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DR-1

DR-1

www.bplmedicaltechnologies.com

1
DR-1

Responsibility of the Manufacturer


BPL considers itself responsible for any defects on safety, reliability and
Performance of the equipment as specified only if:

o Assembly, operations of the equipment, calibration, repair, adjustments


or modification are carried out by the authorized representative/s of BPL
o The electrical, other installation and the environment in the installation
room are met as per the safety, regulatory and statutory requirements
mentioned in this manual and
o The equipment is used by trained person in accordance with the
instructions of usage presented in this manual

Caution
Use of accessories other than those recommended by BPL may compromise
product performance

Notice
The information in this document is subject to change without notice.

2
DR-1

Operating Manual

BPL DR-1
419-D-111
REV 1.0

This service manual has been compiled to the users of BPL DR-1 in installation, operation
and routine maintenance. Specifications and Operating Characteristics are subject to
change without notice for improvements.

Copyright:

BPL MEDICAL TECHNOLOGIES PVT LTD

11th KM,
Bannerghatta
Road, Arekere,
Bangalore - 560 076

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DR-1

CONTENTS

Contents
CHAPTER 1 ..................................................................................................................................... 6
INTRODUCTION & SAFETY ............................................................................................................... 6
1.1 OVERVIEW ....................................................................................................................... 6
1.2 SYMBOLS AND CONVENTIONS USED IN THE MANUAL ............................................. 7
1.3 SYMBOLS AND MARKINGS............................................................................................. 7
1.4 SAFETY HAZARDS............................................................................................................ 8
1.5 DEVICE IDENTIFICATION .............................................................................................. 11
CHAPTER 2 ........................................................................................................................................... 13
SYSTEM OVERVIEW ........................................................................................................................ 13
2.1 INTENDED USE .............................................................................................................. 13
2.2 USER QUALIFICATION AND USER’S RESPONSIBILITY ............................................... 13
2.3 INDICATIONS FOR USE ................................................................................................. 13
2.4 PRESCRIBED USES ........................................................................................................ 13
2.5 SYSTEM COMPONENTS & DESCRIPTION ................................................................... 14
CHAPTER 3 ........................................................................................................................................ 16
PRE-INSTALLATION ......................................................................................................................... 16
3.1 INFORMATION ON ROOM PLANNING......................................................................... 16
3.2 PACKAGING.................................................................................................................... 16
3.3 UNLOADING................................................................................................................... 16
3.4 UNPACKING THE UNIT .................................................................................................. 17
3.5 DEVICE STORAGE .......................................................................................................... 17
3.6 DISPOSAL ....................................................................................................................... 17
INSTALLATION ................................................................................................................................. 19
4.1 GENERAL ........................................................................................................................ 19
4.2 INSTALLTION PROCEDURE........................................................................................... 19
4.3 SYSTEM REQUIREMENTS FOR DR ............................................................................... 46
4.4 DIGITAL DETECTOR ....................................................................................................... 46
4.5 SAFETY INFROMATION ................................................................................................. 72
CHAPTER 5 ........................................................................................................................................... 75
INSPECTION PROCEDURES ............................................................................................................ 75
5.1 GENERAL REQUIREMENTS ........................................................................................... 75
5.2 VISUAL INSPECTION ..................................................................................................... 75
5.3 MECHANICAL INSPECTION .......................................................................................... 76
5.4 PERFORMANCE INSPECTION ....................................................................................... 76

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DR-1
5.5 PERFORMANCE AND FUNCTIONAL TESTS ................................................................. 76
5.6 SAFETY TEST .................................................................................................................. 76
CHAPTER 6 ........................................................................................................................................ 78
SYSTEM OPERATION ....................................................................................................................... 78
6.1 OVERVIEW ..................................................................................................................... 78
6.2 PROGRAM START-UP .................................................................................................... 79
6.3 MAIN SCREEN PROGRAM ............................................................................................. 80
6.4 LIST ................................................................................................................................. 82
6.5 STUDYLIST...................................................................................................................... 90
6.6 EXAM............................................................................................................................. 102
6.7 TOOLBAR ...................................................................................................................... 104
6.8 PROJECTION LIST & IMAGE PROCESSING TAB ........................................................ 104
6.9 CONFIGURATION......................................................................................................... 105
CHAPTER 7 ......................................................................................................................................... 106
ROOM LAYOUT .............................................................................................................................. 106
7.1 ROOM LAYOUT FOR AN X-RAY INSTALLATION ....................................................... 106
7.2 SUGGESTED X-RAY ROOM LAYOUT .......................................................................... 107
7.3 RADIATION PROTECTION ACCESSORIES .................................................................. 107
CHAPTER 8 ......................................................................................................................................... 108
SERVICE INSTRUCTIONS .............................................................................................................. 108
8.1 PRECAUTIONS.............................................................................................................. 108
8.2 SERVICING ................................................................................................................... 109
8.3 MECHANICAL CHECKS AND ADUSTMENTS ............................................................. 112
8.4 ELECTROMAGNETIC COMPATIBILITY (EMC) ............................................................. 112
8.5 PROTECTION AGAINST IONIZING RADIATION ......................................................... 113
8.6 PRODUCT DISPOSAL INFORMATION ........................................................................ 113
CHAPTER 9 ......................................................................................................................................... 116
SPARE PARTS LIST ......................................................................................................................... 116

ONTE

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DR-1

CHAPTER 1

INTRODUCTION & SAFETY

This manual contain instructions necessary to operate the DR-1 safely and effectively, in
accordance with its intended use. Read this manual thoroughly before using for any clinical
applications. Retain the manual for future reference.
Observe all CAUTIONS and WARNINGS provided on the equipment, accessories and those
provided in this manual.

1.1 OVERVIEW

Keeping in view the ever-increasing requirements of surgeons in the field of Orthopedics,


Urology, Cardiology and Gastroenterology, we at BPLMTPL continue to develop products and
services in line with their needs. DR-1 is such an outcome of our efforts which promises to
deliver superior image quality, ease of operation & position, safety to patient & operator,
increased life of vital components of equipment and user interactive self-diagnostic
capabilities for increased up-time of equipment.
This Manual describes DR-1 Operations. It is intended for qualified medical personnel who
have been trained in the use of X-Ray equipment.
Functional capabilities and operation of the DR-1 are described here which can be used in a
variety of diagnostic, therapeutic and surgical applications.
1.1.1 General Description of the equipment
The equipment is a Diagnostic Medical Equipment of Fix equipment type intended to be Fix
at one place. The equipment provides Radiography procedures. The equipment uses X Ray
generator. The equipment does have a Digital Detector Stand and a Table.

X-Ray Generator Any of the HRAD and XRAD series.


OS-Windows10 or higher and EConsole1
PC and Software
Application software.
STANDS AND TABLES
STAND:
I. Digital Bucky Stand
Stand & Tables
TABLES:
I. BPL Mobilio Table

ENVIRONMENTAL CONDITIONS
Temperature: 10o to 40o C
Humidity: 30 to 75 %
Operating Conditions
Atmospheric pressure range: 500 to 1060 hPa
(375 to 795 mm Hg)

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DR-1
ACCESSORIES
 Lead Apron (Optional)
Accessories
 Thyroid Collars (Optional)

1.2 SYMBOLS AND CONVENTIONS USED IN THE MANUAL


Warning: Indicates hazardous situations or practices
that could result in serious injury or death.

Caution: Indicates hazardous situations or practices that


could result in minor injury or damage.

Notes: Information that clarifies or gives additional


information on an operating step.

1.3 SYMBOLS AND MARKINGS

This section describes labels and symbols that are located on your DR-1 and that are not
described elsewhere. Two types of labels are described: warning labels and regulatory
certification labels. Warning labels define potential hazards and advise against misuse that
might result in personal injury. Familiarize yourself with these labels and their meanings in
order to ensure a safe environment for both the patient and yourself. Regulatory labels
indicate that the system meets the requirements of specific governmental, medical and
industrial organizations.

Symbols are provided to visually represent concepts such as locked and unlocked brake.

SYMBOLS/ MARKINGS ON OUTER PACKAGING

Storage temperature limit

Recyclable

Relative humidity limit

Fragile

Keep away from rain

This way up

SPECIAL SYMBOLS/ MARKINGS ON THE DEVICE

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DR-1

Serial number

Please read and follow all WARNINGS, CAUTIONS and NOTES provided in this manual. To
avoid the possibility of injury, damage to the product or loss of data, observe these safety
precautions while operating the system.

SL No. Label of Digital Bucky stand

SL No. Label of Mobilio Table

System nameplate/rating label indicates manufacturer information and input power requirements.

1.4 SAFETY HAZARDS

Potential hazards exist in the use of medical electronic devices and X-Ray Systems. Operators
using the equipment should understand the safety issues and the operating instructions
provided.
The following pages describe hazardous and potentially hazardous conditions, and how to
adequately protect yourself and other from possible injuries.

1.4.1 BURNS
Continuous Radio exposure may cause the X-Ray Tube housing to reach temperatures
capable of inflicting burns. Do not touch the housing or place the X-Ray Tube housing near
Patients.

CAUTION : Placing a hot X-Ray Tube housing in close proximity to human anatomy could result in
serious burns.

NOTE : When X-Ray Tube housing is draped, heat will not dissipate efficiently

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DR-1
1.4.2 ELECTRICAL SHOCK
Observe the following safety procedures to avoid electric shock or serious injury to operators
and patients and to avoid system malfunction:
 Make all electrical connections with equipment while outside the patient
environment. Do not touch a connector and the patient at the same time.
 Do not remove any of the assembly covers. Only trained service representatives
should perform repairs.
 Do not place food or beverage containers on any part of the equipment. They can tip
over and introduce conductive substances into the electrical circuitry.
 Always remove power to the X-Ray before cleaning. Use a slightly damp cloth or
sponge for cleaning.

WARNING: The X-Ray generator, PC and Detector are not waterproof. Water, soap or
other liquids, if allowed to drip into the equipment, can cause electrical short circuits
leading to electric shock and fire hazards. If liquids accidentally spill in to the system,
DO NOT apply power or turns the system on until the liquids have dried or evaporated
completely.

WARNING: Electrical circuits inside the equipment use voltages which are capable of
causing serious injury or death from electric shock. To avoid this hazard, never remove
any of the cabinet covers.

NOTE: Certain components within the system produce high voltages which can be
potentially hazardous. To avoid this hazard, only qualified service engineers are
allowed.

FIRST AID INCASE OF ELECTRICAL SHOCK:

1. SWITCH OFF:

If this is not possible, PROTECT YOURSELF with dry insulating material and pull the victim
clear off the conductor. DO NOT TOUCH THE VICTIM WITH YOUR BARE HANDS until he is clear
off the conductor, but DO NOT WASTE TIME.

2. (a) Place the victim in the supine position.


(b) Keep the air passages clear by turning the head to one side, opening the patient’s mouth
and clearing it of water, saline, mucus or blood, a lot of which might have accumulated in the
back of the throat.

3. If the jaw is rigid, try to force the mouth open by pressure on the gum behind the last molar
tooth of the lower jaw. When the upper air passages are cleared, tilt the head backward and
force the jaw forwards from the angles of the jaw in front of the ears.
This would prevent mechanical obstructions to the upper air passages.

4.(a) Then hold the chin up and forward with one hand and pinch the nostrils of the victim

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DR-1
with the other.

(b) Take a very deep breath and apply your mouth to that of the victim and blow into his
mouth, until the chest of the victim moves up indicating filling of the lungs (NEVER ALLOW
THE CHIN TO SAG).When the chest has moved up, withdraw your mouth and allow the chest
to sink back

REPEAT this process every three to four seconds until the victim begins to breathe again or
until he is taken over by a medical attendant. This method can be continued in an ambulance
during transit of the patient from the site of accident to the nearest medical centre.

