7H7773 - POC ITX 560 - UserGuide-en

KODAK Point-of-Care CR-ITX 560
System
Software Version 2.5.1
User Manual
7H7773
Use of the Guide
The KODAK Point-of-Care CR-ITX 560 System is designed to meet international safety and performance standards.
Personnel operating the unit must have a thorough understanding of the proper operation of the system. This guide
has been prepared to aid medical and technical personnel to understand and operate the system. Do not operate the
system before reading this manual and gaining a clear understanding of the operation of the system. If any part of this
manual is not clear, please contact your Carestream Health representative for clarification.
Authorized European Representative

Carestream Health France
LES MERCURIALES
40, rue Jean Jaures
93176 BAGNOLET CEDEX
France
CARESTREAM
Carestream Health, Inc.

150 Verona Street
Rochester, NY 14608
© Carestream Health, Inc., 2010
CARESTREAM is a trademark of Carestream Health.
1 Safety and Regulatory Information
Overview.................................................................................................................................. 1-1
Getting Help .................................................................................................................... 1-2
Document Conventions ........................................................................................................... 1-2
CE Conformity ................................................................................................................ 1-2
General Safety Guidelines ....................................................................................................... 1-3
Electrical Hazards .................................................................................................................... 1-4
Explosions and Implosion Hazards ......................................................................................... 1-4
Personal Protection Measures.................................................................................................. 1-5
General Mechanical Precautions ..................................................................................... 1-5
Laser Safety Instructions ................................................................................................. 1-5
Device-Specific Safety Information................................................................................ 1-5
Mechanical Safety Hazard Areas .................................................................................... 1-6
Arm System..................................................................................................................... 1-7
Radiation and X-Ray System General Safety Information ............................................. 1-8
Radiation Protection ...................................................................................................... 1-10
Cleaning Cautions ......................................................................................................... 1-11
Equipment-Related Safety Measures..................................................................................... 1-11
Installation and Repair .................................................................................................. 1-11
Transport ....................................................................................................................... 1-12
Disposal ......................................................................................................................... 1-13
Conforming Standards................................................................................................... 1-14
2 Functional Description
Device Overview ..................................................................................................................... 2-1
Special Features............................................................................................................... 2-1
Parts and Controls ........................................................................................................... 2-2
Switches and Interfaces ........................................................................................................... 2-4
Motor Driving Control............................................................................................................. 2-6
X-Ray Tube Assembly with Multi-leaf Collimator................................................................. 2-7
Hanger for Lead Apron............................................................................................................ 2-8
Main Control and Display Panel.............................................................................................. 2-9
Arm System ........................................................................................................................... 2-10
Hand/Parking Brake............................................................................................................... 2-10
Accessories and Options........................................................................................................ 2-11
DAP Measuring System ................................................................................................ 2-11
DAP-Ionization Chamber.............................................................................................. 2-12
Remote Control (Optional)............................................................................................ 2-13
Pediatric Filters ............................................................................................................. 2-14
Angle Gauge.................................................................................................................. 2-14
Equipotential Bonding ........................................................................................................... 2-14
3 Operation
Quick Operational Guide ......................................................................................................... 3-1
Starting the System .................................................................................................................. 3-2
Charging the Batteries .................................................................................................... 3-2
Turning ON the System .................................................................................................. 3-2
Starting the User Interface .............................................................................................. 3-3
Preparing Exposures................................................................................................................ 3-4
Precautions During Exposure ......................................................................................... 3-4
Positioning the CR-ITX 560 System .............................................................................. 3-4
Adjusting the Radiation Field ......................................................................................... 3-6
Collimating the Radiation Field using the Diagram ....................................................... 3-7
Example of Radiation Field Collimating ........................................................................ 3-8
Exposure Parameters....................................................................................................... 3-8
Exposure Release .................................................................................................................... 3-9
Exposure Release Switch ................................................................................................ 3-9
With the Remote Control .............................................................................................. 3-11
Exposure with the DAP Measuring System.................................................................. 3-13
Turning the System OFF ....................................................................................................... 3-13
Disconnecting the Power Cable ............................................................................................ 3-14
Transport ............................................................................................................................... 3-15
Prior to Transport .......................................................................................................... 3-15
Driving the System ....................................................................................................... 3-16
Tilting the Unit.............................................................................................................. 3-17
Using the Hand/Parking Brake ..................................................................................... 3-18
Transferring Images to the Server via LAN/WLAN (WiFi) ................................................. 3-19
4 Acquiring New Images
Logging In ............................................................................................................................... 4-1
Managing Patient Information-Manual Patient Entry ............................................................. 4-3
Creating a New Patient ................................................................................................... 4-5
Deleting a Patient ............................................................................................................ 4-5
Editing a Patient .............................................................................................................. 4-6
Opening the Scan Screen ................................................................................................ 4-6
Searching for a Patient .................................................................................................... 4-7
Managing Patient Details-Modality Worklist ......................................................................... 4-8
Searching for a Patient .................................................................................................... 4-9
Returning to a Full List ................................................................................................... 4-9
Opening the Scan Screen ................................................................................................ 4-9
Doing a Query of the HIS/RIS........................................................................................ 4-9
Scanning Images.................................................................................................................... 4-10
Selecting a Room .......................................................................................................... 4-11
Adding Images to Scan ................................................................................................. 4-11
Scanning an Image ........................................................................................................ 4-12
Loading a Cassette ........................................................................................................ 4-13
Reviewing an Image ..................................................................................................... 4-14
Changing Brightness and Contrast................................................................................ 4-14
Resetting an Image........................................................................................................ 4-14
Displaying in Full Screen Mode ................................................................................... 4-14
Adding Markers to the Image........................................................................................ 4-14
Adding Annotations to the Image ................................................................................. 4-14
Flipping or Rotating the Image ..................................................................................... 4-15
Saving/Rejecting an Image............................................................................................ 4-16
5 Working with Image Storage
Image Storage Status Tab ........................................................................................................ 5-2
Reprocess Images Screen ........................................................................................................ 5-4
6 Working with the Viewer
Overview: The Review Application ........................................................................................ 6-2
Workflow ........................................................................................................................ 6-3
Working in the Viewing Pane versus the Print Composition Pane................................. 6-4
Optimizing the Review Application for your Preferences .............................................. 6-5
Opening Images in the Review Application ............................................................................ 6-7
Browsing the Database.................................................................................................... 6-8
Opening Files from the Hard Drive................................................................................. 6-9
Loading Images to View and Adjust ..................................................................................... 6-11
Using the Viewing Pane ................................................................................................ 6-11
Using the Print Composition Pane ................................................................................ 6-11
Adjusting Images ................................................................................................................... 6-12
Working with the Image Editing Tools......................................................................... 6-12
Saving Images ............................................................................................................... 6-14
Working in a Print Composition............................................................................................ 6-15
Moving Images to the Print Composition Pane ............................................................ 6-15
Working with Images in the Print Composition............................................................ 6-15
Printing Images ............................................................................................................. 6-17
Working with Settings ........................................................................................................... 6-18
Printer Settings .............................................................................................................. 6-18
Image Adjustment ......................................................................................................... 6-19
Monitor Calibration....................................................................................................... 6-23
Modality Default Image Layouts .................................................................................. 6-24
Modality Preferences..................................................................................................... 6-24
Print Composition Custom Image Layouts ................................................................... 6-24
Configuring Overlays .................................................................................................... 6-26
Backing up and Restoring Settings ............................................................................... 6-27
Working with CD/DVDs ....................................................................................................... 6-28
Writing Images to Disc ................................................................................................. 6-28
Retrieving Discs from the Database.............................................................................. 6-30
Retrieving Images to View from a Disc........................................................................ 6-31
Installing NERO to work with DVDs ........................................................................... 6-31
7 Setting Procedure Mapping
8 Advanced Settings
The User Tab ........................................................................................................................... 8-2
The Administration Tab .......................................................................................................... 8-4
The Anatomical Tab ................................................................................................................ 8-5
The Calibration Tab................................................................................................................. 8-6
The Diagnostics Tab................................................................................................................ 8-7
Software Update and Backup Tab........................................................................................... 8-8
The Setup Tab ......................................................................................................................... 8-9
9 DICOM Settings
10 Cleaning
Cleaning the DAP Chamber .................................................................................................. 10-1
Cleaning the Touch Screen.................................................................................................... 10-1
Cleaning the Phosphor Screens ............................................................................................. 10-3
General .......................................................................................................................... 10-3
Removing the Screen .................................................................................................... 10-3
Handling and Maintaining the Screen........................................................................... 10-4
Screen Cleaning Materials ........................................................................................... 10-5
Cleaning Method........................................................................................................... 10-5
Cleaning the Cassette Exterior...................................................................................... 10-6
Disinfecting CR Cassettes or Phosphor Screens........................................................... 10-6
Installing the Screen...................................................................................................... 10-7
Disposing of the Screen ................................................................................................ 10-7
Cleaning the Rollers of the Scanner ...................................................................................... 10-8
11 Messages
12 Radiation Calculation
Dose Area Product................................................................................................................. 12-1
Calculate the Dose Area Product .................................................................................. 12-2
Radiation Dose ...................................................................................................................... 12-4
Estimate the Radiation Dose ......................................................................................... 12-4
13 The Exposure Point System
Density and Contrast Relations ............................................................................................. 13-1
Example 1 ..................................................................................................................... 13-1
Example 2 ..................................................................................................................... 13-2
Example 3 ..................................................................................................................... 13-2
14 Functional and Safety Checks
Daily Checks ......................................................................................................................... 14-1
Monthly Checks .................................................................................................................... 14-2
Labels ............................................................................................................................ 14-2
DAP Measuring System................................................................................................ 14-2
Maintenance Plan .................................................................................................................. 14-2
Check of the System ..................................................................................................... 14-2
Check of System Parts .................................................................................................. 14-2
Parts Subject to Wear ............................................................................................................ 14-3
15 Technical Data
X-Ray Controls and Generator .............................................................................................. 15-1
Classification According to IEC 60601-1 ..................................................................... 15-2
X-Ray Tube ........................................................................................................................... 15-2
Imaging Station...................................................................................................................... 15-4
Cassette Size .......................................................................................................................... 15-5
Motor Drive and Batteries ..................................................................................................... 15-5
Remote Control...................................................................................................................... 15-6
DAP Equipment..................................................................................................................... 15-7
Environment .......................................................................................................................... 15-8
Dimensions ............................................................................................................................ 15-9
Tube Housing Charts ........................................................................................................... 15-12
Heating Curve Single Tank ......................................................................................... 15-12
Tube Housing Cooling Curve ..................................................................................... 15-13
EMC (Electromagnetic Compatibility)................................................................................ 15-14
External Cables ........................................................................................................... 15-14
Guidance and Manufacturer's Declaration - Electromagnetic Emission..................... 15-15
16 Dosimetry
Exposure Tables (Valid for Operation in Analog Mode with Film-Cassette)....................... 16-1
Cranial ........................................................................................................................... 16-1
Chest.............................................................................................................................. 16-1
Abdomen ....................................................................................................................... 16-2
Spinal Column............................................................................................................... 16-2
Pelvis ............................................................................................................................. 16-2
Upper Extremities ......................................................................................................... 16-3
Lower Extremities ......................................................................................................... 16-4
Exposure Points............................................................................................................. 16-5
17 Configuring a DICOM Printer in Kodak QC
Printer Driver Installation ...................................................................................................... 17-1
Printer Paper Properties Configuration.................................................................................. 17-5
18 Labels
Safety and Regulatory Information
1 Safety and Regulatory

Information
The information contained herein is based on the experience and knowledge
relating to the subject matter gained by Carestream Health, Inc. prior to
publication. No patent license is granted by this information.
Carestream Health, Inc. reserves the right to change this information without
notice, and makes no warranty, express or implied, with respect to this
information. Carestream Health shall not be liable for any loss or damage,
including consequential or special damages, resulting from any use of this
information, even if loss or damage is caused by Carestream Health's
negligence or other fault.
Overview
The KODAK Point-of-Care CR-ITX 560 System is a digital mobile radiographic
system, and is self-contained. The CR-ITX 560 System consists of:
• Mobile powered-wheel unit
• X-ray generator
• Operator console based on built-in PC
• Built-in unit to scan exposed CR phosphor screens
• Network communication system to receive and transmit patient
information to hospital PACS and/or Workstations
• Network communication system to send images to DICOM output device
Personnel operating and maintaining the CR System should receive training
and be familiar with all aspects of operation and maintenance. To ensure
safety, read the Safety Information section carefully before using the system
and observe all Cautions, Importants, and Notes located throughout this
manual and other manuals supplied with the equipment.
7H7773 1-1
Getting Help In the U.S. and Canada, call the Carestream Health Service Center at
800-328-2910. Elsewhere in the world, contact your authorized
representative.
European Authorized Representative for CR Readers and all other
accessories:
Carestream Health France
LES MERCURIALES
40, rue Jean Jaures
93176 BAGNOLET CEDEX
France
Document Conventions
CAUTION:
Cautions point out procedures that you must follow precisely
to avoid damage to the system or any of its components,
yourself or others, loss of data, or corruption of files in
software applications.
NOTE: Notes provide additional information, such as expanded

explanations, hints, or reminders.
IMPORTANT: Important highlights critical policy information that
affects how you use this manual and this product.
CE Conformity This product conforms to the requirements of council directive 93/42/EEC.

The Point-of-Care CR-ITX 560 is a Class 1 medical device. The Point-of-Care
CR-ITX 560 follows the following mark of conformity.
The name and address of the CE representative appears on the back of the
front page of this manual.
1-2 7H7773
General Safety Guidelines

• This product is designed and manufactured to ensure maximum safety of
operation. Operate and maintain it in strict compliance with the safety
precautions and operating instructions contained in this manual.
• This product meets all the safety requirements applicable to medical
equipment. However, anyone attempting to operate the system must be
fully aware of potential safety hazards.
• There are no user serviceable parts in this system. The product must be
installed, maintained, and serviced by qualified service personnel
according to procedures and preventive maintenance schedules in the
product service manual. If your product does not operate as expected,
contact your Service Representative.
• Do not modify this product in whole or in part without prior written
approval from Carestream Health, Inc.
• Personnel operating and maintaining the CR System should receive
training and be familiar with all aspects of operation and maintenance.
• To ensure safety, read all user manuals carefully before using the system
and observe all Cautions, Importants, and Notes located throughout the
manual.
• Keep this manual with the equipment.
• Reading this manual does not qualify you to operate, test, or calibrate
this system.
• Unauthorized personnel are not allowed access to the system.
• If the product does not operate properly or fails to respond to the
controls as described in this manual:
• Follow the safety precautions as specified in this manual.
• Stop using the unit and prevent any changes to it.
• Immediately contact the service office, report the problem, and await
further instructions.
• The images provided by this system are intended as tools for the trained
user. They are explicitly not to be regarded as a sole incontrovertible
basis for clinical diagnosis.
• Be aware of the product specifications and of system accuracy and
stability limitations. Consider these limitations before making any
decision based on quantitative values. If you have any doubts, consult
your Sales Representative.
7H7773 1-3
Electrical Hazards
CAUTION:
Do not remove or open system covers or plugs. Internal
circuits use high voltage capable of causing serious injury.
Fuses blown within 36 hours of being replaced by a qualified
technician may indicate malfunctioning electrical circuits
within the system. Have the system checked by qualified service
personnel. Do not attempt to replace any fuse. Fluids that seep
into the active circuit components of the system may cause
short circuits that can result in electrical fires. Therefore, do
not place any liquid or food on any part of the system.
Explosions and Implosion Hazards

CAUTION:
Do not operate the equipment in the presence of explosive
liquids, vapors, or gases. Do not plug in or turn on the system
if hazardous substances are detected in the environment. If
these substances are detected after the system has been turned
on, do not attempt to turn OFF the unit or unplug it. Evacuate
and ventilate the area before turning off the system.
The CR-ITX 560 System is not designed to work in areas where there is an
explosion hazard.
1-4 7H7773
Personal Protection Measures

General Mechanical
Precautions
CAUTION:
Only a qualified authorized Service Provider and/or electrician
should replace electrical and mechanical components.
The following are general mechanical safety precautions:

• Keep fingers, hands, and tools clear of moving parts.
• Unless specifically instructed, do not operate the equipment with covers
or access panels removed.
• Route cables properly to eliminate hazards from tripping.
Laser Safety During normal operation, always keep the scanner enclosed in its protective
Instructions cover to prevent the outside area from being exposed to laser emission.
During normal operation, do not remove the cover. Only a qualified
technician may remove the cover to service this product.
Device-Specific Safety Complies with 21 CFR 1040.10 and 1040.11 except for deviations pursuant to
Information Laser Notice no. 50, Dated July 26, 2001.
Class 1 Laser Product, and IEC/EN 60825-1.
Class 1 Equipment.
Intended for continuous operation.
Product is provided with ordinary protection against the harmful ingress of
water.
Not suitable for use in the presence of a flammable anesthetics mixture with
air or with oxygen or with nitrous oxide.
The use of accessory equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety of the
resulting system. Consideration relating to the choice shall include:
• Use of the accessory in the patient vicinity.
• Evidence that the safety certification of the accessory has been performed
in accordance with IEC 60601-1 or the system to IEC 60601-1-1 or local
equivalent.
7H7773 1-5
Mechanical Safety
Hazard Areas
CAUTION:
Tube assembly movements can cause injury to the operator.
Hold on to the handles to avoid squeeze injuries during the
positioning of the tube assembly.
1-6 7H7773
Arm System Always use the handles on the arm system and the tube assembly when
lowering the X-ray tube assembly from the raised position into the parking
position.
CAUTION:
Tube assembly movements can cause injury to the operator.
Hold on to the handles to avoid squeeze injuries during the
positioning of the tube assembly.
7H7773 1-7
Radiation and X-Ray System General Safety Information

