Exposcop CB7-digital

MONITOR CART MOBILE STAND

MODEL GB 745

ZIEHM

~Lh~ ~ (~t~i

745 919
 TABLE OF CONTENTS

1.0 Introduction

1.1 General - Page 6 -

1.2 Special Features - Page 6 -

2.0 Technical Data - Page 7 -

2.1 Power Supply Requirements - Page 7 -

2.2 GeneratorRating - Page 7 -

2.3 Fluoroscopy Operation - Page 7 -

2.4 Radiography Operation - Page 7 -

2.5 X-ray Tube - Page 7 -

2.6 Image Intensifier - Page 7 -

2.7 Monitors - Page 7 -

2.8 Mechanical Dimensions - Page 8 -

2.9 Weight - Page 8 -

3.0 Safety Precautions - Page 9 -

3.1 General - Page 9 -

3.2 Radiation Warning - Page 9 -

3.3 Mechanical-Electrical Warning - Page 9 -

3.4 Electrical Groundinglnstructions - Page 10 -

3.5 Installation and Environment - Page 10 -

4.0 Installation - Page 10 -

4.1 Shipping Container - Page 10 -

4.2 Unpacking - Page 10 -

4.3 Mounting - Page 11 -

4.4 System Interconnection - Page 11 -

5.0 System Checkout - Page 11 -

5.1 AC Power Check - Page 11 -

5.2 Leakage Current Check - Page 12 -

5.3 Mechanical Movement - Page 12 -

5.4 Operation - Page 12 -

6.0 Maintenance - Page 13 -

6.1 User Maintenance - Page 13 -

6.2 DHEW Maintenance - Page 14 -

6.3 Preventive Maintenance - Page 14 -

3
7.0 Mechanical Operation - Page 15 -

7.1 Orbital - Page 16 -

7.2 Rotation - Page 16 -

7.3 Swivel - Page 16 -

7.4 Horizontal - Page 16 -

7.5 Vertical - Page 16 -

7.6 Brake/Steering - Page 16 -

***FLUOROSCOPY***

8.0 Introduction - Page 18 -

8.1 Basic Operation - Page 18 -

8.2 Mobile Stand Control Panel - Page 19 -

8.3 Monitor Cart Control Panel - Page 21 -

9.0 Operating Modes Page 22 -

9.1 3 mA Fluoro - Page 22 -

9.2 6 mA Fluoro - Page 22 -

9.3 Snapshot (8 mA Fluoro) - Page 22 -

9.4 Pulsed Fluoro - Page 22 -

10.0 Manual Controls Page 23 -

10.1 kV Adjustment - Page 23 -

10.2 Magnification - Page 23 -

10.3 Image Reversal - Page 23 -

10.4 Image Rotation - Page 23 -

10.5 Iris CoHimator - Page 24 -

10.6 Siot Collimator - Page 24 -

10.7 Image Transfer - Page 24 -

10.8 Image Storage (Disk) - Page 24 -

11.0 Control Panel Displays! Audible Alarm - Page 25 -

11.1 kV Display - Page 25 -

11.2 mA Display - Page 25 -

11.3 Elapsed Exposure Time Display - Page 25 -

11.4 X-ray Indicator - Page 25 -

11.5 Standby/Fault Indicator - Page 26 -

11.6 Five Minutes Exposure Indicator - Page 26 -

11.7 Warm Up Time - Page 26 -

11.8 Audible Alarm - Page 26 -

4
12.0 Picture Storage - Page 27 -

12.1 Clearing Memory - Page 27 -

12.2 Four Image Mode - Page 27 -

12.3 Image Transfer to Disc - Page 27 -

12.4 Image Shifting - Page 27 -

12.5 Image Recall - Page 27 -

13.0 Hard Copy - Page 28 -

13.1 Videoprinter (optional) - Page 28 -

13.2 CRT Hard Copy Camera - Page 28 -

***RADIQGRAPHY***

14.0 Generallnformation - Page 29 -

14.1 Dose Rate - Page 29 -

14.2 Time Setting - Page 29 -

14.3 Film Cassette Holder - Page 29 -

14.4 Collimator Size - Page 30 -

***APPENDIX***

1) Measuring Data for Radiation Protection

2) Certificate for Standard Measuring Data
3) Registration Number
4) X-ray Tube Performance
5) Protective Tube Housing Test
6) Location of WARNING and CAUTION labels

5
1.0 INTRODUCTION

1.1 General

The Ziehm EXPOSCOP CB7-Digital is a mobile X-ray System developed for

surgical and diagnostic applications. This C-Arm may be used to perform
Fluoroscopy or Spot-Film Radiography. lt is not for use in the presence of
flammable anesthetics or other explosive gases.

This manual should be thoroughly read and understood before any attempt is
made to install, operate or service this equipment. Close attention should be paid
to the safety precautions contained in section 3.

1.2 SPECIAL FEATURES

The C87-D has been engineered to provide superior quality and performance.
Some of the outstanding features include:

* High frequency generator which produces a precise spectrum of radiation

capable of superior penetration. The CB7-D can produce a quality image
at lower kV levels while dramatically reducing the skin dose.

* Efficient design of the generator allows the CB7-D to perform

fluoroscopy at maximum kV and 3 mA continuously for up to 30 minutes.
After this time, the System continues to function at a reduced dose (0.5
mA).

* Pulsed Fluoroscopy may be selected to reduce the dose by one-haif during

extended procedures. -

* Integral digital memory features last image hold.

* Frame Integration may be selected as an effective noise filtration

technique.

* Magnification achieved with electronic focus within the Image Intensifier

for grea-ter resolution.

* Compact design of the Image Intensifier makes the CB7-D easier to

position and maneuver.

* Unique cable arrangement contributes to the clean design and attractive

appearance of the C37-D. lt may also be kept sterile more easily.

* Fluoroscopy may commence approx. 90 seconds after power is turned on.

6
2.0 TECHNICAL SPECIFICATIONS

2.1 Power Supply Requirements

Line Voltage
Single Phase: 110V ÷1— 10% 60 Hz 20 A slow fuse
- -

220/240V +1- 10% 50 Hz 15 A slow fuse

- -

2.2 GeneratorRating

Operating Frequency: 20 kHz

kV Range: 36 kV to 110 kV

2.3 Fluoroscopy Operation

The kV level ranges from 36 kV to 110 kV and may be adjusted automatically or

set manually.

The mA level is adjusted automatically and may range up to 3.0 mA, 6.0 mA or
8 mA (snapshot mode) as selected by the Operator.