 Have someone else sent for a doctor


 Keep patient warm and loosen his clothing
 Do not give liquids until the patient is conscious

1.4.3 RADIATION EXPOSURE

General Protection

WARNING: This equipment produces ionizing radiation for medical imaging purposes.
Observe proper safety practices during operation.

The owner must designate areas suitable for safe operation and service of the system and
ensure that it is used only in these designated areas. It is the responsibility of the owner to
ensure that all personnel wear protective clothing and radiation protection devices while
using this system.

NOTE: Refer to Alarm Section for information about the frequency(pitch) of the alarm
indication.

It is assumed by the manufacturer and distributors of this equipment that all persons
responsible for the operation of this equipment are aware of danger of excessive exposure
to X-Radiation and this equipment is sold with the understanding that BPLMTPL -their agents
and representatives have no responsibility for injury of damage which may result from
exposure to X-Radiation.

X-Ray equipment, if not properly used, may cause injury. Accordingly, the instructions herein
contained should be thoroughly read and understood before you attempt to place the
equipment in operation. The BPLMTPL X - Ray Division will be glad to assist and co-operate in
placing this equipment to use.

Although this apparatus incorporates a high degree of protection against X-Radiation other
than the useful beam, no practical design of equipment can provide complete protection, nor
can any practical design compel the operator or his assistant to take adequate precautions or
prevent the possibility of authorized or un-authorized person carelessly, unwisely, or
unknowingly, exposing themselves or others to director secondary radiation.

It is important that everyone having anything to do with X-Radiation be fully acquainted with
the recommendation of the Director of Radiation Protection of BHABHA ATOMIC RESEARCH

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DR-1
CENTRE(B.A.R.C) and of the International Commission on Radiation Protection and takes
adequate steps to ensure protection. Reference may please be made to AERB Safety Code:
AERB/SC/MED-2(REV-1) for Radiation Protection.

Recommendations to reduce Radiation Exposure


Use radiation with care, caution and at a rate, which is ‘As Low as Reasonably Achievable’
(ALARA):
 Obey radiation protection rules pertinent to time, distance and shielding.
 Use collimated beam to set minimal field size; keep image intensifier in close proximity
to the patient.

It is not possible to quantify the radiation received by hands which are 50 times less sensitive
than rest of the body. Undue fear of radiation should not hold back medical care.

For optimum radiation protection:

 Use equipment certified safe by the Atomic Energy Regulatory Board (AERB)
 Maintain equipment in optimal working condition
 Use good quality radiation protection devices certified by the AERB
 Use radiation only when required
 Use it as sparingly as possible
 Stand as far away from the primary beam as possible.

1.4.4 INGRESS OF FLUID


Excessive amounts of fluids such as antiseptics, cleaning solutions or body fluids may
damage internal components if they are allowed inside the equipment. Use drapes, if
necessary, to protect the system when performing procedures and do not apply excessive
amounts of fluid when cleaning.
1.4.5 EQUIPMENT MALFUNCTION

Do not attempt to operate the equipment until it has been checked by a qualified service
engineer.
If any of the controls fail to respond as indicated in this manual, the operator should:
 Remove power by unplugging the power cord from the AC receptacle.
 Notify a qualified service engineer.
 Do not operate the system until the service technician advises that it is operating.

1.5 DEVICE IDENTIFICATION

Every device has a unique serial number for identification. The serial number appears on the
device label. The year and month of manufacture can be identified from the serial number

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DR-1
information as depicted below:
Example Serial Number: LNMA0F1024
LN M A 0 F 1 0 24

A B c D

a: Product code for___________.

b: Year manufactured
1 – 2011 2 – 2012 3 – 2013

c: Month manufactured
A- January E- May I- September
B- February F- June J- October
C- March G- July K- November
D- April H- August L- December

d: Serial Number

Other codes are for internal use.


In the above example the Year of manufacture is 2011 and the Month of manufacture is July.

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CHAPTER 2

SYSTEM OVERVIEW

2.1 INTENDED USE

This equipment is to be used in radiography applications for the diagnostic purpose and to be
performed by authorized medical professionals. This equipment is to be used only by Authorized
personnel. Its unauthorized use can cause injury to patient or damage to both patient and machine.

2.2 USER QUALIFICATION AND USER’S RESPONSIBILITY


It is the responsibility of the owner to ensure that the system is operated by properly trained, qualified
personnel who have obtained credentials from the appropriate authorities.

Good judgment should be used when operating the system. It is not intended to be used by challenged
(mentally/physically) people.

2.3 INDICATIONS FOR USE

It must be operated exclusively by qualified, trained personnel who are aware of the risks linked to the
use of ionizing radiation.

 The system does not belong to the category of equipment designed for continuous operation.

 The system is not used in contact with the patient; however, accidental contact of some unit
parts with the patient and the operator is possible.

 Contact with the patient is non-invasive.

 Contact with the operator is strictly for reasons linked to the use of the equipment (normal
operation).

 The unit is suitable to be used in Medical labs, Nursing Homes, Hospitals etc.

2.4 PRESCRIBED USES

It provides ease of operation with simple controls. In all procedures, a proper sequence of operation is
required. The user will become familiar with these controls by studying this Service Manual. It is
recommended to study this service manual before operating the equipment and operating directions
be followed carefully.
This equipment fulfils the requirements of Radiologists & Physicians, Surgeons & Technologists with
quality X- Rays.
These machines are best suited for chest, extremities, skull, and abdomen and pelvic for all routine &
special radiographic.
X-Ray generator with floor to ceiling stand, Digital Bucky Stand and Mobilio table makes an ideal
combination for all possible radiographic applications offering ease of patient positioning specially in
trauma cases.
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2.5 SYSTEM COMPONENTS & DESCRIPTION
The brief description of various Assemblies is mentioned below:

Figure shows the Block Diagram of DR-1.

2.5.1 X-Ray Generator, Generator Console and X-Ray Tube


The X-Ray generator, Generator console and X-Ray tube houses control, command and operation
circuitry. All parameters related to operation of X-Ray generation can be selected & regulated from the
Generator Console. The X-Ray generator is generating the necessary voltage and current as per the
parameters selected from the Generator Console and also enables the interface communication
between different parts of the Machine. The X-Ray Tube head emits the X-Rays when Exposure is
initiated from Generator console.

2.5.2 Power Supply requirements


The electrical power requirements for X-Ray:

 Voltage: 230volts A.C., 50Hz, 6 Amps. Single phase

 Regulation: ±1%
 The wiring Electrician must ensure that at the power socket, the right pin socket is
connected to phase (line) & left pin socket to neutral. With a multi meter, the following
should also be checked.
- Voltage between Phase& Neutral =230 VAC

- Between Neutral & Earth = 0V AC

- Between Phase & Earth = 230 VAC

EARTHING: It is strongly recommended that independent Earthing(at zero potential) is available in the power socket
in the O.T. where the machine is to be installed. Proper Earthing not only enhances the performance & reliability
of the equipment, it is safe for the operating staff as well.

14
Figure: Overall System Image

15
CHAPTER 3
PRE-INSTALLATION
This section guides the user through the Pre Installation requirements for the DR-1.

3.1 INFORMATION ON ROOM PLANNING


No specific conditions required. Following are the recommended room conditions for proper
functioning of the unit.

Ambient Temperature (Room temperature): +40°C

Humidity: up to 75%, Non-condensing.

During Transport and storage of the product the ambient temperature should not be below -15° C or
rise above +45°C. Storage is permissible in rooms with minimum amount of dust and Humidity in
range of 30% to 95% RH provided no condensation occurs.

3.2 PACKAGING
The DR-1 unit is delivered as follows

 Generator with console, hand switch and console to generator cable in one box.

 X-Ray tube in one box.

 Floor to ceiling assembly parts in one wooden box.

The Service Manual is packed along with the unit. The device should be safely transported post
packaging.

3.3 UNLOADING
The unloading of the unit from the truck can be carried out using any of the following ways depending
on the site conditions:

 Using a forklift.
 Using an overhead travelling crane.
 Using a chain pulley block and tripod.
 Using conventional ways i.e. Using wedges, wooden planks, pipes or rods and labour etc.

16
 Do not roll the box.
 Do not drop the box from a height of more than 20cms.
 Observe the stickers (This side up) and (handle with care)on the Packing for proper handling.
 Once the unit is removed from the transport vehicle, place it on the ground on the base.

3.4 UNPACKING THE UNIT


The complete system must be inspected for physical damage and/or material short-fall and factory
must be informed accordingly.

The HRAD 32 consists of fragile components like X-ray Tube, Generator, etc. Sufficient care must be
taken while unloading/unpacking the unit.

 Remove the restraining strips by cutting it. Use a cuttingplier for this purpose.
 Start removing the wooden planks. For this purpose the service engineer should use a claw
hammer or nail pulling plier and preferably a crowbar.
 First of all remove the top planks. Upon opening this plank you will be able to see the unit
inside. Ensure that there are no transit damages.
 Unpack the unit carefully and bring out from the base of the box.
 Move the unit to X – Ray room

3.5 DEVICE STORAGE


Always store unit in predefined temperature conditions as described. It is extremely important to store
the device and its accessories in recommended environment conditions for proper functioning of
device. Storage outside recommended condition can affect proper functioning or may result in damage
to device and its accessories.

Keep the unit away from direct sunlight.

Periodic maintenance and testing of DR-1 will help in detecting and preventing possible electrical and
mechanical failures.
3.6 DISPOSAL
BPLMTPL produces radiological systems that are advanced in terms of safety and environmental
protection. Assuming that the unit is properly used, there is no risk to people or the environment.

For this reason, the unit may not be disposed of along with industrial or domestic
waste and must be regarded as hazardous waste.

17
This symbol indicates that the waste of electrical and electronic equipment must not be
disposed as unsorted municipal waste and must be collected separately.
The abusive disposal of the product from the user implies the application of
administrative sanctions according to the Standards in force of the unit installation
country.
For information concerning the dismantling modes of the units out of use, stick to the
local provisions or contact a representative authorized by the manufacturer.

For additional information, contact BPLMTPL.

18
CHAPTER 4

INSTALLATION
4.1 GENERAL
It shall be the duty of the installation personnel and the user to ensure that all the safety measures
concerning the unit operation and installation are adhered to.
The unit must be checked for the status of its safety measures at least every year or anytime desired by
the user, not exceeding one year.
If there are any special regulations of the hospital/institute, to be followed over and above the general
safety regulations pertaining to the installation, the same must be ensured.

Before commencing the operation, the user must convince him/her regarding all safety aspects and their
proper functioning. He should also as certain that all displays and indicators are functioning as described.
Any change/or replacement in the unit must be carried out by the manufacturer or a person authorized
by manufacturer ONLY.

4.2 INSTALLTION PROCEDURE

The Installation will be done by authorized person by manufacturer only.

4.2.1 Digital Bucky Stand Installation

Digital Bucky stand consists of 4 Packaging

1. Floor rail Assembly Packaging


2. Vertical Column Assembly Packaging
3. Detector Bucky Assembly Packaging
4. Counter Weight Assembly Packaging

Installation Instruction of Digital Bucky Stand

1. Open the Floor Rail Packaging

2. Remove all the wrapped bubble sheet and stretch film from the unit

3. Place the floor rail assembly on the floor as shown Fig 4.2.1.2

19
Fig 4.2.1.1

Fig 4.2.1.2

4.0 Remove and keep M8x20 Allen SOKT HD SS screw (8 Nos) and M8 Washer SS (8 Nos) as shown in
Fig 4.2.1.3

Fig 4.2.1.3

5. Shake the Carriage assembly by hand. Check the unit whether it is shaking or not. If shaking follow
item # 6. Else skip this.