Occupational workers associated with X-ray work must be familiar with the
recommendations of the Center for Devices and Radiological Health (CDRH),
the National Council on Radiation Protection (NCRP), the International
Commission on Radiation Protection (ICRP), and state and local regulators.
Be sure that all personnel authorized to operate the CR-ITX 560 System are
familiar with the established regulations of the authorities named above. All
personnel should be monitored to ensure compliance with recommended
procedures.
Current sources of information include:
• NCRP Report 147: Structural Shielding Design for Medical Imaging
Facilities
• Current recommendations of the International Committee on Radiation
Protection
• State or local requirements for Radiation protection
Although exposure to high levels of X-radiation may pose a health risk,
CR-ITX 560 System X-ray equipment does not pose any danger when properly
used. Be certain all operating personnel are properly educated concerning
the hazards of radiation. Persons responsible for the system must understand
the safety requirements and special warnings for X-ray operation. Review this
manual and the manuals for each component in the system to become aware
of all safety and operation requirements.
CAUTION:
Ensure exposure parameters are properly adjusted within
safety limits.
CAUTION:
Incorrect Collimator adjustment may cause unnecessary
patient X-ray exposure. See the instructions in this guide for
adjusting the size of the exposure area.
1-8 7H7773
Maximum Permissible Various studies on the effects of X-radiation have provided a foundation for
Dose (MPD) establishing the maximum permissible dose of X-radiation to which an
occupational worker may be exposed. The results of these studies have been
used by the NCRP and the ICRP to develop recommendations for MPD. In
addition, state or local regulators also provide occupational exposure limits
that must be complied with.
Occupational Exposure Limits:
• Whole body: 5 rem/year
• Extremity: 50 rem/year
• Declared pregnant occupational worker: 0.5 rem/gestation period
Manufacturer’s Although this equipment incorporates protection against X-radiation other

Responsibility than the useful beam, practical design does not provide complete protection.
Equipment design does not compel the operator or assistants to take the
necessary precautions; nor does it prevent the possibility of improper use
(authorized or unauthorized persons carelessly, unwisely, or unknowingly
exposing themselves or others to direct or secondary radiation). Allow only
authorized, properly trained personnel to operate this equipment.
Be certain that all individuals authorized to use the equipment are aware of
the danger of excessive exposure to X-radiation. 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-radiation.
Furthermore, the manufacturer does not accept any responsibility for
overexposure of patients or personnel to X-radiation generated by this
equipment as a result of poor operating techniques or procedures. No
responsibility is assumed for any unit that has not been serviced and
maintained in accordance with the technical service manual, or that has been
modified or tampered with in any way.
7H7773 1-9
Radiation Protection
CAUTION:
This X-ray unit may be dangerous to patient and operator
unless safe exposure factors and operating instructions are
observed.
Because exposure to high levels of X-radiation may pose a health risk,

operators must ensure that they use all available methods to reduce their
radiation dose to a level that is As Low As Reasonably Achievable (ALARA).
This includes protection from the primary beam as well as scattered
radiation. Protection from excessive amounts of exposure is accomplished
using a combination of engineering and administrative controls.
• Shielding—Make sure that sufficient shielding is present in the primary
barriers that protect operators and the general public from the primary
beam and scatter. Primary barriers may include walls, windows, doors,
and protective enclosures that house the control panels. Consult a
properly qualified professional, such as a Health Physicist or Medical
Physicist, to determine the proper shielding thickness, configuration and
X-ray facility construction, based on the X-ray system’s expected
operational parameters.
• Portable Barriers and Lead Aprons—Portable barriers and lead
aprons may be needed to protect personnel from scattered radiation if
operators need to be in close contact with the patient. Make sure that the
shielding and aprons have sufficient lead equivalence, as determined by
a qualified Health or Medical Physicist, and are maintained properly for
maximum benefit.
• Doors—Close the doors to the X-ray facility whenever possible during
X-ray use so that others are not exposed needlessly to scattered
radiation.
• Procedures—Always follow the procedures of your institution to
ensure proper protection.
• Training—Medical equipment should be operated by trained
personnel only. Most regulatory agencies require that medical diagnostic
procedures be done only by properly licensed individuals. Consult your
state or local agencies for more information.
• Radiation Survey—Monitor the exterior of the X-ray facility (outside
the primary protective barrier) and control room periodically to ensure
that dose rates meet design objectives for allowable radiation exposures.
A qualified Health or Medical Physicist should use only calibrated
equipment for this survey.
1-10 7H7773
• Personal Monitoring —Monitor occupational workers that use X-ray

equipment for X-ray exposure to ensure that established controls are
functioning properly and procedures are being followed. Typically, film
badges or similar devices are used. Film badges use X-ray sensitive film
enclosed in a holder that incorporates metal filters of varying degrees of
transparency to X-radiation. Even though this device only measures the
radiation reaching the area of the body on which it is worn, it provides an
indication of the amount of radiation received. Film badges can also be
used as area dosimeters on the outside perimeter of the X-ray facility and
control room to verify dose rates. Film badges are available from a
number of distributors. Consult your institution’s Radiation Safety Officer
for further information.
Cleaning Cautions IMPORTANT: It is the responsibility of the System Operator to observe ALL
Notes, Cautions, Warnings, and other recommendations
while cleaning this equipment.
CAUTION:
Do not operate the equipment when cleaning the equipment.
CAUTION:
Do not spray cleaning solution directly on the equipment.
CAUTION:
Do not use flammable solvents (such as alcohol) on or near the
equipment.
Equipment-Related Safety Measures

Installation and Modifications of, or additions to the CR-ITX 560 System must be made in
Repair accordance with the legal regulations and generally accepted engineering
standards.
As manufacturers, assemblers, installers, or importers, Carestream Health
cannot assume responsibility for the safety features and for reliability and
performance of the equipment, especially if:
• Installation, equipment expansions, readjustments, modifications, or
repairs are not carried out by persons authorized by us.
• Components affecting safe operation of the CR-ITX 560 System are not
replaced by original spare parts in case of malfunction.
• Electrical installation of the room concerned does not meet the
requirements of the VDE 0107 regulation, or the corresponding national
7H7773 1-11
regulations, or the CR-ITX 560 System is not used in accordance with the
instructions for use.
Technical documents for the product are available. This does not imply an
authorization to undertake repairs. We accept no responsibility for repairs
performed without our expressed written approval.
We suggest that you obtain a report indicating the nature and extent of the
work performed from the persons carrying out such work. The report must
show any changes in rated parameters or operating ranges, as well as the
date, the name of the firm, and a signature.
Transport Do not use the unit to open doors. Avoid bumping into walls or other objects.
Before transporting the unit, ensure that:
• The arm system is lowered and secured by the transport safeguard.
• The power cable is disconnected from the wall outlet and wound into the
cable winder.
• The LAN network cable has been disconnected from the wall outlet.
• The parking brake is released.
• When moving the unit, turn the unit around and move it backwards
through doors and narrow rooms.
• Extra care is observed during transport of the unit, especially in the
vicinity of the patient.
1-12 7H7773
Disposal Public legal directives can contain special regulations regarding disposal of
this equipment. To avoid environmental pollution and human injury, you must
contact us if you wish to cease operation of the equipment with the intention
of disposing of it.
CAUTION:
This product contains lead. Disposal of components that
contain this material may be regulated due to environmental
conditions. For disposal or recycling information, contact your
local authorities or visit the Electronics Industry Alliance Web
site at http://www.eiae.org.
Radiation Protection • Lead, placed in the single tank, approx. 1.9 kg (4.2 lbs)
Material • Lead, placed in the multi-leaf collimator, approx. 1.0 kg (2.2 lbs)
• Lead in solderings on the circuit boards, approx. 0.3 kg (0.7 lbs)
Transformer Oil Oil, in the single tank, approx. 8.6 kg (18.9 lbs)
Plastic Material Insulating material, PVC, from the cables, approx. 0.5 kg (1.1 lbs)
Electrolytic Capacitors The capacitors must be discharged.

• Capacitors in the capacitor bank, approx. 28 kg (61.6 lbs)
• Capacitors in remaining electronics, approx. 0.8 kg (1.8 lbs)
Mechanical Hazard • The tension in the spring pack must be released.

• The vacuum of the tube in the single tank must be released by cautiously
filling in air.
Batteries • The backup battery on the circuit board, approx. 0.05 kg (0.1 lbs)
• Maintenance free, sealed lead-acid batteries, 24 x 2.5 kg (5.5 lbs)
• Remote control (option) battery, approx. 50 g (1.76 ounces)
• PC accumulator, approx. 500 g (17.64 ounces)
7H7773 1-13
Conforming
Standards
CDRH Compliance The X-ray System complies with Department of Health and Human Services
radiation performance standards per Title 21 CFR, Chapter 1, Subchapter J,
Section 1020.
Classification in
Accordance with IEC
60601-1
Type of protection against electrical shock: Class 1 equipment
Degree of protection against electrical Type B protection against electrical shock
shock:
Degree of protection against electrical Ordinary protection
shock:
Mode of operation: Continuous operation with intermittent
loading (standby exposure)
Flammable anesthetics: Not suitable for use in the presence of
flammable anesthetics or a mixture of
flammable anesthetics with air or oxygen
or nitrous oxide.
1-14 7H7773
Conforming Safety Europe/International

Standards IEC 60601-1, (1988) 2nd Edition + A1: 1991 + A2: 1995 Medical Electrical
Equipment, Part 1: General Requirements for Safety
IEC / EN 60601-1-1-2001 - Medical Electrical Systems
IEC / EN 60601-1-3: 1994 Collateral Standard: General Requirements for
Radiation Protection in Diagnostics X-ray Equipment
IEC / EN 60601-1-4:1996 + A1:1999 - Programmable Electrical Medical
Systems
IEC / EN 60601-2-7 Particular Requirements for Safety on High-voltage
Generators of Diagnostic X-ray Generators
IEC 601-2-32, (1994) 1st Edition, Medical Electrical Equipment, Part 2:
Particularly Requirements for the Safety of Associated Equipment of X-ray
Equipment
IEC / EN 60601-1 (1990) Medical Electrical Equipment, Part1: General
Requirements for Safety; Amendments A1 + A2
IEC / EN 60825-1: 1993 + A1: 1997 + A2:2001 - Safety of Laser Products
IEC / EN 60825-1: 1994 + A1: 1997 + A2:2001 - Safety of Laser Products
93/42/EEC MDD (Medical Device Directive) - Europe Only
United States
FDA 510(k) Premarket Notification for Medical Devices
This product complies with 21 CFR 1040.10 Performance standards for
light-emitting products - Laser Products
NOTE: In order to retain certification for the X-ray System, the X-ray Generator
or any other equipment connected to the X-ray system must be Certified to UL
2601-1, CAN/CSA 22.2 No. 601.1, EN 60601-1, EN 60601-2-7, EN
60601-2-28, and EN 60601-2-32.
Together, the X-ray Generator plus any other attached equipment connected to
the X-ray System operates as a single system, and therefore, all must be
certified as one system.
7H7773 1-15
Conforming Standards IEC 60601-1-2: 2001 +A1:2004 Electromagnetic Compatibility for Medical
EMC Systems
CISPR 11: 2004, Group 1, Class A Limits and Methods of Measurement of
Radio Disturbance and Characteristics of Industrial Scientific and Medical
Radio-frequency Equipment
This is a class A product. In a domestic environment this prod-
uct may cause radio interference, in which case the user may be
required to take adequate measures.
93/42/EEC MDD (Medical Device Directive) - Europe Only

ICES-001 Issue 3: Class A ISM Emissions - Canada
CFR part 15 sub B: Class A FCC Emissions - United States
1-16 7H7773
Functional Description
2 Functional Description
Device Overview
The CR-ITX 560 System is a mobile radiographic system designed for use in
wards, intensive care and premature-birth wards, emergency departments,
operating theatres, and the central X-ray department.
Special Features • Battery operation

• Double articulated arm system for extended reach
• Small and compact for quick and easy handling
• Integrated digital image system
• Maintains archive of patient X-ray images
• Software automatically recommends exposure settings based on profiles
for selected body parts
7H7773 2-1
Parts and Controls
2-2 7H7773
(1) X-ray tube unit

(2) Collimator
(3) Dose Area Product (DAP) ionization chamber (optional))
(4) Collimator light ON/OFF button (on both sides)
(5) Pediatric filter (optional)
(6) DAP display (optional)
(7) Exposure release button
(8) Lead apron bracket
(9) Arm system
(10) Sensor for remote control (optional)
(11) Serial DAP port (optional)
(12) Generator, control and display panel
(13) Transport handle
(14) Brake handle for cable winch
(15) Power cable
(16) Hand brake/parking brake handle
(17) Key switch
(18) Cassettes (different sizes)
(19) Support rollers
(20) CR reader
(21) Stand column
(22) Potential equalization connector
(23) Transport safety device
(24) Remote holder (optional)
(25) Cradle for remote control (optional)
(26) PC interface (LAN, USB, PC On/Off)
7H7773 2-3
Switches and Interfaces

The ON/OFF switch and the interface connectors of the CR-ITX 560 System are
located on the front of the device.
(1) Key switch

(2) LAN network connector
(3) USB interface
(4) Imaging System On/Reset button
NOTE: The Imaging System On/Reset button is used in case of a system
hang-up. Touch the button for about 5 seconds, then touch again to
reboot the computer.
2-4 7H7773
Use the key switch to turn the CR-ITX 560 System ON and OFF.
(1) Key position OFF

(2) Key position ON
CAUTION:
Use the key switch to turn OFF radiation if a fault occurs.
7H7773 2-5
Motor Driving Control
(1) Transport handle

The handle may be twisted forward and backward to control the direction
and speed of movement.
IMPORTANT: Do not move the system while scanning cassettes.
2-6 7H7773
X-Ray Tube Assembly with Multi-leaf Collimator
(1) Handles
(2) Measuring tape
(3) Adjustment knobs for the collimator
(4) Slots for additional filters and DAP ionization chamber (optional)
(5) Angle gauges
(6) Collimator light button
7H7773 2-7
Hanger for Lead Apron
IMPORTANT: Remove lead apron before positioning the tube.
2-8 7H7773
Main Control and Display Panel
1. Ready For Operation LED display (green)

2. kV display and kV adjust buttons for increase (+) and decrease (-)
3. mAs display and mAs adjust buttons for increase (+) and decrease (-)
4. Collimator light button
5. LED display for operational mode: A = Analog, D = Digital
NOTE: When working with the scanner, Digital must be selected. The
technician can adjust kV and mAs from the Kodak QC interface.
6. Set button for analog/digital operational mode
7. Exposure LED display (amber)
8. Empty Battery indicator (red)
9. Low Battery charge indicator (amber)
10. Medium Battery charge indicator (amber)
11. Full Battery charge indicator (amber)
12. Mains Power Operation LED display (amber)
IMPORTANT: If the battery charge indicators are OFF, your system is not
ready for operation. Connect the unit to the mains and
charge the batteries.
7H7773 2-9
Arm System
The CR-ITX 560 System has a counterbalanced, double articulated arm
system. The X-ray tube assembly and the arm system remain in position
without any additional locks.
Hand/Parking Brake
(1) Hand/Parking Brake
2-10 7H7773
Accessories and Options

DAP Measuring The DAP display and control panel is located on the arm of the system.
System
(1) Display (unit in µGym2)

(2) Test button
(3) Reset button
The Test button is used for checking the calibration of the DAP system, that
should be performed monthly. To check calibration, see “DAP Measuring
System” on page 14-2.
7H7773 2-11
DAP-Ionization
Chamber
1. DAP Ionization chamber connector

2. DAP Ionization chamber
2-12 7H7773
Remote Control
(Optional)
(1) Infrared window

(2) Battery indicator
(3) Exposure release switch
(4) Collimator light button ON/OFF
(5) Battery compartment
7H7773 2-13
Pediatric Filters Pediatric filters are plumbiferous transparent PMMA filters designed to
reduce radiation dose in examinations of children and, if applicable, adults.
They are available with 2.4 mm and 4.3 mm thickness and are inserted in the
collimator slots.
The filters do not affect results of routine examinations.
Angle Gauge The angle gauge is designed for fine adjustment of the X-ray radiator position
during an examination.
Equipotential Bonding
Connect the CR-ITX 560 System to a Protective Earth Terminal using the
potential equalizer connector found next to the transport safeguard. This will
ensure that the CR-ITX 560 System has the same electrical potential as other
units connected to the same Protective Earth Terminal.
For location of the potential equalizer connector, see “Parts and Controls” on
page 2-2.
2-14 7H7773
Operation
3 Operation
Quick Operational Guide

1. Unplug the power cable from the wall outlet.
IMPORTANT: Make sure the device is not connected to the wall outlet.
The main power connection is only used for battery
charging.
2. Turn the key switch counterclockwise beyond position (I), until a beep
sounds. Then let the switch turn back to (I).
3. Turn ON the image system using the Imaging System ON/Reset button.
This turns on the built-in PC.
4. If using RIS, update the patient list, connecting the LAN cable as
necessary.
5. Disconnect the LAN cable.
6. If not using RIS, enter the patient information manually from the Manual
Patient Screen.
7. Release the hand brake and move the CR-ITX 560 System to its
destination using the transport handle.
8. Pre-position the device and lock the hand brake.
9. Select the patient from the list and touch Scan.
10. On the Scan screen, select the body part for the exposure. The exposure
settings are selected automatically.
11. Place the CR cassette in the required position.
12. Release the arm system and lift up the X-ray tube assembly.
13. Turn ON the collimator light.
14. Check that the light field is parallel with the sides of the cassette. Adjust
the X-ray radiator by turning the device and the collimator.
15. Set the SID as indicated on the Scan screen, using the built-in measuring
tape.
16. Adjust the tube assembly.
17. Collimate the radiation field for the desired image size.
CAUTION:
Observe radiation safety regulations.
18. Release the exposure.
7H7773 3-1
Operation
19. Insert the CR cassette into the scanner.

