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DP326B-1 / DP326B-2 / DP326B-3

Digital Medical X-Ray


Radiographic System

User Manual
English
Error! Use the Home tab to apply 标题 1 to the text that you want to appear here.

Dear Customer,
We are very glad to have you as the user of Digital Medical X-Ray Radiographic System of
SHENZHEN ANGELL TECHNOLOGY CO., LTD. This Manual provides guidance for you to use the
system safely and conveniently.
For safe and correct use of the device, please read the instructions in this Manual carefully before using
it. Put the Manual in a readily available place for quick reference.
If the product is improved for safety purposes or compliance with relevant regulations, this Manual will
be modified correspondingly without further notice.

General instruction
u Guidance
n Text list

Reason/danger source
Possible result
u Prevention and remedial measure
Caution/Warning

Availability Before using it, only the staff with full training of the device usage can
use the system.
Before using this system, the operator should read and understand the
device usage and safety instructions contained in this Manual.
If the device using instruction and safety instruction in the Manual is
not obeyed, it may cause serious injury to the patient, the operator or
other persons.
Original language The initial version of the User Manual is in Chinese.
Version This Manual is applicable to DP326B-1, DP326B-2, DP326B-3 system.
Software name DXRay Diagnost-CELV
Issue version: CN V1
Complete version: CN V1.0.0.0

Product information
Product name: Digital Medical X-ray Radiographic System
Specifications and model: DP326B-1, DP326B-2, DP326B-3
Registered product standard No.: Guangdong Registration Certificate 20202060017 for Medical
Devices
Medical device registration No.: Guangdong Registration Certificate 20202060017 for Medical Devices
Production license No.: GDMPA Production License No. 20051197 for Medical Devices
Production date: see in the nameplate label
Expiry date: see in the nameplate label

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Do you have any comments on the User Manual?
Manufacturer
PContentsName of registrant/manufacturer: SHENZHEN ANGELL TECHNOLOGY CO., LTD.
Residence: Room 408, Block A, Huahan Innovation Park, Langshan Road, Nanshan District,
Part: System
ShenzhenSafety
Production Address: Building 2, 1st, 2nd and 5th floor of Building 3, Liu Xian Er Rd, No.1,
Xin'an Street, Bao'an District, Shenzhen, China
After-sales service: SHENZHEN ANGELL TECHNOLOGY CO., LTD.
Free hotline: +86-400-885-8890
Marketing Department Tel.: +86-755-8601 6630-812 Fax: +86-755-2685 9389
Website: http://www.szangell.com

We will work constantly to improve the quality of our product document. To that end, you can
send us your suggestions and opinions about this Manual. Use +86-755-26859389 if you want
to provide feedback by fax. If you want to send feedback by E-mail, you can use the address
market@szangell.com and please note the version No. of the product Manual.

Thanks for your support again, and we will strive to improve our product.

Change Records
Change Date Description Version No.
1 2018.8.30 First release V0
2 2019.5.9 Release after change V1

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Contents
Part: System Safety
PART: SYSTEM SAFETY ...................................................................................... 8
General information ....................................................................................................................... 8
Text layout ..................................................................................................................................... 8
Symbols and labels ........................................................................................................................ 9
Illustration ................................................................................................................................... 10
Numerical expression ................................................................................................................... 10
Availability .................................................................................................................................. 10
Software data protection............................................................................................................... 11
Image quality ............................................................................................................................... 11
Cleaning and sterilization ............................................................................................................. 12
System movement ........................................................................................................................ 12
Red emergency stop switch .......................................................................................................... 13
Position of the emergency STOP switch ....................................................................................... 13
Dangerous area and dangerous point............................................................................................. 14
Mechanical safety ........................................................................................................................ 15
Radiological protection ................................................................................................................ 16
Protection measures ..................................................................................................................... 20
Easy-wearing safety-related components ...................................................................................... 21
Anti-shock protection ................................................................................................................... 21
Fire protection.............................................................................................................................. 21
Installation, maintenance or refitting............................................................................................. 21
Periodic maintenance ................................................................................................................... 22
Product life .................................................................................................................................. 22

PART: SYSTEM OVERVIEW ............................................................................. 23

Chapter: Overview......................................................................................................................... 23
Intended use................................................................................................................................. 23
Product description ...................................................................................................................... 23
System configuration ................................................................................................................... 24

Chapter: Basic System ................................................................................................................... 25

PART: SYSTEM COMPONENTS ....................................................................... 27

Chapter: Mobile rack..................................................................................................................... 27


Operation panel............................................................................................................................ 27
Stand column ............................................................................................................................... 29
Telescopic arm ............................................................................................................................. 30
Front panel................................................................................................................................... 31
Rear panel.................................................................................................................................... 32
Booster armrest ............................................................................................................................ 35
X-ray tube assembly..................................................................................................................... 36

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Anti-collision Mechanicsm........................................................................................................... 37
Machine top signal light ............................................................................................................... 37
Manual unlock mechanisam ......................................................................................................... 38
Unit refretting function....................................................................... Error! Bookmark not defined.
Buckle mechanism ....................................................................................................................... 39
Safety protection control .............................................................................................................. 41

Chapter: X-Ray Digital Flat Panel Detector.................................................................................. 42


General Information ..................................................................................................................... 42
Abnormity instruction .................................................................................................................. 42
Operation..................................................................................................................................... 42
Maintenance ................................................................................................................................ 42

Chapter: High Frequency Generator ............................................................................................ 43


Overview ..................................................................................................................................... 43
High frequency generator specifications ....................................................................................... 43

Chapter: Collimator....................................................................................................................... 44
Overview ..................................................................................................................................... 44
Use .............................................................................................................................................. 44
Main technical indexes ................................................................................................................. 45
Structure and composition ............................................................................................................ 45
Operating method ........................................................................................................................ 46
Installation and debugging............................................................................................................ 47
Replacement of light .................................................................................................................... 49
Notice .......................................................................................................................................... 49
Troubleshooting ........................................................................................................................... 50
Description of the marks .............................................................................................................. 50

PART: SYSTEM OPERATION .............................................................................51

Chapter: System startup ................................................................................................................ 51

Chapter: System positioning motion.............................................................................................. 52


Collimator positioning.................................................................................................................. 52
Telescopic arm positioning ........................................................................................................... 52
Stand column positioning ............................................................................................................. 54

Chapter: Console software operation ............................................................................................ 54

4.1 Summary .................................................................................................................................. 55


4.1.1 Scale of this manual............................................................................................................. 55
4.1.2 System structure .................................................................................................................. 55

4.2 Installation................................................................................................................................ 56
4.2.1 Software installation ............................................................................................................ 56

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Contents
4.2.2 Software registration............................................................................................................ 61
Part: System
4.2.3 Detector Safety
configuration ......................................................................................................... 62

4.3 Work flow of study ................................................................................................................... 63


4.3.1 Login .................................................................................................................................. 64
4.3.2 Logout ................................................................................................................................ 65
4.3.3 Devices validating and configuration ................................................................................... 66

4.4 Study management ................................................................................................................... 68


4.4.1 Work list.............................................................................................................................. 68
4.4.2 Registration ......................................................................................................................... 69
4.4.3 Study list ............................................................................................................................. 71

4.5 Image acquisition...................................................................................................................... 72


4.5.1 Diagram of body position .................................................................................................... 73
4.5.2 Generator exposure parameter setting .................................................................................. 73
4.5.3 Image preview ..................................................................................................................... 75
4.5.4 Toolbar................................................................................................................................ 76

4.6 Image browse ............................................................................................................................ 79


4.6.1 Tools ................................................................................................................................... 79
4.6.2 Image advanced process ...................................................................................................... 89
4.6.3 Image stitching .................................................................................................................... 95

4.7 Image and text report .............................................................................................................. 100


4.7.1 Report edit ......................................................................................................................... 100
4.7.1 Report printing ................................................................................................................... 105

4.8 Image archive, export and printing......................................................................................... 106


4.8.1 Image archive ..................................................................................................................... 107
4.8.2 Image export ...................................................................................................................... 107

4.9 System configuration ............................................................................................................... 113


4.9.1 System management ........................................................................................................... 113
4.9.2 Study management ............................................................................................................. 121
4.9.3 Reject analysis.................................................................................................................... 124
4.9.4 User management ............................................................................................................... 128
4.9.5 Password modification........................................................................................................ 131
Unit status prompt message ......................................................................................................... 133
Dosimetric indications................................................................................................................. 134

Chapter: Functional and inspection ............................................................................................. 134


Daily routine inspection .............................................................................................................. 134
Before inspection ........................................................................................................................ 134
During inspection........................................................................................................................ 135

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Chapter: System setting ................................................................................................................ 135
System motion in case of failure .................................................................................................. 135
System motion ............................................................................................................................ 135
Picture inversion ......................................................................................................................... 135

PART: INSPECTION ........................................................................................... 137

Chapter: Digital X-ray photographing ......................................................................................... 137


Important information ................................................................................................................. 137
Exposure..................................................................................................................................... 137
Saving of radiography parameters ............................................................................................... 137

Chapter: List of accessories .......................................................................................................... 137

PART: TECHNICAL DESCRIPTION ................................................................ 139

Chapter: Label position ................................................................................................................ 139

Chapter: Technical data................................................................................................................ 140


System ........................................................................................................................................ 140
Components ................................................................................................................................ 140

PART: EMC INFORMATION ............................................................................ 145

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Part: System Safety

Part: System Safety

General information

Scope: This User Manual describes all of the performance of the system

Introduction of the complete system covers all available options and components. The
options may not be specially labeled, and a specific system may not have certain options
or components.

The text quoted in your order is the only reference of the system function
scope.
◆ Specific system may not have certain options or components.
◆ If your system does not have some features, please contact local sales
representative.
Installing As you read this User Manual, some system components described in
system this Manual may not be installed on your system.
components On the other hand, if the detailed information of components and options
installed on your system is not included in the following chapters, you
can find it in other User Manual.
Third-Party Please obtain the description, operations, and technical data of third-party
components components from the document of the third-party component supplier.
System User The Manuals of Calibration tool and DXRAY DIAGNOST image
Manual workstation are attached under your software content, and you can find
instructions about software calibration and regular software operations.
Safety ◆Always pay attention to relevant safety information. Ignoring the
safety information is regarded as unconventional use.
Legislation The installer or operator has the responsibility to obey relevant
regulations.

Document structure
Parts This Manual consists of different parts. The title of every part is on the
first line on the left side of the page.
Chapters Each section contains one or more chapters.

Pages The footer contains the total number of pages and page number; and the
page numbers are continuous throughout the whole User’s Manual.

Text layout

The important information emphasized in the text serves to help you use the system properly and
avoid errors. But the subject stressed in the information usually does not cause immediate danger.

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And the information also provides other useful explanations on the subject.

Examples of notice

Structure of safety information


Risk reasons/hazard source
Probable results
Caution/Warning ◆ Preventive and remedial measures
Warning indicates that if the existing danger cannot be avoided, death or serious injury will occur.
Caution indicates that if the existing danger cannot be avoided, minor or moderate injury or
property damage will occur.

Symbols and labels

"On" or
Caution Manufacturer
power on
"Off" or
Type B applied part Production date
power off

GND Focus position Serial Number

Do not touch Ionizing radiation User Manual

Dangerous Emergency stop


AC
voltage
Protective
Battery sign Battery display status
grounding (earth)
The system is emitting Refer to User
Standby
X-rays Manual

It indicates that waste from electrical and electronic equipment cannot be disposed of

as unclassified urban waste and shall be disposed of separately. Contact the

manufacturer’s authorized agent or an authorized waste management company for

information on disposal of waste equipment.

The environmental protection service life mark indicates that the toxic or hazardous

substances or elements contained in electronic information products will not leak or be

abrupt under normal use conditions, and users of electronic information products will

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Part: System Safety
not cause serious pollution to the environment or cause serious damage to people and

property in this period.

Illustration

All the device illustrations and illustrations of user’s interface programs in this User Manual are
merely examples.
The options installed as well as configuration and continued development of the system may cause
some difference in details in your system.
The copy of images may lead to detail loss. Therefore, the images in this User Manual do not
represent the actual image quality.
All the patient names in the image or picture are made-up. It is purely by accident if any of the
names is similar to that in real life.

Numerical expression

All the technical data are typical values unless specified tolerance is given.
The value in the picture of software user interface has no clinical significance.
You can only set default values in the inspection setup, or use the value recommended by
experienced application specialists.

Availability

The system can only be used by the personnel with necessary expertise and sufficient training
(such as radiologist doctors and medical professionals).
Patients range from newborns to old people.
The operator should operate it according to the use requirements of the system in the User Manual
with special medical knowledge and relevant skills, minimum radiation, good exposure protection,
safe operation, and protection of patient safety.
The operator using and moving the system must have similar knowledge and professional skills.
The user must know about the contents of the operating manual.
Device training: related usage training given by the representative of SHENZHEN ANGELL
TECHNOLOGY CO., LTD. If there is a staff turnover, training must be continued. It is the
responsibility of the system operator.
User Manual and Notice: Before using this system, please read and understand all instructions in
the User Manual, and you can require SHENZHEN ANGELL TECHNOLOGY CO., LTD. to
provide additional training when necessary. Always put the User Manual in a place near to the
device and review the operation procedures and safety notice periodically.
Failure to follow the User Manual or safety notice may cause serious bodily injury to you,
the patient, and other persons.
Make sure that all patient-related lines (fluid and oxygen tubing sets, etc.) are arranged

10 / 149
appropriately to prevent twist when the device is moved.
The patient must be accompanied by the caretaker in the check-up room. If there is no caretaker
around, the patient may fall from the check-up bed when the movement control may be started; or
other hazard may occur.

Radiation safety always use the proper technical factors during each check-up to minimize X-ray
exposure and obtain the best diagnosis result.
Non-trained user operating system.
Risk of incorrect diagnosis and treatment due to misunderstanding of image
information.
The system can be used only by personnel who have related professional
Caution knowledge and have received appropriate employment training (such as
physicians, trained radiologists or trained technicians).

Software data protection

Copyright The system and user software in the device are all protected by the copyright.
DICOM consistency The imaging system software complies with the DICOM3.0 standard.

Risks
Not allowed or wrong operating software changes or the system is connected to
some network.
Risks of misoperation and software crash.
The data is reset and restored by using backup configuration, and corresponding
Caution
users are applicable to corresponding safety levels only.

Report
Correct image position - patient body position.
The operator must ensure that the position of image on the monitor or film is correct.
Patient position data is incorrect; the selected position is inconsistent with an
actual position; or the image is turned over.
Risks of incorrect diagnosis, such as chaos of the top, down, left and right of
images.
The examiner must be responsible for function use and correct interpret and
Caution deduce on image.
Patient position data must be checked in current image so as to eliminate any
possible error.

