

The equipment must be used under the following stipulated conditions to maintain its original
performance.
1.6.1 Operation Environment
Use the equipment under the following ambient conditions in an examination room or
operating room.
· Temperature : 5 to 35°C
· Humidity : 45 to 85 % (Non-condensing)
· Air Pressure : 800 to 1060 hPa
· Environment Luminosity : 150 to 500 lx
· Ambient Noise Level : Under 70 dB
CAUTION
Avoid sudden changes in temperature and humidity, even if such changes are made
within the above range. Otherwise, it can cause condensation that may damage the
equipment. Condensation inside the equipment can cause rust and corrosion. Frost
resulted from low temperatures can damage internal circuits.
CAUTION
It is recommended that an operation room in where the equipment is installed needs to

have a dedicated air-conditioning unit if the building air-conditioning cannot meet the
operating conditions described as above.

1.6.2 Power Supply Requirements
DANGER
Do not use a power supply other than the one specified below.
Using a power supply other than the one specified below may cause serious accident
such as a fire, smoke emission or an explosion.
1. HX-D5H 220 VAC (±10 %), Single Phase System
• Frequency: 50/60 Hz
• Standard voltage and permitted voltage range and power-supply impedance under
non-load conditions.
Standard Permitted
Power Supply Impedance
Voltage Voltage Range
220 VAC ± 10 % 0.16 Ω max
• Relationship between cable length and cross-sectional area to match the transformer
capacity.
• Transformer capacity: 70 kVA (single phase)
2. HX-D6H 380 VAC (±10 %), 3-phase System
• Frequency: 50/60 Hz
• Standard voltage and permitted voltage range and power-supply impedance under
non-load conditions.
Standard Permitted
Power Supply Impedance
Voltage Voltage Range
380V ± 10 % 0.16 Ω max
• Relationship between cable length and cross-sectional area to match the transformer
capacity.
• Transformer capacity: 75 kVA (3-phase)
1. Overview 52
• Safety Devices
Type Capacity D5 Rating D6 Rating
Knife-switch with fuse or molded-case circuit 100 A min 60 A 100A
• Ground conditions: grounding resistance 100 Ω max.
CAUTION
If an earth leakage breaker is used for either power voltage, use an inverter type of earth
leakage breaker to prevent malfunction in high-frequency circuits.
1.6.3 Transport and Storage Conditions
Transport and store the equipment under the following ambient conditions:
· Temperature : -10 to 60 °C
· Humidity : 10 to 95 % (Non-condensing)
· Air Pressure : 800 to 1060 hPa
CAUTION
Condensation inside the equipment can cause rusting and corrosion.

Frost due to low temperatures can damage internal circuits. Therefore, take great care if
storing the equipment in a room, in order to prevent sudden changes in temperature and
humidity.

1.6.4 Power Consumption
Model Single Phase, 220V, 50/60Hz

HX-D5H 70 kVA
Model 3Ø 380V, 50/60Hz

HX-D6H 75 kVA
1.6.5 Classification According to the System for Protection Against

Electric Shock
1. Protection Class: Class I
2. Protection Type: Type B devices
3. Applied Part: Wall-stand, floating top table, and vertical tube stand
1. Overview 54

Prior to
02 Operation
This chapter provides the information required to understand before using
the equipment.
2.1 Composition
2.2 Dimensions
2.3 Descriptions for OP Console

Chapter
2.1 Composition
This chapter describes on compositions for HV generator.
1. Operation Panel (GX-D5(6)H)

The operation panel controls power of the overall system, sets technique factors, and
conducts radiography.
4 5 6 7
15
8 16
17
9 18
13
1 10 11 12 3
14 2
Fig. 2.1.
No. Function Description
1 Power On /Off Power on/off function for a high voltage generator
2 X-ray Ready Makes an X-ray exposure ready.
3 X-ray Exposure Enables proceeding an X-ray exposure.
4 kV Setting Changes X-ray kV settings.
5 mA Setting Changes X-ray mA settings.
6 Sec / mAs Setting Changes X-ray sec/mAs settings.
7 Display DAP Displays DAP values on the operation panel.
8 APR Setting Enables selecting APR and Display APR.
Displays an X-ray condition such as Table, Stand, or

9 Technical Setting
General radiography, etc.
10 Sec / mAs Selection Enables selecting sec/mAs.

11 Focus Selection Setting for Large/Small focus

Auto transition to the stored APR X-ray condition.
12 APR Auto-transition
(Up to 7 as max.)
13 Delete APR Address Deletes the stored APR address.
14 Save APR Address Stores APR exposure condition to the APR address.
Enables adjustment of an exposure condition for a
15 Patient Size Selection
patient’s body size.
16 AEC Field Selection Enables selecting AEC field type and using photo timer.
17 Sensitivity Setting Settings for film sensitivity to L / M / L
18 Density Setting Settings for density within range of +5 to -5
2. X-ray Controller (GX-Mini D)
5
4 6
1 2
Fig. 2.2.
1 X-ray Ready Enables selecting an X-ray ready switch.
2 X-ray Exposure Enables selecting an X-ray exposure switch.
3 Power On /Off Power on/off function for a high voltage generator

Connecting spot for a hand-switch to an X-ray
4 Hand Switch Connector
controller
USB Communication
5 Connecting spot for USB Communication
Connector
Connecting spot for a HV generator to an X-ray
6 HV Generator Connector
controller
2. Prior to Operation 58
3. HV Generator (HX-D5H / HX-D6H)
Fig. 2.3.

It increases primary voltage to high voltage for
1 HV tank
generating an X-ray.
It controls filament tube current, and transits AC
2 HV control & inverter
voltage to DC voltage.

Chapter
2.2 Dimensions
1. HX-5H
• HX-D5H Main Body
<Top view>
unit: mm
<Front view> <Side view>
• OP Console
<Top view>
unit: mm
Fig. 2.4. Outer dimension of HX-DxH
2. HX-D6H
• HX-D6H Main Body
<Top view>
unit: mm
• Mini Console
<Top view> <3D view>
unit: mm
Fig. 2.5. Outer dimension of HX-D6H

Chapter
2.3 Descriptions for OP Console

2.3.1 Operation Panel
4
2
Fig. 2.6.
No. Name Description
1 Status Display It shows technique factors.
It enables an operator to change size setting for a patient; small,
Patient Size
2 medium, and large. It is able to adjust condition of X-ray exposure
Change
by changing its size for a patient.
Technique It enables an operator to use general radiography technique. Also, it
3
Button can be used for saving and searching an APR .
It is illuminated when a user selects an APR address. If the APR
4 APR Address address is selected, the selected address and relevant technique
button are illuminated at the same time.
1 2 3
Fig. 2.7.

1 Power On /Off It turns on and off the power of HX-D5H.
2 X-ray Ready It enables a device to be ready for an X-ray exposure.
3 X-ray Exposure The button for initiating an X-ray exposure
1
2
3
4
5
Fig. 2.8.

By using these buttons, a user can move up/down seven (7)
APR Address memories which belong to APR respectively. When a user holds this
1
Selection button for longer than two seconds, the corresponding exposure
condition will be stored in the currently-selected APR address.
This function is called Auto Exposure Control, which means it

identifies thickness of patient’s region automatically to set exposure
2 AEC Function condition and irradiate X-ray easily. It can be linked with a DR
system and/or an extra software. AEC chamber is required when the
DR system is used.
Sensitivity It is the button for changing a sensitivity level as Low (L), Medium
3
Settings (M), and High (H). A user can set the level by touching it.
Sec /mAs It enables changing condition settings for X-ray exposure (e.g. sec,
4
Settings or mAs).
Focal Spot
5 It is the button to modify the size of focus as small or large.
Change

1
3
Fig. 2.9.

1 Series APR The button for starting a series and routine of APR X-ray exposure.
Density
2 It is able to modify an image density by using the right/left arrow keys.
Adjustment
It enables saving or deleting an exposure condition of the selected
3 APR Del /Save
APR address.
2.3.2 How to Set Exposure Condition
1 2 3 4
Fig. 2.10.
No. Name
1 kV value adjustment
2 mA value adjustment
3 ms·sec / mAs value adjustment
4 DAP (Dose Area Product) check
[Holding Up/Down Key Longer] [Pressing Up/Down Key Shortly]

Method
Velocity value of kV will increase or

decrease rapidly, when a user keeps Setting value of kV can be increased or
kV pressing down this button. It will be decreased. Each time the key is being
increased or decreased gradually. pressed, it will make the kV value going
The range of unit to change velocity up or down by 1 kV.
value is from 1 kV to 10 kV.
Velocity value of mA will increase or Setting value of mA can be increased or

mA decrease rapidly, when a user keeps decreased. Each time the key is being
pressing down this button. pressed, it will make the mA value going
up or down by 1 mA.
ms Velocity of ms·sec /mAs values will Setting values of ms·sec /mAs can be
sec increase or decrease rapidly, when a increased or decreased. Each time the
mAs user keeps pressing down this button. key is pressed, it will make them going
up or down by 1 step.
It enables a user to check DAP

information. To check previous
DAP - exposure, press the north arrow icon. As
maximum, thirty (30) DAP data can be
saved.

2.3.3 How to Read the Technique Factor Display
The following marks may appear at the top of display screen.
1. Radiography
1 2 3 4 5 6
Fig. 2.11.
Identify Focal It is illuminated when a focal spot size is selected by a user. The left
1
Spot Size side is for a large size, and the right is for a small one.
Ready
2 It is lit when preparations for X-ray radiography are completed.
Indicator
3 X-ray Indicator It is illuminated during an X-ray irradiation.
Standby It is lit approximately two seconds later, after the power is turned on.
4
Indicator It is possible to take a radiography only when this indicator is lit.
It is illuminated when the technique factor settings are inappropriate.