20. Touch Scan.
21. Review the image.
22. Touch Accept to send the image to a DICOM device or Reject to reject
the image.
Starting the System

Charging the Batteries Connect the power cable to the wall outlet.
• The batteries will be charged automatically.
• The device always charges the batteries when connected to AC power,
regardless of the key switch position.
IMPORTANT: When the CR-ITX 560 System is not in use, always turn the
key switch to position O to keep the batteries charged.
Turning ON the 1. Turn the key switch counterclockwise beyond position (I), until a beep
System sounds. Then let the switch turn back to (I).
The system will be ready for operation within 30 seconds.
You can now transport the device.
2. Press the Imaging System ON/Reset button to turn ON the Imaging
System.
IMPORTANT: If the green “Ready for operation” lamp does not light,
there is a malfunction and the generator will not operate.
3-2 7H7773
Operation
Starting the User When the Imaging System is switched ON, the Login screen appears. After you
Interface log in, the Manual Patient Entry screen appears. To enter patient information
manually, see “Managing Patient Information-Manual Patient Entry” on
page 4-3.
Where a HIS/RIS system is available, patient information is added and updated
automatically to the Modality Worklist. For more information, see “Managing
Patient Details-Modality Worklist” on page 4-8. To enter the Modality
Worklist:
1. Make sure the network cable is connected between the CR-ITX 560
System and the wall outlet if using a wired Ethernet connection or that
the wireless Ethernet connection is functioning.
2. Touch Modality (MWL) as indicated on the Manual Patient Entry screen
below.
Lower Section of Manual Patient Entry Screen
The Modality Worklist appears with all the patient information filled in.
Modality Worklist
7H7773 3-3
Operation
1. Touch Refresh to receive the Patient list from HIS/RIS. The list will be
saved locally for future reference and the network connection can be
disconnected.
NOTE: In order to update the Modality Work List the CR-ITX 560 System
must be connected to the HIS/RIS network.
2. Select the desired patient from the list and touch Scan.
Preparing Exposures
Precautions During
Exposure
For the Patient • Keep the radiation field as small as possible.

• Provide the best possible protection for reproductive organs (gonad
protective caps or lead-rubber covers) during exposure in the vicinity of
these organs.
• Make sure that there is the maximum possible distance between the
focus and the skin of the patient.
For the Operating • When releasing the exposure, there must be the maximum possible
Personnel protective distance between the operator and the source of radiation.
• Wear protective clothing (lead-rubber apron) if you must be in close
vicinity to the patient during an exposure.
• Wear a radiation monitoring badge or a pen dosimeter if necessary.
For the Patient and the • When operating the remote control, make sure that there are no other
Operating Personnel running infrared remote controlled systems in line-of-sight. This
includes systems behind a window or lead glass.
• Certain materials can lead to increased radiation exposure (for example,
parts of the operation table), if they are located in the beam path.
Positioning the CR-ITX 1. Pre-position the device.

560 System 2. Release the arm system and lift up the tube assembly.
3. Place the CR screen at the required position.
3-4 7H7773
Operation
Frontal and Lateral Exposures
7H7773 3-5
Operation
Angle adjustment
Adjusting the 1. Turn ON the collimator light button.

Radiation Field 2. Set the appropriate Source-Image Distance (SID), using the built-in
measuring tape.
3. Adjust the X-ray tube assembly until the light field is parallel with the
sides of the cassette.
4. Place the detachable magnetized protractor on the cassette.
5. Read the inclination angle and adjust it.
6. Collimate the radiation field for the desired image size.
3-6 7H7773
Operation
Collimating the The diagram below appears on the X-ray tube assembly.
Radiation Field using
CAUTION:
the Diagram Never adjust the collimator to a field greater than needed for
the investigated area.
1. Starting at the y-axis, follow the horizontal line that belongs to the size of
the cassette used until it crosses the diagonal line, indicating the chosen
Source Image Distance (SID).
2. Follow the vertical line and read the value on the x-axis indicating the
scale index.
3. Set the adjustment knobs on the collimator according to the scale index
value.
This adjustment gives a field size that corresponds to the size of the cassette. If
the object to be exposed is smaller than the size of the cassette, reduce the
field size.
7H7773 3-7
Operation
Example of Radiation Here a cassette size of 38 cm and an SID of 150 cm are preset.
Field Collimating
1. On the y-axis find the cassette size (1) of 38 cm/15 in. Follow the
horizontal line until it crosses the diagonal line for SID 150 cm/60 in.
2. Follow the vertical line downwards until it crosses the x-axis [scale index
(2)] in this case at 10.
3. Turn the adjustment knobs on the collimator until value 10 faces the
arrow.
Exposure Parameters Recommended exposure parameters appear on the touch screen when the
body part for the particular patient is selected. See “Acquiring New Images”
on page 4-1.
3-8 7H7773
Operation
Exposure Release
Exposure Release The exposure release switch operates in two steps:
Switch 1. Preparation
2. Exposure
Using the Exposure 1. Original setting

Release Switch 2. Preparation duration time: 2.5 seconds. The release switch is ready after
four short “beeps”.
3. Exposure duration time: As long as the indicator is lit and the signal
sounds.
7H7773 3-9
Operation
Preparation 1. Press the switch halfway, as shown in figure (2). The preparation cycle
for the exposure is activated.
The green “Ready for operation” lamp goes out and does not light up
again until the anode rotation has reached full speed (after
approximately 2.5 seconds). This is indicated by four short “beeps”.
2. The generator is now ready for exposure release.
NOTE: If the exposure is not released within 15 seconds, the preparation
will automatically be interrupted and display message ERR 25
appears.
Exposure 1. Press the switch to the second position shown in figure (3).
The amber exposure indicator lights during the exposure. The indication
lasts somewhat longer than the actual exposure, to make the operator
aware of very short exposures.
2. A longer beep indicates the end of the exposure.
NOTE: It is also possible to press the button directly to the second position
shown in figure (3). The exposure is then released immediately after
the anode rotation has reached full speed, that is after approximately
2.5 seconds.
NOTE: If error message USE 01 occurs, release of the exposure is not
possible. Reduce the mAs or kV to be within the allowable exposure
range, then release the exposure.
IMPORTANT: Make sure that the values displayed meet your expectations
before releasing the exposure.
3-10 7H7773
Operation
With the Remote

Control
1. The remote finder built-in feature locates the remote control if it is left
out of its holder. The finder starts beeping automatically within three
minutes after use.
2. Collimator light button ON/OFF. Touch to turn ON the collimator light.
3. Infrared window
4. Low battery indicator illuminates when the battery is low and needs to be
replaced.
5. Exposure release switch.
a. Press once to activate preparation.
b. Press again and hold to make the exposure.
6. Battery compartment (9-volt alkaline battery is included).
NOTE: The remote finder and low battery indicator are not implemented in
the included spare remote control.
7H7773 3-11
Operation
IMPORTANT: Other infrared remote controlled systems may cause

interference when operating the remote control. Make sure
no other infrared remote controlled systems are in
line-of-sight and operating when using the remote control.
Preparation 1. Remove the remote control from its holder.

2. Step back from the X-ray unit up to 10.9 m (36 ft) and aim the remote
control at the remote sensor on the front arm of the unit.
Exposure 1. Press the exposure release switch once.

• The preparation cycle is activated.
• The green “Ready for operation” lamp goes out and does not light up
again until anode rotation has reached full speed (after approx. 2.5
seconds). This is indicated by four short “beeps”. The generator is
now ready for exposure release.
NOTE: If the exposure is not released within 15 seconds, the preparation
will automatically be interrupted and display message ERR 25
appears.
2. Press the exposure release switch a second time.
• The amber exposure indicator lights during the exposure. The
indication lasts longer than the actual exposure, to make the operator
aware of very short exposures.
• A longer beep indicates the end of the exposure.
• After the exposure is completed, both the X-ray unit and remote
control will automatically return to stand-by mode.
Completion Return the remote control to its holder.

IMPORTANT: If the remote control is not returned to its holder within
three minutes after use, the remote finder feature cause
the remote control to beep. The beeps will continue until
the remote control is placed in the holder. This does not
apply to the supplied spare remote control.
3-12 7H7773
Operation
Exposure with the The DAP system is automatically turned ON when the main switch is turned
DAP Measuring ON.
System • Digital mode - The DAP display is automatically Reset when the Scan
thumbnail is selected.
• Analog mode - Works directly with the X-ray system from the display
generator.
The measured DAP value appears on the touch screen in the µGym² display.
For multiple exposures, the DAP value will accumulate. If you want DAP values
for every exposure, reset the DAP display by pressing Reset after each
exposure.
When the system is switched OFF, the measured value will be lost.
Turning the System OFF

Turn OFF the system when not in use.
1. Touch Exit.
2. Touch Shutdown.
3. Turn the key switch to position O.
4. Connect the power cable to the main power outlet to charge the batteries.
7H7773 3-13
Operation
Disconnecting the Power Cable

CAUTION:
Hold the power cable plug in your hand when rewinding to
avoid uncontrolled movement and whiplash.
1. Pull the power cable out of the wall outlet.

2. Hold the plug in your hand while gently lifting on the Cable Winder
Release handle.
The power cable will be rewound into the unit.
3-14 7H7773
Operation
Transport
Use the Transport Handle to move the unit. To do this, the unit must be turned
ON. The display is illuminated.
Prior to Transport • Perform a functional check of the hand/parking brake. Lock the brake.
The unit cannot be moved with normal hand power. A slight skip is
acceptable when using more force.
• Check the function of the transport safeguard for the arm system.
• Check that the arm system handle has locked in position when secured
with the transport safeguard.
• The power cable and the LAN network cable must be disconnected from
the wall outlets.
• Maximum incline for the motor drive is 5.5 degrees.
• The driving control has a function designed to prevent the unit from
accelerating uncontrollably. This can occur on slopes or if it is forced to
go faster. The motor power will be shut OFF until the unit slows down
again.
IMPORTANT: Do not move the system while scanning cassettes.
7H7773 3-15
Operation
Driving the System
(1) Turn handle for direction and speed control.

(2) Safety switch (on the back side of the handle).
CAUTION:
Risk of injuring the operator. The system drive may shut off
suddenly, causing the unit to brake. Be careful if you push the
system manually while the motor is on.
To drive the system:

1. Turn the handle upward as indicated by the arrows, while simultaneously
keeping the safety switch pressed.
• First step for low speed.
• Second step for high speed.
• To stop, return to original position or release the handle.
2. To reverse, turn the handle downward, while keeping the safety switch
pressed.
If the unit does not move, check that the hand brake is released and
charge the batteries if necessary.
3-16 7H7773
Operation
Tilting the Unit The unit has two support wheels to facilitate the movement over thresholds
and similar obstacles.
IMPORTANT: Pay attention to thresholds when moving the equipment in
and out of elevators.
Press down on the transport handle. The front wheels are raised.
7H7773 3-17
Operation
Using the
Hand/Parking Brake
While Transporting When transporting the unit on inclined planes greater than 2 degrees, put
your hand on the hand brake and pull the handle upwards. Use this method
to stop the unit in an emergency.
Parking
CAUTION:
Do not park on planes at an inclination greater than 10
degrees. There is a risk of the unit tipping over.
Pull the hand brake upwards and to the left. In this position, the hand brake
serves as a parking brake.
Releasing the Handbrake Pull the hand brake upwards and to the right, then release it.
3-18 7H7773
Operation
Transferring Images to the Server via LAN/WLAN

(WiFi)
To send the locally stored image data to the Picture Archiving Communication
System (PACS), a connection using a LAN or, if available, a WLAN network
must be established.
To begin, make sure the network cable is connected between the CR-ITX 560
System and the network outlet if using a wired Ethernet connection or that the
wireless Ethernet connection is functioning. See “Acquiring New Images” on
page 4-1.
7H7773 3-19
Operation
3-20 7H7773
Acquiring New Images
4 Acquiring New Images
This chapter describes the steps required for acquiring new images for new
or existing patients and includes the following sections:
• Logging In
• Managing Patient Information - Manual Patient Entry
• Managing Patient Information - Modality Work List
• Scanning Images
Logging In
1. Turn ON the Key Switch, then press the Imaging System Power Button.
Imaging System Power Button Key Switch
Power Switches
7H7773 4-1
2. The application begins automatically upon computer startup. The

following screen appears.
3. Enter the user name and password, then touch Login. The Patient Entry
screen appears. Allow up to 2 minutes for the scanner warm up process
to complete.
NOTE: User Name is case sensitive.
4-2 7H7773
Managing Patient Information-Manual Patient Entry

This screen enables patient information management when no Modality Work
List (MWL) is available.
Touch the name of a patient to access the Manual Patient Entry functions or
create a new patient name and touch it. This screen allows you to add, delete,
and edit patient information.
Patient Information Management
No. Component Touching here:

1 Patient Opens the Manual Patient Entry screen.
2 Scan Opens the Scan screen.
3 New Opens the Add Patient screen.
4 Delete Deletes a patient from the Patient list.
5 Edit Opens the Edit Patient screen.
7H7773 4-3

6 Search Searches the Patient database for patient/s based
on the criteria entered in the Patient Search
fields and displays the results in the Patient List
area.
7 Patient List Displays the entire Patient database by default.
When a search is performed, the results are
displayed here.
8 Scroll Bar Enables scrolling through the Patient list.
9 Settings Opens the User tab in Settings for selecting user
defaults.
10 Patient Search fields Enters search criteria using any combination of
First Name, Last Name or Patient ID.
11 Clear Clears search criteria entered in Patient Search
fields.
4-4 7H7773
Creating a New 1. Touch New on the Manual Patient Entry screen.

Patient The Add Patient screen appears:
Add Patient Screen
2. Enter patient information.

3. Touch OK to add the patient to the list or Cancel to cancel the entry.
NOTE: Fields marked in red are mandatory. Mandated fields can be
designated in the User tab settings.
Deleting a Patient 1. Select a patient.

2. Touch Delete.
3. Confirm deleting the patient.
7H7773 4-5
Editing a Patient 1. Select a patient on the Manual Patient Entry screen.

2. Touch Edit.
The following screen will appear with patient information filled in.
NOTE: The patient data cannot be edited if exposures for this patient have
been accepted or rejected.
Screen with Patient Information for Editing
3. Change details as necessary.

4. Touch OK to confirm details. Touch Cancel to cancel changes.
NOTE: Fields marked in red are mandatory. Mandated fields can be
designated in the User tab settings.
Opening the Scan 1. Select a patient.

Screen 2. Touch Scan.
4-6 7H7773
Searching for a 1. Enter any combination of Last Name, First Name or Patient ID number in
Patient the Patient Search fields.
2. Touch Clear to clear the entries or Search to search for the patient’s
files and display the information in the Patient list.
Entering partial information also allows a quick search. For example,
searching for “John” will locate and display information for “Johnson”
as in the figure below.
Patient List after Search with Partial Information
7H7773 4-7
Managing Patient Details-Modality Worklist

Touch MWL to access the Modality Worklist screen. This screen enables
searching the local Hospital Information System/Radiology Information
System (HIS/RIS) for existing patients and selecting a patient from the results.
Modality Worklist

1 Search Criteria Fields Searches for a patient by entering information into one or more
of the following fields: Accession Number, Patient ID,
Department, First Name, Last Name and Study Description.
Last Query Time is the last time that the MWL was
successfully queried from the HIS/RIS.
2 Search Searches the currently displayed MWL using the criteria
entered in the Search Criteria fields.
NOTE: Search does not search the HIS/RIS.
4-8 7H7773

3 Clear Clears search fields.
4 Scan Opens the Scan screen.
5 Scroll Bar Enables scrolling through the Patient list.
6 Patient List Displays list of patients based on results of search according to
specified criteria.
7 Refresh The Refresh button is used to query the HIS/RIS to update the
current list.
8 Review Select to review all parameters received from RIS.
Searching for a 1. Type a value to search by Accession Number, Patient ID, Last Name, or
Patient First Name..
2. Touch Search.
Returning to a Full List 1. Touch Clear.

2. Touch Search.
Opening the Scan 1. Select a patient.

Screen 2. Touch Scan.
Doing a Query of the Touch Refresh.

HIS/RIS
7H7773 4-9
Scanning Images
After a patient has been selected, the Scan screen allows you to scan, review,
print and send images.
Scan Screen
# Component Description
1 Title Bar Includes patient information and an X-ray room number.
2 Room Selects an X-ray room.
3 Procedure Mapping Opens a predetermined selection of image icons options.
4 Body Part Selection Opens body part and projection menu.
4a Body Part Sub-menu Lists selection of body parts and projection for thumbnail.
5 Preview Thumbnail Displays an image in the image preview screen.
6 Ready-to-Scan Thumbnail Selects the next image to scan.
7 Empty Thumbnail Body part and Position have been selected; but image has
not been scanned.
4-10 7H7773
8 Scanner Control Starts or stops scan, ejects or erases cassette.
9 Image Preview Displays a preview of the selected image.
10 Accept Sends image to PACS.
11 Accept All Sends all images to PACS.
12 Print button Prints the selected image to the default DICOM printer.
13 Reject Rejects the image.
14 Full Screen Displays the image in full screen mode.
15 Reset Resets image properties.
16 Invert Reverses black and white on grayscale.
17 Brightness & Contrast Enables changing image’s brightness and contrast.
18 Add Annotations Enables adding basic markers to image (L, R, up arrow,
down arrow).
19 Flip/Rotate Enables image rotation (90°clockwise or
90°counter-clockwise) or flipping image (horizontally or
vertically).
20 Scroll bar Enables scrolling to preview thumbnails.
21 Delete Deletes ready-to-scan thumbnails.
22 X-ray Settings Indicates the X-ray settings of selected image.
23 Battery Charge Indicator Indicates state of batteries for X-ray exposures.
24 Cassette Size If displayed, used to select the cassette size.
Selecting a Room “Room” represents a set of user defined parameters that correspond to a
specific X-ray room. Touch Room and select the desired room.
Adding Images to Select a body area and then a body part and the projection from the menu that
Scan appears, or touch Procedures and select a procedure that includes the
desired body parts and projections. See “Setting Procedure Mapping” on
page 7-1 for further information.
“Empty thumbnail” will become “ready to scan thumbnail” displaying the

selected image type.
7H7773 4-11
Scanning an Image IMPORTANT: While the system is scanning, do not perform any other
operations, for example printing, X-ray exposure, or using
the network. These operations may cause scanning errors.
1. Load the cassette. See “Loading a Cassette” on page 4-13 for more
information. The application can be set up to start automatically.
At this point you may:
• Unload the screen by touching Eject.
• Erase the screen by touching Erase.
• Scan the screen by touching Scan.
NOTE: If there is no action within two minutes, a message appears and the
cassette is ejected automatically.
2. Touch Scan to initiate scanning.
The Initializing Scanning and then Scanning messages appear on the
Status bar.
To stop the scanning process, touch Abort. The screen is automatically
unloaded from the scanner into the cassette. The portion of the image
that was scanned is saved.
NOTE: If you stop the scanning process, the cassette is not erased. You must
manually erase the cassette before the next exposure.
When the screen is scanned:
• The image appears as a thumbnail on the left side of the screen.
• Unless another selection is made, the cassette is erased automatically,
and an Erase message appears in the status bar.
• If Auto Erase is not preselected, and you want to manually erase the
cassette, touch Erase after Ready for Scan appears (indicating that the
screen is loaded). A countdown timer appears in this manual mode.
4-12 7H7773
Loading a Cassette IMPORTANT: The image screen is contained in the cassette. The only
time that the screen should be out of the cassette is when
the scanner automatically loads it into the scanner drum
for reading.
1. Verify that the scanner status is Insert Plate.
2. Insert the cassette into the scanner with:
• The blank side up.
• The open edge toward the scanner.
• The cassette centered exactly in the scanner slot.
Pushing the Cassette into the Scanner
3. Slightly push the cassette into the scanner.