Image quality

To ensure that the imaging system can produce satisfied images in display, the display must meet
standards of specific image quality. Image quality may decline gradually because aging and
normal wear of display and other components.

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Part: System Safety
The image quality must be checked periodically (every three months) after installation. This
ensures that the system is still suitable in the diagnosis and planning treatment.
The operator has to be qualified and the image quality has to be
guaranteed to meet specified standards in installation and maintenance
instructions.
Note
Only can a display with determined brightness and contrast be applicable
to real-time medical diagnosis. For diagnosis made according to a
non-original display, the company assumes no responsibility.

Cleaning and sterilization

Use powerful detergents, liquid or spraying agents.


Electrical hazards or risk of damaging the system.
Only recommended materials can be used for cleaning and disinfection.
Make sure that no cleaning fluid enters into the machine (for example, ventilation
Caution
opening or cover clearance).
The system should be turned off correctly before cleaning.
Insufficient cleaning/disinfection.
Risk of infection.
After each examination, clean and disinfect all contaminated surfaces/parts and
all parts which are possibly (or have been) contacted by patients.
During cleaning, only water or household-use surface cleaning fluid can be used.
Caution
During disinfection, please use medicinal alcohol. Use of other
non-recommended detergents may cause equipment damage.

When cleaning the screen or monitor, be sure to use damp cloth without cleaning agents.
Liquid crystal display (LCD) is very sensitive to mechanical damage. Therefore, prevent scratch
and shock to the LCD.
Please wipe off water droplets immediately, for contacting with water for a long time causes
surface discoloration.
After cleaning and disinfection, after the room is fully ventilated, turn on the power of the device.
If there is residual flammable gas in the room, it may cause fire and explosion when it is
energized.

System movement

Operations on the system must be very careful.


Manual movement.
Extrusion or collision of the patient and objects may cause risk of injury when
close to the motion part.
Because the x ray system can move up, stretch, lower, and rotate, ensure that all
Caution
people are out of the system’s moving area.

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Braking function
If there is any danger, stop the system motion immediately. In case of special danger, use the
red emergency stop switch to stop.
Danger of extrusion
Please be aware that there may be a risk of crushing when moving near moving parts. Pay
particular attention to the risk of crushing your fingers or hands between moving parts and their
guides. Before starting exercise, make sure that the patient has no contact with the location where
there is a risk of squeezing.

Red emergency stop switch

If a malfunction of the system motion causes an emergency thus endangering the patient,
operator or system, make the following operations: Immediately press the red emergency stop
switch.
All drives of the system will be cut off, and the system stops right away. The motion can
continue only after the STOP switch is canceled and power is restarted.
When the system error occur, please press and reopen the emergency
STOP (stop) switch.
Note
The system will be reinitialized.
The operating state is displayed on a data display.

Position of the emergency STOP switch

Emergency
stop switch

Position map of the emergency stop switch on the operation panel

Description of the emergency stop switch on the operation panel:


Use this method for shutdown only in case of emergency. After the emergency stop switch is

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Part: System Safety
pressed, all rack motion will stop. Meanwhile, the Power-on button on the control cabinet will not
be able to start up the device. In order to restart the device, rotate clockwise to release the
emergency stop switch after making sure that all risk factors are released, then press the Power-on
button on the control cabinet to start up the device.

Dangerous area and dangerous point

The positions marked in the following illustration shows the dangerous area that may harm patient
or operator due to extrusion or collision:
In the system motion process, for the motion of rack, the dangers causing the bodily injury may
exist in some areas.
Make sure that no people or objects are present within the rotation range of the rack.
Ensure that there is no person or material within the motion scope of the supporter.
When rotating or lifting, the patient is subjected to squeezing and
collision under accidental inertial motion.
When the patient is positioned in a dangerous motion area, please avoid
the movement.
Caution
Be careful if you must exercise.

Tube expansion by 720mm~1220mm

Tube
lifting
by
580mm
~
1800m
m

Dangerous area for lifting and expansion of tube

14 / 149

+315° -315°

Dangerous area of the stand column rotating ±315°


If the patient is positioned in the dangerous area, make sure that the
operator is in the operation room and in an accessible range of the
Note emergency stop switch. If the operator leaves the check-up room or is out
of operating range of the emergency stop switch, patient has to be moved
out of the dangerous area.

When the equipment elevates or makes a tilted rotation motion, the user
Note may be just under the equipment. When the distance between the
equipment and the user is too small, the user might be injured.

Please pay attention to the space between the equipment component and
patient.
Warning

Mechanical safety

Patient positioning
The patient’s hands, arms, legs, and hair should not reach the unsafe area that is outside the edge
of the rack detection area.
Please check to see if all safety devices are installed and working normally, especially if the
mobile rack is locked.

Scratches, and accidental injuries.


Take care to avoid getting your hair and clothing caught in the inspection rack.
Caution

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Part: System Safety
The patient collides with the flat panel detector, causing accidental injury to the
patient and damaging the detector.
Warning

Radiological protection

The system image acquisition adopts Collimator and high KV imaging and it can significantly
reduce the radiation dose to the patient.
Even if the machine is accurately used, due to too long check-up time, skin dose will be high, and
radiation damage will be caused. You are advised to try to control unnecessary shooting time.
Please choose proper SID or SSD – Spot to Skin Distance, which will affect the radiation dose to
the patient and the image quality.

Please select an appropriate check setting to check. Under the condition of ensuring to acquire
enough diagnostic information, the accepted dose of the patients and subjects must be as low as
possible.
If possible, a shooting or acquiring program for saving the dose shall be selected.
Since exposure to X-ray radiation is harmful to health, protective measures should be taken to
avoid exposure to the main beam.Some of the effects of X-ray radiation are cumulative and may
show up months or years later.The best safety guideline for X-ray operators is to "avoid direct
exposure to the main beam at all times."Lead shielding is an effective protective measure.To
minimize the risk of radiation exposure, protective devices such as lead screens, lead-filled gloves,
aprons, and thyroid retainers should be used.
X-ray beam limiting method
This system uses wireless flat panel detector with a distance from the focus to detector of
1.0m~1.8m. Therefore, the system uses the size adjustable collimator to limit the X-ray beam.
When adjusting the SID distance, the window of collimator will also follow the adjustment. And
end user can adjust it according to different body positions.
In the plane perpendicular to the reference axis at a focal point of 1 m, the minimum size of the
X-ray field can be selected, and the length and width thereof are not more than 0 cm;

X-Ray beam field in normal use


The system uses size adjustable collimator and distance from focus to detector is 1.0m~1.8m.
With different SID, the system can have 350mm x430mm x-ray beam field by adjusting the
collimator window size.The extra-focal radiation are shown as below. The extra-focal radiation
zone (W2) is less than 15cm.

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Extra-focal radiation zone
X-ray beam field size inspection
The LED light inside collimator can be used as a radiation field indicator. When any collimator
light button on the collimator panel, bed-side panel or control panel is pressed, the internal LED
light of collimator will light up, which can be used for the x-ray beam field size inspection.

The distance from the focus to detector when the system is in normal use: 1.0m~1.8m.

Since exposure to X-ray radiation can be detrimental to health, protective measures shall be taken
to avoid exposure to the main beam. Some of the effects of X-ray radiation are cumulative and
may manifest themselves after months or years. For X-ray operators, the best safety precaution is
to “avoid direct exposure to the main beam at any time”.
Lead shielding is an effective protective measure. In order to minimize the risk of exposure to
radiation, protective devices such as lead screens, lead-in gloves, aprons, and thyroid retainers
shall be used.
Prior to operation, professionals operating the system shall be familiar with the provisions for
irradiation dose of the Basic Standards for Protection against Ionizing Radiation and for the
Safety of Radiation Sources (GB 18871-2002) and have received training on the operation of the
system.
The radiation protection of the mobile digital X-ray system is consistent with GB 9706.12.
The software system sets up pre-installed check settings that are based on
Note
extensive clinical experience and can be recalled using the mAs mode by

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Part: System Safety
selecting the appropriate radiography position.
About how to change the check setting of some part, please consult customer
service engineer.

Group unsuitable for X-ray examination

Pregnant women.
People with incontinentia pigmenti.
People with angioderma pigmentosum.
People with ataxia telangiectasia.
People with fanconi anemia.
People with Down's syndrome
People with other diseases with high sensitivity to x rays.
For example, diseases such as scleroderma, porokeratosis, presenile dementia, retinoblastoma,
multiple endocrine neoplasia are highly sensitive to x rays. Disease aggravation or tumor
occurrence is easily caused after x ray irradiation.

Radiological protection of patients

u Ensure to take the most effective protection measures for the patient while exposure near the
reproductive organ. Protect the genital glands with a shield or a rubber cover with a lead
lining.
u The radiation area must be kept as small as possible under the condition that effective
measurement areas are not reduced.
u If possible, move off all parts which X-ray cannot penetrate from the shooting area.
u Set tube voltage of the x-ray tube to a value as high as possible. (Under the condition that the
image quality is not influenced)
u Try to set the distance to be farthest in a reasonable range from the X-ray tube to the skin.

Radiological protection of checkers (doctors)

u If possible, the image acquisition series should be started in the operation room.
u Try to avoid retention in a ray area.
u Try to keep away from the radioactive source.
u Check your personal radiation value by wearing a radiation dose monitor or a pen type
dosimeter.
u Use extra mechanical protection shield. (such as protection of a mobile lead shield on upper
or lower body)

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Stop in emergency cases

If there is a problem during the checking process, and radiation cannot be stopped by releasing an
exposure hand box:
Please press the emergency stop switch.

Avoiding unnecessary radiation

Ensure that the X-ray radiography range in the check room is in the stroke of the image receiver
before starting image acquisition.

Radiological Protection Area

The operator represented by image section faces the range which can be covered by rays.
The operating area is indicated by a diagonal line, indicating its size, and the dotted line outside
the machine is the main operating area, in centimeters.

Main radiation area

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Part: System Safety

Scattering radiation in the main operating area

Protection measures

Avoid equipment damage.


Ensure that there is no barrier in the motion range before system motion starts (especially lifting
and rotating columns)
System motion.
Collision risk.
The operator’s responsibility is to ensure that system motion is made only when
the operator, patient and a third party or other equipment are not endangered by
these motions.
Caution
u Ensure that you stand outside the dangerous area.
u Remove all objects or attachments out of the collision area.
u Remove chairs, steps, trash cans and similar items from the motion area.
u Do not place anything in the operating area of the operator panel.

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Do not place any folders next to the operating area of the operator
Note
panel. A folder slip can cause unexpected system motions.

Accidental activation of a motion control element.


Collision of the patient, operator or equipment.
u Patient location.
u Control the patient and bracket.
Caution u Do not allow the patient to remain in the rack area in the absence of
operator.
Do not use the following system components as seats or supports: rack columns, tube support
arms, tube covers, collimators, abnormal loads can cause material breakage and damage to the
bearings.
Do not place the open lid container filled with liquid or paste on the operation panel. There
may be spills, leaks, or inflows into system components that result in system operation being
disturbed or mis-exposure.
Out-of-control accidentally activated motion.
Collision and injury of the patient or operator, and damage of machinery
equipment.
Caution u If the motion does not stop, press the nearest emergency stop switch.

Easy-wearing safety-related components

The system does not include easy-wearing safety-related components.

Anti-shock protection

The power supply must have an anticreep air switch for all product-related power circuits operated
in a ray system range.

Fire protection

If there is fire, please immediately shut down the whole system, it means cut off main power of
the system.
u Turn off the 220V power input master switch.
u Turn off the air switch in the machine
u Use a CO2 fire extinguisher.
u Do not extinguish fire with water.

Installation, maintenance or refitting

Maintenance or addition of products must be in compliance with related regulations and general
engineering standard.

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Part: System Safety
As manufacturer of the equipment, the company assumes no responsibility on the safety,
reliability and performance of the equipment in the following cases:
n Upgrade, re-debugging and refitting or maintenance of installation equipment is not
implemented by personnel authorized by the company.
n Components that influence product safety operation are not replaced by original accessories
when error occurred.
n Indoor electrical facilities fail to meet the requirements of product regulations or
corresponding national regulations.
n The product is not accurately used according to instructions in the operation manual.
n The state of the signals from external interlock is indicated by visual means in the installation
We can provide technical documents of product with payment at your request. However, owning
these documents does not indicate that you are approved to maintain.
We assume no responsibility for maintenance performed without our
Note
written permission.

Periodic maintenance

In order to ensure the personal safety of the patient, operator and other personnel, periodic tests
must be performed to maintain the safety and normal functions of the product.
Add lubricating grease into bearing, chain and gear every six months, so as to guarantee smooth
motion of swing arm rack.
Check pipe casings and holes through which cables pass every half a year, so as to prevent mice
biting and accumulated water soaking.
Back up image data timely, so as to avoid data loss caused by system damage due to random error
occur.
Correct the flat panel detector every year.
Correct the X-ray tube every year.
All parts which possibly cause danger in the system must be checked by trained technicians and
are replaced when necessary. Our company provides free maintenance for you in warranty, and
periodic check is one part of annual maintenance. If warranty expires, we suggest you renew a
maintenance contract.

Product life

If the products are used under average conditions according to related requirements of the
operation manual, the service life of outer products is about 10 years. If using time of these
products is longer than the service life, and to ensure functions and operation safety of these
products, it is highly necessary to check and maintain the products in addition to routine
maintenance.

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Part: System Overview

Chapter: Overview

Intended use

This device is Digital radiography DR single acquisition/ radiography。This device is used to


convert X-ray images into visible images. The system generates X-rays from the X-ray tube
through a high frequency generator. The X-ray passes through the examined part of the human
body to reach the flat panel detector, and real-time image processing is performed by A/D
conversion to realize the transition of the analog X-ray image to digitization. X-rays are then sent
to a computer for image processing, which can be used by medical institutions for image
processing and diagnosis of medical X-ray imaging systems, and can be used for outpatient
examinations and emergency examinations.

Product description

The logo for the entire system is located on the front panel. The basic system is equipped
with an X-ray digital flat panel detector. The electromagnet is used to control the unlocking and
locking of column lifting and tube expansion. After unlocking, the column lifting and rotation as
well as the expansion of tube’s telescopic arm are manual operation. The tube and the collimator
are manually rotated along the vertical axis. The tube and the collimator are manually rotated
along the horizontal axis.