2.4 Radiography Operation

The kV level ranges from 36 kV to 110 kV and is preset during the preceding
fluoroscopy or may be set manually. The mA level is a constant 20 mA. The
duration of radiography is set manually from 0.1 sec. to 4.0 sec.

2.5 X-ray Tube

Stationary Anode with dual focus. Inherent filtration equivalent to at least 3 mm

Al.

Focal Spot Size

Fluoro: 0.6 mm
Radiography: 1.5 mm

2.6 Image Intensifier

Cesium lodide
Fluoroscopic Grid Pb 8/1 40
Standard size 7fl/4~ (17 cm/10 cm)
Optional size 9‘76“ (23 cm/15 cm)
Electronic magnification factor of 1.5

2.7 Monitors

Screen size: 17“

Bandwidth: 20 Mhz
Raster Lines: 525 at 60 Hz; 625 at 50 Hz.

7
 2.8 Mechanical Dimensions

Focal spot to Image Intensifier distance: 37“

Cone to Image Intensifier housing: 25“
Central beam to C-Arm: 26“
C-Arm orbital movement: 115 deg.
C-Arm rotation: +1- 225 deg.
C-Arm swivel: ÷1- 12 deg.

2.9 Weight

Mobile Stand: 460 ibs

—Monitor Cart: 275 ibs

PICTURE 1

All dimensions in millimeters

8
3.0 SAFETY PRECAUTIONS

3.1 General

The user of this manual is directed to carefully read and review the instructions,
warnings and cautions contained herein prior to the installation, Operation or
service of this equipment.

The installation and service of the CB7-D is to be performed by authorized,

qualified personnel with the support of Ziehm Technical Services Representatives.

Those authorized to operate, participate in or supervise the Operation of the

equipment must be thoroughly familiar and compiy completely with the currentiy
established safe exposure factors and procedures described in publications, such
as: Subchapter J of Title 21 of The Code of Federal Regulations, “Diagnostic
X-ray Systems and Their Major Components“, as revised or replaced in the
future.

3.2 Radiation Warning

This equipment produces X-rays which are dangerous to both Operator and others
in the vicinity unless established safe exposure procedures are strictly observed.

The useful and scattered beams can produce serious or fatal bodily injuries to any
persons in the surrounding area if used improperly. Adequate precautions must
always be taken to avoid exposure to the useful beam, as weil as to leakage from
within the source housing or to scattered radiation resulting from the passage of
radiation through matter.

Those responsible for the planning of X-ray equipment installations must be

thoroughly familiar with “Structural Shielding Design and Evaluation for Medical
Use of X-rays“ as revised or replaced in the future.

3.3 Mechanical Electrical Warning

-

All of the moveable assemblies and parts of this equipment should be operated
with care and routinely inspected in accordance with the manufacturer‘s
recommendations contained in this manual.

Only properly trained and authorized personnel should be permitted access to any
internal parts. Be sure line disconnect switches are opened and other appropriate
precautions are taken before opening access doors, removing enciosure panel, or
attaching accessories.

Do not remove the covers from the generator untii the power has been turned off.

Failure to comply with the foregoing may result in serious injuries to the Operator
or those in the vicinity.

9
3.4 Electrical Groundinglnstructions

The equipment must be grounded to an earth ground by a separate conductor. The

neutral side of the line is not to be considered the earth ground. On equipment
provided with a line cord, the equipment must be connected to a properly
grounded, three-prong receptacle. Do not use a three-prong to two-prong
adapter.

3.5 Installation and Environment

Except for installations requiring certification by the manufacturer per Federal

Standards, see that a radiation protection survey is made by a qualified expert in
accordance with NCRP No. 33, section 6 as revised or replaced in the future.
Perform a survey after every change in equipment, workload, or operating
conditions which might significantly increase the probability of persons receiving
more than the maximum permissible dose equivalent.

This equipment is not for use in the presence of flammable anesthetics or other
explosive gases. Failure to heed this warning may result in a fire or an explosion.

4.0 INSTALLATION

The installation of this equipment should be performed by authorized, qualified

personnel who have carefully read and reviewed this manual.

4.1 Shipping Container

The CB7-D is shipped on a single pallet and contains the mobile stand, monitor
cart, an unmounted monitor case assembly and a box containing manuals, cassettes
and a cassette holder. The equipment should be carefully inspected and any
shipping damage must be reported immediately to the shipping carrier in the form
of a damage claim.

4.2 Unpacking

Remove the outside of the shipping container and inspect for any shipping
damage. Remove the monitors and the box containing the manuals and cassettes.

NOTE: The three short wooden blocks below one end of the pallet may be
unbolted and removed to tip the pallet. This will facilitate the
removal of the monitor cart and mobile stand.

Remove the metal brackets which hold the monitor cart in place. Release the
brakes on the front wheels and carefully place the monitor cart on the floor.
Remove the metal brackets holding the mobile stand, release the hand brake (lift
the lever located in the center of the control panel) and carefully place the stand
on the floor.

NOTE: Care must be exercised when removing the metal brackets so that
the paint is not scratched or chipped.

10
4.3 Mounting

The monitor set is the only item which requires mounting. The monitors are
clearly identified as either left or right (as viewed from the front).

Remove the rear panel of the monitors and place the monitor case assembly on
the cart‘s mounting surface. Route the wiring into the monitors from the hole in
the bottom and secure with four allen screws from below.

The power cord and video cable are connected at the rear of the monitor. Two
additional wires are then connected, one on the monitor board and one on the
yoke rotation board. The wires, and the location they connect to, are individually
marked. A two-wire cable is provided for the left monitor and is connected to
the cable which services the amber light 011 top. Attach the ground wires to the
rear panel and cart. Secure the rear panel and access plate.

4.4 System Interconnection

The monitor cart and mobile stand are connected with a single heavy-duty cable
which attaches at the rear of the monitor cart. lt should be connected before the
System is powered on. The line cord on the monitor cart should be plugged into
a properly grounded and rated outlet.

5.0 SYSTEM CHECK-OUT

Service personnel are cautioned to observe all CAUTIONS and WARNINGSas

they appear in the text of this section, and observe the general safety precautions
outlined in the Service Engineer‘s Safety Manual, U95:M.

The instructions for system check-out require that the operator has read this
entire manual and is familiar with the Operation of this equipment.

5.1 AC Power Check

lnspect the AC power cord on the system to ensure that it is compatible with the
AC power receptacle. Verify that the AC line voltage is proper for the Operation
of the equipment.