20
Fig 4.2.1.4

6. If Shaking, Adjust the cam shaft using M6 Nut driver and 17” Size spanner and tighen the nut
where the gap is presented. Move the carriage on the rail for free movement. If needed loose and
tight again. (Maintain center for eyesight as shown in the Fig 4.2.1.6)

Fig 4.2.1.5

Fig 4.2.1.6

7. Open the Vertical Column packaging assembly

8. Remove all the wrapped bubble sheet and stretch film from the unit

9. Place the unit on the floor as shown in Fig 4.2.1.7

21
Fig 4.2.1.7

Fig 4.2.1.8

10. Shake the Carriage assembly by hand. Check the unit whether it is shaking or not. If shaking follow
item # 11. Else skip this.

Fig 4.2.1.9

11. If Shaking, Adjust the cam shaft using M6 Nut driver and 17” Size spanner and tighten the nut
where the gap is presented. Move the carriage on the rail for free movement. If needed loose and
tight again. (Maintain center for eyesight as shown in the Fig 4.2.1.11)

22
Fig 4.2.1.10

Fig 4.2.1.11

12. Remove the CAP by removing M5x8 Allen SOKT DOME HD SS screw (4 Nos)

23
Fig 4.2.1.12

13. Remove Pulley (2 Nos) by removing M8x35Allen CSK HD SS (6 Nos)

Fig 4.2.1.13

14. Open the Counter weight assembly

15. Insert the counter weight as shown direction

Fig 4.2.1.14
24
16. Move the carriage to end position

17. Insert and Assemble the Rope as shown. For Tighten Rope fasteners use 24” Size Spanner.

Fig 4.2.1.15

18. Assemble the Pulley as shown.

Fig 4.2.1.16

19. Assemble the Pulley collar (2 Nos) and M8x35 Allen CSK HD SS (6 Nos) as shown.

25
Fig 4.2.1.17

20. Rotate the vertical column as shown direction to move the counter weight inside

Fig 4.2.1.18

21. Make sure vertical carriage touches the stopper as shown before lifting the item.

Fig 4.2.1.19

26
22. Assemble the CAP as shown

Fig 4.2.1.20

23. Place the vertical column on floor rail assembly as shown direction (Fig 4.2.1.21; Fig 4.2.1.22; Fig
4.2.1.23)

Fig 4.2.1.21

27
Fig 4.2.1.22 & Fig 4.2.1.23

24. Assemble the Vertical column post and floor rail assembly by M8x20 Allen SOKT HD SS (8 Nos)
and M8 SS Washer (8 Nos)

Fig 4.2.1.24

25. Open the Detector Bucky packaging assembly

26. Remove all the wrapped bubble sheet and stretch film from the unit.

28
27. Open the Top cover by removing M5x8 Allen SOKT DOME HD SS (6 Nos)

Fig 4.2.1.25

28. Slide and remove the grid tray from the Bucky

Fig 4.2.1.26

29. Assemble the Grid (10:1 JPI Grid) to grid tray as shown.

Fig 4.2.1.27

30. Remove the Detector holder bracket by removing M5x8 Allen SOKT DOME HD SS screw (6 Nos)

29
Fig 4.2.1.28

31. Remove the cable management bracket by removing M5x16 Allen SOKT DOME HD SS (2 Nos)

Fig 4.2.1.29

32. Insert the detector cable as shown.

Fig 4.2.1.30

33. Pull the cable and assemble the cable management bracket.

30
Fig 4.2.1.31

34. Assemble the cable connector as shown.

Fig 4.2.1.32

35. Check the Detector LED status by connecting to the workstation. 3 LED’s glowing green color; then
go-ahead for next assembly.

36. Reassemble the detector holder bracket

31
Fig 4.2.1.33

37. Slide and assemble the Grid

Fig 4.2.1.34

38. Reassemble the top cover

32
Fig 4.2.1.35

39. Remove the Bucky stopper (2Nos) and M5x20 Allen SOKT HD SS (2 Nos)

Fig 4.2.1.36

40. Remove the Detector lock cover and M5x8 Allen SOKT HD SS (2 Nos)

33
Fig 4.2.1.37

41. Pulldown the carriage and slide the Detector Bucky as shown.

Fig 4.2.1.38

34
Fig 4.2.1.39

42. Reassemble the Bucky stopper

Fig 4.2.1.40

43. Reassemble the detector lock cover

35
Fig 4.2.1.41

44. Inert the detector cable into PG21 conduit grey (5 Meter) and route the cable as shown.

Fig 4.2.1.42

36
Fig 4.2.1.43

4.2.2 DR-1 Unit Integration Instruction

Digital Bucky stand Grouting

1. 1 Move and place the Bucky stand unit (center to center ~400 mm)

Fig 4.2.2.1

1.2. Move and check the Digital Floor to ceiling stand tube center to detector stand center
alignment

1.3. Grout the Bucky stand using M8x50 Sleeve type (12 Nos)

37
Fig 4.2.2.2

2.0 Cable management and routing

2.1 In digital Floor to ceiling stand – Remove M4 Screw and washer from carriage as shown
(Fig 4.2.2.3)

Fig 4.2.2.3

2.2 Assemble Cable routing block as shown (Fig 4.2.2.4)

38
Fig 4.2.2.4

2.3 Fix the cable routing block base on wall as shown direction –Fig 4.2.2.5 (Location-Choose per
room layout back side of the Digital Floor to Ceiling Stand Fig 4.2.2.6)

Fig 4.2.2.5

2.4 Assemble Cable routing top (4 Nos) with M5x35 Allen SOKT HD SS Screw (4 Nos)

2.5 Follow below steps for cable routing (Fig 4.2.2.7 & Fig 4.2.28)

39
Fig 4.2.2.6

Fig 4.2.2.7

40
Fig 4.2.2.8

3.0 Label configuration

3.1 Position and stack the Serial # label of Digital Floor to ceiling stand at appropriate location (Fig
4.2.2.9)

Fig 4.2.2.9

41
3.2 Position and stack the lock label

Fig 4.2.2.10

3.3 Add Caution labels on both sides

Fig 4.2.2.11

4.0 Collimator and Tube handle Assembly

42
Fig 4.2.2.12

4.2.3 Mobilio Stand Instruction

1. Assemble LHS frame Assy, RHS frame Assy and Mid frame weld Assy M8*25 Allen CSK as shown
below.

2. Assemble the Top frame Assy. on to it using M8*65 Allen CSK screws.

43
3. Assemble Mobile Laminate sheet and Side cover on this assembly with M5*16 Allen CSK.

4. Fix the Mobile Extruded Channel on both sides of the Sheet as shown below and put M5*16 Allen
CSK & M5*16 Allen Dome screws.

44
5. Fix the LABEL CHANNEL WELDMENT ASSY with M5x25 Allen socket head screw and M5 spring
washer. Also assemble 21 SERIES-4"-PU-NO BRAKE WHEEL and 21 SERIES-4"-PU-SIDE LOCK
BRAKE WHEEL.

6. Paste the Serial number label as shown below.

45
SL No, label

4.3 SYSTEM REQUIREMENTS FOR DR

The table provides the minimum recommended specifications for the operating system that runs
Econsole1. All specifications are subject to change without notice.

Recommended Operating System Specifications


Items Recommended
CPU Intel i5-3470
RAM 4 Gb
HDD 128 Gb
VGA NVIDIA GeForce GT6301GB
ODD DVD Recorder
Win7 Pro, Win8, Win10 32/64
OS
bit
Display Size 12 inch
Display Resolution 1920 x 1080 pixels

*Optimal performance is not guaranteed for PC that does not comply with the recommended
specifications.
4.4 DIGITAL DETECTOR

Econsole1 is a complete digital image processing console software specialized for the digital X-ray
detector. EConsole1 provides the best image processing solution for fine-tuned quality images by
integrating with the X-ray generator and the digital detector. EConsole1 not only processes the acquired
images but also complies with DICOM standards which allow the user to transmit and receive data with
the PACS system and print images through the DICOM printer.

46
Econsole1 Image processing workflow (Wireless Detector)
4.4.1 Econsole1 Configuration
Configure the user settings of EConsole1.
 Administrator privileges are required for configuration.
 Contents of configurations are saved and applied immediately following any changes made.
Categories of Configuration are as noted in the Table.

Configuration Category
Category Description

The tab (List/Exam) of EConsole1 may be viewed simultaneously by division


Display depending on the number of connected monitors, and performs relevant
configurations.
Refer to the section Display for more details

System Configure language, date display, hospital information and etc.


Refer to section System for more details.
Configure image storage folder, delete policy, annotation information and etc.
Image
Refer to section Image for more details.
Set configuration related to PC Storage (HDD). Refer to section Storage
Storage
for more details.
Manage the accounts of EConsole1 users Refer to section
Account
Account for more details.
Configure unnecessary RIS code filtering subsequent to ultrasound or other devices.
Block List
Refer to section Block List for more details.
Configure the DICOM Header Format. Refer to section Dataset
Dataset
for more details.
Configure the network information, such as Local, PACS, Printer and etc.
Network
Refer to section Network for more details.
Configure the Detector which will be connected with the EConsole1.
Detector
Refer to section Detector for more details.
Configure the RIS Code.
RIS Code
Refer to section RIS Code for more details.
Configure projection and position.
Projection
Refer to section Projection Editor for more details.
Configure the Generator which will be connected. Refer to section
Generator
Generator for more details.

47
4.4.2 Display

Display Configuration

Option Description

1 Monitor

Dual Monitors
Unstable option
Caution!
4.4.3 System
Perform configurations affecting the overall EConsole1.

Subcategory Description
Language Select system language
Date Select date notation
Institution Enter the information of the institution using the EConsole1

Options Enable and disable automatic running of EConsole1 at start up of


Windows
Workflow Edit the type and order of information presented in the Worklist

48
4.4.4 Language

Language Configuration

Configure the system language


Items Description
Korean Set when you use the Korean window.
Chinese Set when you use the Chinese window.
Japanese Set when you use the Japanese window.
Portuguese Set when you use the Portuguese window.
Spanish Set when you use the Spanish window.
German Set when you use the German window.
Turkish Set when you use the Turkish window.
Swedish Set when you use the Swedish window.
French Set when you use the French window.
Russian Set when you use the Russian window.
Ukrainian Set when you use the Ukrainian window.
Italian Set when you use the Italian window.

DICOM character set is defined separately from system language. It is set by the language Note
that was chosen when installing the program.

Items DICOM character set


Korean ISO IR 6\ISO 2022 IR 149
Chinese ISO IR 6\GB18030
Japanese ISO 2022 IR 13\ISO 2022 IR 87
Default ISO IR 100
Turkish ISO IR 148
Thai ISO 2022 IR 166
Ukrainian, Russian ISO IR 6\ISO IR 144
UTF-8 ISO IR 192
49
4.4.5 Date Configuration

Date Configuration Screen


 Configure the date format.
 Date
 Y: Year , M: Month, D: Day
 Delimiter
 Set the symbol to be used between Y, M, and D.
For example, if today is May 31st, 2012

Date Delimiter Final Notation


MM DD YYYY / 5/31/2012
MM DD YYYY - 5-31-2012
MM DD YYYY . 5.31.2012
YYYY MM DD / 2012/5/31
MM DD YY - 5-31-12
YY MM DD . 12.5.31

4.4.6 Institution

Institution configuration
 Input the hospital/institution information using the EConsole1.

50
 Hospital
 Hospital Name
 Department
 Department name of the hospital.
4.4.7 Options

Option configuration
 Auto Start
 If checked, EConsole1 will automatically start when Windows starts.
 Not available on Win8.
 Virtual Keyboard
 If checked, virtual keyboard will be available for use.
 Auto Update
 Internet connection is required.
 If checked, EConsole1 will be automatically updated when a new version is released.

