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SIREMOBIL Compact L
SP

Installation and Startup


Option

WELLHÖFER dose-area product measuring device

10409105

© Siemens 2008
The reproduction, transmission or use
of this document or its contents is not
permitted without express written
authority. Offenders will be liable for
damages. All rights, including rights
created by patent grant or registration
of a utility model or design, are
reserved.

Print No.: SPR2-135.814.04.01.02 English


Replaces: SPR2-130.814.07.02.02 Doc. Gen. Date: 06.08
2 Revision / Disclaimer
1Revision / Disclaimer

Document revision level


The document corresponds to the version/revision level effective at the time of system
delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.

Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise autho-
rized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated with
or authorized by Siemens or one of its affiliates are directed to contact one of the local
offices of Siemens or one of its affiliates before attempting installation or service proce-
dures.

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 2 of 38 Siemens


06.08 CS PS SP Medical Solutions
Table of Contents 3
0Table of Contents

1 _______ General Information______________________________________________ 5

Validity of these instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5


Important start-up information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Display of the dose area product (DAP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Display of the air kerma (dose) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Required Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Required Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Required measuring and auxiliary equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Required tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Notes and symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Safety Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
General safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
General electrical safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Mechanical safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Safety information - risk of infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Radiation safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Information on the protective conductor resistance test . . . . . . . . . . . . . . . . . . . . . . . . . 15

2 _______ Dose-Area Product _____________________________________________ 17

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Without a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
With the laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Programming in the MEMOSKOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
MEMOSKOP C-E/ C-E 100/ C/ C & MOD/ C-SUB/ C-SUB & MOD . . . . . . . . . . . . . 18
MEMOSKOP CX200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Programming in the SIREMOBIL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
With MEMOSKOP C-E/ C-E 100/ C/ C & MOD/ C-SUB/ C-SUB & MOD . . . . . . . . . 20
With MEMOSKOP CX200. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Functional test of the measuring device and cabling . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Checking the accuracy of the dose-area product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Measuring the dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Calculating the dose-area product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Final work steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

3 _______ Air kerma _____________________________________________________ 27

Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Without a laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
With the laser light localizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Programming in the MEMOSKOP CX200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Determining the diaphragm positions of X-Iris and slot diaphragm . . . . . . . . . . . . . . . . 30
Programming in the SIREMOBIL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Siemens SPR2-135.814.04.01.02 Page 3 of 38 SIREMOBIL Compact L


Medical Solutions 06.08 CS PS SP
4 Table of Contents

Functional test of the measuring device and cabling . . . . . . . . . . . . . . . . . . . . . . . . . . . 33


Check of air kerma accuracy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Final work steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

4 _______ Changes to previous version _____________________________________ 38

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 4 of 38 Siemens


06.08 CS PS SP Medical Solutions
General Information 5
1-
Validity of these instructions
1General Information

These instructions are valid for the installation of a dose-area product measuring device
100 47 654 (WELLHÖFER) on the SIREMOBIL Compact L system starting with serial
number 03000.

Siemens SPR2-135.814.04.01.02 Page 5 of 38 SIREMOBIL Compact L


Medical Solutions 06.08 CS PS SP
6 General Information

Important start-up information 1.1

After the installation of the dose-area product measuring device, the system can be pro-
grammed either for displaying the dose-area product or the air kerma.

Display of the dose area product (DAP) 0

(For assembly and start-up, see (Dose-Area Product / p. 17).


On a SIREMOBIL Compact L with the MEMOSKOP C-E/ C-E 100/ C/ C & MOD/ C-SUB/
C-SUB & MOD, the dose area product can be displayed at a resolution of 1 cGycm2.
On a SIREMOBIL Compact L with the MEMOSKOP CX200, the dose-area product can be
displayed at a higher resolution of 0.01 cGycm2.

Display of the air kerma (dose) 0

(For assembly and start-up, see (Air kerma / p. 27).


The air kerma can be displayed only on the SIREMOBIL Compact L with the available
MEMOSKOP CX200.
In addition, the display of the air kerma is released only for systems with a 23 cm (9") image
intensifier.

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 6 of 38 Siemens


06.08 CS PS SP Medical Solutions
General Information 7

Required Documents 1.2

• SIREMOBIL Compact L system folder incl. General Safety Instructions.