The scanner status indicates Loading Cassette. The screen is
automatically “pulled” and loaded into the scanner. When the screen is
loaded, the status changes to “Ready for Scan.”
NOTE: If the automatic barcode cassette identification fails, a message
prompts you to manually select the holder size.
You can now scan, erase, or unload the screen.
NOTE: If you do not take any action within two minutes, the cassette is
automatically ejected, and a message is displayed. If the cassette is
ejected automatically, it can be manually released by pulling the knob
behind the cassette tray.
7H7773 4-13
Reviewing an Image 1. Touch the desired Preview Thumbnail.

2. View the image in the image preview box.
Changing Brightness 1. Touch Brightness and Contrast. The letters WL appear next to the
and Contrast mouse cursor on the screen, indicating Window Level.
2. Touch the image on the screen and move your finger up or down to
adjust the brightness and left or right to adjust the contrast.
Resetting an Image Touch Reset to reset the image properties.

NOTE: Reset removes all image changes.
Displaying in Full Touch Full Screen to display the image in full screen mode.
Screen Mode Touch Full Screen to return to the Scan window.
Adding Markers to the 1. Touch Add Annotations. The Add Annotations toolbar appears.
Image
2. Select a marker (L, R, up arrow, down arrow).

3. Touch on the image where you want to add the selected marker.
Adding Annotations 1. Touch Add Annotations. The Add Annotations toolbar appears.
to the Image
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2. Touch Annotation Tool. A drop-down list will open at the top of the
screen with Tab 1 as the default list. If a different annotation is needed,
select one of the other tabs instead of Tab 1. Touch the desired
annotation to select it.
3. Touch on the desired location in the image where you want to add the
selected annotation.
4. Touch Accept to save the image and send it to the PACS.
NOTE: The Annotation cannot be moved. The text color or font size cannot
be changed. If free text is desired, use the Viewer.
Flipping or Rotating 1. Touch Flip/Rotate. The Flip/Rotate toolbar appears:.

the Image
2. Touch the desired button to flip or rotate the image.
7H7773 4-15
Saving/Rejecting an 1. Touch a thumbnail image to open it.

Image 2. Touch Accept to send the image to the hospital PACS or workstation, or
Reject to reject it.
NOTE: For the image to be transmitted, a network connection must be
established. If there is no network connection, the image will be
stored on the computer until the network is connected.
3. Touch Accept All to save all the study images.
You have completed the screen scanning process. You can now re-use the
scanned and erased screen.
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Working with Image Storage
5 Working with Image

Storage
Image Storage Button
The Image Storage (Archive) tool is used for viewing the status of acquired
images and re-sending them in case the image/s did not reach their
destination, for example, PACS. A stored image may be recalled in its original
unprocessed form. This allows processing using different parameters.
The system data base contains the previous 500 to 600 images scanned
(depending on DICOM setting) whether accepted or rejected, as a short term
back-up.
7H7773 5-1
Image Storage Status Tab

Touch Image Storage. This button can be accessed from any screen.
The Image Storage Status screen appears:
Images Storage Screen

No. Component Description
1 Search Criteria Fields Searches by patient information entered, such as First
Name, Last Name, Patient ID, image date or status.
2 Patient Image Area Displays all files in the database until a search is
performed. To select a file, touch the box to the left
of the file in the list.
3 Search Initiates search of image storage based on criteria
entered in Search Criteria fields.
4 Clear Clears the Search Criteria fields.
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No. Component Description

5 Edit Patient Opens the Edit Patient screen for the patient selected
in the Patient Image area.
6 VKBD Opens the on-screen Virtual Keyboard for entering
text via touchscreen.
7 View Log Opens the Operation Log.
8 Image List Area Displays images of the patient selected in the Patient
Image area.
9 Delete Image Deletes an image selected from Image storage.
10 Reprocess Opens the unprocessed selected image in a viewer for
reprocessing.
11 Send Button/Send Status Area Sends an image selected from Image Storage. Image
Sending Status appears in this area.
In Progress - image is waiting or being processed.
Success - image has been sent successfully.
Failure - system was not able to send the image.
Unread - image was scanned, but not processed.
These images can be reprocessed from Image Storage
to make them valid again.
12 Send All Failed Button Resends all images that failed to reach their
destination.
13 Image Thumbnail Displays thumbnail of a selected image.
14 Search Results Displays the total number of studies and processed
images found in a search.
15 Total Studies Indicates the total number of studies and processed
images in the image storage.
16 Burn Media Activates the CD/DVD writing option.
NOTE: This option requires the use of an external USB
CD/DVD Writer and Nero 7.0 software.
17 Multi Selection Check to select multiple studies for viewing in the
Viewer.
18 Viewer Loads selected images in the Viewer application.
19 Print Status Opens the Print status screen to view the print order.
7H7773 5-3
Reprocess Images Screen

Touch Reprocess on the Images Storage screen. The following Image
Reprocess screen appears.
NOTE: Abdomen is the Default Body Part when entering the screen.
NOTE: Perform the Imaging Process before adding the Markers or Rotation.
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Image Reprocess Screen
1 Image Viewing Area/ Enables viewing and reprocessing of single or multiple
Contrast-Brightness Control views of the image for comparison. Touch the image on the
screen and move your finger up or down to adjust the
brightness and left or right to adjust the contrast.
2 Study/Image Information Area Displays information on the image such as name, ID, body
part, and position.
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3 Restore Restores the image to its original state if changes were not
made.
4 Split Screen Opens a Dialog box with options for splitting the Image
Viewing area into two or four images for comparison.
5 Annotation (Default tab) Enables insertion of an up arrow, down arrow, L or R. Touch
the button, then touch the point on the image where the
symbol is to be inserted.
6 Image Rotation/Flip Selects the Image Rotation/Flip tab. Select a button
according to what you need.
7 Remove Over Scan Crops the white area around the image if checked and the
Process button is touched.
8 Black Surround Activates the Black Surround feature.
9 Body Part filter Select the same Body Part from the drop-down list that
features in the Image Information Area to activate the
correct Body Part filter.
10 View filter Select the same Position from the drop-down list that
features in the Image Information Area to activate the
correct Position View filter.
11 Look filter Choose from Medium/Sharp/Soft options.
12 Process Applies filters according to the selection.
13 Accept Save and send the selected image and return to the Images
Storage screen.
14 Reject Rejects the selected image.
15 Exit Exit the Image Storage screen.
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Working with the Viewer
6 Working with the Viewer
Use the Viewer (the Review Application) to:

• Load, view, and adjust previously acquired images.
• Build a composition of images for printing.
• Build a compilation of images and write them to CD or DVD.
• View images from any IHE-compatible CD.
NOTE: The CD/DVD option requires the use of an external USB CD/DVD
Writer and Nero 7.0 software.
To open the Review Application, touch Viewer on any screen.
7H7773 6-1
Overview: The Review Application
1 Main Toolbar Access the main features.
2 Image Editing Toolbar Use these tools to adjust and annotate the images. Apply the Image Editing
tools to images in the Viewing Pane and in the Print Composition Pane.
3 Thumbnails Pane Images load first into this pane. Preview the images here and select the first
image to view in a larger size.
4 Viewing Pane Work with the images in this pane. View, adjust, and annotate the images.
5 Print Composition Toolbar Use the tools to navigate in and work with the Print Composition.
6 Print Composition Pane Move images to this pane to build a composition (a group of images) to print.
You can also view, adjust, and annotate the images here.
7 Task Icons and Status Bar Use the Task Icons to change your work space to optimize it for your
workflow. The Status Bar provides status such as selected printer and media
size/type. The three icons are on/off buttons for the three different panes.
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Workflow There are several options for working in the Review Application. You can
adjust the steps to your preferences and to your site workflow.
Basic Step More Details Where to Find the Instructions
Load images into the The images must be loaded into the If the images are not already loaded when you
Review Application. Thumbnails Pane. To load the images, enter the Review Application, do one of the
you can either: following:
• Preselect and load the images from • Browse the QC database for previously
the QC Software. The images acquired images, or open files from the hard
automatically load into the drive. See “Opening Images in the Review
Thumbnails Pane when you enter the Application” on page 6-7.
Review Application. • Load images from an IHE-compatible CD. See
• Open the images after you have “Retrieving Images to View from a Disc” on
entered the Review Application. page 6-31.
Load the thumbnail You can move thumbnail images into To load the thumbnail images into the Viewing
images into the either pane: Pane or the Print Composition Pane, see “Loading
Viewing Pane or the • In the Viewing Pane, you can view and Images to View and Adjust” on page 6-11.
Print Composition See “Working in the Viewing Pane versus the Print
adjust images.
Pane. Composition Pane” on page 6-4 for a comparison
• In the Print Composition Pane, you
of the panes.
can view, adjust, and print images.
View, adjust, and/or Work with images in the Viewing Pane or For instructions to view, adjust and/or annotate
annotate images. the Print Composition Pane. If working images in the Viewing Pane or the Print
with the images is not necessary for your Composition Pane, see “Adjusting Images” on
workflow, continue to the next step for page 6-12.
more choices.
Print the images. Optional. It is not necessary to print. To print, compose your images in the Print
Composition Pane. If you have been working in
the Viewing Pane, move the images into the Print
Composition Pane.
For instructions, see “Working in a Print
Composition” on page 6-15.
Write the images to Optional. It is not necessary to write To write to CD/DVD, use the Disc Publishing
CD/DVD. images to CD/DVD. Wizard to set up the disc. Then build the image
NOTE: This option requires the use of compilation and write.
an external USB CD/DVD Writer You can build a compilation with images from the
and Nero 7.0 software. Thumbnails Pane or the Viewing Pane.
For instructions, see “Working with CD/DVDs” on
page 6-28.
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Working in the You can view and adjust images in the Viewing Pane or in the Print
Viewing Pane versus Composition Pane. See the table for a comparison, and to understand why
the Print Composition you might work in one pane or the other:
Pane
Feature Viewing Pane Print Composition Pane
Displays images in the desired size, including true Yes Yes
size.
Allows use of the image editing and annotation tools Yes Yes
to adjust images.
Allows you to save image edits. Yes No
Provides traditional image viewing layouts. Yes Yes
Provides flexible image layouts. Non-matrix layouts No Yes
are provided, and you can create custom layouts.
When you drag an image into the pane, the full set Yes No. Only the single image appears.
of images appear.
Build a composition of images, apply tools as No Yes
needed (for example, use the Optimize Layout
tool), and print.
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Optimizing the The Task Icons, at the bottom of the Review Application, each represent a
Review Application pane in the Review Application. Use them to show or hide each pane.
for your Preferences
Task Icon Description
Hide or show the Touch the icon to hide the Thumbnails Pane. The Print Composition Pane
Thumbnails Pane fills the left side of the screen.
If you hide the Thumbnails Pane and then load a new set of images, the new
images are loaded into the Thumbnails Pane even though it is hidden.
When the pane is hidden, touch the icon again to show the pane.
Hide or show the Touch the icon to hide the Viewing Pane. The Thumbnails Pane fills the top
Viewing Pane half of the screen, and the Print Composition Pane fills the lower half of the
screen.
If you adjust images in the Viewing Pane and then hide the pane, the
adjustments are still present when you show the pane again.
7H7773 6-5

Hide or show the Print Touch the icon to hide the Print Composition Pane. The Thumbnails Pane
Composition Pane fills the left side of the screen.
If you adjust images in the Print Composition Pane and then hide the pane,
the adjustments are still present when you show the pane again.
You can also maximize any pane by touching the pane’s title bar. The pane
takes over the full screen space, hiding the other 2 panes.
For example, touch the Viewing Pane title bar to maximize the Viewing Pane.
Touch the title bar again to restore all 3 panes to their default configuration.
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Opening Images in the Review Application

Thumbnail images load first into the Review Application. To load the
thumbnail images, use the Main Toolbar buttons in the Review Application.
Browse Open images that have been acquired by the QC
Database Software.
See “Browsing the Database” on page 6-8.
Open Select images to open from a local hard drive.
See “Opening Files from the Hard Drive” on
page 6-9.
IMPORTANT: For optimal viewing and system speed, limit the file size of
the images in the Review Application to 200 MB. The
following combinations equal approximately 200 MB:
• 35 x 43 cm (14 x 17 in.) cassette – 5 images scanned at
high resolution, or 10 images scanned at standard
resolution
• 25 x 30 cm (10 x 12 in.) cassette – 10 high resolution
images
• 35 x 35 cm (14 x 14 in.) cassette – 6 high resolution
images
7H7773 6-7
Browsing the 1. Touch Browse Database on the Main Toolbar. The following screen
Database appears.
2. Search for or select the patient. The patient studies appear in the list at
the top.
3. Locate and select the study. All study images appear in the list at the
lower left.
NOTE: To select multiple studies, select Multi Selection on the right side.
4. Touch Exit to load the selected study(ies) into the Review Application.
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Opening Files from Touch Open on the Main Toolbar. The following screen appears.
the Hard Drive
1 Up Touch to browse to a higher folder in the file structure.
2 Refresh Touch to refresh the drives (for example, to display a portable drive that you
just connected).
3 Sorting Buttons Sort files by file name or exam time/date.
7H7773 6-9
4 Single File Selection Touch a file name in the Available File Pane to highlight it, then touch the
Single Arrow button. The file name will appear in the Selected File Pane. When
you have selected all the files you want to view, touch OK to transfer them to
the Viewer.
5 Multi Selection Select all files in Available File Pane.
Available Files Pane Files in the drive or folder that can be selected to be viewed.
Selected Files Pane Files that you have selected to send to the Viewer, but have not sent yet.
6 Cancel Selection Select one file name in the Selected File Pane, then the Cancel Selection button
to cancel the selection of that file.
7 File of Type Limit the file types that appear for selection.
8 Displayable Objects Count of how many files are available for selection.
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Loading Images to View and Adjust

You can view and adjust images in the Viewing Pane or in the Print
Composition Pane.
NOTE: See “Working in the Viewing Pane versus the Print Composition Pane”
on page 6-4 for a comparison of the panes.
Using the Viewing To load the images into the Viewing Pane, drag a thumbnail image into the
Pane Viewing Pane.
• The image you dragged appears, selected (with a border around the
image) in the Viewing Pane. The other images fill in around that image.
• All images are available in both the Thumbnails Pane and the Viewing
Pane.
• The image sequence is always the same in both panes.
Using the Print As an alternative to viewing and adjusting images in the Viewing Pane and then
Composition Pane moving them to the Print Composition Pane for printing, you can view and
adjust images in the Print Composition Pane.
To move images into the Print Composition Pane, do either of the following:
• Drag a thumbnail image into the Print Composition. Only the dragged
image displays in the Print Composition (not the whole set of images). It
displays in the image frame where you drop it.
• Touch the Compose All tool to move all thumbnail images into the Print
Composition. New pages are added automatically for all the images in the
set.
7H7773 6-11
Adjusting Images
Working with the Use the Image Editing Tools to adjust images in the Viewing Pane and the Print
Image Editing Tools Composition Pane.

Compose All Move the group of images in the Review Application into the Print Composition.
• If the Thumbnails Pane is active, all images from the Thumbnails Pane move to the
Print Composition.
• If the Viewing Pane is active, all images, including any image adjustments and
annotations, move to the Print Composition.
Layouts Open the Layouts dialog box to change the image layout for the active pane (Viewing Pane
or Print Composition Pane). The Viewing Pane or Print Composition Pane has to be
active.
• Viewing Pane – The Layouts dialog box presents matrix image layouts.
• Print Composition Pane – The Layouts dialog box presents matrix, non-matrix, and
any custom layouts.
NOTE: The layout choices are different because the panes can be used differently. The
Viewing Pane is available for traditional on-screen image viewing. Matrix
layouts provide the best use of the screen space with maximum viewing area.
The Print Composition Pane provides maximum image layout flexibility so you
can easily arrange and print the images to suit your needs.
NOTE: For instructions to create custom layouts for the Print Composition Pane, see
“Print Composition Custom Image Layouts” on page 6-24.
Scope Specify if your image edits apply to the selected image or all images. Scope applies to the
following editing tools: Invert, Window Width/Level, Zoom, Pan, and Orientation.
Resize Images Specify how the image displays:

• Fit to View (default) – Sizes the image to fit in the image frame.
NOTE: If the image is minified or enlarged, it is indicated on the image with a
Scissors icon. The scale factor also displays on and prints with the image.
• True Size – Displays the image in the size it was captured. When True Size is selected,
it remains the default until another set of images is loaded.
Select Return the cursor to selection mode. Exit from an edit mode.
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Window Adjust Window W/L:
Width/Level • Dynamic Window Width/Level – Drag along the vertical axis of the image to modify
the contrast. Drag along the horizontal axis to modify brightness.
• Presets – Apply predefined W/L values based on modality and body part.
• Revert to Default – Undo any W/L changes and restore the original image.
Zoom Zoom in or out from the image. Drag up to zoom in, drag down to zoom out.
NOTE: Drag to the top of the image frame to display the image in true size.
Pan Drag the image to move it within the image frame. This tool does not apply when the full
image displays in the frame.
Magnifying Magnify an area on the image. Select the magnification level and touch the image. Drag
Glass your finger to move the magnifying glass (to magnify different places on the image).
Touch again to close the magnifying glass.
Invert Invert the gray scale.
Orientation Select an option to rotate or flip the image.
Measurements Measure a length, angle, or cobb angle on the image. Select the end points on the image
and the measurement displays as an annotation on the image.
Drawing Draw a line, arrow, circle, or rectangle to point out an area of interest. Select the shape,
touch the image, then drag the shape to the desired size.
Text Add a text note to the image. Touch the tool, touch the image where you want the text to
Annotation display, and a keyboard opens to enter the text.
Edit Change or move a note or shape on the image.