4.4.8 Workflow

Workflow configuration screen


 Radiation Dosage Option
 If checked, you can enter the dose information manually

4.4.9 Image
Allow configuration relevant to examined images.
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Subcategories Description
Image Folder Set the location to save the images.
Delete Option Set delete options for image files.
Overlay Set overlay on the images.
Import Import images to the Studylist.
Truview ART Enable or disable the Truview ART feature
4.4.10 Image Folder

Image folder configuration

 Set the location to save the images in the operating PC.


 Open the folder selection window.
 Select the folder where the images are to be stored.
4.4.11 Delete Option

Delete option configuration

① Image Delete Option

 Use Password
 If checked, deletion of image requires a password.
52
 Use Reject Code
If checked, a reject code (reason for deletion) is required whenever attempting to delete an
image file.

② Reject Code

 List of reasons for deletion.


 Statistics
 Display the statistical record of each applied Reject Code.
 The statistics can be exported to the Microsoft Excel file when clicking the [Export] Icon on
the statistics display window.
 Delete
 Delete the selected Reject Code from the list.
 Add
 Add a new Reject Code.
 Edit
 Edit the selected Reject Code
4.4.12 Overlay

Overlay configuration

 Edit types of overlay to be displayed on the top left, top right, bottom left and bottom right of
the images.
 The editing method is the same while the displaying locations differ.

Edit Overlay

① Registered Overlay Type & Font Size

 Overlay: Information which will be displayed.


 Size: Font size of the relevant information.
53
 Information is displayed in accordance with the arrangement on the list.

② Edit Icon

 Add a new overlay to the list.


 The following window as shown in figure appears when clicking the icon

Overlay Option

 The selected overlay is added after entering the size and clicking [OK].
 The Texts that have already been registered will be displayed in black.

 Delete the selected annotation from the list.

 The selected annotation moves up by one row

 The selected annotation moves down by one row

 Change font size of each location

54
4.4.13 Import

Import configuration screen

 Import an external image into the Studylist.


 Import
 Open the file selection window.
 Select the image to be imported
4.4.14 Truview ART

Truview ART configuration

 Set the scope for applying TRUVIEW ART


4.4.15 Storage
 Configurations concerning the deletion and storage of data in the operating pc where the
images will be saved.

Details Description

Delete Configure the deletion and automatic deletion function


of images stored in Local Storage.

Backup Compress and back-up the images stored in Local


Storage.
55
4.4.16 Delete
Configure the deletion and automatic deletion function of images stored in Local Storage.

Delete configuration
① Storage Delete
The [Delete] Icon deletes all images stored in the Local Storage.

Deleted images cannot be restored, so please make sure to perform a backup


prior to deleting images!
Warning!
② Auto Delete
 Auto Delete
 If checked, all images satisfying the specified conditions are automatically deleted from the PC
Storage.
Disk Size
 If checked, images in the PC Storage are automatically deleted once the used disk space
exceeds the set limit.
 If remaining storage is less than ‘Disk Size’, overflowed images will be automatically
deleted. (Whole disk volume except ‘Disk Size’ is allocated for Econsole1.)
 Max: maximum limit of disk space set for storage of images in the PC Storage.
 Period
 If checked, images in the PC Storage are continuously deleted automatically during the set
period below.
 ex1) set to "2", "Month": Delete all images that were stored 2 months earlier as of today.
 ex2) set to "1" "Day": Delete all images that were stored 1 day earlier as of today.
The cycle may be set by one of the followings; Day/Week/Month/Year

Only one of the two auto-deleting methods, “Disk Size” and “Period”, may be selected at a
time.
Warning!

4.4.17 Back up
Compress and back-up the images stored in Local Storage

56
Backup configuration
① Database Backup Configuration

 Display the location of the folder used for Data Backup.


 Edit
 Open the selection window for choosing a folder to be used in backup.
 Compress
 Compress and then store the currently used data in the selected folder.
 Restore
 File selection window opens.
 Restore the selected database file and store it in the system.
 Backup
 Back-up the currently used database in the selected folder.

② Automatic Backup

 Auto Backup Check


 If checked, automatic backup is performed during the set period explained below.
 Period
 Set the automatic backup period.
 Available units consist of Day / Week / Month
4.4.18 Accounts
Configure the account of the EConsole1 user.

57
User account configuration

 The currently registered user information is available on the list.


 Configure the user ID, Password, and authorization.
 Delete
 Delete the selected user account.
 Add
 Add a new user account.
 Edit
 Edit an existing user account.
4.4.19 Block List
Filter unnecessary RIS codes such as codes related to ultrasound or other devices.

Block lit configuration

 The currently registered Block List information is available on the list.


 Delete
 Delete the selected Block List entry.
 Add
 Add a new entry to the Block List.
 Edit
 Edit the existing Block List entry.
4.4.20 Data set
 Configure the DICOM Header Format

58
Dataset configuration
① DICOM Header Item Configuration

 Delete the unnecessary entries defined in the existing DICOM Header Format (Full List).
 CR and DR are separately applied.
 Delete
 Delete the selected entry.
 Reset
 Initialize the entry list back to Full List.

② Image format

 Configure the Image format information.


③ Study Format
 Series Order
 Set the series order to be used when transmitting the images to PASC
 One series: Combine the images in the same study into one series (DR method)
Each series: Separate the images in the same study into individual series.
4.4.21 Network
 Configure network information such as IP addresses.
Subcategory Description

Network connection is required. Configure the network


Local information of the PC (or Work Station) currently operating
EConsole1.

MWL Network connection is required. Configure the network information


of the server storing the Modality Worklist.
Network connection is required. Configure the network
Storage
information of the Storage Server, which stores the image files.

Printer Printer connection is required. Configure the connection


information of the printer.

MPPS Network connection is required. Configure the network information


of the MPPS server

59
4.4.22 Local
 Configure the network information of the PC (or Work Station) currently operating EConsole1.

Local configuration screen


 AE Title
 Enter the name of the local PC (or Work Station) which will be displayed on the Network.
 IP
 Enter the IPv4 Address of the PC (or Work Station) currently operating EConsole1.
 Port
 Enter the Port number.
 It should be configured in accordance with the linked server.
 All entered in formation will be automatically saved and applied.
4.4.23 MWL
 Modality Worklist Server.
 Set the server retrieving the patient lists.

MWL configuration screen


① Information of server being accessed

 Manage the information of server being accessed.


 List of AE Title(Access Server Name), IP, and Port information.
 Test
 Verify the connection with the selected server.
60
 Delete
 Delete the selected server from the list.
 Add
 Add an access server.
 Edit
 Edit the selected server information.

② Option

 Time-out
 Response standby time with the server.
 It is regarded as connection failure if the server is unresponsive for the set period of time.
 Query
 Decide whether you want to perform the refresh automatically or manually.
 Interval
 Refresh is performed automatically every input interval.

③ Query

 Decide which item to use for the condition to load the Worklist
 Type
 Modality Query Base: Invokes the Worklist only in terms of duration and modality.
 Patient Query Base: The Worklist is loaded in addition to the items set as Base in the Period
and Modality types.
 Base
 Perform a Patient Query Base with the set items.

④ Modality

 Select the modality type of the imaging equipment.


 E.g. CR, DR
 Add
 Add Modality.
 Delete
 Delete the selected Modality.

⑤ MWL Date type

 Specify the format of the date to be used for the condition in which the Work list is to be
loaded.
4.4.24 PACS
 Configure the Storage Server (PACS).

61
Storage configuration
1) Storage
More than one PACS server can be selected at a time.
 Test
 Verify the connection with the selected server.
 Delete
 Delete the selected server from the list.
 Add
 Add an access server.
 Edit
 Edit the selected server information.

2) Option
 Time-out
 Response standby time with the server.
 It is regarded as connection failure if the server is unresponsive for the set period of time.
4.4.25 Printer

Printer configuration

① Printer Information & Printer Selection for Connection


 Manage the information of the printer to be connected.
 Select the printer from the list.
 Add

62
 Add a printer.
 Edit
 Edit the selected printer information.
 Delete
 Delete the selected printer from the list.
 Test
 Verify the connection with the selected printer.

② Option
 Restrict the response time by the Printer.

③ Medium Type
 Select the type of film. (Clear Film / Blue Film)

④ Border
 Set the color of the border line. (Black / White).

⑤ Smoothing
 Apply a ‘Smoothing’ effect. (Medium / Sharp / Smooth)

⑥ Magnification
 Set the Magnification.

⑦ Density
 Adjust the Gary-Level Scale.

⑧ Printer DPI
 Select the resolution of the printer.

⑨ Overlay information
 Select the additional annotation information added on the film.
 The following pop-up window in Figure appears when clicking the [Edit] icon.

Printer overlay information edit

 Instructions for use are identical with the overlay configuration of the image.
Refer to section Overlay for more details

63
4.4.26 MPPS
Modality Performed Procedure Step

MPPS information edit

① Information of server being accessed


 Manage the information of server being accessed.
 It consists of AE Title (Access Server Name), IP, and Port information.
 TEST
 Verify the connection with the selected server.
 Delete
 Delete the selected server from the list.
 Add
 Add an access server.
 Edit
 Edit the selected server information.

② Option
 Station AE Title
 Inner Name of MPPS Server
 Time-out
 Response standby time with the server.
It is regarded as connection failure if the server is unresponsive for the set period of time.
4.4.27 Detector
 Detector related configurations.
 Run Calibration Tool and Terminal Console programs.

Subcategory Description

General Register and edit the model of panel (detector) being used. Execute detector
software, ECali1 (or Caliview) and Terminal Emulator.

Detailed configuration screen related to Panel A, registered in ‘General’


Panel A tab. Detailed configuration items for panel are created in accordance with
the number of panels generated in ‘General’.

64
4.4.28 General
 Register and edit the panel (detector) to be used.
 Execute calibration software, ECali1 (or Caliview) and Terminal Emulator.

General configuration

① Panel (Detector) Model Registration and Editing


 Register the panel to be connected.
 Add
 Register the detector selected from ‘Model Select’.
 Edit
 Replace t h e currently registered detector with the detector selected from the
’Model Select’.
 Delete
 Delete the most recently registered detector.

② ECali1
 Press [Run] icon to execute the ECali1 (or Caliview) program.
4.4.29 Detailed configuration by Panel
 Perform detailed configuration for each panel (detector).
 A menu such as ‘Panel A’ and ‘Panel B’ are generated in accordance with the number
of panels registered in ‘General’.

65
Detector detailed configuration screen

① Receptor
 Set which Receptor type the detector will utilize.
 Stand, Table and Wireless mode are available. Wireless Mode is only available for wireless
detectors.

② Model
 Model types of the detector.
 Automatically set by the value registered in ‘General’ tab.

③ Serial Number
 Enter the serial number of the Detector.

④ Grid Configuration
 Grid Type: Select type of grid.
 Line / Inch: Enter the line/inch value of the grid.
 Angle: Enter the angle value of the grid.
 The information about the Grid that has been set in Ecali (Grid sensitivity, Offset, etc.) can be
checked.
4.4.30 RIS code
 RIS (Radiology Information System) Code is a collection of projections.
 It regulates contents in areas. For example, “A, B, C regions are to be imaged for RIS Codes for
certain cancers.”
 It allows the rearrangement of sequence of projections.

66
RIS code configuration
 RIS Coode Import from Excel
 Add the RIS Code value from an Excel file.

Duplicate code values are overwritten with contents of the Excel file.
(It overwrites the existing data).
Note

 Delete
Delete the selected RIS Code.
Deletion of information part of the Code is executed by using the [Edit] icon.
 Edit
 Manage the information, such as detailed projection information and imaging
environment, of the RIS Code.
 Refer to section Edit RIS Code for more details.
Edit RIS Code window

RIS Code edit window


① RIS Code List
 Manage the code and provide description of RIS Codes.
 Text Box
 Used to view the Code and Description when adding or editing the RIS Code.