Error Code
5 The X-ray irradiation is not possible if this indicator is on. When an
Indicator
error occurs, it shows the relevant error number on the display panel.
It is lit when functional abilities and protective circuit have a malfunction.

Check Code
6 In this case, an X-ray irradiation is not available. When a check code
Indicator
occurs, it shows the relevant code number on the display panel.
2. Technique factor
1 2 3 4
Fig. 2.12.
1 kV Display It shows the current kV value.
2 mA Display It shows the current mA value.
It displays the current ms /sec /mAs values. ms /sec conditions can

ms /sec /mAs
3 Display be adjusted and checked before proceeding an X-ray exposure. The
mAs value is calculated automatically by a programmed firmware.
It calculates DAP value automatically after proceeding an X-ray

4 DAP Display
exposure.

03 Operation
This chapter describes how to operate basic options of HX-DxH.
3.1 Operation Procedure
3.2 Checking Safety
3.3 Power ON/OFF
3.4 Exposure Condition Settings
3.5 X-ray Irradiation

Chapter
3.1 Operation Procedure

An operator shall proceed the following steps to irradiate a diagnostic X-ray.
3.2 “Checking Safety"
3.3.1 “Power On"
“Operating Precautions "（Page 12）
3.4 “Setting Exposure Condition"
3.4.2 “Changing Focus"
3.5 “X-ray Irradiation"
3.3.2 “Power Off"
Fig. 3.1

Chapter
3.2 Checking Safety

3.2.1 Starting Inspection
The daily inspection comprises the starting and ending inspections. The daily inspection
is necessary in order to sustain the system performance for a long time. Check whether
all inspections and corrective actions are completed before using the system.
Use the "Starting Inspection Checklist" and "Ending Inspection Checklist" in 8.1
“Daily Checklist". We recommend that you fill out a copy of the "Starting
Inspection Checklist" and "Ending Inspection Checklist" and keep it for a certain
period of time.
3.2.2 Checking Safety
CAUTION
Check that the safety of examination room, before turning the power ON.
3. Operation 70
Chapter
3.3 Power ON/OFF

HX-5H / HX-6H is a digital radiographic X-ray system. It includes a high voltage generator,
wall stand, patient table, ceiling tube stand, wall tube stand, FPD, and workstation. This
generator supplies the power to the system. To turn on this system, proceed the following
operation procedure.
3.3.1 Turn ON the Power
CAUTION
Contact your DK Medical Systems service representative if any of the following problems
occur when the power is turned ON:
• An operation panel display shows an abnormality, such as flickering.
• An operation panel makes an abnormal noise.
• an X-ray tube unit produces abnormal sounds or vibration.
1. Close the knife switch or non-fuse circuit breaker connected to the equipment power
cable.
2. Check that the power of operation panel is on or off.
3. Press the right arrow [Power on/off ] to turn the power on. If an internal battery of
operation panel is discharged, the power will not be turned on and an error code will
appear on the technique factor. In normal case, the stand-by indicator is illuminated
approximately two seconds after pressing the power switch.
[Power Switch]
Fig. 3.2.

CAUTION
When the unit is turned on, the operation console indicator will show the same
radiography condition that was used for the latest X-ray radiography.
3.3.2 Turn OFF the Power
CAUTION
• Except emergency, do not turn off the power if it has not been five minutes after an X-
ray irradiation, or while the starter brake is being applied to the X-ray tube. Otherwise, it
can reduce the life of the X-ray tube.
• Turn off the power when an emergency occurs or when no examination is conducted.
• Be careful when opening a knife switch or non-fuse circuit breaker to connect to
the equipment power cable.
1. Press the left arrow [Power ON/OFF ] to turn the power off.
2. Open the knife switch or non-fuse circuit breaker connected to the equipment power
cable.
[Power Switch]
Fig. 3.3.
3. Operation 72
Chapter
3.4 Exposure Condition Settings

3.4.1 Changing Exposure Conditions
1. sec/mAs Transition
To transit ‘sec’ to ‘mAs’, press the sec <-> mAs transition button ( ). To change
mA, use the mA window. Depending on the changed technique conditions and
combination of ms/sec/mAs, it is possible to conduct the settings of conditions for a
radiography exposure.
2. Setting Method for kV, mA, and sec/mAs
By using the up/down arrow keys of operation panel, a user can adjust
exposure conditions easily. The operation panel provides the up/down arrow
keys for each unit [kV, mA, sec and mAs] for exposure conditions.
3. Description on Display and Arrow Button
No. Description
It displays a current kV value. The value can be modified by 1kV to 10kV. It is not
1
modified by a technical factor.
It displays a current mA value. It can be modified by a certain amount as programmed
2
on firmware. It is affected by a technical factor in mAs condition.
It displays current ms·sec / mAs values. They can be modified by a certain amount as
3
programmed on firmware.
[Holding Up/Down Keys] [Touching Up/Down Keys One Time]

Method
Velocity of kV value can increase or

It increases or decreases a kV value. As
decrease rapidly as a user holds this
kV pressing this key once, it makes the kV
button longer. The unit range for changing
value go up and down by 1kV.
a velocity value is from 1kV to 10kV.
Velocity of mA value increases or It increases or decreases a mA value. As

mA decreases rapidly as a user holds this pressing this key once, it makes the mA
button longer. value go up and down.
Velocity of ms·sec / mAs values increases It increases or decreases ms·sec / mAs

sec
or decreases rapidly as a user holds this values. As pressing this key once, it
mAs button longer. makes them go up and down.

CAUTION
Exposure condition cannot be changed when irradiating an X-ray by a registered APR

exposure condition.
3.4.2 Changing Focus
By pressing a focus selection on the operation panel, a user can switch a focus as large
or small.
Status Description
Small focus mode
Large focus mode
CAUTION
The function of focus selection is not available when irradiating an X-ray by a registered
APR exposure condition.
3. Operation 74
3.4.3 Changing Patient Size
Press either of [Patient size change] keys according to the body thickness of a patient. This
function will be applied to technical factors to adjust exposure conditions. The below symbol
will be illuminated after a user selects a size of patient.
Fig. 3.4.
1. Settings of Photographic Density
Press the [Density-up] , or [Density-down] button to set a density.
The position ‘0’ is the standard density. Increasing the density as "+1" produces a
darker image by 15 %; "-1" produces lighter by 15 %.
Fig. 3.5.
2. Setting of Speed (Intensifying Screen Sensitivity)
The speed toggles among L, M, and H each time the [SENS] key is pressed.
Fig. 3.6.
Status Description
L Low intensifying-screen sensitivity (longer exposure time than the standard)
M Standard
H High intensifying-screen sensitivity (shorter exposure time than the standard)

3.4.4 APR Setting
1. APR Add (Sound occurs when it is saved.)
1) Before selecting APR, set Bucky (NO, Table, Stand).
2) Input 3sec. APR address under condition of selecting Save. When inputting,
memory is saved simultaneously with beep tone sound.
3) When using AUTO Memory, input 3sec. AUTO Memory Down under condition of
selecting Save.
4) Input 3 sec. AUTO Memory Down under condition of selecting Del (AUTO Memory).
5) All Memory function is selected based on Bucky.
4
5
6
2 1
Fig. 3.7. APR Memory :32*7 = 224
2. APR Delete (Sound occurs when it is saved.)
1) Press the Key and Key at the same time.
3. Operation 76
Chapter
3.5 X-ray Irradiation

Radiographic operation can be conducted by two methods:
• With the operation panel keys of mini console
• With the hand switch
3.5.1 Radiographic Operation Using Operation Panel Keys
CAUTION
Avoid an unnecessary Ready-up. Failure to conduct radiographic operation in the

Ready-up status may result in a discontinuity or defective withstand voltage due to
filament evaporation.
CAUTION
Check messages related to the X-ray High Voltage Generator if the icon ( ) is lit.
NOTE
It is important to run-in (aging) the X-ray tube before commencing an actual X-ray
irradiation. Follow the aging procedure described in the section for ‘Aging an X-ray Tube’.
Insufficient aging can result in arc of the X-ray tube during the X-ray irradiation.
NOTE
If a radiographic operation does not occur when the [X-ray switch] key is pressed
down for five seconds, release the button and check if an error message is displayed.

1. Radiographic Operation Using the Operation Panel Keys
Radiographic operation can be conducted with the operation panel keys by the
following method:
1) Press the [Ready switch] key. The [Ready switch] key will be lit and the
[ready indicator] will appear on the display.
2) Press the [X-ray switch] key while holding down the [Ready switch] key. Then,
a radiographic operation will be conducted. The key will be lit and the X-ray
indicator will appear on the display window during the X-ray irradiation.
3.5.2 Radiographic Operation Using a Hand Switch
1. Press the hand switch as the first step.

1) X-ray preparation
X-ray preparation starts.
2) Ready-up
The (ready indicator) appears on the display.
2. Press the hand switch as the second step. An radiographic operation will be
conducted. During the X-ray irradiation, the ( : X-ray indicator) appears on the
display.
Hand Switch
(X-ray Stand by)
Hand Switch
(X-ray Ready)
Hand Switch
(X-ray Irradiation)
Fig. 3.8.
NOTE
Hold down the hand switch until the X-ray irradiation is completed.
3. Operation 78
3.5.3 Additional Information for Radiographic Operation
NOTE
• The status of X-ray irradiation can be notified by sound during X-ray irradiation.
• A user can check the status of device by voice signals.
3.5.4 DAP Display
NOTE
An operator should use the provided DAP only. Otherwise, it might cause an error or
malfunctioning.
1. DAP Display
Dose value is displayed on the operation panel, after X-ray irradiation is completed.
This function can store up to thirty (30) memories in total.
[DAP Value]
1 234
If the DAP meter did not receive any DAP value nor irradiate an X-ray, it displays the
value like below.
-- ---
Fig. 3.9.