Annotations • To move the annotation – Touch the tool, touch the annotation, then drag it to the
desired place.
• To edit the text – Touch the tool, touch the annotation, release the touch, and a
keyboard opens to enter or change the text.
7H7773 6-13

Delete Delete a note, shape, or measurement on the image. Touch the annotation, and then
Annotations touch the tool.
Show/Hide Touch to open the drop-down list to select whether to show or hide overlays and
Overlays and annotations:
Annotations • Overlays – Descriptive information that came with the image, for example, patient
information and markers.
• Annotations – Text notes, shapes, and measurements that are added to the image at
the Review Application.
Touch the item to show or hide. The asterisk to the left of Overlays or Annotations in the
drop-down list indicates that Show is enabled, without the asterisk, the item is hidden.
Reset Restore the original image settings.
Saving Images You can save images with the edits you have made. Touch Save Image to save
the selected image. Saving overwrites the original processed image.
NOTE: Some image adjustments are not saved. For example, if you apply Pan
and Zoom to the image, those adjustments are not saved.
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Working in a Print Composition

Moving Images to the To move images into the Print Composition Pane, you can:
Print Composition • Drag an image into the Print Composition.
Pane – When you drag an image from the Thumbnails Pane, the image is the
same as when it was loaded.
– When you drag an image from the Viewing Pane, any image
adjustments, annotations, etc., move to the Print Composition Pane
with the image.
• Touch the Compose All tool to move all images into the Print
Composition.
– When the Thumbnails Pane is active, all images from the Thumbnails
Pane move to the Print Composition Pane. The images are the
originally loaded images.
– When the Viewing Pane is active, all images from the Viewing Pane,
along with any image adjustments, annotations, etc., move to the Print
Composition Pane.
Working with Images To work with images in the Print Composition, touch the Print Composition
in the Print Pane to make it active. When the images display in the Print Composition, do
Composition any of the following.
Tool Icon Description

Layouts Change the selected image layout. The Layouts dialog box presents matrix
layouts, several non-matrix layouts, and any custom layouts.
NOTE: For instructions to create custom layouts, see “Print Composition
Custom Image Layouts” on page 6-24.
Edit Use the See “Working with the Image Editing Tools” on page 6-12 for instructions.
Image
Editing tools
Reorganize images on the page or between pages:
Cut • Cut – Touch the image to select it, then touch Cut. The Cut tool assumes you
will paste next.
Paste • Paste – Touch the image frame where you will paste the image that you cut,
then touch Paste.
To let 2 images trade image frames, or swap locations, on the page, drag Image
1 and drop it on Image 2. Image 1 takes over the image frame of Image 2, and
Image 2 appears where Image 1 previously displayed.
7H7773 6-15

You can add a page or delete a page from the Print Composition.
Add Page • Add Page options – Add a page at the end of the Print Composition, or
options before or after the current page.
Delete Page • Delete Page options – Delete the current page or all pages.
options NOTE: When you use the Compose All tool to move a set of images into the
Print Composition, new pages are created automatically so that all the
images fit.
Delete – Select the image to delete, then touch Delete.
Delete
When the Print Composition has multiple pages, use the navigation buttons to
move back and forth:
Previous Page • Previous Page – Moves the Print Composition to the previous page.
Next Page • Next Page – Moves the Print Composition to the next page.
The current page number and page count display on the Status Bar.
Advanced Use the Advanced options to minimize the amount of media and optimize the
options image layout:
• Minimize Media – The images are arranged in the Print Composition to
make the best use of the media. Images are moved to fill in empty spaces as
possible. Empty pages are deleted.
• Optimize Layout – The images are arranged in the Print Composition for the
best layout based on the image types. Empty spaces are eliminated, and
image orientation may be changed to place more images on each page.
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Printing Images When you are ready to print the Composition, see the following:
Print Initiates the print request.
NOTE: To select a different printer, touch Printer Settings on the Main
Toolbar.
Page Setup Change the selected:
• Page orientation
• Media size and type
NOTE: You can always view the selected page orientation, media size/type,
and printer on the status bar.
7H7773 6-17
Working with Settings

Some of the features in this section require use of a keyboard and mouse.
Printer Settings To open the Printers dialog box, touch Select Printer on the Main Toolbar.
The dialog box shows the current default printer for the WINDOWS operating
system and the one or multiple printers that are selected for printing in the
Review Application. See the table to understand and use the dialog box to
change printer selections:
Icon Description
Indicates the default printer. All print jobs are delivered to the default printer. To change the default:
1. Touch to deselect the current default printer.
2. Touch a different printer in the list.
3. Touch Default.
NOTE: This changes the computer’s default printer (at the operating system level). Only one printer
can be selected as the default.
Indicates a selected printer. The next print job will be delivered to all printers with this icon. To change
the selected printer(s):
1. Touch to select one or multiple printers.
2. Touch OK.
The next print job will be sent to all selected printers. Jobs will continue to be sent to these selected
printers until you re-enter the dialog box and make a change.
NOTE: When you select a printer and then touch OK, any previously selected printers will become
deselected and jobs will not be delivered to them. Select each printer in the list before you
touch OK, even if you are reselecting a printer that is already has the yellow check icon.
Indicates an unselected printer.
To exit from the dialog box without making any changes, touch Cancel.
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Image Adjustment IMPORTANT: Connect a keyboard and mouse to the computer to continue
with this utility.
The DICOM Image Adjustment Wizard lets you adjust DICOM, grayscale
images printing to a KODAK Printer. Optimize images from a modality to a
printer by adjusting the image processing parameters to your preferences.
NOTE: The default image processing parameters produce acceptable printed
images for most users. However, if the images do not meet your
preferences, use the wizard to adjust the image processing
parameters.
1. To start the wizard, touch Settings, then Image Adjustment.
2. Answer the questions on the wizard screens, and retrieve and review test
prints, as prompted.
If you need help while going through the wizard, see the table:
Screen Help
Welcome • You must have already sent an image from the image source to the printer. For example,
if you will adjust CR images, send one to the printer before you begin this procedure.
• Browse to select a grayscale image from the image source that you want to adjust.
Verify Image Source • The image file you selected at the Welcome screen provides information about the image
source. At this screen, the information appears. Confirm that the information is correct
for the image source you want to adjust.
• If the information is incomplete, the file you selected did not provide all of the expected
information. To provide the best recommendations for the image processing parameters,
you may want to touch Back to select another image.
• If the information is not what you expected, for example, the image source is not correct,
then you may not have selected the file you intended. Touch Back to return to the
Welcome screen and select another image.
Select Printer The configured Kodak Printers appear in the list.
7H7773 6-19
Screen Help
Remove Parameters If this screen appears, the modality and printer combination have previously been set up in
the wizard. The previously chosen parameters listed on the screen may or may not be the
same as the recommended parameters.
• Show me the parameters that were previously set up and the default
recommendations. As you go through the wizard, the previously chosen parameters
and the recommended parameters display. You can keep or change any of the
parameters.
• Remove the parameters that were previously set up. The wizard will only show
the recommended parameters. The previously chosen parameters are no longer
applied. You can keep or change any of the recommended parameters.
• Remove all parameters for this image source and printer. No image processing
parameters are applied. You are taken to the Finish screen where you can exit from the
wizard or start again.
Recommended This screen appears if you selected a laser imager that supports TFT (Touchscreen) Sets.
Touchscreen (TFT) The screen displays the recommendations for TFT Set and Contrast based on the selected
(LCD) Set image source and printer.
• Use the recommended parameters. Print test images... A set of test pages prints
your image with the recommended parameters applied. Select your preferred image
from the test pages. If you do not like any images on the test pages, you can change the
parameters on the screens that follow.
NOTE: If you specified on the Remove Parameters screen to see the parameters that were
previously chosen, they also print on the test pages.
• Do not use the recommended parameters... The wizard lets you select a different
TFT Set and/or Contrast.
• I know the parameters that I want to use... The wizard lets you enter a different
TFT Set and/or Contrast.
Select TFT Set If you are not sure which TFT Set and Contrast to use, print your image with TFT Sets and
multiple Contrast settings applied. On this screen, touch one or multiple TFT Sets to print
your image with the TFT Sets applied. The Total pages count provides the number of pages
that will print.
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Screen Help
Recommended Wet This screen appears if you selected a printer that supports wet processing. The screen
Parameters displays the recommendations for Wet Contrast and Curve Shape based on the selected
image source and printer.
• Do not use the recommended parameters... The wizard lets you select a different
Wet Contrast and Curve Shape.
• I know the parameters that I want to use... The wizard lets you enter a Wet
Contrast and Curve Shape.
Review Test Images If there is not an acceptable image, touch No to enter different parameters.
Select Image Number Locate the image number on the test page with the image.
More Parameters This screen provides more recommended image processing parameters. Depending on the
selected printer, recommendations are listed for Dmax/Dmin/Smoothing Type or
Dmax/Dmin/Interpolation.
If there is only one set of recommended parameters and they have already printed on
a test page, the Finish screen appears.
• Do not use the recommended parameters... The wizard lets you select different
settings for Dmax/Dmin/Smoothing Type or Dmax/Dmin/Interpolation.
• I know the parameters that I want to use... The wizard lets you enter a setting for
Dmax/Dmin/Smoothing Type or Dmax/Dmin/Interpolation.
Print Dmax Settings, If you are not sure which Dmax, Dmin, or Wet Contrast settings to use, print your image with
Print Dmin Settings, the selected settings applied. On these screens, touch one or multiple settings, or touch
Print Wet Contrast Print all if you want to print your image with all of the settings applied. The Total pages
Settings count provides the number of pages that will print.
Select Parameter, On these screens, you enter the parameters without help from the wizard. Select the
Select More Parameters parameter from a drop-down list of the available choices.
7H7773 6-21
Screen Help
Finish This screen lists all the settings you selected or entered. When you touch Finish, the settings
are saved and applied to all images that are sent from the image source to the selected
printer.
Record the parameters that are listed on the Finish screen, and put the list in a safe place.
This list will save you time if you need to restore the system for any reason.
• Touch Finish to exit and save.
• Touch Next to return to the Welcome screen and repeat the process for another image
source and/or printer.
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Monitor Calibration IMPORTANT: Connect a keyboard and mouse to the computer to continue
with this utility.
The Monitor Calibration wizard helps you adjust your monitor’s color and
contrast for optimal image viewing. Use your own image or view a SMPTE test
pattern as you adjust the monitor.
1. To start the wizard, touch Settings, then Monitor Calibration.
2. Answer the questions on the wizard screens, and retrieve and review test
prints, as prompted.
If you need help while going through the wizard, see the table:
Screen Help
Welcome Choose an option:
• SMPTE pattern. Provides a pattern of squares that display a full range from white to
black, including the percentage of gray in each square. 100% = white, and 0% = black.
You will use the monitor controls to adjust color and contrast until you can see
appropriate variance in each square.
• My image. Touch the field and touch Browse, then find and open your own image.
You may want to select an image that has a good range of colors. You will use the
monitor controls to adjust color and contrast until you like how the image appears on
the monitor.
Select Image Display Choose an option:
• Keep the image’s proportions. Displays the image or pattern with the same aspect
ratio, or proportions, of the original file. The SMPTE pattern displays in a portrait
format with borders on the left and right sides.
• Expand the image to display on the full screen. Uses the full screen to display the
image or pattern. The SMPTE pattern is stretched horizontally to display on the full
screen.
SMPTE or Image Use the monitor controls to adjust color and contrast. When finished, touch the image to
Display exit.
Finish • Touch Finish to exit.
• Touch Next to return to the Welcome screen and repeat the process.
7H7773 6-23
Modality Default View or modify the image layout defaults for each modality and for the
Image Layouts number of images in the set.
1. Touch Settings, then User Preferences.
2. Locate the modality and touch the default to change. Select the number
of images and then the default layout.
3. Touch Save.
Modality Preferences View or modify Window Width and Level defaults by modality.
1. Touch Settings, then Modality Preferences.
2. Touch Add/Modify Presets.
3. Touch or type an exam type.
4. Complete the fields and touch Save.
Print Composition This section provides instructions to manage custom layouts.

Custom Image NOTE: To change the image layout in the Print Composition Pane, see
Layouts “Working with the Image Editing Tools” on page 6-12.
Adding a Custom Layout 1. Touch Settings, then PC Image Layouts.
2. Touch Add.
6-24 7H7773
NOTE: You can also modify an existing layout as a base for the new
layout.
3. Enter a descriptive name in the Layout Name field.
4. In the layout window, touch and drag the frame border to create the
desired layout. The dividers become the frame borders for the images.
To add a divider to the layout, move the cursor to the edge of the window
until the cursor changes. Hold and drag until the divider is where you
want it.
• Place the cursor on a divider to move it.
• Place the cursor next to a divider, then drag out to create another
divider.
• Continue until you have the desired layout.
5. Touch Save. The layout becomes available in the Print Composition
Layouts dialog box.
6. Touch Close.
Modifying a Layout 1. Touch Settings, then PC Image Layouts.

2. Touch the layout to modify.
3. Touch Modify.
4. For the Layout Name field:
• Leave the name unchanged to permanently modify the selected layout.
• Change the name of the layout to save the original layout and the
modified layout.
5. In the layout window, touch and drag the frame border to create the
desired layout. The dividers become the frame borders for the images.
7H7773 6-25
To add a divider to the layout, move the cursor to the edge of the window
until the cursor changes. Hold and drag until the divider is where you
want it.
• Place the cursor on a divider to move it.
• Place the cursor next to a divider, then drag out to create another
divider.
• Continue until you have the desired layout.
6. Touch Save. The layout becomes available in the Print Composition
Layouts dialog box.
7. Touch Close.
Deleting a Layout 1. Touch Settings, then PC Image Layouts.

2. Touch the layout to delete.
3. Touch Delete and confirm.
4. Touch Close.
Configuring Overlays To add or remove overlays for the displayed and printed images from the
Review application:
1. Touch Settings, then Configure Overlays. The following screen
appears.
6-26 7H7773
2. Select a modality if desired.

3. Select the items from the main list, and add each item to a corner. The
items will display as overlays in the specified corners when you display
and print the images (after you restart the application).
4. To remove an item from the overlay, select the item and touch the arrow
button pointing toward the main list.
Backing up and You can make a backup of the configuration settings. This backup will save
Restoring Settings you time if you need to reinstall the software or restore the system. The
backup includes user preferences, modality preferences, and any custom
layouts.
• To make a backup – Touch Settings, then Back up Settings. Follow the
prompts to select a directory where the backup files will be saved.
• To restore the backup – Touch Settings, then Restore Settings. Follow
the prompts to specify the directory where the backup files were saved.
7H7773 6-27
Working with CD/DVDs

IMPORTANT: To write DVDs, you must purchase and install NERO 7 Ultra
Edition. See page 6-31 for more information.
You can do the following:
• Write images to a local CD or DVD disc writer.
• Search for discs and their contents.
• Retrieve and view images on a CD.
Writing Images to Disc
Overview When you write images to a local CD or DVD disc writer, each disc is assigned
a unique identification number. For each disc, you will do the following:
1. Set up the disc using the Disc Publishing Wizard.
2. Build a compilation of images at the Disc Publishing Window.
3. Start the write to disc.
You have the option to protect the contents of the disc with a password. If you
choose to encrypt the disc, you will enter a password to apply to the disc
before starting the write. Users must then enter the password before viewing
information from the disc that is classified as Protected Health Information
such as patient names, IDs, dates of birth, etc. If a user who tries to view the
contents of the disc does not know the password, the PHI on the disc will be
show patients’ details to protect the patient’s right to privacy.
You also have the option to retrieve the discs from a database where
identifying information for each compilation is stored.
Working with the Disc The Disc Publishing Wizard takes you through a series of questions that are
Publishing Wizard necessary to set up the CD/DVD before writing it. When finished with the
wizard, you will be ready to add images to the new compilation.
To set up the disc:
1. Insert the CD or DVD into the drive.
2. To start the wizard, touch CD/DVD, then New.
3. Answer the questions on the wizard screens as prompted. When finished,
the Disc Publishing Window opens.
Working in the Disc Work in the Disc Publishing Window to build a compilation of images and
Publishing Window start the write to disc.
6-28 7H7773

New Restart the wizard and clear out the Disc Publishing Window.
Compilation
Start Writing Initiate the disc writing.
Delete Delete the selected object (file or folder).

NOTE: Default folders (“DICOM Objects” and “Non-DICOM
Objects”) cannot be deleted. If a default folder is selected when
you touch Delete, all files inside the default folder are deleted.
Eject Eject the disc.
Change Disc Change from the disc writer drive that you specified in the
Writer wizard.
Setup View or change the settings you specified in the wizard. You can
change the de-identification selection, media type, and the
spanning option.
Exit Close the Disc Publishing Window.
7H7773 6-29
Building an Image Drag files into the Disc Publishing Window to build the compilation.
Compilation • You can build a compilation with images from the Thumbnails Pane or
the Viewing Pane.
NOTE: Any image adjustments that you have applied in the Review
Application are not saved into the compilation.
• The files are automatically organized into the DICOM and Non-DICOM
folders.
• The size of the compilation is shown by the blue rectangles at the bottom
of the application as you drag the files in. If you drag in more files than
can fit on the disc, the compilation progress bar and the disc hierarchy
only show one disc, but you are warned that you will need more discs
when you touch Start Writing.
• Touch Start Writing. If the compilation is larger than the disc, a
message informs you to insert another disc. When the write has
completed, a message appears with the identification number. Shelf
storage users should record the identification number for easy retrieval.
Retrieving Discs from Touch CD/DVD on the Main Toolbar, then Search Database. The following
the Database screen appears.
Enter information to search for a disc, a patient, or a set of images.