WARNING: The unit must be grounded through the U-Shaped grounding

prong of the line plug. Do not use a 3-prong to 2-prong adapter
unless properly installed by a licensed electrician. Failure to
comply with the foregoing may cause serious or fatal injuries to
the Operator and other persons in the surrounding area.

NOTE: System input power must be set to match service LINE voltage.
For voltages above and below 110 V AC input LINE voltages must
be compensated for by adjusting to either 100 V AC, or 120 V AC
at the terminal block located at the lower rear of the monitor cart.

11
5.2 Leakage Current Check

The installation of this X-ray equipment may include a check of the leakage
current. This should be performed with a properly calibrated leakage meter, in
aceordance with the leakage meter instructions.

Inspect the ground leads for solid ground connections. Insert a properly calibrated
leakage meter (with 100 0 input impedance) in series with the CB7-D line cord
per the leakage meter instructions. Turn on power and verify that the leakage
current does not exceed 100 1iA in either normal or reversed line polarity.

Disconnect the leakage meter and insert the CB7-D line cord into the AC
— receptacle. Connect the black lead of the leakage meter to an exposed metal
surface of the CB7-D per the leakage meter instructions. Turn on power and
verify that the leakage current is no more than 10 ~tA.

5.3 Mechanical Movement

The C-Arm is capable of moving in an arc (115 deg.), rotating in the vertical
plane (+1- 225 deg.) or swiveling ( +1- 12 deg.). One at a time, release each brake
and verify full and unrestricted movement. Secure each brake when finished.
Release the horizontal brake and verify the approximate 20 cm of horizontal
travel.

Release the hand brake on the mobile cart by pulling the handle up and check
that the cart moves freely and may be steered by turning the brake handle.

Turn on system power at the monitor cart control panel, and verify that the
vertical position motor can raise and lower the C-Arm when operated from the
mobile cart control panel.

5.4 Operation

X-ray equipment operators should protect themselves and others in the area with
such devices as lead aprons or shields. All standard safety precautions must be
observed and exposure to the X-ray beam must be strictly avoided. The collimator
may be used toxestrict the radiation beam during checkout.

After the system has been properly connected and powered on, the CB7-D will be
in the following operating mode:

* Fluoroscopy, 3 mA max.
* Automatic dose rate control
* Live image on left monitor with last image hold
* Normal picture size (no magnification)

After power on, the kV level is set at 36 kV as indicated by the kV display.

Fluoroscopy may commence once the cathode filament has preheated (ninety
seconds after power up) and is activated by pressing the hand or foot switch. In
the automatic dose control mode, the kV will be adjusted automatically and the
resulting setting will be displayed. After fluoro, the display will show the last kV
setting.

The mA display operates only when fluoroscopy is performed and only in the 3
mA or 6 mA modes.

12
 Check that the siot and iris collimators may be opened and closed and the siot
collimator can rotate. Check that the image reversal and magnification (zoom)
functions operate properly and that the “kV manual“ mode may be selected and
the kV setting may be adjusted manually.

NOTE: Do not perform Fluoroscopy or Radiography in the kV manual

mode at a kV level higher than the object requires. This will
prevent the camera from being overdriven by high light levels.

Verify that the Radiography mode may be initiated with the hand
switch only and that the time setting for radiography is adjustable
from 0.1 sec. to 4.0 sec.

On the monitor cart, verify that the live fluoroscopy image appears on the left
monitor and the last image is held after a fluoro is completed. When exposure
occurs (active radiation from the generator) during either fluoroscopy or
radiography, the amber light on top of the left monitor should be illuminated and
the two rectangles on the top of the monitor display should disappear.

Verify that the monitor image may be rotated from the controls on the mobile
cart. Check that the cassette light on the monitor cart is illuminated when the film
cassette is fully inserted.

6.0 MAINTENANCE

6.1 User Maintenance

The inspection procedure listed in table 1 should be performed by the user of this
equi pment.

TABLE 1

INSPECTION REQUIREMENTS INTERVAL INSTRUCTIONS

1) Radiation Leakage 1 month Inspect for physical damage which

2) Deadman Switches
3) Exposure Indicator
4) Audible Exposure Indicator
could affect radiation shielding.
1 month Confirm that each of the exposure
switches work properly. They
should require continuous pressure
to maintain the exposure and
release of the switch terminates the
exposure.
1 month Confirm that the mA and kV
meters and the exposure lamp on
top of the left monitor functions
continuously only during an
exposure.
1 month Confirm that the audible exposure
indicator operates during radio
graphy and after 5 minutes of
exposure.

13
5) Warning and Caution Labels
6) Radiation Leakage
7) Line Cord
8) Mechanical Cone
1 month Inspect and confirm that all
WARNING and CAUTION labels
have not been defaced or worn so
as to be illegible.
1 month Look for physical damage to the
X-ray tube assembly which could
affect radiation shielding proper
limitation of the X-ray beam.
1 month Inspect and confirm that the line
cord and plug are not broken or
otherwise damaged.
1 month Inspect and confirm that the
mechanical cone is properly
installed and secured installed for a
SSD of 30 cm. Verify that the
warning label is not defaced.

6.2 DHEW MAINTENANCE

Maintenance procedures, necessary to insure (continued) compliance with DHEW

(Dep. of Health and Welifare) requirements are contained in the recommended
Schedule of Maintenance supplied with your equipment. This maintenance should
be performed by authorized and qualified service personnel at the prescribed
interval, according to the instructions given in the appropriate manual.

As noted in (FDA) 75-8005, a Practitioners Guide to the Diagnostic X-ray

Equipment Standard: “lt is up to the practitioner to have his X-ray maintained
according to the schedule furnished by the manufacturer to insure compliance
with the standard for the life of the equipment. Failure to follow the
manufacturer‘s maintenance instructions could relieve the manufacturer of
responsibility for continued compliance.“

6.3 Preventive Maintenance

The following preventive maintenance should be performed at six month

intervals, or whenever the equipment has been subjected to any use or conditions
which may cornpromise the safe Operation of the System. This maintenance is to
be arranged by the user and must be performed by qualified personnel.