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Part: System Overview
System configuration

Product model division description


D P 3 2 6 B- X

Stands for tube configuration

Stands for detector configuration: B stands for Angell-CELV-101C

Stands for wireless configuration (“6” detector wirless type)

Stands for mechaniguration (“2” stands for mobile rack)

Stand for high-voltage configurations (3 stands for 32KW)

Stand for the company’s product line, “P” stands for flat panel products

D stands for digital series products

Basic configuration includes:


X-ray digital flat panel detector (hereinafter referred to as detector)
X-ray tube assembly
Mobile rack
High-frequency generator
Image processing system
Collimator

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Chapter: Basic System
Names of system components:

Column

Telescopic arm

Image process
system

High
frequency
generation

Front panel

Anti-collision
baffle

DP326 system assembly drawing


As shown in the figure above, DP326 main components include: X-ray tube assembly,
collimator, buckle mechanism, booster armrest, flat panel detector, rear panel, telescopic arm,
column, image processing system, front panel, high frequency generator, anti-collision baffle, etc

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Part: System Overview
Description of the basic component configurations of the DP326 product:
1. High frequency generator
The main function is to provide high voltage to the X-ray tube for X-ray generation.
2. X-ray tube assembly
The tube assembly is an X-ray generating device and is recommended to be replaced once
every two years. It requires contacting our professional engineers for replacement and
commissioning.
3. Collimator
Collimator: A collimator is a device used to control the X-ray radiation field. The size of the
collimator opening can be adjusted as needed (refer to the following sections for the relevant
operation methods).
4. Mobile rack
It carries high frequency generator, X-ray tube assembly, collimator and image processing
operating system to realize the whole machine motion and the requirements for various
radiographic positions.
5. X-ray digital flat panel detector
The core part of system image acquisition.
6. Image processing system
It is mainly used for exposure control, image receiving, image processing, and for doctors to
read and write reports

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Part: System Components

Chapter: Mobile rack

Operation panel
4

1. Emergency stop switch: After pressing, the power boosting motion is prohibited and the high
frequency generator is turned off.

2. Button switch: After the key switch is turned on, press the button switch to start the high
frequency generator and workstation. The indicator light attached is on when the high
frequency generator is turned on. Press the button again to turn off the high frequency

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Part: System Components
generator and workstation.

3. Key switch: After the key switch is turned on, the auxiliary power supply is powered up and
can move, but the high frequency generator and image acquisition workstation (hereinafter
referred to as the workstation) are not activated.

4. Image acquisition workstation, supporting the following functions:


• Patient registration and case management using the DICOM standard
• Image capture using a digital detector
• Image display and processing
• Transfer images to an image workstation using the DICOM standard
• Export images to a film printer
• System configuration and calibration
5. Battery display: It indicates the battery status; it is divided into six bars indicator. The more
the number of cells displayed, the greater the power.
• In the normal power-on state, the battery level is indicated by the number of displayed cells.
When the system is connected to the network power, the battery automatically charges and
scrolls from the current battery level to the 100% charge level until the battery is fully
charged. It takes up to 10 hours for the battery to be fully charged. The machine can be
operated normally during battery charging. When the battery is fully charged, the battery
level indicator stops scrolling.
• During normal operation, it is recommended to charge when the battery indicator has only
one bar.
• If you continue to use it while there is only one bar left, the power will drop further, and the
first-level low battery reminder will appear: The bar flashes, please charge as soon as
possible. The system can also perform normal operations and exposures with the indicator
bar flashing.
• If you continue to use it, the power will drop further and a second-level low battery reminder
will appear: The indicator bar flashes with a buzzer sound.
• If charging is not performed at this time, the power will be reduced further. Under certain
circumstances, the system will have a low battery shutdown.

Note: After the system has performed multiple exposures or a long exposure, the battery needs
at least 30s to equalize the power, after which the correct battery level is displayed.

Note: After the system has a low power shutdown, the key switch must be turned off, otherwise
the battery will further discharge with low current, causing damage to the battery.

Note: Try to keep the battery voltage relatively full, which is good for battery life.

Warning: If the battery is over-discharged, the battery will be irreversibly damaged.

Warning: If you cannot turn off the workstation normally, please keep pressing the

“button switch” for more than 5s, the system will shut down forcibly.

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Warning: In case of an emergency, press the “Emergency Stop Switch” (red mushroom

switch). When the “Emergency Stop Switch” is pressed, it can only be pulled out after the
danger is removed (it can be pulled out when twisting according to the direction of the mark on
the button).

Note: It is necessary to check the computer system clock regularly for correctness, otherwise
the patient’s examination time will be inaccurate.

Note: Before the computer system is connected to the network, anti-virus software must be
installed to prevent the network virus from damaging the console software.

Warning: Enabling the workstation hibernation function may affect the normal operation

of the system. Please disable the workstation hibernation function.

Warning: Sudden power loss or improper operation of the hard disk may result in loss of

system data.

Warning: Please do not install software that is not part of this system on the system

computer, otherwise the operating system may crash and thus cause data loss.

Warning: Please use the factory-configured burner otherwise the burning process may be

abnormal.

Stand column

Function: There is a transport protection slot on the stand column, which is used to fix the
telescopic arm in the lock position when the product is transported, thus preventing damage to the
components due to transportation vibration. It can be rotated ±315° perpendicular to the ground
for radiographic needs in different orientations. When the set limit position is reached, the motion
cannot be continued.

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Part: System Components

Stand column

Telescopic arm

Function: It is used to connect the X-ray tube and the stand column to realize the horizontal
motion of the X-ray tube and the radiography in different directions. At the same time, the support
of the cable is achieved.

Telescopic arm

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Warning: In general, use the buttons to control and drive the motion of the stand

column and telescopic arm. Do not push the X-ray tube or collimator directly.

Front panel

The front panel is mainly composed of a charging socket, a circuit breaker and network cable plug
etc.

Front panel

1. Charging socket: After plugging in the AC power, start charging the battery pack.

2. Breaker: When the battery power main switch is closed, it can be turned on; when disconnected,
the battery pack power supply is completely disconnected from the system, and all operations are
prohibited.

3. Network cable plug: After plugging into the terminal device, data transmission is performed with
other terminal devices through the network cable.

Note: When the system is charging, it is recommended that the grid power supply be an
independent power supply line. It is recommended that the power line capacity
should be 4KVA or above, and the circuit breaker used should be C16A or above.

Note: When the system is being charged, first turn off the unit (turn off the key switch)
and then plug into the AC power cord. At the end of charging, turn off the unit
before unplugging the AC power cord.

Note: Unplug the circuit breaker if the system is not used for a long time.

Note: When the system is being charged,Device cannot be moved。

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Part: System Components
Note: When the system is being charged,Equipment to avoid contact with patients。

Warning: There are fuses inside the charging socket, one for each of the L and N

wires. If you want to replace it, please use the correct model, otherwise the system
may not function properly or cause safety problems.

Rear panel

The rear panel is mainly composed of an external port, an accessory box, a mouse tray, an
exposure handbrake, and a remote exposure handbrake.

Rear panel

1. External port: including handbrake interface, DVI, USB and network port.

External port
1) Handbrake interface: Used to connect the exposure handbrake.
2) DVI port: Used for external display.
3) USB port: Universal USB interface, which can be connected to a mouse, monitor, USB flash
drive, etc.
2. Accessory box: Used to store the flat panel, handbrake extension cable, power cord, etc.

3. Remote exposure handbrake (optional) and holder: The operator can use the remote exposure
handbrake to operate the remote exposure away from the X-ray tube to protect the operator
from radiation hazards. When the remote control is not in use, put it in the holder to prevent

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loss.

Exposure handbrake

a) Remote antenna: Pull out the antenna when you use it to increase the remote control distance.
b) Indicator: Press the exposure button and the signal indicator turns on.
c) Exposure button: When exposed, press and hold this button.
d) Power switch: When the power switch of the whole remote control is used, turn it to ON.
When it is not used, turn it to OFF.
Use the following procedure to operate the exposure handbrake. Prepare and record the exposure
process:
1) Exposure control: When the remote control power switch is turned on and the exposure
button is pressed, the indicator light is on, and the buzzer of the whole system emits a
beep-beep-beep prompt sound. After a few seconds, a long beep sounds, indicating that
X-rays are emitted.
2) When the exposure is completed, the buzzer stops sounding and the remote exposure
handbrake control is turned off. Turn off the remote control exposure handbrake and put it
back on the holder.

Note: Please release the exposure handbrake after the buzzer sounds to avoid interruption
of exposure.

Caution: Before pressing the exposure handbrake, the operator shall adjust the size of
the collimator window to avoid the patient getting extra X-ray radiation.

Warning: If the buzzer does not sound when the exposure button is pressed, it

indicates that the unit does not receive the signal from the remote controller and needs to be
checked.

There are several possible reasons for the remote control to fail:
1) The remote controller power switch is not turned on, please turn on the switch;
2) The remote controller battery has no power, please replace the battery;
3) The remote control distance is too far, please reduce the distance and try again;
4) Other reasons.
4. Exposure handbrake: Radiographic exposure is performed by handbrake operation.
The buttons on the top of the exposure handbrake have three positions: off, ready, and exposure.

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Part: System Components
Operating Instructions for Exposure Handbrake

Position Description

Off

It is in “Off” position when no pressure is applied to the top button.

Ready

It is an intermediate position on the exposure hand brake. It is in


“Ready” position when the button is depressed. At this point, the high
frequency generator and flat panel detector enter the preparation phase
and confirm that the system is ready for exposure.

If the button is released, it will revert to the “Off” position.

Exposure

It is in “Exposure” position when the button on the exposure handbrake


is fully pressed. At this time, X-rays are generated and recorded.

Release the button when the exposure is complete.

Use the following procedure to operate the exposure handbrake. Prepare and record the exposure
process:

1) Make sure that the patient and system settings are ready to be exposed.

2) Press the exposure handbrake button to the ready position and the software’s high frequency

generator ready indicator lights up.

3) Press the exposure handbrake button to the exposure position, the software’s high frequency

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generator load indicator lights up, X-rays start to be emitted, and the buzzer sounds.

4) Release the exposure handbrake button to the Off position, or the exposure time reaches the
time set by the inspection program, the exposure ends, and the buzzer stops sounding.

Note: Please release the exposure handbrake after the buzzer sound stops, so as not to

cause insufficient dose.

Caution: Before pressing the exposure handbrake, the operator shall adjust the size of

the collimator window to avoid the patient getting extra X-ray radiation.

Warning: If the exposure handbrake is released without reaching the time set by the

inspection program, the exposure will be interrupted unexpectedly and the acquired image
will not be diagnosed normally.

Booster armrest

Booster armrest
1) Unlock switch: After the system is turned on, press the unlock switch, the brake of the motor
is turned on; continue to hold the switch to drive the system to move and release the rear
brake;
2) Booster handle: It is equipped with a built-in sensor to control the direction and speed of each
motion wheel. According to the pressure applied to the handle, under the control of the
control system, it is converted into the motion posture of the system.

Warning: For system motion, you must first unlock the brake and then apply force

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Part: System Components
to allow the system to move normally. If the brake is not unlocked, the force applied to the
handle will not be responded.

Warning: In case of stopping the system motion, the speed shall be lowered slowly

before the brake is released. If the brake is released immediately during rapid motion, the
system may be damaged.

X-ray tube assembly

The X-ray tube assembly is mainly composed of a dial indicator, an X-ray tube, a head cover,
handles, and an unlocking button. The motion of the head is controlled by mechanical manual
motion, with no power operation.

Top view of the X-ray tube assembly

1. Dial indicator: Used to indicate the angle of rotation of the head;


2. X-ray tube: Used to generate X-rays during radiography;
3. Head cover: Used to protect the X-ray tube;
4. Handle and unlock button: The functions of the four buttons on the head handle are the
same. When the unlock button is pressed, the stand column can be rotated, and the
telescopic arm can be lifted and expanded.
Functional operation: When the operator is in front of the X-ray tube assembly, the telescopic arm
and the stand column can be accurately positioned relative to the patient under the action of the

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human. When the button is released, the stand column and telescopic arm are locked to maintain
the position.

Anti-collision Mechanicsm

When the ultrasonic sensor detects an obstacle within a certain distance of the front, the unit will
automatically sense and decelerate during the driving process. If the collision baffle hits the
obstacle when driving further, the switch in the anti-collision baffle is triggered to the unit. The
control command is provided to stop the rotation of the motor, so that the unit can quickly stop
when it encounters an obstacle.

Anti-collision baffle
v
Ultrasonic sensor
v

Anti-collision mechanism side view

Machine top signal light

The machine top lights will light two colors: yellow and green;
The light is on green: it indicates that the exposure is in the I position, which means that the
exposure is ready. At this time, the high voltage generator and the flat panel detector will enter the
preparation stage, and confirm that the system can be exposed after the system is ready.
The light is on yellow: Exposure in process, X-rays will be generated.

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Part: System Components

Machine top signal light


v

Machine top signal light

Manual unlock mechanisam

In order to prevent the machine from being completely unpowered and unable to push, a manual
unlocking mechanism is designed: the "gear teeth lock state" and the "gear teeth unlock state" are
converted by dialing the rotating disk at the center of the wheels on both sides, when the gear teeth
are unlocked. At the time, the machine can be pushed manually
(1) Gear teeth lock state
Operation: Turn the rotating disc at the center of the wheel on both sides counterclockwise to
rotate the blue strip on the wheel cover into a straight line;
Function: The state at this time is the gear lock state, the electric power can achieve good driving
of the machine, and the drive wheels are locked when the two rear wheels are not pushed.
Note: When the unit battery is powered, it must be kept in this state!
(2) Gear teeth unlocking state
Operation: Turn the rotating disc at the center of the wheel on both sides clockwise to rotate the
blue strip on the wheel cover to an angle of 60°;
Function: The state at this time is the gear teeth unlocking state, and the driving wheels of the
machine are in the non-locking state, and the manual driving can achieve good driving of the
machine.
Note: This state can only be maintained when the unit battery is dead and needs to be

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powered by manual; the unit must be returned to the gear lock after charging!

Lock

Gear teech lock state

Unlock

Gear teeth unlock state

Buckle mechanism

The buckle mechanism is mainly composed of a latching pin of the telescopic arm, a latch
fixing component on the trolley, and a locking lever.

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Part: System Components
Latching pin

Latch fixing component

Locking lever

Buckle mechanism
Function: When the whole system is moving fast, the telescopic arm can be locked on the
trolley, and the stand column and the telescopic arm are fixed to prevent the swing. At this
time, the trolley on the telescopic arm and the stand column cannot move and the system is
fixed on the latching mechanism.
Buckle lock motion:

Two states of the buckle mechanism


According to the following steps, lock the telescopic arm and the stand column to
the buckle mechanism:
1. Press and hold the unlock button to fully retract the telescopic arm. Rotate the stand
column to the fixed position of the telescopic arm and align it with the locked
position on the operation panel.
2. Press the unlock button and move the telescopic arm down to fully insert it into the
fixed component until you hear a “click” sound. The locking lever downward
indicates that the buckle mechanism has been fixed.

