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JUMONG VET User Manual - Ver 1.2
JUMONG VET User Manual - Ver 1.2
User Manual
Jumong Vet User Manual_Ver 1.2
IMPORTANT!...X-RAY
PROTECTION
X-Ray equipment if not properly used may cause injury. Accordingly the instructions herein contained
should be thoroughly read and understood before you attempt to place this equipment in operation. The SG
Healthcare Company, will be glad to assist and cooperate in placing this equipment in use.
Although this apparatus incorporates a high degree of protection against x-radiation other than the useful
beam, no practical design of equipment can provide complete protection. Nor can any practical design compel
the operator or his assistant to take adequate precautions to prevent the possibility of authorized or
unauthorized persons carelessly, unwisely, or unknowingly exposing themselves or others to direct or
secondary radiation.
It is important that everyone having anything to do with x-radiation be fully acquainted with the
recommendations of the National Council on Radiation Protection and Measurements as published in
NCRP Reports available from NCRP Publications, 7910 Woodmont Ave., Bethesda, MD 20814, and of the
International commission on Radiation Protection, and take adequate steps to insure protection against
Injury.
It is assumed that all persons authorized to use the equipment are cognizant of the danger of excessive
exposure to x-radiation and the equipment is sold with the understanding that the SG Healthcare Company,
its agents, and representatives have no responsibility for injury or damage which may result from exposure
to x-radiation.
Various protective materials and devices are available. It is urged that such materials and devices be used.
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Table of Contents
1. CHAPTER 1 5
2. CHAPTER 2 7
ELECTROMAGNETIC COMPATIBILITY 10
RADIATION SAFETY 12
EMERGENCY PROCEDURES 14
SAFE OPERATION PRECAUTIONS 14
SYMBOLS 17
REGULATORY REQUIREMENTS 21
3. CHAPTER 3 23
RECORD OF REVISION 23
REVISION HISTORY 23
4. CHAPTER 4 24
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5. CHAPTER 5 28
HARDWARE OVERVIEW 28
SYSTEM DESCRIPTIONS 29
SYSTEM COMPONENT 29
ACQUISITION WORKSTATION 32
DETECTOR 35
TUBE WARM UP AND CONDITION 36
6. CHAPTER 6 40
SOFTWARE OVERVIEW 40
REGISTER MODE 41
REVIEW MODE 63
CONFIGURATION MODE 104
UTILITY 115
HOW TO USE MOUSE 116
7. APPENDIX A 117
MAINTENANCE 117
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1. Chapter 1
This chapter the purpose and design of this Learning and Reference Guide. It is an introduction to the guide,
providing information on the purpose, prerequisite skills, guide organization, chapter format, and graphic
conventions that identify the visual symbols used throughout the guide.
Safety Information
Please refer to Chapter 2: Safety and Regulatory. In this Learning and Reference Guide. The Safety chapter
describes the safety information you and the physicians must understand thoroughly before you begin to use
the system. Note that you will find additional safety information throughout your Learning and Reference
Guide. Additional training is available, contact qualified SG Healthcare personnel for a training. The equipment
is intended for use by qualified personnel only. This guide should be kept with the equipment and be readily
available at all times. It is important for you to periodically review the procedures and safety precautions. It
is important for you to read and understand the contents of this guide before attempting to use this product.
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Safety Notices
The following safety notices are used to emphasize certain safety instructions. This guide uses the
international symbol along with the danger, warning, or caution message. This section also describes the
purpose of a Note.
DANGER
WARNING
CAUTION
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2. Chapter 2
This chapter explains the safety considerations, general equipment and patient related precautions, and
the symbols used for the safe operation of your equipment. This chapter also includes information about the
emergency procedures.
This chapter presents the concepts necessary to successfully operate your system safely.
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JUMONG VET system is a digital imaging solution designed for general radiographic system for Veterinary.
WARNING
WARNING
Safety
The electrical wiring of the relevant rooms complies with all national and local codes, as well as the
Regulations for the electrical equipment of buildings published by the Institution of Electrical Engineers.
All assembly operations, extensions, re-adjustments, modifications, or repairs are carried out by SG Healthcare
authorized service representatives. The equipment must be used in accordance with the instructions for use.
WARNING
This X-Ray unit may be dangerous to patient and operator, unless safe
exposure factors, operating instructions and maintenance schedules
are observed.