• Service Instructions SPR2-135.840.01...
• For systems also equipped with a laser light localizer (near radiation): Laser Light
Localizer Setting Instructions

Siemens SPR2-135.814.04.01.02 Page 7 of 38 SIREMOBIL Compact L


Medical Solutions 06.08 CS PS SP
8 General Information

Required Parts 1.3

Dose-area product measuring device from 100 47 654


WELLHÖFER

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 8 of 38 Siemens


06.08 CS PS SP Medical Solutions
General Information 9

Required measuring and auxiliary equipment 1.4

Service PC
Interface cable Service-PC -- Host, e.g. 99 00 440
SIREMOBIL service software (logbook)
Safety tester, e.g. Bender Unimet 1100 51 38 727
Dose meter e.g., PTW-Diados 97 17 612 Y0388
Centering cross, e.g. 96 60 051 RE999
1 set radiation filters, e.g. 97 98 596
Silicone sealing compound 20 49 716

Siemens SPR2-135.814.04.01.02 Page 9 of 38 SIREMOBIL Compact L


Medical Solutions 06.08 CS PS SP
10 General Information

Required tools 1.5

Standard tool case


1 set of Allen keys

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 10 of 38 Siemens


06.08 CS PS SP Medical Solutions
General Information 11

Notes and symbols 1.6

Bolded text in this technical documentation means the following:


Tab. 1 GEFAHR / DANGER

Bei einer unmittelbar drohenden Gefahr, die bei Nichtvermeidung


zum Tod oder zu einer schweren Körperverletzung führt.

Indicates when there is an immediate danger that leads to death


or serious physical injury.

Tab. 2 WARNUNG / WARNING

Bei einer Gefahr, die bei Nichtvermeidung zum Tod oder zu einer
schweren Körperverletzung führen kann.

Indicates a risk of danger that may lead to death or serious phys-


ical injury.

Tab. 3 VORSICHT / CAUTION

Bei einer Gefahr, die bei Nichtvermeidung zu einer leichten oder


mittleren Körperverletzung und/ oder zu einer Sachbeschädigung
führt oder führen kann.
Indicates a risk of danger that leads to slight or moderate physical
injury and/or damage to property.

Tab. 4 ACHTUNG / NOTICE

Bei einer Gefahr, die bei Nichtvermeidung zu einem unerwünscht-


en Ergebnis oder Zustand führt oder führen kann (nicht Tod,
Körperverletzung oder Sachbeschädigung).
Indicates a risk of danger that if disregarded leads or may lead to
a potential situation which may result in an undesirable result or
state (not death, physical injury or property damage).

Tab. 5 HINWEIS / NOTE

Ist als Tipp zu verstehen. Der Anwender muss diese Anweisung


nicht unbedingt beachten. Er erfährt jedoch Vorteile, wenn er dies
tut.
Should be understood as a tip. The user does not absolutely have
to observe these instructions. However, there will be advantages
if he does.

Siemens SPR2-135.814.04.01.02 Page 11 of 38 SIREMOBIL Compact L


Medical Solutions 06.08 CS PS SP
12 General Information

Safety Instructions 1.7

General safety information 0

WARNING Danger of injuries, death or material damage.


Non-compliance can lead to death, injury or material dam-
age.

Please note:
¹ The product-specific safety notes in these instruc-
tions,
¹ The general safety information in TD00-000.860.01...
and
¹ The safety information in accordance with ARTD Part 2.

General electrical safety information 0

WARNING Electrical safety!


Non-compliance can lead to severe injury or even death, as
well as material damage.
¹ Parts under electrical voltage are accessible when the
covers are open. To avoid danger, disconnect the sys-
tem from the power supply before opening the covers.
Disconnect the power plug.
¹ If an uninterruptible power supply (UPS) is installed in
the system, the voltage output of the UPS must also be
deenergized or the voltage output plug must be discon-
nected.
¹ If work steps must be performed using electrical
power, the general safety information according to
TD00-000.860.01 must be observed.

CAUTION Electrical voltage!


Non-compliance can result in material damage.
¹ When working on the system, ESD regulations must be
observed.

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 12 of 38 Siemens


06.08 CS PS SP Medical Solutions
General Information 13

Mechanical safety information 0

CAUTION Risk of burns from hot parts or components!


Failure to observe may result in minor to more severe burns,
especially on the hands.
¹ Once the cover panels are opened, parts and compo-
nents (e.g. power components, cooling fin, electro-
magnetic brakes) that can exceed 50 degrees Celsius
during operation are accessible. To avoid burns,
switch the system off before touching parts or compo-
nents and allow at least 5 minutes for them to cool
down.

CAUTION Risk of injury from mechanical parts!