Advanced
04 Functions
This chapter describes on advanced functions of HX-DxH.
4.1 APR Mode
4.2 AEC Mode

Chapter
4.1 APR Mode

4.1.1 APR Settings
1. APR Mode Settings

APR mode can be selected, if pressing the APR address switch. If a user presses the
APR address, it will be lit on the selected APR address section of the operation panel.
2. Technique Factors Settings

By selecting technique factors, a user can choose a component device for irradiating an
X-ray. Further, if a user desires to change the component device, it will be applied to the
system.
3. Save and Delete APR Address

HX-DxH provides total thirty two (32) APR addresses; an operator can save and delete
them by using the Save and Delete Buttons. Each APR address has seven (7) memories
to save an exposure condition and a technique factor.
4. Save Multiple APR Addresses

It is available to conduct settings of total seven (7) exposure conditions per APR address.
An initial saving can be performed if pressing the save button on the operation panel. If a
user wish to save one more exposure condition, a user needs to press the up/down keys
on the right side of APR address section for longer than two seconds. When it is saved, it
will be completed with an alarm sound. A gauge bar shows how many conditions are
saved in the selected APR address.
5. Additional Extra Settings for APR

The APR function provides not only settings for exposure conditions and technique
factors, but also adjustment function for patient thickness, sensitivity/density, and focal
size. Thus, an end-user can conduct settings as in his/her preferred style.
CAUTION
If a density value is not 0 or an APR gauge has already been charged as full in an APR
address, it is not possible to save a data.
CAUTION
Initially-stored APR conditions were set by a manufacturer randomly. Therefore, we

recommend that you reset the APR address for your preferred type.

4.1.2 How to Utilize APR Function
1. APR Technique Factor Selection

The APR mode can be initiated if pressing the technique factor button. When it is
operated, it will be linked to the related APR section and the selected button will be
lit.
Fig. 4.1.
2. APR Address Selection

After selecting a technique factor, all the related buttons of APR addresses will be
illuminated. Depending on the selected address and button, it is possible to move
the address; when being selected, the address button will be illuminated.
Fig. 4.2.
4. Advanced Functions 82
3. Series & Routine APR
This button enables a function of series or routine APR. When this button is illuminated,
it is able to proceed a series or routine APR exposure in consecutive order that APR
addresses are saved.
Fig. 4.3.
4. Stored APR Condition Selection Button

These up/down keys enable stored APR conditions to be changed in numerical order. If
selecting the stored APR conditions, they will appear on the left LED gauge, in
consecutive order also.
Fig. 4.4.

4.1.3 Change APR Address Settings
1. Default APR Address

The default APR address was set as the above when it was manufactured. The
location or setting of APR address can be modified by a user’s preference.
Fig. 4.5.
2. Modifying APR Address

Select APR address and technique factors simultaneously, which you desire to
modify on the operation panel. If a user presses the save button with APR address
and technique factors, the setting of APR address will be modified and saved in the
system. By conducting this procedure, a user can create APR address and
technique factors in a user’s preferable way.
Fig. 4.6.
4. Advanced Functions 84
Chapter
4.2 AEC Mode

4.2.1 AEC Settings
1. Setting AEC Mode

AEC mode initiatives with a LED light when a user presses the button.
Fig. 4.7.
2. Changing AEC Field
HX-xH provides total five (5) sections of AEC field range. By pressing
the key button, a user can switch an AEC field easily.
1st 2nd 3rd 4th 5th 6th
Fig. 4.8.
05 Troubleshooting
This chapter explains error messages that is displayed on the screen of
equipment, and solutions for them.
5.1 Error Code
5.2 Troubleshooting
Chapter
5.1 Error/Check Code

Error/check codes mean system malfunctioning and failure. If an error or a check code
occurs, it will be displayed on the kV, mA, and sec/mAs status window with an alarm sound.
When it occurs, a user can reboot the system for resetting, or take an action for such
malfunction to stabilize the system. Every error/check code will be displayed like the table
below. It represents the basic information on maintenance or actions for error/check codes
occurred in the system, for a service representatives or an end-user.
Codes Reason Description

When a shorter exposure timing was performed longer than
C.no 01 Exposure Fail
an exposure time that has been set on the operation panel
AEC chamber is not connected nor able to detect a trigger
C.no 02 AEC Fail
signal after the AEC chamber is configured.
When there is no return signal in three seconds after a
C.no 03 Detector Required
detector is connected
When there is no return signal in three seconds after a grid is
C.no 04 Grid Required
connected
C.no 05 Door Open When a door of socket of HV generator is opened
Tube Temperature
C.no 06 When a tube temperature exceeds a limit of tube thermistor
Over
When a connecting interface is opened after a capacitor bank
C.no 07 Cap-bank Check
is connected
X-ray Key Input In case of the ready button being pressed for longer than ten
C.no 08
Check seconds during an X-ray exposure (Protection rotor)
E.no 09 EP, IP Set Error The IC (U2, U29) are missing from the main board.
When the capacitor charging reference voltage drops within

Change Monitor
E.no 10 about 10% (Ex. Charging reference voltage: 250V single
Error
phase, 410V three phase)
E.no 11 Zero Cross Over When a main power input is over 65Hz (50~60hz)
E.no 12 Zero Cross Low When a main power input is lower than 45Hz (50~60hz)
High Current When a current output exceeds 10% when switching a rotor
E.no 13
Detected on Rotor (Approximating 4.2V)
Low Current When a current output is lower than 10% when switching a
E.no 14
Detected on Rotor rotor (Approximating 4.2V)
High Current
It occurs when a value of filament current exceeds a standard
E.no 15 Detected on
value for protecting an X-ray tube unit.
STB Filament
Low Current
It occurs when a value of filament current is lower than a
E.no 16 Detected on
standard value for protecting an X-ray tube unit.
STB Filament

Codes Reason Description
Filament control current displayed an error regarding its
E.no 17 EXPO Fil FB Level Error
level.
More than 20% of tolerance of set kV occurred due to kV

E.no 18 EXPO kV FB Level Error
feedback error.
More than 20% of tolerance of set mA occurred due to mA

E.no 19 EXPO mA FB Level Error
feedback error.
The kV setting range exceeds the allowable tolerance

E.no 20 H/W kV FB Max Over
range.
The mA setting range exceeds the allowable tolerance

E.no 21 H/W mA FB Max Over
range.
E.no 22 H/W +kV Level Error Measured kV value is +20% than the set +kV value.
E.no 23 H/W –kV Level Error Measured kV value is -20% than the set -kV value.
It occurs for protecting a critical circuit board, when

E.no 24 Tank Interlock
connection of a high voltage transformer is opened.
It occurs when a primary current exceeds the standard

E.no 25 IGBT OCP Fault Error value at IGBT drive board (exceeds 10% of max.
standard)
It occurs for protecting an IGBT circuit board, when a

E.no 26 IGBT Temp Fault Error
temperature of heat sink plane exceeds 65°.
* Remarks
1. C.no; check code number

2. E.no; error code number
5. Troubleshooting 88
Chapter
5.2 Troubleshooting
Error No. Code Name Solution
1. Check if the exposure switch is interrupted in the middle of actual

exposure.
2. Check the TP29 (FP_SET) and TP9 (GND) with an oscilloscope. If
the checked value is lower than the value set in the OP, replace
C.no 01 Exposure Fail
the Main_CTL.
3. Check TP23 and TP25 (GND) with an oscilloscope. If there is no
saw tooth waveform coming from the Ion Chamber, replace the
main board or Ion Chamber.
1. After checking 3-D and 3-E in the CAL_Mode, change them
according to the settings.
2. After checking the status of cable connection in the Ion Chamber,
adjust it.
C.no 02 AEC Fail
3. Check TP23 and TP25 (GND) with an oscilloscope. If there is an
input signal in the Ion Chamber, replace the Control Board.
4. Check TP23 and TP25 (GND) with an oscilloscope. If there is no
Ion Chamber input signal, replace the Ion Chamber.
1. Check the status of detector wiring connection.
2. Check whether Rotor board CN20 (RET+,RET-) or CN23
(RET+,RET-) is under short circuit condition in the ADE
Detector mode. It yes, correct it.
C.no 03
Required 3. If there is a contact signal of detector in the ADE mode, replace
the rotor board.
4. If there is no contact signal of detector in the ADE mode, replace
the detector.
1. Check the status of bucky wiring connection.
2. Check whether a rotor board CN19 (RET+,RET-) or CN20
C.no 04 Grid Required
(RET+,RET-) is under short circuit condition. If yes, correct it.
3. If the above are all normal, replace the rotor board.
1. Check the connection status in CN17 (DOOR_SW) on the rotor
C.no 05 Door Open board.
2. If the door contact signal is normal, replace the rotor board.
1. Check the status of wiring connection in CN11 on the rotor board.
If it has a problem, correct it. (Regarding its temperature, refer to
Tube
the Tube Data.)
C.no 06 Temperature
2. Check the temperature sensor in the X-ray tube.
Over
3. If the temperature sensor in the X-ray tube is normal, replace the
rotor board.
1. Check the activation of Cap Bank in the CAL code.
Cap-bank 2. Check the status of wiring connection in CN13 on the rotor board.
C.no 07
Check 2, Check the status of contact point in Cap Bank.
3. If the above are normal, replace the rotor board.
1. Check whether an operator presses the ready button for longer
X-ray Key than ten seconds. Then, train the operator.
C.no 08
Input Check 2. Check the status of hand switch connection.
3. If the above are normal, replace the OP console.
EP, IP Set
E.no 09 1. When IC U2 and U29 are lost in the main board, replace the board.
Error