WARNING
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WARNING
WARNING
Never touch patient and any exposed extra low safety circuits or
connectors simultaneously. Electrical shock may occur.
WARNING
WARNING
CAUTION
Always be alert to safety when you operate this equipment. You must
be familiar enough with the equipment to recognize any
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CAUTION
It is the User’s responsibility to provide the means for audio and visual
communication between the operator and the patient.
-
Read and understand all of the instructions in this Learning and Reference Guide before attempting to use
the product.
Equipment Classifications
The following equipment classifications are applicable to the Learning and Reference Guide before
attempting use the product.
l Equipment not suitable for use in the presence of a flammable anesthetic mixture with air
or with nitrous oxide
Electromagnetic Compatibility
WARNING
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WARNING
WARNING
WARNING
WARNING
Will operate normally after the power surge, but the image must be
NOTE
reacquired.
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WARNING
Radiation Safety
Always use the proper technical factors for each procedure to minimize X-ray exposure and to produce
the best diagnostic results. In particular, you must be thoroughly familiar with the safety precautions before
operating this system. Default system techniques are recommended for AEC acquisition. Default techniques
are designed to optimize the image processing parameters.
CAUTION
Please protect the families and any other company of the patients’
around this device from radiation. Please protect the technologists
who is around this device from radiation.
CAUTION
Always use the proper technical factors for each procedure to minimize
X-ray exposure and to produce the best diagnostic results. In particular,
you must be thoroughly familiar with the safety precautions before
operating this system. Default system techniques are recommended
for AEC acquisition. Default techniques are designed to optimize the
image processing parameters.
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CAUTION
There should be no persons other than the patient in the exam room
during x-ray exposure. If circumstances require another
CAUTION
Tube assembly and collimator used in this system are verified to have
a total filtration of 2.5 mmAl at least, whenever you replace one of
them, make sure total filtration for this X-ray equipment is not less
than 2.5 mmAl.
CAUTION
Make sure any other accessories or materials are not located in the
primary X-ray beam during exposure that result in a bad image quality.
CAUTION
Use the largest possible focal spot-to-skin distance appropriate for the
anatomy being imaged, to keep the patient absorbed dose as small as
possible.
CAUTION
Always use protective devices and protective clothing for the patient,
operator or even other persons as appropriate to the workload and
examination involved.
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CAUTION
Emergency Procedures
It is not always possible to determine when some components, such as the X-ray tubes, are nearing the
end of their operating lives. These components could stop operating during a patient examination.
WARNING
WARNING
If the radiation is still continuing, switch off the power to stop the
radiation.
WARNING
Do not load non-system software onto the system computer. This may cause
system to crash.
WARNING
Use of operation methods other than those specified herein may result in
hazardous radiation exposure.
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WARNING
For continued safe use of this equipment, follow the instructions contained in
this Learning and Reference Guide. Study this guide carefully before using the
equipment and keep it at hand for quick reference. It may be desirable for the
facility to print this manual from a standard PC to have a hard copy available
within the Radiology
WARNING
It is the responsibility of the operator to ensure the safety of the patient at all
times. When the table is in use the patient should be monitored by visual
observation, use of proper patient positioning, and use of the protective devices
provided.
WARNING
WARNING
WARNING
Check the Collimator status before using this equipment, to prevent it falling
down.
WARNING
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WARNING
CAUTION
Always assist the patient during loading and unloading from table. Keep the
patient in full view at all times and never leaves the patient unattended while
on the table.
CAUTION
CAUTION
WARNING
During patient procedures, ensure the patient’s head, hands and feet are
completely within the tabletop area. If any portion of the patient’s body
extends over the edge of the tabletop, serious injury may result.
WARNING
The maximum supported weight, with the tabletop fully extended toward the
head or foot end of the table, is 300kg.Exceeding this limit may cause
equipment damage or injury to the patient.
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WARNING
Always, watch all parts of the patient table to verify there is no interference or
possibility of collision with the patient or with other equipment. When moving
the table, cautiously put hand on table top. Intravenous catheter or other lines
connected with the patient must be monitored to avoid interference during
patient positioning.
WARNING
When operate the Stand & Table, the operator shall always watch the patient
for the moving parts to avoid injury by collision.
Symbols
This section explains the symbols used on this system and in its accompanying documents.
X-ray Tube
Table describes the operational symbols for the system such as X-ray emissions and collimator locations.
Symbol Description
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A gray POWER OFF button is used to turn off the system. The button is located
on the console.