 3 task icons are available. The descriptions are as noted in Table.

67
RIS code list management icon
Icon Description
Edit the code and description of the RIS Code selected from the list with
the information entered in the text box below the icon.
[Editing Sequence]
1) Select the code to be edited from the list.
Edit 2) Enter in new information in the textbox below the icon.
3) Click the [Edit] icon.
Add the RIS Code with the information entered into the textbox below
the icon.
[Adding Sequence]
Add 1) Enter new information in the textbox below the icon.
2) Click
Delete theCode
the RIS [Add]selected
icon. from the list.
[Deleting Sequence]
1) Select the code to be deleted from the list.
Delete 2) Click the [Delete] icon.

② editing of projections included in the RIS Code


 Manage the projections to be included in the selected RIS Code.
 Descriptions concerning the task icons are as noted in Table.

RIS code projection management icon


Icon Description

Both icons perform identical tasks.


, Add the projections relevant to the selected
Add Projection/Position in the RIS Code.

Delete the Projection category from the RIS Code.


Delete

Move the selected Projection category up by one row.

Move up

Move the selected Projection category down by one row.

Move down

③ Imaging Environment Configuration


 Enter the automatically configured environment value when imaging of the pertinent RIS Code
is performed.
 Patient Size
 Select the patient size.
 4 levels of selections are available.
 Grid
 Select the Grid Type being used. (None / Fixed / Moving).
 Focal Spot
 Set the focus. (Large)
 Density

68
 Set the density.
 SID
 Set the distance between the Detector and X-ray Tube.
 kVp, mA, mAs (mSec)
 Set the Generator condition.
 Parameter
 Locate the parameter file of the image processing which will be applied after talking
image.
 Rotation
 Set the rotation rate of the image.
 Flip H, Flip V
 Select whether to flip the image horizontally or vertically.
 Shutter
 Select the ROI Size.
 Marker
 Set and manage the marker, which will be automatically inserted in the image.
 Descriptions regarding the Marker Icon are as noted in table.

Marker icon
Icon Description

Add a new Marker.


Add
Refer to section Add Marker Window for more details.

Delete Delete the selected marker.

Move up Move the selected Marker up.

Move down Move the selected Marker down.

4.4.31 Add Marker Window

69
Add marker window
 Location
 Select the location for the marker to appear on the image
 Text
 Select the type of Marker
 In addition to the texts provided by default, random texts can be used as a marker
 User registered markers can be selected from the list
 The Marker list window can be edited by using the [Add] Icon and [Delete] Icon
4.4.32 Projection editor
 Manage the Projection type

Projection editor configuration


Marker Size
 Change marker size.
 Rotation
 Set rotation selected receptor's all projection & position.
 Flip V and Flip H are first applied and then Rotation is applied.
 Delete
 Delete the selected Projection or Position
 Recent selections which will be deleted by clicking the [Delete] icon are highlighted in
yellow
 Edit
 Edit the Projection and Position after opening the ‘Project Editor Window’.
 Refer to section: Projection Editor Window for more details.

70
4.4.33 Projection editor window

Projection editor window


① Anatomy
 It must be selected first.
 Projection and position will not appear unless an anatomical region is selected from the
Anatomy
 Select the projection
 If the Receptor Type is different, even if the anatomical regions are the same, it will be saved
as a different setting.
 Make sure to set the anatomical region, as well as the Receptor type.

Projection configuration
 Manage the Projection list
 Refer to Table for instructions of each icon

Projection/Position list Management icon


Icon Description
Edit the name of the selected category from the list with the
entry in the left textbox
[Edit Sequence]
1) Select the category to be edited from the list
2) Enter the new information in the textbox on the left of the
Edit
icon
3) Click the [Edit] icon
71
Add the category with the information entered into the
textbox on the left of the icon
[Add Sequence]
1) Enter the new information in the textbox on the left of the icon
Add 2) Click the [Add] icon

Delete the selected category from the list


[Delete Sequence]
1) Select the category to be deleted from the list
2) Click the [Delete] icon
Delete

Move the selected projection category up one row in the list

Move up

Move the selected projection category down one row in the


list
Move down

③ Position

Position configuration
 Manage the Projection list
 Refer to table for instructions concerning each icon.

④ Imaging Environment
 Set the appropriate imaging environment for the selected projection
 Detailed information concerning the Imaging Environment Configuration is identical to the
Imaging Environment Configuration of the ‘RIS Code Edit Window’.
Refer to ③Imaging Environment Configuration. Edit RIS Code Window.

4.5 SAFETY INFROMATION


4.5.1 General
It shall be the duty of the installation personnel and the user to ensure that all the safety measures
concerning the unit operation and installation are adhered to.

The unit must be checked for the status of its safety measures at least every year or any time desired
72
by the user, not exceeding one year.

However, we recommend in the interest of the safety of the patient, the user, and other personnel
to have a yearly drill on operational safety.

If there are any special regulations of the hospital/institute, to be followed over and above the
general safety regulations pertaining to the installation, the same must be ensured.

Before commencing the operation, the user must convince him/her regarding all safety aspects and
their proper functioning. He should also ascertain that all displays and indicators are functioning as
described.

Any change/or replacement in the unit must be carried out by the manufacturer or a person
authorized by manufacturer ONLY. The record of such work must be maintained clearly at the site.

Before opening/closing the covers ensure that the mains is switched off and the
plug is removed from the socket.
Ensure that the protective earth connections of the sub-assemblies are properly
Warning!
connected.

4.5.2 Safety Checks

4.5.2.1 Before Operation:


 Check Brakes and locks of the moving portion of the stand.
 Open the Chassis of the High Frequency Generator cabinet and check for any loose connection
or transport damage.
 Check for Mains supply as specified in Technical specification and ensure that the voltage
difference between Earth and Neutral should not be more than 5 Volts.

4.5.2.2 During Operation:


 Follow the Operating Instructions provided with the Unit.
 Check all the normal condition LEDs in the console are glowing.
 Buzzer sound happen only in exposure condition

4.5.2.3 Overload Protection:


The unit is designed to work on 230V and single phase. For safety purposes 40A MCB and 63A
MCB are provided which will Trip off when a current exceeding 145A sustains for its response
time of 4sec.
Maximum permissible resistance between the earthing lead terminal in the control and on the HV
transformer shall not exceed 0.45 ohms.

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4.5.2.4 Radiation Protection:

 Do not put any part of your body in the direct line of radiation.
 Collimate the X-ray beam.
WARNING  Keep the objects being radiographed in the maximum possible
distance, for this make the best use of metre of recoilable exposure
release switch.
 In the room, wear protective clothing(lead Apron).Monitor radiation
received using the personal TLD – badges.

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CHAPTER 5
INSPECTION PROCEDURES
5.1 GENERAL REQUIREMENTS

a. Physical and Mechanical Requirements.

X-ray equipment shall be so formed and assembled that it shall have the strength and rigidity necessary
to resist the abuses to which it is liable to be subjected without increasing its fire hazard due to total
or partial collapse with resulting reduction of spacing, loosening or displacement of parts or other
series defects.
All the parts of DR-1 are fabricated by using MS sheets with appropriate thickness. This ensures that
the strength of all the parts are strong and rigid enough to resist the abuses and will not increase the
risk of hazards.

5.2 VISUAL INSPECTION

a. Visually inspect whether the following are OK.

 Routing of the Detector cable.

 Screen-printing and labelling of various details listed below.

Digital Bucky stand: Movement Indications


Angular scale
Grid tray
SL. No. Label
Product Brand Name
Lock labels
Pinch points
Mobilio Table Product Brand Name
SL. No. Label

b. All the Surfaces of the Digital Bucky stand and mobile table should be scratch free and mark
free.
c. In the packed units, ensure whether all the accessories as listed in the user’s manual are
available.

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5.3 MECHANICAL INSPECTION

Digital Bucky stand:


a. Check whether the vertical assembly is fixed firmly on the railing assembly.
b. Check the movement of the Digital Bucky Stand. The movement should be smooth
without any noise or jerks.
c. Two brake assemblies are present in the stand. One brake is for the vertical movement
and the other is for horizontal movement of the stand. When the brakes are applied, the
stand should not move.
d. Verify the counter weight holding ropes are firmly fixed.
e. Check all the locking positions for the stand. The stand and the carriage should not move
in the locking position.
f. Check the up and down motion of the tube carriage and it should not move when it is
locked at a particular position.
g. Check whether the stoppers are provided at both the ends of the rail and at the top and
bottom of the column to stop the carriage movement further.
h. Check the cable routing conduit and path ways and confirm that no harm is there to
Detector cable.
Mobile Table:
a. Check all the assemblies are properly fixed or not
b. Check for the movement of the wheels.
c. Apply break and confirm that the table should not moving.
d. Check for the centre line marking on the table top.

5.4 PERFORMANCE INSPECTION

a. Check the balancing of the Digital Bucky Stand by placing detector and grid in the Bucky.
b. Also check verify the Vertical and Horizontal travel distance.

5.5 PERFORMANCE AND FUNCTIONAL TESTS

a. Refer to the document “Unit Alignment and Test Procedure” (Doc. No. 419-D-004 Rev 1.0) and
perform all the tests as detailed therein.
5.6 SAFETY TEST

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a. Do the safety tests as given in the document “Unit Alignment and Test Procedure” (Doc. No. 419-D-
004 Rev 1.0) and confirm whether the unit meets the given specifications.
The machine is ready for packing and shipping after completing all the above mentioned inspections.

 SHIPPING CONDITION
Dismantle and pack the Column and Table as per the packing instructions and keep the accessories
inside the box if any.

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CHAPTER 6

SYSTEM OPERATION
The operating procedure for the X–Ray generators are explained in the respective User manual.
Appropriate section of the User Manual may be referred depending upon the requirement. Before
attempting to make an exposure, it is assumed that the following steps have already been completed:
 Switch ON the power supply for the PC and SSU (System Synchronizing Unit).
 Open the EConsole1 Application software from the PC.
 Verify the communication between PC and Detector.
 Align the Detector Bucky to the Patient part to be taken the X-Ray by moving the Digital Bucky
Stand horizontally and vertically.
 Adjust the X-ray exposure area by aligning the Collimator.
 Give the exposure.
The captured image will be transferred from Detector to PC and can be processed as required.
6.1 OVERVIEW
The DR-1 has configured with only one detector, hence the name DR-1. The software used to control
and monitor the Detector is EConsole1. EConsole1 is a complete digital image processing console
software specialized for the digital X-ray detector. EConsole1 provides the best image processing
solution for fine-tuned quality images by integrating with the X-ray generator and the digital detector.
EConsole1 not only processes the acquired images but also complies with DICOM standards which
allow the user to transmit and receive data with the PACS system and print images through the DICOM
printer.
The detectors can be either Wired or Wireless. Figures below show the work flow diagrams of Detector
and Image processing systems.

EConsole1 Image Processing Workflow(Wired Detector)

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Econsole1 Image Processing Workflow (Wireless Detector)

6.2 PROGRAM START-UP


In order to run the program, double click the [Econsole1] icon on the desktop or select ‘Econsole1’
from ‘Windows Menu’ – ‘All Programs’ – ‘Econsole1’.

EConsole1 Shortcut Icon

A login window will appear if the program is properly initiated.

Login Window

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Enter the ID and Password, and click the [Login] icon.

Main Screen of the Econsole1

6.3 MAIN SCREEN PROGRAM


You will see the Econsole1 main screen as in [Figure 6] after logging in.

6.3.1 Function Tabs


Two tab icons can be found on the upper left corner in the main screen

Tab Icons of the Econsole1

The functions of these tabs are as follows.

Manage the Worklist and Studylist.


Worklist: List of patients.
Studylist: List of examined studies.
Refer to 4. List for more details

Perform X-ray projection of the selected patient in the Worklist


Review the examined study of the selected patient in the Studylist.
Refer to 5. Exam for more details.