1. Check whether resistors R20 and R32 on the rotor board are
normal. (1Ø: 3W-30Kohm /3Ø: 3W-47Kohm). If not, replace the
rotor board.
Charge Monitor 2. Check whether a diode D17 on the rotor board is normal.
E.no 10
Error (1Ø: 1N5375 /3Ø: 1N5955B). If not, replace the rotor board.
3. When exposing an X-ray, check the minimum voltage in CN14
(lower than 200VDC). It can be all different depending on a
condition. Upon checking it, calibrate the kV and mA.
1. If a frequency of main power measured by an oscilloscope is
normal, replace the rotor board.
E.no 11 Zero Cross Over 2. If the Error no. 11 still appears even though the rotor board has
been already replaced, contact DK Medical Systems service
representative.
If a frequency of main power measured by an oscilloscope is
E.no 12 Zero Cross Low
normal, replace the rotor board.
1. Check the rotor cable.
2. Check a resistor value in the rotor.
High Current
3. After removing the wiring from the rotor board, press the Ready.
E.no 13 Detected on
If the Err no.13 still shows up, replace the rotor board.
Rotor
4. After removing the wiring from the rotor board, press the Ready.
If the Err no.14 shows up, replace the X-ray tube.
1. Check the rotor cable.
2. If the wiring is normal, check the rotor rotation by pressing the
Low Current
Ready button. (If the Err no. 14 still shows up while rotating the
E.no 14 Detected on
rotor, replace the rotor board.)
Rotor
3. If the wiring is normal, check the rotor rotation by pressing the
Ready button. (If the rotor is not rotated, replace the X-ray tube.)
1. Check the ‘LED1 ON’ in the Filament board. If the LED1 is
turned OFF, check the power in SMPS.
2. Check the voltage between TP3 and TP5 on the filament board:
High Current If it exceeds 2.5V, replace the filament board; If lower than 2.5V,
E.no 15 Detected on STB replace the main CTRL board.
Filament If greater than 2.5V of voltage is detected in the HFG Filament
Current Feedback at the Standby status, check the output value
of main CTRL board and the status of filament DRV board.
3. If the problem still exists, replace the HV tank.
1. Check the filament board whether the LED1 is turned ON. If the
LED is turned OFF, check the power in SMPS.
2. Check the voltage between TP3 and TP5 on the filament board;
Low Current if it is lower than 0.5V, replace the filament board. If greater than
E.no 16 Detected on STB 0.5V, replace the main CTRL board.
Filament If lower than 0.5V of voltage is detected in the HFG Filament
Current Feedback at the Standby status, check the output value
of Main CTRL Board and check the status of filament DRV board.
3. If still the problem exists, replace the HV tank.
1. Check the power of SMPS. (SNPSNP-Y041)
2. Check the current between TP15 and TP9 (GND) on main CTRL
board with an oscilloscope. If the measured current has 20% of
difference compared with the established current value, replace
EXPO Fil FB the main CTRL board.
E.no 17
Level Error 3. Check the current between TP13 and TP9 on the main CTRL
board with an oscilloscope; if the set current is lower than 100mA,
then 1V is 10mA. If greater than 100mA, 1V is 100mA.
If abnormal, replace the filament board.
4. If the problem still occurs, contact DK Medical Systems service
representative.
1. Check the voltage in TP7 of the main board with an oscilloscope.

(1V=50kV)
2. If the voltage in TP7 shows more than 20% of difference, check the
EXPO kV FB voltage in TP29 and TP9 whether the set voltage is normal.
E.no 18 (ex: Check whether the input voltage is 1V at 50kV setting. If not,
Level Error
replace the control board.)
3. If the voltage in TP7 has more than 20% of difference under the
normal input power, it is speculated that the HV tank has a problem.
1. Check the current of TP19 on the main board with an oscilloscope;
if it is lower than the 100mA which is the set current, 1V is10mA. If
greater than 100mA, 1V is100mA. If the measured current has 20%
of difference compared with the established current value, replace
EXPO mA FB
E.no 19 the main board.
Level Error
2. Check the current between TP15 and TP9(GND). If the measured
current value is different from the set value, replace the main
board. If it is normal, it is speculated that the HV tank has a problem.
1. Check the TP7 on the main board with an oscilloscope. if the

H/W kV FB feedback voltage is greater than 3.2V, proceed the calibration.
E.no 20
Max Over 2. After conducting the calibration, if the same abnormality continues,
replace the main board.
1. Check TP19 on the main board with an oscilloscope, if the
feedback voltage at 100mA setting is greater than 8V, proceed the
H/W mA FB calibration.
E.no 21
Max Over
2. After calibration, if the same symptom continues, replace the main
board.
H/W +kV 1. Compare the voltage between TP6, TP8 and TP9 (GND) with
E.no 22
Level Error oscilloscope ch1 and ch2. If two waveforms are not in asymmetry,
H/W -kV it means the HV tank might have a problem.
E.no 23 2. If they are in symmetry, replace the control board.
Level Error

1. Check the HV cable connected to the HV tank.

E.no 24 Tank Interlock 2. Even though there is no problem in wiring connection, if the
problem still exists, replace the main board.
1. Check whether a LED1 on the IGBT board is turned ON. (If the
IGBT OCP LED1 is turned ON upon checking it, then check the status of
E.no 25
Fault Error IGBT board; whether IGBT is cracked. And, check the wire for
BASE INPUT.)
1. Check the temperature of heat sink of the IGBT board.

2. Check the wiring connection in CN9 of the IGBT drive board.
3. Check the wiring connection in CN2 of the IGBT Drive board.
Wire them not to pass over the IGBT module.
IGBT Temp
E.no 26 4. Check the wiring connection to the temperature sensor.
Fault Error
5. Remove the wiring from the temperature sensor, and check the
temperature sensor device. If the temperature sensor is opened,
replace the temperature sensor. If it is closed, replace the IGBT
board.
* Remarks
1. C.no; check code number

2. E.no; error code number

Inspection &
06 Maintenance
This chapter describes daily and periodic inspection items as well as the
consumables.
6.1 Maintenance and Inspection
6.2 Periodic Replaced Parts

Chapter
6.1 Maintenance and Inspection

In order to maintain the performance of the radiographic system, a user shall perform
periodic maintenance inspection. In addition, a user shall take a responsibility as well as an
authority for maintenance and inspection tasks. It is not only applied to a user but also to a
manufacturer; they shall follow the procedure described below. Periodic inspection shall be
proceed regularly after the equipment installation. The manufacturer shall prepare
component parts for the next 10 years.
Menu To Be Carried Out by Interval

Daily Starting
In Inspecti Operator or equipment manager At the start of work every day
sp on
ec
ti Ending
o Inspecti Operator or equipment manager At the end of work every day
n on
Cleaning and
Operator or equipment manager As required
Sanitation
Periodic Inspection Our service agent Every 6 months
6.1.1 Daily Inspection
The daily inspection consists of the starting and ending inspections. Daily inspection is
necessary in order to use the system for a long time. Check whether all inspections
and correct actions have been completed, before using the system.
Refer to the “Starting Inspection Checklist” and “Ending Inspection Checklist” in 8.1
“Daily Checklist”. We recommend that you retain filled out copy of the “Starting
Inspection Checklist” and “Ending Inspection Checklist” for a certain period of time.
6.1.2 Cleaning and Sanitation
1. Turn off the power of HV generator, and cut down the electricity.
2. Conduct a visual inspection on the cable connection among component devices.
3. If any rust is found in chemical materials, increase the interval of cleaning component
devices. Use a cloth damped with warm, soapy water for sanitation. Just swipe a cover
or an enclosure of device. Do not use any solvent type of cleaner.

WARNING
Be sure to turn OFF the system power before cleaning and disinfecting the
system.
Otherwise, a malfunction may occur in the system, or the system may operate in an
unintended way.
WARNING
This equipment has no protection against exposure to liquids. Do not operate

this equipment in a place with a possibility of liquid exposure. Otherwise, an
electric shock may occur.
Pay attention not to spill liquids on the surface or the inside of this equipment. In case of
liquids spillage on the equipment, stop operating the equipment immediately and
contact our service department.
WARNING
Be cautious when using a sanitary spray.

Do not use a sanitary spray that is flammable or can cause an explosion. Vapor from a
sanitary spray may ignite, causing life-threatening or serious injury as well as damage
to the system.
WARNING
Before turning on the power, thoroughly ventilate the room after cleaning a
device, in order to prevent it from accidents.
Flammable gases accumulated in the room may ignite, smoke, explode, or cause an
electric shock when the power is turned on.
6. Inspection & Maintenance 96

CAUTION
Do not use organic solvent.

Organic solvent may change the equipment’s surface color. If adherent, wipe the
organic solvent out immediately.
WARNING
Do not use any of the following sanitizers.

The equipment performance and safety cannot be guaranteed if one of the
following sanitizers is used:
• Chlorine-based sanitizer
• Sanitizer that corrodes metal, plastic, rubber, or paint
• Sanitizer unsuitable for metal, plastic, rubber, or paint
• Spray-gas type sanitizer
• Volatile sanitizer
• Sanitizer that may enter the equipment
Use the amount of sanitizer as minimum as possible.

Sanitation over a long period may result in external fading and cracking or
deterioration of rubber and plastic parts. If such changes are found in the equipment
due to sanitation, stop using the equipment immediately and consult with your DK
Medical Systems service representative.
WARNING
Do not apply a sanitizer directly, or spray it onto the system.

Wipe off the surface with a cloth soaked in 2 % glutaraldehyde liquids. And, disassemble
the components (especially machine parts) as much as possible, and clean them with a
cloth soaked in 2 % glutaraldehyde liquids, or sanitize them with ethylene oxide gas. If a
sanitizer gets inside the system, it can cause a trouble or an accident.