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Electrical Type
Symbol Description
Electrical Current
Table describes the symbols for the different types of electrical current that may be used on your system.
Symbol Description
Direct Current indicates the equipment is suitable for direct current only.
Both direct and alternating currents indicate the equipment is suitable for
both direct and alternating current.
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Ground
Symbol Description
Collimator
Symbol Description
Indicates the collimator blades are closed. The controlled blades are shown in
thicker lines.
Indicates the collimator blades are open. The controlled blades are shown in
thicker lines.
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Regulatory Requirements
This equipment generates, uses, and can radiate radio frequency energy. The
equipment may cause radio frequency interference to other medical and non-
medical devices and radio communications. To provide reasonable protection
NOTE
against such interference, this product complies with emission limits for
Group 1 Class A Medical Devices as stated in EN 60601-1-2. However, there
is no guarantee that interference will not occur in a particular installation.
determined by switching the equipment on and off), you (or qualified service
personnel) should attempt to correct the problem using one or more of the
following measures:
–Increase the space separating the equipment and the affected device.
–Power the equipment from a source different from that of the affected
device.
The manufacturer is not responsible for any interference caused either by the
use of interconnect cables other than those recommended or by
NOTE unauthorized changes or modifications to this equipment. Unauthorized
changes or modifications could void the user’s authority to operate the
equipment.
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Do not use devices which intentionally transmit radio frequency (RF) signals
(cellular phones, transceivers, or radio controlled products) in the vicinity of
NOTE
this equipment, as it may cause performance outside the published
specifications.
Keep the power to these type devices turned off when near the equipment.
The medical staff in charge of this equipment is required to instruct technologists, patients, and other
people who may be around this equipment, to fully comply with the above requirement.
Disposal of Waste
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Please contact an authorized representative of
the manufacturer for information concerning the decommissioning of your equipment. Figure: Disposal of
waste symbol
Manufacturer’s Responsibility
This equipment is sold with the understanding that the manufacturer, its agents, and representatives do
not accept any responsibility for overexposure of patients or personnel to X-Ray radiation. No responsibility
is assumed for any unit that has not been serviced by qualified authorized service personnel.
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3. Chapter 3
Record of Revision
Revision History
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4. Chapter 4
This section provides an overview of common tasks. Refer to the relevant chapters for detailed information.
Current Workflow
1 Press the Power on button on the console .Login on the system after about 1 minutes.
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10 Select patient
12 When all preparations for the exposure are completed, you can progress an exposure.
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è Crop region is fit on the main screen when you acquiring the image.
è Click the Image Crop button to adjust the desired ROI size and location.
Hold down right-click on the mouse and move the cursor up, down, left, and right to adjust window level
& width.
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5. Chapter 5
Hardware Overview
This chapter explains the different hardware components of your system, such as the acquisition
workstation, stretcher table, Floor Rail System, Bucky Stand and 6-Way Table, collimator, and digital detector.
l Acquisition Workstation
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System Descriptions
System component
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System position
Item Description
2 X-ray Tube
3 Collimator
4 Monitor
5 Workstation
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6 Generator
7 Bucky device
8 X-ray Table
Collimator
The collimator limits patient radiation exposure to a desired area at a given distance from the x-ray tube
focal spot.
Item Description
Turns the collimator light on and off. Cutout can also be performed automatically via
1. Collimator Light Switch
an internal time switch. The light-up time is 30 seconds.
2. Vertical Adjusts the vertical field size. Turning the dial to the left closes the collimator,
Collimator Field Size turning to the right opens the collimator.
3. Lateral Collimator Adjusts the lateral field size. Turning the dial to the left closes the collimator,
Field Size turning to the right opens the collimator.
Press the field light button located on the collimator face to activate the high-intensity field lamp.
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The field light is timed and automatically turns off 30 seconds after your release the switch. To activate
the field light for another 30 seconds, press the button again when the light goes out.
Do not frequently and continuously turn on the collimator light to avoid overheating
Note
inside the collimator. It is recommended to use the collimator light 3 minute’s interval.
Positioning
Position the collimator and tube using the field light and cross hair shadow as guides. The cross hair shows
the field center.
Collimate by adjusting the size of the field with the two control knobs located on the front of the collimator.
Field sizes from 0x0 up to 17” x 17” at a 100 cm SID can be obtained. The knob selectors indicate the field
size for a selected SID. The maximum field size is 17” x 17”.