Failure to observe may result in minor to more severe injury,
especially to the hands.
¹ After the covers are opened, parts such as flat plugs,
threaded bolts, cut-off cable ties and component edges
are exposed, and if care is not taken, they can cause
crushing, scrapes and cuts to the skin, particularly to
the hands.
¹ Perform the required work with special care and atten-
tion to detail.
¹ If necessary, wear work gloves.

Safety information - risk of infection 0

WARNING Risk of infection due to pathogens!


Non-compliance can lead to severe injury and even death.
¹ This product can be contaminated with infected blood
or other bodily fluids.
¹ Avoid all contact with blood or other bodily fluids!
¹ Strictly observe the safety information in
ARTD-002.731.37.. regarding prevention of infectious
diseases during customer service calls.

Siemens SPR2-135.814.04.01.02 Page 13 of 38 SIREMOBIL Compact L


Medical Solutions 06.08 CS PS SP
14 General Information

Radiation safety information 0

WARNING X-ray radiation!


Non-compliance can lead to illness, irreversible damage to
body cells and the genotype, severe injury and even death.

During work on the system in which radiation must be


released, the radiation protection directives and the rules for
radiation protection according to ARTD-002.731.02.. must be
complied with.
Please note:
¹ Use available radiation protection devices.
¹ Wear radiation protection clothing (lead apron).
¹ Stay as far away as possible from the radiation source.
¹ Release radiation only if necessary.
¹ Set the radiation activity as low as possible. (Low kV
and mA values, short radiation time)
¹ Release radiation for as short a time as possible.
X ¹ Checks requiring the release of radiation are identified
by the radiation warning symbol shown on the left.

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 14 of 38 Siemens


06.08 CS PS SP Medical Solutions
General Information 15

Information on the protective conductor resistance test 1.8

Observe the instructions in the "Safety Rules for Installation and Repair"
(ARTD-002.731.17 ...).
The protective conductor resistance must be measured after every intervention in the sys-
tem.

However, documentation of the measured values is required only during periodic safety
checks.
If parts/components that can significantly influence the protective conductor resistance
(e.g., replacement of the power cable, replacement of the power-up module, replacement
of multi-pole connection cables which also create the protective conductor connection
between system parts (e.g., monitor cable or C-arm cable)) are replaced or if protective
conductor connections have been repaired, the protective conductor resistance must be
measured. The values must be documented and evaluated in the protective conductor
resistance protocol.

NOTE For evaluation purposes, the first measured value and the
values documented during maintenance or safety checks
must be compared to the measured values. A sudden or
unexpected increase in the measured values may indicate a
defect in the protective conductor connections - even if the
limit value of 0.2 ohms is not exceeded. (Protective conduc-
tor or contacts).

The measurement must be performed according to DIN VDE 0751, Part 1 (see ARTD Part
2). The protective conductor resistance for all touchable conductive parts must be mea-
sured during the normal operating state of the system.

Make sure that control cables or data cables between the components of the system are
not mistaken for protective conductor connections.

During the measurement, the power cable and additional connection cables which also cre-
ate the protective conductor connection between system parts (e.g. monitor cable between
the basic unit and monitor trolley) must be moved section by section to detect cable breaks.
The protective conductor resistance must not exceed 0.2 Ohms.

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Medical Solutions 06.08 CS PS SP
16 General Information

Fig. 1: Measuring circuit for measuring the protective conductor resistance for units that are
disconnected from power, in compliance with DIN VDE 0751-1/2001-10, Fig. C2.
Pos. 1 = System
Pos. 2 = Application part type B (if available)
Pos. 3 = Measurement setup (integrated into measuring device)

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 16 of 38 Siemens


06.08 CS PS SP Medical Solutions
Dose-Area Product 17
2-
Installation
2Dose-Area Product

• Disconnect the SIREMOBIL power plug.


• Remove the SIREPHOS cover.
• Set the slide switch on the dose-are product measuring device either to the “1 cGycm2
per pulse / test value 50” position (all the way to the right) or to the “0,01 cGycm2 per
pulse / test value 5000” position (all the way to the left), depending on the resolution.

NOTE On a SIREMOBIL Compact L with the MEMOSKOP C-E/ C-E


100/ C/ C & MOD/ C-SUB & MOD, the dose-area product can
be displayed at a resolution of 1 cGycm2.
On a SIREMOBIL Compact L with the MEMOSKOP CX200, the
dose-area product can be displayed at a higher resolution of
0.01 cGycm2.

Without a laser light localizer 0

• Fasten the dose-area product measuring device to the SIREPHOS by means of the
hexagonal head bolts in the accessories bag.
• Plug in and lock the interface cable already untied in the cable harness to the dose-area
product measuring device.
• Reattach the SIREPHOS cover and reseal the joints with silicone sealing compound.