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According to the following steps, unlock the telescopic arm and the stand column
from the latching mechanism:
1. Press the unlock button. When unlocking the telescopic arm from the buckle
mechanism, press down first, and the telescopic arm can be telescoped and lifted.
2. In case of being stuck and unable to be lifted, the telescopic arm can be unlocked
from the buckle mechanism by moving the locking lever by fingers.

Note: The telescopic arm and the locking device must be closed during motion,

otherwise the uncontrollable swing of the telescopic arm may result, posing a safety
problem.

Warning: The brake lever must be fully retracted on the telescopic arm to reach
the brake position.

Warning: Except for performing a radiographic examination or repair

operation, the telescopic arm is usually fixed to the buckle mechanism, thus avoiding
personal injury or system damage during system motion.

Safety protection control

Safety protection for patient

In order to provide the necessary safety protection for the patient, and to avoid accidental
injury to the patient, when the stand column is manually rotated and lifted, please confirm that the
patient is not in the range of rotation and lifting of the stand column.

Protection for machine itself

In order to protect the safety of the machine, the mobile rack is equipped with the buckle
mechanism to prevent the stand column and the telescopic arm from swinging when the whole
machine is moved.

The telescopic arm and the locking device must be closed during motion.

Caution

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Part: System Components
Chapter: X-Ray Digital Flat Panel Detector

General Information

X-ray digital flat panel detector

The X-ray digital flat panel detectors in this system are all wireless flat panel detectors. After
the X-rays pass through the human body, through the detector acquisition and the computer system
processing, may reproduce the X-ray radiographic image quickly in a few seconds. The output
signal of the wireless flat panel detector is transmitted wirelessly to the radiation workstation for
image processing.
The detector is part of the entire X-ray system and is responsible for digital image acquisition
and connection to the computer, transferring the acquired images to the computer acquisition
software.

Abnormity instruction

No device found, please check the network and device connection

then restart the software

Check whether the AC power cable of the power supply unit or system control unit is securely
inserted. If it still does not function, replace the power supply unit or system control unit.

Operation

Place the detector on the mobile rack when it is not operating.

Maintenance

Pay attention to maintenance and cleanliness of detector.


Pay attention to temperature and humidity of control shielding room.
Pay attention to stability of power supply input end, and prevent damage caused by instantaneous
power off to machine.

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Chapter: High Frequency Generator

Overview

The high frequency generator is a component of an X-ray (image) system for diagnosis of
medical institutions. It can be combined with X-ray tube assembly, collimator, high-voltage cable,
X-ray digital flat panel detector, image processing system and other components to form a medical
diagnostic X-ray generator for radiography.

High frequency generator specifications

Range: 50mA ~ 400mA


Error tolerance: ≤ ±20%
X-ray tube current
Adjusting method:
Adjustable by steps, select by R'10 number system

40kV ~ 150kV (with a stepping of 1kV)


Error tolerance: ≤ ±10%
X-ray tube voltage
Adjusting method:
Continusously adjustable, adjusted stepping is 1KV
Maximum output
40kW (400mA , 100kV)
electric power
Nominal electric
32 kW (320mA, 100kV, 0.1 s)
power

Range: 0.01 ~ 6.3s


Error tolerance: ≤ ± (10%+1ms)
Load time
Adjusting method:
Adjustable by steps, select by R'20 number system

1mAs~630 mAs
Error tolerance: ≤ ± (10%+0.2 mAs)
mAs
Adjusting method:
Adjustable by steps, select by R'20 number system

Operation mode Continuous operation, and intermittent loading


Cooling mode Natural air convection in the operating environment

Combined data description

a) Intermittent mode, nominal X-ray tube voltage 150kV and the corresponding maximum

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Part: System Components
X-ray tube current available when the high voltage generator is operating at its nominal
X-ray tube voltage is 200mA;
b) Intermittent mode, the maximum X-ray tube current of 400 mA and the corresponding
maximum X-ray tube voltage available when the high voltage generator is operating at its
maximum X-ray tube current is 100 kV;
c) Intermittent mode, the maximum output power of the X-ray tube voltage is 100kV, the X-ray
tube current is 400mA;
d) When the loading time is 100ms and the X-ray tube voltage is 100kV, the maximum constant
electric power in kW that the high voltage generator can provide is 32kW.
e) The loading factor for the maximum power is 100kV, 500mA and 50ms。
f) The electric power in the high-voltage circuit is calculated according to the formula: P = f U I.
P is the electric power. U is the X-ray tube voltage. I is the X-ray tube current. f is the factor
depending on the waveform of the X-ray tube voltage. The value of f is 0.95 for equipment
including a six-peak high-voltage generator.
g) The PERCENTAGE RIPPLE of the output voltage for ME EQUIPMENT with a
CONSTANT POTENTIAL HIGH-VOLTAGE GENERATOR shall not exceed 4 %.

Environment requirements

1) Reclamation is needed for removed parts due to maintenance;


2) If replacing high-voltage transformer oil is needed, disposal of the waste oil should satisfy local
environment requirements.
When the control panel displays in disorder or displayed parameters
beyond normal range or is with other unforeseen abnormalities, stop
operation, disconnect the main power supply, and do not restart the
machine until 1 minute later. Generally, normal operation can be achieved.
Caution In case of emergency, press the red emergency stop switch on the console
and disconnect power supply for the main unit.

Chapter: Collimator

Overview

The series collimator has simple structure and it is convenient for installation and adjustment. The
use of such collimator can effectively reduce the impact of scattering and leaking rays and rays out
of focal spot, reducing the harmful radiation to patients and operators.

Use

It is provided together with X-ray tube for adjustment and limit of X-ray radiation field.

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Main technical indexes

Item Model Collimator


Maximum working voltage of the supporting
150kV
X-ray tube
Maximum radiation field (SID=100cm) 430mm×430mm
Minimum radiation field 0mm×0mm
Power supply 24V 1A
Illuminance (when SID=100cm) ≥100 1x
Time limit for light source Not more than 60 S
Inherent filtration (70kV) 1.2mm Al
0.5/1/1.5 mm Al (switchover in the
Additional filtration plate (70kV)
machine)
Filtration Perspex sheet of output window
0.2 mm Al
(70kV)
Aluminum door control mode Manual
Distance from focal spot to mounting surface 60mm
Weight 7.5Kg±0.2Kg
External dimension (length× width× height) 170mm×188.5mm×266.5mm

Structure and composition

The schematic diagram for configuration of lead door of collimator and the main compositions is
as follows.

The limited field function of the XS-1 collimator is completed by the vertical and horizontal

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Part: System Components
outer lead door ① and the middle lead door ②. A manual knob is mounted on the control panel
⑤ to manually adjust the radiation field. The manual knob can drive the vertical and horizontal
lead doors to open and close to obtain a rectangular radiation field of any size.
The optical field device of the XS-1 collimator consists of a reflector ③ and a bulb ④.
X-ray radiation fields are displayed in visible light for easy positioning during manual operation.

Operating method

The layout of the collimator control panel is shown in the figure below.

4
3

1. Horizontal knob 2. Longitudinal knob 3. Time switch 4. Filter switch


Panel Layout
When the time switch 3 is pressed, the light source of the light field device is turned on. The
maximum time limit is less than 60S. In general, the time limit is set to 30S. Light up the lamp and
press the switch again to turn the lamp off. If it is not pressed, it will automatically go out after
30S.
The horizontal knob 1 and the longitudinal knob 2 can be used to manually adjust the size of the
light field and the radiation field. Turn the lateral knob clockwise to close the horizontal lead door
and counterclockwise to open the horizontal lead door. Rotate the longitudinal knob 2 clockwise to
close the vertical lead door and rotate the vertical knob 2 counterclockwise to open the vertical
lead door.
Toggle 4 to choose aluminum filtration from 0.5mm Al/1.0mm Al /1.5mm Al;
During radiography, after setting the distance from the focal spot to the film, press the timer
switch 3 to turn on the light source lamp of the light field device. Use the light field to align the
patient’s affected area, and then adjust the light field size according to the selected film
specifications. Since the center of the light field and the center of the radiation field coincide,

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adjust the size of the light field, and the size of the radiation field is adjusted as well. Exposure can
be performed at this point.

Timer delay

For automatic delay, press the time switch 3 to turn on the light source lamp of the light field
device. After a delay of 30S, the light itself goes out. For time-limited delay, when the timer
switch is pressed and the timer functions for 10s, the lamp can be freely controlled to be
extinguished. However, within 10S delay, the timer switch does not function, and the delay can
last for 30s at most.

Adjustment of light field

Adjust the light field manually. Horizontal knob 1 and longitudinal knob 2 may be used to adjust
the light field and radiation field manually. Transverse lead door can be closed by rotating the
horizontal knob 1 at clockwise direction, and the transverse lead door can be opened by rotating
the horizontal knob 1 at counter clockwise direction. Longitudinal lead door can be closed by
rotating the longitudinal knob 2 at counter clockwise direction, and the longitudinal lead door can
be opened by rotating the longitudinal knob 2 at clockwise direction.
a. 100cm, 150 cm, 180cm on calibration curve of collimator panel means the distance from focal
spot of X-ray tube to image receiving surface.
b. Selection of filter: When necessary, the additional filter switch 4 can be pulled to select filter
with needed thickness; the filter thickness is respectively 0.5, 1.0mm Al, and the two 1.5mm Al
filters can be used simultaneously.
c. Radiography preparation: After the distance from focal spot to film is set, press the time limit
switch 3; the lamp of light field device will turn on; aim at the lesion location of patient by
utilizing the light field; and then adjust the light field based on the film specification selected.
Since the center of optical field coincides with the center of radiation field, so the radiation field is
adjusted while the light field is adjusted. Exposure may be performed at this time.

Installation and debugging

Installation

Schematic diagram for structure of connecting interface of collimator and X-ray tube

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Part: System Components

Schematic diagram for installation structure of collimator


1. Collimator 2. Connecting plate 3. X-ray tube
The installation steps are as follows:
a. Use screw to make the connecting plate ② fixed on X-ray tube③;
b. Fixed the collimator ① on the connecting plate;
c. Connect the collimator power supply.
The power socket is defined as shown in the figure below:

Power Socket Definition

Adjustment

Adjustment of collimator
The calibrating and adjusting steps of X-ray radiation field and imaging plane center are as
follows:
a. Mark the center of imaging plane (film box, etc.);
b. Minimize the X-ray radiation field;
c. Loosen set screw of the tube sleeve fulcrum and brake knob of tube sleeve sliding ring;
d. Adjust the position of tube sleeve to make the center of X-ray radiation field basically coincide
with the imaging plane center;
e. Tighten the set screw and brake knob.
For effective selection, combination and adjustment of collimator, operator shall use the

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longitudinal and transverse button to confirm the X-ray radiation field for normal use before
loading based on the corresponding size of X-ray radiation field under the conditions of different
distances from focal spot to image receptor. It meets the requirements of 29.202.6 in GB 9706.12.

Calibration of the collimator radiation field and the image intensifier screen center
a. Reduce the X-ray radiation field as much as possible;
b. Loosen the set screw of the sleeve support shaft and the brake knob of the sleeve slip ring;
c. Adjust the position of the tube sleeve, and observe under fluoroscopy conditions so that the
center of the X-ray radiation field is substantially coincident with that of the image intensifier
screen;
d. Tighten the set screw and brake knob.

Replacement of light

The XS-1 collimator uses LED lights as the light source. The life of an LED lamp changes
regularly with the current index. LED lamp model: XML-V5 (cold white), brand: CREE,
maximum power: 10W, maximum working current 3A, working voltage: 3 ~ 3.4V.
When replacing the LED light, just remove the collimator back cover and the heat sink of the LED
light, then remove the LED light cover, loosen the two M3 compression screws, then remove the
LED light from the heat sink, separate the plastic plug connector removes the damaged LED lamp
from the lamp power cable, and connect the spare LED light plastic plug connector to the lamp
power cable (the spare LED lamp has completed the wire and the plastic plug connector), and then
reversely operate the above steps. Note: 1. When installing the LED light, pinch the LED light
board part with your fingers to avoid smudging the LED light bead; 2. When you can't hold the
LED light heat sink board, it is necessary to evenly apply the heat-resistant silicone grease on the
LED light board.
After replacing the LED light, you should exposure to check whether the center of the collimator
aligns with the center of the X-ray radiation field. If necessary, you can loosen the position of the
fixed lamp holder to adjust.

Notice

The collimator is precision product, and it shall be handled gently to prevent damage.

If the used power supply is not provided by our company for this product, then the
low voltage power supply shall be secondary power supply separated with primary
power supply; Don’t use self-coupled power supply.
Caution

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Part: System Components
Troubleshooting

Serial
Model Trouble Analysis Measure
No.
1. Bulb is
Replace it
damaged
1 The lamp can’t be turned on.
2. Fault of power Check the
XS-1 supply power supply
The center of exposure field is
See the collimator See the
2 inconsistent with X-ray
adjustment adjustment
radiation field.

Description of the marks

Type of protection against electric shock: basic insulation and protective grounding; i.e. Class I
Type B equipment

The rear cover of collimator is heated by bulb, so it shall not be touched.


When the device is in use, the surface temperature of the detector may exceed 41 degrees, with a
maximum of 60 degrees.Therefore, any part of this product should not contact with the skin of the
patient directly. During normal use, the exposure time is less than 1 minute.

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Part: System Operation
This Chapter mainly describes a complete operational flow of the system, including startup,
positioning, controlling software operations, and system shutdown. Instructions for the console are
given to complete the examination process for a patient.

Chapter: System startup

System startup is mainly done through the following steps:

1) Close the circuit breaker.

2) On the workbench operation panel, turn the key switch from “off state ” to “on

state ”. The system indicator on the operation panel goes from off to on, and the buzzer
sounds once.

The following operations can be performed:


n It can be boosted by electricity, and the unit can be exercised;

n By pressing any of the buttons on the head and telescopic arm, the brakes of the
stand column, telescopic arm and locking device can be unlocked, and the
positioning operation can be performed.

3) Press the button switch to power up the following components:

4) The high frequency generator, flat panel detector, and workstation start running the
console software to complete the system boot.

Open the console software and log in to the system. When the operating system starts up,
the login window is displayed. Enter the correct username and password on the system
login page (due to the system settings, you may not need to enter the login name when
entering the operating system).

Warning: Prior to system motion, the telescopic arm must be clamped onto the

locking device.

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Part: System Operation
Chapter: System positioning motion

Collimator positioning

±90°

Colllimator motion figure

The collimator is capable of ±90° rotation along its vertical axis.