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6.3.2 Status Display
Status display bar can be found on the bottom in the main screen.

① Hardware & Connection Status Display

Display the status of hardware and the connection status between equipment.

Display the current acquisition mode set in detector


[EVS4343, EVS3643]
- AED mode
- Switch box mode
- Sync mode
Click this icon to change the mode. You can change the default setting using
ECali1.
(ECali1 Configuration - Detector X - Exposure mode)
Mode change sequence.
∙ USB Switch box: USB Switch box <-> AED
∙ Sync Trigger: Sync Trigger <-> AED
∙ AED: AED only

Display the connection status with the Storage Server.


When you click this icon, a pop-up window will appear. You can change the PACS settings
or conduct a test in the new window. The UI is very similar to the PACS menu of
Configuration.

Display the connection status and the available space left on the currently connected
HDD.
The displayed number indicates the remaining HDD capacity

Display the connection status (On/Off) with the X-ray detector.


[EVS4343, EVS3643]

Display the temperature.

Display the connection status with the Storage Server. Display the connection status
with the Storage Server

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Display the connection status with the DICOM Printer.

Display the connection status with the Modality Work list Server.

Display the remaining battery life in the wireless connection.

Battery is in wireless charging.

EVS3643
Display the signal strength of the wirelessly connected detector.

Display the connection status with the MPPS server.

② Current Time & Log-in Information Display

 Display the current date, time and user name.

 You can terminate the program by clicking the [Logout] icon.


③ Configuration

 Open the ‘Configuration Window’ for various settings.

 Refer to 6. Configuration for more details.

6.4 LIST

The List tab displays the lists of patients and studies, which can be divided into two categories as
described below:

 Worklist (prior to examination)


 Display the list of patients to be examined.
 You can add/edit/delete patients on the list.
 You can select the patient on the list to proceed with the examination.
 When you run the Econsole1 Vet for the first time, you will be asked to set the length of the
list. The setting will be saved automatically.
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 Studylist (post examination)
 Display the examined studies.
 You can edit and delete the examined studies on the list.
 You can transmit examined images to the server.
6.4.1 Work List
Display the list of patients. The list is displayed by clicking the [Work List] icon on the upper
left side of the List tab.
The main screen of the Worklist is

Worklist Screen

① List of Patients

 The types of information are shown in the table below;


 The displayed information as well as its order can be set in ‘Configuration’.
 Click or drag the name of the information type (ID,Name,and etc.) to change the order.

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 Patient selection in the Worklist.


 Click the patient to select.
 The selected patient is displayed in blue.
 Patient can be edited and deleted after selection.
 Projection can be performed in the Exam tab by double clicking on the selected Patient.
 You can also click [Exam] icon after selecting a specific patient to perform
projection.

② Search Bar & Refresh Icon

 Search Bar
 Search the entered value such as Patient, ID, Name, and Access Number in the Worklist
(when ‘Modality Query Base’ is selected in Configuration options)
 Search the entered value in the Worklist server that has selected the entered value as
Base. (when ‘Patient Query Base’ is selected in Configuration options)
 If you click the [Search] icon after entering the value to be

searched, only the relevant works will be displayed on the list.


 If you click the [Search] icon without entering a specific value,

an‘Advanced Search Window’ will appear.

 Advanced Search Window

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 Search by specifying multiple options to be searched simultaneously.


 Only the search results that satisfy the entered details will be displayed.
 Refresh icon
 Retrieve recently registered patients from the PACS server.

③ Add / Edit / Delete Icon

④Exam
 Switch to the Exam tab for examination of the selected patient

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6.4.2 Add Examination Window

An ‘Add Examination Window’ appears when clicking the icon as shown in figure below

Add Examination Window

① Patient Information

Patient information is entered according to the category described in the below table;

Patient Information (Add Examination Window)


Category Description
ID Patient ID
Accession Number Registered identification number
Name Patient Name
Operator Radiographer Name
Gender Gender of the patient
Birth Date Date of birth of the patient
Age Age of the patient (Year / Month selection
available)
RIS Code RIS Code to be used for examination
Requesting Exam requesting physician’s name
Physician

② Emergency

 When clicking this icon, the default values are automatically entered as ID and Accession
Number and it switches to the Exam tab.

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③ Projection Information

 Display the information related to projection.


 No information is provided initially. Set the projection information by clicking
registered RIS code or Edit.

④ Edit

 Open an ‘Edit Projection Window’ where projection information can be entered.

⑤ OK
 Save the patient with the entered information and close the window

⑥ Exam

 Save the patient with the entered information and directly switch to the Exam tab
for examination.

⑦ Cancel
 Cancel the work and close the window.

6.4.3 Edit Projection Window


The ‘Edit Projection Window’ will appear when clicking the [Edit] icon.

① Anatomy Information

 Select the anatomical region to be examined.


 Projection and Position are determined based on the selected anatomical region.
 Receptor Type will be changed by clicking the icons below

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Stand Table Wireless1 Wireless2 Wireless3

② Projection & Position List

 Specific projection as well as position selection in the region selected in


Anatomy.

③ Add

 RegisterthecurrentlysetProjection,Position,andReceptorTypeinformation.
 The currently set Projection, Position and Receptor Type are also registered when
clicking the selected Position.

④ Registered Projection Information

 Display the list of registered Projection, Position and Receptor Type.


 The Receptor Type can be changed by double clicking the Position in Dual
Mode.

⑤ Projection Information Sequence Edit Icon

 Change the order of projections on the list.

UP DOWN
⑥ Delete

 Delete the selected item.

⑦ OK

 Save and close the window.

⑧ Cancel

 Cancel and close the window.

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6.4.4 Edit Window


The ‘Edit Window’ will appear when selecting a study from the Worklist and then
clicking the [Edit] icon.

① Study Information
 Edit the information of the radiographer(s) and the patient(s).
 The study information described in [Table 5] below is entered.
Category DETAILS
ID Patient ID
Name Patient Name
Accession Number Registered Identification Number
Operator Radiographer Name
Study Description Study Description
Sex Sex of the Patient
Birth Date Date of Birth of the Patient
Age Age of the Patient (Year/Month Selection Available)

Schedule date & time Scheduled date and time of imaging

Requesting Physician Exam requesting physician’s name

② OK

 Save changes and close the window.

③ Cancel

 Cancel changes and close the window.

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6.4.5 Excel Import Window

① Create a patient list

 Use the template found at 'installed path\ Config\Worklist_sample.xlsx' to create a


patient list.

② Limitation

 You can select the patient’s sex among the 'M', 'F', and 'U'.
 The format of Birth Date and Study Date is 'MM/DD/YYYY'. Any other format is not
provided.
 The format of Birth Time and Study Time is 'HH:MM:SS'. Any other format is not
provided.

③ Excel import

 Click the [Excel Import] and load the file

6.5 STUDYLIST
Display the examined study list. When clicking the [Study List] icon on the upper side
of the screen, the study list will be activated.
6.5.1 Main Screen of the Studylist
The main screen of the Studylist is displayed as shown below.

Main Screen of the Studylist

① List of the Examined Patients


 Display the list of examined patients’ information.
 Each row represents the information of one patient and one ID can have

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multiple studies.

 The column of the list can be changed by dragging the names of the
categories (e.g. ID, Name, and etc.).
 Height of the list is adjustable using [Ctrl key] + Mouse wheel or using [Ctrl key] +
[Arrow key].
 Types of information are as noted in the below table
Information Types of Patient
Category Description
Name Patient name
ID Patient ID
Sex Sex of the patient
D.O.B. Date of Birth
Date/Time Date / time for recent examined study

 Patient Selection
 Patient can be selected by left-clicking..
 The selected patient is highlighted in blue. In the ‘① Examined Patient List’ and ‘②
Examined Study List per Patient’, an activated study is highlighted in darker color, while an
inactivated study is highlighted in lighter color.
 The selected patients can be edited or deleted.

② Examined Study List per Patient

 Display detailed study information of the selected patient on ‘① List of the Examined
 Types of information are as noted in table below;

Items Description
Accession Number
Acc. No.

Registered Identification Number


Study ID RIS code
Study Desc. Study Description
Status [Number of images] / [Number of projections]
Date/Time Date / Time for examined study
PACS [Number of images transmitted] / [Number of projections]
Printer [Number of images printed] / [Number of projections]
Report Report documentation

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③ Thumbnail

 Display the images from the selected patient.


 A check mark is added to the thumbnail of the selected images, for opening or transmitting
the images
 The thumbnail can be selected by double-clicking on it.
 Images transmitted to the PACS server are shown in green outlines.

 1/1 : Series number / Image number

④ Search Bar & Refresh Icon

 Search Bar
 Search the values of Patient ID, Name, and Access Number within the Studylist.

 If you click the search icon after entering the value to be searched, only the
relevant works will be displayed on the list.

 Refresh Icon
 Renew the list to show the latest results.

⑤ Tool Icons

Icon or Button Description

Open detailed overview of a single selected image from the list


of thumbnails.

Open Study

Repeat exam for the selected study in the Exam tab.

Repeat Exam

Perform merging two images or studies.

Merge

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Stores images on a USB, CD, or DVD, and print through the DICOM
Printer.

Export

Edit the selected patient or study information in the Studylist.


The ‘Edit Window’ appears when clicking the [Edit] icon.

Edit

Delete the selected item.


Delete

Save the patient list in an EXCEL file format


EXCEL Export

Make the selected series report.

Report

Display the statistics of exams during the selected period.

Statistics

⑥ Send

 Transmit the selected images to the PACS server.

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6.5.2 Export Window


Save the images of the selected study from the Studylist in a USB, CD, DVD, or PDF and
print it through the DICOM Printer.
6.5.2.1 Drive

Export USB Screen

 Store the images in the local drive.


 Only the files in DCM, BMP, JPG, PNG, and TIF format can be exported.
 If a local drive is selected, the current lists of stored files are displayed.
 Export File Format
 Select the file format for storage.
 Image is stored in a USB when clicking the [OK]icon
 File name is automatically designated and it will be stored in
'Selected folder/Patient ID/Acc No/'folder.
6.5.2.2 Print

 Print through the DICOM Printer.


 The DICOM Printer must be connected.

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① Print Setting

Printer Selection
 Select a DICOM Printer.
 Register the Printer using 'Config'-'Network'-'Printer' menu.
Film Orientation
 Select a film orientation between portrait/landscape.
Film Size
 Select the size of the film.
Layout
 Set the print layout.
The [Divide] icon must be clicked in order to apply any changes made in the layout
Zoom
 Perform zoom in/out of the image.
② Preview

 Thumbnail
 The image to be printed appears in the thumbnail list on the right.
 Preview
 If an image is selected in the thumbnail, a large image appears in the center as a
preview screen.
 Merge
 Merge the divided screen which has been separated by the ‘Divide‘ function.
 Only adjacent screens of the same sizes can be merged
 The merged shape must be a square.
 Divide
 Divide the screen by the value set in ‘Layout’.
 Rotation
 Rotate the screen 90 degrees clock-wise.
 Flip
 Reverse the up and downsides.
 Print
 Print out using general printer.
 100%
 Perform paper printing in the actual object size.
 Fit to Screen
 Perform paper printing according to the screen size

③ DICOM Print

 Perform printing with the DICOM Printer.

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6.5.2.3 CD / DVD

Export - CD / DVD

 Store the images on a CD or DVD.


 Only DICOM files can be exported.
 A CD/DVD Writer is required.

① CD / DVD Media Configuration

 Select the target media to be exported.


 CD and DVD can be used.
 Volume Label
 Set the name of the target media.
 Total Space
 Display the total available space of the target media.
 Insert
 Close the CD / DVD Writer.
 Eject

② Export File List

 Display the list of files to be exported.