With the laser light localizer 0

• Unscrew the laser light localizer from the SIREPHOS.


• Attach the dose-area product measuring device to the SIREPHOS.
• Reattach the laser light localizer.
• Plug in and lock the interface cable already untied in the cable harness to the dose-area
product measuring device.
• Check and if necessary readjust the laser light localizer according to the settings
instructions.
• Reattach the SIREPHOS cover and reseal the joints with silicone sealing compound.

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Medical Solutions 06.08 CS PS SP
18 Dose-Area Product

Programming in the MEMOSKOP 2.1

MEMOSKOP C-E/ C-E 100/ C/ C & MOD/ C-SUB/ C-SUB & MOD 0

NOTE After the "Disable dose rate selection in User Set Up" param-
eter is deselected, the "Storage of dose on disk" and "Dose
on hardcopy output" parameters in the User Setup of the
MEMOSKOP are enabled and visible to the customer.

• Switch on the SIREMOBIL and wait for the system to boot.


• Insert the parameter floppy disk of the MEMOSKOP (see system folder Tab 10) in drive
A of the service PC.
• Start the MEMOSKOP service program.
• In the Main menu, click on the "Get from Memoskop" button. The parameters are trans-
ferred from the MEMOSKOP to the service PC.
• Select the "Others" menu.
• Deselect "Disable dose rate selection in User Set Up". The check button is not marked.
• Select "Storage of dose on disk". The check button is marked.
• Click the "Back" button. The "Others" window closes.
• Select the "Hardcopy Setup" menu.
• Select "Dose on Hardcopy output". The check button is marked.
• Click the "Back" button. The "Hardcopy Setup" window closes.
• In the Main menu, click the "Put to Memoskop" button. The parameters are transferred
from the service PC to the MEMOSKOP and saved.
• Select the "File" menu.
• Select the "Save" submenu and save the parameters on floppy disk.
• Exit the Memoskop service program.
• To reset the serial interface, switch the SIREMOBIL off and back on.

MEMOSKOP CX200 0

NOTE For information on operation of the User Setup and Technical


Setup, refer to the service instructions SPR2-135.840.01...

• Switch on the SIREMOBIL and wait for the system to boot.


• Select Technical Setup (keyboard shortcut CTRL + T).
• Enter the password and press "Return".
• Select the "Display Setup" submenu.
• Select the "Enable dose rate selection" checkbox (set check mark).
• Close the "Display Setup" submenu (save changes).

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 18 of 38 Siemens


06.08 CS PS SP Medical Solutions
Dose-Area Product 19

• Select User Setup (keyboard shortcut CTRL + U).


• Select the "System Configuration" submenu.
• Select the "Dose on hardcopy output" checkbox (set check mark).
• Select the "Storage of dose on disk" checkbox (set check mark)
• Close the "System Configuration" submenu (save changes).
• Select Technical Setup (keyboard shortcut CTRL + T).
• Remove the backup CD-R from the logbook and insert it in the CD drive of the
MEMOSKOP CX200.
• Select the "Save Settings" submenu and follow the menu instructions.
• After saving the parameters, remove the CD-R from the drive and place it back in the
logbook.
• Close the Technical Setup.
• Switch the system off and back on.

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Medical Solutions 06.08 CS PS SP
20 Dose-Area Product

Programming in the SIREMOBIL 2.2

With MEMOSKOP C-E/ C-E 100/ C/ C & MOD/ C-SUB/ C-SUB & MOD 0

• Connect the service PC to the serial interface of the SIREMOBIL.


• Start the service program.
• Select the "Adjustment", "Parameters..." menu.
• Select "Diamentor" in the "Parameter Groups:" combo box.
• Click "Get from Unit".
• Select the "1. Diamentor Existing" parameter.
• In the “Actual Value:” field, select YES.
• Click "Set Value".
• Select the “2. Constant (Qt * Kg)” parameter (serial nos. 3000 - 3840) or the “3. Con-
stant (Tw = Qt * Kg)” parameter (serial nos. starting with 3841).
• In the ”Actual Value:” field, select the test value “50”.

NOTE The entered test value must match the position of the slide
switch on the dose-area product measuring device.
Also see "(Installation / p. 17)".

• Click "Set Value".


• Click "Put to Unit".
¹ The system is automatically reset and restarted.
• After the system boots up, click the OK button to close the popup window.
• Click "Save to File".

NOTE You must exit the service program with "Logoff" and "Quit".
Only then are the changed parameters saved as a new file on
floppy disk.