Telescopic arm positioning


1. Lifting motion: When the unlocking button is pressed and hold for a long time, the
telescopic arm and the head are manually pushed up and down, and the lifting
motion is performed in the vertical direction, which can realize the requirements
for radiography at different positions;

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Stand column lifting by 580mm~1800mm
2. Telescopic motion: When the unlocking button is pressed and hold for a long time,
the three-section cylinder arm is manually pushed back and forth to perform the
telescopic motion in the horizontal direction, which can realize the requirements
for radiography at different positions;

Telescopic arm’s telescopic motion by 720mm~1220mm

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Part: System Operation
3. Locking motion: Press and hold the unlock button to fully retract the telescopic
arm and insert it fully into the fixed component until you hear a “click” sound. The
locking lever downward indicates that the latching mechanism has been fixed.

Stand column positioning


1. Rotating motion: When the unlock button is pressed and hold, the stand column is
fixed on the trolley through the bearing base, and the rotation is perpendicular to
the base by ±315°, which can realize the requirements for radiography at different
positions;
2. Locking motion: Press and hold the unlock button to fully retract the telescopic
arm. Rotate the stand column to the fixed position of the telescopic arm and align it
with the locked position on the operator panel. Insert it fully into the locked
position until you hear a “click” sound. The locking lever downward indicates that
the latching mechanism has been fixed.

Stand column motion

Chapter: Console software operation

Note: It shall be shut down daily to ensure a complete system reset process, otherwise

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system performance may be degraded.

Note: The detector should been powered up for one hour every day. After the detector

reaches a steady state, the radiographic operation is performed.

Warning: If the proper protective measures are not taken or the operating

instructions are not strictly followed, the X-ray system will cause harm to the patient
and the operator!

4.1 Summary

This manual is used only for X-Ray DRConsole. Before the use of this software, please read the
manual of the devices that connected to this software.

4.1.1 Scale of this manual

This manual is writing for the clinics that using X-Ray DRConsole. It provides workflow of a patient
study. Mostly, it’ll introduce the operation steps, system structure and features. Attention, there’s
no guideline for clinic diagnosis.

4.1.2 System structure

This software is comprised of following modules which provides a work flow of patient study:
Patient Management: including patient registration, work list, study management.
Study operation: including bodypart selection, study items selection, image acquiring.
Image preview: including display, layout and processing of image. Also tool options for advanced
operation.
Configuration: including configuration of system, study and user management. Especially the
configuration for worklist and storage.

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Part: System Operation
4.2 Installation

4.2.1 Software installation

For the official version, user needs to start the installation from the CD-ROM, if it isn’t
automatically start, double click “XX_DR_Setup.exe”; for the demo version, mostly the user will
get an installation package, and then just double click “XX_DRConsole_DEMO.exe”.
Double click to start the installation, the following steps will display:

Figure 2.1 Select language

If it is to upgrade the software, there would pop up the following interface:

Figure 2.2 Uninstall option

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Figure 2.3 Uninstall Existing Version

Figure 2.4 Select folder

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Part: System Operation

Figure 2.5 Confirm installation

Figure 2.6 Installation process

Install the GrandDog driver. (For official version only)

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Figure 2.7 Start installation

Figure 2.8 Finish installation

After successful installation, there would display the following interface:

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Part: System Operation

Figure 2.9 File recovery

Check the files that need to be recovered.

Figure 2.10 Finish installation

After the installation steps above, the program will create shortcut of “DRConsole.exe” and
“DRDongle.exe”. User can double click the “DRConsole.exe” to start the program, or double click
the “DRDongle.exe” to register the software.

[Warning] if the official version is unregistered, the program will show message in Figure 2.8, then
the program will automatically shut down.

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Figure 2.11 Unauthorized messages

4.2.2 Software registration

4.2.2.1 Demo version

After the installation steps above, the program will create shortcut of “DRConsole.exe” and
“DRDongle.exe”. Run DRDongle.exe and you’ll get a dog number:

Figure 2.12 Get dog number

Send dog number to us, and we’ll provide a SN number for demo version. Once received the SN
number, input it into the textbox and click “Register” to finish the registration. Usually, the SN
number is valid for only three months.
[Warning]The SN number will be change with the update of the hardware of user’s PC. In this

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Part: System Operation
situation, user needs to apply for a new SN number.

4.2.2.2 Official version

The official version will provide a USB key for the registration. After the installation of the
software, user should plugin the USB key, and run “DRDongle.exe”. If the driver is successfully
installed, and the USB key is recognized by the OS, then user will get a list of soft dog number and
hard dog number.

Figure 2.13 SN number

If there’s no the hard dog number in the list, user need to check whether the driver of the USB
key successfully installed or not. And then whether the USB key is recognized by the OS.

4.2.3 Detector configuration

There would display the FPD Tools interface when you first start the software. You can choose the
Type of the FPD and the software automatically switch to different algorithms. There are two
types of material: GOS and CSI. Different type correspond to different image enhancement
algorithm. At present software only supports switching between different types. Other
configuration options are reserved items, just to keep the default. The tools would copy the
algorithm processing parameters of the selected material to the configuration file if you click the
“OK” button. If you click the “close” button, the software would keep the default configuration of
algorithm processing parameters and the box would pop up at the next time you open the
software.

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4.3 Work flow of study

This section will detail the application of the workstation during the inspection process. Before
the operation, please confirm the installation and debugging of X-ray photography equipment is
already completed. To ensure that equipment has been electrified and standby.
The workstation is the main part of DR system and user interaction. All operation except
mechanical motion control of the ball tube and detector and adjustment of the size of the
shading device can be completed by the workstation. The operation of the console can be
performed as follows:

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Part: System Operation
[Attention]
l In order to reset system completely, the computer of workstation had better to shut down
once one day. Otherwise the performance of the system will be decreased day by day.
l The detector should be start work at least 30 minutes after power up in order to ensure that
the detector is in a stable state and ensure image quality. In order to make the detector in a
stable state for a long time, as far as possible to ensure that the detector has been in a state
of power supply.

4.3.1 Login

The program will validate the user before entering the system. Input the User ID and Password.
(Default User ID / Password: admin/admin). User can also click the keyboard button to start or
close the victual keyboard.

Figure 3.1 Login


Enter the correct User ID and Password in the Login interface and click “OK” button, then
software would enter the loading interface and if you don’t want to enter the system click the
“Cancel” button. (If you don’t know the password, please consult your system administrator). The
User ID, Password and permissions are assigned by system administrator.

[Note] When you enter the password, the system will does not display the relevant character
information. Password case sensitive. If you need to change your password, please refer to the
system management settings.

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After logging in, the main interface of the workstation software (the register interface), as
follows:

4.3.2 Logout

Click button, pop up the confirmation box:

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Part: System Operation

Enter the password, click the “OK” button to exit the console software (the images would be
saved automatically); click the “Cancel” button to cancel exit and return to the software interface.
Click “Shutdown” button, the software would exit the console software and shutdown the
computer after saving the images automatically (The “Shutdown” button is only visible under
administrator rights).

4.3.3 Devices validating and configuration

After successful login, the system will start to load drivers of devices and validate the device
initialized successes or failed. There are two stage of loading the drivers: loading drivers for the
generator and drivers for the detector.

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Figure 3.2 Device initialized successes

Figure 3.3 Device initialized failed

If failed to initialize the device, then can click “Options” to change the configurations:

Figure 3.4 Device configuration

If the program didn’t connect to generator or detector, please make sure that the related item set
to “TEST” selection. If there’s any trouble with the device, user also needs to reset the items to
“TEST” selection in order to enter the system.
After correct configuration of detector and generator, then click button “OK” to confirm and back

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Part: System Operation
to form A, and click button “Exit” to exit the system. After restart, the system will run follow your
configuration. Other configuration items will be described in following chapters.
If all of the devices have been successfully initialized, the study management interface will be
displayed.

4.4 Study management

This section mainly manage the patient information, including work list, registration and study
list.

4.4.1 Work list

The work list displays the list of patient that need to acquiring image. It can query patient data
from RIS or registration station follow DICOM 3.0. The configuration of worklist will be introduced
in chapter 6.

Figure 4.1 Worklist

Search Items:

1. Patient ID: user need to input the patient’s id in the textbox, and define the correct date time.
2. Accession: user need to input the patient’s accession in the textbox, and define the correct
date time.
3. Name: user need to input the patient’s name in the textbox, and define the correct date time.
4. One day: query the patients’ data in today.
5. Two days: query the patients’ data in two days.

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6. One week: query the patients’ data in a week.
7. Custom: query the patients’ data in user defined period.

Once the condition set down, the work list will query data frequently, it can also refresh
immediately after the button “Refresh” clicked.

Emergency:
Register a patient in emergency with auto generated information.

Register new Patient:

Input the patient data and register a new patient for study.

Delete:
Delete current selected patient.

Begin to study:
Begin to acquiring image of current patient.

4.4.2 Registration

Figure 4.2 registration

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Part: System Operation
The register is used to record information of a new patient. User can select study protocols
through protocol or Item mode.
Accession*: input the accession number of patient. It will be automatically generated and usually
suggest user don’t change it. It must unique in the system.
PatientID*: input the ID of a patient. It will be automatically generated and usually suggest user

don’t change it. Input PatientID and click , system will automatically fill the patient’s

information in the text box.


Name: input the name of a patient.
Gender: select gender of a patient. (Male, Female, Other (unknown))
Age: input age of a patient at the age unit of year, month or day.
Height(cm): input height of a patient.
Weight(kg): input weight of a patient.
Birthday: select birthday of a patient.
Description: input more comments of a patient.

[Note]The items with “*” means this item must be filled. If not, there will be a warning
message:

Select and Unselect:


Select or unselect a protocol.

Protocol Group:
Add grouped protocols to selected list.

Protocol Item:
Add individual protocols to selected list.

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Clear:
Clear information of current patient.

Begin to Study:
Begin to acquiring image of current patient.

4.4.3 Study list

Figure 4.3 Work list

It is used to query the information of the patients that finished the study. Same with the work list,
the result can be displayed under different condition.

Burn CD: .
Achieve patient’s data to CD. First, user should select one or more study, and then there are two
ways of export. The operation of export refers to section 5.2.1.

Archiving:

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Part: System Operation
Upload image to network storage. By click this button, use can manually upload the images to
storage on the premise that the storage is properly configured. The configuration of storage can
refer to section 6.1.3.

Printing:

Print patient’s image using connected print devices.

Delete:

Delete current study.

Check All:
Select all the study in the list.

Adding Protocols:
Study again by adding new protocol groups or protocol items.

Viewing Images:

View images of selected study.

4.5 Image acquisition

There are several paths can enter the acquisition interface, as follows:

Select a patient record in the work list double click the record or click the “ ” button;

Click the emergency button “ ” in the work list or register interface;

Click the add item button “ ” in the study list.


The acquisition interface includes the body size of patient, the exposure position, the study item,
the study protocol, generator exposure parameter setting and the diagram of body position. The

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following are detailed introduction.

Figure 5.1 acquisition interface

[Note] Interface functions and operations vary with hardware and system configurations.

[1] The diagram of body position


[2] Generator exposure parameter setting
[3] Image preview area
[4] Toolbar

4.5.1 Diagram of body position

There are the body position diagrams selected for patient information registration. You can see
the specific study body part and the standard position for intuitive reference.
For emergency patients this region is blank. See Chapter 4.2 for steps to add a body position.

4.5.2 Generator exposure parameter setting

Before Image acquisition, the parameters of generator should be property configured, and the
trigger mode of detector must be correct. For more information, please read the manual of these
devices. There is default parameter for every body part. You can adjust these parameters as

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Part: System Operation

needed. Click save button “ ” after you change these parameters. If don’t click the save

button, the adjusted parameters are only used for the current exposure.

a) Exposure signal lamp and Reset error


Press first gear of the hand brake, then the signal lamp

will light up. Green light means being ready;

Continue to press the hand brake to second gear, the signal lamp

will light up. The yellow light will keep lighting up in the
exposure process.

This button will light up when there is a system error, and there will
show the error code following the button. Click this button to reset the
error and if it does not work, please contact customer service engineer.

b) Generator exposure parameter setting

c) Patient body size

Fat adults Medium adults

Thin adults Baby

e) Exposure position

Wall Table

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f) Focus

Little focus Big focus

Filter grid

d) Exposure mode

Reserve Reserve

Exposure mode: (may different to some generators)


mA/ms mode: mA and mS parameters can be adjusted.
mAs Mode: Only mAs can be adjusted.

4.5.3 Image preview

The image will display in the image preview area after exposure. The study diagram of body
position will also become the thumbnail of the acquisition image, looks as follows:

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Part: System Operation

Figure 5.2 Image acquisition

If there are more than one body position, the system will automatically switch to the next body
position and the border color will become blue.

4.5.4 Toolbar

You can save, delete and print the image in the toolbar.
Click this button will pop up the update study information box.

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Here you can modify name, gender, height and other information, click the “OK”
button after modify.
When patients study with "the wrong person", is A's registration information, but
the actual images is B’s, while B is still in the work list, then you can click the
“Replace” button to replace the patients.
Select B’s record from work list, then the current image will go to B's record, and A
will come back to work list waiting for next study.

Click this button to add protocols.

Click this button to add items.

Go to Next page

Return to the previous page

Click this button the image will display full screen.

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Part: System Operation

Adjust image layout, such as: click , the preview region looks as follows:

Save the current image.

Print the acquisition image.

Suspend the current study and the back to the work list interface.

Click this button to save the image and enter to the study list interface.

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4.6 Image browse

Figure 6.1 Image preview

After acquired an image from detector, the processed image will be displayed. There are many
powerful tools for advanced user to take a better view of the image.

4.6.1 Tools

Tool button Description

Page Pre/Next

1X1 Layout

2X1 Layout

Save current Image

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Part: System Operation
Delete Tool

Move Image

Zoom In/Out:

Histogram WW/WL

Invert Color

Zoom out

Screen Size

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Mark Right

Text Edit

Image advanced process

Rotate 90

Flip Vertical

Measure the angle:

Image hint

Point gray value of the image:

Reset: reset the image.

Magnifier:

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Part: System Operation

Copy:
The function of image contrast has been optimized. Click the “Copy” button in
the preview interface of patient A, then switch to the preview interface of
patient B, select a blank box and click the “Paste” button to add the copied
image. Be sure to click the “Save” button before exiting if you want to save the
image.
CTR: cardio-thoracic ratio
Make the following marks on the chest radiograph:
Line 1: Positive midline;
Line 1: Maximum transverse diameter of thorax;
Line 3+4: maximal transverse diameter of the heart;
CTR =( length( Line 3+ Line 4) )/length( Line 2)。

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Email:

Click the button,input the mail address, subject, content in the


appropriate edit box of the pop-up box and select current image by clicking
“Add” button if there were exposed images. The DR Software would
automatically call the Outlook to send the mail after you click the “Send”
button.