③ Export Process

 Estimated Time
 Present the expected time needed for Export.
 Time Left
 Display the estimated time left to the completion of Export.
④ Task Icons

 Burn
 Perform the Export task.

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 Cancel
 Cancel the Export task

Edit Patient Information.

6.5.3 Edit Window


 Only the patient information (ID, Name, Sex, Birth Date, and Age) can be edited
when clicking the [Edit]icon in the patient list of the Studylist(upper part of the list).

 OK
 Save and close the window.
 Cancel
 Cancel and close the window.
6.5.3.1 Edit Study Information

Edit Window in Studylist (Study Information

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6.5.4 Report Window


Create a report using the Report button in the StudyList.
Create Report

① Patient and Exam information

 Check or change the patient information of the selected series.

② Attached image

 The User can attach up to 4 images using the 'Imageload' button.

③ Write opinion

 The User can write an opinion.

④ Print / Save / Setting

 The User can print the report.


 Save a report as PDF file.
 Save are port.
 Set the report format.

6.5.4.1 Image load


 Layout button
 Select 1X1, 1X2, 2X2 layout.
 Image load button

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 Select an image
 OK button
 Attach the selected image to the report
 Cancel button
 Cancel to attach images

Imageload

6.5.4.2 Select the image

Select the image

 You can select the image when clocking "Image load“ button.
 Search button
 Search the patient using input information.
 Patient/Series/Imagelist
 Select an image.
 OK button
 Load the selected image.
 Cancel button
 Cancel to load the image

6.5.4.3 Input the opinion


 Input the opinion on the selected series of images.

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Input the opinion

6.5.4.4 Set report form

Set report form


 The User can set the report form using the 'setting' menu.
 Address/ Extra Info
 Input the Hospital address or further information.
 Session
 Input the titles of each Session.
 Default values are "RECOMMENDATION", "FINDING", and "CONCLUSION".
 Visible setting
 Select the contents of the report to be printed.
 All items are selected as default.
 Save as default button
 Save the current setting as default.
 OK button
 Use the selected form.
 Cancel button
 Cancel the selected form.

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6.5.4.5 Print

Print

 Print the report using the [Print]button.

6.5.4.6 Save as PDF

Save the report as a PDF file

 Click the [Save PDF]button to save the path and file name as a PDF file.

6.5.4.7 Analysis
You can check the shooting statistics (number of captured patients, number of shots,
number of PACS transmissions, number of prints, etc.) during the set period.

For more details about Analysis please refer User manual of DR Detector.

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6.6 EXAM
The Exam tab processes the exam and edits images.

Main Screen of Exam Tab

① Patient Information
 Display ID, patient name, and study description.

② X-ray Detector Status Display


 Display the status of the detector to be used for exam.
 READY: The state where shooting can start
 BUSY: The acquisition is being performed or the detector is being ready for
the next shooting
 FLATTENING: Status in preparation for shooting
 SLEEP: Weak sleep mode
 DEEP SLEEP: Strong sleep mode

③ Image Display Screen


 Area – display images

④ Toolbar
 Collection of image editing icons
 The width of the column can be adjusted.

⑤ Projection List & Image Processing Tab


 View the list for images, or set the post-processing parameters which will be
applied to the images

⑥ Generator Condition Setting


 . Some settings are only available when integrated with X-ray generator.
 Tube Voltage(kVp), Tube Current(mA), Tube Current Amount (mAs)setting.
 When clicking the tube current amount icon (mAs), the unit can be changed to exposure
time(seconds).

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 Patient Size
 Select the volume of the patient‘s body.
 The values of the tube current, tube voltage and tube current amount are renewed
 subsequent to the patient’s volume.
 AEC
 Set the AEC to be used.
 Density
 Configure the imaging density.
 Focus
 Configure the Focal Size

⑦ Save / Indicator / Finish / Send


 Save
 Store the images on the Local Storage.
 Finish
 Save the captured (or edited) image to Local Storage and automatically move to the list
screen.
 Send
 Transmit the images to the PACS server.
 If long-clicking the icon, all the images that have been acquired or edited are
transmitted to the PACS server.

 Indicator Icon

Standby Ready Exposure

 Standby: Default status. Exam can start..


 Ready: Ready for the detector to acquire image.
 Exposure: Emit x-ray to the detector.

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6.7 TOOLBAR

Collection of the icons to analyze and edit

6.7.1 Toolbar Overview


① Toolbar Width Adjustment Icon
 Adjust the width of the toolbar.
 The width can be set from 1 to4.

② Tools List
 Display the currently configured list of icons.
 The icons can be edited in the ‘Edit Toolbar Window’.

③ Edit
 Open the ‘Edit Toolbar Window’ to edit the icons.

Note: For more details about Tools in Edit menu please refer User manual of DR Detector .

6.8 PROJECTION LIST & IMAGE PROCESSING TAB


The Projection List & Image Processing Tab can be used through the tab icon on the
upper right corner.

Projection List (Left) & Image Processing Tab (Right)

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For more about Image Processing and Projections refer DR Detector User Manual.

6.9 CONFIGURATION

Configure the user settings of EConsole1.


For more information about Configuration please refer the DR Detector User manual.

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CHAPTER 7

ROOM LAYOUT
This Chapter describes about the following,
 Room Layout for an X – Ray Installation
 Suggested X-Ray Room Layout
 Radiation Protection Accessories
 Suggested Dark Room Layout
 Dark Room Accessories

7.1 ROOM LAYOUT FOR AN X-RAY INSTALLATION

Room for diagnostic X-Ray unit and related equipment shall be located as far away as feasible
from areas of high occupancy and general traffic, such as maternity and paediatric wards and
other departments of the hospital that are not directly related to the radiation and its use.
In case the installation is located in the residential complex, it shall be ensured that the wall(s) of
the X-Ray room on which the primary beam falls is not less than 35 cm thick brick or the equivalent
walls of the X-Ray room on which the scattered X-Ray falls is not less than 23 cm thick brick or
equivalent, there is shielding of 1.7mm of lead in front of doors and windows of the X-ray room
to protect the adjacent areas.
 LAY OUT
The lay out of the room in the X-Ray installation shall be such that the number of doors for the
entry to the X-Ray room shall be kept to the minimum. The unit shall be so located that it shall not
be possible to direct the primary X-Ray beam towards the dark room, door, windows, and control
panel or area of high occupancy.
 ROOM SIZE
The room housing for an X-ray unit shall not be less than 18 sq. meter for general purpose
radiography and conventional; fluoroscopic equipment.
 SHIELDING
Appropriate structural shielding shall be provided for walls, doors, ceiling and floor of the room
housing of the X-Ray unit so that doses received by workers and the members of public are kept

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to the minimum and shall not exceed the respective annual effective doses as prescribed by the
AERB. Appropriate shielding shall also be provided for the dark room to ensure that the stored X-
ray films are not exposed.
 OPENINGS AND VENTILATION
Unshielded openings in the X-Ray room for ventilation or natural light shall be located above a
height of 2m from the finished floor level outside the x-ray room.

For the X-Ray equipment operating at 125kVp or above, the control panel shall be installed in the
separate room adjoining the Main X-Ray room and for the fluoroscopic equipment the adequate
darkness shall be achieved when required in the room.
 WAITING AREAS
Patient waiting areas shall be provided outside the X-Ray room
7.2 SUGGESTED X-RAY ROOM LAYOUT

7.3 RADIATION PROTECTION ACCESSORIES


It is advisable to all personnel handling X-Ray machines to use following radiation protection
accessories:
 Lead Goggles
 Protective Barriers
 Lead Apron
 Lead Gloves
 Thyroid Shield
 Gonad Shield

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CHAPTER 8

SERVICE INSTRUCTIONS

8.1 PRECAUTIONS
8.1.1 Handling Precautions
 Strictly observe ESD precautions while handling PCBs and ESD sensitive devices.
 The collimator flaps are made of lead. Hence, special precautions should be observed
during handling the parts to avoid lead poisoning and contamination.

8.1.2 MECHANICAL SAFETY


While moving various parts of the unit with hand, use of handgrips and handles is recommended.
The system should be m oved only manually, by the handles provided for this purpose. Whenever
exceptions must be made, note the points of potential injury between the movable system parts
and their guide openings.

8.1.3 MAINTENANACE
All parts, modules of this product must be tested, inspected, for performance and safety aspects
every 12 months to ensure that the product functions properly and is safe for patients, operating
personnel and other persons.
Every 12 months, trained technical personnel should inspect and if necessary replace system
components of the generator, which may result in hazard due to excessive wear and tear.
If more frequent inspections and maintenance are required by federal or local regulations,
ensure compliance with them.

8.1.4 PRODUCT DISPOSABLE


Legal regulations may contain special prescriptions concerning the disposal of this product. In
order to avoid environmental damage and/or personal injury, please inform BPLMTPL Customer
Service if you want to put the unit out of operation and dispose it.

8.1.4.1 Radioprotection material


Lead is present in X-ray tube assembly. As a precaution against lead poisoning, avoid direct
contact with lead.

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8.1.4.2 Transformer Oil


Oil in X-ray tube assembly.

8.1.4.3 Plastics
Epoxy resin on PC boards & PVC of cables.
8.2 SERVICING
8.2.1 TOOLS AND MEASURING INSTRUMENTS REQUIRED
 Usual service tools

 Digital multi-meter
 2 channel storage oscilloscope

 Radiation detector

 Mechanical tool kit containing set of spanners, screwdrivers, Allen keys etc.

8.2.2 REPLACING DAMAGED AND MISSING SCREWS


Damaged or missing screws should only be replaced with screw shaving similar parameters as
that of the original. An ornamental screw should be replaced with an ornamental screw only for
retaining the aesthetic value whereas a nickel-plated screw/bolt should be replaced with a
nickel plated screw/bolt with same specification (size, material and tensile strength) as that of
the original screw/bolt.

8.2.3 CLEANING AND DISINFECTING


The unit must always be switched OFF or disconnected before cleaning.
Use only water or a Lukewarm mixture of a household cleaner diluted with water to clean the
unit.
Do not use an abrasive or organic solvents or cleaning agents containing solvents such as
gasoline used for cleaning purposes, alcohol or stain remover. Do not spray water on the unit.

8.2.3.1 CLEANING THE UNIT

Switch OFF the system prior to cleaning or disinfecting. Clean the stand with a damp cloth or
cotton pad.
Dampen the cloth or pad with water or lukewarm, diluted commercially available liquid cleaning
solution.

8.2.3.2 DISINFECTING THE UNIT

To disinfect surfaces, we recommend common liquid solutions of aldehyde-based or ampholytic


surfactant -based disinfectant.

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8.2.4 PROTECTING THE SYSTEM FROM FLUIDS


Do not allow fluids to enter the system either during normal operation or during cleaning and
disinfections, as this may damage the system or cause a system malfunction.

8.2.5 ROUTINE CHECKS


The Service personnel should perform the checks detailed in this section.

8.2.5.1 DAILY CHECKS


8.2.5.1.1 Prior to the Operation

Check that all safety related devices are functional and that the system is ready to operate.
Please check:
- The power cable. Do not use the unit if the power cable is damaged. The additional
conductive connection between the system and point of Potential equalization, e.g. the
patient table, must be established prior to the examination.

- All the mechanical movements of the unit.


- All the locking mechanism of the unit.
- The correct functioning of the foot brakes, the rotational moment of the column.
8.2.5.1.2 During Operation

Check for:
- The radiation indicators for correct functioning.
- All the audio-visual indicators for correct functioning.
- All the modes of operation proper functioning.
- Proper positioning of the unit.
- The exposure indicator and audible signal during Radiography.
8.2.5.2 MONTHLY CHECKS

- Check the maneuvarilibility of the unit.