With MEMOSKOP CX200 0

• Connect the service PC to the serial interface of the SIREMOBIL.


• Start the service program.
• Select the "Adjustment", "Parameters..." menu.
• Select "Diamentor" in the "Parameter Groups:" combo box.
• Click "Get from Unit".
• Select the "1. Diamentor Existing" parameter.
• In the “Actual Value:” field, select YES.
• Click "Set Value".

SIREMOBIL Compact L SPR2-135.814.04.01.02 Page 20 of 38 Siemens


06.08 CS PS SP Medical Solutions
Dose-Area Product 21

• Select the "2. Display Type" parameter.


• In the “Actual Value:” field, select Dose Area Product.
• Click "Set Value".
• Select the "3. Constant (Tw = Qt * Kg)" parameter.
• In the “Actual Value:” field, select the test value “5000”.

NOTE The entered test value must match the position of the slide
switch on the dose-area product measuring device.
See also “(Installation / p. 17)”:

• Click "Set Value".


• Select the "4. Diamentor Resolution" parameter.
• In the “Actual Value:” field, select 0.01 cGycm^2.
• Click "Set Value".
• Click "Put to Unit".
¹ The system is automatically reset and restarted.
• After the system boots up, click the OK button to close the popup window.
• Click "Save to File".

NOTE You must exit the service program with "Logoff" and "Quit".
Only then are the changed parameters saved as a new file on
floppy disk.

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Medical Solutions 06.08 CS PS SP
22 Dose-Area Product

Functional test of the measuring device and cabling 2.3

NOTE The check of the programmed value activates the internal


test of the electronics unit of the dose-area product measur-
ing device.

Prerequisite
MEMOSKOP and SIREMOBIL are already programmed. See “(Programming in the
MEMOSKOP / p. 18)” “(Programming in the SIREMOBIL / p. 20)”.
• Connect the service PC to the serial interface of the SIREMOBIL.
• Start the service program.
• Select the "Adjustment", "Calibration..." menu.
• Click "Yes" at the prompt.
• Select "Diamentor" in the "Function Groups:" combo box.
• In the "Available Functions" window, select the line "Start Diamentor Test" and click
"Execute".
• Close the popup window by clicking on the OK button.
• Close the prompt "Do you want to reset the unit?" by clicking on the "No" button.
• Start the test by pressing the ->0<- key (reset key for the fluoroscopy time).
¹ The tested value is displayed on the monitor of the SIREMOBIL
• The displayed value must match the programmed test value, "50" or "5000".
Tolerance: +/- 5%.
• If the displayed value is outside the tolerance, replace the dose-area measuring device.
• After the check, select "Stop Diamentor Test" on the service PC and click "Execute".
• Close the popup window by clicking on the OK button.
• Close the prompt "Do you want to reset the unit?" by clicking on the "No" button.
• The test is ended.
• Then check the accuracy of the dose-area product. See next page.

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06.08 CS PS SP Medical Solutions
Dose-Area Product 23

Checking the accuracy of the dose-area product 2.4

Fig. 2: Check of accuracy_1

Preparation 0

• Attach the centering cross to the middle of the I.I. (Fig. 2 / p. 23).
• Select full format.
• Select KV-mA curve Plateau HC1.
X • Switch fluoroscopy on briefly and use the radiation iris to set the radiation field to a for-
mat of approx. 15 cm in diameter.

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Medical Solutions 06.08 CS PS SP
24 Dose-Area Product

• Do not change the radiation iris again.

Fig. 3: Check of accuracy_2 Fig. 4: Check of accuracy_3

• Note the diameter (Fig. 4 / p. 24) of the octagonal area of the radiation field.
• Remove the centering cross.
• Attach the small (1 cm3) dose measuring chamber of the dose measuring device (Dali,
Nomex) or the semiconductor detector of the dose measuring device (e.g., Diados) to
the center of the image intensifier (Fig. 3 / p. 24).
X • Release fluoroscopy briefly.

NOTE The radiation field must radiate the entire area of the dose
measuring chamber or the semiconductor detector of the
dose measuring device.

• Select KV-STOP and set 70 kV.

Measuring the dose 0

• Press the ->0<- key twice to set the dose area product indicator on the monitor of the
SIREMOBIL to 0.
• Set the dose measuring device (Dali, Nomex) to 0.
X • Release fluoroscopy for several seconds. The measured dose KE should be so large
that the uppermost measuring range of the dose measuring device is well utilized; if
necessary reset the area dose product indicator on the SIREMOBIL and the dose mea-
suring device and repeat the measurement with a different fluoroscopy time.
• Convert the measured dose to "cGy" and note it.
• Note the dose-area product (FDPa) displayed on the display of the SIREMOBIL.