1. Ensure that the equipment is turned off.
2. Carry out cleaning and sanitizing the equipment.
3. When the cleaning and sanitation are completed, check the following points before
turning on the power:
• No water or sanitizer remains on the surface
• All tools used for cleaning and sanitizing the equipment are cleared away.
6.1.3 Periodic Inspection
It should be conducted by DK Medical Systems service representative.
Periodic inspection mainly affects the equipment performance and its internal
mechanism. The inspection requires a deep understanding about the internal
mechanisms which can be dangerous for an untrained personnel. Contact your DK
Medical Systems service representative if you wish to request a periodic inspection.
It is recommended to conduct periodic inspection every six (6) months. A fee is charged
for periodic inspection after a warranty is expired.
Item Description
X-ray output Check tube voltage, current, and exposure time.
6. Inspection & Maintenance 98

Chapter
6.2 Periodic Replaced Parts

In order to maintain the performance of the equipment, it is necessary to replace the
defective parts and broken parts immediately. However, replacement of parts must be
performed by trained personnel authorized by DK Medical Systems Co., Ltd.. The parts
that need to be replaced periodically are listed below.
6.2.1 Fuse
Manufacturer
No. Component Part No. Technical data
/ Type
Generator
1 Main Fuse (F1, F2, F3) 600V, 60A Buss (JT60060)
500V, 10A Cylindrical
2 Magnetic Fuse (F4, F5, F6) Legrand
type (10x38mm)
Generator: Rotor I/F Board
3 Fuse (F1, F4, F5, F6, F7) 250V, 10A (20mm) Glass type
4 Fuse (F2, F3) 250V, 3.15A (20mm) Glass type

Generator: Auto Trans Fuse
Fuse
5 250V, 2A (30mm) Glass type
(F4, F5, F6, F7, F8, F9)
6 Fuse (F1, F2, F3) 250V, 3A (30mm) Glass type
7 Fuse (F10, F11) 250V, 5A (30mm) Glass type
8 Fuse (F12, F13, F14) 250V, 10A (30mm) Glass type
6.2.2 Hand Switch
Part Name Part No.
Hand Switch

07 Technical Data
7.1 Product Specifications – HX-D5H
7.2 Product Specifications – HX-D6H
7.3 Components Specifications
7.4 Environmental Conditions of EMC
7.5 Exposure Conditions – HX-D5H

Chapter
7.1 Product Specification – HX-D5H

System Name HX-D5H
General radiography / Wall stand radiography / Table
Technique Factors radiography
Available Tube Unit 1ea (E7239X)
kV 40 to 125 kV (E7239X)
10 to 500 mA (E7239X)
mA Small : 10, 12.5, 16, 20, 25, 32, 40, 50 ,64, 80, 100, 125mA
Large : 200, 250, 320, 400, 500mA
Setting mAs 0.1 to 500 mAs

Range 0.001 to 10 sec
1ms ~ 10000ms (41 steps)

1, 1.2, 1.6, 2, 2.5, 3.2, 4, 5, 6.3, 8, 10, 12.5, 16, 20, 25, 32, 40,
sec
50, 63, 80, 100, 125, 160, 200, 250, 320, 400, 500, 630, 800,
1000, 1250, 1600, 2000, 2500, 3200, 4000, 5000, 6300,
8000, 10000 ms
APR Max. 224 APR conditions from 32 APR addresses
Exposure conditions are displayed on an operation panel or a

Display monitor
Setting Method Membrane-sheet keys
Error/check codes are displayed on an operation panel or a

Self-diagnosis monitor.
Nominal Supply Voltage

220VAC (±10%) (50/60 Hz)
(50/60 Hz)
Power Consumption 70 kVA
Short Time Rating Single phase : E7239X: 40kW (125kV, 320mA / 80 kV, 500mA)
Nominal Electric Power 40kW for 100ms
kV 80kV 100kV 125kV
mA 500mA 400mA 320mA
SID Measuring Range Max. 180cm
Coefficient of
CV (Coefficient Value) ≤ 0.05
Reproducibility

System Name HX-D5H
Operation Panel 333 (W) x 269 (H) x 269 (D) mm
Dimensions Mini Console 148 (W) x 34 (H) x 110 (D) mm
Control Cabinet 571 (W) x 489 (H) x 473.7 (D) mm
Operation Panel 3 kg
Weight Mini Console 0.4kg
Control Cabinet 82 kg
Nominal Min.
AEC 1ms
Exposure Time
Radiography
mAs Limit 500mAs
Tube Voltage ±10 %

Accuracy of
Loading Tube Current ±20%
Factor
(Including mAs ±(10% + 0.2mAs)
AEC)
Loading Time ±(10% + 1ms)
7. Technical Data 102

Chapter
7.2 Product Specification – HX-D6H

System Name HX-D6H
General radiography / Wall stand radiography / Table
Technique Factors radiography
Available Tube Unit 3ea (E7239X, E7884X, RAD-14)
kV 40 to 125 kV (E7239X), 40 to 150 kV (E7884X, RAD-14)
10 to 500 mA (E7239X), 10 to 630mA (E7884X, RAD-14)
mA Small : 10, 12.5, 16, 20, 25, 32, 40, 50 ,64, 80, 100, 125,
160mA
Large : 200, 250, 320, 400, 500, 630mA
Setting mAs 0.1 to 500 mAs
Range
0.001 to 10 sec
1ms ~ 10000ms (41 steps)
sec 1, 1.2, 1.6, 2, 2.5, 3.2, 4, 5, 6.3, 8, 10, 12.5, 16, 20, 25, 32, 40,
50, 63, 80, 100, 125, 160, 200, 250, 320, 400, 500, 630, 800,
1000, 1250, 1600, 2000, 2500, 3200, 4000, 5000, 6300, 8000,
10000 ms
APR Max. 224 APR conditions from 32 APR address
Exposure conditions are displayed on operation panel or

Display monitor
Setting Method Membrane-sheet keys
Error/check codes are displayed on operation panel or

Self-diagnosis monitor
Nominal Supply Voltage 3-Phase, 380-400VAC(±10%) (50/60 Hz)
Power Consumption 75 kVA
Three-phase : E7239X: 40kW (125kV, 320mA / 80 kV, 500mA)

Short Time Rating
E7884X: 50kW (150kV, 320mA / 100 kV, 500mA)
Nominal Electric Power 50kW for 100ms
Kv 100kV 150kV
mA 500mA 320mA
SID Measuring Range Max. 180cm
Coefficient of
CV (Coefficient Value) ≤ 0.05
Reproducibility

System name HX-D6H
Operation Panel 333 (W) x 269 (H) x 269 (D) mm
Dimensions Mini Console 148 (W) x 34 (H) x 110 (D) mm
Control Cabinet 571 (W) x 489 (H) x 473.7 (D) mm
Operation Panel 3 kg
Weight Mini Console 0.4kg
Control Cabinet 84 kg
Nominal Min.
AEC 1ms
Exposure Time
Radiography
mAs Limit 500mAs
Tube Voltage ±10 %

Accuracy of
Loading Tube Current ±20%
Factor
(Including mAs, ±(10% + 0.2mAs)
AEC) ±(10% + 1ms)
Loading Time

Chapter
7.3 Components specifications

Component Model
No. Specification
Name Name
• Short time rating
Single Phase (220V)

E7239X 125kV / 320mA, 80kV / 500mA
GX-D5H
• Tube voltage range: 40 ~ 125kV (E7239X)
X-ray Controller • Tube current range: 10 ~ 500mA (E7239X)
1
(Optional)
• Exposure time range: 1ms ~ 10sec
• mAs range: 0.1mAs ~ 500mAs
• Functions: APR, DAP, AEC, DR available
• Internal software
GX-D5 - Model name: GX-D5
- Version: 1.0
X-ray Controller GX- • Power on/off

2
(Optional) Mini D • Exposure status & condition display
Single Phase (220V)

HX-D5H
E7239X 125kV / 320mA, 80kV / 500mA
High Voltage
3
Generator
• Rectifier method: High frequency inverter type
HX-D5 - Model name: HX-D5
- Version: 1.0
• Nominal focal spot 1.0 / 2.0

• Nominal tube voltage 125kV
X-ray Tube E7239X
4 • Anode heat capacity 100kJ 140KHU
Unit XH-121
• Target anode angle 16°
• Anode rotation speed 60Hz / 3,200RPM

Component Model
No. Specification
Name Name

Three-phase (380V)
E7239X 125 kV / 320 mA, 80 kV / 500 mA
E7884X,
150 kV / 320 mA, 100 kV / 500 mA
RAD-14
GX-D6H
• Tube voltage range:40 ~ 125kV (E7239X)
X-ray Controller 40 ~ 150kV (E7884X, RAD-14) (1kV)
1 • Tube current range:10 ~ 500mA (E7239X)
(Optional)
10 ~ 630mA (E7884X, RAD-14)
• Exposure time range: 1ms ~ 10sec
• mAs range: 0.1mAs ~ 500mAs
• Functions: APR, DAP, AEC, DR available
GX-D6 - Model name: GX-D6
- Version: 1.0
X-ray Controller GX- • Power on/off

2
(Optional) Mini D • Exposure status & condition display
Three phase (380V)

E7239X 125kV / 320mA, 80kV / 500mA
HX-D6H
E7884X,
150kV / 320mA, 100kV / 500mA
High Voltage RAD-14
3
Generator
• Rectifier method: High frequency inverter type
HX-D6 - Model name: HX-D6
- Version: 1.0
• Nominal focal spot 1.0 / 2.0

• Nominal tube voltage 125kV
X-ray Tube E7239X
4 • Anode heat capacity 100kJ 140KHU
Unit XH-121
• Target anode angle 16°
• Anode rotation speed 60Hz / 3,200RPM

Chapter
7.4 Environmental Conditions of EMC

The device meets the standard of EMC (Electro-magnetic Compatibility) specified in the table
of this chapter.
1. Classification of EMI in Accordance with IEC 60601-1-2:2007

Group 1, Class A
CAUTION
· Pay attention to the electro-magnetic circumstances at the site since the device may
be affected depending on the electro-magnetic field at the site.
· Due to the installation this equipment, other devices may be affected. In this case, the
equipment needs to be moved to another location to avoid the problem.