Collimator Rotation
Note Check the Collimator status before using this equipment, to prevent it falling down.
Acquisition Workstation
The Acquisition Workstation has its own dedicated computer and image data base. The Workstation
applications are based on a graphical, multiple-screen, mouse-driven interface. Images, lists, menus, and
control panels are displayed within graphical screens on the workstation’s monitor. You make your selections
using buttons and menus.
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WARNING
To avoid image loss, please periodically backup the images from the
Acquisition Workstation to the given image storage system
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Control Console
Control Console controls the power and exposure functions for the system. The Control console has the
power on/off button, exposure button, and indicator lights.
7
1 Power On/OFF Button mA Up/Down Buttons
8
2 Prep Button mAs/sec Display Window
9
3 Exposure Button mAs/sec Up/Down Buttons
10
4 kV Display Window mAs/sec Selection Button
11
5 kV Up/Down Buttons indicator (READY, X-RAY, OVER)
12
6 mA Display Window Memory selection and storage switch
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Foot Switch
Record exposures are made with the console Foot-switch. The READY/X-RAY this switch has two positions:
READY, X-RAY
Follow the procedure below to operate the console Foot-switch to prepare and record exposures
1. Make sure your patient and the console are set up for the procedure.
2. Press the READY button to the Prepare position.
3. Press the X-RAY button to the Exposure position.
Note A procedure must be selected prior to attempting an exposure or an error will occur
Detector
The detector is an x-ray imaging device. It consists of an array of 3072 by 3072 pixels. Each pixel is attached
to a data acquisition circuit that converts incoming x-ray signal to 16bit digital data.
A rating plate label is attached to the detector within the access cover. The label contains the detector
serial number, date/place of manufacture.
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Environmental Constraints
CAUTION
Electromagnetic Compatibility
Suggest keeping IV pumps, Infusion pumps, patient monitoring, and Air conditioners 1meter or more away
from any detector surface. More information for Electromagnetic Compatibility please refer to Electromagnetic
Compatibility
Tube Warm Up
It is essential that the x-ray tube be warmed up before allowing it to operate on full power to avoid
reducing its life cycle. Therefore, before starting the days examinations, condition the x-ray tube by running
a series of exposures at medium power.
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When warming up the tube, always take the precautionary measures to protect personnel from X-ray
radiation.
The warming up must be done by the qualified service personnel when the below circumstances occurs:
l Before starting the examinations;
l After the trouble shooting and when the X-ray tube voltage seems unstable during cross function
running;
REQUIREMENTS
WARNING
CAUTION
Effecting exposure at near peak potential and current without prior tube
warm up will damage the tube.
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If discharge happened, re-warm up again under the previous condition. If the tube occurs intense
Note static charge repeatedly what will damage the sensitive part of electronic component, please
discontinue the operation and inform the service personnel.
After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.
Tube conditioning
The X-ray tube assembly needs to be conditioned if it is idle for 7 days. Precautions before conditioning
check the following:
1. Any oil leak
2. Air bubble in the oil through the window
3. Correct operation of rotation
4. Correct grounding connection
5. Good condition of HV receptacles—change grease if required.
This procedure establishes the proper relation to its new environment with the equipment in used. The
action establishes a favorable distribution of the electrical charges and Electrostatic stresses in the insulation
system of the tube and the associated equipment.
REQUIREMENTS
1. Use the large focal spot (LF) or the small focal spot (SF) as specified.
2. The operating tube voltage and current should be monitored all exposures during this seasoning
operation.
3. The anode rotation should be utilized at normal speed (3000 or 3600 min-1).
4. Do not exceed either the generator or the tube ratings.
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CAUTION
When the system is built first time or halt more than 1 week, please follow table shown below to do the
If the X-ray tube assembly is unstable at high voltages reduce the kV until no high voltage instability
Note
observed and then increase the kV at a slower rate than as shown in table.
After these seasoning operations are completed, the X-ray tube unit can be used in the usual way.
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6. Chapter 6
Software Overview
This section provides information for the basic organization and each mode of
l Register Mode
l Exam Mode
l Review Mode
l Configuration Mode
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Register Mode
User can choose to enter patient information manually to start the study.
Information, that is required to process the study, is marked by ‘*’ mark while options information are displayed
in white without any special signs.