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06.08 CS PS SP Medical Solutions
Dose-Area Product 25

Calculating the dose-area product 0

• Calculate the dose-area product:


(measured DAP FDPg) = (measured dose KE) * (diameter d)2 * 0.829

Evaluation 0

Calculate the deviation between the measured DAP and the displayed DAP:
The deviation should be < 0.25.
Deviation= [(displayed DAP FDPa) - (measured DAP FDPg) ] / (measured DAP FDPg)
If the deviation is > 0.25, replace the DAP measuring device.

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Medical Solutions 06.08 CS PS SP
26 Dose-Area Product

Final work steps 2.5

• Reattach all covers.


• Observe the notes on the protective conductor test in these instructions. Perform the
protective conductor resistance test.
¹ The protective conductor resistance must not exceed 0.2 ohms.
• Perform partial acceptance tests in accordance with country-specific regulations.

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06.08 CS PS SP Medical Solutions
Air kerma 27
3Air kerma 3-

NOTE The air kerma (dose) can be displayed only on the SIREMO-
BIL Compact L with an existing MEMOSKOP CX200.
In addition, the display of the air kerma is released only for
systems with a 23 cm (9") image intensifier.

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Medical Solutions 06.08 CS PS SP
28 Air kerma

Installation 3.1

• Disconnect the SIREMOBIL power plug.


• Remove the SIREPHOS cover.
• Set the slide switch on the dose area measuring device to the "0.01 cGycm2 per pulse /
test value 5000" position (all the way to the left).

Without a laser light localizer 0

• Fasten the dose-area product measuring device to the SIREPHOS by means of the
hexagonal head bolts in the accessories bag.
• Plug in and lock the interface cable already untied in the cable harness to the dose-area
product measuring device.
• Reattach the SIREPHOS cover and reseal the joints with silicone sealing compound.

With the laser light localizer 0

• Unscrew the laser light localizer from the SIREPHOS.


• Attach the dose-area product measuring device to the SIREPHOS.
• Reattach the laser light localizer.
• Plug in and lock the interface cable already untied in the cable harness to the dose-area
product measuring device.
• Check and if necessary readjust the laser light localizer according to the settings
instructions.
• Reattach the SIREPHOS cover and reseal the joints with silicone sealing compound.

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Air kerma 29

Programming in the MEMOSKOP CX200 3.2

NOTE For information on operation of the User Setup and Technical


Setup, refer to the service instructions SPR2-135.840.01...

• Switch on the SIREMOBIL and wait for the system to boot.


• Select Technical Setup (keyboard shortcut CTRL + T).
• Enter the password and press "Return".
• Select the "Display Setup" submenu.
• Select the "Enable dose rate selection" checkbox (set check mark).
• Close the "Display Setup" submenu (save changes).
• Select User Setup (keyboard shortcut CTRL + U).
• Select the "System Configuration" submenu.
• Select the "Dose on hardcopy output" checkbox (set check mark).
• Select the "Storage of dose on disk" checkbox (set check mark)
• Close the "System Configuration" submenu (save changes).
• Select Technical Setup (keyboard shortcut CTRL + T).
• Remove the backup CD-R from the logbook and insert it in the CD drive of the
MEMOSKOP CX200.
• Select the "Save Settings" submenu and follow the menu instructions.
• After saving the parameters, remove the CD-R from the drive and place it back in the
logbook.
• Close the Technical Setup.
• Switch the system off and back on.

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Medical Solutions 06.08 CS PS SP
30 Air kerma

Determining the diaphragm positions of X-Iris and slot diaphragm3.3


• Set the slot diaphragm according to the service instructions (see the service instruc-
tions, 'Adjustments / Programs' chapter, 'Collimator, slot diaphragm' section)

NOTE For the software calculation it is important that the slot dia-
phragm is set accurately in the full format, so that the colli-
mator leaves are just no longer visible at the image margin.

• Attach the 2.1 mm Cu filter as prefiltration close to the focus.


• Attach the centering cross to the center of the I.I. input screen.
• Select KV-mA curve HC2.

Fig. 5: X iris Fig. 6: Slot diaphragm

• Open X-Iris and slot diaphragm completely.