- Check the legibility of the labels according to those in section Location of
Labels. If any labels require to be replaced, please notify BPLMTPL customer
service.
- Visually inspect the unit every month.
- Check for mechanical problems or keyboard problems.
- Check the electrical and power cables for cracks, cuts.
- Check the equipment for loose or missing hardware.

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- Check for any leakage from the Tube Head


- Check for any abnormal noise or sparking in the machine.
- Check if any strands are cut in the metal wires which holds the tube head.
8.2.5.3 PERFORMANCE CHECK

o Check Counter balancing of X-Ray tube at each position.


o Take a sample exposure at 60kV,10mAs.
o Check for Radiation indication LED and the Audio indication in form of Buzzer.

8.2.6 YEARLY CHECKS


The following tests have to be performed every year. BPLMTPL offers free service during the first
year and attractive AMC packages are available.

a) Check for the calibration values.

b) Check for insulation resistance of the equipment (process explained below)

1. Short the line and neutral terminal at mains cable end.

2. Select the range of megger 500VDC.

3. Connect the probes of megger between earth and shorted line and neutral terminal.

4. Switch ON the megger and note down the value of insulation resistance when the
value(reading) stabilizes.

5. The value should be greater than 10MΩ

c) Check the parts subject to wear and tear.

8.2.7 PARTS SUBJECT TO WEAR


1. Power cord

2. Exposure cord

3. Brake linings

4. X-ray tube

5. Wheels

6. Stickers and symbols

7. Bearings, Rollers etc.

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Note: Annual Maintenance must be performed as per the guidelines described in the Maintenance section.

 Notify BPLMTPL Customer Service if you do not have a maintenance contract.

8.3 MECHANICAL CHECKS AND ADUSTMENTS


Some parts such as brakes and bearings may require periodic adjustments for the smooth
functioning of the column assembly.
The service needs are classified under three sections:
1) Parts which needs periodic adjustments
2) Parts which needs servicing or replacements
3) Troubleshooting and rectification

8.3.1 PARTS WHICH NEEDS PERIODIC ADJUSTMENTS


Following are the parts that will need periodic adjustments. The adjustments can be checked in
six months or a year depending upon the frequency of use of the machine.
1. Brakes/Locks
2. Wheels
8.4 ELECTROMAGNETIC COMPATIBILITY (EMC)
This apparatus is in compliance with the standard IEC60601-1-2 that defines the max. Allowed
emission levels from electronic devices and the required immunity from interference caused by
externally generated electromagnetic fields.
It is not, however, possible to exclude radio signals coming from transmitters such as mobile
phones or similar mobile radio devices. These and other transmitting devices, including those in
compliance with the EMC standards, may influence the proper functioning of medical apparatus
when used in proximity and with a relatively high transmitting power. Therefore, the use of radio
equipment proximity to electronically controlled systems must be avoided in order to eliminate
any interference risk.

Any transmissions by mobile radio equipment must be avoided.


Mobile phones must be switched off in zones close to the unit.
These rules must be applied when the unit is switched on(that is to say
connected to the mains and ready for use).

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8.5 PROTECTION AGAINST IONIZING RADIATION

Before any x-ray exposure, ensure that all the necessary protective precautions
have been taken.

During the use of x-rays, personnel present in the room must comply with the following
rules concerning protection against ionizing radiation:

 When necessary, use protective shielding against radiation in addition to the


shielding already provided on the unit.
 Use protective aprons containing a material equivalent to 0.35 mm of lead.
 The best protection against radiation is distance. It is therefore recommended that
you stay as far as possible from the x-ray source and the exposure target. For this
purpose, use all of the cable length provided for the foot-switch.
 Avoid walking or standing directly in the x-ray beam.
 Always use the smallest possible field of exposure by closing properly the
collimator diaphragms. The scatter dose produced depends principally on the
volume of their radiated object.

Never modify or disconnect the safety circuits or devices designed to prevent


accidental exposures.

8.6 PRODUCT DISPOSAL INFORMATION


Disposal of the device and/or its accessories must be done according to local regulations.

Alternatively, the device and/or its accessories must be handed over to specific organization
who deals with recycling of electrical and electronic devices.

By facilitating correct disposal of the product and its accessories, you are protecting the
environment and health of mankind. Recycling of material allow reduced usage of raw materials.
More information on product recycling can be obtained from your local authorities, from
community recycling agencies or the establishment from where you purchased the device.

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 Only Authorized Service Personnel to dismantle & de-commission the equipment.


 RSO of the institute to ensure that de-commissioning is done in his presence.
 Local Regulatory agencies & AERB to be informed of De-commissioning.
 All Hazardous material like Lead etc. to be disposed of as per Local Norms.
 In case the machine is in working condition & has to installed at a new Location, please
ensure that it is packed & safely transported to the new location.
 In case the machine has completed its Life Of usage & has to be disposed of, please
ensure that such disposal is carried out meeting the local Laws.

Check AERB regulations for any special steps you must take during the disposal process. These
may be posted on the AERB website. AERB requires that the machine be registered at a specific
address, and changing the location of the machine means re-registering it at the new address.

An x-ray machine that is not plugged into an electrical source cannot emit x-rays, so it is
important to unplug a machine that should not be used. Disable the x-ray unit inside the machine
by removing the Tube head. Be careful not to break the x-ray tube. This tube is under vacuum
and any breakage could make the glass splinter and cause injury to anyone nearby.

The procedure for decommissioning x-ray machines depends on the type of the generating
device and its construction. Some manufacturers, upon purchase, provide users with the option
to return the equipment for disposal at a cost. The cost varies among manufacturers. If the return
option is not available, the machine could be disassembled according to the manufacturer’s
specific procedures and its individual components disposed of accordingly.

X-ray machines do not present a radiation hazard when they are not in operation. Additionally,
activation of structural components is not likely due to the nature of the produced radiation and
its interaction with the structural materials. However, many structural components are built with
materials that may be considered hazardous (e.g., lead, tungsten) for disposal purposes. These
materials may be segregated and disposed of according to the Local regulatory agency & of AERB
regulations.
X-ray generating machines are to be registered with the regulatory agency (AERB) having
jurisdiction. It is recommended that users contact the regulatory agency and seek advice

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regarding specific requirements prior to dismantling and disposing of any x-ray generating
device. Additionally, a license is required for the use of x-ray machines; the user should seek
removal of the machine from its license upon decommissioning and disposal.

Do not dispose the device or its accessories along with domestic waste. Follow local
regulations for disposal.
Warning!
Do not dispose the device with battery connected. This presents a potential
shock and fire hazard.

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CHAPTER 9

SPARE PARTS LIST

SAP CODE SAP DESCRIPTION


419FCTUBSTNDEXARM FC TUBE STAND WITH EXTEND ARM @ 1175 MM
419COUNTWGT COUNTER WEIGHT -DR1
419FLOORRAIL FLOOR RAIL 3800 MM LENGTH
419TUBHNDCONAY TUBE HANDLE CONSOLE ASSY
419LBL009 LABLE-COLUMN SLIDING LOCK
419LBL010 LABEL-COLUMN ROTATION LOCK
386LBL002 LABLE-PINCH POINT-FOOT
419LBL005 LABLE-LOCK-VERTICAL SLIDER-DR I
386LBL001 LABEL PINCH POINT HAND AND FINGER
382LBL008 LABEL CAUATION
419LBL011 LABEL-SERIAL NO. DIGITAL FLOOR TO CEILING STAND
HW4INPUWHLWOBRK 21 SERIES-4"-PU-NO BRAKE WHEEL
HW4INPUWHLWBRK 21 SERIES-4"-PU-SIDE LOCK BRAKE WHEEL
419LBL006 SL.NO LABEL-MOBILIO X-RAY TABLE
430COMPDEV Compression Device
419TABHNAY Patient Table handle Assy
419MACBLKBERNHLDR MACHINED BLOCK BEARING HOLDER
419MACBEABLOK2 MACHINED BREARING BLOCK-II
419BRKMONTPLT BREAK MOUNTING PLATE
419CAMSPCR CAM SPACER
419BRKSTPR BREAK STOPPER
419MONTRODVERSTND MOUNTING ROD-VERTICAL STAND
419DELBUSBRKPD DELRIN BUSH-BREAK PAD
419CAMSHFT CAM SHAFT
419BRKHLDPLT BREAK HOLDER PLATE
419SPRGGUIDPIN SPRING GUIDE PIN
419BRKCOMPSPRNG BREAK COMPRESSION SPRING
419CAMSPCRDEL CAM SPACER DELRIN
419BRKFOTPEDL-1 BREAK FOOT PEDAL
419BRKCAMHLDR BREAK CAM HOLDER
419BRKPEDLCOLR BREAK PAD COLLAR
382FTBRKPADLK RUBBER PAD LOCK
382FTBRKPADUNLK RUBBER PAD UNLOCK

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419BRKPADHLDR BREAK PAD HOLDER


419BRKPAD BREAK PAD
419DELBUSVERT DELRIN BUSH-VERT COL ROLLER ASSY
419FIXDBEARBUS FIXED BREARING BUSH
419BALBEAR6200-2RS 6200-2RS; DEEP GROOVE BALL BRG
419MACECNBEARSHFT2 MACHINED ECENTRIC BRG SHAFT-II
419BALBEAR6200-2RS 6200-2RS; DEEP GROOVE BALL BRG
382EXTCIRCLP8 E-CLIP DIA 8
419MACECNBEARSHFT1 MACHINED ECENTRIC BRG SHAFT-I
419BALBEAR6200-2RS 6200-2RS; DEEP GROOVE BALL BRG
419DELGUID DELRIN GUIDE
419STOPRMACBLOK STOPPER MACHINED BLOCK
419BEARRAIL2 BEARING RAIL-II
419BEARGUID BEARING GUIDE
419BALBEAR6200-2RS 6200-2RS; DEEP GROOVE BALL BRG
419MACECNBEARSHFT2 MACHINED ECENTRIC BRG SHAFT-II
HWECLID8 E-CLIP DIA 8
419STLROP STEEL ROPE
419MACROPLOK MACHINED ROPE LOCK
419M16X30FAST MACHINED M16X30 FASTENER
419CONWGTAY COUNTER WEIGHT
419FOAM1 FOAM-I
419WGTADDPLT WEIGHT ADDITIONAL PLT
419FORM2 FOAM-2
419PULYSHFT PULLEY SHAFT
419DELPULAY DELRIN PULLEY
HWINCIRCLPD36 INTERNAL CIRCLIP DIA 36
419PULADJPIP1 PULLEY ADJUSTMENT PIPE-I
419MOUNTBUS MOUNTING BUSH
419PULYCOLR PULLEY COLLAR
419STOPRMACBLOK STOPPER MACHINED BLOCK
419STOPR STOPPER
419TUBLOK TUBE LOCK
419TUBLOKSPCR TUBE LOCK SPACER
419PLNGRGUID PLUNGER GUIDE
SCAN10X35CSKSS M8X35 ALLEN CSK HD SS
419PLNGR PLUNGER
419PLNGRPIN PLUNGER PIN
419PLNGRSPRG PLUNGER SPRING
419PLNGRCAP PLUNGER CAP

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419PLNGRPINHD PLUNGER PIN HEAD


HWDOWPIN3X9.5 DOWELL PIN DIA 3X30 MM
419BUKBUS BUCKY BUSH
386LBL002 LABEL-PINCH POINT-FOOT
386LBL001 LABEL PINCH POINT HAND AND FINGER
419LBL004 LABEL-SCALE&POINTER VERTICAL COLUMN-DR I
419LBL005 LABEL-LOCK-VERTICAL SLIDER-DR I
419LBL007 SL.NO LABEL-DIGITAL BUCKY STAND
HANGZHOUSAILRAY SAILRAY COLLIMATOR
382UPSURORA600VA230V 600VA Online UPS
431LPIGRID 10:1; 103 LPI GRID

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