[Register Window]
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1. Main Menu
- Register Mode
- Exam Mode
- Review Mode
- Configuration Mode
- Exit Button
- Minimize Button
Note)
If ‘Use Minimize’ box is checked, User will have an access to ‘Minimize’ button on the top menu bar.
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- *ID
- Owner (optional)
- *Name
- Accession Number (optional)
- Date of Birth (optional)
- Age (calculated automatically upon entering DOB)
- *Sex
- Breed (optional)
- Schedule (The default is today’s date)
- Chip Number (optional)
Note 1)
The Age units are Y, M, D and the Sex units are M (Male), F (Female), O (Other), M ALTERED, F ALTERED.
Note 2)
For the patient who has previous chart in system, and input ID and automatically fill in another field.
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l Emergency
This function is useful if there is no data available on a patient or an examination must be carried out very
quickly. Once Emergency mode is chosen, the system automatically creates the information of a patient. And
the correct data can be entered at later date.
Note)
Emergency patient’s ID will be entered in the form of ER-xxx based on the work key number. And the patient’s
name is entered as “ERName-xxx”.
l Save
Register a patient.
l Edit
Modify patient information for selected patient.
l Clear
Clear all fields of information to register a new patient.
l Delete
Delete selected patient form the patient list.
Note)
Deleting patient information will not delete on local database.
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l Up / Down
Move the selected study up/down in the study list.
l Exam
Start the examination of patient with entered patient’s information.
Note)
When the ‘Exam’ starts, the window moves to the Exam mode automatically.
l Delete
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[Information Bar]
When you choose a specific Body Part on the pictogram, the name of the chosen Body Part will appear on
each of button. To register the study, click Projection button again.
This step helps you to choose both Body Part and Projection
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1.6 Species
Choose a species from the register window.
- Dog
- Equine
- Cat
- Etc.
Note)
Refer to Configuration Mode for registration of special code.
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Exam Mode
In Exposure Mode, user can take images of registered patient’s study. User can process the acquired image
using the imaging processing parameter file. Also, user can review the images using tools such as Zoom
In/Out, Rotate, Flip-Flop and ETC in image control box.
[Exam window]
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[Search Window]
- ID : Patient ID
- Click Search button to start the search results from the selected server (Local/Server/Both.) The results should
be displayed on the Patient List.
l DICOM Send
Note)
The image will transfer to all servers registered in Configuration mode.
l Delete
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Note)
For the processed patient image is unable to delete, and for the ready patient image is able to delete.
l Close Study
Note)
Closing processing patient will not be performed. You have to complete the examination for that patient
l Add Study
- Click Ok button ( ).
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l Emergency
- Click Ok button .
l Save
Save the changes made to selected image. For example, in order to use Window Level, Crop, Text, Mark, etc.
and save changes, it has to be clicked save button.
l Reject
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Reject selected images. On viewer image displays ‘X’ sign, and on Thumbnail image displays ‘Reject’ sign.
To reject image,
- Click Ok button .
Note)
The Reject function will show only when you select Reject function in the Configuration mode
The rejected images can’t be sent nor printed even when it is selected.
And if you want to accept the rejected image, click the Accept menu in the mouse right menu in the thumbnail
window as shown in the below figure.
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l Annotation (Show/Hide)
To perform,
l Expand Screen
At image magnification mode, the viewer area is enlarged until Thumbnail area. Thus the larger image
can be seen.
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l Dual Monitor
If user is using a secondary monitor and dual monitor feature is activated in the configure window, the image
will be displayed in the secondary monitor
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l Rotate CW90
l Rotate CCW90
l Horizontal Flip
l Vertical Flip
l R / L Marker
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Add the white R (Right) and L (Left) to the left top on the image
To move R / L Mark,
- Press and hold the left mouse button on the label while dragging it to some area
To resize R / L Mark,
- Locate the mouse pointer on the corner of the rectangle and press and hold left mouse button and drag it to
desired size
To delete R / L mark,
- Select the label, and then click press the Delete key on the keyboard
l TEXT
To add Text,
To resize,
- Click the text note and locate mouse cursor on each point of the text box, and then press and hold left mouse
button while dragging it to the desired size.
To delete,
- Select the text note, and then press Delete key on the keyboard
To modify,
- Double click the left mouse button in the selected text box, and change the text note , and then click the Enter
key on the keyboard
[Text Note]
l Rectangle Crop
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- At image, clicking with mouse where it begins, after that dragging until desired area, then the rectangular area is
made.