6.3.1 kV Adjustment

6.3.2 mA Adjustment

6.3.4 Electrical Functions

* Automatic dose rate control

* Display of mA during 3 mA and 6 mA fluoro
* Radiography time control functions properly
* Fluoroscopy terminates after release of button
* Collimator controls functional
* Monitor controls functional
* Displays function properly
* Line cord in good condition and properly grounded
* Cables in good condition

14
7.0 MECHANICAL OPERATION

PICTURE 2

\\ \

TABLE 2

1 X-ray TV Camera :~IIIIIIItlIIIIIItIIIIII~I

2 Image Intensifier
3 Removable cassette holder for Spot Film Radiography
4 Brake for horizontal travel A (20 cm)
5 Brake for swivelling in horizontal plane B III~I liii 11111 1 III~_~
6 Brake for rotation of C—Arm in vertical plane C
7 Motor-driven vertical movement D
8 Brake lever/steering handle for mobile stand wheels wnimmm
9 Handswitch for Fluoroscopy and Radiography
10 Brake for orbital movement of C-Arm in plane E
11 Footswitch holder -

12 P0 attachment
13 Footswitch for Fluroroscopy
14 High Frequency X-ray Generator
15 TV Monitors
16 Monitor Cart Control Panel 1111W
17 Cassette drawer for Format Camera 1111111
18 Location of Format Camera
19 P0 attachment
20 P0 Cable holder
21 X-ray indicator

15
The mechanical brakes for the C-Arm should always be secured in the locked position.
This is especially important when the equipment is in transport.

The locked position of the handles may be adjusted by lifting the spring-loaded handle,
rotating it to a new position and dropping it back down.

7.1 Orbital

The CB7-D is capable of 115 degrees of orbital movement. The brake listed as
item 10 in pic. 2 is used to lock the C-Arm into the desired orbital position.

7.2 Rotation

The ÷1- 225 degrees of rotation which the C-Arm is capable of is secured by
brake item 6 in pic. 2. Care must be taken not to overextend the rotation
capability of the System or the C-Arm cable may be strained.

7.3 Swivel

Brake item 5 in pic. 2 secures the +1- 12 degrees of C-Arm swivel.

7.4 Horizontal

The C-Arm i~ capable of approximately 20 cm of horizontal travel which is

secured by brake item 4 pic. 2.

7.5 Vertical

The 43 cm of vertical travel is accomplished under motor control and may be

operated from the mobile stand control panel (up-down arrows). This travel is
illustrated by dimension D in item 7 pic. 2.

7.6 Brake/Steering

The brake lever, item 8 in pic. 2, located in the center of the mobile stand control
panel, is used for both steering and braking. When it is pushed down, the brakes
are engaged. When it i~ lifted up, the brakes are released. The mobile stand may
be maneuvered by grasping the handles on either side as illustrated in pic. 3a. The
two wheels located beneath the lever may also be steered as illustrated in pic. 3b
and 3c.

16
 PICTURE 3

Q b

/
/
/
/
/
/
/

17
 ***FLUORQSCOPY***

8.0 INTRODUCTION

The use of the Ziehm CB7-D in Fluoroscopy can be as simple as powering on the
system, waiting approx. 90 seconds for the cathode filament to preheat, and
activating the hand or foot switch to view the first image. lt is also sophisticated
enough to allow these options:

* 6 mA Fluoro
* 8 mA Snapshot
* Pulsed Fluoroscopy
* Manual Control of kV
* Zoom (Magnification)
* Disable Filtering
* Multi-Format Storage
* Dual Monitor Display
* Image Reversal
* Image Rotation
* Iris Collimation
* Siot Collimation with Rotation

These options are described in subsequent sections of this manual. This document
should be carefully read before any attempt is made to operate the CB7-D. This
will contribute to the safe use of the equipment and allow the Operation to be
quickly mastered.

8.1 Basic Operation

Before the system is powered up, the cable connecting the mobile stand and the
monitor cart must be installed, and the line cord should be connected to a
properly grounded outlet of adequate capacity.

The CB7-D is switched on from the mobile cart control panel. After power up,
the System is in-the following operating modes:

* Fluoroscopy, 3 mA max.
* Filter enabled (Frame integration)
* kV Automatic (Automatic Dose Rate Control)
* Normal picture size
* Live Image on left monitor
* Last Image Hold

Approx. 90 seconds after power up (during which time the cathode filament
preheats) fluoroscopy can be initiated by activating the hand or foot switch. The
brightness and contraSt controls on the monitor may then be adjusted. After the
switch is released, the last image will be held cm the left monitor.

18
 PIC. 4 illustrates the differences among continuous, pulsed, and snapshot
fluoroscopy. When radiation is present, the live image is displayed. When
radiation is not present, the last live image will be held and will continue to be
displayed until the frame counter is changed, or a new live image displayed.

PICTURE 4

RADIATION PRESENT

LAST IMAGE STORED AND DISPLAYED

FLUOROSCOPY INITIATED BY OPERATOR

CONTINUOUS
FLUOROSCOPY

PULSED MODE . 1

SNAPSHOT MODE

TIME---->

8.2 Mobile Stand Control Panel

A diagram of the mobile stand control panel is shown in pic. 5, with the control
buttons and display locations numbered individually. Table 5 includes a numerical
listing of the buttons and display locations, and indicates the section within this
manual which describes the use of each.

19
MOBILE STAND - CONTROL PANEL

PIC. 5

cD
~ ~ ___ [ist ~]
~0 00 ~ 23 28~ ~

1 ~ ( ‚~ ~ 20 24 ~ 25 27 28

~~2i

TABLE 5

1 (Sec. 7.5) Vertical Position Motor Controls

2 Emergency Switch 0ff
3 (Sec. 11.6) Clear Radiation Time/Clear Audio Alarm
4 (Sec. 11.1) Radiography Time Display
5 (Sec. 11.1) kVDisplay
6 (Sec. 11.2) mA Display
7 (Sec. 11.3) Fluoroscopy Time Display
8 (Sec. 11.4) X-ray Indication
9 (Sec. 11.5) Stand by/Failure/Overheating/Indication
10 (Sec. 11.7) Warm Up Time Indication
11 (Sec. 14.3) Radiography Field Size
12 (Sec. 14.0) Radiography Mode
13 (Sec. 14.2) Adjust Radiography Time Display
14 (Sec. 9.1) .Yluoroscopy Mode
15 (Sec. 9.4) Pulsed Fluoroscopy
16 (Sec. 9.3) Snapshot Fluoroscopy
17 (Sec. 10.1) kV Manual
18 (Sec. 10.1) kV Manual Adjustment
19 (Sec. 10.7) Siot Collimator, Open/Ciose
20 (Sec. 10.7) Rotation of Siot Collimator
21 (Sec. 10.6) Iris Collimator, Open/Ciose
22 (Sec. 10.4) Image Reversal
23 (Sec. 10.3) Magnification (Zoom)
24 (Sec. 10.5) Image Rotation, Left Monitor
25 (Sec. 10.5) Image Rotation, Right Monitor
26 (Sec. 10.8) Image Transfer, Left/Right Monitor
27 (Sec. 9.2) 6 mA max.
28 (Sec. 10.9) Image Storage (Disk)
29 (Sec. 8.0) Hand Switch (Fluoroscopy and Radiography)
30 (Sec. 8.0) Footswitch (Fluoroscopy)