Save as:
Its role is similar to the “copy” / “paste” tool. All three of them are used to
compare an image with itself. The “copy” / “paste” tool can be used
among different patients, while the “Save as” tool can only be work with the
images of one patient (the “Save as” tool has the same function with a
combination of the “copy” and “paste” tool)
Notes: the “copy”, “paste” and “Save as” tool can be only used in the image
Viewing interface of the DRConsole Software.
Inverse Compare:
When you click on the button, the Software will show another inverted image
as guidance for doctor observing and diagnosis.
Notes: the “Image color inversing” tool can be only used in the image viewing
interface of the DR Software.

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Part: System Operation

Full Screen

1X2 Layout

2X2 Layout

DICOM Print

Reject Image

Window/Level

ROI Window/Level

Auto WW/WL

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Zoom In

Full Size

Mark Left

Mark Anterior

Clip Tool

Invalid Image

Rotate -90

Flip Horizontal

Distance Measure:

Image stitching

Ellipse clip tool

ROI Magnifier:

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Part: System Operation

Arrow

Paste:
The function of image contrast has been optimized. Click the “Copy” button in
the preview interface of patient A, then switch to the preview interface of
patient B, select a blank box and click the “Paste” button to add the copied
image. Be sure to click the “Save” button before exiting if you want to save the
image.
Free Rotate:
Click the “Free Rotation” tool, then pop-up a box for rotation angle. Enter any
angle value you want and click the “OK” button to rotating image. Rotate to
the left by default. Click the “Undo” button the image will turn back.
Monitor Calibration:
When you click on this button, the Software will show a pop-up box of Monitor
Calibration interface. Measure the length of horizontal line and Vertical line
with a ruler, then write the results in the appropriate edit box, finally click on
the “OK” button. All steps above accomplished, the Software will show images
in the ratio of 1:1.

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Compare:
When you click on the button, the Software will show a pop-up box for
image selection. Then you should click on the “Add” button and select two or
more images, finally click on the “Open” button to enter the Image contrast
interface. Note here that if the Software is in the image Acquiring interface,
please click on the “Save” button before image selection.
Notes: the “Image contrast” tool can be only used in the image viewing
interface of the DR Software.

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Part: System Operation

Clip Options

End of the study

Drop Study:
Drop all images of current study. If current study has already taken images, then there will be a

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acquire message:

If user clicks “OK”, then then system will drop all the images and back to the worklist.

Finish & Save:


End current study and save all images to local drive as DICOM files. If successfully, then user can
find the study in the Studylist.

4.6.2 Image advanced process

Image advanced process enables the user to conduct more detail process. Click button “Image

Process” .

: Parameters related to the body part. User can set the body part, body size and items to
select a group of parameters. After click “Process” button, system will display the processed
image.

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Part: System Operation

Figure 6.2

: Detail parameters mode. Before enter the following interface, system will get the
default parameter values of each items which is related to the body part. User can directly use
these values or reset one or more of them.
Click “Process” button, system will start the image processing, user will get message at status
area.
Click “OK” button, the processed image will be applied to replace the original image and back to
the acquiring or preview interface.
Click “Cancel” button, system will exit the image advanced process interface.

Figure 6.3

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Click “Process” button, system will start the image processing, user will get message at status
area. User can use the default value or change the value to get a custom optimized image.
Click “Undo” button, the image will back to the original image, and user can conduct the
processing again.
Click “Save” button, user can add or update the parameters of current optimization view and it
needs admin user’s authority. User should change the name of optimization view then click this
button in order to add a new optimization item, or just update the value of current optimization
view.
Click “OK” button, the processed image will be applied to replace the original image and back to
the acquiring or preview interface.
Click “Cancel” button, system will exit the image advanced process interface.
In order to get a high quality image, It is required that the advanced user should clear about the
effects of the parameters.

Parameter description:
1. Dynamic: Dynamic range compression.
Use this parameter, user can dynamic adjust the gray scale of the image. Minimize the value
means to display image in a relatively small range gray scale. Increase the value means to display
image in a relatively large range gray scale. Effect images as Figure 6.4:

Figure 6.4

2. Enhance: Image enhancement.


Change the value of the “enhance”, user can get the image of different details. And user can see
the details of whole image more clearly. Effect images as Figure 6.5:

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Part: System Operation

Figure 6.5

3. Equal: Image histogram equalization.


Through adjustment of this value, the intensities can be better distributed on the histogram. This
allows for areas of lower local contrast to gain a higher contrast. Histogram equalization
accomplishes this by effectively spreading out the most frequent intensity values. User should
attention that there may be some noise on a histogrammed image, or some details of the original
image will disappear. Effect images as Figure 6.6:

Figure 6.6

4. Level: Level of detail.


User can control the exactly detail level through the adjustment of this value. It’s work with the
value of detail. Effect images as Figure 6.7:

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Figure 6.7

5. Detail: Detail enhancement.


Different with the enhance parameter, it works with the level of detail. Means user can set detail
value to each level. The higher the level and detail value, the more strength of detail will be
enhanced. In the same time, user should know that the enhancement of the detail will bring
some additional noise to the image, and it has effects on the smooth of the image. Effect images
as Figure 6.8:

Figure 6.8

6. Filter: Noise filter.


Used for removing noise from an image, after processing, the smooth of the image will be
enhanced. It also cause relatively little blurring of edges and details. Effect images as Figure 6.9:

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Part: System Operation

Figure 6.9

7. Curv.1, Curv.2: Curvature of s-curve.


Work with the brightness parameter. The higher the s-curve value, the contrast of the brightness
effective area will be more improved, and contrast of other area will be more decreased. Effect
images as Figure 6.10:

Figure 6.10

8. Bright: Image brightness.


Work with the curv.1 and curv.2 parameter. Mostly the higher the brightness, the contrast of the
scale at lower gray value will be decreased, and the contrast of the scale at higher gray value will
be improved; The lower the brightness, the contrast of the scale at lower gray value will be
improved, and the contrast of the scale at higher gray value will be decreased. Effect images as
Figure 6.11:

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Figure 6.11

9. Contrast: Image Contrast.


It has effects on the whole scale image. The higher the contrast, the gray value of image will
spread on a relatively large scale; the lower the contrast, the gray value of image will spread on a
relatively small scale. Effect images as Figure 6.12:

Figure 6.12

4.6.3 Image stitching

User can enter the stitching interface by clicking “Image Stitching” in the image
preview interface. Before to enter the image stitching, please make sure the current study has at
least two saved images.

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Part: System Operation

Figure 6.13

: Save current image. If user modified the image, and want to apply to the stitching,
please conduct this operation.

: Save all images. If user modified the images, and want to apply to the stitching, please
conduct this operation.

: Delete image for stitching. Used to select the image for stitching, use can delete other
images that not used for stitching.

: Change the layout of the image.

: Exit the stitching interface.


Description about tool buttons:

Tool button Description Tool button Description


Flip V Flip H

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Rotate 90 Histogram WW/WL

Exchange with the next Exchange with the prior

Area select Tool Delete Tool

Start Stitching Screen Size

Full Size

Click the button to access the Stitching Screen, this screen consists of three function
screens: Select Image, Image Stitching, View Image, as shown:

Figure 6.14

Before the image stitching operation, the user should ensure that all selected image must be
acquired from stitching exposure (the section 4.7 in Part I).

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Part: System Operation

Delete: delete the current image.

Move back: click this button to move the cureent image up one step.

Move forward: click this button to move the current image down one step.

H-stitching: The system stitches the selected images in horizontal automatically.


V-stitching: The system stitches the selected images in vertical automatically.

After selecting the image, click to enter Image Stitching screen. In this

screen, the user can stitch images manually.

Figure 6.15

Opacity: Move the sider to adjust the opacity of the overlapping area.
Untis: Move the sider to adjust the dixel(s) of the overlapping area.
Select one image, the number of this image changes to red.

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Click the buttons or click the orientation key
on the black board to adjust the position of the selected image.

Click the button to trim the selected image.


Fuse area: Move the sider to adjust the display degree of the overlapping area.

Click the button to save the setting parameters and enter the View Image screen.

Figure 6.16

Click [ ] to sve the stitched image

Click [ ] back to Stitching Image Screen.

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Part: System Operation
4.7 Image and text report

Click the [ ] button to enter the report interface:

Figure 7.1

4.7.1 Report edit

Report editing module includes image selection, patient information editing, reporting content
and inspection results editing, print template selection, etc. are presented below.

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Figure 7.2

[1] Patient information display and editing

Click [ ] button to enter the Dictionary Setting interface:

Figure 7.3

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Part: System Operation
You can add and update the doctor information in the interface.
[2] Select image

Move the mouse to the image need to be printed, then there will display a white check box at the
lower right corner of the image. Check the box then the box to add a black “√” and the there will
appear a yellow number at the lower left corner. Click again to cancel the selected image.
[3] Diagnostic content and conclusion edit box
You can edit the diagnostic content and conclusion in the edit box, click the content and
description template on the right side if you need to add.
[4] Report content template selection
Button Function Describe
Select diagnostic template of the body part on the
Add diagnostic
right hand of the drop-down list, click the “+Desc.”
describe
button to add diagnostic describe.
Select diagnostic template of the body part on the
Add diagnostic
right hand of the drop-down list, click the “+Diag.”
conclusion
button to add diagnostic describe.
Add diagnostic and Click this button to add diagnostic describe and
describe conclusion conclusion.
Click this button there will pop up the box of
Edit diagnostic
Knowledge bose editor. You can edit, add and delete
template
the diagnostic template

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Figure 7.4

Button Function Describe


Add: Enter a new name in the edit box of Class

Name, click the “ ” button to add the new


class.
Add/Delete class Delete: select a class you want to delete from the

drop down list on the left. Click the “ ” button


to delete it. (The deleted class will be moved to
recycle bin).
Edit the template
Click the button to Edit the template corresponding
corresponding to
to current report.
current report
a) Enter a new name in the edit box of the “Item
name”.
b) Enter the describe information in the edit box
Add new item of “Desc.”
c) Enter the conclusion information in the edit
box of “Diag.”.
d) Click this button to add the new item.
Update template Select the template you want to edit. Click the
information update button to save the change after editing.
Select the item you want to delete. Click this button
Delete Item to delete the the template. (The deleted item will
be moved to recycle bin).

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Part: System Operation
Click this button to enter the recycle bin interface
Recycle bin
to find deleted templates.

Figure 7.5

Button Function Describe


Select the items or class you want to recover and
Recover the deleted
click this button. Then the selected items or class
class or item
will recover to the knowledge base
Select the items or class you want to delete
Completely delete the
completely and click this button. Then the
deleted items or class in
selected items or class will delete completely and
the recycle bin
it can be recovered forever.

[5] Select the template for printing

1Standard300.rvf : One image with the height of 300


2Standard300.rvf : Two images with the height of 300
4Standard300.rvf : Four images with the height of 300
6Standard300.rvf : Six images with the height of 300

[6] Tools
Button Function Describe

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Multi-screen When there are more than one monitor, the doctor can
display write a report while viewing the image.

Click this to save the report. And the report will enter read
Save
only mode and looks as follows.

Print Click to enter the print report interface.

Click to quit the report interface and back to the study list
Quit
interface.

Figure 7.6

4.7.1 Report printing

Click the print button to enter the print report interface:

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Part: System Operation

Figure 7.6

Button Function Describe

Quick Print Print current report with the default printer.

Print Select installed printer to print report.

4.8 Image archive, export and printing

This chapter will concentrate on image archive, export and printing which used in the study list.

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Figure 8.1 Study list

4.8.1 Image archive

In archive process, the images will be sent to PACS server follow the DICOM 3.0 standard.
Before the use of image archive, the parameters of DICOM storage must be properly configured
(reference to chapter 6).

User can click button “image archive” to execute the image archive process. But it is
unnecessary if configured to archive automatically after end of a study.
If there is a failed message, then user should check the communication with the PACS.

4.8.2 Image export

The system provides two ways of export, and support customized export. User can export all or
selected patient’s data from the study list.

4.8.2.1 Burning CD

Click button “CD2GO”, following interface will be displayed:

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Part: System Operation

Figure 8.2 CD2GO

The system will generate a default file set id, and also user can edit it. User can select to create an
ISO file or write the file to CD. If there is no disc driver, the burn disc item will be disabled. File
compression provides 2 items: standard and compression which represent for “not compressed”
and “compressed”. After configuration, click button “Execute”, system will generate the ISO file or
burn the data to CD.

4.8.2.2 Export to selected folder

Besides burning CD, user can also export patient’s data to a selected folder. First user should
select a folder for item “ExportStudy”. And then there are two items:
DCMIMGA: Export only DICOM images.
The export will create a fold named with patient name and accession. For example:
Emergency41-000041. All DICOM image of current patient will save to the folder.
DCMDIR: Export patient’s information, DICOM images with a viewer program.

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Figure 8.3 DCMDIR export

Running the CDViewer:

Figure 8.4 CDViewer

Double click the select patient or click preview button , user can preview the image of

current patient.

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Part: System Operation

Figure 8.5 Image preview of CDViewer

The CDViewer also support to upload patient images to PACS server after configuration.

Figure 8.6 Image uploading of CDViewer

4.8.2.3 Image print

When accept the print operations, system will send images to printers that support DICOM print
services protocols, and user can define the parameters of these printers (reference chapter 6).

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In the image preview interface, click button “Print”:

Figure 8.7 Print preview

The preview interface provides several items:

Click the button , user can configure the property of select printer. All the property is
referenced to DICOM 3.0 standard.

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Part: System Operation

Figure 8.8 Configuration of printer

Choose layout of images:

Figure 8.9 Layouts of images

Film size: the film size should consistent with the printer.
File orientation: “LANDSCAPE” for horizon, “PORTRAIT” for vertical.
Print Num: the copy of current image.
Print Range: Print all the pages or only current page.
Zoom Type: Print at ratio of 1:1 or auto ratio.

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4.9 System configuration

System provides five parts of management:


System management
Study management
Quality Assessment
User management
Password management
Different user may have different rights to conduct the operation.

Figure 9.1 System configuration

4.9.1 System management

4.9.1.1 System configuration

Click button to enter the system management interface.

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Part: System Operation

Figure 9.2 System management


System parameters
Detector: Select type of detectors. The detector in the list means that the system supports these
kinds of detector. User should select the right type for the detector.
Generator: select type of generator. If the communication with the generator is necessary, user
should select the right type for the generator.
StoreDir: The storage folder of patients’ images. It is required the folder should in a relatively
large space drive, and make sure the system is able to access.
Detector file: Detector files for FUSSEN detector. (May unnecessary for other detectors)

Local machine parameters


Hospital: name of current hospital.
Hosp Abbr: Flag of current hospital. (For example: SZ. Then the patient id will like SZ000041).
AETitle: the AETitle property in DICOM. Used as identification of local machine.
IP Addr: IP address of local machine.
Timeout: Timeout of network connection.
DataSave: the period of keep patients’ image data in local storage.
[Warning] the data expired the date will be cleared. User should make sure that the data was
uploaded to the storage or backup by other media.
FreeSpace: Warning if the space less then configured free space. User can find the flag in the

status bar of system:


[Warning] if the status flag of free disk space turns to red, means the space of the disk will soon
running out, user should backup the data or add additional storage drive.