• Touch the date buttons to select a date range.
• Touch VKBD to display the keyboard where you can enter text in the
other search fields.
• Touch Search to start the search.
• Touch Clear to start over with new search criteria.
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Retrieving Images to You can retrieve and view images from an IHE-compatible CD.
View from a Disc 1. Insert the CD into the drive. If the CD has an auto-run program, the
Review Application opens.
NOTE: If the Review Application does not open, launch WINDOWS Explorer.
Browse to display the CD/DVD drive. Right-touch the drive, and select
Autoplay.
2. Touch Open on the Main Toolbar.
3. Navigate to the CD/DVD drive.
4. Locate and select the DICOMDIR file, and touch OK. The Open File
dialog box closes and the images load into the Thumbnails Pane in the
Review Application.
NOTE: Alternatively, you can open DICOMDIR files in WINDOWS Internet
Explorer window. Display the CD/DVD drive in a File Explorer, and
expand the directory to locate the index.xml file. Double-touch the
file to launch Internet Explorer with a list of.jpeg versions of each
image on the CD. Touch an image to view a larger version in the
Explorer window.
Installing NERO to To write DVDs, you must purchase and install NERO 7 Ultra Edition.
work with DVDs Install the software using the instructions that are provided. Then do the
following:
1. Login with Admin rights.
2. Exit to the Desktop.
3. In a WINDOWS operating system Internet Explorer window, locate the
file: ProgramFiles\Nero\Nero7\NeroToolkit\NeroBurnRights.exe.
4. Double-touch the file to run it.
5. When the options dialog box appears, select the following:
• Everyone has write rights
• Automatically apply setting to newly installed drives
6. Touch OK.
7. Restart the computer.
Use the instructions on the previous pages to write images to DVD.
7H7773 6-31
Setting Procedure Mapping
7 Setting Procedure
Mapping
The Procedure Mapping tool is used to define the list of procedures that
appear in the scan screen. A procedure is a user-defined set of body-parts and
view positions, created in order to group logically related procedures for ease
of selection and time savings.
Main Toolbar - Procedures Tool Button
When Procedure Mapping is selected, the image icons associated with a

procedure or study are predefined and appear as ready to scan thumbnails.
Procedure Mapping Tool
7H7773 7-1
1 Room Name or number of the room where the procedure will
be implemented.
2 Procedure Name Type in the new procedure name.
3 Organ List of organs.
4 Sub-Organ List of sub organ positions available for the selected
organ.
5 Procedure Component List List of sub organs positions selected to be included in
the procedure being created.
6 Add to Procedure Select a sub organ, then touch this button to include the
procedure being created or modified.
7 Remove from Procedure Touch to remove a sub organ from the procedure being
created or modified.
8 VKBD Virtual keyboard.
9 Add Procedure Touch to accept and save the procedure being created or
modified.
10 Clear Values Clear details of the add/modify procedure process.
11 Existing Procedures Names of existing procedures.
12 Procedure Description Shows the sub organs included in the selected
procedure in the existing procedures list.
13 Modify Procedure Select procedure from Existing Procedures to modify.
14 Delete Procedure Deletes procedure.
15 Regular Scan Mode/Demo Select regular or demo mode. Regular scan mode is
Mode default. Demo mode uses the Demo images.
To Create a New 1. Select a Room.

Procedure 2. Touch on the field Procedure Name; the field becomes enabled, enter
a name for the procedure.
3. Select an Organ; the organ’s sub organ list appears in the sub organ
dialog box.
4. Select a sub organ, then touch Add to procedure. The sub organ
appears in the Procedure Component List.
To remove selections, touch Remove from Procedure.
To cancel the Procedure creation, touch Clear.
7-2 7H7773
5. When you have added all the Sub Organ positions that you require to the
list in the Procedure Component list, touch Add Procedure. The new
procedure appears on the list of procedures.
To Modify an Existing 1. Select a Procedure from existing procedures.

Procedure 2. Touch Modify Procedure; the Procedure details will appear in the
Procedure Name and Procedure Component List dialog boxes.
3. Use Add to Procedure and Remove from Procedure buttons to modify the
list.
4. Touch Add Procedure to save.
NOTE: Demo mode is used for selecting Demo images.
7H7773 7-3
Advanced Settings
8 Advanced Settings
The advanced settings tool is used to access advanced features of the QC and
CR software. The available tabs depend on the user’s designation:
Anatomical Calibration Diagnostics SW Update Setup User Admin
Administrator x x x x x x x
Technician x x x x x x
Operator x
Main Toolbar - Setting button
The Scanner Information screen is displayed on the top of the Advanced

Settings screens, above the Tab bar.
It displays information about the unit. FPGA, Firmware and Software version
details are updated each time the particular software version is updated.
Scanner Information screen
7H7773 8-1
Advanced Settings
The User Tab

Certain parameters may be set for local clinic preferences: birth date format,
the default screen that appears when the user interface is opened, patient
detail fields that are mandatory, and display tags that appear when an image is
displayed or printed. In addition the roller cleaning procedure of the Imaging
Reader is initiated from the User tab.
1. Open the user interface and log in.
2. On the Manual screen, press Settings on the Main tool bar.
3. Update the setting(s) you require, then touch Apply and OK.
User Tab
1 Roller Cleaning Refer to “Cleaning the Rollers of the Scanner” on page 10-8. The
Prepare button, located on the User tab is used to initiate the
procedure.
2 Setting the Date Format In the Birth Date Format section select the preferred format. This
format will appear on the Manual Patient Entry Form.
8-2 7H7773
Advanced Settings
3 Selecting Default patient screen Determines whether Manual or MWL patient list will be the
default display for the scanner operator. Usually MWL is set as
default.
4 Delete patient from manual list after When the Manual list is being used and this option is checked, the
scan patient name will be deleted from the list after the scanning
procedure.
5 Display cassette size button When checked, the button will be displayed only if there is a
problem with the barcode reader. Allows the operator to choose
to open a cassette size drop-down list and enter the cassette size
manually. This option also allows you to choose the resolution of
14 x 17 cassettes.
6 Burn Media Determines whether data will be copied to CD or to DVD,
according to which tool is available or required.
7 Open printers dialog before printing Determines whether the printer dialog will open before printing.
8 Setting Mandatory Patient Detail Fields Patient Detail Fields which are mandatory are displayed in red
letters on the Manual Patient Entry screen or the Modality Work
List.
Last Name, First Name, and ID are defaults and cannot be
removed from the mandatory list.
Other details may be set as mandatory.
Select a patient detail from the Optional list on the left.
Touch the arrow symbol >> to transfer the detail to the
Mandatory list.
To remove a detail from the Mandatory list, select the detail,
touch the arrow symbol<< and it will reappear on the Optional
list.
9 Display Tags In the Display Tag section, mark tags you wish to appear on the
Image screen.
10 Keyboard Activates the On Screen Virtual Keyboard.
7H7773 8-3
Advanced Settings
The Administration Tab

The Administration tab is accessible only by the Administrator level user. It is
used to manage the list of registered users of the system. There are three user
access levels: Operator, Technician and Administrator.
Admin Tab
1 User List List of users registered within the system.
2 User Name User name of the selected user or new user.
3 User Password User password of the selected user or new user.
4 Technician Level List of permission levels: Administrator, Technician or
Operator.
5 Insert/Update Button Inserts a new user or updates an existing user.
6 Remove Button Removes the selected user from the system.
8-4 7H7773
Advanced Settings
The Anatomical Tab

KODAK Point of Care (POC) systems are capable of handling several X-ray
systems installed in a single hospital. To be able to pre-define usage according
to specific X-ray unit usage, “Rooms” represent a set of user-defined
parameters that correspond to a specific X-ray unit in a particular location, its
name and the position names of the organ and sub-organ images acquired
there.
Anatomical Tab
1 Room Configuration Edit room names, Select SHOW/HIDE room.
2 Room and Organ List Boxes Select the room and organ (body part) from drop-down
list boxes. Related sub organs (view positions) appear in
the main list.
3 Main List Displays sub organs (view positions) list for selected
room and organ.
4 Delete Selected Sub Organ Select sub organ and press button, to delete from the list.
5 Add Sub Organ Enter a name and press Add, to add to the Sub Organ list.
6 Global PM Setting Enter PM gain value and press Set to update the value to
all suborgans for the current Organ and Room.
7H7773 8-5
Advanced Settings
The Calibration Tab

Service only
Calibration Tab
1 Origin Calibration Select Set Origin, touch Start and follow the instructions to
perform an origin calibration.
2 Manual Origin Calibration Select Set Origin, use the up/down, left/right arrow buttons
to manually set the origin parameters.
3 Offset Calibration Select Set Offset, touch Start and follow the instructions to
perform the offset calibration.
4 Factory Gain Calibration Select Set PM and touch Start to perform the set PM
calibration.
5 View calibration values Displays calibration values.
6 Calibration Preview Displays scan progress during the calibration procedure.
8-6 7H7773
Advanced Settings
The Diagnostics Tab

IMPORTANT: The Diagnostics tab is accessible by Service personnel only.
Diagnostics Tab
1 Linear Motor Use the << / >> buttons to move the optical head and Photo Multiplier
(PM) left and right and view 515 and 516 sensor indicators.
2 Rotational Motor Use the On/Off button to start or stop the motor and view the motor
speed. You can also select motor speed by dragging the selector along
High-Low slide bar.
3 Erase Lamp Touch On to turn on the erase lamps. The two Erase lamp sensor
indicators will indicate the status of the erase lamps.
4 Laser Touch On to turn on the laser.
5 Loop Solenoid Touch On to turn on the Loop Solenoid.
6 Unload/Reset Button Simulates unload and reset operations (combining both loader and
roller motors).
7 Roller Control Use << / >> buttons to move the motor and High-Low slide bar to
control the speed.
8 Sensor Indicators Displays the status of sensors in the system.
9 Loader Control Use << / >> buttons to operate the loader motor.
10 Get Barcode Data Displays cassette information from the barcode.
7H7773 8-7
Advanced Settings
Software Update and Backup Tab

Service only
Software Update and Backup Tab
1 Serial Number Displays the scanner’s serial number.
2 Reset Scan Counter Resets the scan counter. The counter counts all scan procedures
since the system was installed at the site.
3 FPGA Press to update Field Programmable Gate Array (FPGA) to
scanner.
4 Firmware Press to upgrade firmware to scanner.
5 View Log File Press to display log file.
6 Import Scanner Settings Enter path to scanner setting file and press the button to import.
7 Export Scanner Settings Enter path and file name to create the scanner setting file and press
the button to export.
8 Import Anatom Enter path to anatom setting file and press the button to import.
9 Export Anatom Settings Enter path and file name to create the anatom setting file and press
the button to export.
10 Restore to Factory Press to restore the original factory settings.
8-8 7H7773
Advanced Settings
The Setup Tab
Setup Tab
1 Scan mode Select between regular scan, and demo modes.
2 Image Sets image data correction options.
3 Scan Sets scan options:- Auto erase after scan, -Auto scan.
4 Diagnostic Sets diagnostic options: Override warming up, Diagnostic screen,
Load image after scan (used by Technicians for Gain Tuning).
5 Erase Time Sets erase time: nominal or other (manual).
6 Network Query Time Set time in minutes for network query.
7 Prufung Test Use only for Prufung test (Germany only).
8 Loop Solenoid Should always be checked if Loop Solenoid is installed.
9 Printing from QC Sets the default printing option when sending the image to the
Screen printer from the QC window. Fit to size fits the image to the desired
or default configured film size. True size prints the actual image at
its true size on the default size film.
10 Scan Resolution Select scan resolution for each casette size.
11 SMPTE Image Loads SMPTE image. For viewing only.
12 X-ray Setup Check for DAP usage and set X-ray shutdown time.
7H7773 8-9
13 Image File Destination Select image file destination. Default destination is D:\Images.
14 LLI Laser Setup To set the starting point of the laser scan for a long length image. For
(presently not in use) details, see the Calibration section of the Full Length Cassette
Manual.
15 Annotation Tool Enter Annotation list to add, delete or modify the drop-down
pre-defined text strings.
16 DICOM Settings Displays DICOM settings screen.
DICOM Settings
9 DICOM Settings
The DICOM settings screens enable set up of all DICOM related parameters
for connecting the QC software to PACS and HIS/RIS. The DICOM settings
screens are accessed from Settings >Setup tab and touching DICOM
Settings. See “The Setup Tab” on page 8-9.
NOTE: For changes to take effect:
1. Before making any change, touch Stop Service.
2. After completing the changes, touch Start Service.
For the required parameters, consult your clinic/hospital System
Administrator.
For a description of DICOM Settings, DICOM Printers and DICOM
Destinations, refer tothe CR-ITX 560 Installation Guide.
7H7773 9-1
Cleaning
10 Cleaning
CAUTION:
Before cleaning any part of the CR-ITX 560 System, turn it OFF
and unplug it from the wall outlet.
IMPORTANT: It is the responsibility of the System Operator to observe ALL

Notes, Cautions, Warnings, and other recommendations
while cleaning this equipment.
• Do not use any abrasive detergents or solvents such as, cleaning
solutions, alcohol, and stain removers.
• Use only a cloth moistened with a dilute solution of household dish
washing liquid and water.
• Do not spray liquids onto the unit to clean. This may cause the liquid to
penetrate into the unit and cause serious damage.
Cleaning the DAP Chamber

CAUTION:
High voltage in the DAP chamber. Avoid causing any scratches.
Use only a soft cloth. The DAP ionization chamber is very
sensitive!
• Applies to units with the DAP option installed.

• Use a soft, dry cloth to gently wipe the DAP chamber.
• Do this procedure once a month.
Cleaning the Touch Screen

CAUTION:
To avoid damage, do not use liquid cleaners, abrasive cleaners,
or strong solvents to clean the touch screen. Also, do not spray
aerosol cleaners directly on the touch screen.
1. Turn OFF the Control Panel.

2. Spray glass cleaner on a soft cloth, then gently wipe the touch screen
viewing surface.
3. Use a soft cloth dampened with water to clean the area around the touch
screen.
7H7773 10-1
Cleaning
NOTE: Excessive liquid on the touchscreen can cause the touchscreen to

appear out of calibration. Turn off the unit and let the touchscreen
dry.
10-2 7H7773
Cleaning
Cleaning the Phosphor Screens

General Failure to routinely clean the screens with a recommended solution may
create the following result:
• The screen may not transport from the cassette into the reader, causing
an error message.
• The screen may not fully return to the cassette at the end of the cycle,
preventing the cassette from latching. No error message appears.
• Image artifacts may be caused by dust or dirt.
Removing the Screen 1. Slide the edge of the Extraction Tool (SK250056) over the back edge of
the cassette. Pull the tool down until it enters the square slots in the back
of the cassette.
Extraction Tool
2. Hold the cassette horizontally. Push the slider in the middle of the
Extraction Tool towards the open edge of the cassette until the screen is
visible.
7H7773 10-3
Cleaning
3. Carefully pull the screen out.

4. Pull up on the release lever to remove the tool.
Handling and Handle flexible phosphor screens with care. Hold screens by the edges and by
Maintaining the the back side of the screen. Avoid contact with the screen's white (phosphor)
Screen side.(front side). Make sure your hands are clean and dry. For best results,
wear clean, soft, lint-free fabric gloves.
Under normal use conditions, flexible phosphor screens will eventually show
wear. Screen wear can result in artifacts on radiographs. This wear may occur
from abrasion of the protective overcoat or inadvertent physical damage to
the surface.
CAUTION:
Read and follow instructions in the Material Safety Data Sheets
(MSDS) for the cleaning material being used.
10-4 7H7773
Cleaning
CAUTION:
Failure to routinely clean the screens with the cleaner
recommended by the manufacturer may create the following
results:
• The screen may not transport from the cassette into the reader, causing
an error message.
• The screen may not fully return to the cassette at the end of the cycle,
preventing the cassette from latching. No error message appears.
Screen Cleaning • ADC Cleaner

Materials • Kodak Screen Cleaner
• Clean, dry, non-abrasive lint-free wipes or cloths.
Use one of the following approved liquid cleaners to remove other dirt:
• Screen cleaner and anti-static solution.
• Screen cleaner.
• Screen cleaner wipes.
Cleaning Method Wear soft, lint-free gloves. Do not touch the white (phosphor) side with bare
hands.
1. Place the screen with the white (phosphor) side up.
2. Wipe the screen gently to remove dust.
3. Fold a non-abrasive, lint-free cloth and dampen with a small amount of
the solution. )
CAUTION:
Do not pour the solution directly onto the screen. Excessive
amounts of the screen cleaner may cause damage to the screen.
4. Wipe the screen thoroughly, one section at a time. Fold the cloth to
expose a fresh area for each section of the screen.
5. If necessary for the removal of persistent dirt, apply pressure while
cleaning.
6. After cleaning, set the screen aside and allow it to dry completely. Never
insert a storage phosphor screen into a cassette unless it is thoroughly
dry.
7H7773 10-5
Cleaning
Cleaning the Cassette Clean the outer cassette surfaces using a soft cloth moistened with a mild soap
Exterior and water solution.
Do not use soaps or detergents containing brightening agents. Use of a
cleaning agent other than those specifically suggested is not recommended.
CAUTION:
When cleaning the cassette, avoid contaminating the inside of
the cassette with the cleaning solution.
Disinfecting CR NOTE: If the cassette is visibly contaminated with blood or body fluids,
Cassettes or Phosphor removal of the blood and/or body fluids followed by
Screens intermediate-level disinfection is required prior to use.
For low-level disinfection:
IMPORTANT: Diluted bleach solutions may cause eye irritation and dry
skin. Wash hands with soap and water following use.
Consult Manufacturer's Material Safety Data Sheet (MSDS)
prior to use.
1. Wipe with a soft, lint-free cloth thoroughly dampened with a 1:10
dilution of 6% sodium hypochlorite (household bleach).
NOTE: Follow the Center for Disease Control (CDC) guidelines regarding
solution contact time to adequately disinfect the cassette or screen.
2. Remove the bleach residue with a soft, lint-free cloth dampened with
water.
3. Wipe dry with a soft, lint-free cloth. Allow screens to air-dry.
10-6 7H7773
Cleaning
Installing the Screen IMPORTANT: Use the screen only with KODAK CR Cassettes for the
KODAK Point-of-Care CR System. Make sure to match the
size of the screen to the size of the cassette before inserting
the screen.
1. With the Extraction Tool in place, hold the screen with the white
(phosphor) side up.
2. Insert the screen into the cassette so that the back side (dark side) is
facing the back of the cassette (the side with the cassette product label).
For information on using the Extraction Tool, see “Removing the Screen”
on page 10-3.
3. Hold the cassette vertically and make sure that the screen is fully inserted
into the cassette.
4. For information on removing the Extraction Tool, see “Removing the
Screen” on page 10-3.
If you insert the screen incorrectly, calibration and functional failures may
result:
• The scan calibration procedure may fail causing an error message.
• The screen may not feed properly from the cassette, causing an error
message and preventing any exposed image on the screen from being
processed.
• The screen may fall out of the cassette.
Disposing of the Due to the presence of barium, this screen may be considered a hazardous or
Screen special waste at the end of its useful service life. For disposal or recycling
information, contact your local authorities.
7H7773 10-7
Cleaning
Cleaning the Rollers of the Scanner

The rollers should be cleaned monthly to remove dust and small particles.
The roller-cleaning device enables you to clean the rollers that feed the image
screen from the Cassette into the reader.
The cleaning device includes the following items:
• Cleaning Tray
• Cleaning Plate with adhesive strips covered with protective paper/
protective envelope.
The cleaning mechanism is affected by the Auto-loop mechanism. After
upgrading a system to Auto-loop, (or if cleaning a system provided with an
Auto-loop mechanism,) you cannot use the old type of cleaning tray and
cleaning plate. Use only the new set supplies with the upgrade kit.
New- compatible to Auto-loop Old - not compatible to Auto-loop
Cleaning Tray
Cleaning Plate
IMPORTANT: The area marked in red is different in the two cleaning

plates. It is critical to work with the correct cleaning plate
and tray.
10-8 7H7773
Cleaning
1. Remove the Cassette and plates from the unit.