20
8.3 Monitor Cart Control Panel

PICTURE 6

43

33 ~6 38 4‘

34~c~ (~2~‘j~
39

TABLE 6

31 Contrast Control with pull switch

Main position = normal contrast
Pulled = manual adjustment
32 Brightness Control with pull switch
Main position = VCR synchronized
Pulled = normal brightness
33 (Sec. 12.0) Clear Image Storage
34 (Sec. 12.2) 4 Images Mode
35 (Sec. 12.3) Image Storage (Disk), parallel to button 28
36 (Sec. 12.4) Image Transfer, Left/Right Monitor, parallel to button 26
37 (Sec. 12.5) Frame Counter, Up/Down Screening
38 (Sec. 13.1) Hard Copy Videoprinter Exposure
-

39 (Sec. 13.2) Hard Copy CRT Exposure

-

40 (Sec. 13.2) Hard Copy CRT Field Indication

-

41 Power 0ff
42 Power On
43 X-ray Indication, parallel to 8

21
 9.0 OPERATING MODES

The filament current is always controlled by the System in response to the kV

level at which the tube is operating. The range, or maximum mA value, is
selectable by the Operator.

9.1 3 mA Fluoro 14

The 3 mA mode (range of 0.2 mA to a maximum of 3 mA filament current) is the

standard fluoroscopic operating mode which the System enters after power on.
The system is in the 3 mA mode when button 14 (Fluoroscopy) is selected and the
control light is on.

9.2 6 mA Fluoro 27

The 6 mA mode (range of 0.2 mA to 6.0 mA) is used when working with dense
objects such as the pelvic region. lt is selected by pressing button 27 on the
mobile stand and the control light turns on. lt also selects the storage image
integration filter to reduce the image noise.
Pressing it once more will return the CB7-D to the 3mA mode.

9.3 Snapshot (8 mA) 16

The snapshot mode is selected by pressing button 16 on the mobile stand.

Depressing the-hand switch will initiate the snapshot. Maximum integration is
used to create the final image. Pressing button 16 once again, the control light
turns off.
The System returns to the 3 mA mode.

9.4 Pulsed Fluoro 15

JL~L

Pulsed fluoroscopy may be selected by pressing button 15 so it is illuminated.

When the hand or foot switch is pressed the X-ray beam is turned on and off at
one second intervals to reduce the dose while progression of the procedure may
be viewed. 3 mA is selected. Pressing button 15 again will return the system to
continuous fluoroscopy.

22
 10.0 MANUAL CONTROLS

10.1 kV Adjustment 17 18

The kV level is normally controlled by the automatic dose rate control

circuitry in the CB7-D. The Operator may elect to set the level
manually by pressing button 17 on the mobile stand (so it is
illuminated) and adjusting the kV setting with button 18. Pressing once will
increase or decrease the kV setting by one kV. Holding the button for more than
2 seconds will quickly advance or decrease the setting. Pressing button 17 again
will return the system to automatic control of kV.

Once a kV level has been established by the automatic dose rate control circuit,
the setting may be locked in by switching to manual kV.

10.2 Magnification 23

The Image Intensifier in the CB7-D is capable of electronic magnification. lt is

selected by pressing button 23 on the mobile stand and will magnify the image by
a factor of 1.5.

10.3 Image Reversal 22

The Image may be reversed by pressing buttons 22 on the mobile stand.

10.4 Image Rotation 24 25

The image stored on either the left or right monitor may be rotated by pressing
buttons 24 for the left monitor or buttons 25 for the right. Pressing both buttons
for one monitor will automatically return the image to the normal up-right
position.

23
 10.5 Iris Collimator 21

The iris collimator may be opened and closed by pressing buttons 21 on the
mobile stand.

10.6 Slot Collimator 19 20

The slot collimator may be opened or closed by pressing buttons 19 on the mobile
stand. lt may also be rotated left or right by pressing buttons 20.

10.7 Image Transfer 26

Pressing button 26 on the mobile stand or button 36 on the monitor cart transfers
the stored image from the left to the right monitor and vice versa.

10.8 Image Storage on the disk 28

Manual Mode

Pressing button 28 on the mobile stand or button 35 on the monitor cart stores the
image from the left monitor to the disk. The control lamp will illuminate on the
mobile stand.

Automatic mode

Pressing button 28 or 35 for more than 2 seconds the control lamp Iights up. In
this mode each last image of live fluoroscopy will be stored automatically to the
disk. Pressing 28 or 35 again terminates this mode, the light turns off.

24
 11.0 CONTROL PANEL DISPLAYS / AUDIBLE ALARM
11.1 kVDisplay 5

The kV level is displayed at location 5 on the mobile stand. After power on, it
will be set at 36 kV, which is the lowest possible setting. During fluoroscopy, the
System will normally adjust the kV level with the automatic dose rate control
circuitry. After fluoro, the last kV setting will be stored and displayed. The kV
setting may also be controlled manually as described in section 10.1

During radiography, the kV level established during the last fluoroscopy will
normally be used. See section 14.1.

11.2 mA Display 6

The mA level is displayed at location 6 on the mobile stand. The level is always
adjusted by the System in response to the kV setting so that Optimum performance
may be achieved with the X-ray tube. The mA is displayed only during active
fluoroscopy in the 3 mA and 6 mA modes.

11.3 Elapsed Exposure Time 7 — —

lt II II 1 I_lI
II II II Ij
Lmn sJ

Location 7 on the mobile stand displays elapsed exposure time (amount of time
X-radiation was generated).

After five minutes of elapsed exposure time, an audible alarm will be heard and
button 3 will flash. Pressing button 3 once will turn off the audible alarm.
Holding it for more than 2 seconds will turn off the flashing button and also zero
the display. (See section 11.6)

11.4 Exposure Indicator 8

The CB7-D has three methods to indicate that radiation is being generated.
Location 8 on the mobile stand will be illuminated, the amber light on top of the
left monitor (43) will be on, and the “Ready to Fluoro‘ indication in the upper
part of the left monitor (showing the live image) will indicate “Fluoro“.

Another indication of active radiation is an active mA display when in the 3 mA

or 6 mA fluoroscopy modes.