Log level

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There are four level of the log: Nodebug, GeneralDebug, DetailDebug and fullDebug. Normally
Nodebug or GeneralDebug will be enough. DetailDebug and fullDebug are used only for tracing
problems of the system, and in the same time it’ll generate large size log files.

Other Items
Language: select language of system.
Modality: type of current modality.
Parameter: type of image processing.
DF: Default
HC: High Contrast
HD: High Dosage
LD: Low Dosage
SF: Soft
Vkeyboard: change usage of the virtual keyboard.

4.9.1.2 Worklist

Figure 9.3 Worklist configuration

System can load patients’ data from RIS or registration station through the worklist. So the
parameters must be property configured. More information about worklist can reference to the
DICOM standard.
AETitle: DICOM AETitle of worklist server.

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Part: System Operation
IPAddr: IP address of worklist server.
Port: Port of worklist server for connection.
Modality:
1. Ignore to validate the modality AETitle:
Accept all the worklist data no matter the modality type.
2. Exclude not DX data
Accept only DX worklist data.
AETitle:
1. Ignore to validate the modality AETitle
Accept all the worklist data no matter the AETitle.
2. Exclude not the modality data
Accept only the data from the AETitle.
Protocol:
(Reference Digital Imaging and Communications in Medicine)
Transfer Syntax UID (0002,0010):
Uncompressed:
1. Implicit VR Little Endian:
Default Transfer Syntax for DICOM
1.2.840.10008.1.2
2. Explicit VR Little Endian:
1.2.840.10008.1.2.1
3. Explicit VR Big Endian:
1.2.840.10008.1.2.2
Lossless compressed:
4. JPEG Lossless
Refresh: the frequency of query worklist data.
CharacterSet: Using the defined characterset to the worklist information.
BodyPart map: enable of disable of function of map the bodypart of PACS with local RIS code.

: Configure the identity of a study through the AccessionNumber or


StudyUID. Mostly, it depends on the PACS, so firstly user should know the way to identify a study.

4.9.1.3 Storage

System supports two method of image storage: Net storage and local storage. The information of
DICOM storage can reference to DICOM standard.

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Figure 9.4 Net storage

Net storage:
Characterset: Characterset to encode fileds in dicom file.
System can support to connect to totally 4 PACS servers.
AETitle: AETitle of PACS server.
IPAddr: IP address of PACS server.
Port: Port of PACS server for connection.
Protocol: (reference to the “Protocol” in section 6.2)
Send: the mode of sending image, including auto send or send by user.
CharacterSet: define the characterset used for generating the DCM file.
StoreMode:
1. Update data: the PACS will overwrite the original image with modified one.
2. New copy: the PACS will never overwrite the original image; it will save a new copy of the
modified one.
Local storage
Images can also save to local folders.

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Part: System Operation

Figure 9.5 Local storage

Directory: local directory for the storage.


BMP File Included: To generate BMP files or not.
Image Type: export BMP or JPG images.
Folder Structured: Generate sub folder follow default rules.
RAW Included: export RAW files or not.
Used: Select current local storage or not.

4.9.1.4 Print configuration

System will send image to printers when user conducts the print operation. Before the print, it
should make sure the printers are correctly configured and connected successfully.

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Figure 9.6 Parameters of printers

System can support to send to totally 4 printers.


AETitle: AETitle of printer.
IPAddr: IP address of printer.
Port: Port of printer for connection.
Modality: type of printer.

4.9.1.5 Notes

The notes determine which information shows in the corner of the image, it has effects on the
image preview and printing. System defines 4 positions to display the information. User can
select one position at one time to add or delete items.

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Part: System Operation

Figure 9.7 Notes

Parallel with the previous item: current item will display in the same line previous item which
connected with character “/”.

4.9.1.6 Tools

The tools refer to buttons in the image preview interface. System supports to show or hide the
tool buttons, and also change the order of them.

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Figure 9.8 Tools

Clip style: Set the style of background for clipping images.

4.9.2 Study management

User can each of the items in the system as following steps:


1. Select the body size.
2. Set the wall or table
3. Select a body part.
4. Select a study item.

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Part: System Operation

Figure 9.9 Study management

Basic information
Item ID: ID of the study item. It should be unique in the system.
Item Name: Name of the study item.
Default WW: default window of the study item. (It will automatically calculate if the value is
0)
Default WL: default level of the study item. (It will automatically calculate if the value is 0)
DICOM: Body part name defined in DICOM.
Pose
Click button “select” to select a new body maker.

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Figure 9.10 Body maker

Hardware
Edit parameters of generator, including parameters that in AEC mode.
KV: the KV value of generator.
mA: the ma value of generator.
Time: exposure time of generator.
Film screen: Film screen of generator.
Density: Density of generator.
AEC: select the AEC field.
Synch: if checked the bodysize, above value will be set to item in different body size; if
Auxiliary checked, then above value will be set to item in different aux.
Process
Cut Mode: clip style. If auto clip is enabled, then the system will generate the clip box at
relatively large, normal or relatively small mode.
Rotate: set the value of rotate angle. The acquired image of current item will rotate the
defined angle.
Flip: set flip style. The acquired image of current item will flip in defined style.
Optimize: Image process mode. Processing the acquired image of current item use defined
optimization method.
Protocol
User can add update or delete the protocols of study. The protocol can include one or more
study item in the list.

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Part: System Operation

Figure 9.11 Protocol

Protocol: Name of the protocol.


RIS Code: Code to commutation with RIS.
Emergency: Used as a default protocol of emergency patient or not.
[Note] The emergency item is used only for emergency user. When user creates a new emergency
study, it’ll use the emergency protocol.

4.9.3 Reject analysis

4.9.3.1 Settings

User should enter the reject analysis interface to edit the settings by click button “R.A.”.

Figure 9.12

Then enter the “Manage” page, user will be able to add, edit and delete the items of category

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and content of it.

: Click button to add a new item to the list of category and content. First use should
input value in the input box, and the text should not in the list.

: Click button to update value of item in the list of category and content. First use should
change value in the input box, and the text should not in the list.

: Click button to delete an item in the list of category and content. First use should select
an item.

Figure 9.13

4.9.3.2 Reject records analysis

Enter the “Search” page, user will be able to query the information by defined conditions and
period of time.

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Part: System Operation

Figure 9.14

Usually, user needs to export the records, and there are some options:
Including Xls: Export the records to a .xls file.
Including BMP: Export BMP image file if there’s any images related to the record.
Including DCM: Export DCM image file if there’s any images related to the record.
Click “Export” button, the system will start the export operation.
Click “Select All” button, all records in the list will be selected.

4.9.3.3 Select reject code in the workflow

User should configure the options to enable or disable the reject analysis.
Checked the “Reject analysis” to enable the reject the function, or unchecked to disable it.

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Figure 9.15

Once “Reject analysis” is enabled, it has effect on the Image invalidate, image delete and study
delete operation, after user conduct the operation, and there will be a message:

Figure 9.16

User should select a reject code in the message box as figure 8.4, otherwise the operation will
not continue. If reject code selected and clicked “OK” button, then will be a record add to the
reject list.

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Part: System Operation

Figure 9.17

4.9.4 User management

Figure 9.18 User management

Create a new user. User id, name and initial password is necessary to input. User can also
distribute authority. Click “Add” button, this user will be added to the system. If the user ID
occupied, then there will be an error message, then user need to give up the “add” operation or
update selected user’s information.

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Figure 9.19

If the user is successfully added to the system, then the user list will display the user’s
information:

Figure 9.20

Name Description
Normal Conduct the normal study operation.
Study Conduct the study manage operation.
System Conduct the system configuration.
Delete Delete record of the study.
Generator Conduct the generator configuration. [reserved]
Process Conduct the image adv-processing.
Update Conduct the modification of study information.

Update users’ information. Change user name, password and authority, then click “update”
button. If there’s no change, then will pop up the hint message:

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Part: System Operation

Figure 9.21

If successfully modified, then will pop up the hint message:

Figure 9.22

Delete the user. Click “Delete” button to delete selected user.

Figure 9.23

If select “OK” to confirm the delete operation, then the user will be deleted.
[Note] Only the admin user can modify users’ information and distribute authority to different
user.

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4.9.5 Password modification

User can change the original password by input the original password, new password and confirm
password.

Figure 9.24

If the original password is not correct, then there will be an error message:

Figure 9.25

User should input the original password again. Then click “OK” button to conduct the
modification.
If the new password was set to empty, there will be a hint message:

Figure 9.26

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Part: System Operation
Click “OK” button, then password will be set to empty.
If the password was successfully modified, then there will be a message:

Figure 9.27

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Unit status prompt message
During the operation, a message will be displayed on the touch screen display. If the unit
malfunctions, first check the information on the touch screen display and then proceed
accordingly.

List of Motion Control Software Prompt Messages

Error
Error name Error handling
code
In case of second-level low battery voltage alarm, the exposure
50 Low battery voltage is prohibited at this time, and the frequency is audible in the
buzzer.

In case of third-level low battery voltage alarm, the exposure is


prohibited at this time, the high frequency is audible in the
buzzer, along with delay automatic shutdown.
Delay automatic shutdown processing: Delay 30s (this time
period is used to make an audible alarm prompt; if it is turned
51 Battery voltage is too low on, it will prompt the host computer interface, and leave enough
operation on the host computer to perform the shutdown process
and hard disk read/write protection), execute soft shutdown for
up to 120s, then directly turn off the power of the unit. In the
case that it is detected that the unit is not turned off, the power
of the unit is automatically turned off after a delay of 30s.

75 Low battery voltage, prompt charging First-level low battery voltage alarm, prompting charging
55 Battery over-temperature protection Charging pauses, and buzzer makes low-frequency sounds
56 Battery overcurrent Charging pauses, and buzzer makes low-frequency sounds
57 Battery overvoltage Charging pauses, and buzzer makes low-frequency sounds
58 Drive motor overcurrent No motion allowed
59 Abnormal drive power No motion allowed
60 Anti-collision switch trigger No forward motion allowed
61 Abnormal 24V brake voltage State recording only
Auxiliary power supply error of the
62 high frequency generator and flat panel No exposure
detector
High frequency generator soft start
63 No exposure, and buzzer makes medium-frequency sounds
failure
64 Abnormal 5V voltage No exposure
65 Abnormal -12V voltage State recording only
66 Abnormal display power supply Buzzer makes low-frequency sounds
67 Head latching not in place Micro-motion allowed only
68 Abnormal serial communication State recording only

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Part: System Operation
Exposure sync, flat panel detector has
69 Make state records, and reset the detector and generator state
no feedback
Exposure sync, high frequency
70 Make state records, and reset the detector and generator state
generator has no feedback
71 Handbrake adhesion No exposure, and buzzer makes medium-frequency sounds
72 Emergency stop switch trigger State recording only
Charging current sampling is greater
73 Make state records, and stop charging
than the set value
74 Air switch disconnection Buzzer makes medium-frequency sounds

Dosimetric indications

In radiography mode, the value of cumulative reference air kerma is displayed at the bottom left of
the image area of the monitor, in mGy, updating at least every 5 second or displayed not later than
5 second after the interruption or termination of loading.
The value of cumulative reference air kerma do not deviate from their respective displayed values
by more than ±35% over the range of 6 mGy/min and 100mGy to the maximum values with
proper calibration and proper use shown in the document. If the variation is beyond the tolerance,
please contact the supplier or service to do the calibration.
The value of cumulative reference air kerma will be reset to zero prior to the commencement of a
new examination or processdure.
In radiography mode, the value of dose area product for each exposure will be displayed on
monitor in Gy·m2 .

Chapter: Functional and inspection

Daily routine inspection

After system startup


n Please visually inspect all displays and signal indicators on the control panel.
No error information displayed

Before inspection

n Move unnecessary objects and equipment away from the operation area.
n Make sure all accessories installed correctly and ensure they have been firmly fixed.
n Keep the device clean. Please wash the device with warm soapy water or a neutral
disinfectant.
n Remove the liquid left on the unit to prevent damage to health and to avoid affecting internal
parts of the unit.

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n Check the function during movement.
n Release the relevant button to test if it is valid.
n Please do not use the machine if it works unnormally.

During inspection

u Motion system is started only under the following conditions:


— There is no harm to patient and other people.
— The motion path is not hindered by object.
u Please press the emergency (stop) button in case of any emergency.
u The flat panel detector cannot support the full weight of the patient. In
case of sitting, standing, or applying excessive pressure, it will break and
damage.
Caution
u When radiography for the person without self-care ability (infants,
mentally handicapped personnel, the disabled, the over-aged), the
relevant person shall provide all-process care, and pay attention to the
X-ray protection for the care personnel.

Chapter: System setting

System motion in case of failure

If a malfunction occurs during exercise, the emergency stop switch button is required to stop the
motion. If the same situation occurs multiple times, stop using the machine and notify the
maintenance personnel.

System motion

The responsibility of operator is to ensure that the system motion is performed under the
circumstance that the operator, patient and any third party is not endangered by these motions.
n Ensure that you are standing beyond the dangous area (i.e. beyond the machine movement
area).
n Make all objects or accessores (such as syringe or infusion rack) moved out of the collision
area.
n All motions shall be performed gradually.

Picture inversion

Note: The image showed by the software shall be consistent with the patient; it shall be noted that
the following methods will affect the presentation of image space.
1. The wrong setting of rotation angle at proparam files

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Part: System Operation
2. Patient positioning is inconsistent with the position selected by software, for example: AP is
selected for chest radiograph PA.
3. The position when patient is sitting/standing on bed.
Incorrect patient positioning data or image is inverted.
Danger in error diagnosis, for example: confusion for up, down, left and
right. The danger in error diagnosis and treatment may be caused by
misunderstanding for the image information.
The examiner has the responsibility for correctly using and interpreting the
Caution
image and deducting the result from the image, and check the patient
position data on the current image, eliminating any possible error.

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Part: Inspection

Chapter: Digital X-ray photographing

Important information

If the power supply is abnormal (for example, the internal resistance is too high),
then over voltage protection must be set. Under such circumstance, the actual
value (limited) of KV, mA and mAs may have deviation.
Caution Image quality decreases.

Collimation during digital X-ray radiography

The exposure field shall not exceed the detector area.


In this area, you may use the corresponding operating part (such as collimator) to make the
exposure field limited to the needed area.
Smaller exposure field is helpful for improving the contrast ratio of image area and reducing the
radiation damage received by patient.