X • Select the full format and release fluoroscopy briefly. Measure and note the diameter of
the octagonal area of the radiation fields (1/Fig. 5 / p. 30).
• Close the X-iris completely.
X • Release fluoroscopy briefly in the full format. Measure and note the diameter of the
octagonal area of the radiation fields (1/Fig. 5 / p. 30).
• Open X-Iris and slot diaphragm completely and close the slot diaphragm completely.
X • Release fluoroscopy briefly in the full format. Measure and note the distance between
the front edges of the slot diaphragm (1/Fig. 6 / p. 30).

NOTE To determine the diaphragm front edges, it is possible to


change the kV values correspondingly via KV-STOP.

• Remove the centering cross and 2.1 mm Cu filter.

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Air kerma 31

Programming in the SIREMOBIL 3.4

• Connect the service PC to the serial interface of the SIREMOBIL.


• Start the service program.
• Select the "Adjustment", "Parameters..." menu.
• Select "Diamentor" in the "Parameter Groups:" combo box.
• Click "Get from Unit".
• Select the "1. Diamentor Existing" parameter.
• In the “Actual Value:” field, select YES.
• Click "Set Value".
• Select the "2. Display Type" parameter.
• In the “Actual Value:” field, select Air Kerma.
• Click "Set Value".
• Select the "3. Constant (Tw = Qt * Kg)" parameter.
• In the “Actual Value:” field, select the test value “5000”.

NOTE The entered test value must match the position of the slide
switch on the dose-area product measuring device.
See also “(Installation / p. 28)”:

• Click "Set Value".


• Select the "4. Diamentor Resolution" parameter.
• In the “Actual Value:” field, select 0.01 cGycm^2.
• Click "Set Value".
• Select the "5. Resolution Location [mm]" parameter.
• In the “Actual Value:” field, enter 685 (factory default) or 487 (only at customer's
request).

NOTE “Reference Location” = 685 mm.


-> reference point is 300 mm from the I.I. housing / grid (fac-
tory default).
“Reference Location” = 487 mm.
-> reference point is 150 mm from the isocenter (only at cus-
tomer's request).

• Click "Set Value".


• Select the "6. X-Iris Open Position [mm]" parameter.
• In the “Actual Value:” field, enter the previously noted value of the actual diaphragm
position (in mm).
• Click "Set Value".
• Select the "7. X-Iris Close Position [mm]" parameter.

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Medical Solutions 06.08 CS PS SP
32 Air kerma

• In the “Actual Value:” field, enter the previously noted value of the actual diaphragm
position (in mm).
• Click "Set Value".
• Select the "9. X-Iris Close Position [mm]" parameter.
• In the “Actual Value:” field, enter the previously noted value of the actual diaphragm
position (in mm).
• Click "Set Value".

NOTE The “8. Slot Diaphr. Open Pos. [mm]“ parameter remains at
the default value of 215 and is not changed.

• Click "Put to Unit".


¹ The system is automatically reset and restarted.
• After the system boots up, click the OK button to close the popup window.
• Click "Save to File".

NOTE You must exit the service program with "Logoff" and "Quit".
Only then are the changed parameters saved as a new file on
floppy disk.

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Air kerma 33

Functional test of the measuring device and cabling 3.5

NOTE The check of the programmed value activates the internal


test of the electronics unit of the dose-area product measur-
ing device.

Prerequisite
MEMOSKOP and SIREMOBIL are already programmed. See “(Programming in the
MEMOSKOP CX200 / p. 29)” “(Programming in the SIREMOBIL / p. 31)”.
• Connect the service PC to the serial interface of the SIREMOBIL.
• Start the service program.
• Select the "Adjustment", "Calibration..." menu.
• Click "Yes" at the prompt.
• Select "Diamentor" in the "Function Groups:" combo box.
• In the "Available Functions" window, select the line "Start Diamentor Test" and click
"Execute".
• Close the popup window by clicking on the OK button.
• Close the prompt "Do you want to reset the unit?" by clicking on the "No" button.
• Start the test by pressing the ->0<- key (reset key for the fluoroscopy time).
¹ The tested value is displayed on the monitor of the SIREMOBIL
• The displayed value must agree with the programmed test value "5000". Tolerance: +/-
5%.
• If the displayed value is outside the tolerance, replace the dose-area measuring device.
• After the check, select "Stop Diamentor Test" on the service PC and click "Execute".
• Close the popup window by clicking on the OK button.
• Close the prompt "Do you want to reset the unit?" by clicking on the "No" button.
• The test is ended.
• Then perform the check of the accuracy of the air kerma. See next page.