25
 11.5 Fault Indicator 9

If a fault occurs in the generator, such as overheating or incorrect voltage levels,

location 9 will be illuminated. Turn the System off and allow a sufficient period
of time to cool the generator. If the fault indicator persists after this cooling
period, contact your service representative.

11.6 Five Minutes Exposure Indicator 3

After five minutes of elapsed exposure (active radiation), a beeper alarm will
sound and location 3 on the mobile stand will flash. Pressing button 3 on the
mobile stand once will stop the audible alarm. Holding the button for 2 seconds
or more will return the time indicator to zero and stop the flashing.

11.7 Warm UpTime 10

Pressing button 42 “power on“ the monitor cart switches the system on. For
approx. 90 seconds the indicator 10 on the mobile stand flashes after that period
the indicator extinguishes and the CB7-D is ready for Operation.

11.8 Audible Alarm

The audible alarm will sound after five minutes of elapsed exposure time. lt can
be disabled by pressing button 3 on the mobile stand. The alarm will also beep at
the end of radiography.

26
 12.0 PICTURE STORAGE

12.1 Clearing Memory 33

Press button 33 briefly to clear left monitor only. Pressing button 33 for more
than 2 seconds disconnects the storage. In this mode the control light is on and
live fluoroscopy on the left monitor is possible. While pressing button 33 again,
the light switches off and the storage is reconnected.

12.2 Four Image Mode - One Frame 34

Press button 34 to move the image (full frame) from the left monitor to the right
monitor. The image only, and no possible alphanumeric display, appears as 1/4
of a frame on the right monitor. While transferring the first image (out of 4) from
the left monitor, the previous image of the right monitor erases.

12.3 Image Transfer (see 10.8) 35

12.4 Image shifting to Monitor (see 10.7) 36

12.5 Image Recall (Up/Down Screening) 37

To recall stored images push button 37. The image appears on the left monitor
with its appropriate image number in the upper right corner of the frame. For
screening just keep button 37 pressed.

27
 13.0 HARDCOPIES

13.1 Video Printer 38

To print the left monitors image press button 38. While printing the control light
is on. For further information please see the Video Printer Manual.

13.2 CRT Hard Copy Camera 40 39

1poj
The camera is integrated in the monitor cart. The film cassette 8 x 10 inch
(optional 18 x 24 cm) contains 2 films. To expose the film push the cassette firm
into the slot below the control desk. If placed correctly, field indication 40 lights
u p:

* 4 images on 1 film: 4 control lamps on

* 2 images on 1 film: 2 control lamps on
* 1 image on 1 film: 1 control lamp on

Before pressing button 39, to expose the film with the image from the left
monitor, pull the cover from the cassette that protects the film. During the
exposure lamp 39 flashes. After each finished exposure one lamp of the field
indication 40 automatically turns off. Fully exposed film no more light on field
-

indication 40, but continuous light on 39. Put the cover, to protect the exposed
film, back and pull the cassette out. Light 39 disappears.

To expose the second film just turn the cassette and follow the same procedure.

28
 ***RADIOGRApHy***

14.0 General Information 12

Spot film radiography is selected by pressing button 12 on the mobile

stand so it is illuminated. lt may be activated only with the hand switch.

14.1 Dose Rate

Radiography operates at a fixed tube current of 20 mA. Normally, radiography is

preceded by fluoroscopy of the object of interest. This will establish the
Optimum kV setting and this setting will automatically be used during
radiography.

The kV setting may also be adjusted manually as described in section 10.1.

14.2 Time setting/Dose control 4 13

Since the tube current remains fixed, and the kV setting is set for S
Optimum penetration, the dose may be controlled further only by
varying the duration of radiography. The time may be set from 0.1
sec. to 4.0 sec. The time is set with button 13, and displayed at
location 4 on the mobile stand.

14.3 Film Cassette Holder

The film cassette holder used for spot film radiography is attached by the
Operator to the image intensifier. To attach the cassette holder, pull back the
spring knob, position the holder on the image intensifier, and release the knob as
illustrated in pic 7.

PICTURE 7

29
 14.4 Collimator Size 11

The collimator size is set during radiography for the size film
used. Either 24, 30 or 40 centimeters may be selected (in the USA
the 30 and/or 40 cm modes are disabled).

30
15.0 OPTIONS

CONTENTS

15.1 Alphanumeric Text Editor

1.0 Introductjon - page 32 -

2.0 Control Panel - page 33 -

3.0 Keyboard - page 34 -

3.1 Text Editor - page 34 -

3.2 Shift Key - page 34 -

3.3 Return Key - page 34 -

3.4 Space Bar - page 34 -

3.5 Character Keys - page 34 -

3.6 Cursor Keys - page 35 -

3.7 Home Key - page 35 -

4.0 CB 745 Menu - page 36 -

4.1 Menu Selection - page 36

4.2 Change Text Message - page 36
4.3 Set Time and Date - page 36
4.4 Change DSA Window - page 36
4.5 Change German/ English - page 36
4.6 Clear Hard Disk - page 37
4.7 Autotransfer ON/OFF - page 37

31
 15.1 Alphanumeric Text Editor

1.0 Introduction

To be used with the digital 2 frame memory, with and without winchester disk
drive on the mobile C-Arm, Exposcop CB7-D, Series CB 745.

For each stored image in the left monitor the following text can be recalled:

PICTURE 8

2 TEXTL.~i~E 1
LIN~‘~2

3 oo:oä‘~.oo _______________ ..4(255 6

4 00—oo—~e.j INFO — LINE ..-t L 000 7
5 - __________________

TABLE 8

1. Headline, e.g. hospital name

2. Patient name and additional information up to 8 lines
3. Time
4. Date
5. Info - Line for substractjon modes
6. Upper limit grey - scale window
7. Lower limit grey - scale window

32
2.0 Control Panel

PICTURE 9

54

~-ØØØ©Ø0Ø~

4527007

TABLE 9

50 (Sec 3.1) Text Editor ON / 0FF

51 (Sec 3.2) Shift - Key
52 (Sec 3.3) Return - Key
53 (Sec. 3.4) Space Bar
54 (Sec. 3.5) Character Keys
55 (Sec. 3.6) “Left“ Cursor
56 (Sec. 3.6) “Right“ Cursor
57 (Sec. 3.6) “Down“ Cursor
58 (Sec. 3.6) “Up11 Cursor
59 (Sec. 3.7) Home - Key
60 (Sec. 15.2) MSA - Key
61 (Sec. 15.2) RSA - Key
62 (Sec. 15.2) DSA - Key
63 (Sec. 15.2) Positive/Negative - Key
64 (Sec. 15.2) Zoom - Key
65 (Sec. 15.2) Edge enhancement filter - Key
The Keys 60 - 65 are available only in the Option Subtraction Mode.