Exposure

Refer to the operation instructions of the exposure handbrake and the operation instructions of the
wireless exposure handbrake in the section of system components for specific operation.

Saving of radiography parameters

After selecting the examination body part and body position, and when selecting the patient body
type icon, the corresponding KVp, MAS and other exposure index will be set by the default
pre-set parameters. These parameters are set by default during software installation, if you find
better parameters during use, please use the mAs or mA/ms mode, change the parameters of KV,
mA, ms, and then click to save the current parameters. The parameters of the exposure will be
saved. The default parameter of the next exposure is the changed parameter.

Chapter: List of accessories

The system does not include consumables. The spare parts that may be needed for replacement
under abnormal circumstances are listed in the following table, and the replacement service shall

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Part: Inspection
be completed by the customer service personnel of Angell Technology Co., Ltd.

List of spare parts Model description Parts


X-ray tube LQ16 or MXZ1301 or SDR 150/30/50-1 X-ray tube assembly
Collimator bulb XML-V5 (cold white) Collimator
19-inch touch screen Touch screen 19 inches Image processing
display system
Emergency stop switch AB6E-BV Mobile rack
Key switch FY22D-A Mobile rack
Air switch CDBK Mobile rack
Filter VIP4-2D3-10A-Q Mobile rack
Remote control YET3000-1 High frequency
generator
Hand brake LS Series High frequency
generator
High frequency
Transformer 15 LR0440R001
generator
High frequency
Transformer 17 LR1200R001
generator
High frequency FSQ-5-3M High frequency
generator generator
Battery 12V12Ah multiple High frequency
generator

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Part: Technical Description

Chapter: Label position

Machine label position

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Part: Technical Description
Chapter: Technical data

System

Environmental requirements for transportation and storage of the

machine

Ambient temperature: -20°C ~55°C;


Relative humidity: 10% ~ 93%, including condensation;
Atmospheric pressure: 500hPa ~1060hPa
The machine has been firmly bound when it was packaged. It can prevent internal collision. Please
perform stacking and take protective measures by strictly following the requirements indicated on
the external package during the transportation, so as to prevent mutual collision. It is forbidden to
overturn the machine or put heavy object on the packing box of the device.

Environmental conditions for the use of the machine (running)

Temperature: 10°C ~ 40°C;


Relative humidity: 30% ~ 75%;
Atmospheric pressure: 700hPa ~1060hPa
Ambient environment: There shall be no serious mechanical vibration, intense electromagnetic
interference, corrosive gas or dust.

Power supply conditions for usage of the machine

AC single phase, 220~230V


Power supply frequency: 50/60H
Power supply resistance: ≤0.55Ω;
Power supply capacity: ≥4kVA;
Internal power supply: Battery pack with a nominal voltage of 336V and a capacity of 12Ah.

Components

Mobile rack technical parameters

l Driving method: Motorized. Max distance: 30km


l Maximum Driving speed: Approx. 5 km/h (depends on floor condition)

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l Focal point height (from floor): 580mm - 1800mm, ±5%
l Tube support arm: Collapsible arm
l Arm length: 720mm - 1220mm, ±5%
l Column rotation range: ±315°
l Tube rotation around support arm: ±180°
l Tube rotation around tube axis: -15° - +90°
l Rotation of collimator: ±90°
l System width x length: 1230mm(L)× 580mm(W) × 1820mm (H)
l Total weight: 500kg

High Frequency Generator

l Nominal supply voltage(50/60Hz): Single-phase 220VAC


l Max. Power: 40KW (100KV,400mA,10ms;) (150KV,200mA,500ms)
(60KV,200mA,2500ms) (140KV,50mA,6300ms)
l Nominal Power: 32KW(320mA, 100kV, 100ms)
l Tube Voltage Setting Range and Digital Display: 40 to 150kv, in 1kV increments
l Tube current: 50 to 400ma
l Current-Time Product Setting Range and Digital Display: 0.1-630mAs at 25% step
l Exposure time range: 0.001-6.3s
l Nominal min. exposure time: 1ms

Parameters of X-ray tube components

Item SDR 150/30/50-1 MXZ1301 LQ16


Rotary anode 3000r/min 2800r/min 2800r/min
Max X-ray 150kV 150KV 150kV
tube voltage
Anode heat 330KHU 300kHU 300kHU
capacity
Focal spot Small focal spot: 0.6mm; Small focal spot: 0.6mm; Small focal spot:
Large focal spot: 1.2mm Large focal spot: 1.2mm 0.6mm;
Large focal spot:
1.2mm
Filtration Total Filtration Inherent Filtration: Inherent Filtration:
2.5mmAl/75KV 1.5mmAl 1.0mmAl
Weight Approximately 18Kg Approximately 18Kg Approximately 18Kg

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Part: Technical Description
X-ray digital flat panel detector

l Detector: Wireless detector


l Detector technology: Cesium iodide (CsI)scintillator coupled to TFT matrix with amorphous
silicon technology
l Image Size: 35×43 cm (14×17 inch)
l Pixel Matrix: 2560×3072
l Pixel Pitch: 140 µm
l A/D Conversion: 16 bits
l DQE: 2µGy at 0 lp/mm 65%
l Spatial Resolution: 3.6 LP/mm
l Image Acquisition Time: 2s
l Image Processing Time: 3s
l Recommended cycle time:10s
l X-ray Voltage Range: 40-150 KV
l Data Interface: GigE /802.11ac
l Power Dissipation: 20 W
l Adapter Input: AC 100-240V,50-60Hz
l Adapter Output: DC 24V, 60W
l Dimensions: 38×46×1.5 cm
l Weight: 3.3 kg
l Max. load capacity 135 kg with patient lying on it; 100 kg with patient standing
l Battery: Lithium ion, build in, rechargeable,3200mAh 2 pieces
l Charging time: 240 minutes for 100 % battery capacity
l Battery Standby Time: 10H
l Housing Material: Carbon, Alloy
l Water Tightness: IPX3
l Operating Environment: 5-35 ºC,10-75% RH

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Collimator

l Max. operating voltage of X-ray tube: 150kV


l Max. Irradiation field (SID=100cm): rectangular irradiation field 430mm×430mm
l Power supply:24VAC 6A
l Average illumination (at SID=100cm): 160 lx or more
l Laser SID detection could show the SID form the tube focus to the images.
l Illumination duration: Continuously for 30seconds (automatically turn off)
l Inherent filtering (70kV): 1.0mm Al
l Attached filter (70kV): 0.5 /1.0/1.5mm Al (switch inside)
l Output window organic glass plate filter (70kV): 0.2 mm Al
l Weight: 7.5Kg±0.2Kg.
Software functions

System software should be able to manage patient and image information. The specific functions
are as follows:
a) User management: add or delete user account, user authorization management
b) Patient management: manual registration, WORKLIST automatic query, emergency registration
c) Exposure setting: automatic dose selection
d) Image acquisition: automatic window adjustment, automatic cutting, automatic transmission;
e) Image processing: image correction, image flipping;
f) Image observation: window width window level adjustment, image flipping, image rotation,
image scaling, reduction;
g) Film printing: support DICOM3.0 standard laser camera printing;
h) DICOM transmission: Images can be sent to any PACS and workstation that complies with the
DICOM 3.0 standard.t

Computer system

The minimum configuration requirements for computer hardware are as follows:


Item Parameter
CPU Dual-core processor 2.1GHz
RAM 4G
Monitor 19-inch touch screen , resolution: 1280x1024
Hard disk 500GB
Operating system Windows 7 operating system or above
Network Conditon Local network
Security Software:
Our software system does not involve external security software.

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Part: Technical Description
Data interface:
Can send DICOM files to a remote DICOM storage server to receive patient registration
information on the remote WORKLIST server

User access control:

Software (DXRay Diagnost):

a) User identification method: user name

b) User type: administrator and/or ordinary user (user-defined name)

c) Uthorization: administrator has full authorization, details as follows:

A.system setting: system setting function is not available after disabling

B.patient management: this is a compulsory item by default

C.exposure setting: this is a compulsory item by default

D.image acquirement: this is a compulsory item by default。

E.image processing: this is a compulsory item by default

F.image observation: this is a compulsory item by default

G.film printing: this is a compulsory item by default

H.DICOM sending: this is a compulsory item by default


Ordinary user: Have part or all of the above A-H authorization, to be set by administrator

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Part: EMC Information

Note:
l DP326 Series Digital Medical X-Ray Radiographic System (hereinafter referred to as “this
system”) complies with the relevant EMC requirements of YY 0505 standard.
l Users shall install and use according to the EMC information provided in the accompanying
file.
l Cables and accessories may negatively affect EMC performance.
l Portable and mobile RF communicions equipment may affect this system’s properties. They
should be used no closer than 30 cm (12 inches) to any part of the [ME EQUIPMENT or ME
SYSTEM], including cables specified by the manufacturer”,Therefore, avoid strong
electromagnetic interference when in use, such as near mobile phones, microwave ovens, etc.
l See the Annex for the detailed guidance and manufacturer’s declaration.

Caution:
l This system shall not be used close to or stacked with other equipment. If it must be used in
close proximity to or stacked with other equipment, observe to verify whether it is able to
function properly in its intended configuration.
l Class A equipment is intended for use in industrial environments. Due to this system’s
conducted emission and radiated emission, there may be potential difficulties in ensuring
electromagnetic compatibility in other environments.
l Use of accessories and cables other than those specified may lead to emission increase or
immunity decrease of this system, except for the cables sold by the manufacturer of this
system as the spare parts for internal components.
Annex:

Guidance and Manufacturer’s Declaration - Electromagnetic Emissions


DP326 Series Digital Medical X-Ray Radiographic System is intended for use in the electromagnetic
environments specified below. The purchaser or user shall assure that it is used in such an
electromagnetic environment:
Emission test Compliance Electromagnetic environment - Guidance
This system uses RF energy only for its internal
RF emissions function. Therefore, its RF emissions are very low and are
Group 1
GB 4824 not likely to cause any interference in nearby electronic
equipment.
RF emissions This system is suitable for use in all non-domestic
Class A
GB 4824 and domestic establishments not directly connected to the

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Part: EMC Information
Harmonic emissions public low-voltage power supply network.
Not applicable
GB 17625.1
Voltage fluctuations /
flicker emissions Not applicable
GB 17625.2

Guidance and Manufacturer’s Declaration - Electromagnetic Immunity


DP326 Series Digital Medical X-Ray Radiographic System is intended for use in the electromagnetic
environments specified below. The purchaser or user shall assure that it is used in such an
electromagnetic environment:
Electromagnetic
Immunity test IEC 60601 test level Compliance level environment -
Guidance
Floors shall be wood,
concrete or ceramic tile.
Electrostatic discharge ± 6kV Contact ± 6kV Contact
If floors are covered
(ESD) discharge discharge
with synthetic material,
GB/T 17626.2 ± 8kV Air discharge ± 8kV Air discharge
the relative humidity
shall be at least 30%.
Mains power quality
Electrical fast transient ± 2kV for power cords ± 2kV for power cords
shall be that of a typical
/ burst ± 1kV for input / output ± 1kV for input / output
commercial or hospital
GB/T 17626.4 cables cables
environment.
Mains power quality
Surge ± 1kV line-to-line ± 1kV line-to-line shall be that of a typical
GB/T 17626.5 ± 2kV line-to-earth ± 2kV line-to-earth commercial or hospital
environment.
Mains power quality
shall be that of a typical
< 5% UT, for 0.5 cycle < 5% UT, for 0.5 cycle commercial or hospital
Voltage dips, short (> 95% dip in UT) (> 95% dip in UT) environment. If the user
interruptions and 40% UT, for 5 cycles 40% UT, for 5 cycles of this system requires
voltage variations on (60% dip in UT) (60% dip in UT) continued operation
power supply input 70% UT, for 25 cycles 70% UT, for 25 cycles during power mains
lines (30% dip in UT) (30% dip in UT) interruptions, it is
GB/T 17626.11 < 5% UT, for 5s < 5% UT, for 5s recommended that this
(> 95% dip in UT) (> 95% dip in UT) system be powered from
an uninterruptible power
supply or a battery.
Power frequency 3A/m 3A/m, 50/60Hz Power frequency

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magnetic field magnetic fields shall be
(50/60Hz) at levels characteristic of
GB/T 17626.8 a typical location in a
typical commercial or
hospital environment.
Note: UT refers to the AC mains voltage prior to application of the test level.

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Part: EMC Information

Guidance and Manufacturer’s Declaration - Electromagnetic Immunity


DP326 Series Digital Medical X-Ray Radiographic System is intended for use in the electromagnetic
environments specified below. The purchaser or user shall assure that it is used in such an
electromagnetic environment:
IEC 60601 test Compliance
Immunity test Electromagnetic environment - Guidance
level level
Portable and mobile RF communication
equipment shall be used no closer to any part of
this system, including cables, than the
recommended isolation distance calculated from
the equation applicable to the frequency of the
transmitter.
Recommended isolation distance
RF conduction 3V (RMS)
GB/T 17626.6 150 kHz~80 MHz 3 V (RMS) d = 1.2 P

RF radiation 3 V/m 3 V/m


GB/T 17626.3 80 MHz~2.5 GHz
d = 1.2 P 80 MHz~800 MHz
d = 2.3 P 800 MHz~2.5 GHz
Where:
P - Maximum output power rating of the
transmitter in watts (W) according to the
transmitter manufacturer;
d - Recommended isolation distance in meters
(m) b.
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey a, shall
be less than the compliance level in each frequency
range b.
Interference may occur in the vicinity of
equipment marked with the following symbol..

Note 1: At 80MHz and 800MHz, the higher frequency range applies.


Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey shall be considered. If the measured field strength in the
location in which this system is used exceeds the applicable RF compliance level above, this system
shall be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as reorienting or relocating this system.
b Over the frequency range 150kHz to 80MHz, field strengths shall be less than 3V/m.

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Recommended Isolation Distance between the Portable and Mobile RF Communication
Equipment and DP326 Series Digital Medical X-Ray Radiographic System

DP326 Series Digital Medical X-Ray Radiographic System is intended for use in an
electromagnetic environment in which radiated RF disturbances are controlled. The purchaser or the
user can help prevent electromagnetic interference by maintaining a minimum distance between the
portable and mobile RF communication equipment (transmitters) and the (equipment or system) as
recommended below, according to the maximum output power of the communication equipment.
Isolation distance corresponding to different frequencies of the
Rated maximum
transmitter / m
output power of
150 kHz ~ 80 MHz 80 MHz ~ 800 MHz 800 MHz~ 2.5 GHz
transmitter
W d = 1.2 P d = 1.2 P d = 2.3 P

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73

1 1.2 1.2 2.3


10 3.8 3.8 7.3

100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended isolation 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.
Note 1: At 80MHz and 800MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

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