- If you double click the rectangular area, or choose Save button, then the chosen area is cut and enlarged.
[Rectangle Crop]
l Zoom In / Out
Resize an image
- Move the mouse cursor into the image and drag downward/upward the left mouse button during pressing the left
mouse button
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Note)
Zoom in – Dragging the mouse toward downward.
Zoom out – Dragging the mouse toward upward.
l Magnifying glass
To magnify,
- Move the mouse cursor into the image and press and hold the left mouse while dragging it to the detail in the
image you want to magnify
[Magnifying Glass]
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[Thumbnail Panel]
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Review Mode
It shows the list of stored images after acquisition. You can open the images to edit, to send to the PACS
server, and to print out.
[Review Window]
3.1 Database
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3.1.1 Search
You can search the scheduled orders using Search button on the right side from Local Database with the following
options.
3.1.2 Unread
Search the study of ‘Unread’ status when clicking the check box.
l Add Image
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Add new study in order to take an X-ray newly. Then, additional taking an X-ray window appears, and click OK
button, and move automatically to exam mode.
l Merge
Merge different studies. For example, the case happens that the different patient image is in the selected patient
image folder or one patient’s image.
[Merge Window]
To perform Merge:
- Select the patient to merge.
- Click Merge button and then it shows the below pop-up window.
- Select the patient’s image to merge by using Left / Right arrow button after searching.
- Input the password when you complete the condition to merge.
l Edit Patient Information
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To use Edit,
- Activate the Edit button.
- Modify the information of the patient you selected as follows:
- Click the OK button
Delete Patient information. When logging in, need to check the password.
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l Read
This function is used to change the status of study from Unread to Read
l Edit Series
To use Edit,
- Activate the Edit button.
- Modify the information of the study you selected as follows:
- Click the OK button
l Delete Series
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4. Tools Panel
Tool panel is for taken X-ray image analyzing. Also, the tool panel is composed of variety of button for the different
functions.
4.1 Layout
These buttons are tools to divide that working area into various girds. The grid may consist of at least one or at
most 8 x 8 grid areas.
l Layout
[1 Layout]
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2 x 1 Layout (Vertical)
[2 x 1 Layout (Vertical)]
l 1 x 2 Layout (Horizontal)
[1 x 2 Layout (Horizontal)]
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l 2 x 2 Layout
[2 x 2 Layout]
Allow to customize the image layout on the image viewer window. (Maximum 8 x 8)
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è
[User Defined Layout]
l Cursor
l Panning
To use Cursor,
- Press and hold the left mouse button while dragging the image to the desired position.
l Fit to Screen
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l Zoom In/Out
l Magnifying Glass
[Magnifying Glass]
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- Click the Display menu in the Configuration window and enter each of the values you want as shown in the following
figure.
Note)
Annotation will be not enlarged or reduced.
l Crop (Rectangle)
To crop an image,
- Drag the mouse to the cropping area during pressing and holding the mouse left button.
- Click Save button or Double-clicking of the left mouse button if you want to save the image you selected.
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l Crop (Ellipse)
Note)
It depends on the pixel size of the monitor and the pixel spacing of the detector.
l RESET
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l Rotate CW90
[Original] [CW90]
l Rotate CCW90
[Original] [CCW90]
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l Horizontal Flip
l Vertical Flip
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l Invert Image
4.4 Annotation
l Clear
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l R / L Marker
Add the White R (Right) and L (Left) label to the left top of the image.
To move R / L Mark,
- Press and hold the left mouse button on the label while dragging it to the area you want.
To delete R / L Mark,
- Click Delete button after choosing the label to be deleted.
[R Marker] [L Marker]
l MARK
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[Mark Window]
l TEXT
To add,
- Click TEXT button on the Tools Panel, and type text note you want
To resize,
- Click the text note and locate mouse cursor on each point of the text box, and then press and hold the left mouse
button while dragging it to the desired size.
To delete,
- Select the text note, and then press the Delete key on the keyboard
To modify,
- Double click the left mouse button in the selected text box, and change the text note , and then click Enter key on the
keyboard
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[Text]
l Distance
l Angle
To measure an Angle,
- Click on left mouse button on the image to set the center point of the angle.
- Move the mouse and click the left mouse button to set the endpoint of the first vector.
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- Click Left mouse button to set the end endpoint of the second vector.
- At this point, the angle’s measurement is displayed.