Group 1, Class A
CAUTION
Only accessories, transducers and cables sold by the DK Medical Systems need to be
used. If a user replace equipment’s parts as the ones from a different manufacturer, it
may cause emissions and/or immunity of HX-DxH to be increased or decreased.
CAUTION
· The HX-DxH should be used only in the specified type of shielded location.
· For radiated RF immunity test, a Medical Electrical Equipment has not all been tested
over the entire frequency range, which is from 80 MHz to 2,5 GHz.
· A Medical Electrical Equipment has been tested for radiated RF immunity only at
selected frequencies.

4. List of Cables
Name Length Shield Manufacturer
Line Cable(16-4C) 6M Ass’y 6m N DK Medical System Co. Ltd.
Line Cable(16-4C) 8M Ass’y 8m N DK Medical System Co. Ltd.
Line Cable(16-4C) 10M Ass’y 10 m N DK Medical System Co. Ltd.
5. Guidance and Manufacturer's Declaration - Electromagnetic Emissions
Guidance and Manufacturer's Declaration - Electromagnetic Emissions

The HX-DxH is intended for use in the electromagnetic environment specified below. A
customer or a user of the HX-DxH should assure that it is used in such an environment.
Electromagnetic Environment –
Emissions Test Compliance
Guidance
The HX-DxH uses RF energy for its internal

RF Emissions EN function only. Therefore, its RF emissions
Group 1
55011/ CISPR 11 are very low and are not likely to cause any
interference in nearby electronic equipment.
RF Emissions EN
Class A
55011/ CISPR 11
Harmonic Emissions Not applicable

The HX-DxH is suitable for use in all
EN 61000-3-2/ (RATED input current
establishments other than domestic and
IEC 61000-3-2 exceeds 16 A per phase)
those directly connected to the public low-
voltage power supply network that supplies
Voltage Fluctuations Not applicable buildings used for domestic purposes.
/Flicker Emissions
(RATED input current
EN 61000
-3-3/ IEC 61000-3-3 exceeds 16 A per phase)

6. Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The HX-DxH is intended for use in the electromagnetic environment specified below. A customer
or a user of HX-DxH should assure that it is used in such environment.
Immunity EN/IEC 60601 Electromagnetic

Compliance Level
Test Test Level Environment – Guidance
Recommended floor material is

Electrostatic
wood, concrete or ceramic tile.
Discharge
±6 kV contact ±6 kV contact If the floor is covered with
(ESD)
±8 kV air ±8 kV air synthetic material, preferred
EN 61000-4-2/
relative humidity in the room is
IEC 61000-4-2
at least 30%.
Electrical Fast
±2 kV ±2 kV
Transient / Mains power quality should be
for power supply lines for power supply lines
Burst that of a typical commercial or
±1 kV ±1 kV
EN 61000-4-4/ hospital environment.
for input/output lines for input/output lines
IEC 61000-4-4
Surge ±1 kV line(s) to line(s) Mains power quality should be

±1 kV line(s) to line(s)
EN 61000-4-5/ ±2 kV line(s) to that of a typical commercial or
±2 kV line(s) to earth(s)
IEC 61000-4-5 earth(s) hospital environment.
Not applicable (System

is not LIFE-
5% UT SUPPORTING and its
(>95% dip in UT) RATED input current
for 0.5 cycle exceeds 16 A per phase
Mains power quality should be
that of a typical commercial or
Voltage Dips, 40% UT
hospital environment. If a user
Short Interruptions (60% dip in UT) <5% UT
of the HX-DxH requires
and Voltage for 5 cycles (>95% dip in UT)
continued operation during
Variations on for 5 sec
power mains interruptions, it is
Power Supply 70% UT For Voltage short
recommended that the HX-DxH
Input Lines (30% dip in UT) interruptions, system
be powered from an
EN 61000-4-11/ for 25 cycles accepts the emergency
uninterruptible power supply or
IEC 61000-4-11 stop, and remains safe,
a battery.
<5% UT experiences no
(>95% dip in UT) component failures and
for 5 sec is restorable with
OPERATOR
intervention.
Power Frequency Power frequency magnetic

(50/60 Hz) fields should be at levels
Magnetic Field EN 3 A/m 3 A/m characteristic of a typical
61000-4-8/ location in a typical commercial
IEC 61000-4-8 or hospital environment.
NOTE: UT is the A.C. mains voltage prior to application of the test level.

7. Guidance and Manufacturer's Declaration - Electromagnetic Immunity
Guidance and manufacturer's declaration - electromagnetic emissions
The HX-DxH is intended for use in the electro-magnetic environment specified below. The
customer or the user of the HX-DxH should assure that it is used in such an environment.
EN/IEC Compliance Electromagnetic Environment –

Immunity Test 60601 Level Guidance
Test Level
Portable and mobile RF communications
equipment should be used no closer to any
part of the HX-DxH including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency
of the transmitter.
Recommended separation distance

d= P
Conducted RF 3 Vrms 3 Vrms d= P 80 MHz to 800 MHz
EN 61000-4-6/ 150 kHz to 150 kHz to d= P 800 MHz to 2.5 GHz
IEC 61000-4-6 80 MHz 80 MHz
where P is the maximum output power rating
Radiated RF 3 V/m 3 V/m of the transmitter in watts (W) according to the
EN 61000-4-3/ 80 MHz to 80 MHz to transmitter manufacturer and d is the
IEC 61000-4-3 2.5 GHz 2.5 GHz recommended separation distance in meters
(m).
Field strengths from fixed RF transmitters, as

determined by an electromagnetic site
survey*1, should be less than the compliance
level in each frequency range*2.
NOTE
• At 80 MHz and 800 MHz, the higher frequency range applies.
• These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
*1: 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 the HX-DxH is used
exceeds the applicable RF compliance level above, the HX-DxH should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the cables.
*2: Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

8. Recommended Separation Distances Between Portable and Mobile RF
Communications Equipment, and the EQUIPMENT or SYSTEM
The HX-DxH is intended for use in an electromagnetic environment in which radiated RF

disturbances are controlled. An end-user of the HX-DxH can prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the HX-DxH as recommended below, according to the maximum output power
of the communications equipment.
Separation Distance According to Frequency of Transmitter (m)

Rated Maximum
Output Power
of Transmitter (W)
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = 1.2S d = 1.2 P d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
NOTE
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
• At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
• These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

Chapter

The mA ranges of small/large focal spot for setting exposure condition are from 10 to
125mA for small, and 160 to 500mA for large. kV ranges are various by equipped X-ray tube
unit. kV range for E7239X is 40 to 125kV.
kV mA E7239 kV mA E7239
40 10 40 10
50 8 50 8
63 6.3 63 6.3
40 80 5 90 80 4
100 4 100 2.5
125 3.2 125 1.6
160 2.5 160 0.63
40 10 40 10
50 8 50 8
63 6.3 63 6.3
50 80 5 100 80 2.5
100 4 100 2
125 3.2 125 0.8
160 2.5 160 0.4
40 10 40 10
50 8 50 8
63 6.3 63 5
60 80 5 110 80 2
100 4 100 1.25
125 3.2 125 0.4
160 2.5 160 0.1
40 10 40 10
50 8 50 6.3
63 6.3 63 4
70 80 5 120 80 1.25
100 4 100 0.25
125 3.2 125 0.12
160 1.6 160 0.1
40 10 40 10
50 8 50 6.3
63 6.3 63 4
80 80 5 125 80 1.25
100 3.2 100 0.25
125 3.2 125 0.12
160 1 160 0.1

7.5.2 Large Focal
kV mA E7239 kV mA E7239
125 2.5 125 1.6
160 2.5 160 1.6
200 2 200 1.6
250 1.6 250 0.63
40 100
320 0.5 320 0.2
400 0.5 400 0.1
500 X 500 X
630 X 630 X
125 2.5 125 1.25
160 2.5 160 1.25
200 2 200 1.25
250 1.6 250 0.5
50 110
320 0.5 320 0.16
400 0.5 400 X
500 X 500 X
630 X 630 X
125 2.5 125 0.8
160 2.5 160 0.8
200 2 200 0.8
250 1.6 250 0.32
60 120
320 0.5 320 0.1
400 0.5 400 X
500 X 500 X
630 X 630 X
125 2.5 125 0.8
160 2.5 160 0.8
200 2 200 0.8
250 1.6 250 0.32
70 125
320 0.5 320 0.1
400 0.4 400 X
500 0.16 500 X
630 X 630 X
125 2 125 X
160 2 160 X
200 2 200 X
250 1.6 250 X
80 150
320 0.4 320 X
400 0.25 400 X
500 0.1 500 X
630 X 630 X
125 2
160 2
200 2
250 1
90
320 0.32
400 0.16
500 X
630 X

7.5.3 Time & mA Table
25 32 40 50 64 80 100 125 160 200 250 320 400 500

- - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5
- - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63
- - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8
- - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1
- - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25
- 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6
0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2
0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5
0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2
0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4
0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5
0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3
0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8
0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10
0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5
0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16
1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20
1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25
1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32
2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40
2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50
3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63
4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80
5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100
6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125
8 10 12.5 16 20 25 32 40 50 63 80 100 125 160
10 12.5 16 20 25 32 40 50 63 80 100 125 160 200
12.5 16 20 25 32 40 50 63 80 100 125 160 200 250
16 20 25 32 40 50 63 80 100 125 160 200 250 320
20 25 32 40 50 63 80 100 125 160 200 250 320 400
25 32 40 50 63 80 100 125 160 200 250 320 400 500
32 40 50 63 80 100 125 160 200 250 320 400 500 -
40 50 63 80 100 125 160 200 250 320 400 500 - -
50 63 80 100 125 160 200 250 320 400 500 - - -
63 80 100 125 160 200 250 320 400 500 - - - -
80 100 125 160 200 250 320 400 500 - - - - -
100 125 160 200 250 320 400 500 - - - - - -
125 160 200 250 320 400 500 - - - - - - -
- - - - - - - - - - - - - -