2. Open the user interface.
3. The Manual Patient Entry screen appears. Touch Settings.
4. Wait until the User Tab appears.
5. Insert the cleaning tray into the unit tray. Make sure it is locked in place.
6. Touch Prepare.
7. When the following message appears, touch OK.
8. Place the Cleaning Plate on the tray. Make sure the cleaning plate is
placed in the correct direction, as specified on the Plate.
7H7773 10-9
Cleaning
9. Remove the protective paper strips from the cleaning plates.
NOTE: The cleaning plates are for one-time use only.

10. Push the cleaning plate into the scanner until the rollers pull it into the
scanner. The glue strips remove the dust from the rollers.
10-10 7H7773
Cleaning
A message appears when the Cleaning Plate is fully loaded.
11. Touch OK.

12. Pull the Cleaning Plate out.
13. Repeat the preceding three steps several times.
14. Remove the plate from the unit. Dispose of the Cleaning Plate.
15. Release the cleaning tray from the unit by pulling the knob underneath
the unit’s tray.
7H7773 10-11
Cleaning
10-12 7H7773
Messages
11 Messages
When a system message appears, touch any button (kV, mAs, collimator)
on the generator display to acknowledge the message. The message
disappears and the unit is ready for operation.
If the message remains or appears again, contact a service representative. The
following is a partial list of messages which may appear and the response
required:
• Pause—Capacitor loader is overheating. Wait until the message
disappears.
• ERR 3—Switch the unit off and wait until the single tank cools down.
See the tube housing cooling curve.
• ERR 25—When the generator is ready for exposure release, this is
indicated by three short beeps. This error message appears if exposure
has not been triggered within the maximum preparation time of 15
seconds after the beeps.
• USE 01—Release of an exposure is not possible. A Body Part has not
been selected or reduce the mAs or Kv settings until an usable value is
selected.
7H7773 11-1
Radiation Calculation
12 Radiation Calculation
Dose Area Product

For units not equipped with the DAP measuring system, you can estimate the
radiation dose area product.
The dose area product, DAP (µGy x m²), is a measure both of the absorbed
radiation dose and of the area exposed. It depends on:
• X-ray tube voltage, U (kV)
• Quantity of charge, Q (mAs)
• Permanent (inherent) filtration of the single tank (mm Al)
• Adjustment of the collimator, Sx and Sy
NOTE: To get the correct DAP value ,it is important that no part of the
radiation field extends outside the object exposed. Make sure to
collimate the light field to proper image size.
7H7773 12-1
The figure above shows the values of Y (µGy x m2/mAs) for tube voltage range
60-120 kV. The value of Y can be considered a conversion factor to determine
the radiation dose area product (DAP). The diagram shows the maximum
values of Y for the CR-ITX 560 System. This implies that in most cases the
estimated DAP is somewhat higher than the actual DAP.
Calculate the Dose The dose area product, DAP, is calculated with Equation (1):
Area Product DAP = Y x Sx x Sy x Q x k, where:
• Y (μGy x m2/mAs) - conversion factor
• Sx - scale index value for collimator adjustment (x-axis)
• Sy - scale index value for collimator adjustment (y-axis)
• Q (mAs) - quantity of charge during exposure
• k (cm2/m2) - constant. k = 6,40 (cm2/m2)
1. Read the value of Y (μGy x m2/mAs) from the figure on the previous
page, corresponding to the tube voltage (kV) used during exposure.
2. Calculate the dose area product, DAP, with Equation (1).
Example: Calculation DAP
Exposure with U = 85 kV, Q = 10 mAs and scale index values for
collimator adjustment Sx = 10 and Sy = 10:
Scale index value for collimator adjustment.

From the figure on the previous page, read the corresponding value of Y
for U= 85 kV:
12-2 7H7773
Y = 57 μGy x m2/mAs
Calculate the dose area product with Equation (1):
DAP = 57 (μGy x m2/mAs) x 10 x 10 x 10 (mAs) x 6,40 (cm2/m2)
= 364,800 μGy cm2
Since 1,000 μGy = 1 mGy, DAP = 364,800 μGy cm2 = 365 mGy cm2
7H7773 12-3
Radiation Dose
The absorbed radiation dose (skin dose) is dependent on:
• X-ray tube voltage, U (kV)
• Quantity of charge, Q (mAs)
• Source to skin distance, r (m)
• Permanent (inherent) filtration of the single tank (mm Al)
Estimate the The radiation dose (D) is calculated with Equation (2):
Radiation Dose Equation (2): D = Y x Q / r2
• Y (μGy x m2/mAs) - conversion factor
• Q (mAs) - quantity of charge during exposure
• r (m) - source to skin distance. Use the built-in measuring tape to
determine r.
1. Read the value of Y (μGy x m2/mAs) from Diagram 1, corresponding to
the tube voltage (kV) used during exposure.
2. Calculate the radiation dose D with Equation (2).
Example: Calculation radiation dose
Exposure with U =70 kV, Q= 20 mAs and source to skin distance, r = 1.05 m:
From the figure on page 9-1, read the corresponding value of Y for U= 70 kV:
Y = 37 μGy x m2/mAs.
The radiation dose D is calculated with Equation (2):
D = 37 (μGy x m2/mAs) x 20 (mAs) / (1.05)2 = 671 μGy
The radiation dose at a distance of 1.05 m with tube voltage 70 kV and 20
mAs is D= 671 μGy.
12-4 7H7773
The Exposure Point System
13 The Exposure Point

System
The exposure point system allows easily changing the density or contrast on
the exposed plate. Therefore, the kV and mAs may appear to change in odd
steps. Step data is shown in “Technical Data” on page 15-1.
Density and Contrast Relations

For example, touching the kV+ button once (using whole exposure points),
or touching the mAs+ button twice, will increase density by 25%. If double
density is desired, touch the kV+ button three times, or the mAs+ button six
times. Observe that changing the kV affects both the density and the contrast.
If an exposure yields accurate density but should be higher in contrast, it can
easily be adjusted. Touching the kV- button once (using whole exposure
points) and the mAs+ button twice will yield the specific density and the
desired contrast.
If the kV is set to step in half exposure points, it will correspond to the mAs
steps (for example, touch kV+ button six times for double density).
Example 1 Doubling the density using mAs.

The density in the following example will be doubled by touching the mAs+
button six times.
7H7773 13-1
The Exposure Point System
Example 2 Doubling the density using kV.

Adjusting the kV will affect both density and contrast. The density in the
following example will be doubled by touching the kV+ button three times
(whole exposure points).
Example 3 Keeping the density the same, but changing contrast.

By touching the kV- button once and the mAs+ button twice, the density will
remain the same but yield higher contrast.
13-2 7H7773
Functional and Safety Checks
14 Functional and Safety

Checks
To ensure that the system is ready for operation and all functions relevant to
safety are working correctly, you must perform regular function and safety
tests.
Daily Checks
Perform the following checks daily:
• Check the power supply plug. Do not use the unit if the power supply
plug is damaged.
• Check the power cable. Do not use the unit if the power cable is
damaged.
• Visually check the collimator functions. Turn ON the collimator lamp and
check that the light field can be adjusted with the knobs on the
collimator.
• Check the exposure indicator lamp during exposure.
• Check that the audible signal indicates the end of the exposure.
• Check that the measuring tape functions.
• Check that the tube assembly and the arm system remain in the desired
position, but are still easy to move.
• Check that the collimator rotates around the beam axis.
• Check the charging status of the batteries. If low - charge to full.
7H7773 14-1
Monthly Checks
Perform the following checks monthly:
Labels • Check the legibility of the labels. See “Labels” on page 18-1.
• If any labels must be replaced, contact a service representative.
DAP Measuring Select the Test button to perform the check.

System The test displays a value, default is 10.0 μGym2. If the test value is not between
8.0 - 12.0 μGym2, the system should be calibrated.
NOTE: The calibration of the chamber must be checked according to local
regulations.
Maintenance Plan
Check of the System
Interval Operations to Perform
12 months Mechanical test
12 months Functional check
12 months Checking of image quality
12 months Checking of kV/mAs accuracy
12 months Electrical safety checks
Check of System Parts

Interval Operations to Perform Material No.:
12 months Collimator lamp 8392016
24 months Battery pack (left)BK1/BK2 08392024
24 months Battery pack (right) BK3/BK4 08392032
48 months Cable winder complete 06508746
12 months Option: Remote control batteries 1 x 9 V alkaline
14-2 7H7773
Parts Subject to Wear

Part To be Checked
Hand/Emergency brake The brake linings at the wheels.
Arm system friction linings The friction lining for lower arm, placed at lower link.
The friction lining for upper arm, placed at the counter acting rollers
at the spring pack.
Fork friction linings The friction for the single tank movement (2), placed at the ends of
the fork.
Power cable, power plug The power cable between the power plug and the unit.
Cable winder Complete cable winder, containing of the power cable and the cable
winder.
Exposure cord The coiled cord between the detachable remote control and the unit.
Collimator lamp The halogen lamp inside the collimator which is used to indicate the
size of the X-ray field.
Transmission belts Transmission from the motor to the rear wheels.
Power batteries 24 maintenance free sealed lead-acid batteries. Approximately 1-2
years lifetime at normal use.
Remote control battery, The battery, placed in the battery compartment.
option
7H7773 14-3
Technical Data
15 Technical Data
X-Ray Controls and Generator

Power connection: Grounded wall outlet: 100 - 130 V / 200 - 240 V
Nominal input power: 15 A at power input of the system
Mains voltage: 100 - 130 V ±10%, 50/60 Hz; continuous current 4 A
200 -240 V ±10%, 50/60 Hz; continuous current 2 A
Apparent resistance of 100 - 130 V >0.6 Ω
supply mains: 200 - 240 V >2.5 Ω
Output: 30 kW at 96 kV 10 ms
25 kW at 102 kV 100 ms (according to IEC 60601-2-7)
133 kV (maximum)
kVp-range: 40 - 133 kV in 24 or 47 steps
kV accuracy: > ±3 kV (40 -60 kV) > ±5% (60 -133 kV)
mAs-range: (Tube current At 40 - 63 kV: mAs 0.32 - 360
and exposure time product) At 66 - 73 kV: mAs 0.32 - 320
Battery Operation
At 77 - 81 kV: mAs 0.32 - 280
Digital mode
At 85 - 90 kV: mAs 0.32 - 250
At 96 -102 kV: mAs 0.32 - 220
At 109 - 117 kV: mAs 0.32 - 200
At 125 kV: mAs 0.32 - 180
At 133 kV: mAs 0.32 - 160
mAs-range: (Tube current At 40 - 81 kV: mAs 0.32 - 360
and exposure time product) At 83 - 90 kV: mAs 0.32 - 320
Battery Operation
At 96 - 102 kV: mAs 0.32 - 280
Analog mode
At 109 - 117 kV: mAs 0.32 - 250
At 133 kV: mAs 0.32 - 220
mAs accuracy: 0.32 mAs - 2 mAs ±0.1 mAs
> 2 mAs ±5%
Shortest exposure time: 1 ms
7H7773 15-1
Technical Data
Max. exposure time: 3.0 seconds, in Digital mode 5.0 seconds, in Analog mode
Length of power cable: 6 m (20 feet)
Exposure release: Release switch with 5 m (16.4 feet) coiled cord, optional IR remote
control.
Weight: Approx. 358 kg, CR-ITX 560 System
Classification
According to IEC
60601-1
Protection against electrical Class 1 equipment, applied part type B
shock 60601-2-7_1999 for Mobile X-Ray Equipment
Protection against ingress of Not protected (IPXO)
water
Use in the presence of The equipment is not appropriate for operation in the presence of
flammable gases flammable mixtures of anaesthetics with air / oxygen or laughing
gas.
Mode of operation Continuous operation
X-Ray Tube
Stabilization: Microprocessor-based adjustment and regulation during exposure
X-ray tube:a Siemens P135/30 R with nominal focal spot value 0.8 (acc. to IEC
60336)
Anode rotation: 8,500 r.p.m., 142 Hz (anode angle 15°)
Anode heat storage capacity: 90,000 J = 122,000 HU
Tube housing heat storage 800,000 J = 1,100,000 HU
capacity:
Inherent filtration-
Collimator: min. 1.6 mm Al (at 70 kVp)
- Tube housing assembly: min. 1.5 mm Al (at 70 kVp)
- Totally: min. 3.1 mm Al according to IEC 60522
Collimator: Manually-adjustable multi-leaf collimator, rotatable ±90°
Collimator light and light Halogen lamp min. 180 lux at 1 m SID
field intensity:
Tube housing assembly: Maximum temperature 60°C, maximum 2000 mAs/h, nominal
continuous rating 75 W until the covers reach 60°C
15-2 7H7773
Technical Data
Leakage technique factors:b 33 kVp/10 mAs, 200 exposures/h

a.According to International Electrotechnical Commission 336 the tolerance values are:
focal size:
L = 1.10 - 1.60
B = 0.8 - 1.20
b.The leakage radiation of the tube housing assembly and attached collimator complies to the
requirement of 21 CFR part 1020.3 (K) and IEC 60601-1-3. For further informations see data sheet
X-ray tube.
7H7773 15-3
Technical Data
Imaging Station
Hardware
Computer High-end PC
Display and operation 15 in.± touchscreen
Software Functions
Patient and study Retrieval of patient list and examinations from the Hospital
administration /Radiology Information System (HIS/RIS).
Automatic and manual patient registration.
Exposure and Patient, study, and image data management Selection and
post-processing configuration of organ programs.
Selection of generator parameters, setting of parameters for image
pre-processing (amplification, edge enhancement, and LUT).
Display of image markers: (L/R, arrows)
Image processing functions: Rotation, mirror, zoom, windowing,
filter, comment line.
Image documentation and Sending of images to network.
archiving Automatic user-configurable data distribution.
DICOM Functions
DICOM Send Send images in DICOM network.
DICOM Print Print exposures on a DICOM printer.
DICOM Get Worklist Import patient data and exposure requirements from a patient
administration system (HIS/RIS).
System Performance
Instant image on the > 5 s preview
monitoring display > 37 s complete image
Image storage capacity 500 images
15-4 7H7773
Technical Data
Cassette Size
Cassette Size 14 x 17 in. 10 x 12 in. 14 x 14 in. 8 x 10 in.
High Resolution
Pixel Matrix 4,172 x 5,056 2,992 x 3,584 4,172 x 4,172 2,404 x 2,992
Sampling Density 4.2 LP/mm2 4.2 LP/mm2 4.2 LP/mm2 4.2 LP/mm2
Standard Resolution
Pixel Matrix 2,248 x 2,724 ----------------------- 2,248 x 2,248 ------------------------
Sampling Density 2.8 LP/mm2 ----------------------- 2.8 LP/mm2 ------------------------
Motor Drive and Batteries