[Distance] [Angle]
l Cobb Angle
This tool is used to find the angle where two lines intersect.
Note)
If you want to delete any annotation, press the Delete key on your keyboard.
l Norberg Angle
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The angle formed by a line connecting the centers of both femoral heads and one drawn between the center of a
femoral head and craniodorsal rim of the acetabulum on the same side.
4.5 ETC
l Reset
l Window Level
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l Line Profile
Display various pixel values related to the line when you draw a line
[Line Profile]
l Histogram
Sometimes it is helpful to have an idea of how the pixel values fall for a particular image.
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[Histogram]
l Stitch
To use Stitch,
- Adjust the position of each image using mouse or move button below picture
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(If the user want to reset, please click ‘Reset All’ button.)
- After check a preview image, Click ( ) button to save the composite image.
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To view the DICOM tag data of the selected image, click this button.
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VHS is a method that measures the cardiac size of dogs of different breeds or cat. It provides an accurate
- Draw a line by drag and drop on the widest part of the heart.
Especially, draw a line perpendicular to the long axis like the figure below. The distance of short axis is calculated and
displayed automatically.
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- Drag slightly on the cranial edge of the T4 vertebra and release the mouse button when the line is lined up correctly.
And then, the line its distance is equal to the distance of the long axis appears.
⑤
T
4
- Drag slightly on the cranial edge of the T4 vertebra and release the mouse button when the line is lined up correctly.
And then, the line its distance is equal to the distance of the short axis appears and a new window opens like the figure
below.
- Count the number of vertebra crossed by each line in 0.1 units and calculate the sum of those two numbers. And then,
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- Finally, the VHS appears on the image like the figure below.
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l Edge Enhance
This is for highlighting the edge of the image (separately with other parameters). As shown in the below image, it is
l Contrast Factor
This is highlighting the contrast of the image. It is related to latitude. If highlighted too much, it looks hard. As
shown in the below images, C-spine’s part is highlighted compared to the surrounding tissue.
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l Image Latitude
As the value gets higher, the lower part of the image is highlighted and the image gets thicker. It shows more
[Latitude = 2] [Latitude = 7]
Note)
You need to set for image processing. If the file is not in the pre-set route of the configure window, it is displayed
as blank.
l Process
l Save Parameter
The modified Edge enhance, Contrast factor and Image latitude of the parameters for image processing are saved.
The saved parameters will process the same study part.
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l Initial Parameter
l Raw Image
Send out chosen image by variety of image format to USB, CD/DVD, HDD, or retrieve DICOM file from external
storage.
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l Export
The export of images is initiated via a typical the File In/out window. The user can chose between exporting the
loaded images of the study. Images can be exported to files in DICOM format or BMP or to JPG, BMP, PNG files.
- Device:
Select the place to export image by Local Disk or CD/DVD
- Path:
Select User Directory to save the image in the local place.
- Image Type:
Select a format of the image to be restored. (BMP, JPG, PNG, DICOM)
- Burn information into image:
The image is exported including patient’s information when the check box enabled.
- Include Viewer (DICOM only):
The image viewer is exported for DICOM image when the check box enabled.
- File list:
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[Export]
To use Export,
l Import
Open (retrieve) selected image.
[Import]
To use Import,
- Click Search button( ), and choose retrieve image. (Supported DCM format only)
4.7.2 Save
Save current image including the annotation from the selected study.
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4.7.3 Send
Transfer the DICOM Image selected to PACS Server.
Note)
If you want to add other PACS Server, please refer to configuration’s DICOM menu.
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4.7.4 Print
Print the selected image with DICOM print.
Note)
If you want to add other DICOM Print Server, please see the DICOM menu of Configuration Window
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[Common Tools]
l Rotate CW90
[Original] [CW90]
l Rotate CCW90
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[Original] [CCW90]
l Vertical Flip
l Horizontal Flip
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l Zoom In/Out
Resize an image
- Move the mouse cursor into the image and drag downward/upward the left mouse button during pressing the left
mouse button
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l Compare
[Compare Window]
- Click ESC key and then the screen returns to normal image viewer.
l Expand
This function is used to watch all images by pushing EXPAND button when there are too many thumbnail images.
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[Expand Window]
To perform Edit,
- Click OK button
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To perform,
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l Re-take
If a saved image is under x-ray or mismatch position, you can do the examination again using this function.
- Click Ok button, and then, the mode will be changed as Exam window to exam.
[Reject Window]
Note)
If you do accept new image, the old image will be changed the rejected image.
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Configuration Mode
User can set the various parameters like the ‘Information’, ‘Display’, ‘DICOM’, ‘Body Part Management’, ‘Exam Settings’,
‘Code matching’ and ‘Report’ except the Device, so the proper settings of parameters is important.
If you want to set the Device component, please run the DeviceConfig.exe.
5.1 General
5.1.1 Information
This menu is for to check system and hospital information. Also, by adding user account can create new user.
- Operator: You can manage login accounts on the Operator List panel
- Click Add button ant then the new operator will be inserted in the list
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5.1.2 Display
l Annotations
- Viewer
- Magnify Zoom Rate: set the magnify zoom rate.
l Language
- Select Language and restart application
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Note)
l Program Skin
You can change the skin like the Vanilla, Banana, Strawberry, Green tea, Chocolate, Mint in this mode.
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l DICOM Network
[PACS Server]
Note)
Note)
If you want to send some image while you click Close study button in Exam mode,
You can set the server’s environment and client’s environment for using DICOM Modality Worklist Service.
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[MWL Server]
l DICOM Print
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6.1 Exam
6.1.1 Body Part Management
You can add and modify and delete the Body part in this mode.
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- Input the Body Part name in the field of the Body part.
At this point, the new body part will be registered in the Body part List.
- Click Add button this also will be registered in the Projection List.
- After completing this work, you can verify New Body Part in the Register window.
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(X-ray Mode, Patient Size, Focal Spot, Shutter, Parameter, Marker, Label, Annotation, Mirror, Rotate, Flip and SID)
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- Click the Add button, at this point, the new Code will be registerd and displayed in the Code list.
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- Select the Body part and the projection in the pictogram. At this point, the Body part and the projection will be displayed
Utility
7.1 Report
It shows statistic information about taken images.
The information are number of total patient / exposed image / sent image / rejected image / printed image /
deleted image. You can filtering information by date or operator.
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- Wheel: Roll the mouse wheel up and down to switch between images when multiple images are selected.
- Drag: Adjust window level. Press and hold the rights mouse button while dragging the mouse to adjust Window
Level on the image window.
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7. Appendix A
Maintenance
It is the owner’s responsibility to provide regular periodic maintenance and service. Only this type of
maintenance program can identify potential problems. Topics covered include:
l Periodic Maintenance
l Qualified Service
l Cleaning and Disinfecting
l Recycling
Periodic Maintenance
Periodic maintenance is required for continued SAFE operation. Periodic maintenance should be performed
as specified in the maintenance schedule of the service manual by qualified personnel. Descriptions and
scheduled frequency of the required periodic maintenance are provided in the Service manual supplied with
the equipment. Inspection intervals are based on average daily use of one eight hour shift. These periodic
maintenance procedures will be performed by SG service if contracted to do so. Generally, most of the parts
need maintenances once a year; general cleaning and painting as required; Replace Nonvolatile RAM on the
kV Control Board every 10 years. More frequent inspection is appropriate where equipment use is above
average.
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CAUTION
Qualified Service
Safe equipment performance requires the use of service personnel specially trained on medical X-ray
apparatus. SG Healthcare Medical Systems and its associates, maintain a world-wide organization of stations
from which to furnish periodic and/or emergency service on a contract basis. A SG representative will be glad
to discuss this plan. SG Healthcare Medical Systems X-ray equipment contains operating safeguards designed
to provide maximum safety. Before calling for service, be certain proper operating procedures are being used.
This equipment should be cleaned frequently, particularly if corroding chemicals are present. Use a cloth
moistened in warm soapy water (use mild soap) to clean the trim and nameplate of the Operator’s Controls.
Wipe with a cloth moistened in clean water. Do not use cleaners or solvents of any kind as they may dull the
finish or blur the lettering. Polish with a pure liquid or paste wax. Other surfaces of the equipment can be
cleaned using a clean cloth moistened slightly with a good mild cleaner and polish acceptable for use on
enameled metal surfaces. Before each use, equipment surfaces that contact the patient should be cleaned
with an EPA registered, low-level disinfection or sanitizing agent.
CAUTION
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Be sure to follow the label instructions and pre-cautions for use, storage, and
Note
disposal of all disinfecting agents.
Recycling
Packing Materials
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Republic of Korea
TEL: +82-02-449-6908
FAX: +82-02-449-6909
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