33
 3.0 Keyboard

After ‘tPower ON“ and test patterns, the stored alphanumeric text will be dis
played on the CRT.

3.1 Text Editor 50

TEXT
ON / 0FF by pressing the Text Editor Key. When the key
lights up and the cursor can be seen on the CRT (flashing
rectangular) the text can be changed.

3.2 Shift Key 51

By pressing the Shift Key and a Character Key, the upper

character of the key is selected.

3.3 Return Key 52

moves the cursor to the beginning of the following line.

3.4 Space Bar 53

By pressing the Space Bar a space between the characters is

mad-e. For deletion, overriding with the space bar is necessary.

3.5 Character Keys (see PIC. 9) 54

By pressing a Character Key the character occurs where the cursor

flashes. A previous character on that spot will be deleted.

34
3.6 Cursor Keys 55-58

The cursor can be moved to any spot ____

within the field with the cursor keys. L L

3.7 Home Key 59 i

Stored information can be retrieved and edited with text

editor keys (50) in “ON“ position and pressing the home key
(59).
After completion of the changes, key (35) image storage has to be
depressed to store the new information on the hard disk.

35
 4.0 CB 745 Menu

4.1 Menu Selection

Shift key and home key have to be pressed simultaneously to display the
menu. By pressing the shift key and a number key this specific menu is
selected. Press the return key to confirm the selection.
Selecting “END“ returns to normal mode.

4.2 1 - Change Text Message

1 - Change Headline
for instance Hospital Name
2 - Change Recorded Time
change of previously stored time
3 - Change Recorded Date
change of previously stored date

4.3 2 - Set Time-Of-Day Clock

To set the internal time in accordance with the actual time. To check the
previous time it will be displayed in the lower left corner.

1 - Set Time
- 2-SetDate

4.4 3 - Change DSA-Window

Available only with Option subtraction modes

4.5 4 - Change English/German

To transfer the menu language from English to German or vice versa;

select the menu and press the return key.

36
4.6 5 - Clear Hard Disk

In this menu the hard disk can be erased (formatted).

4.7 6 - Autotransfer ON/OFF

To switch on and off the autotransfer-functjon; select the menu and press
the return key.

This function transfers automatically the image from the left CRT to the
right CRT when radiation starts. If it is switched on, the lamp at button
26 (Image Transfer) Iights up.

37
 ***APpENDIX***

1. Registration Number

2. Measuring Data for Radiation Protection

3. Certificate for Standard Measuring Data

4. X—ray Tube Performance Chart

5. Protective Tube Housing Test

6. Location of WARNING and CAUTION labels

 Registration Number

REGISTRATIQNNO.: BY 287/84/RÖ
0C8510253-02

COMPLIES WITH DHHS RADIATION PERFORMANCE STANDARDS,

21 CFR SUBCHAPTER J
MANUFACTURED BY ZIEHM GmbH, GERMANY

2. Measuring Data for Radiation Protection

Test certificate for mobile X-ray image intensifier

EXPOSCOP CB7-D

Type: CB7-D Serial No

2.1 Technical documents:

Operating Instructions and Customer Service Instructions

2.2 Dose rate measuring

Filter 25 mm Aluminium
92 cm focus-ii-djstance

with grid

cm ~iGy/s kV mA

cm ~Gy/s kV mA
3. Certificate for Standard Measurin~ Data
for image intensifier television System EXPOSCOP CB7-D, mobile with C-arm
for surgery and traumatology with automatic dose rate control.

Type: CB7-D
Technical Data:
X-ray Tube: Ziehm stationary anode double focus tube

Focal spot 0,6 for fluoroscopy

nominal value: 1,5 for exposure

Generator: Ziehm high frequency single tank X-ray generator

Fluoroscopy output: 36 kV, 0,2 mA up to 110 kV, 6 mA

Radiography output: 36 - 110 kV, at 20 mA

Exposure time: 0,1 sec - 4 sec

(Radiography)

Collimation System: Iris collimator and semi transparent siot collimator

-

Cassette holder: 18x24, 24x30cm

Fluoroscopy grid: Round grid, r = 6, N - 28

Image intensifier: Cesium Iodid tube 17 cm/10 cm

Optional 23/15 cm

Television: 50 Hz, 625 lines

60 Hz, 525 lines
20 MHz band width, electronic
image reversal

Power supply: 100V, 110V, 120V

50 (60) Hz, 2 x 20 A slow fuses
220 V, 240 V
50 (60) Hz, 2 x 15 A slow fuses
4. X-ray Tube Performance Chart

For X-ray tube, insert

Manufacturer: Ziehm GmbH, Nürnberg

Type: EP-F 181-0,6 / 1,5-125-60

Production No.: 912 /

Effective focal spot: 0,6 mm x 0,6 mm /

1,5 mm x 1,5 mm

Installed into protective tube housing

Manufacturer: Ziehm GmbH, Nürnberg

Type: Maxipuls 3 - 110

Production No.:

Maximum admissible high voltage: 110 kV

Date: Ziehm GmbH,Nürnberg

5. Protective Tube Housing Test

X-ray Unit

Protective tube housing type: Maxipuls 3 - 110

Productjon No.

X-ray tube: Ziehm

EP-F 181-0,6 / 1,5-125-60

Production No.
912/

Registration No.: BY 287/84/RÖ

Inherent filtering: 3 mm AL

Dose Rate Control:

kV-mA are constant pairs and are directly indicated at the control desk - mobile
stand (DIN 6811 of January 1972, Point 33.1.2).
Maximum ope~ating values for fluoroscopy: 110 kV, 6 mA

Testing of Automatic Dose Rate Control:

According to X-ray regulations the automatic dose rate control has to be checked
once per month as follows:

Insert lead apron, e.g. 0,5 mm Pb, into the radiation in a way that the complete
input field of image intensifier is covered. The digital kV indication must
increase from approximately 40 kV to approximately 70 kV.
 OI4~ Z~ QZO~ ~CJ~3S
I~ ~3L~K~ 9flS SNOfLU1~3U ~ S31~W UO~
~ 51 ~O5 3H1 ~O 15AQl1)~