Motordrive
Drive speed: Low/high, 0.5 -1.35 m/s
Max. incline: 5.5°
Batteries
Batteries: Automatic battery charging with charge indicator.
24 sealed maintenance-free lead batteries, YUASA NP 7-12L in all
168Ah
Charging time: 12 hrs when completely discharged
7H7773 15-5
Technical Data
Remote Control
Compatibility: Compatible with all Tech Switch remote exposure switch systems.
Technology: Infrared light beam, line-of-sight operation, will operate through
glass and lead glass; will not operate through doors or walls.
Power supply of the remote 9-volt alkaline battery included; 25,000+ exposures; Low Battery
control: Indicator illuminates when battery needs to be replaced.
Signature Recognition by Proprietary coding
Remote Sensor:
Operating Distance: Up to 36+ feet (10.9 m).
Operating Radius: 180°; Remote Sensor built into the front arm of the X-ray unit.
Remote control kit includes: Two remote controls (one spare), IR sensor with modular cable,
PCB electronics package with flat cable.
15-6 7H7773
Technical Data
DAP Equipment
Technology: Ionization chamber, Display and control panel
Active area: 146 x 146 mm
Operating temperature: 15 - 40°C
Weight: 0.24 kg
Typical filtration: > 0.4 mm Al equivalent
Warm-up time: Ready for use 10 seconds after power on. Specified accuracy
achieved 15 minutes after power on.
Chamber light transmission: ≥70%
Energy dependence: 50 - 150 kV plus or minus 8%, related to 100 kV (IEC 60580)
40 - 50 kV plus or minus 3%, related to 50 kV
Reproducibility: > 99% under constant pressure and temperature
DAP resolution: 0.1 μGym2
(0.01 μGym2 when using a system with high sensitivity)
Maximal measurable DAP: 1 x 106 μGym2
(1 x 105 μGym2 when using a system with high sensitivity)
Dose rate linearity: > 2% deviation
Serial interface: RS 232
7H7773 15-7
Technical Data
Environment
Operation Transport/Storage
Permissible ambient temperature: +10°C - +35°C -20°C - +55°C
Permissible relative humidity: 30% - 75% 10% - 100%1
Permissible air pressure area: 700 h Pa - 1060 h Pa 700 h Pa - 1060 h Pa
1 maximum 15 weeks
15-8 7H7773
Technical Data
Dimensions
161 cm
64 in
120 cm
48 in
Side View with Arm Folded
7H7773 15-9
Technical Data
220 cm
87 in
223 cm
88 in
Side Views with Arm Fully Extended
15-10 7H7773
Technical Data
Front View with Arm Folded for Transport

65.5 cm
Rear View with Arm Folded for Transport
7H7773 15-11
Technical Data
Tube Housing Charts

Heating Curve Single
Tank
75 W /environmental temperature: 22°C
15-12 7H7773
Technical Data
Tube Housing Cooling

Curve
Time
7H7773 15-13
Technical Data
EMC (Electromagnetic Compatibility)

Medical electrical equipment needs special precautions regarding EMC and
needs to be installed and put into service according to the EMC information
provided in the accompanying documents.
Portable and mobile RF communications equipment can affect medical
electrical equipment.
External Cables
Power cable: 6m
Exposure cable: 5 m coiled cord
CAUTION:
The use of accessories, transducers and cables other than
those specified, with the exception of transducers and cables
sold by the manufacturer of the equipment or system as
replacement parts for internal components, may result in
increased emission or decreased immunity of the equipment
or system.
15-14 7H7773
Technical Data
Guidance and The CR-ITX 560 System is intended for use in the electromagnetic
Manufacturer's environment specified below. The customer or the user of the CR-ITX 560
Declaration - System should assure that it is used in such an environment.
Electromagnetic
Emission
Emissions test Compliance Electromagnetic environment - Guidance
RF (radio frequency) Group 1 The CR-ITX 560 System uses RF energy only for
emissions. CISPR 11 its internal function. Therefore, its RF emissions
are very low and are not likely to cause any
interference in nearby electronic Equipment.
RF emissions Class A The system is suitable for use in other places than
CISPR 11 at home or in places connected to a public power
supply that also supplies buildings used for
Harmonic emissions Class A residential purposes.
IEC 61000-3-2
Voltage fluctuations/ Complies
Flicker emissions
IEC 61000-3-3
CAUTION:
The equipment or system should not be used adjacent to or
stacked with other equipment and that if adjacent or stacked
use is necessary, the equipment or system should be observed
to verify normal operation in the configuration in which it will
be used.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment -
guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete
discharge (ESD) ±8 kV air ±8 kV air or ceramic tile. If floors are
covered with synthetic material,
IEC 61000-4-2 the relative humidity should be at
least 30%.
Electrical fast ±1 kV for ±1 kV for Mains power quality should be
transient/burst input/output lines input/output lines that of a typical commercial or
IEC 61000-4-4 ±2 kV for power ±2 kV for power hospital environment.
supply lines supply lines
7H7773 15-15
Technical Data
Surge ±1 kV differential ±1 kV differential Mains power quality should be

IEC 61000-4-5 mode mode that of a typical commercial or
±2 kV common ±2 kV common hospital environment.
mode mode
Voltage dips, short >5% UT (>95% dip >5% UT (>95% dip Mains power quality should be
interruptions and in UT) for 0.5 cycle in UT) for 0.5 cycle that of a typical commercial or
voltage variations 40% UT (60% dip in 40% UT (60% dip in hospital environment. If the user
on power supply UT) for 5 cycles UT) for 5 cycles of the CR-ITX 560 System
input lines requires continued operation
70% UT (30% dip in 70% UT (30% dip in during power mains interruptions,
IEC 61000-4-11 UT) for 25 cycles UT) for 25 cycles it is recommended that the
>5% UT (>95% dip >5% UT (>95% dip Mobilett XP be powered from an
in UT) for 5 cycles in UT) for 5 cycles uninterruptible power supply or a
battery. The CR-ITX 560 System
has a rated input current of more
than 16 A per phase.
Power frequency 3 A/m 3 A/m Power frequency magnetic fields
(50/60 Hz) should be at levels characteristic
magnetic field of a typical location in a typical
IEC 61000-4-8 commercial or hospital
environment.
NOTE: UT is the a.c. mains voltage prior to application of the test level.
15-16 7H7773
Technical Data
Conducted RF 3 Vrms 3 Veff Portable and mobile RF

IEC 61000-4-6 150 kHz to 80 MHz 3 Veff communications equipment
should be used no closer to any
Radiated RF 3 Vrms part of the CR-ITX 560 System,
IEC 61000-4-3 80 MHz to 2.5 GHz including cables, than the
recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter.
Recommended separation distance
d = 1.2 x (P) (1/2)
d = 1.2 x (P) (1/2); 80 MHz to 800
MHz
d = 2.3 x (P) (1/2); 800 MHz to 2.5
GHz
where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is
the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey, a
should 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 80 MHz and 800 MHz, 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.
7H7773 15-17
Technical Data
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 should be considered. If the measured field strength in
the location in which the CR-ITX 560 System is used exceeds the applicable RF compliance level
above, the CR-ITX 560 System should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as reorienting or relocating the
CR-ITX 560 System.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Rated maximum
output power of Separation distance according to frequency of transmitter [m]
transmitter [W]
150 kHz to 80 MHz 80 MHz to 800 800 MHz to 2.5 GHz

d = 1.2 x (P) (1/2) MHz d = 2.3 x (P) (1/2)
d = 1.2 x (P)(1/2)
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 separation
distance d in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according
to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for 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.
15-18 7H7773
Dosimetry
16 Dosimetry
Exposure Tables (Valid for Operation in Analog

Mode with Film-Cassette)
Cranial
Object Position SID KV mAs Grid Sensitivity
Class
cranial a. 115 70 8 w.o. 400
cranial lat. 115 66 6.3 w.o. 400
cranial axial 115 85 10 w.o. 400
Sinus a. 115 70 16 w.o. 400
Sinus lat. 115 70 12.5 w.o. 400
Chest
Class
Lung a. 130 125 1.6 w.o. 200
Lung/Heart lat. 130 125 2.0 w.o. 200
Lung, Infant a. 130 52 - 60 0.63 w.o. 200
Lung/Heart, Infant lat. 130 60 - 70 0.80 w.o. 200
Ribs 1-7 a. 115 66 4 w.o. 400
Ribs 8-12 a. 115 70 12.5 w.o. 400
Sternum a. 115 63 10 w.o. 400
Sternum lat. 115 66 10 w.o. 400
Claviculum a. 115 60 3.2 w.o. 400
Scapula a. 115 63 10 w.o. 400
7H7773 16-1
Dosimetry
Abdomen
Class
Kidney/Gall-bladder a. 115 66 5 w.o. 400
Kidney/Gall-bladder lat. 115 81 16 w.o. 400
Urinary bladder a. 115 66 10 w.o. 400
Stomach a. 115 102 8 w.o. 400
Stomach, Contrast a. 115 102 8 w.o. 400
Stomach, Survey a. 115 73 16 w.o. 400
Stomach, Survey lat. 115 77 25 w.o. 400
Spinal Column
Class
Cervical vertebrae a. 130 70 16 w.o. 200
Cervical vertebræ lat. 130 70 16 w.o. 200
Cervical vertebræ obl. 130 70 16 w.o. 200
Thoracic vertebræ lat. 115 73 16 w.o. 200
Thoracic vertebræ lat. 115 81 12 w.o. 400
Lumbar vertebræ a. 115 77 10 w.o. 400
Lumbar vertebræ lat. 115 90 20 w.o. 400
Lumbar vertebræ obl. 115 81 12 w.o. 400
Lumbar vertebræ 5 a. 115 77 16 w.o. 400
Lumbar vertebræ 5 lat. 115 90 25 w.o. 400
Pelvis
Class
Pelvis/Hip a. 115 73 8 w.o. 400
Sacrum a. 115 73 12.5 w.o. 400
Sacrum lat. 115 90 20 w.o. 400
16-2 7H7773
Dosimetry
Upper Extremities
Class
Shoulder a. 115 60 8 w.o. 200
Shoulder axial 105 57 8 w.o. 200
Upper arm a./lat. 105 52 5 w.o. 200
Elbow a. 105 52 3.2 w.o. 200
Elbow lat. 105 52 4 w.o. 200
Forearm a. 105 52 3.2 w.o. 200
Forearm lat. 105 52 4 w.o. 200
Wrist d.v. 105 52 1.25 w.o. 200
2.5 100
Wrist lat. 105 52 2.5 w.o. 200
5 100
Hand d.v. 105 52 1.25 w.o. 200
2.5 100
Hand lat./obl. 105 52 1.6 w.o. 200
3.2 100
Finger 105 52 1.25 w.o. 200
2.5 100
7H7773 16-3
Dosimetry
Lower Extremities
Class
Neck of femur axial 105 70 20 w.o. 200
Femur a./lat. 105 70 12.5 w.o. 200
knee a. 105 55 6.3 w.o. 200
knee lat. 105 55 5 w.o. 200
Menisc 105 55 3.2 w.o. 200
Patella a./lat. 105 55 3.2 w.o. 200
Leg axial 105 55 3.2 w.o. 200
Ankle a. 105 55 4 w.o. 200
Ankle lat. 105 52 3.2 w.o. 200
Heel bone lat. 105 52 2.5 w.o. 200
Heel bone axial 105 52 5 w.o. 200
Foot lat. 105 52 1.6 w.o. 200
Metatarsus d.pl. 105 52 2 w.o. 200
Metatarsus obl. 105 52 2 w.o. 200
Toes 105 52 1.25 w.o. 200
Sensitivity class
The sensitivity of the film screen system is determined by the dose required
for attaining an optical density of 1.0 (over fog density and film base). The
sensitivity classes are pre-defined ranges, mostly differentiated by a factor of
2. The higher the numerical value of the sensitivity class (for example, 200),
the lower the dose required.
Position:
SID = Source-Image Distance (cm)
a. = anterior
lat. = lateral
obl. = oblique
d.v = dorso-volar
d.pl. = dorso-plantar
w. = with grid
w.o. = without grid
16-4 7H7773
Dosimetry
Exposure Points The Siemens Exposure Points Table shows how the kV and mAs values
translates into exposure points. The exposure point system is used to easily
manipulate film density and contrast.
For example:
Increasing the exposure points one step will yield 25% increased film density.
Increasing the exposure points one step with mAs and decreasing it one step
with kV will yield higher contrast but the same density.
KV Points mAs KV Points mAs KV Points mAs
– -3 0.5 55 8 6.3 96 19 80
– -2 0.63 57 9 8 102 20 100
– -1 0.8 60 10 10 109 21 125
40 0 1 63 11 12.5 117 22 160
41 1 1.25 66 12 16 125 23 200
42 2 1.6 70 13 20 133 24 250
44 3 2 73 14 25 – 25 320
46 4 2.5 77 15 32 – 26 400
48 5 3.2 81 16 40
50 6 4 85 17 50
52 7 5 90 18 63
7H7773 16-5
Configuring a DICOM Printer in Kodak QC
17 Configuring a DICOM
Printer in Kodak QC
Printer Driver Installation

Users must use the AddDicomPrinter Wizard program provided by the
driver to install a DICOM printer locally.
A DICOM Printer must be accessible on the network during printer
installation since the AddDicomPrinter queries the printer for information
before loading the appropriate driver for the printer.
The AddCDicomPrinter Wizard allows you to install a single printer or
multiple printers by creating another version of the printer from the wizard.
If a version of WINDOWS DICOM Printer Driver is installed on a workstation,
you need to uninstall it first.
Go to Control Panel>Add/Remove Programs>Remove
Programs>Kodak DICOM Printer Driver and touch Remove.
If local DICOM Printers are installed, you need to uninstall them. To do so go
to Printers and Faxes>File>Properties>Drivers and remove all Kodak
DICOM Drivers.
1. Go to Start>Program>Carestream_
Health>DICOM_Printer_Driver>Add_DICOM_Printer_Wizard.
Path to DICOM Printer Wizard
The Add DICOM Printer Wizard screen opens.
7H7773 17-1
2. Touch Next.
Add DICOM Printer Wizard (1)
3. Select No, I don’t have a configuration file. I want to install a

single printer interactively, and touch Next.
Add DICOM Printer Wizard (2)
17-2 7H7773
4. Enter the Configuration data, and touch Next.
Enter Configuration data
5. Select your printer type from the drop-down list, touch OK and Install.
Select Printer Type
7H7773 17-3
6. The Install Wizard finds the correct driver and issues a warning message.
Touch Continue Anyway.
Wizard Message
7. DICOM Printer Driver installation is complete. Touch Finish.
DICOM Printer Driver Installation complete
Kodak PoC is ready for DICOM print after a DICOM printer is

successfully added. The printer information appears in
Start>Setting>Printers and Faxes.
17-4 7H7773
Printer Paper Properties Configuration

After completing the printer installation the default print size film should be
configured as well.
1. Go to Start>Settings>Printers and Faxes.
2. Select your default printer. If it is not set as default, then right click on the
desired printer and select Set Default option, right click and choose Set
as Default from the drop-down list.
3. Go to Advanced>Printing Preferences>Paper/Quality.
Select Advanced>Printing Preferences
• In the Media>Paper drop-down list, select Blue Film (for a DICOM

Printer).
• Touch Apply.
Select Blue Film Media Type
7H7773 17-5
• Touch the Advanced button. In the 12 Advanced Options screen that

appears, select the desired default paper size from the drop-down list.
• Touch OK to save the changes.
Select Paper Size
4. In the Properties Main Screen, select the Device Settings tab, and
choose the Film Cassette size from the drop-down list. Touch OK to
conclude the configuration.
Select Film Casette Size
NOTE: The selected Paper Size and Film Size must be identical.
17-6 7H7773
Labels
18 Labels
Below is a diagram of the system, showing the locations of all labels. See the
following pages for details of each label.
Label Locations
7H7773 18-1
Labels
Location 1 label
Location 2 label
Location 3 label
18-2 7H7773
Labels
Location 4 label
Location 5 label
Location 6 label
7H7773 18-3
Labels
Location 7 labels
Location 8 label
Location 9 label
18-4 7H7773
Labels
Location 10 label
Location 11 label
Location 12 label
7H7773 18-5
Labels
Location 13 label
Location 14 label
Location 15 label
18-6 7H7773
Publication Publication ECO No. Changed Pages File name Notes
Date No.
May 2008 7H7773 C00394 New publication 7H7773_CR-ITX 560_Kodak_ New
QC__Software publication
V2.5.1_User_Guide.fm
September 7H7773 C01054 1-11, 10-1, 18-1, 7H7773_CR-ITX 560_Kodak_
2010 18-7 QC__Software
V2.5.1_User_Guide.fm
Carestream Health, Inc.
Rochester, N.Y. 14608
Min-R and DryView are trademarks of Carestream Health.

Kodak is a trademark of Kodak, used under license.
© Carestream Health, Inc. 2010
-3
-4

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KODAK Point-of-Care CR-ITX 560

Authorized European Representative

Carestream Health, Inc.

1 Safety and Regulatory

NOTE: Notes provide additional information, such as expanded

CE Conformity This product conforms to the requirements of council directive 93/42/EEC.

General Safety Guidelines

Explosions and Implosion Hazards

Personal Protection Measures

The following are general mechanical safety precautions:

Radiation and X-Ray System General Safety Information

Manufacturer’s Although this equipment incorporates protection against X-radiation other

Because exposure to high levels of X-radiation may pose a health risk,

• Personal Monitoring —Monitor occupational workers that use X-ray

Equipment-Related Safety Measures

Electrolytic Capacitors The capacitors must be discharged.

Mechanical Hazard • The tension in the spring pack must be released.

Conforming Safety Europe/International

93/42/EEC MDD (Medical Device Directive) - Europe Only

Special Features • Battery operation

Parts and Controls

(1) X-ray tube unit

Switches and Interfaces

(1) Key switch

(1) Key position OFF

Motor Driving Control

(1) Transport handle

X-Ray Tube Assembly with Multi-leaf Collimator

Hanger for Lead Apron

IMPORTANT: Remove lead apron before positioning the tube.

Main Control and Display Panel

1. Ready For Operation LED display (green)

(1) Hand/Parking Brake

Accessories and Options

(1) Display (unit in µGym2)

1. DAP Ionization chamber connector

(1) Infrared window

Quick Operational Guide

18. Release the exposure.

19. Insert the CR cassette into the scanner.

Starting the System

Lower Section of Manual Patient Entry Screen

For the Patient • Keep the radiation field as small as possible.

Positioning the CR-ITX 1. Pre-position the device.

Frontal and Lateral Exposures

Adjusting the 1. Turn ON the collimator light button.

Using the Exposure 1. Original setting

With the Remote

IMPORTANT: Other infrared remote controlled systems may cause

Preparation 1. Remove the remote control from its holder.

Exposure 1. Press the exposure release switch once.

Completion Return the remote control to its holder.

Turning the System OFF

Disconnecting the Power Cable

1. Pull the power cable out of the wall outlet.

Driving the System

(1) Turn handle for direction and speed control.

To drive the system:

Transferring Images to the Server via LAN/WLAN

4 Acquiring New Images

Imaging System Power Button Key Switch

2. The application begins automatically upon computer startup. The

Managing Patient Information-Manual Patient Entry