Chapter

The mA ranges of small/large focal spot for setting exposure condition are from 10 to
125mA for small, and 160 to 500mA for large. kV ranges are various by equipped X-ray tube
unit. kV range for E7239X is 40 to 125kV.

kV mA E7884 E7239 kV mA E7884 E7239
40 10 10 40 10 10
50 10 8 50 10 8
63 8 6.3 63 8 6.3
90 80 3.2 4
40 80 6.3 5
100 2.5 2.5
100 5 4 125 1.25 1.6
125 4 3.2 160 0.8 0.63
160 3.2 2.5 40 10 10
40 10 10 50 8 8
63 6.3 6.3
50 10 8
100 80 2.5 2.5
63 8 6.3 100 2 2
50 80 6.3 5 125 0.8 0.8
100 5 4 160 0.4 0.4
125 4 3.2 40 10 10
50 8 8
160 3.2 2.5
63 5 5
40 10 10 110 80 2 2
50 10 8 100 1.25 1.25
63 8 6.3 125 0.4 0.4
60 80 6.3 5 160 0.1 0.1
40 10 10
100 5 4
50 6.3 6.3
125 4 3.2 63 4 4
160 3.2 2.5 120 80 1.25 1.25
40 10 10 100 0.25 0.25
50 10 8 125 0.12 0.12
160 0.1 0.1
63 8 6.3
40 10 10
70 80 6.3 5 50 6.3 6.3
100 5 4 63 4 4
125 3.2 3.2 125 80 1.25 1.25
160 2.5 1.6 100 0.25 0.25
125 0.12 0.12
40 10 10
160 0.1 0.1
50 10 8 40 6.3 X
63 8 6.3 50 3.2 X
80 80 5 5 63 2 X
100 3.2 3.2 150 80 0.5 X
100 0.12 X
125 2 3.2
125 0.12 X
160 1.6 1 160 0.1 X
7.6.2 Large Focal Spot
kV mA E7884 E7239 kV mA E7884 E7239

125 3.2 2.5 125 1.6 1.6
160 3.2 2.5 160 1.6 1.6
200 2.5 2 200 1.6 1.6
250 2 1.6 250 0.8 0.63
40 100
320 0.8 0.5 320 0.32 0.2
400 1.25 0.5 400 0.32 0.1
500 1 X 500 0.1 X
630 X X 630 X X
125 3.2 2.5 125 1.25 1.25
160 3.2 2.5 160 1.25 1.25
200 2.5 2 200 1.25 1.25
250 2 1.6 250 0.63 0.5
50 110
320 0.8 0.5 320 0.25 0.16
400 1.25 0.5 400 0.16 X
500 1 0.4 500 X X
630 0.4 X 630 X X
125 2.5 2.5 125 1 0.8
160 2.5 2.5 160 1 0.8
200 2.5 2 200 1 0.8
250 2 1.6 250 0.4 0.32
60 120
320 0.8 0.5 320 0.16 0.1
400 1.25 0.5 400 X X
500 1 0.4 500 X X
630 0.4 X 630 X X
125 2.5 2.5 125 1 0.8
160 2.5 2.5 160 1 0.8
200 2.5 2 200 1 0.8
250 2 1.6 250 0.4 0.32
70 125
320 0.8 0.5 320 0.16 0.1
400 1.25 0.4 400 X X
500 0.63 0.16 500 X X
630 0.25 X 630 X X
125 2.5 2 125 0.5
160 2.5 2 160 0.5 X
200 2.5 2 200 0.5 X
250 1.25 1.6 250 0.2 X
80 150
320 0.5 0.4 320 0.1 X
400 0.8 0.25 400 X X
500 0.32 0.1 500 X X
630 0.08 X 630 X X
125 2 2
160 2 2
200 2 2
250 1 1
90
320 0.4 0.32
400 0.5 0.16
500 0.16 X
630 X X

7.6.3 Time & mA Table
Time mA Selected
(mS) 10 12.5 16 20 25 32 40 50 64 80 100 125 160 200 250 320 400 500 630
1 - - - - - - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63
1.2 - - - - - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8
1.6 - - - - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1
2 - - - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25
2.5 - - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6
3.2 - - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2
4 - - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5
5 - - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2
6.3 - - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4
8 - 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5
10 0.1 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3
12.5 0.125 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8
16 0.16 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10
20 0.2 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5
25 0.25 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16
32 0.32 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20
40 0.4 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25
50 0.5 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32
63 0.63 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40
80 0.8 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50
100 1 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63
125 1.25 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80
160 1.6 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100
200 2 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125
250 2.5 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125 160
320 3.2 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125 160 200
400 4 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125 160 200 250
500 5 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125 160 200 250 320
630 6.3 8 10 12.5 16 20 25 32 40 50 63 80 100 125 160 200 250 320 -
800 8 10 12.5 16 20 25 32 40 50 63 80 100 125 160 200 250 320 400 -
1000 10 12.5 16 20 25 32 40 50 63 80 100 125 160 200 250 320 400 500 -
1250 12.5 16 20 25 32 40 50 63 80 100 125 160 200 250 320 400 500 - -
1600 16 20 25 32 40 50 63 80 100 125 160 200 250 320 400 500 - - -
2000 20 25 32 40 50 63 80 100 125 160 200 250 320 400 500 - - - -
2500 25 32 40 50 63 80 100 125 160 200 250 320 400 500 - - - - -
3200 32 40 50 63 80 100 125 160 200 250 320 400 500 - - - - - -
4000 40 50 63 80 100 125 160 200 250 320 400 500 - - - - - - -
5000 50 63 80 100 125 160 200 250 320 400 500 - - - - - - - -
6300 63 80 100 125 160 200 250 320 400 500 - - - - - - - - -
8000 80 100 125 160 200 250 320 400 500 - - - - - - - - - -
10000 100 125 160 200 250 320 400 500 - - - - - - - - - - -

7.6.4 Information of Radiation Quantities
APR Skull Chest Abdomen Pelvis C-spine T-Spine L-Spine
Position
APR AP AP AP AP AP AP AP
Direction
Image 10x12 14x17 14x17 14x17 10x12 14x17 14x17
Size
kV 75 120 75 75 70 75 75
mAs 20 5 20 20 15 25 20
FSD(cm) 80 160 80 80 80 80 80
Filtration 3 3 3 3 3 3 3
(mm Al)
ESD 2.02 0.33 2.03 2.03 1.52 2.53 2.03
(mGy)
DAP 689 246 1263 1263 571 1602 1263
(mGy.c㎡)
EDQ 0.008 0.043 0.211 0.164 0.07 0.426 0.21
(mSv)
APR Clavicle Scapula Knee Ankle Humerus Elbow Wrist

Position
APR AP AP AP AP AP AP AP
Direction
Image 14x17 10x12 10x12 10x12 14x17 10x12 10x12
Size
kV 60 60 45 45 50 45 45
mAs 10 10 5 5 5 5 5
FSD(cm) 80 80 90 90 90 90 90
Filtration 3 3 3 3 3 3 3
(mm Al)
ESD 0.6 0.8 0.1 0.1 0.15 0.1 0.1
(mGy)
DAP 431 298 47 34 140 52 54
(mGy.c㎡)
EDQ 0.038 0.016 0.001 0.001 0.001 0.001 0.001
(mSv)
* Abbreviations
FSD: Focal Source Distance DAP: Dose Are Product

ESD: Entrance Surface Dose EDQ: Effective Dose Quantities
CAUTION
The contents of table above were calculated and prepared by various theories, and data
that is actually calculated might be different slightly, depending on a clinical use.
Consider the above table as a data for assessing radiation risks.


08 Checklist
This chapter will describe about daily checklist for maintenance.
8.1 Checklist
Chapter
8.1 Checklist
8.1.1 Starting Inspection Checklist
· Date Performed: · Performed by:
Always carry out the inspection described below, prior to using the system.
1. Check the following points visually before switching the power ON. Take proper
actions to correct a problem.
Check Point Action

□ Have unnecessary items near the equipment been removed? Remove them.
□ Prior to turning on the power, has an examination room been
Check it.
checked for safety?
□ Is there any equipment cable caught, twisted, or rubbing against Position/wire cables
other objects? correctly.
□ Has any moisture been collected on a cable connector? Dry them.
□ Has any cable insulation been damaged? Contact the
□ Is there any dent, crack or condensation visible on the equipment? Manufacturer.
2. Check visually that connections have been made correctly, before switching the
power ON. Correct a nonconformity, if any.
Check Point Action

□ Are all cables connected correctly? Connect them correctly.
3. Turn the power ON. Check the following points visually and aurally. Correct a
nonconformity, if any.
Check Point Action

□ Does the display flicker? Contact our service agent.
□ Is there any unusual smell? Turn the equipment’s breaker OFF,
□ Are all operation-related noises normal? and contact the manufacturer.
4. Check the following items, before using the unit.

Check Point Action
□ Has aging been performed on the X-ray tube? Conduct aging.
□ Have you confirmed that there is no error on the
Contact the manufacturer.
operation of accessories?