~3lJIS5fl5l )~l4l ll~

111111 MOIlDltflrxoj UI ~ fl *

(UNI (SEI 311355UE 350 ION 00

OH 1 NUUM
 EXPOSURE TABLE for EXPOSCOP CB7 - D
(~?E~ Patients of medium thickness
ZIEHM Plaster cast = Exposure time x 1.5 ZIEHM
with grid cassette without grid cassette
and film, screen combination (SE 4) with universal screen
Skull p.a. 73 kV 1.3 sec Shoulder joint a.p. 66 kV 0.5 sec
Skull lateral 66 kV 0.8 sec Shoulder joint axial 66 kV 0.7 sec
Sinuses p.a. 73 kV 2.5 sec Upper arm a.p. 1 lateral 57 kV 0.5 sec
Lower jaw lateral 60 kV 0.4 sec Elbow a.p. 57 kV 0.4 sec
1.- 7. Rib 63 kV 0.8 sec Elbow lateral 57 kV 0.5 sec
8. - 12. Rib 70 kV 2.0 sec Forearm a.p. 52 kv 0.5 sec
Sternum p.a. 63 kV 1.6 sec Forearm lateral 55 kV 0.6 sec
Clavicle p.a. 63 kV 0.4 sec Wrist joint d.v. 48 kV 0.3 sec
Shoulder-blade a.p. 66 kV 0.7 sec Wrist joint lateral 52 kV 0.4 sec
Lung p.a. 60 kV 0.25 sec Hand d.v. 48 kV 0.2 sec
Lung lateral 73 kV 0.5 sec Finger 48 kv 0.1 sec
Kidney, gall bladder a.p. 75 kV 1.8 sec Femur top 70 kV 1.2 sec
Kidney, gall bladder lateral 85 kV 2.0 sec Femur bottom 66 kv 0.8 sec
Urinary bladder 73 kV 2.5 sec Knee joint a.p. 60 kV 0.5 sec
1. - 3. Cervical oral 60 kV 1.0 sec Knee joint lateral 60 kV 0.5 sec
4. - 7. Cervical a.p. 60 kV 1.25 sec Knee joint split 60 kV 0.5 sec
1. - 7. Cervical lateral 66 kV 0.4 sec Knee cap axial 60 kV 0.5 sec
Upper dorsal vertebral a.p. 63 kV 1.6 sec Lower leg a.p. 60 kV 0.5 sec
Lower dorsal vertebral a.p. 73 kV 2.0 sec Lower leg lateral 60 kV 0.4 sec
Dorsal vertebral lateral 70 kV 2.5 sec Ankle joint a.p. 60 kV 0.7 sec
1. - 4. Lumbar vertebral a.p. 73 kV 1.3 sec Ankle joint lateral 60 kV 0.3 sec
1. - 4. Lumbar vertebral lateral 81 kV 3.0 sec Calcaneus lateral 60 kV 0.4 sec
5. Lumbar vertebral a.p. 81 kV 1.7 sec Calcaneus axial 60 kV 0.7 sec
5. Lumbar vertebral lateral 90 kV 3.2 sec Metatarsus 60 kV 0.2 sec
Pelvis a.p. 73 kV 1.5 sec Metatarsus diagonal
Sacrum - coccyx a.p. 77 kV 1.5 sec Foot lateral 60 kV 0.2 sec
Sacrum - coccyx lateral 85 kV 1.5 sec Toes 60 kV 0.1 sec
Neck of femur lateral 85 kV 1.5 sec
Femur top 70 kV 1.0 sec
Femur bottom 66 kV 0.6 sec
 EXPOSURE TABLE for EXPOSCOP CB7 - D
~ Patients of medium thickness
ZIEHM Plaster cast = Exposure time x 1.5 ZIEHM
with grid cassette without grid cassette
and film, screen combination (SE 4) with universal screen
Skull p.a. 73 kv 1.3 sec Shou].der joint a.p. 66 kV 0.5 sec
Skull lateral 66 kV 0.8 sec Shoulder joint axial 66 kV 0.7 sec
Sinuses p.a. 73 kv 2.5 sec tJpper arm a.p. / lateral 57 kV 0.5 sec
Lower jaw lateral 60 kV 0.4 sec Elbow a.p. 57 kV 0.4 sec
1.- 7. Rib 63 kV 0.8 sec Elbow lateral 57 kV 0.5 sec
8. - 12. Rib 70 kV 2.0 sec Forearm a.p. 52 kV 0.5 sec
Sternum p.a. 63 kV 1.6 sec Forearm lateral 55 kV 0.6 sec
Clavicle p.a. 63 kv 0.4 sec Wrist joint d.v. 48 kV 0.3 sec
Shoulder—blade a.p. 66 kV 0.7 sec Wrist joint lateral 52 kV 0.4 sec
Lung p.a. 60 kV 0.25 sec Hand d.v. 48 kV 0.2 sec
Lung lateral 73 kV 0.5 sec Finger 48 kV 0.1 sec
Kidney, gall bladder a.p. 75 kV 1.8 sec Femur top 70 kV 1.2 sec
Kidney, gall bladder lateral 85 kv 2.0 sec Femur bottom 66 kV 0.8 sec
tJrinary bladder 73 kV 2.5 sec Knee joint a.p. 60 kV 0.5 sec
1.- 3. Cervical oral 60 kV 1.0 sec Knee joint lateral 60 kV 0.5 sec
4. - 7. Cervical a.p. 60 kV 1.25 sec Knee joint split 60 kV 0.5 sec
1.- 7. Cervical lateral 66 kV 0.4 sec Knee cap axial 60 kV 0.5 sec
tjpper dorsal vertebral a.p. 63 kV 1.6 sec Lower leg a.p. 60 kV 0.5 sec
Lower dorsal vertebral a.p. 73 kv 2.0 sec Lower leg lateral 60 kV 0.4 sec
Dorsal vertebral lateral 70 kV 2.5 sec Ankle joint a.p. 60 kV 0.7 sec
1. - 4. Lumbar vertebral a.p. 73 kV 1.3 sec Ankle joint lateral 60 kV 0.3 sec
1. - 4. Lumbar vertebral lateral 81 kV 3.0 sec Calcaneus lateral 60 kV 0.4 sec
5. Lumbar vertebral a.p. 81 kV 1.7 sec Caicaneus axial 60 kV 0.7 sec
5. Lumbar vertebral lateral 90 kv 3.2 sec Metatarsus 60 kV 0.2 sec
Pelvis a.p. 73 kV 1.5 sec Metatarsus diagonal
Sacrum - coccyx a.p. 77 kV 1.5 sec Foot lateral 60 kV 0.2 sec
Sacrum - coccyx lateral 85 kV 1.5 sec Toes 60 kV 0.1 sec
Neck of femur lateral 85 kV 1.5 sec
Femur top 70 kV 1.0 sec
Femur bottom 66 kV 0.6 sec