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Medical Solutions 06.08 CS PS SP
34 Air kerma

Check of air kerma accuracy 3.6

Fig. 7: Check of accuracy_2

NOTE A dose value is displayed on the monitor before and after


radiation (resolution 0.1 mGy)
In fluoroscopy, a dose rate value is displayed on the monitor
during radiation (resolution 0.1 mGy/min).

Abbreviations

∆Ka/∆t int Dose rate (air kerma), internal measurement from the system
∆Ka/∆t ext Dose rate (air kerma), external measurement on the dose measur-
ing device

Correction factor Cx
The correction factor Cx is required because the dose measuring chamber is fitted directly
on the I.I. housing and is not "300 mm from the I.I." or "150 mm from the isocenter".
Distance from the source to the I.I. input (SID) = 1005 mm.
Distance from the source to I.I. housing/grid = 1005 mm - 20 mm - 985 mm.
'Reference Location' (RL) = 685 mm (reference point is 300 mm from the I.I. housing/grid or
“Reference Location” (RL) = 487 mm (reference point is 150 mm from the isocenter).
Correction factor Cx = (985 /RL)2
¹ Cx with RL "685" = 2.07

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06.08 CS PS SP Medical Solutions
Air kerma 35

¹ Cx with RL "487" = 4.09


Enter the correction factor Cx (2.07 or 4.09) for all three diaphragm positions in the follow-
ing table (Tab. 6 / p. 35).
Check
• Set the dose meter to the "Dose rate" operating mode.
• Attach the small (1 cm3) dose measuring chamber of the dose measuring device (Dali,
Nomex) or the semiconductor detector of the dose measuring device (e.g., Diados) to
the center of the image intensifier (Fig. 7 / p. 34).
• Select full format.
• Select KV-mA curve HC2.
X • Release fluoroscopy briefly, select KV-STOP and set 70 kV.
• Open X-iris and slot diaphragm completely.
X • Release fluoroscopy and wait ten seconds. Then read the “∆Ka/∆t ext” dose rate on
the dose meter and the dose rate displayed on the monitor “∆Ka/∆t int”. Enter the val-
ues in the following table (Tab. 6 / p. 35) in the "X-iris and slot diaphragm completely
open" column.

NOTE The radiation field must radiate the entire area of the dose
measuring chamber or the semiconductor detector of the
dose measuring device.

Tab. 6 Check of air kerma accuracy

Diaphragm position X-iris and slot dia- Slot diaphragm X-iris com-
phragm com- completely open, pletely open,
pletely open X-Iris open slot diaphragm
approx. 12 cm open approx. 12
cm
∆Ka/∆t int [mGy/min]
∆Ka/∆t int [µGy/s]
∆Ka/∆t int [µGy/s]

Factor Cx
∆Ka/∆t ext_Cx [µGy/s]

Actual deviation [%]


Max deviation [%] 35% 35% 35%

• Recalculate “∆Ka/∆t int” from “mGy/min” to “µGy/s” and enter into the table:
∆Ka/∆t int [mGy/min] x (16.66) = ∆Ka/∆t int [µGy/s]
• Multiply the value of the external measurement “∆Ka/∆t ext” by the factor Cx and enter
into the table.
∆Ka/∆t ext [µGy/s] * Cx = ∆Ka/∆t ext_Cx [µGy/s]

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Medical Solutions 06.08 CS PS SP
36 Air kerma

• Determine the actual deviation and enter into the table:


Actual deviation in [%] = [(∆Ka/∆t int) - (∆Ka/∆t ext_Cx)] *100 / (∆Ka/∆t ext_Cx)
• The maximum allowable deviation is +/- 35%.
If the deviation exceeds +/- 35%, the diaphragm positions of the X-Iris and the slot dia-
phragm have to be set and calculated again. (See (Determining the diaphragm posi-
tions of X-Iris and slot diaphragm / p. 30) and (Programming in the SIREMOBIL / p. 31).
• Repeat the work steps in order to determine the actual deviation for the diaphragm
positions "slot diaphragm completely open, X-iris open approx 12 cm" and "X-iris com-
pletely open, slot diaphragm open approx. 12 cm" and evaluate the actual deviations.
(12 cm measured on the monitor)

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Air kerma 37

Final work steps 3.7

• Reattach all covers.


• Observe the notes on the protective conductor test in these instructions. Perform the
protective conductor resistance test.
¹ The protective conductor resistance must not exceed 0.2 ohms.
• Perform partial acceptance tests in accordance with country-specific regulations.

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Medical Solutions 06.08 CS PS SP
38 Changes to previous version
4Changes to previous version 4-
Document was converted to DMS.

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06.08 CS PS SP Medical Solutions

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