8.1.2 Ending Inspection Checklist
· Date Performed: · Performed by:
Always check the following points, before switching the power OFF. Correct a
problem, if any.
1. Check the following points visually before switching the power OFF. Correct a
nonconformity, if any.
Check Point Action

□ Does the display flicker? Contact our service agent.
□ Is there any unusual smell? Turn the equipment’s breaker OFF,
□ Are all operation-related noises normal? and contact the manufacturer.
2. Switch the power OFF. Check the following points visually. Correct a nonconformity,
if any.
Check Point Action

□ Have unnecessary items near the equipment been removed? Remove them.
□ Prior to turning on the power, has an examination room been
Check it.
checked for safety?
□ Is there any equipment cable caught, twisted, or rubbing against Position/wire cables
other objects? correctly.
□ Has any moisture been collected on a cable connector? Dry them.
□ Has any cable insulation been damaged? Contact the
□ Is there any dent, crack or condensation visible on the equipment? Manufacturer.
3. If required, clean and sanitize the system.
4. Prior to use this system, please check the following items.

Check Points Action
□ Enclosure
- Is there any impact seen visually? Contact the manufacturer.
- Are any equipment cables cut or twisted?
□ Switch operating
Contact the manufacturer.
- Is there any malfunction on switches?
8. Checklist 122

09 Appendix
This chapter consists of extra information on HX-DxH.
9.1 Manufacturer Information
9.2 List of Components
9.3 Attenuation Equivalent
9.4 Connection Diagram

Chapter
9.1 Manufacturer Information

9.1.1 Regulatory Information
The product complies with the requirements of the Medical Device Directive 93/42EEC.
Product Name Digital Radiographic X-ray System

Model Name HX-DxH
Manufacturer DK Medical Systems Co., LTD
52, ChupalSandan1-gil, Paengseong-eup,
Address
Pyeongtaek–si, Gyeonggi-do, Korea, 17998
TEL/FAX +82 02 577 6190 / +82 02 577 6194
Authorized Representative Obelis s.a
Address Bd. Général Wahis 53 1030 Brussels, BELGIUM
Tel: +(32) 2. 732.59.54, Fax: +(32) 2. 732.60.03,
TEL/FAX/E-mail
E-mail: mail@obelis.net
9.1.2 Company’s Quality System
The company's quality system satisfies the Annex II exclusion section of Annex IV of the
Directive 93/42/EEC as amended by 2007/42EC, which is certified by the Institute for
DNV NEMKO PRESAFE AS.
9.1.3 International Standards
This unit conforms the following international standards:

IEC 60601-1:2005+A1:2012 / EN 60601-1:2006+A1:2012
IEC 60601-1-2:2007 / EN 60601-1-2:2007
IEC 60601-1-6:2010+A1:2013 / EN 60601-1-6:2010+A1:2013
X-ray Equipment with Radiation Protection in accordance with

IEC 60601-1-3: 2008 / EN 60601-1-3 : 2008
X-ray Tube Assembly
IEC 60601-2-28:2010 / EN 60601-2-28:2010
X-ray Equipment for Radiography
IEC 60601-2-54:2009 / EN 60601-2-54:2009
IEC 62366:2007 / EN 62366:2008

IEC 62304:2006 / EN 62304:2006
ISO 15223-1 :2012 / EN 980:2008
EN 1041:2008
ISO 14971:2007 / EN ISO 14971:2012
ISO 13485: 2003 / EN ISO 13485:2012

Chapter
9.2 List of Components

9.2.1 Fuse List
Manufacturer
No. Component Part No. Technical data EA
/ type
Generator
1 Main Fuse (F1, F2, F3) 600V, 60A Buss (JT60060) 3
500V, 10A
2 Magnetic Fuse (F4, F5, F6) Cylindrical type Legrand 3
(10x38mm)
Generator: Rotor I/F Board
3 Fuse (F1, F4, F5, F6, F7) 250V, 10A (20mm) Glass type 4
4 Fuse (F2, F3) 250V, 3.15A (20mm) Glass type 2
Generator: Auto-trans Fuse
5 Fuse (F4, F5, F6, F7, F8, F9) 250V, 2A (30mm) Glass type 6
6 Fuse (F1, F2, F3) 250V, 3A (30mm) Glass type 3
7 Fuse (F10, F11) 250V, 5A (30mm) Glass type 2
8 Fuse (F12, F13, F14) 250V, 10A (30mm) Glass type 3
CAUTION
To avoid causing a fire, it is recommend to use a product that is the same or equivalent
to the above-specified specification, when replacing a product.
9.2.2 Accessories
Type Description Connected to

Lists of Accessory
High Voltage Generator
Deadman Switch Hand switch for X-ray exposure
(HX-D5H)
Up/down movement switch for a patient
Foot Switch (IPX1) TF/TE-90 & VB/DS-90
table and an X-ray tube stand
9. Appendix 126
9.2.3 List of Cables
Shielded
No Name Conduit Length Note
or Not
1 AC Input Power Cable Unshielded 16㎟ X 4C 4m
2 Console Cable(mini) Shielded 24AWG X 15C 16m
3 DC Power Cable(SF-80) Unshielded 0.75㎟ X 2C 10m
Handlebar Control
4 Unshielded 28AWG X 15Pr 7m
Cable(T3)
5 AC Power Cable(T3) Unshielded VCTF2.5 X 3C 18m
6 Sync Input Cable(T3) Shielded 24AWG X 3C 18m
7 High Voltage Cable Shielded 40㎜ X 3C 14m
8 Rotor Cable(SF-80) unshielded 1.0SQ X 10C 10m
9 Rotor Cable(T3) unshielded 1.0SQ X 10C 18m
10 AC Power Cable unshielded 0.75㎟ X 2C 0.5m
11 AC Power Cable unshielded 18AWG X 3C 12m
12 Moving Grid Cable unshielded 0.75㎟ X 2C 16m
13 AC Power Cable unshielded VCTF 2.5SQ X 3C 13m
14 Bucky Solenoid unshielded VCTF 0.75SQ X 2C 16m
15 AC Input Power Cable unshielded 0.75㎟ X 3C 2m
10 Core
16 RGB Cable shielded 2m
(3 X 2Core + 4Core)
17 Lan Cable shielded 24AWG, CAT5 15m
18 DC Power Cable shielded 18AWG X 4C 10m
Generator Inter Face
19 Cable(1717,1417 – shielded 26AWG X 9C 15m
Generator)
20 Tether Interface Cable shielded 26AWG X 8C 7m
CAUTION
Use a cable specified on the above list; if not, it may occur an error and/or obstacle
against operation. Also it may decrease immunity of the system.

Chapter
9.3 Attenuation Equivalent

9.3.1 Attenuation Equivalent Table
Maximum Value of
No. Component Part Model
Attenuation Equivalent
1 Patient Table TE-90 1.0 mmAl
2 Patient Table TF-90 1.0 mmAl
3 Integration Table ST-90D 1.0 mmAl
4 Bucky Stand DS-90 0.5 mmAl
Fig. 9.1.
CAUTION
If an operator does not follow the Attenuation Equivalent of items for the X-ray Beam,
which is in accordance with sub-clause 203.10.101 of IEC 60601-2-54, it may cause
excessive X-ray exposure to the patient. The table 203.104 of Attenuation Equivalent of
items in the X-ray Beam is shown above.
9. Appendix 128
Chapter
9.4 Connection Diagram
Fig. 9.2. Connection Diagram for HX-D5H

Fig. 9.3. Connection Diagram for HX-D6H
9. Appendix 130

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OME-HX-DxH Series-3

Digital X-ray HF Generator

This manual is for professional service engineers.

3 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Digital X-ray HF Generator

Copyright © 2018, DK Medical Systems

(4) Y : Model Name

Ex: OME – HX-DxH series - 2

5 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Although this apparatus is built to the highest safety standards and

It is important that a personnel who is responsible for this equipment has to

The manufacturer assumes that only authorized operator and service

This manual should be kept available for future reference.

Original version is approved in English.

© 2014-2018 DK Medical Systems. All rights reserved.

Indicates information provided to improve product performance.

Indicates information provided to improve product performance.

9 HX-DxH Series Operation Manual OME-HX-DxH Series-3

1. Failure/damage caused by installation, movement, maintenance and repair performed by

IN NO EVENT SHALL DK MEDICAL SYSTEMS AND ITS AFFILIATED ENTITIES BE LIABLE

11 HX-DxH Series Operation Manual OME-HX-DxH Series-3

The responsibility for management of use and maintenance of medical equipment

NEVER MODIFY THE EQUIPMENT!

PERFORM PERIODIC INSPECTION!

If an operator has no experience in operating the equipment, be sure that he or she

13 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Be Sure To Read the Following To Prevent Explosion, Electric Shock,

Do not use the system in combustible gas-contained atmosphere.

Check the position and condition of a patient before conducting a study.

Do not open the covers, otherwise an electric shock may occur.

15 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Exercise CAUTION when using a sanitary spray.

This equipment has no protection against exposure to liquids.

Accuracy of displayed values is not guaranteed. Displayed values measured by the

Abide by the conditions for correct usage.

Note also that there must be no sudden changes in temperature or humidity.

17 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Be sure to clean and disinfect the equipment periodically.

Use the following disinfectant and/or cleaner:

Do NOT use the following disinfectant:

Do NOT use an organic solvent.

19 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Use minimum amount of disinfectant only.

• There must be no water or disinfectant adhering to the equipment.

When disinfecting acrylic tabletop, do NOT use rubbing alcohol.

This equipment needs special precautions regarding EMC.

Make sure that electromagnetic compatibility is obtained.

21 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Be aware of danger of X-Ray irradiation.

23 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Do NOT perform unnecessary standby operation.

Perform aging if an arc occurs.

25 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Do NOT place any unnecessary object in the X-ray exposure area.

Be sure to carry out aging before taking a radiograph.

Refer to “X-ray Tube Aging” (p.30) for details.

27 HX-DxH Series Operation Manual OME-HX-DxH Series-3

Perform the aging if an arc occurs.

1. Before operating the equipment, be careful with the followings:

2. While operating the equipment, be cautious on the followings:

3. Observe the following items after end of operation of the apparatus.

4. In case of trouble occurrence, do not take any operation by yourself, butmake a

Basically, this manual prohibits the following two items: