721 502 G1 - Icynergy Service

i5 Platform for iCynergy RF-DR
Service Manual
June 2010
RF & DR from one console
Supports multiple CCD cameras & flat panel detectors
Flexible & adaptable to site requirements
Technology that grows as imaging demands change.
Service Manual: i5 Platform for iCynergy RF-DR i

721-502-G1, Rev. A
InfiMed Customer Support
Call Customer Care weekdays from 8:15 a.m.-5:00 p.m., USA - Eastern Time
(08:15-17:00)
Technical Support & Customer Service, +1 315-453-4553
Parts & Order Services, +1 315-453-4545.
InfiMed’s answering service is open from 5:00 p.m.-8:15 a.m. USA - Eastern
Time (17:00-08:15) and on weekends and holidays.
Phone +1 315-453-4553
A Customer Service Technician will respond to your inquiry as soon as possi-
ble.
Please have the following information ready before making your service call:
• System Serial Number (S/N) — found on the identification tag on the

rear of the PC.
• Software version. To find the software version, click on the InfiMed logo
(top of Main Menu in Clinical Mode) for the About screen, or look for
the Versions button (toward the bottom of the Service Mode menu).
Thank you for choosing InfiMed.
The InfiMed i5™ Digital X-ray Imaging System is a high resolution digital imaging system intended to replace
conventional film techniques, or existing digital systems, in multipurpose or dedicated applications specified
below. The i5™ Digital X-ray Imaging System enables an operator to acquire, display, process, export images to
portable media, send images over a network for long term storage and distribute hardcopy images with a laser
printer. Image processing algorithms enable the operator to bring out diagnostic details difficult to see using con-
ventional imaging techniques. Images can be stored locally for temporary storage. The i5™ Digital X-ray Imaging
System has the ability to interface with a variety of image receptors from CCD cameras to commercially available
flat panel detectors. The major system components include an image receptor, computer, monitor and imaging
software.
For the i5 DR application, the InfiMed i5™ Digital X-ray Imaging System is intended for use in general radio-
graphic examinations and applications (excluding fluoroscopy, angiography, and mammography).
For the i5 RF application, the InfiMed i5™ Digital X-ray Imaging System is intended for use where general fluo-
roscopy, interventional fluoroscopy, or angiography imaging procedures are performed.
InfiMed’s i5 Platform for iCynergy RF-DR product is also referenced as iCynergy in this document. Document
part number 721-502-G1, Rev. A; companion document 721-501-G1; assembly & test documents: 747-001-G1,
747-201-G3, 747-101-G3. Document status: Initial release. ECN: 5017.
Service manual (721-502-G1) - Operator’s manual (721-501-G1).
i5 Platform for iCynergy RF-DR
Service Manual
RF & DR from one console
Supports multiple CCD cameras & flat panel detectors
Flexible & adaptable to site requirements
Service Manual: i5 Platform for iCynergy RF-DR i

i5 Platform for iCynergy RF-DR, an innovative diagnostic digital imaging application by InfiMed, Inc.
© 2010 InfiMed Inc. All Rights Reserved. InfiMed Service Manual, part number 721-502-G1, Rev. A
InfiMed hereby grants its customers the right to reproduce this manual. For files in Adobe Acrobat .pdf or
Framemaker 9 format, contact InfiMed Technical Publications at +1 315-453-4545 x232.
Revision History
Revision Date ECN Description of release & change pages

A June 2010 5017 i5 Platform for iCynergy RF-DR, Initial release
InfiMed, i5, iCynergy, and InfiVision are trademarks of InfiMed, Inc. Windows, Windows XP, and Windows 7
are trademarks of Microsoft Corp.
While every precaution has been taken in the preparation of this book, InfiMed assumes no responsibility
for errors or omissions or for damage resulting from the use of the information contained herein. The infor-
mation in this manual is subject to change without notice.
Applicable standards & compliance EU Authorized Representative:

FDA 510(k) Medical Device & QA Services
CE Mark to MDD 76, Stockport Road, Timperly
ETL approved Cheshire UK, WA15 7SN
CAN/CSA C22.2 No. 601-1
IEC 60601-1, 60601-1-1, 60601-1-2, 60601-1-4 Email: info@mdqa.co.uk
UL 60601-1
IHE Integration (see Appendix A)
This product conforms to the necessary IEC standards for patient safety and isolation as it is shipped from
the factory. It is the responsibility of the end user and/or the installer to insure that when connected, as a
system with other devices, all the rules of IEC60601-1-1 are met.
HIPAA logging: i5 Platform for iCynergy RF-DR supports HIPAA Access Control Standards. Unique user
identification and automatic logoff are implemented through user configuration and the login/logoff features
of the Clinical mode. HIPAA Audit Control Standards are used in the Service Mode logs to record user
actions.
6/8/10
ii Service Manual: i5 Platform for iCynergy RF-DR

Welcome
The InfiMed i5 Platform adapts to the needs of the user. Its menu interface may be customized, and it sup-
ports multiple wired or wireless flat panel detectors and CCD cameras. The i5 series defines convenience.
InfiMed's open platform allows the technologist to adapt on the fly to changes in the industry and to clinical
requirements.
InfiMed's i5 Platform
InfiMed's i5 Platform is specifically designed for routine radiographic exposures where the image is cap-
tured on a digital sensor and stored as an electronic patient file in the computer. Acquired images are
instantly viewable. iCynergy presents an intuitive touch screen. It supports cutting-edge flat panel detec-
tors and CCD camera technology and offers integration with x-ray generators.
iCynergy's user-friendly interface is tailored to exceed the needs and requirements of today's busy work
environment. It standardizes and minimizes the steps required from image acquisition to optimal viewing.
User customizable acquisition profiles and work procedures can optimize patient throughput and image
quality. With the use of advanced image processing algorithms, premium image quality is realized on the
first view. Patient through-put is enhanced while minimizing user intervention by reducing or eliminating the
need for retakes.
i5 Platform for iCynergy RF-DR provides a seamless interface for both a static DR flat panel detector for
radiographic functions and fluoroscopic functions with a CCD camera. The patient list is shared between
the two modes. iCynergy’s dual capabilities can permit clinics to reduce costs without reducing throughput.
This manual gives the InfiMed-trained and -authorized Service Technician instructions to set up the hard-
ware and to configure the software for use of iCynergy. It also discusses the x-ray generator interface flat
panel detector and connection to a DICOM network server. Therefore, if the x-ray generator is integrated
with the digital software, the Service Technician should also refer to the generator’s manual and the panel’s
documentation during installation. Most of the technician's work takes place in the Service Mode of iCyn-
ergy, but this work affects nearly every aspect of how technologists will use iCynergy Clinical Mode.
We are pleased that you have chosen InfiMed. Thank you.
Service Manual: i5 Platform for iCynergy RF-DR iii

iv Service Manual: i5 Platform for iCynergy RF-DR
Contents
Welcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii
Part 1. Assemble iCynergy — 1
CHAPTER 1. Equipment Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Warranty 3
Safety 4
Electromagnetic compatibility 6
Preventive maintenance 8
CHAPTER 2. Room Readiness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CHAPTER 3. Inventory of Hardware Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

PC tower 14
Monitor 16
Generator interface module (GIM) 17
Camera 19
Power 20
CHAPTER 4. Cabling Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Inventory of cables 23
Cable connections 25
PC connections 26
Camera 28
Connect GIM 29
Power connections 37
iCynergy configurations 38
CHAPTER 5. Carestream Health Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Configuration 47
Calibration 50
Update system firmware 53
Diagnostics 54
Service Manual: i5 Platform for iCynergy RF-DR v

Part 2. Configure the iCynergy System — 57
CHAPTER 6. Using Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Access Service Mode 60
CHAPTER 7. Site-specific Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Site info 66
Interfaces 66
System options 67
DR system options 68
RF system options 69
Monitor look-up tables 69
Panel configuration 69
Patient, series, & study data 70
Restore points 71
CHAPTER 8. Generator Interface & GIM Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Generator interface 73
Test GIM connections 78
CHAPTER 9. Dicom: Export, Import & Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Dicom devices 82
AE titles 84
General configuration 84
Examples: Adding Dicom devices 85
Using the site’s network 87
CHAPTER 10. Acquisition Profiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Positions 92
Import acquisition profiles 93
Edit or export acquisition profiles 93
Add, copy, or delete items 94
Default RAD acquisition mode & auto-replay 95
Radiography profile 96
Fluoroscopy profile 96
Automatic image enhancement — AIE 97
CHAPTER 11. Work Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Create a work procedure 100
Modify a work procedure 101
Example — Create work procedure 101
CHAPTER 12. Manage Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Privileges of users 104
vi Service Manual: i5 Platform for iCynergy RF-DR

CHAPTER 13. Calibrate Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Image centering, image size 107
Focus camera: Image quality assessment 112
Calibration 114
Part 3. After Setup of iCynergy System — 121
CHAPTER 14. System Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Data collection 124
GIM 124
IAPDB 124
CHAPTER 15. Modify Image Processing— DR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
CHAPTER 16. Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
CHAPTER 17. Logs & Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
CHAPTER 18. Acceptance Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Power up 135
Use the system 136
Non-acceptance terms 136
CHAPTER 19. Preventive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Replacing PC parts 139
Cleaning 142
Part 4. Appendixes — 145
Statement of IHE Integration 147
Installation Report 149
Service Manual: i5 Platform for iCynergy RF-DR vii

viii Service Manual: i5 Platform for iCynergy RF-DR
Figures
FIGURE 1. Tower PC, monitor, mouse, & keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

FIGURE 2. GIM — with cover removed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FIGURE 3. Two-state input circuit, GIM board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
FIGURE 4. ABS output circuit, GIM board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
FIGURE 5. PFluoro drive circuit, GIM board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
FIGURE 6. ABS output circuit, GIM board. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
FIGURE 7. Left: Assemble the camera. Right: Attach camera.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
FIGURE 8. Isolation transformer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
FIGURE 9. External ground screw head stud . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
FIGURE 10. PC connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
FIGURE 11. Rear of PC: Video & Ethernet connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
FIGURE 12. Left: Remove iris. Right: Remove cable cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
FIGURE 13. Left: Remove the cable clamp. Right: Attach camera cable to connector. . . . . . . . . . . 29
FIGURE 14. GIM internal diagram label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
FIGURE 15. Opto inputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
FIGURE 16. Relay outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
FIGURE 17. iCynergy connection diagram (generic) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
FIGURE 18. ABS & drive outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
FIGURE 19. Example: Sequence of events, pulse fluoro at 15 Hz . . . . . . . . . . . . . . . . . . . . . . . . . . 37
FIGURE 20. Arrangement of power supply components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
FIGURE 21. iCynergy tethered to detector, connection diagram (721-100-G1) . . . . . . . . . . . . . . . . 40
FIGURE 22. iCynergy not tethered to detector, connection diagram (721-100-G1) . . . . . . . . . . . . . 41
FIGURE 23. Inputs to tethered & untethered configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
FIGURE 24. Carestream Health Detector (right) & battery charger (left) . . . . . . . . . . . . . . . . . . . . . 43
FIGURE 25. Set properties of LAN through Windows XP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
FIGURE 26. Windows XP TCP/IP properties, general tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
FIGURE 27. Configure a new panel in Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
FIGURE 28. Carestream dark calibration through iCynergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
FIGURE 29. Settings applied during gain calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Service Manual: i5 Platform for iCynergy RF-DR ix

FIGURE 30. Gain calibration, performed in Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
FIGURE 31. Update firmware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
FIGURE 32. Detector diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
FIGURE 33. Service Mode menus in iCynergy: Camera, left — Panel, right . . . . . . . . . . . . . . . . . . 58
FIGURE 34. Initial screen, i5 Platform for iCynergy RF-DR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
FIGURE 35. On-screen image processing tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
FIGURE 36. Service Mode: Configure site information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
FIGURE 37. Configure iCynergy camera & detector interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
FIGURE 38. Configure or add panel — iCynergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
FIGURE 39. Backup data for Restore Points option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
FIGURE 40. Configure iCynergy generator lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
FIGURE 41. Configure digital outputs for iCynergy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
FIGURE 42. Left: Fluoro pulses at 7.5 pps, correctly configured. Right: incorrectly configured . . . . 76
FIGURE 43. Two-state input signals & LED status on GIM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
FIGURE 44. Output & relay lines from iCynergy Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
FIGURE 45. Add Dicom devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
FIGURE 46. Local AE titles for i5-related devices (partial screen) . . . . . . . . . . . . . . . . . . . . . . . . . . 84
FIGURE 47. Configure acquisition profile — RF showing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
FIGURE 48. Import acquisition profiles from hard drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
FIGURE 49. Options for fluoroscopy settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
FIGURE 50. Configure work items in work procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
FIGURE 51. Example: Create work procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
FIGURE 52. Managing users of iCynergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
FIGURE 53. Camera calibration menu — starting with Service Mode menu at left . . . . . . . . . . . . 106
FIGURE 54. Functions available to adjust camera, accordion menu . . . . . . . . . . . . . . . . . . . . . . . 107
FIGURE 55. Common CCD camera types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
FIGURE 56. Camera calibration menu — ready for calibration sequence . . . . . . . . . . . . . . . . . . . 108
FIGURE 57. Aligning camera with displayed video and circle mask . . . . . . . . . . . . . . . . . . . . . . . . 109
FIGURE 58. Adjustments for small-format tandem lens camera. . . . . . . . . . . . . . . . . . . . . . . . . . . 110
FIGURE 59. Adjustments for large-format tandem lens camera . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
FIGURE 60. Spring nut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
FIGURE 61. Adjustments for cameras with direct-couple lenses . . . . . . . . . . . . . . . . . . . . . . . . . . 111
FIGURE 62. Image size evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
FIGURE 63. ROI positioning to adjust focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
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FIGURE 64. Camera focus ring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
FIGURE 65. Initial diagnostics screen for iCynergy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
FIGURE 66. Service Mode menu, lower menu choices (cutaway image) . . . . . . . . . . . . . . . . . . . . 127
FIGURE 67. Image processing function with image preview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
FIGURE 68. Utilities & help menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
FIGURE 69. PC’s front components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
FIGURE 70. Left, removing left-side panel. At right, panel has been removed . . . . . . . . . . . . . . . . 140
FIGURE 71. Removing the front cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
FIGURE 72. Replacing front cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
FIGURE 73. Replace left metal panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Service Manual: i5 Platform for iCynergy RF-DR xi

xii Service Manual: i5 Platform for iCynergy RF-DR
Tables
TABLE 1. Environmental parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

TABLE 2. Parts for PC (see diagram in Figure 23 on page 42). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
TABLE 3. Parts for video (see diagrams in Figure 21 and Figure 22) . . . . . . . . . . . . . . . . . . . . . . . . 16
TABLE 4. Monitor specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
TABLE 5. GIM inputs & outputs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
TABLE 6. Parts associated with camera (see diagrams in Figure 21 and Figure 22) . . . . . . . . . . . 19
TABLE 7. System power specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
TABLE 8. Specifications for isolation transformer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
TABLE 9. Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
TABLE 10. GIM connector P1: Two state input connections for iCynergy . . . . . . . . . . . . . . . . . . . . 31
TABLE 11. Signals, required & optional for functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
TABLE 12. Relay outputs for iCynergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
TABLE 13. ABS drive outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
TABLE 14. Signal descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
TABLE 15. Parts for flat panel untethered. See Figure 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
TABLE 16. Parts for video flat panel tethered. See Figure 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
TABLE 17. Carestream Health Detector specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
TABLE 18. LED flash codes for Carestream Health Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
TABLE 19. Carestream Health Detector configuration settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
TABLE 20. Settings for DR two-state inputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
TABLE 21. Settings for DR relay outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
TABLE 22. Maximum Dicom devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
TABLE 23. Acceptable characters for configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
TABLE 24. Printer properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
TABLE 25. Options for radiography settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
TABLE 26. Recommended dosages for calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
TABLE 27. Camera calibrations & descriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
TABLE 28. Criteria for resolution by field of vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
TABLE 29. Utilities available . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
TABLE 30. IHE Integration Statement, May 4, 2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Service Manual: i5 Platform for iCynergy RF-DR xiii

xiv Service Manual: i5 Platform for iCynergy RF-DR
Part 1. Assemble iCynergy
Service Manual: i5 Platform for iCynergy RF-DR 1

2 Service Manual: i5 Platform for iCynergy RF-DR
CHAPTER 1 Equipment
Handling
Warranty
U.S. law restricts this device to sale by or on order of a physician for diagnostic digital radiographic use
only. Any of the following actions voids the manufacturer's warranty1:
• Modification, abuse, misuse, neglect, or operation at ambient temperatures below 50ºF or above
90ºF (10ºC, 32Cº) or at other abnormal conditions. Ambient operating temperature for the isolation
transformer is 64-86ºF (18-30ºC). See also Table 1 on page 5.
• Use of any software by seller
• Use of supplied software and hardware outside seller's guidelines or applicable standards
• Unauthorized repair or alteration.
Upon receipt of your shipment from InfiMed, inspect packaging and components. If anything appears to be
damaged, contact InfiMed immediately. Do not proceed if any components or cables are missing or dam-
aged.
Equipment classification
Protection against electric shock - class I

Degree of protection against electric shock - type B
Degree of protection against ingress of water - Ordinary
Mode of operation - Continuous
1. InfiMed, Inc. Terms and Conditions of Sale. Part No. 200.267.G1. Sept. 5, 2006.

1. EQUIPMENT HANDLING
Safety
Apply the directions here precisely to avoid damage to the System or any of its components, yourself, or
others, loss of data, or corruption of files. The manufacturer assumes no liability for failure to comply.
. Cautions2
Mechanical. Use care to see that the image monitor is stable and cannot fall. Use mounting
brackets if necessary (MH1, MH5).
Follow instructions for assembling and mounting the camera to insure that it is installed securely
and does not fall (MH4).
To maintain adequate signals and power among the hardware components, use securing mecha-
nisms to fasten cables and connectors (MH10, MH11).
See that cables used in and associated equipment cannot create trip or fall hazards (MH12).
Install the electronic components on secure and stable surfaces to prevent shifting and falling, to
protect the equipment from damage, and to protect users of the equipment (MH13).
Electrical. Use the equipment in a space that is properly ventilated. Provide sufficient free space around
the components to permit their ventilation. Some electrical components, if operated beyond the
stated temperature range may emit toxic fumes. Do not permit components to overheat (EH7).
Isolation transformer: To reduce the risk of electrical shock, do not remove cover. Refer servicing
to qualified personnel. The isolation transformer must be properly grounded. Use the external
ground screw head stud. Grounding reliability can only be achieved when connected to a recepta-
cle known to be equivalent to hospital grade. The outlets on the isolation transformer output 120 V
AC, 50/60 Hz at 8 A maximum power factor 0.8 ±10%. Ambient operating temperature is 64-86ºF
(18-30ºC) (EH8, EH9).
Hardware. The UPS system-power conditioner combo unit (optional equipment) uses fuses. When replac-
ing the fuses, use replacements with the same rating and capacity (HH18).
Software. Once operational, only properly trained and authorized personnel may use to access patient
records. Operating information about the Clinical Mode of iCynergy is available in the companion
Operator's Manual3 (SH7, PH9, OP1, OP2).
Use no software other than that supplied by manufacturer on iCynergy (SH15).

Patients. Do not position or use this system in a location where it may be subject to splashed or spilled liq-
uids. Review hardware safety requirements to ascertain whether the components may be cleaned
and the best means of cleaning; see also preventive maintenance (PH4, PH5, SRVH4, OP5).
All personnel must wear dosimeters during every phase of installation, operation, and mainte-
nance of the system and the equipment to which it is connected (PH4).
2. InfiMed, Inc. PCP 03. iCynergy project hazardous analysis. Components of hazard analysis are noted with each cau-
tion.
3. InfiMed, Inc. iCynergy. Operator’s Manual. Part number 721-501-G1.

Servicing. Only properly trained and authorized personnel may install or configure (SRVH3, OP2).
The power source must meet the power supply requirements defined in the site planning guide.
Use of the system outside these limits voids the product warranty (SRVH5).
This instrument contains high voltages capable of causing death. Do not connect additional multi-
ple portable socket-outlet or extension cords to the system. Follow instructions for correct cabling
of components (SRVH6).
InfiMed engages qualified translators who are trained in medical and computer terminology, and
these translators are checked by editors who are similarly qualified, yet translated materials are
the interpretation of the translator and are not considered InfiMed's responsibility. Each translation
is based on the original English version release. At times, a translated manual may not be the
same revision as its English counterpart (SRVH7).
Only properly trained service personnel may alter any hardware components except for Operator-
permitted cleaning procedures or procedures supplied as instructions with a part provided by the
manufacturer. Doing so could disrupt the functioning of the system and result in loss of images.
Service personnel should contact manufacturer for applicable part numbers from the system's
spare parts list (SRVH8).
Operation. Do not use this instrument in the presence of an explosive atmosphere, including flammable
anesthetics. Failure to comply could result in fire and explosion (PH6, OP6, EnvH2).
Operate the system such that no patient contact with any part of the system is possible. Position
the PC cabinet away from the patient and outside a 6-ft radius of diagnostic area. Attempt no
maintenance, including troubleshooting, in the presence of any patients or unauthorized staff.
The system is interfaced with x-ray generating equipment. Follow the instructions for wearing
proper lead shielding that came with the x-ray generator. Do not bypass the safeties provided by
the x-ray generator during the installation or servicing of the hardware or software. Doing so could
expose personnel to unnecessary radiation.
Environment. Follow procedures with regard to electromagnetic compatibility.
At the end of its useful life, this equipment and its accessories must be disposed of safely and in
accordance with government regulations (EnvH4).
Miscellaneous. Transport and store the electronic components within recommended parameters (see
below, MiscH1).
.Operate the electronic components, including the isolation transformer, within the parameters
listed in Table 1.
TABLE 1. Environmental parameters
Computer & peripherals Isolation transformer
Transport & store Operate Operate

Temperature -4 – 131ºF (-20 – 55ºC) 50 – 90ºF (10 – 32Cº); 64 – 86ºF (18 – 30ºC)

TABLE 1. Environmental parameters (Continued)
Computer & peripherals Isolation transformer
Transport & store Operate Operate

Humidity 10 – 95% noncondensing 20 – 75% noncondensing 20 – 75% noncondensing
Air pressure 700 – 1060 hPa (10 – 5 lb/in2, 0.7 700 – 1060 hPa (10 – 15 lb/in2, 700 – 1060 hPa (10 – 15 lb/in2,
– 1.0 atmosphere) 0.7 - 1.0 atm) 0.7 - 1.0 atm)
Electromagnetic compatibility
The System complies with EN 60601-1-2:2001-09 Section 6. Prevent the potential risk of electromagnetic
interference between this equipment and other devices. The device has been tested for EMC compliance,
but interference can still occur in an electromagnetically noisy environment. Maintain a suitable distance
between electrical devices to prevent cross-interference. The PC cabinet should be as far as possible from
any such device to prevent noise from affecting the image video signal.
Medical electrical equipment needs special precautions regarding electromagnetic compatibility (EMC)
and needs to be installed and put into service according to the EMC information provided here. Portable
and mobile RF communications equipment can affect medical electrical equipment.
Suggested optimum usage: Do not place equipment or system adjacent to or stacked with other equip-
ment. Take extra precaution to verify normal operation of the configuration used at the site.
Use the following guidance tables for emissions and separation distances:
Table 201 – Emissions

Table 202 – Immunity
Table 204 – Emissions, not life-supporting
Table 206 – Separation distances, not life-supporting
Guidance and manufacturer’s declaration

Table 201. Emissions - All equipment and systems (IEC 60601-1-2:2001-09 Sec 6:6.8.2.201)
The iCynergy system is intended for use in the electromagnetic environment specified below. The cus-
tomer or user of the system should ensure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment guidance

RF emissions CISPR Group 1 iCynergy uses RF energy only for its internal function. therefore, its RF emis-
sions are very low and are unlikely to cause any interference in nearby electronic
equipment.
RF emissions CISPR 11 Class A or B Class A
Harmonics IEC 61000-3-2 Class A, B, C, D or NA Complies
Flicker IEC 61000-3-3 Complies or NA Complies
iCynergy is suitable for use in all establishments other than domestic and those
directly connected to the public low-voltage power supply network that supplies
buildings used for domestic purposes.
RF emissions CISPR 14-1 Complies iCynergy is not suitable for interconnection with other equipment
RF emissions CISPR 15 Complies iCynergy is not suitable for interconnection with other equipment


Table 202. Immunity - All equipment and systems not life-supporting (IEC 60601-1-2:2001-09 Sec
6:6.8.2.201a)
Immunity test EN/IEC 60601 test level Compliance level Electromagnetic environment - guidance
ESD EN/IEC 61000-4-2 ±6 kV contact ±6 kV contact Floors should be wood, concrete, or ceramic tile. If
±8 kV air ±8 kV air floors are synthetic, the relative humidity should be
at least 30%.
EFT EN/IEC 61000-4-4 ±2 kV mains ±2 kV mains Mains power quality should be that of a typical com-
±1 kV I/Os ±1 kV I/Os mercial or hospital environment.
Surge EN/IEC 61000-4-5 ±1 kV differential ±1 kV differential Mains power quality should be that of a typical com-
±2 kV common ±2 kV common mercial or hospital environment.
Voltage dips/dropout EN/ >95% dip for 0.5 cycle >95% dip for 0.5 cycle Mains power quality should be that of a typical com-
IEC 61000-4-11 mercial or hospital environment. If the user of
60% dip for 5 cycles 60% dip for 5 cycles iCynergy requires continued operation during
power mains interruptions, it is recommended that
iCynergy be powered from an un interruptible
30% dip for 25 cycles 30% dip for 25 cycles power supply or battery
>95% dip for 5 s >95% dip for 5 s
Power frequency 50/60 3 A/m 3 A/m Power frequency magnetic fields should be that of a
Hz magnetic field EN/IEC typical commercial or hospital environment.
61000-4-8

Table 204. Emissions - All equipment and systems not life-supporting (IEC 60601-1-2:2001-09 Sec
6:6.8.2.201b)
EN/IEC 60601 Compliance

Immunity test test level level Electromagnetic environment - guidance
Portable and mobile communications equipment should be separated from
iCynergy by no less than the distances calculated/listed below:
Conducted RF 3 Vrms (V1)Vrms D=(3.5/V1)(√P)
EN/IEC 61000-4-6 150 kHz to 80
MHz
Radiated RF EN / 3 V/m (E1)V/m D=(3.5/E1)(√P)
IAC 61000-4-3 80 MHz to 2.5 80 to 800 MHz
GHz
D=(7/E1)(√P)
800 MHz to 2.5 GHz
Where P is the max power in watts and D is the recommended separation
distance in meters.
Field strengths from fixed transmitters, as determined by an electromagnetic
site survey, should be less than the compliance levels (V1 and E1)
Interference may occur in the vicinity of equipment containing a transmitter

Recommended separation distances between portable and mobile RF communications equipment and
this system
Table 206. Equipment and systems not life-supporting (IEC 60601-1-2:2001-09 Sec 6:6.8.2.201b)
The iCynergy system is intended for use in the electromagnetic environment in which radiated distur-
bances are controlled. The customer or user of iCynergy can help to prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment and
iCynergy as recommended below, according to the maximum output power of the communications equip-
ment.
Separation (m) at:

Max output power (watts) 150 kHz to 80 MHz 80 to 800 MHz 800 MHz to 2.5 GHz
D=(3.5/V1)(√P) D=(3.5/E1)(√P) D=(7/E1)(√P)
0.01 0.1166 0.1166 0.2333
0.1 0.3689 0.3689 0.7378
1. 1.1666 1.1666 2.333
10. 3.6893 3.6893 7.3786
100. 11.6666 11.6666 23.3333
Preventive maintenance
About every 6 months — or whatever frequency your site requires —check the functionality and appear-
ance of each major component of the imaging system. Inspect Bucky and the camera for dust or debris.
Clean with a dry soft cloth, if necessary.
Shut down all components of the system before cleaning. Follow these cautions when cleaning electronic
components:
• Blow dust from the interior of the PC and from fan covers to permit air circulation.
• Never spray or squirt the liquids directly on any computer component. If you need to clean the
device, spray cloth first, then rub the equipment to clean.
• Be cautious of all cleaning solvents or chemicals when you used for cleaning. Some individuals may
be allergic to the ingredients.
Place no food, drink, or cigarettes around the computer.

CHAPTER 2 Room
Readiness
iCynergy is shipped in several boxes

banded to a standard wooden pallet. Required.
Keep the boxes upright at all times. InfiMed requires submission of an installation report within 30 days of
first clinical use of iCynergy.
A packing list is attached to the out-
side of one box. Check this packing See appendix in this Manual. The form is also available on our website.
list when you first receive the ship- On the website, use username generator and password generation5,
ment or if the items have been and go to http://infimed.com/cc_documents.php. Or contact InfiMed
removed from the pallet when they Customer Care at +1 315-453-4553.
are delivered to the x-ray room. Thank you.
iCynergy is composed of sensitive

electronic devices. Follow caution stickers regarding careful handling. We recommend that you leave the
components in their packaging until it is time to assemble them on site.
To save time when troubleshooting problems and for the best image quality, the x-ray room components
and peripheral devices must be in place, working properly, and configured before installing iCynergy sys-
tem. Check that the following are in place.
Pre-installation site survey. InfiMed requires that dealers of our products assess the facilities into which
iCynergy system will be installed. We give them a short form, the Pre-installation Site Survey, to
complete. They submit the Survey to InfiMed, and it helps us to send the correct equipment. This
survey should be helpful to the installer of the system, too. Therefore, if you do not have the com-
pleted version of the Pre-installation Site Survey, check with the administrator of the organization
that purchased iCynergy system. If necessary, contact InfiMed Customer Care to see if a copy was
submitted (+1 315-453-4553) or if you have any questions or problems.
Packing list. For a copy, call InfiMed Order Services at +1 315-453-4545.
Room layout. Discuss with the site personnel the preferred location for each component. Sketch the room
layout to assist with placement of the components and cabling of iCynergy.

2. ROOM READINESS
Enough shelf or table space. A flat work surface (table or cart) is required to hold the operator controls.
Check that the area has enough room for comfortable use of the keyboard and pointing device and
that the table or cart is at a suitable height. If space is limited, consider using a retractable key-
board shelf (by InfiMed). Some configurations will replace the physical keyboard with an on-screen
touch keyboard. Consult the site personnel for their preferences. See page 68 for information on
configuring the on-screen keyboard.
Suitable conduits. Refer to later chapters in this Manual for details on required cables, routing restric-
tions, cable sizes and lengths. Also, consider cables for other devices in the x-ray room and con-
trol room. See that there is an acceptable path for each cable.
Generator functioning. The generator must function properly before making any connections between it
and iCynergy system.
Optics cube. The x-ray system must be equipped with devices that allow the camera to view the
output phosphor of the image intensifier during fluoroscopy, photos pots, and Cine acquisi-
tion - depending on the type of room.
Fluoro dose control. Control of fluoroscopic kV and mA can be implemented either internally from
the x-ray system through output sampling by image intensifier or from automatic bright-
ness stabilization (ABS) feedback from the camera. If camera-based ABS feedback is
used, the x-ray system requires dedicated circuits to receive the ABS feedback signal
from the camera.
Photospot dose control. The x-ray system must control the x-ray dose during photospot acquisition
by sampling the image intensifier. The exposure consistency of the photo-timer must be
within ±10%. The photo-timer must be capable of controlling the dose of the photospot
acquisition at a rate of up to 15 frames per second (fps), must be self-resetting after each
exposure, have a resolution of 1 ms or less, and be capable of 70% sampling field size.
Photo-timing circuit for spot radiographs. A photo-timing circuit (also called automatic exposure
control, AEC) must be present for the i5 Platform for iCynergy RF-DR to function properly.
Check the generator’s specifications to ensure that the option is available, and locate the
exact wire locations. If the option is not present, it must be ordered from the x-ray genera-
tor’s manufacturer.
Pulsed fluoro. To use the pulsed fluoro of the i5 Platform for iCynergy RF-DR, the generator must
support pulsed fluoro. Pulsed fluoro configuration:
Radiation pulse on (FL PULSE ON) for pulsed fluoro systems only, RAD PULSE ON for systems
that support Cine). RAD PULSE ON indicates that the generator is producing an x-ray expo-
sure. This pulse must be active for at least 1 ms but no more than 15 ms. Pulse fluoro tim-
ing, polarity, and rates must be configured in Service Mode.
Exposure rate. Review the generator’s specifications. If the generator cannot handle 15 fps spot
imaging, notify site personnel and configure iCynergy accordingly. (This parameter is set
in configuration, “Interfaces” on page 66.)
Camera mount type. The type of camera mount required should have been determined when the InfiMed
Pre-installation Site Survey was completed. If the Pre-installation Site Survey is not available, consult the

2. ROOM READINESS
image intensifier’s manual; alternatively, look at the existing camera to determine the type of mount
needed. Then, verify with the packing list that the correct mount was sent.
Power source. If the power source does not meet criteria as outlined in the next chapter of this Manual,
install the InfiMed power conditioner. See page 20.
Image monitors. Consult site personnel to determine preferred location of image monitors. Monitors are
shipped with removable bases. InfiMed recommends you remove the tilt-swivel base from monitor
before mounting monitor to an unstable surface such as a cart or hanging bracket. If using a cart,
InfiMed recommends that you attach a handle to the cart for safe use of the cart and monitor. To
attach the monitor to a cart or to a hanging bracket, consider how the monitor will be attached to
the surface.
Blank disks. To test iCynergy’s recording capabilities you need at least one CD or DVD.
Network drop. The site must provide the network connection cable. Work with the site's network adminis-
trator to have this arranged. iCynergy system supports 10/100/1000 Base-T connections.
Network information. The network address must be obtained from the local network administrator. This
information can then be entered into iCynergy system when the system parameters are set.
Remote DICOM services. The site must provide connectivity data for DICOM service classes, print, store,
worklist, and so forth that are necessary for the particular site. Refer to the Pre-installation Site
Survey for data forms, or contact InfiMed Customer Care (+1 315-453-4553).
Basic tools needed.
Digital volt-ohm meter (20,000 Ω/V)

Phillips #1 and #2, blade type 1/8-inch, 1/4-inch screwdrivers
Metric hex key set (1.5 to 6 mm)
Dosimeter
Ruler
ESD wrist strap
X-ray phantoms: line pair resolution and 15-cm Lucite (homogeneous density). This is equivalent
to 1½ inches of aluminum.

2. ROOM READINESS

CHAPTER 3 Inventory of
Hardware
Components
The components that InfiMed ships depend on each customer’s selected options.
Open each box of the InfiMed imaging system, and identify all parts against the packing list. Don’t discard
the packaging. The electronic devices are best left in the original anti-static bags and foam cushioning until
needed for installation. Please check the following:
• Examine each piece, including containers, for damage.

• Check cable connectors for bent or damaged pins.
• If any component appears damaged, contact InfiMed Order Services at +1 315-453-4545.
INFIMED SHIPS A COMPLETE SYSTEM WITH SPECIFIC COMPONENTS TO MATCH EACH CUSTOMER ’S CHOICES.
HOW CAN YOU KNOW WHICH COMPONENTS YOUR ICYNERGY SET-UP INCLUDES?
ENTER SERVICE MODE, AND CLICK THE VERSIONS BUTTON.
SEE LOWER-LEFT CORNER OF MENUS IN FIGURE 33.
USE TABS TO LEARN VERSIONS FOR SOFTWARE, HARDWARE, AND ICYNERGY DATABASE.
The hardware used in iCynergy is described in this chapter and in the chapter “Carestream Health Detec-
tor” on page 43 Additionally, the connections among the parts are displayed in Figure 21 on page 40,
Figure 22, and Figure 23 in the chapter “Cabling Components” on page 23..
Parts associated with... Table Page

PC Table 2 page 15
Video system Table 3 page 16
GIM Table 5 page 17
Camera Table 6 page 19
Isolation transformer Table 8 page 21
Carestream Health Detector, untethered Table 15 page 44
Carestream Health Detector, tethered Table 16 page 44

3. INVENTORY OF HARDWARE COMPONENTS
Please follow this sequence to assemble the iCynergy system:

1. Review the hardware (this chapter) and cables
2. Begin layout
3. Make connections.
PC tower
The rear panel of the PC has fragile components. Use care when removing the unit from its packaging and
when positioning it.
InfiMed ships iCynergy with a tower PC (model S3210SHLC, Figure 1, Table 2). The PC cabinet contains
motherboard, hard drive, CD/DVD disc drive, power supply, dual-port serial card, video card, multiple USB
ports, and on-board Ethernet
The PC also includes InfiMed's proprietary Image acquisition, processing, and display board (IAPDB), a
component that is integral to the RF functionality of the i5 Platform for iCynergy RF-DR.
Pointing devices
The most common pointing device is a mouse, but other devices include track balls or touch pads. If the
exam room monitor is located on a cart, a trackball is often used and located on the cart. If the monitors are
suspended, a touch pad is often used. It is attached to the housing of the image intensifier or a similar area
that is within easy reach of the technologist.
Use a keyboard splitter or a pointing device splitter to add additional devices. Note that both splitters are
similar in appearance but function differently. Each is appropriately marked to indicate the device connec-
tions. The pointing device splitter and the keyboard splitter must be attached directly to the PC tower with
the extension cables for the devices attached to the splitters. The splitters will not function properly if
attached to the remote end of an extension cable.

FIGURE 1. Tower PC, monitor, mouse, & keyboard
TABLE 2. Parts for PC (see diagram in Figure 23 on page 42)
Item Part number

PC tower 747-251-G1
VIB 727-644-G1
IAPDB-MF 723-187-G2
LVDS 727-654-G1
Graphics card 098-863
DVI loopback cable 726-521-G1
Keyboard 098-699
Second keyboard (optional) 098-699
PS/2 extension cable (optional) 726-088-G1
Dual keyboard adaptor 098-509
Mouse 098-698
(second) Mouse (optional) 098-698
(second) PS/2 extension cable (optional) 726-088-G1
PS/2 mouse splitter (optional) 098-674
Speakers (optional) 747-254-G1
On site LAN (NIC 2) connects to PC
The PC tower is usually positioned in the control room near the primary monitor, keyboard, and pointing
device. Locate it within:
• 100 cable ft of the x-ray generator control cabinet for connection to the generator interface module
(GIM).
• 100 cable ft of the image intensifier to connect to the CCD camera.
Note: Keep the PC tower beyond a 6-ft radius of the x-ray table. Pay careful attention to other equipment in
the room that generates high frequency signals, and place the PC tower as far from such equipment as is
feasible. Such placement helps to prevent the noise from affecting the image video signal.

Allow sufficient space around the PC tower to permit service personnel to gain access inside its cabinet.
Keep a minimum of 4 inches of clearance at the front and rear of the PC tower for ventilation. The PC
tower must be placed on a flat level surface and checked for stability. If necessary, use a PC stand.
Monitor
iCynergy uses an LCD touch screen monitor (seeTable 3). Commonly, a keyboard, mouse, and monitor
are located in the control room, and additional monitor(s) and a pointing device are located in the exam
room.
The parts pertinent to iCynergy and its video components are listed in Table 3.
TABLE 3. Parts for video (see diagrams in Figure 21 and Figure 22)
Item Part number

Primary display 855-044-G1
3-ft VGA cable 068-056
VGA extension cable, 100 ft 735-042-G1
Video splitter (optional) 735-024-G1
Second primary display (optional) 855-044-G1
(second) 3-ft VGA cable 068-056
(second) Video splitter (optional) 735-024-G1
(second) VGA extension cable, 100 ft 735-042-G1
Reference display (optional) 855-044-G1
(second) Reference display (optional) 855-044-G1
Serial cable, 100 ft, (optional) 725-601-G2
See Table 4 for specifications, including regulatory requirement, for the monitor.
TABLE 4. Monitor specifications

Resolution (aspect ratio) 1280 x 1024 (5:4)
Contrast ratio ≥ 400:1
Input video signal DVI-A, or DVI-I
Touch screen interface RS-232C or USB
Brightness ≥ 250cd/m2 max (white luminance)
Regulation IEC-60601, CE
Control room monitor. Position the monitor within 6 cable ft of the PC and within 6 cable ft of the isolation
transformer (or within 100 ft if the 100-ft extension cord is used). The control room monitor may be,
but need not be, powered from the isolation transformer (Figure 8) or the optional UPS-power con-
ditioner (Figure ). When multiple monitors are used, a VGA splitter with VGA extension cords con-
nects to the PC tower. The VGA splitter has a 2-ft cable and, therefore, should be located within 2
ft of the PC tower.

Exam room monitor(s). iCynergy can accommodate a second monitor, a reference monitor placed to the
right of the main exam room monitor. Use a 100-ft extension cable from the PC tower to this moni-
tor. These monitors have medical-grade power supplies and may be powered from inside the x-ray
generator's control cabinet or from a convenient wall outlet. If the monitor has touchscreen capa-
bilities, a 100-ft serial cable is necessary.
Power to monitor. If the optional UPS-power conditioner is being used, we recommend that the monitor
be powered through it. Such an arrangement permits the monitor to remain on while the patient
exam is closed and iCynergy system safely powered down. Power extension cables may be pur-
chased from InfiMed or fabricated to the prevailing electrical and fire codes.
Generator interface module (GIM)
The generator interface module (GIM) is a white metal box 12 x 12 x 2½ inches. (305 x 305 x 63 mm); see
Figure 2 which shows the GIM with its cover off. Interface signals that connect the iCynergy to the host x-
ray system are input and output from the remote generator interface module (GIM).
FIGURE 2. GIM — with cover removed
The GIM uses the inputs and outputs that are listed in Table 5:
TABLE 5. GIM inputs & outputs
Number Input or output

32 Two-state input circuits These inputs and
outputs are used
12 Relay outputs in the standard
1 Analog ABS output generator inter-
face scheme.
4 Open collector drive outputs
4 RS-232 serial ports
2 CAN bus ports
8 Analog voltage inputs

Except in specific OEM applications, the GIM should be positioned inside the x-ray generator's control cab-
inet or within 25 cable ft of the cabinet. It must also be within 100 cable ft of the PC tower. The GIM is typi-
cally powered from within the x-ray generator's control cabinet. It is equipped with a medical-grade power
supply, and may be powered from a convenient wall outlet (within 6 cable ft).
Note: The GIM has an opening through which cables are routed. If the GIM is installed on the wall or the
side of the x-ray generator cabinet, make sure that this opening is facing down. Such positioning prevents
any contact with live parts or parts that might become live in a single-fault condition.
The two-state inputs, relay outputs, open collector drives, and analog ABS signals are used in the standard
generator interface scheme.
The opto-isolator (Figure 3) senses inputs such as FLUORO ON, PREP, and REQUEST from the x-ray genera-
tor. It contains bidirectional (AC) diodes, and current may flow either way through the input circuit. Voltages
from 5 to 32 V DC may be applied across the Input + and Input -. (The + and - designators are for identifi-
cation purposes only.)
FIGURE 3. Two-state input circuit, GIM board
The relay output circuits, an example is in Figure 4, generate outputs from the system to the x-ray genera-
tor are on the GIM board. EXPOSE IN and EXPOSE OUT, for example, are output signals. Note: Relay contact
switching capacity must not exceed 1 A, 30 V DC.
FIGURE 4. ABS output circuit, GIM board
Figure 5 shows the circuit that drives the clock signal generated on the GIM board to the host x-ray sys-
tem. Configure the polarity and pulse width of the generated signal through Service Mode of the i5 Platform
for iCynergy RF-DR. The output is an open collector with an operating range of 5-32 V DC.

FIGURE 5. PFluoro drive circuit, GIM board
An optional ABS drive signal (Figure 6) is available from the GIM module. The drive signal outputs can be
configured for a variety of output ranges to meet the output requirements of different x-ray system manu-
facturers.
FIGURE 6. ABS output circuit, GIM board
Camera
The CCD camera assembly is configured specifically for each site based on the information supplied to
InfiMed from the Pre-installation Site Survey. The camera mount is always shipped with the system (a in
Figure 7, left). An afocal adapter is sent only where necessary (b in Figure 7, left). Note the parts associ-
ated with the camera and iCynergy in Table 6
TABLE 6. Parts associated with camera (see diagrams in Figure 21 and Figure 22)
Connection from ... Item Part number Connects to...

LVDS board in PC (727-654- LVDS cable 723-234-G1 Camera
G1)
Three sizes of Allen wrenches are needed to assemble the camera: 2, 2.5, and 3 mm. The camera will be
attached to the image intensifier's output housing. The camera must be within 100 cable ft of the PC tower.

FIGURE 7. Left: Assemble the camera. Right: Attach camera.
Assemble and mount the camera
1. Attach the afocal adaptor (if used) to the camera. See Figure 7, left, at b.
2. Carefully screw the ND filter (c, if used) to the afocal adaptor (b).
3. Attach the dovetail mounting plate (a) to the afocal adaptor (b) using the hardware provided. If no afo-
cal adapter is being used, attach the mounting plate directly to the camera (d). There are several ver-
sions of the mounting plate, and the one in use at your site depends on the model of optical distributor
present at your site. Figure 7 shows the most common 4-inch dovetail version (a).
4. Securely attach the camera assembly to the optics port. Verify that it has sufficient clearance in all x-
ray table positions. See Figure 7 (right).
Power
iCynergy’s system power must meet the specifications in Table 7. Power must be from a dedicated AC
line. Dedicated is defined as having no other branch circuits and the outlet is powered directly from a circuit
breaker in the local AC distribution panel.
TABLE 7. System power specifications
Power phase V Hz A
Single 90 - 132 50 / 60 8
Single 198 - 242 50 / 60 4
Power must be free of noise, spikes, surges, and brownouts that exceed the nominal voltage by ±10%. If
these conditions cannot be met, the optional power conditioner is required. The following conditions must
also be met:
• Peak impulse levels (line to neutral) are to be under 100 V peak above nominal (peak time interval 2
ms or less).
• The neutral wire must be the same gauge as the line wire.
• Frequency requirements are: 60 Hz system: 60 Hz ±0.5 Hz, 50 Hz systems: 50 Hz ±0.5 Hz.

• Neutral to ground potential: 2 V p-p or less.

• For sites using 230 V AC, an approved male plug must be used on the isolation transformer
(Figure 8) provided it has ratings of 250 V AC and 5 A or greater.
Isolation transformer
Use the isolation transformer (Figure 8) to supply power to iCynergy system. Do not simply plug iCynergy
system into a wall plug.
FIGURE 8. Isolation transformer
The isolation transformer powers all components of iCynergy system and is normally positioned under the
table or counter that holds the monitor and PC. Position the isolation transformer within 6 ft of the wall
power source. The isolation transformer is considered a multiple portable socket outlet (MPSO). Locate in
accord with the prevailing electrical and fire codes. SeeTable 8 for specifications.
TABLE 8. Specifications for isolation transformer
115 V AC 230 V AC
Input voltage 115 V AC nominal 230 V AC nominal
50/50 Hz 50/60 Hz
Input current 8 A RMS maximum Input current 8 A RMS maximum
Output voltage 115 V AC (±4%) 115 V AC (±4%)
50/60 Hz 50/60 Hz
Output current 7 A RMS minimum Output current 7 A RMS minimum
Leakage current 99 µA max at full load 99 µA max at full load
Power outlets Four standard North American style female receptacles (NEMA-5-15)
Fault protection Two 8-A circuit breakers
Cautions regarding the isolation transformer

To reduce the risk of electrical shock, do not remove the cover. Refer servicing to qualified personnel.
Grounding reliability can only be achieved when connected to an equivalent receptacle marked hospital
grade. The outlets on the isolation transformer output 115V AC (±4%). See Table 1 on page 5 for environ-
mental parameters.

UPS, power conditioner
The uninterruptible power system (UPS) may not be placed on the floor.4 Mount it in such a way to prevent
the ingress of liquids and to avoid mechanical damage during normal use. Input power is 120 V AC, 9.2 A,
50/60 Hz. output power is 120 V AC, 1000 V A.
FIGURE 9. External ground screw head stud
Additional electrical equipment
• Grounding: External ground screw head stud (Figure 9)

• Detachable hospital-grade power supply cord, Pacific Electricord C-5720-010-GY or equivalent.
4. IEC 60601-1-1.1.

CHAPTER 4 Cabling
Components
Place each component in its intended location. Consider cable lengths, but do not make any cable connec-
tions until layout is complete (see instruction beginning on page 25).iCynergy may be configured as teth-
ered or untethered (wireless).
If issues arise regarding component placement, use the location criteria presented in “Inventory of Hard-
ware Components” on page 13 with the description of each component. The layout criteria were guided by
the goal to achieve safety and optimal image quality.
Inventory of cables
Cables used to configure the hardware of iCynergy are listed in Table 9 below. The number of cables that
is required for the i5 Platform for iCynergy RF-DR is unique for each site’s configuration.
Safety considerations
• Use only cables supplied by InfiMed, unless specifically noted below. Use InfiMed-speci-
fied extension cables, if necessary.
• All components must be powered off when making cable connections.
• Do not connect any x-ray generator interface signal cables yet.
• The PC tower must be powered through the isolation transformer supplied by InfiMed. Do not plug
the PC into a wall plug.
• If you are using the optional UPS-power conditioner, power it from the isolation transformer. Then,
power the tower PC from the UPS-power conditioner.
• All cable connections to the tower PC are made in the rear.

4. CABLING COMPONENTS
TABLE 9. Cables
Name & illustration Connections Description

Power cable Power source ↔ Standard 3-prong plugs
powered compo- 6 ft
nent
726-086-G1, Two-state input cables GIM ↔x-ray gen- 25 ft

erator 4 or 5 cables shipped, depending on
system configuration and options
ordered.
726-087-G1, relay cables GIM ↔ x-ray gen- 25 ft

erator 4 or 5 cables shipped, depending on
system configuration and options
ordered
068-044 GIM ↔ x-ray gen- 50 ft, optional 100 ft available

erator Used as ABS cable
735-731-G1, Ethernet crossover cable PC tower ↔ GIM 100 ft

CAT 5
Ethernet crossover cable may be modi-

fied for length.
726-088-G1, Optional extension cable for keyboard PC tower ↔ key- 100 ft
board
Do not modify
726-088-G2, Optional extension cable for mouse PC tower ↔ 100 ft

pointing device
Do not modify

TABLE 9. Cables (Continued)
Name & illustration Connections Description

723-234-G1, LVDS cable PC tower ↔CCD 100 ft
camera Black cable, molded camera connector
Do not modify the camera cable for

length. Do not disassemble it for routing
purposes. Care-fully check each end for
damage. Be aware of which end con-
nects to the PC tower and which con-
nects to the camera. The ends are not
interchangeable.
723-521-G1, CFI cable PC tower ↔ PC 12 inches
tower Allows graphics overlay to be generated
through the display board onto IAPDB
Optional VGA extension cable VGA splitter ↔ 100 ft

monitor Do not modify this cable for length.
Depending on the number of monitors in
the exam room, one or two VGA cables
are fun from the PC tower to the exam
room. If power extension cables are
used to power the monitors from the
UPS-power conditioner, run them at the
Optional VGA extension cable PC tower ↔ mon- same time.
itor
Optional VGA splitter input cable PC tower ↔ VGA 3 ft

splitter
Cable connections
Cabling is completed in the following sequence:
1. PC system
2. Camera
3. Power supplies

4. GIM to x-ray generator.
When cabling the components, leave a service loop for each connection at the PC tower or camera to
accommodate minor repositioning during calibration or service. Roll or fold the excess cable such that it
does not place undue stress on the cable, and place it in a safe unseen area.
PC connections
External cables are installed through the rear panel of the PC cabinet. There is no need to remove the
back panel to make these connections.
The cables as they should be arranged at the rear of the PC chassis are illustrated in Figure 10. Note the
loop back cable that connects the graphics card with the IAPDB.
FIGURE 10. PC connections
DVI loop back cable. Connect the DVI loop back cable first.
PC tower cables. Connect the remaining cables to the back of the PC tower as shown in Figure 10.
Control room monitor connections
The i5 Platform for iCynergy RF-DR supports multiple primary display monitors. Only one of these may be
a touch screen. A third monitor — a reference monitor — is also supported. Note: Any combination of mon-
itors may be used, but InfiMed recommends that whenever two monitors are placed side-by-side that they
be of the same type.

The standard control room monitor is a color touch screen monitor. InfiMed can supply a color touch-
screen monitor. It has both video (VGA) and communication (USB or RS-232) connections to the PC
tower. Refer to Figure 11.
FIGURE 11. Rear of PC: Video & Ethernet connections
1. Connect the monitor power supply to the monitor.

2. Connect the monitor VGA cable from the monitor to the VGA splitter.
3. Connect either the monitor USB or RS-232 — whichever is used (not both). Note: For short distances
where the monitor is near the PC tower, connect the USB cable from the monitor to any USB port on
the rear of the PC tower. For distances greater then 12 ft, connect the monitor RS-232 serial cable to

COM1 on the rear of the PC tower. If you need to purchase a longer RS-232 serial cable, obtain one of
high quality.
Exam room monitors connections.
1. Connect the monitor power supply(ies) to the monitor(s).

2. Connect the VGA extension cable from the VGA splitter to the primary monitor.
3. Connect the optional VGA extension cable from the PC tower to the optional reference monitor.
GIM connection
Connect the Ethernet crossover cable from the GIM's Ethernet connection (see Figure 2 on page 17, far
upper-left corner) to the PC tower (see Figure 11). Do not connect any generator interface cables at this
time.
Hand held scanner (if used). Connect the hand held scanner's USB cable to an available USB port on the
PC tower. No drivers or other software needs to be installed for the bar code scanner.
Camera
Route the camera cable
Note: Make sure that the PC tower is turned off before you connect the camera cable to the camera. These
steps show you how to cable the camera.
FIGURE 12. Left: Remove iris. Right: Remove cable cover
1. Remove the iris cover (Figure 12, left).

2. Remove the cable cover (Figure 12, right).
3. Remove the cable clamp (Figure 13, left).

FIGURE 13. Left: Remove the cable clamp. Right: Attach camera cable to connector
4. Remove the top cable clamp.

5. Slide the iris cover over the cable so that it may be reattached later.
6. Attach the camera to the connector. Route it through the clamp, around the lens, and out of the camera
(Figure 13, right).
7. Replace the cable clamp. Make sure that it tightly grips the ferrule on the cable but does not pinch the
iris cable.
8. Replace the cable cover. The iris cover may be replaced now, but it must be slid back again when the
camera is calibrated. See “Camera” on page 28 for further instructions on cabling the camera to the full
system, but most other connections to the PC tower and power are made before the camera is con-
nected to the PC tower.
Connect camera to PC
With the power off, connect the camera to the PC. Use cable 723-34-G1.and after the PC has been cabled,
it is time to cable the camera to the PC. See Table 9 on page 24, part number 723-234-G1.
Connect GIM
Interface diagrams for the GIM and several x-ray generators are available from InfiMed. On the website,
use username generator and password Generation5, and go to http://infimed.com/cc_interfaces.php, or
call Customer Care at +1 315-453-4553. For the appropriate connection points, refer to documentation
provided by manufacturer of the x-ray generator.

Preparation
• Examine the room layout to plan how you will route the cables.
• If necessary, refer to the cable drawings to identify the cables that are provided (Figure 9 on
page 24). More than one of each cable may be provided with the i5 Platform for iCynergy RF-DR,
depending on the number of signals to be used. The cables are identical when shipped. You must
mark them individually to differentiate between each port. Up to eight input ports and four output
ports are available; so, make this distinction before cables are routed. A 50-ft roll of four-conductor
cable is included. Use it for the ABS and fluoro V-drive connections.
• Review the GIM signal definitions (tables below) to determine which signals will be used.
• Study the GIM internal diagram for locations of points of connection (see location of this diagram in
Figure 14).
FIGURE 14. GIM internal diagram label
WITH THE CABLES LABELED, CONNECT THEM TO THE GIM AS INDICATED BELOW.
MAKE NO CONNECTIONS YET TO THE X-RAY GENERATOR.
GIM layout and connector identification
Label each cable, and connect each to the GIM as indicated below. Figure 15 shows the ports of the GIM.

FIGURE 15. Opto inputs
Two-state inputs. The two-state input connections for GIM connector P1 are presented in Table 10. Note
which ports are required.
TABLE 10. GIM connector P1: Two state input connections for iCynergy
Two state inputs Standard configura- Comments

tion
P1 Input 1 Fluoro on Enabled (required) Always connected for iCynergy
Port 1 Input 2 RF prep Enabled (required)
Input 3 RF req Enabled (required)
Input 4 RF rad ready Enabled (required)
P1 Input 5 II Mag 1 Disabled (optional) Generator dependent

Port 2 Input 6 II Mag 2 Disabled (optional)
Input 7 Single/rapid Disabled (optional)
Input 8 RF select Enabled (required) Always connected for iCynergy
P1 Input 9 H_Reverse Disabled (optional) Generator dependent

Port 3 Input 10 V_Reverse Disabled (optional)
Input 11 II Mag III Disabled (optional)
Input 12 PFluoro sel Disabled (optional)
P1 Input 13 FL pulse on Disabled (optional) -

Port 4 Input 14 Rad exp on Disabled (optional) Generator dependent
Input 15 Low dose Disabled (optional)
Input 16 FL store Disabled (optional)
P1 Input 17 Cine sel1 (Future Option) Disabled (optional) Not applicable

Port 5 Input 18 Cine sel2 (Future Option) Disabled (optional)
Input 19 FPD exp ok 1 Disabled (optional)
Input 20 Not used Not applicable

TABLE 10. GIM connector P1: Two state input connections for iCynergy (Continued)
P1 Input 21 Tomo select (Future Option) Disabled (optional) Not applicable

Port 6 Input 22 Not used Not applicable
Input 23 FPD exp ok 2 Disabled (optional)
Input 24 Dose high Not applicable
P1 Input 25 DR prep Enabled (required) Always connected for iCynergy

Port 7 Input 26 DR req Enabled (required)
Input 27 DR1 select Enabled (required) —
* See important note. non-integrated gener-
ator
Disabled (optional) —
integrated generator
Input 28 DR2 select (Future Option) Disabled (optional) Not applicable
P1 Input 29 Not used Not applicable Not applicable

Port 8 Input 30 Not applicable
input 31 Not applicable
Input 32 Not applicable
* DR1-SELECT: Disable this signal if generator is not integrated.
TABLE 11. Signals, required & optional for functions
To install a function
(right), connect all Continuous Pulsed Radiographic
required signals fluoroscopy fluoroscopy photospot
Fluoro on  
Pulsed fluoro select Optional
Pulsed fluoro on 
Rad pulse on
Prepare for photospot 
Request for photospot 
Spot select 
Rad ready Optional
Single/rapid
Expose in/out 
Rad expose on Optional*
* Must be installed if Expose in/out relay open does not terminate exposure.
Relay outputs. Figure 16 shows the relay output ports. The connectors for P2 and P3 on the GIM are
listed in Table 12.

FIGURE 16. Relay outputs
TABLE 12. Relay outputs for iCynergy

Relay outputs Comments
P2 Input 1 RF_X_RAY_EN Always connected for iCynergy
Port 1 Input 2 INJECTOR_SYNC -
Input 3 TOMO_ENABLE (Future Option -
P2 Input 4 TABLE_STEP (Future Option) -

Port 2 Input 5 CINE_ENABLE (Future Option) -
Input 6 FLUORO_ENABLE Always connected for iCynergy
Input 7 Spot Subtract -
Input 8 FPD_PREP (Future Varian FPD Option) -
Input 9 FPD_REQ (Future Varian FPD Option) -
P3 Input 10 DR_X_RAY_EN Always connected for iCynergy

Port 2 Input 11 APP_OPEN (Future Technix Option) -
Input 12 FPD_RDY (Future Technix Option) -
See Figure 17 for the iCynergy connection diagram.

FIGURE 17. iCynergy connection diagram (generic)

Drive outputs.The connections for the ABS drive, port 20 (1 through 3), and the connections for the drive
outputs, port 18 (1 through 3), are illustrated in Figure 18. The specific functions are listed in Table 13.
FIGURE 18. ABS & drive outputs
TABLE 13. ABS drive outputs

See pertinent locations shaded in Figure 18.
Connections for ABS drive Connections for pulsed fluoro drive

P20-1 ABS+ P18-1 PFluoro drive
P20-2 ABS Comm. P18-2 PFluoro power
P20-3 ABS- P18-3 PFluoro ref
Signal descriptions
Each installation is unique. Use the signal definitions in Table 14 along with site requirements and the gen-
erator interface document to determine which signals are needed.
TABLE 14. Signal descriptions
Required Signal name Definition Description
Fluoro signals
 Fluoro on Input to GIM Active when fluoro radiation is on. Causes iCynergy
Digital is selected at to display the live fluoro image in fluoro mode.
the x-ray generator When inactive, iCynergy maintains the last full
console frame of fluoro. PREP signal overrides this.
 Pulse on Output from GIM Indicates that x-ray generator is generating a pulse
Required for Pulsed fluoro on for pulsed fluoro. Synchronizes the acquisition of
pulsed fluoro images with the x-ray exposure. Must be active for
at least 0.5 ms.
 Pulsed fluoro V Output from GIM Used as clock signal for triggering x-ray generator
drive (output) Pulsed fluoro clock during pulsed fluoro mode. GIM outputs this signal.
Required for Constant frequency is 30 Hz.
pulsed fluoro

TABLE 14. Signal descriptions (Continued)

FOV Mag 1 Input to GIM When active, image intensifier magnification is in
Image intensifier mag mode 1. Signal is inactive
mode 1 during normal
image intensifier
FOV Mag 2 Input to GIM Image intensifier magnification mode 2 is selected. magnification.
Image intensifier mag This signal
mode 2 informs camera
FOV Mag 3 Input to GIM Image intensifier magnification mode 3 is selected. iris of the mag
mode in use.
Image intensifier mag
mode 3
Fluoro inhibit Relay output from GIM Inhibits fluoro radiation when iCynergy is not in a
Cannot display image state that allows display of video
ABS drive Output from GIM Drive signals from the GIM to control fluoro dose.
Automatic brightness
stabilization
Reverse H Input from GIM Imaging system can reverse the image using
Reverse the image mouse or touch screen. If the end user prefers to
horizontally. continue to use the existing switch, it can be inter-
faced using this signal.
Reverse V Input from GIM
Reverse the image
vertically.
Digital spot signals

 Rad Type Spot Input to GIM When active, iCynergy is selected for digital spot
Digital is selected at image acquisition. When inactive, iCynergy is dese-
the x-ray generator lected and will not acquire digital spot images.
console
 Prep Rad Exp Input to GIM Active when the generator is preparing for radio-
Prep for exposure graphic exposure. Depending on the site configura-
tion, it can indicate that an exposure is being
prepared for or that preparation for an exposure is
complete.
 Req Rad Exp input to GIM Active when operator requests a radiographic expo-
Request exposure sure.
Rad Ready Input to GIM Indicates that the generator is ready to respond to
X-ray generator ready the operator's request for a radiographic exposure.
to expose When enabled, the signal and REQ RAD EXP must be
“true” to initiate a digital spot exposure. When the
signal is disabled, only REQ RAD EXP is required.
Rad Exp On Rad expose on Indicates to iCynergy that the generator is produc-
ing radiographic radiation for photospot imaging
only.
Note: Failure to Enable the RAD EXP ON line limits
the usable radiographic exposure time to 200 ms.
 RF x-ray enable Relay output from GIM Required permissive relay that allows the x-ray
Enable exposure generator to expose when iCynergy is ready to
acquire. Does not close until all required signals are
active.

TABLE 14. Signal descriptions (Continued)

 DR prep Host x-ray system to Active when x-ray generator is preparing for expo-
iCynergy sure
 DR req Host x-ray system to Active when generator has completed PREP cycle
iCynergy and operator is calling for an exposure
 DR1 select Host x-ray system to Active when iCynergy is selected for image acquisi-
iCynergy tion on detector panel #1.
When both Select 1 and Select 2 lines are off, iCyn-
ergy assumes that the generator is in use for other
non-digital detectors.
 DR x-ray enable Host x-ray system to Active when (a) patient is open, (b) PREP and REQ
iCynergy inputs are true, and (c) detector is ready to acquire.
When DR x-ray enable is active, x-ray exposure
should initiate from the host x-ray system.
Pulsed fluoro
1. Pulse fluoro on, fluoro on
2. PFluoro V-Drive
Figure 19 shows an example of a time line with 15 Hz.
FIGURE 19. Example: Sequence of events, pulse fluoro at 15 Hz
Power connections
Plug the isolation transformer power input cord into the dedicated line's wall socket:
(a) If you are not using a UPS-power conditioner, plug the PC tower and control room monitor into
the outlets of the isolation transformer.
(b) If you are using a UPS-power conditioner, plug its power input cord into the isolation trans-
former outlet, and plug the PC tower, control room monitor, and (optionally) the exam room moni-
tor(s) into the outlets of the UPS-power conditioner.

See Figure 20 for placement of the power supply components, including the UPS combo unit, if used.
Once all component power cables have been plugged into the isolation transformer, feed the cables
through the openings in the isolation transformer cover, and attach the cover using four screws.
Connect the GIM power cord to its source, and plug it into the GIM power inlet.
If the exam room monitor(s) power is not yet connected, connect the power cords from their power source
to the monitor power supply.
FIGURE 20. Arrangement of power supply components
IN PREPARATION FOR CONNECTING THE GIM AND THE X-RAY GENERATOR,

TAKE THE FOLLOWING STEPS:
POWER OFF ALL COMPONENTS OF ICYNERGY.

UNPLUG THE GIM POWER CORD.
POWER DOWN THE X-RAY GENERATOR.
iCynergy configurations
iCynergy may be configured in two alternative ways:

• Tethered. See Figure 21.

• Untethered (wireless). See Figure 22.
Note: The familiar inputs to iCynergy (keyboard, mouse, and so forth) are displayed in Figure 23.

FIGURE 21. iCynergy tethered to detector, connection diagram (721-100-G1)
Inputs, see
Figure 23.

FIGURE 22. iCynergy not tethered to detector, connection diagram (721-100-G1)
Inputs,
see
Figure 23

FIGURE 23. Inputs to tethered & untethered configuration

CHAPTER 5 Carestream
Health
Detector
This chapter discusses the Carestream Health Detector x-ray panel (Figure 24).iCynergy offers two
options for the panel, tethered or untethered (wireless). The following are the basic specifications for the
Carestream Health Detector; other specifications are listed in Table 17:
• Wireless cassette-sized detector, ISO 4090, Wireless standard 802.11 n
• When tethered, connection is Ethernet, PC interface is Ethernet
• Image size: 35 x 43 cm
• Maximum external dimensions: same as 35 x 43 cm cassette
• Weight: 8.5 lb (3.9 kg)
• Pixel pitch: 139 µm
• Power: External battery charger
• Captures 70 to 90 images on a single charge. Can be used with standard grid.
FIGURE 24. Carestream Health Detector (right) & battery charger (left)
See “Battery replacement” on page 46 for instructions on changing the detector’s battery.

5. CARESTREAM HEALTH DETECTOR
The iCynergy parts associated with the Carestream Health Detector are listed in Table 15 for the unte-
thered option and in Table 16 for the tethered option.
TABLE 15. Parts for flat panel untethered. See Figure 21
Aggregated part
Item Part number number
Carestream Health Detector. See Table 17 for specifications. 098-925 739-296-G1
Batteries (2) 098-916
Battery charger 098-915
Wireless antenna 098-919 -
Access point 098-918 -
100 MB Cat 5 cable - connects NIC 1 to access point 010-221 -
TABLE 16. Parts for video flat panel tethered. See Figure 22
Aggregated part
Item Part number number
Carestream Health Detector. See Table 17 for specifications. 098-925 739-296-G1
Batteries (2) 098-916
Battery charger 098-915
Wireless antenna 098-919 -
Access point 098-918 -
100 MB Cat 5 cable, connects NIC 1 to network switch 010-221 -
second 100 MB Cat 5 cable, connect from network switch to flat 010-221 -
panel detector
Network switch 098-912 -
Carestream tethered option 098-914 -
Power/data tether (optional) Supplied by Carestream
TABLE 17. Carestream Health Detector specifications
Applicability Factor Specifications

Environmental Shock High shock tolerance
Temperature Operating 10°-30°C (50°-86°F)
Ambient-storage 20°-70°C (68°-158°F)
Relative humidity, Operating 10-90% non-condensing
Storage 10-90%, non-condensing
Mechanical Weight limit Applied to a single 5-cm (2-inch) point: 23 kg (50 lb)
Distributed evenly over detector area: 125 kg (275 lb)

TABLE 17. Carestream Health Detector specifications (Continued)
Applicability Factor Specifications

Performance Time to exposure-ready (minimum detector prep time) 2s
Hold on prep support Up to 15 s
Time to preview <6s
Cycle time 20 s
Exposure window 1.1 s
Safety Approved to IEC 60601-1 by TUV Rheinland, CE certification
Source: Carestream Health, Inc. Carestream DRX-1 System, OEM Integration Manual. Pub. #8G8990. 17 February 2009.
Battery charger (Figure 24). Accommodates up to three batteries. Power: 90-264 V, 50-60 Hz, 75 W max
LED states
Table 18 lists the LED flash codes for the Carestream Health Detector. No flashing means that the power is
off or that the panel is at high power.
TABLE 18. LED flash codes for Carestream Health Detector
LED pattern Meaning Action

1 green flash Detector is in standby No action is required. The detector is not
No study is active being used.
Console may not be connected
Low power
2 green flashes System is on and ready No action required. LED indicates the detec-
tor has been selected
3 green flashes System is on and enabled but not ready. Should not display in normal operation. If this
pattern is visible, call service.
4 green flashes System is on and enabled. This flash pattern Do not report an error if this patter is not visi-
appears while pressing the prep switch. ble.
5 green flashes Power fault has occurred. Detector is unus- Remove and re-insert the battery to clear the
able. problem. If the problem persists, call service.
1 blue flash Detector is currently connected to the system No action required.
console.
2 blue flashes Detector is not currently connected to the If this patterns occurs while the detector is in
system console. use, call service.
3 blue flashes Detector has rebooted and has not yet con- If patterns occurs when the detector should
nected to system console. be in use, call service.
4 blue flashes Detector is performing firmware upload. Do not interact with the detector.
5 blue flashes Detector is attempting to connect to the wire- No action required.
less access point.

Detector software
When a customer of InfiMed purchases the i5 Platform for iCynergy RF-DR system with a Carestream
Health Detector, InfiMed ships the system with the detector’s software already installed and ready for use.
In some cases the Service Technician will have to install the Carestream Health Detector panel. To do so,
follow the directions in “Configuration” on page 47.
Cautions
• Consult Carestream Health Detector technical documents for installation and testing instructions.
• Work on a clean work surface.
• Protect the wireless panel sensor from electrostatic discharge (ESD), scratches, dust, spills, and
moisture. The electronic components are extremely sensitive to ESD, dust, dirt, oils, and other
contaminants; therefore, use ESD precautions when working with electronic equipment.
Battery replacement
When the battery of the Carestream Health Detector required changing, follow the steps below. The figure
shows, in the upper-left corner, a front view and side view of the detector’s batteries in the battery holder.
The right side of the figure shows the bottom of the detector, battery-side up and with the battery removed.
1. Take a charged battery from the battery holder.

2. Align the terminal connections of the battery with those of the panel at A in the figure above. Hold the
battery at a 30º angle.
3. Slowly lower the left side of the battery, fitting it securely in the recess.
4. Place the clamp, circled at B in the figure above, over the battery.
The recharged battery is now available to the panel.

Configuration
Factory provisioning
THE STEPS LISTED IN THIS SECTION MAY ALREADY HAVE BEEN COMPLETED AT THE FACTORY.
SKIP THIS INFORMATION
IF YOU WISH TO PROCEED WITH CONFIGURING THE PANEL,
GO TO “CONFIGURATION AFTER FACTORY PROVISIONING” ON PAGE 48.
1. Insert the Registration CD that came with the Carestream panel into the DVD drive. This CD contains
the registration file required to install the panel to the iCynergy PC.
2. Configure the network connection through Microsoft Windows. To ensure the PC’s network local
area connection IP address settings are set to communicate with the Carestream Health Detector, Set
them to 10.0.1.251
3. In Windows XP, click on:
Start > Control Panel > Network Connections > Local Area Connection > Properties. 
See sample Windows XP screen in Figure 25.
FIGURE 25. Set properties of LAN through Windows XP
4. For Local Area Connection properties General tab, see image, select Internet protocol (TCP / IP), and
click on Properties.
5. On the Internet (TCP/IP) Protocol properties general tab, select the Use the following IP address radio
button, Figure 26.

FIGURE 26. Windows XP TCP/IP properties, general tab
6. Set the IP address to 10.0.1.251. The subnet mask automatically sets to 255.0.0.0. Save the LAN set-
tings.
Configuration after factory provisioning
The Carestream Health Detector must be configured to operate with iCynergy. Use the values in Table 19
when configuring the Carestream Health Detector in Service Mode for use with iCynergy. (Configuration
steps follow the table.).
TABLE 19. Carestream Health Detector configuration settings
Parameter type Parameters Settings

Flat panel detector Detector name Carestream Health Detector
details
Panel serial number Auto-generated when panel is installed
Remote IP address (panel) IP address (read only)
Host IP address 10.0.1.251 (same as noted above)
Manufacturer name and model Carestream / DRX-1

TABLE 19. Carestream Health Detector configuration settings (Continued)
Parameter type Parameters Settings

General Serial number (Read only)
Remote IP address (panel) (Read only)
MAC address (Read only)
Subnet mask User-entered text
Service set ID User-entered text
Country code User-entered text
Acknowledgement time out (time within which the panel 100.0 - 1000.0 ms, Default 200 ms
must complete an exposure, in ms)
Collect raw image data On/off, Default off, Storage location: c:\DiagI5
Wireless options WPA2 pass phrase User-entered text
SSID User-entered text
Radio power (strength of wireless radio signal) 0 - 63, Default 0
Battery Battery level charge status, level data 0 - 100%, Default 5%
Images-acquired temperature status, temperature data 0 - 100°, Default 5°C (equivalent to 41°F)
Detector corrections Console offset On/off, Default on
Gain On/off, Default on
Defect On/off, Default on
Line On/off, Default on
Panel offset On/off, Default on
Histogram shift (to left) On/off, Default on
Noise On/off, Default on
1. To configure the Carestream Health Detector, begin with the Service Mode menu (see Figure 33).
Select the first option, Config. Among the configuration options is Panel Configuration. Select it. See
Figure 27.

FIGURE 27. Configure a new panel in Service Mode
2. Select Add from the lower part of the top-right window pane. This button gives you a drop-down menu
with Carestream as one of the options. Select the Carestream option.
3. Next, you see a new window with a file-browse dialog. Browse to the location of the CD that was
shipped with the Carestream Health Detector panel. Among the files on that disc, select the file Regis-
tration.xml, and open the file. iCynergy then copies the files from the DVD, a process that may take a
few minutes. iCynergy uses the Registration.xml file to install the panel.
4. Next, the panel appears under the Current Panels list (Figure 27).The panel cannot yet be Configured
or Verified (see buttons in Figure 27) because the panel has not yet been connected to the iCynergy
system. This Configuration and Verification of connectivity is completed after the panel has been con-
nected during final testing of the iCynergy system.
5. Click the save button at the bottom of Figure 27.
Calibration
The Carestream Health Detector panel supports two types of calibration: dark and gain.
USER OF ICYNERGY MUST PERFORM A DARK CALIBRATION

EACH DAY OF OPERATION.
Dark calibration
The panel requires dark calibration every 24 hours, and the procedure is automated. iCynergy asks you
daily to perform a dark calibration. If you respond Yes, the daily calibration window opens (see Figure 28).

FIGURE 28. Carestream dark calibration through iCynergy
Place the detector in a location where it will not be exposed to radiation, and select the start (Play) icon. Do
not move the detector during calibration. The calibration process takes about 4 minutes.
You may interrupt and stop the calibration process at any time. Press the Stop icon. If you do so, iCynergy
notifies you that the dark calibration was canceled. It then discards any calibration data that may have
been created and reverts to using the data of the last successful calibration.
If the dark calibration process goes to completion, iCynergy reports whether the calibration was successful
or failed. If the detector fails dark calibration for 10 days in a row, the detector is disabled.
Gain calibration
For each generator, determine the mAs required to achieve a dose as close to 3mR (26 µGy) as
possible at a SID of 183 cm (72 inches) and 80 kVp. This procedure is implemented once for each gen-
erator with which the Carestream Health Detector and iCynergy are used. Do not start a gain calibration
until the following steps have been completed.
1. Insert the 0.5 mm copper/1.0 mm aluminum filter onto the collimator, with the copper side facing the
tube.
2. Set the SID to 183 cm (72 inch) from a dosimeter
3. Set the generator to 80 kVp
4. Set mAs to a level that you estimate will provide a dose of 3 mR (26 µGy) as recorded by the dosime-
ter. Perhaps start with 12.5 mAs. The effective value depends on the system's age and capabilities.
5. Fire the generator, and read the dosimeter
6. If the dosimeter did not record a dose of 3 mR (26 µGy), repeat steps 4 and 5 until the dosimeter
records a dose of as close to 3 mR (26 µGy) as possible.
IN THE FUTURE, THEN, FOR EACH GAIN CALIBRATION WITH THIS GENERATOR,
ICYNERGY WILL INSTRUCT THE OPERATOR TO SET THE SID TO 183 CM (72 INCH)
AND THE TECHNIQUE TO 80 KVP WITH MAS AS FOUND ABOVE.

When the gain calibration is complete, iCynergy informs you that the SQT Flat Field cal is starting. This
requires four — not sixteen — additional exposures. Each exposure is taken at a different mR.
Use a dosimeter to determine the techniques to use to achieve each of the following mR values.
• Exposure 1: 3.0 mR
Enter the values in the Settings panel of the calibration dialog (Figure 29).
FIGURE 29. Settings applied during gain calibration
Important: Save these values. To do so, select the floppy disc icon on the settings page.
AT THIS TIME, YOU MAY BEGIN THE GAIN CALIBRATION PROCESS.
Note: As the x-ray tube ages, the mAs settings will need to be adjusted higher. Therefore, dose checks
should be conducted periodically to maintain accuracy.
Gain calibration should be performed after every 500 images have been obtained. Gain calibration along
with SQT flat field calibration are performed in Service Mode. To begin, select Calib from the Service Mode
menu. Follow the on-screen instructions (Figure 30).
As you perform the gain calibration, iCynergy prompts you to set the kVp, mAs, and SID based on the val-
ues entered in the settings panel Figure 29. iCynergy also notifies you when to expose the detector.
InfiMed recommends setting the panel 6 inches above the floor.
1. Place the panel on a suitable surface that is 6 inches above the floor.
2. Set the SID (source-image distance) to 182 cm.
3. Verify that the collimator blades are open just wide enough to expose the entire panel.

4. Insert the 0.5-mm copper/1.0-mm aluminum filter on the collimator with the copper side facing the
tube.
5. Ensure that nothing is in the beam’s path.
6. Select the start (Play) button.
7. Set the exposure parameters according to instructions on the screen. If the generator is integrated with
iCynergy, select Generator Interface from the Service Mode menu, and set the exposure factors that
iCynergy tells you to use.
FIGURE 30. Gain calibration, performed in Service Mode
After the gain calibration and the SQT flat field calibration are completed, iCynergy notifies you that a
Defect Map Analysis calibration is about to run. This calibration requires no images.
Once the defect Map Analysis is run, iCynergy notifies you of the results of the calibration.
Calibration history
You may review the history of calibrations performed. The parameters reported in the history are start and
end dates, user name, date performed, calibration test type (gain, dark, and so forth), and results (pass,
fail, cancelled).
Update system firmware
Some components in iCynergy rely on firmware to perform their functions. Often, when InfiMed, the manu-
facturer of iCynergy, updates the System, it also updates to the firmware of components. Use the Update
function to update firmware.

An update is typically necessary after hardware has been replaced or after an upgrade of the software.
Firmware is stored in non-volatile memory local to that component.
When updates are necessary, start the Update from the main menu of Service Mode menu (See “Part 2.
Configure the iCynergy System” on page 57.) The Update function shows a new window (Figure 31) that
lists the current version of the firmware of iCynergy. It also has a button to Update Firmware. Click this but-
ton, and you are asked where the data are to update the firmware. InfiMed will have supplied this data to
you. Tell iCynergy the location of the data file ( [name].dat ).
The progress bar shows the advance of iCynergy in updating firmware. Wait until all the firmware is
updated before terminating this function.
To check on the version of the software of iCynergy, click Versions at the bottom of the Service Mode main
menu (See “Part 2. Configure the iCynergy System” on page 57.).
FIGURE 31. Update firmware
Diagnostics
Select Diag on the Service Menu (see Figure 33). A new window opens (Figure 32), and the first choice
among the diagnostics is Detector.
Select Panel Diagnostics, and three choices appear: hardware status, digital IO, and voltages. See
Figure 32.
Hardware. The hardware status screen shows the states of the detector's components (Figure 32).
Digital IO. The next choice, Digital IO, shows the current state (open or closed) of each of the eight digital
IO relays of the Carestream Health Detector.

Voltages. The third choice shows a screen with a listing of the current voltage level for the power supplies
internal to the detector.
FIGURE 32. Detector diagnostics


Part 2. Configure the iCynergy System
Overview: Access to iCynergyService Mode
1. Turn on the PC tower computer for iCynergy.

2. Login as a servicetech (typically).
3. Use password Generation5.
4. Begin at Clinical Mode.
5. Go to Service Mode. Next . . .
Enter Service Mode from Clinical Mode:
1. Select left-pointing arrow at bottom of the Clinical Mode menu area.
2. Function Menu Bar appears across bottom of screen.
3. Select Wrench. Service Mode menu appears (Figure 33 on page 58).
Quick tips for service mode:

Bring up generator control menu, if generator is integrated.
Learn version of each software component of iCynergy, see listing of hardware components,
review character of database, and view system options.
Exit Service Mode (and return to Clinical Mode).
To exit iCynergy from Clinical Mode:

1. Select green arrow at bottom of Clinical Mode menu to open the Functional Menu Bar across
the bottom of the screen.
2. Select the closing-door icon on the Function Menu Bar.

FIGURE 33. Service Mode menus in iCynergy: Camera, left — Panel, right

CHAPTER 6 Using Service
Mode
With the instructions in Part 2 of this manual, you will work with the i5 Platform for iCynergy RF-DR to con-
figure it for a specific clinical site. First, it is necessary to check that connections to the PC and to the power
supply equipment have been made properly. See that no connections have been made to the x-ray gener-
ator except to its own separate power supply. Next, check that the other components have been positioned
correctly and that they are accessible.
Power-up the equipment in this order:

1. Turn on power to the x-ray generator.
2. Turn on power for the tower PC's peripherals such as the monitors.
3. Turn on power for the tower PC; the switch is on the front panel.
The login screen for should appear. To login, mouse-over the screen where the username appears. The
username is typically ServiceTech; password is Generation5 — both case-sensitive. When iCynergy starts
successfully, it displays the main menu screen of Clinical Mode.

6. USING SERVICE MODE
FIGURE 34. Initial screen, i5 Platform for iCynergy RF-DR
Access Service Mode
You use Service Mode to configure iCynergy for clinical use. The settings estab-
lished in Service Mode determine how Clinical Mode operates.
Login to iCynergy (see instructions on page 59). Beginning with the initial Clinical
Mode screen on the monitor (Figure 34), select the left-pointing arrow at the bot-
tom of the screen. The function bar opens across the bottom of the screen. Select the wrench icon to open
Service Mode. The Service Mode menu replaces the Clinical Mode menu (see the Service Mode menu,
Figure 33).
Service Mode menu
The twelve buttons — that begin with Config and end with Logs — constitute the Service Mode main
menu. Later chapters provide details on each function.
Three items toward the bottom of the menu bar — Image Processing, User Preferences, and Test Pattern
Diagnostics — are an according menu. These functions are discussed next.
Image processing
Select the Image Processing menu item, and the screen opens to show tools you can use to alter the
appearance of an x-ray on-screen in Service Mode. In other words, you may change the look of the x-ray
as you view it. Note: These modifications apply only to images acquired in Service Mode.

FIGURE 35. On-screen image processing tools
Brightness & contrast
The brightness of the image may be raised or lowered. And the contrast between light and dark
areas can be increased or toned-down. Use the brightness-contrast icon. When you select the
icon, the cursor changes to mimic the icon as you move across the main image. Touch- or click-
and-drag the icon across the image. The table below shows the effects of dragging the cursor.
You may also combine cursor moves; for example, moving the cursor to the left and up both increases con-
trast and reduces brightness.
The preview image shows the changes to contrast and brightness as does the main image.
Cursor movement Brightness Contrast

Left - Sharper
Right - Duller
Up Darker -
Down Lighter -
Integration
The second tool sets the default integration level for fluoro images. You have a choice of levels
and motion correction. The levels reduce background noise. The motion correction settings
enhance the quality of moving objects by minimizing the appearance of minor shifts in the object’s
position.
Edge
The third tool, edge, emphasizes changes in the brightness of an image to sharpen the edges.
Select this tool up to four times to accentuate the edges of an image.
Polarity
The last tool in the top row is polarity. Select it, and the white areas become black. Select it
again, and the image reverts to its original appearance. This tool can be helpful to differentiate
tissue from bone in some images.

Reverse axes
The first two tools on the bottom row can be selected, and their effect remains on images
until they are de-selected. With these tools you can reverse the horizontal and vertical ori-
entation of the images as they are acquired.
Revert
With the third tool in the second row, you return an image to its original appearance. That is,
after you have applied processing to the image, selecting revert returns the image to its original
look.
Cross hair
The last tool places a cross hair image over the acquired x-ray image.
User preferences
Language
Select the language for iCynergy's interface, such as the menu items. Choices are English (the default),
simplified Chinese, Dutch, French, German, Italian, Portuguese, Russian, and Spanish. The language
used for acquisition profiles and other data of iCynergy, however, remains English.
To change other regional aspects of iCynergy, such as its keyboard, contact a service technician. He or
she will access the "Utilities" feature of Service Mode to make such a change.
Right or left menu

You may also set the location of the menu bars for both Service Mode and Clinical Mode. To change the
side where the menu appears, select Flip GUI.
Test the monitors
Select the menu option that says Test Pattern Diagnostics (Figure 35). The center part of the menu screen
changes to display six test patterns. Choose the SMPTE test pattern (lower right), and use this test pattern
to check and adjust the monitors.
You may send the test pattern to network storage and to a printer. Use the icons below the Test Patterns
menu item.
Version information
To learn the versions of the components of iCynergy, select Versions at the bottom left of the Service Mode
menu (Figure 33).

Exit Service Mode, power-down

(a) Select the Close button at bottom of Service Mode menu (Figure 33).
(b) Return to Clinical Mode.
(c) Select left-pointing arrow at bottom of menu, and then select the closing door icon on the horizontal
menu.


CHAPTER 7 Site-specific
Configuration
From the Service Mode menu select Config, the first of the twelve buttons on that menu, to begin to cus-
tomize iCynergy for the clinical site and technologists. A new window opens Figure 36, and this window
presents several aspects of iCynergy that may be customized for a site. The items are grouped by:
• System configuration
• Patient data
• Restore points.
The menu groups in the left pane may be collapsed. Click on the ^.
FIGURE 36. Service Mode: Configure site information
As you configure the Application, you have several choices of accepting or rejecting the selections that
were made. The row of icons along the bottom of the screen mean, respectively, (a) return to factory
defaults, (b) back up configuration information including to removable media, and (c) restore configuration
information.

7. SITE-SPECIFIC CONFIGURATION
When you have completed making changes, you may record them (click or touch the floppy-disc icon) or
cancel the changes (square icon with white X).
Site info
See Figure 36. Site information is set at the InfiMed factory. You may change only:
• Site name
• Site address
• Tech support phone number.
The remaining fields, notably the serial number, are set by the manufacturer and should not be altered.
Interfaces
The second item on the System Configuration list (Figure 36) is Interfaces; that is, how iCynergy interacts
with the x-ray room. Note: It is necessary to configure the interfaces between iCynergy and the camera
before the camera can be calibrated.
FIGURE 37. Configure iCynergy camera & detector interfaces
Camera type. Detector connected to the system. Controls the loading of calibration targets and look-up
tables. Refer to packing list for appropriate detector selection.
Iris type. Iris type when a CCD detector is selected. This field is informational only; it does not change any
functional aspect of the software. Refer to packing list for appropriate iris selection.
ABS control range. Voltage range to be used by ABS output of GIM. When enabled in analog outputs, the
ABS output is limited to the range specified in this field. Refer to generator documentation to deter-
mine the appropriate range for the ABS input, if used. This range is irrelevant if a PMT/photodiode
monitors fluoro dose.

Rad exposure on failure. Controls behavior of iCynergy when RAD EXPOSURE ON GENERATOR line fails to
indicate exposure as expected.
Rad exposure on time out. Limits the time that iCynergy will wait for the termination of exposure (RAD
EXPOSURE ON deactivating) before considering the exposure a failure. If the RAD EXPOSURE ON line
activates but fails to drop back to inactive within this limit, the frame is considered to have failed,
acquisition is terminated, and iCynergy will refer to the RAD EXPOSURE ON failure mode (above) to
determine acquisition behavior. A setting of 4-6 seconds is typical; it is usually set equal to or
slightly less than the tube protection exposure limit of the generator. Refer to generator settings or
tube documentation for appropriate exposure limits.
Continuous fluoro. Indicates whether the generator has continuous fluoro capability. When enabled, the
calibration sequence for continuous fluoro is available in the calibration utility. If disabled, the con-
tinuous fluoro calibration processes is skipped during calibration. Refer to generator documenta-
tion for fluoro capability information.
Maximum spot acquisition rate. Limits the maximum serial spot acquisition rate available for selection in
Clinical Mode. Values greater than the value selected in this field are not available for selection.
The appropriate setting for this field is determined by the generator's maximum exposure rate.
Refer to generator documentation.
Fluoro pulse rates. Selects the available fluoro pulse rates for use in the calibration sequences. Only the
rates that are checked (enabled) are calibrated during system calibration.
Spot subtract calibration. Relevant to sites that use DSA.
Camera orientation. Allows adjustment of default image orientation to accommodate the mechanical or
optical orientation of the camera. These fields can be used to flip the displayed image such that
the head of the table is displayed at the top of the screen and the near edge of the table is dis-
played to the left of the screen.
System options
When the Service Technician configures the System Options for iCynergy, he or she considers the work
flow at the particular site. The equipment and habits of RTs at the site determine how the System Options
are configured. To begin, select System Options from the main Service Mode menu under Config.
Auto send: enable / disable. If enabled, each image acquired will be sent to archive when the patient's
session is closed. This feature cannot be enabled if no DICOM storage is available.
Log off Service Technician on exit. When set to True, the Application logs off the Service Technician
when he or she closes iCynergy. Otherwise, if False, the Service Technician has access to the
Windows desktop on exit.
Log reject reason. When this option is set to True, the technologist acquiring images must specify a rea-
son each time he or she rejects an image, including images that are first rejected then later
accepted. These reasons are collected in a log that the operator, superuser, and service techni-
cian may review in the Service Mode.

Touch screen keyboard. In some clinical settings, it is handy to permit all input to iCynergy through the
touch screen. If the site's configuration has the appropriate touch screen hardware, an on-screen
touch keyboard can be used. When enabled, the on-screen touch keyboard appears at the bottom
of the monitor whenever a dialog opens that requires user input, a Patient's name, for instance.
Technologist initials prompt: disabled / on open patient. If set to On Open Patient, the technologist is
required to enter his or her initials before opening a patient's file. The initials mark the activity log
named AuditLog.txt to document the users of iCynergy. Technologists select their initials from a
listing. this listing is created in Clinical Mode. (See the Operator's Manual, part number 721-501-
G1, for details.)
Auto delete: never auto delete / 50 / 75 / 90. This feature controls if and when patient files are automati-
cally deleted from the hard drive storage of iCynergy computer. In most clinics, patient records are
maintained on the PACS system and not on an application computer such as the one that runs
iCynergy.
If the selection is Never Auto Delete, patient files will never automatically be deleted from iCynergy
computer. The technologist will have to delete them manually as desired.
The patient's files can also be designated for auto-deletion when the hard drive of iCynergy's com-
puter reaches 50, 75, or 90% of its capacity. How does this work? Say, the threshold of 50% is
selected. Once the PC's hard disc reaches 51% of capacity, it deletes the oldest patient record(s)
until the disc's capacity is again at or under the 50% threshold. The deletion of files continues in
the background to keep the hard disc's storage where specified.
Auto logout time out & screen saver wait time. Both of these features can aid a clinic's efforts to keep
information confidential. iCynergy Platform can be set up to logout the technologist after a given
time period once a patient's record is closed; that is, the amount of time that elapses after the last
patient was closed. Choose any number of minutes between 1 and 30. Use the up and down
arrows to change the time period, or use the slider control beneath the number.
The same can be done for activation of iCynergy's screen saver. The screen saver will then acti-
vate after the selected number of IO after the technologist's last input to iCynergy Platform.
To disable either or both features, place an X in the box to the right of the up arrows.
DR system options
Log reject reason. When this option is set to True, the technologist acquiring images must specify a rea-
son each time he or she rejects an image, including images that are first rejected then later
accepted. These reasons are collected in a log that the operator, superuser, and service techni-
cian may review in the Service Mode.
I/O card. Select the correct input/output card that iCynergy uses to communicate with an integrated gener-
ator. Select GIM.

RF system options
Scan converter. If enabled, sets the format for the low-resolution output of iCynergy to, for example, a
VCR (video cassette recorder).
Reference image display. Enables or disables the reference image display feature (reference monitor).
Auto send to reference. Enables or disables the transfer of images from the primary to the secondary
monitor. The transfer occurs at the completion of fluoro radiation, and the last fluoro frame is trans-
ferred to the reference monitor.
Monitor look-up tables
This feature is awaiting future development for iCynergy.
Panel configuration
To add or remove panels, use the Panel Configuration function (Figure 38). The top pane of the Panel
Configuration window displays the panels that have successfully been configured to work with iCynergy.
The fields that you see in the right-lower pane depend on the options that you have purchased with iCyn-
ergy.
FIGURE 38. Configure or add panel — iCynergy
Add or remove a panel
To add a panel, touch or click the Add… button below the list of panels (Figure 38). This button opens a list
of files on iCynergy's PC. Select the correct new panel.

To remove a panel, highlight the row with the panel's information (Figure 38), and then touch or click
Remove Panel. Once the parameters describing the panel have been entered, touch or click Configure
Panel for the configuration window. The window that you see depends on the panel that is attached to your
iCynergy. Follow the on-screen prompts to complete the configuration of your panel.
Default panel rotation
As you work with iCynergy, you may find it convenient to orient the flat panel detector in one direction or
another. Yet, to have the resulting image presented on the screen in the proper orientation, each image
may need to be rotated.
Use the Default Panel Rotation option here (Figure 38) to accommodate difference in which the panel is
oriented when the image is taken and when the image is shown on the screen. The options are 0º, 90º
clockwise, 90º counterclockwise, and 180º.
Verify settings
After configuration, touch or click the Verify Settings button (Figure 38) to see if communication has been
established. iCynergy responds with a pop-up window that (a) confirms successful communication or (b)
notes that communication did not take place.
Patient, series, & study data
The clinical site chooses the data it wishes to record as it images patients. Three areas are configured
here: (1) patient data, (2) study data, and (3) series data. Through this setup function, you specify fields,
generally, as (a) required, (b) optional, or (c) unused.
Patient data
Patient data applies to the individual who is imaged. Select this option, and iCynergy displays the fields
available for record keeping for patient data. Along side each field is a drop-down menu that provides the
following options: (a) required, (b) used, and (c) not used.
Series data
To define the data that apply to the images for a particular patient, select Series data just below Patient
data.The fields available in series data are description, position, laterality, and body part examined. The
drop-down menu for each of these options allows the choice between (a) used and (b) not used. None of
these fields may be required.

Study data
To define the data that apply to the imaging examination for a patient, select Study data. The study may be
described with the following fields: referring physician, performing physician, accession #, performed pro-
cedure step ID, requested procedure ID, scheduled procedure step ID, and patient sex. Your choice for
each of these fields is (a) required, (b) used, and (c) not used. (The list of physicians is created in Clinical
Mode. See the Operator's Manual for details.)
The following fields are important to the functioning of iCynergy:
• Performed procedure step ID

• Requested procedure ID
• Scheduled procedure step ID
One of these fields will be used in the Clinical Mode’s work procedures. See the Operator’s Manual for
details. Additionally, you may need to consult with the site’s IT department to see what field is being used
to query the patients.
Restore points
The configuration information for the iCynergy is critical to its proper functioning. Therefore, iCynergy pro-
vides the facility both to backup and to restore configuration information. Use the Restore points option
(Figure 39).
Restore data
If a configuration is found to be unsatisfactory, and you wish to return to a configuration from an earlier
date, you may select the date from which the data will be restored. You may also select the sets of data
that should be restored. Choices are system configuration and patient data (patient, series, and study
data).
Rather than use data from configurations that the Service Technician has made for your site,
you may choose to return to the factory-default settings. To do so, select the factory building
icon at the bottom of the window (Figure 39).

FIGURE 39. Backup data for Restore Points option
Follow these steps with the restore points function:
1. Select the range of dates for which you wish to evaluate changes in the configuration. For example,
iCynergy may have been in operation for 6 months, but the unsatisfactory changes in the configuration
may have taken place within only the last week. Use the calendar icons on the top of the restore points
screen, then, to select dates encompassing only the last week.
2. Next, iCynergy lists each time the configuration was changed during the last week — or whatever time
frame you choose, noting the user, date, and time. If changes had been made many times, you may
need to scroll through the list.
3. From among these items, select the time at which the configuration was satisfactory.
4. Touch or click Restore Data in the upper-right of the Restore points screen. A small window opens, and
you click the data you wish restored. In that same window you may specify where the data is to be
drawn from for the restoration.
5. Confirm you choice, and the configuration from that time is restored — writing over the previous config-
uration data.
Backup data
Use this same window to backup configuration data. Select the Backup icon. A new window
pops up on the screen where you specify which data you wish to backup. You also specify the
location where the data are to be backed up.
Frequent back-ups permit you to retrieve past useful configurations.

CHAPTER 8 Generator
Interface & GIM
Test
TASKS DESCRIBED IN THIS CHAPTER INVOLVE THE PRESENCE OF X-RAY RADIATION.

OBSERVE PROPER PRECAUTIONS AT ALL TIMES.
IMAGES SHOWN IN THIS CHAPTER ARE FOR REFERENCE ONLY.

THEY ARE NOT INTENDED TO INDICATE RECOMMENDED OR TYPICAL CONFIGURATIONS.
Generator interface
Select Generator Interface from the main Service Mode menu (Figure 33, upper right). The first task is to
configure the generator lines. When you select Generator Interface, a new window opens (Figure 40). It
has two sets of options: (a) generator lines and (b) integrated generator.
Generator lines
Use the options under Generator Lines to configure each input, output, and relay closure of your generator.
This configuration effort coordinates the generator with iCynergy, including the GIM. (Generator signals
were previous discussed in this manual beginning on page 29.)
Notes:
• To configure generator lines, the GIM must be powered on.

• Unless specified otherwise, disable any signals listed in the generator lines options that are not elec-
trically connected to the generator or to other external equipment.
• Refer to Table 10 on page 31, and verify that, at a minimum, the required signals are connected and
enabled.

8. GENERATOR INTERFACE & GIM TEST
FIGURE 40. Configure iCynergy generator lines
Two-state inputs
Two-state inputs are binary (on/off) signals originating at the generator (or other external components) and
connected to the GIM to communicate mode, status, commands, and activity. The GIM receives these sig-
nals and passes them to iCynergy via an Ethernet link to the imaging component of the tower PC (the
Image acquisition, processing, and display board, IAPDB). For the GIM to register these signals, their
active voltage must be between 5 and 32 V DC, as measured between the active wire and the associated
reference.
The settings shown in Figure 40 are those that would be selected for a basic generator. Note that when
items are disabled, such as Store Image, the function is handled by iCynergy. On the other hand, if Store
Image were enabled, the generator’s controls and switches themselves would be used to invoke the func-
tion.
Analog inputs
iCynergy does not support analog input signals.
Analog outputs
ABS control is the only analog interface output available on iCynergy. Enable this output when the ABS
output of iCynergy controls fluoro dose on the generator.
The appropriate ABS control range must also be set in the Config > Interfaces option in Service Mode (see
page 66).

Digital outputs
The GIM controls the digital output signals sent to the generator (Figure 41). The pulsed fluoro reference
output is the only digital output available on iCynergy.
FIGURE 41. Configure digital outputs for iCynergy
This output synchronizes the pulsed fluoro acquisition of iCynergy with the pulsed fluoro radiation emission
of the generator. If your generator is capable of pulsed fluoro, enable this setting. Refer to the documenta-
tion of the generator to set the other parameters (frequency, pulse width, polarity, and phase delay).
If your generator is limited to continuous fluoro, disable this output. With this output disabled, the remaining
settings, except phase delay, become irrelevant.
Phase delay must be configured uniquely for each system. The Timing Diagram function (see button in
Figure 41) assists with adjustment of pulse phase delay.
The Timing Diagram function provides a graph that is 66 ms in duration with a representation of the pulse-
on input line (emission of radiation by the generator). The origin point (zero) on the x-axis represents the
start of a frame cycle (33 ms). The graph includes two consecutive frame cycles (30 fps [frames per sec-
ond]). At 30 pps (pulses per second), the graph can display two consecutive pulses because they occur
within the same 66-ms range of the graph. At 15 pps and lower, only one pulse can be shown.
For optimal performance, the start of the fluoro exposure (the rising edge of the pulse) should occur within
3 ms of the origin. With a phase delay of zero, the rising edge of the sync pulse from the GIM corresponds
with the start of the frame cycle. Ideally, the generator should immediately emit fluoro radiation, and the
pulse-on line will activate, providing a graph with the rising edge at or very near 0 ms. In this case, no
phase delay is necessary. See Figure 42, left.

FIGURE 42. Left: Fluoro pulses at 7.5 pps, correctly configured. Right: incorrectly configured
In many cases, however, the generator does not respond ideally to the edge of the sync pulse, and activa-
tion of the pulse-on line (emission of radiation) can occur substantially later in the frame cycle. The result is
a pulse shifted to the right in the graph (Figure 42, right).
To move the rising edge into the recommended 0-3 ms time frame, adjust the Pulsed Fluoro Phase Delay
(Figure 41).
Changing the phase delay adjusts the relationship between the output sync pulse and the start of the
frame cycle. Phase delay cannot be negative; if the phase delay is at zero but the graph indicates a rising
pulse-on wave outside the 0-3 ms time frame, the value must be increased to push the exposure pulse into
the next frame cycle.
AFTER ADJUSTING PHASE DELAY,

USE THE FLUSH LINES BUTTON TO UPDATE THE GIM OUTPUT PARAMETERS
BEFORE RE-OPENING THE GRAPH WINDOW;
OTHERWISE, THE OUTPUT PARAMETERS WILL NOT BE CHANGED,
AND THE GRAPH WILL REMAIN UNCHANGED.
Figure 42 (right) for example, shows a pulse that starts at approximately 25 ms. Phase delay indicated is 0
ms. The phase delay cannot be reduced further to shift the pulse to the left. It is, therefore, necessary to
increase phase delay to a value that will push the rising edge of that pulse to 34-36 ms in the graph
(beyond the end of the first frame cycle; this is the 0-3 ms time frame of the next cycle). An appropriate
phase delay to address this waveform would be 9-11 ms.

Only the phase delay setting has an effect on the appearance of the timing graph. All other parameters in
the digital output tab pertain to the characteristics of the outgoing sync pulse from the GIM, and they may
or may not affect the appearance of the pulse-on line represented by the graph.
Relay outputs
The relay outputs tab allows configuration of available dry-closure interfaces (fluoro inhibit, spot exposure,
subtract enabled, and injector sync) of iCynergy. These connections are normally open (N.O.) relay con-
tacts. Refer to the generator connections information in on page 73 for details and expected use of these
signals.
DR two-state inputs
The DR two-state inputs are set as shown in Figure 20. Note whether the generator is integrated or not
integrated with iCynergy for the proper settings.
TABLE 20. Settings for DR two-state inputs
Signal Integrated generator Non-integrated generator

DR prep Enabled Enabled
DR1 select Enabled Enabled
DR1 exp ok Disabled Enabled
DR req Enabled Enabled
With more than DR2 select Disabled Enabled
one detectors
in use DR2 exp ok Disabled Enabled
DR relay outputs
The settings for the DR relay outputs are the same for both integrated and non-integrated generators. The
settings are shown in Figure 21.
TABLE 21. Settings for DR relay outputs
Integrated or non-integrated
Signal generator
With more than one FPD prep Disabled
detectors in use
FPD req Disabled
DR x-ray enable Enabled
With more than one App open Disabled
detectors in use
FPD ready Disabled

Test GIM connections
Before testing the GIM, you must have configured iCynergy to match the following:
• Set the I/O card to GIM.

• Connection information (beginning on page 29)
• Generator lines (page 73)
• Site-specific needs.
Testing two-state inputs
Each of the two-state input signals has a companion LED status indicator on the GIM board. LEDs 1-4 rep-
resent Port 1; LEDs 5-8 represent Port 2, and so forth. See Figure 43.
FIGURE 43. Two-state input signals & LED status on GIM
iCynergy’s Service mode menu also has a real-time display of the status of each two-state input signal that
the GIM is reporting to it. Double-click on the Input lines tab or the Relay lines tab for a new window
showing how the lines that are set. An X appears in the box next to each signal that the GIM is reporting.
Use this information to verify that iCynergy is receiving the correct signals.
See Figure 44.

FIGURE 44. Output & relay lines from iCynergy Service Mode
Testing relay outputs
A similar real-time status display can be used to test the relay outputs (Figure 33, Interface Signals tab
and, below that, Relay tab). For example, if you attempt to make a spot exposure, the spot exposure relay
switch should change from Open to Close momentarily. Your action should also cause the x-ray generator
to fire.


CHAPTER 9 DICOM: Export,
Import & Print
SEE PAGE 85 FOR EXAMPLES OF ADDING DICOM DEVICES.

STEPS ON PAGE 87 SHOW HOW TO CONNECT TO THE SITE’S NETWORK.
iCynergy can communicate with DICOM devices on site or at remote locations. To begin configuring DICOM
devices, touch or click DICOM on the service menu (Figure 33). This selection raises the DICOM Device
Configuration screen (Figure 45).
FIGURE 45. Add DICOM devices
Configuration is accomplished through three general areas:
• Devices
• AE titles
• General configuration.
To save or cancel the changes, Touch or click the icons in the lower-right of the screen.
CONSULT WITH THE SITE’S IT DEPARTMENT

FOR IP ADDRESSES & AE TITLES
FOR ALL DICOM DEVICES.

9. DICOM: EXPORT, IMPORT & PRINT
DICOM devices
The first page of the DICOM configuration screen lists the devices already configured with iCynergy, and it
permits the addition or deletion of DICOM devices (Figure 45). The PC's DVD writer will have been config-
ured at the factory and appears on the list. You may choose to have the disc ejected or not upon comple-
tion of writing (see X in box, Figure 45). This device cannot be deleted from the list of DICOM devices, but it
may be disabled and thus rendered unusable.
To add a device, click the Add button in the lower left. It shows a drop-down menu from which you select
the type of device you wish to add: storage, printer, Worklist, or MPPS. Table 22 shows the maximum num-
ber of devices of each type that may be added.
TABLE 22. Maximum DICOM devices
Device type Maximum no,

DVD 1
Storage 10
Printers 10
Worklist 5
MPPS 1
Table 23 lists the characters that may be used in the configuration, including names of DICOM devices.
TABLE 23. Acceptable characters for configuration
0-9 A-Z a-z <space> ! “

# $ % & ‘ (
) * + , - .
/ : ; < > =
? @ [ ] \ ^
_ ‘ { } | ~
Backslash may not be used in AE title fields.
Default devices
If you set up multiple printers, storage devices, or worklists, you may specify which one of them is the
default. If only one device is configured, the button that permits designation of a default is grayed out. A
check mark before the device's name indicates that it has been designated as the default in each category.
Common fields
The following information is required when configuring a DICOM device (see Figure 45):
Name. Your choice. The technologists will see this name in Clinical Mode when they select a device.

AE title. (AE means application entity. Labels are case-sensitive.) The name of the remote device as used
at the site. Ask site IT or PACS staff for this name.
Local AE title. (Labels are case-sensitive.) Local AE titles are summarized with the AE page of the DICOM
configuration (see Figure 45, top), and the data for this field comes from what you specify on that
page. Name these titles as you wish with input from the local staff. This field is read-only and for
reference.
IP address. Network address of the device. Ask local staff for this information.
Port number. As used by the DICOM service.
Description. Free-form portrayal of the device such as functions or location. Use up to 255 characters.
Ping & echo
As you configure the devices, you may test their network connections with ping and echo functions that
iCynergy supplies with the configuration dialog screens:
Ping validates basic network connectivity between iCynergy and the DICOM device.
Echo verifies both network connectivity and DICOM communication.
Storage commit
Configuring a storage device requires you (a) to enable or disable storage commit and (b) to set the time
out for storage commit. (A storage commit port of 2400 is also noted, but it is read-only here; edit it through
the General Configuration tab. See “General configuration” on page 84. The port number is listed on the
configuration screen here just so you can communicate it to site personnel.)
Storage commit is an additional verification that data has been archived to the network. When enabled,
iCynergy specifically requests confirmation from the storage device that it has received the transferred
images and that it has committed them to long-term storage. The requests and confirmations are invisible
to the operator.
Both the device and iCynergy must be configured the same; that is, if enabled on the storage device, it
must be enabled on iCynergy, and vice versa. Site personnel should indicate how they wish storage com-
mit to be set up.
Time out specifies the length of time, in seconds, that iCynergy will wait for a commitment response during
a storage commit operation.
Printers
For each printer, where the printer supports the feature, you specify several printer properties (see
Table 24): film sizes available; whether the border of the image is printed in black or white; the minimum
and maximum density of the shades of gray in the image; the print layouts supported (though 1 x 1 cannot
be disabled); whether the film is portrait or landscape; how data for magnification is handled; how empty

space is printed when, for example, a 4 x 4 image format has only three images black or white; and
whether trim (the area of the paper the printer can-not reach) is enabled or not.
TABLE 24. Printer properties
Property Options, if supported

Minimum & maximum density of 0 - 400
grays in image, may be disabled
Print layouts supported 1-on-1, 2-on-1, 2-on-1-vertical, 4-on-1, 6-on-1, 9-on-1, 12-on-1
Cannot disable 1-on-1
Film sizes available Inches: 14x17, 10x12, 10x14, 11x14, 14x14, 14x17
cm: 24x24, 24x30
Border density Black, white, not supported
Film orientation Portrait, landscape
Magnification type None, replicate, bilinear
Empty film density Black, white, not supported
Trim Enable or disable
MPPS
Information about just-completed imaging tasks can be sent to an MPPS server (modality performed pro-
cedure step). When configuring MPPS, specify if the patient whose information is sent are (a) just those
from the work-list or (b) include all patients (worklist, emergency, manually added).
AE titles
Use this screen to specify the local DICOM identifying information for the use of iCynergy. The names
entered in these spaces must match exactly the names on the remote client device. Each field may be up
to 16 characters, and no fields may remain blank. The values shown in Figure 46 are those that ship with
iCynergy. If no DICOM printer has been configured, you may leave the value as-is.
FIGURE 46. Local AE titles for i5-related devices (partial screen)
General configuration
Time outs. Specify the time, in seconds, that may elapse during DICOM communication operations before
the operation is considered to have failed. Work with local IT personnel so that these time out

parameters suit the local network's traffic loads. 

Additionally, the storage commit port may be edited here.
Network & media export option. Choose the default settings that the technologist will see:
• Whether the images will be exported with image processing (true) or not (false)
• Whether annotations made on an image are exported as part of the image — embedded (true) or
not (false).
When a technologist chooses to export images, he or she may elect to use the default setting or to
change it.
Worklist modalities. When the technologist makes a worklist query — to search for patients who meet
specific criteria — only those with the modalities checked here will be included in the search.
Patients with other modalities will be ignored.
Worklist specific configuration. Specify which field will be used to match a site-specific procedure with
an existing procedure. The criterion of choice depends on the site’s worklist. The choices, in a
drop-down menu, are:
• Scheduled procedure description

• Requested procedure description
• Scheduled protocol code value.

This field is critical to enabling use of work procedures on iCynergy. See also “Patient, series, &
study data” on page 70.
Auto [worklist] refresh. iCynergy updates the system’s query of the worklist each time the Operator
moves from the Patient List to the Worklist when this feature is True. The Operator must manually
select refresh to update the query if this feature is False.
Examples: Adding DICOM devices
1. To add a DICOM device select the Add button, and select the appropriate device to be added.
2. For Storage Devices enter the information listed below in the menu
• Storage Device Name
• AE Title (Obtained from the Hospital IT Administer or Worklist Administrator)
• Local AE Title (Obtained from the Hospital IT Administer or Worklist Administrator)
• IP Address (Obtained from the Hospital IT Administer or Worklist Administrator)
• Port Number (Obtained from the Hospital IT Administer or Worklist Administrator)
• Description if desired (Not required).

3. Check the Storage Commit box if the feature is supported by the Worklist. (Check with the Hospital IT
Administer or Worklist Administrator.)
4. For Print Devices enter the information listed below in the menu
• Print Device Name
• Description if desired (Not required)
5. Set up the Printer Specific Configuration items based on the printer options (Check with the Hospital IT
Administer or Worklist Administrator)
6. For Worklist Devices enter the information listed below in the menu
• Worklist Device Name

7. For MPPS Devices enter the information listed below in the menu
• Storage Device Name
• Where the MPPS information will be sent
-- Worklist Only
-- All DICOM Devices
Using the site’s network
1. Contact the hospital IT administrator for the following information (all of these may not be required by
the hospital IT administrator):
• IP Address
• Subnet Mask
• Default Gateway
• Preferred DNS server
• Alternate DNS server
2. Enter Service Mode, and select utilities.

3. Choose the Network connections option. See icon at right.
4. Select the Local Area Network Connection 2 (Intel82566DM-2). See

icon at right.
5. Select Internet Protocol (TCP/IP) and then the Properties button. See
image below:

6. Enter the Information gathered in Step 1. See below:
7. Select OK, and verify that the iCynergy system is connected to the hospital network.


CHAPTER 10 Acquisition
Profiles
This chapter discusses (a) image acquisition profiles and (b) importing or exporting acquisition profiles. An
acquisition profile sets up specific radiography parameters, including processing, that are applied to obtain
an x-ray image of a part of the human body in a specific position. These already-programmed acquisition
profiles can speed a technologist's work, but if the settings do not suit a particular clinical site, the Service
Technician may alter them in Service Mode.
When a Service Technician configures iCynergy for a specific clinical site, he or she adds acquisition pro-
files to the PC. Acquisition profiles that have been added to the system may also be modified, as you wish.
To begin, select Acq Profiles from the Service Mode menu.
To configure the image acquisition profiles and work procedures, begin at the main Service Mode
menu(Figure 33), and touch or click Acq Profiles. A new window opens that permits you to alter parame-
ters for imaging positions and work procedures (Figure 47).
The acquisition profiles that are presented to you depend on the detector that you have selected with the
drop-down menu highlighted in Figure 47. The flat panel detector presents you with DR acquisition pro-
files; the camera presents you with radiography and fluoroscopy acquisition profiles. Note: If your iCynergy
system does not include DSA, you will not see the DSA box in the Acquisition Profiles window (red asterisk
in Figure 47). Similarly, you will not see a box for roadmap images with the fluoroscopy settings if your
iCynergy system was not set up with roadmap (see tab for Fluoroscopy next to Radiography in Figure 47).

10. ACQUISITION PROFILES
FIGURE 47. Configure acquisition profile — RF showing
Positions
First, select the detector: camera or flat panel with the menu in the upper left of Figure 47.
Choose the Positions tab to review or edit image acquisition specifications for exam positions (Figure 47).
The left pane of this window provides navigation to the positions that would be used in a clinic. The plus
sign before each body region and exam indicates that detailed information is nested beneath the item. A
default region has been designated. (At first, when the system leaves the factory, it is None.) Within each
region, a default body part has been designated. Defaults are indicated with a check mark.
Set the default
The original (factory-set) default region (None) is used when the technologist selects no profile and when
no profile is matched to a worklist query. This profile is also used when positions are configured to Use the
Default Imaging Profile; see white box in the right pane ofFigure 47, upper-left; it is checked in this image.
To change the default, select region, exam, or position in the left pane, and touch or click Set Default Posi-
tion in the upper right of the right pane. If the position has already been designated as the default, this but-
ton is grayed-out.

At each level of the hierarchy (Region > Exam > Position), only one item may be designated as the default.
To learn the default exam or position under a specific region, touch or click on the plus sign by the region
and expand the list under the region (as Abdomen/pelvis > Hip joint > Medial has been expanded in
Figure 47). Expand the exam to learn the default exam, as with Hip joint in the figure, and the default posi-
tion, as with Anterior in the figure.
Import acquisition profiles
If you wish to import acquisition profiles, you may use the import function of iCynergy. Begin at the Acq
Profiles button in Service Mode.
1. Import acquisition profiles from the hard drive of iCynergy. Select the Import icon on the Acq
Profile screen.
2. Select My Computer. See Figure 48.
3. Next select the following in sequence: APR_Settings → Camera → Ok.
4. iCynergy then loads the factory default acquisition profiles for the camera.
Next, load the factory default acquisition profiles specific to the flat panel detector. Repeat the steps above,
but for step 3, select the following in sequence: APR_Settings → Carestream → Ok.
FIGURE 48. Import acquisition profiles from hard drive
Edit or export acquisition profiles
Acquisition profiles already on the system may also be exported to disc or USB drive. Once exported, they
may be edited and then re-imported to the iCynergy system. Follow these steps:

1. Select the icon for export from the Acq Profiles window.
2. Choose the location to which you wish to export the acquisition profiles (for example, a USB
memory stick).
3. Name the file.
4. Click Ok.
The export file is in XLM. Edit the file as you wish. Then, re-import the file using the instructions in “Import
acquisition profiles” on page 93.
Add, copy, or delete items
Touch or click the buttons at the bottom of the left pane (Figure 47) to add, edit, or delete a region, exam,
or position.
Adding items
When adding, the new item is placed in the navigation tree, and you define the new item in the dialog box
at the top of the right pane. The new item is simultaneously defined in the left-side navigation tree as you
enter the item in the right-side dialog box.
The first new position added to an exam is denoted as the default; if you add additional positions, you may
re-assign the default. When you add a new position, but not when you add a new region or exam, iCynergy
asks you to specify the settings of the acquisition profile. The settings apply only to positions.
Here is a step-by-step guide to adding an acquisition profile.
THE NAME OF EVERY REGION, EXAM, & POSITION

ACROSS THE ICYNERGY SYSTEM
MUST BE UNIQUE.
1. Click Add (Figure 47).

2. Select Region. Name the Region with a unique term pertinent to the item you are adding.
3. Click Add. Select Exam. Give this new Exam a unique and descriptive term
4. Click Add. Select Position. Give this new Position a unique and descriptive term.
• If you select Use Default Imaging Profile (Figure 47), the parameters currently used in the Default
profile will be attached to the new Region, Exam, and Position that you just created.
• If that option is not selected, you may edit the following fields.
AIE settings. AIE settings refer to the data files that iCynergy uses to process images. The default
AIE level is the setting used to display an image. This data file corresponds to the low,
medium, or high data file. The specific file selected is dependent on the amount of pro-
cessing desired. (See “Automatic image enhancement — AIE” on page 97 for more infor-
mation.)

Acquire settings. Specify the orientation and laterality settings that are used for DICOM compliance.
Once specified, these settings are embedded in the image and are seen in the DICOM
header.
- For Patient x-orientation, specify anterior, posterior, left, right, head, and foot.
- For patient y-orientation, specify anterior, posterior, left, right, head, and foot.
- For Laterality, specify left, right, both, or unpaired.
General: Select whether the image should be flipped for the default image display.
5. Select the save icon to keep the new data that you developed. If you exit without saving the changes,
the changes are lost.
ONLY ONE REGION CAN BE THE DEFAULT REGION.
EACH REGION CAN HAVE ONLY ONE EXAM AS THE DEFAULT EXAM.
EACH EXAM CAN HAVE ONLY ONE POSITION AS THE DEFAULT POSITION.
Copy items
When you copy a region, exam, or position, iCynergy appends (Copy) to the name of the region, exam, or
position — depending on the level of the hierarchy at which you make the copy. If you copy a region, the
exam(s) and position(s) of that region are also copied, yet only the name of the region will have the desig-
nation (Copy) appended to it.
You may then rename the copied item(s). When you copy a position, the copy will have the same settings
as the original position. You may subsequently modify the settings as you wish.
Delete items
You may delete unneeded regions, exams, or positions; however, a default item cannot be deleted. To
delete the default item, first re-assign the default; then, delete the original item. For example, to delete the
default Posterior position under the Forearm Bone exam, first assign another position (for example, Lat-
eral) as the default position for that exam, and then delete Posterior.
Default RAD acquisition mode & auto-replay
With the choices under Default RAD acquisition mode, you specify how images will be acquired. Spot has
iCynergy acquire a single image. Serial has iCynergy acquire several images, at the rate set in frames per
second, until the switch is released.
Auto replay specifies how iCynergy is to behave after a serial sequence or fluoro loop is acquired. When
set to LIH (last image hold), the application displays only the last-acquired frame. When set to replay, the
application plays the sequence until stopped or until the next image is acquired.
iCynergy assigns default parameters for each position used to image a patient.
See Figure for an example of the settings for an imaging position. (Note the second tab at the top of the
screen for Work Procedures. More on that on “Work Procedures” on page 99.)

Radiography profile
Unless the box Use Default Imaging Profile is checked, you may specify options for configuring the radiog-
raphy settings for a specific position. The available options and their meanings are listed in Table 25
TABLE 25. Options for radiography settings
Field Options Applicability Description

AIO, auto image Contrast - - Spot, serial Adjusts the appearance of an image to suit site preferences.
optimization Contrast -
Normal
Contrast +
Contrast ++
Edge enhance- 0, 1, 2, 3, 4 Spot, serial, Emphasizes changes in the brightness of an image to sharpen the edges.
ment
Invert White, black Spot, serial Image is acquired with white or black polarity
Acquisition rate 1, 2, 3, 3.75, 5, 6, Serial Default frame rate
(frames per sec) 7.5, 10, 15
Reverse axes
The image may be acquired with the horizontal or vertical axes reversed, too. To activate the reverse hori-
zontal axis, for example, select the backward-R on the screen. You know this feature is active when the R
has a blue background rather than gray. The settings made here apply both to radiography and to fluoros-
copy.
Fluoroscopy profile
Options may be configured for images acquired in fluoro, fluoro loop, and roadmap. See Figure 49.
As with the radiography profile, the fluoro image may be acquired with the horizontal or vertical axis
reversed. The settings made here apply not only to fluoroscopy but to radiography images also.

FIGURE 49. Options for fluoroscopy settings
Field Options Description

Integration level None Sets the default integration level for fluoro. The levels reduce background
Levels 1, 2, 3 noise. The motion correction settings enhance the quality of moving objects.
Motion correction 1-5
Edge 0, 1, 2, 3, 4 Emphasizes changes in the brightness of an image to sharpen the edges.
Auto save LIH Disable, enable Default behavior of last image hold. When enabled, the last frame of a fluoro
session is saved to the patient file as a single-frame
Invert White, black Image is acquired with white or black polarity
Acquisition rate 1, 2, 3.75, 7.5, 15, 30 Default frame rate
(frames per sec)
Automatic image enhancement — AIE
For each position, imaging parameters may be set or altered. To begin, make sure that the dialog area
beneath the phrase Use Default Imaging Profile is expanded. If it is not, touch or click the V to the left of
that phrase. See below for the AIE parameters that may be modified or assigned.
Parameter Explanation
Default AIE level Off, low, medium, high
ADi (auto-density) Specify a look-up table
Low Low contrast
Medium Medium contrast
High High contrast
Laterality Left, right, both


CHAPTER 11 Work
Procedures
Work procedures put related patient imaging positions (work items) in a defined sequence. iCynergy uses
this sequence of positions to set image processing parameters as a patient's exam progresses. By invok-
ing a work procedure, the technologist can efficiently obtain the necessary images for a patient's visit. An
example of how a work procedure can be created is presented at the end of this chapter.
The Service Technician can configure work procedures in Service Mode. The work procedure can be
matched with one of the following four specified procedure step data field IDs:

Thus, when the patient is imported from a worklist, the necessary imaging positions are specified also. See
Figure 50.
The work procedure in iCynergy can be given a DICOM code and matched with a specific worklist field, thus
organizing the requested positions when the patient's file is imported from the worklist. (In this way iCyn-
ergy advances Integrating the Healthcare Enterprise [IHE] to promote efficiency. See appendix for more on
InfiMed and IHE.) The DICOM code is unique to each work procedure. Personnel in charge of the site’s HIS
or RIS can provide a list of DICOM codes for the site’s work procedures. The Service Technician matches
the specific DICOM code with the HIS or RIS code in the Dicom device configuration. See “General configu-
ration” on page 84.
InfiMed usually uses data from the Pre-installation Site Survey to configure the work procedures. There-
fore, configuration of the work procedures is not necessary during installation. If, however, iCynergy has
not already been configured, the instructions below show how to do so manually. (Work procedures can
also be imported and exported.)

11. WORK PROCEDURES
Create a work procedure
The work procedures window [Figure 50 has three panes: existing work procedures (left), work items
(right-top), and available positions (right-bottom)]. Touch or click Add in the lower left of the left pane to cre-
ate a new work procedure. In the upper right pane, modify the name of the work procedure, and, if you
wish to integrate it with a worklist, give it a valid DICOM code.
FIGURE 50. Configure work items in work procedure
Next, select a position with its accompanying acquisition profile from the right-bottom pane, and add it by
touching or clicking the arrow indicated in Figure 50. Add as many positions as necessary to comprise the
new work procedure. Reorder the positions, if needed, with the arrows on the right side of the right-top
pane. the following is an example general outline of a work procedure:
Work procedure:
Work item #1:

- Region
- Exam
- Position
Work item #2:

- Region
- Exam
- Position

11. WORK PROCEDURES
Modify a work procedure
Touch or click a procedure in the left pane (Figure 50). This procedure and its associated DICOM code (if
used) appear in the fields at the top of the right-top pane.
Just as with creating a work procedure, modify the work procedure by adding or removing positions and
their associated acquisition profiles, and reorder them in the sequence as necessary.
Example — Create work procedure
This example creates a new work procedure for iCynergy, two view of a chest.
1. To begin, select Add (see Figure 50).

2. On the screen, “Work Procedure” is listed as the default name of the work procedure that you are
about to create.
3. Change the name to “Chest 2 views.”
4. Insert the DICOM code for one of the following:
OBTAIN THIS DICOM CODE ITEM

FROM THE INDIVIDUALS AT THE SITE
WHO MANAGE THE HIS/RIS.
5. Expand Thorax (region). See Figure 51.

6. Expand Thorax (exam)
7. Select PA (position). Click the Up arrow at the upper-right of the screen.
8. Select Lateral (position). Click the Up arrow at the upper-right of the screen.
9. Click the Save icon to record the new work procedure.
To change the order of the steps in the work procedure, use the up and down arrows in the mid-
dle of the screen. These arrows are labeled in Figure 50.

11. WORK PROCEDURES
FIGURE 51. Example: Create work procedure

CHAPTER 12 Manage
Users
Different privileges can be allocated to specific users of iCynergy depending on the user's role. When cre-
ating accounts for users, assign membership to one of the following three groups:
• Operator
• Superuser
• Service Technician.
Operators have the least amount of latitude in using the system; Superusers have more, and Service Tech-
nicians have full access. Both Superusers and Service Technicians may assign users to iCynergy.
The assigned users may sign-on iCynergy and operate it. These users need not be actual individuals but
may be aliases for people or an alias used by several people.
To open the Users dialog window from the Service Mode main menu (Figure 33), click on Users. The users
dialog window (Figure 52) shows assigned users and their assigned groups in the left pane. View the
names or aliases or individuals listed under each group by clicking on the up and down arrow characters (^
and v) next to each group name. To expand the list, click the down arrow. To collapse the list, click the up
arrow.
To add or remove a user, click the appropriate icon in the lower part of the left pane. When you select the
add icon, the right pane changes to permit you to add a new username and password and, with a drop-
down menu, to assign the new user to a group.
Add users Delete users Change user’s pass-

word

12. MANAGE USERS
FIGURE 52. Managing users of iCynergy
Privileges of users
All users may operate iCynergy in Clinical Mode. In Service Mode, however, privileges are restricted.
Operators have access only to the Log function, user preferences (language and location of interface Main
Menu), image processing, and test pattern diagnostics. Superusers have access to those same functions
plus:
• DICOM
• Acq Profiles
• Users.
Service Technicians have access to all service functions.

CHAPTER 13 Calibrate
Camera

____________________________________
BEFORE CALIBRATING THE CAMERA, SYSTEM PARAMETERS MUST BE CORRECTLY CONFIGURED
— ESPECIALLY FLUORO DOSE CONTROL, PULSED FLUORO RATES, AND THE ABS VOLTAGE RANGE.
SEE “INTERFACES” ON PAGE 66.
------------
TEST THE GIM CONNECTIONS TO THE X-RAY GENERATOR BEFORE CALIBRATING THE CAMERA.
____________________________________
This chapter explains how to calibrate the camera of. Preparing the camera for use with follows this
sequence of events:
1. Center and size the image.

2. Focus the camera
3. Calibrate the camera.
To begin, select Calib on the Service Mode main menu (Figure 33). A new menu (Figure 53) opens with
the following choices: (a) camera calibration, (b) calibration history, and (c) cancel. The Calibration History
choice presents a list of the types of calibration performed, by whom, the date, and whether the calibration
succeeded.

13. CALIBRATE CAMERA
FIGURE 53. Camera calibration menu — starting with Service Mode menu at left
Note that the Camera Calibration menu (on the right in Figure 53) is the first component of an accordion
menu. The other components are Image Processing and IQA — seen at the bottom right in Figure 53 and
shown in Figure 54 below.

FIGURE 54. Functions available to adjust camera, accordion menu

a. Camera calibration, b. Image processing, c.IQA
Image centering, image size

i5 Platform for iCynergy RF-DR can use a variety of CCD cameras. See Figure 55 for examples.
FIGURE 55. Common CCD camera types
Before camera calibration, iCynergy be checked for image centering and proper optical matching. Unless
the image is centered and of proper size, the expected image quality and resolution cannot be achieved.
Moreover, the regulatory compliance of the site might be affected.

Image centering
Centering of the image involves mechanical alignment of the with the light source such that the lens proj-
ects the image onto the center of the CCD detector area. The method of alignment varies with the type of
camera installed with iCynergy. Of the following instructions, perform only the centering process described
for the type of camera assembly installed at your site.
1. Remove the cover from the camera lens assembly. For tandem lenses, four 1.5-mm hex-key screws
secure this cover, one on each face of the square cover. (The number and location of cover screws
varies; some direct-couple assemblies are not addressed here.)
2. Select Camera Calibration (Figure 53, center) to open the calibration menu (Figure 53, right).
3. In the Camera Calibration menu (Figure 53, right), select Start Manual Calibration.
4. The next task uses image processing tools. So, select the Image Processing menu choice near the
bottom of the menu screen (Figure 54b). Select the cross-hair button, and a reticule is positioned in the
exact center of the image.
5. Select again Camera Calibration at the top of the accordion menu bar. The options on the menu bar
will have changed. (see changed portion, Figure 56).
FIGURE 56. Camera calibration menu — ready for calibration sequence
6. Click on Measuring Fields - Image for a new drop-down menu (Figure 56, upper right).
7. Among the choices on that drop-down menu, select Overlay - Circle Mask. New options are presented
in the menu bar, and Outline Circle Mask is selected.With regard to the image on the monitor screen,
this action clears the black circle mask overlay and provides only an outline of the edge of the blanking
circle. Thus, you have a clear view of the entire CCD sensor area on the monitor image area.

8. Place a marker, such as a coin or lead pill, in the center of the x-ray beam. If necessary, the marker
can be placed on, or affixed to, the center of the face of the image intensifier (II).
9. Apply fluoro radiation, and observe the displayed video. Simultaneously, adjust the camera assembly
to position the image such that the marker is aligned with the cross hair on the screen (see Figure 57).
FIGURE 57. Aligning camera with displayed video and circle mask
Refer to the instructions below to adjust the camera. Note that the illuminated area may or may not align
with the circle mast outline at this time.
Image centering directions continue on page 112 — after camera adjustment instructions.

Camera adjustment instructions
Small-format tandem lens, adjustment. Loosen lens plate set screws (Figure 58, left). One-half turn is
typically sufficient to allow for centering adjustment. To adjust the centering, rotate the 10-mm cam nuts
(Figure 58, right). If they do not rotate freely, the securing screws may need to be loosened to allow the
cam nuts to rotate.
FIGURE 58. Adjustments for small-format tandem lens camera
Large-format tandem lens, adjustment. Loosen lens plate set screws (Figure 59, left). One-half turn is
typically sufficient to allow for centering adjustment. Rotate 10-mm locknuts to adjust centering (Figure 59,
right).
FIGURE 59. Adjustments for large-format tandem lens camera
Note: Do not adjust the spring tension nut on the large-format tandem lens camera (Figure 60). This nut is
factory-adjusted to provide sufficient tension on the spring to allow the adjustment mechanism to function
properly.

FIGURE 60. Spring nut
Cameras with direct-couple lenses, adjustment. Loosen the lens plate mounting screws (Figure 60).
These screws secure the lens assembly to the camera head. The number and size of these screws
depends on the type of direct-couple optics attached to the camera head. One-half turn is typically suffi-
cient to allow for centering.
Then, manually adjust the camera head in relation to the lens assembly to center the image.
Note: Use care to avoid rotating the camera in relation to the optics. Most direct-couple lens assemblies
allow for a degree of rotation that can cause an angled image on the display if it is not adjusted properly. If
the direct-couple optics installed have slots (see Figure 60), the correct rotational angle of the image must
be maintained while adjusting for centering.
FIGURE 61. Adjustments for cameras with direct-couple lenses

Image centering directions — continued from page 109.
10. Once the image is centered, release fluoro such that the last image (LIH) displays on the monitor.
FIGURE 62. Image size evaluation
11. Adjust the diameter of the circle mask to match the size of the illuminated area. To do so, check the
Manual Setting box, and use the up/down arrows or click and drag the slider. See Figure 62 above.
a. Ideal image size: Proceed with focusing and calibration.
b. Image over-magnified: Reduce mag factor of afocal adaptor by either reversing the lens or
replacing the afocal assembly.
c. Image insufficiently magnified: Increase mag factor of afocal adaptor by either reversing the lens
or replacing the afocal assembly.
12. When the image has been properly centered and sized, tighten any screws that were loosened in
these steps. Then, re-verify the centering to make sure that the camera assembly did not shift when
the screws were re-tightened.
13. Return to the Image Processing Panel, and disable the cross hair.
14. Return to the calibration panel, and select the white-X exit button. This
returns you to Calibration Mode Select.
15. Select the Save button to keep the adjustments you just performed.
16. Select Exit again to return to the main Service Mode menu.
Focus camera: Image quality assessment

As shipped, the camera of typically provides a suitable image. When necessary, however, the focus can be
adjusted on site. Because the appearance of an image is subjective, the focusing process uses image sta-
tistics that measures.
From the calibration menu, select IQA, image quality assessment (Figure 54c). The IQA uses software-
based image quality measurement and evaluation modes to quantify image attributes such as brightness,
noise, and focus. Most of these tools require specialized test slides or conditions available in the factory to
receive meaningful data. The only exception is ROI density — a measure that assists with focusing the

camera during calibration. On-screen instructions are available for this task, and the process is discussed
in this chapter.
BEFORE YOU BEGIN CALIBRATION:
SEE THAT COVERS FOR CAMERAS AND IMAGE INTENSIFIERS ARE IN PLACE AND SECURE.
SEE THAT THESE COVERS HAVE THE CAMERA IN COMPLETE DARKNESS.
Follow these steps after having invoked IQA:
1. Under the drop-down menu titled Line Pair Resolution, select the item ROI Density.
2. Use the ROI Density menu to select an ROI size of 16x16.
3. Check the box for update continuously.
4. If possible, remove the anti-scatter grid from the field of view.
5. Place a screen mesh phantom as close to the image intensifier as possible. If a screen mesh is
unavailable, use a converging line pair phantom. Position the phantom at the face of the II in the center
of the image, perpendicular to the display. In this case, the ROI box should be positioned (drag with
mouse) near the highest discernible line pair but not touching the solid area on either side of the line
pairs.
6. System resolution is not being measured at this time. The phantoms recommended are simply optimal
for the purposes of providing several light-to-dark transitions within the space of the ROI. Several tran-
sitions are necessary for adequate measurement of image data to achieve the best results in focusing
the camera.
7. Activate fluoro radiation. The IQA screen is updated with density and RMS (root mean square — a mea-
surement of noise) information for the ROI selected. The best focus is the maximum achievable RMS
value. The ROI box should be placed within the shaded areas, as noted in Figure 63.
FIGURE 63. ROI positioning to adjust focus

8. Activate fluoroscopic radiation. Adjust the lens focus. 

- For the small-format tandem lens camera, rotate the focus ring with the end of a 2-mm hex tool
(Figure 64). The mechanism should provide sufficient resistance to movement such that it will remain
where positioned. If the focus ring feels loose or moves with very little effort, the lens assembly must
be replaced. 
- For the large-format tandem lens camera, loosen the set screws that secure the lens in the lens plate.
These screws are found recessed in three equidistant holes in the edge of the lens plate at the base of
the camera head. Once free, rotate the lens barrel to focus the image. When focused, tighten the set
screws to prevent unintended rotation of the lens. 
- The Heligaron lenses do not support focus adjustments on installation.
FIGURE 64. Camera focus ring
The final steps of this process are presented at the end of this chapter. (See “Suggested resolution evalu-
ation” on page 119.) Calibration is discussed next.
Calibration
To calibrate the camera, select Camera Calibration (Figure 53, center). The camera of iCynergy may be
calibrated in different ways, as the new menu indicates (Figure 53, right):
• Express calibration
• Assisted calibration
• Manual calibration.
__________________________________
AFTER EACH CALIBRATION THAT YOU COMPLETE,

SAVE THE CALIBRATION SO THAT IT WILL TAKE EFFECT FOR IMAGES
THAT ARE SUBSEQUENTLY ACQUIRED.
__________________________________

During calibrations, use the dosages listed inTable 26; these dosages assume that the following conditions
are met:
• Anti-scatter grid removed. If the grid cannot be removed, increase dosage by 40-60%. Use a dosim-
eter (150-cm3 ion chamber dosimeter probe placed in the input window of the image intensifier) to
verify dosage, but remove it from the field of view before executing the calibration sequence.
• 80 kV
• Source to image distance (SID) of 100 cm
• Filter with homogeneous density equivalent to 20 cm of water and of sufficient size and placed to
occupy entire field of view.
TABLE 26. Recommended dosages for calibration
Image intensifier
field of view Continuous Pulsed fluoro Spot (RF, μR/ Spot (DSA, μR/
diameter (inch) fluoro (μR/s) (μR/frame) frame) frame)
16 20 .9 45 100
14 25 1.0 55 125
13 30 1.1 65 150
12 35 1.2 70 170
11 40 1.4 75 200
10 45 1.8 85 240
9 50 2.0 100 300
8 63 2.1 120 378
7 82 2.7 145 540
6 112 3.7 200 675
5 162 5.4 275 925
4.5 200 6.6 350 1100
Notes: μR x 0.00873 = μGy
The calibration parameters of some OEMs may deviate from these recommendations
Express calibration
An express calibration is the most efficient way to set up the camera. When you select Express Calibration,
performs almost all dark-level calibrations without your needing to interact with the PC. Refer to Table 26
for recommended dosages.
For other calibrations, you supply radiation to iCynergy when prompted to provide iCynergy with an image.
iCynergy specifies which type of image is needed: fluoro, pulsed fluoro, or spot. Related action on your
part is verifying and setting the exposure factors on the x-ray generator. i5 Platform for iCynergy RF-DR
then detects the presence of the necessary radiation and proceeds to complete the calibration.
You can watch the progress of the calibrations in the Status Overlay in the upper-left corner of the large
image area on the monitor screen as express calibrations advance. This listing displays only the steps that
apply to the configuration of your i5 Platform for iCynergy RF-DR system.

Review the listing of calibrations in the status overlay. Take the following steps if any calibration type is indi-
cated that your i5 configuration does not support:
1. Exit the calibration activity.

2. Correct the configuration of your site (see “Interfaces” on page 66).
3. Return to calibration.
Assisted calibration
An assisted calibration follows the same steps as an express calibration, but you must invoke or confirm
each step to proceed through the entire sequence. Each dark-level calibration is clearly marked. Watch the
progress of the calibrations as they are performed with the status overlay in the upper-left of the screen’s
main image area. Refer to Table 26 for recommended dosages.
Specific calibrations
When you perform an express calibration or any dark calibration in assisted or manual mode, do not acti-
vate any exposure on the x-ray generatoriCynergy. Note: The calibration instruction in Table 27 below indi-
cate which type of image is the subject of the calibration and which calibrations are dark calibrations.
When all available steps have been successfully completed, iCynergy prompts you to save the changes to
the system calibration.
TABLE 27. Camera calibrations & descriptions
Image
Name types Dark cal? Description & execution
Measuring Fluoro, spot Yes Adjusts the area of the image used for the image statistics that drive the rest of the cali-
fields bration process. There are two sub-steps to this section, regardless of configuration. This
setting should be modified manually only by advanced users.
1. Click Run to execute the Calibration.
2. When status overlay shows success, click Next to proceed to the next calibration.
Measuring Fluoro, spot Yes Sets the area of the image used for ABS control when the fluoro dose control is based on
fields — iCynergy camera video. There are two sub-steps to this section, regardless of configu-
ABS ration. This setting should be modified manually only by advanced users.
2. When the status overlay indicates successful completion, Click Next to proceed.
Video level Fluoro, spot Yes Sets a pre-defined look-up-table (LUT) for the fluoro/pulsed-fluoro, and spot acquisition
— acquire modes. There are two sub-steps to this section, regardless of configuration. This setting
LUT can be modified manually to customize the acquisition of the images captured in the
mode selected. These LUTs are applied immediately on acquisition, before any additional
processing defined in Acquisition Profiles. Because this processing is applied during
acquisition, it changes the appearance of the raw image data stored to the database and
can have adverse effects on final image quality. Select a manual LUT only if necessary to
accommodate requests for specific image attributes different from the standard LUT.
1. Click Run to use the pre-defined LUT or manually select the desired LUT.

TABLE 27. Camera calibrations & descriptions (Continued)
Image
Video level Fluoro, spot Yes This first calibration sequence uses camera video data to reach an optimal value. DO
— gain NOT activate any mode of exposure on the generator during this calibration. The camera
must remain in complete darkness through the duration of the Gain calibrations. There
are three sub-steps to this section, regardless of system configuration.
Video level ¡ Fluoro, spot Yes Relies on camera video data to determine an appropriate level. DO NOT activate any
auto-black mode of exposure on the generator during this calibration. The camera must remain in
complete darkness through the duration of the auto-black calibrations. There are two sub-
steps to this section, regardless of system configuration.
Overlay — - No Instructions to set the circle mask diameter are in “Image centering, image size” on
circle mask page 107. This step in the calibration sequence allows for automatic alignment of the cir-
cle mask. It requires a last image hold (LIH) to execute. After the step is run, the cali-
brated position can be manually modified, if necessary, before proceeding. This step is
stand-alone; there are no sub-steps to this section, regardless of configuration.
2. When prompted, activate fluoro for duration sufficient to achieve a stable image; then,
release fluoro. The Status overlay should indicate successful completion immediately
after fluoro is released.
3. If necessary, use the check box to activate Manual Setting and manually adjust the cir-
cle mask diameter.
4. When the status overlay indicates successful completion, click Next to proceed.
Uses image statistics to adjust aperture of iris to achieve the indicated image brightness
(displayed in the Cal Target field). Applies only to installations that support continuous flu-
oro.
Iris Fluoro, con- No Maintain continuous fluoro radiation until the calibration completes successfully or times
tinuous out. DO NOT release fluoro until the status overlay indicates completion. Fluoro dose
must be held constant during iris calibration, either with PMT/photodiode dose control or
with manual technique, depending on the installation.
For systems using iCynergy ABS for fluoro dose control, the generator must be set in
manual mode using manual factors to achieve the dose recommended in Table 26. Rec-
ommended dosages for calibration.
For system using a PMT or photodiode for fluoro dose control, the generator must be set
in automatic mode, with the PMT/photodiode properly calibrated to maintain the recom-
mended dose (Table 26).
1. Click Run to start the iris calibration.
2. When prompted for radiation, activate fluoro, and allow the calibration sequence to
complete.
3. When the status overlay indicates completion (success or failure), release fluoro. If the
calibration fails, the calibration software will make three additional attempts identical to
the first.
4. iCynergy allows separate iris calibrations for the different fields of view permitted by
the configuration, but also offers the ability to use the same setting for all supported field
sizes. Make the desired selection when prompted and proceed accordingly.
5. On successful completion, click Next to proceed.

Image
Iris Pulsed flu- No Uses image statistics to adjust the aperture of the iris to achieve the indicated image
oro brightness (displayed in the Cal Target field). Applies only to installations that support
pulsed fluoro.
Maintain pulsed fluoro radiation until the calibration completes successfully or times out.
DO NOT release fluoro until the status overlay indicates completion. Fluoro dose must be
held constant per pulse during iris calibration, either with PMT/photodiode dose control or
with manual technique, depending on the installation.
For systems using iCynergy ABS for fluoro dose control, the generator must be set in
manual mode, using manual factors to achieve the recommended dose indicated in
Table 26.
For system using a PMT or photodiode for fluoro dose control, the generator must be set
in automatic mode, with the PMT/photodiode properly calibrated to maintain the recom-
mended dose in Table 26.
2. When prompted for radiation, activate fluoro at the requested pulse rate, and allow the
calibration sequence to complete.
the first.
4. iCynergy system allows separate iris calibrations for the different pulse rates sup-
ported by the configuration but also offers the ability to use the same setting for all sup-
ported rates. Make the desired selection when prompted, and proceed accordingly.
5. iCynergy system allows separate iris calibrations for the different fields of view per-
mitted by the configuration but also offers the ability to use the same setting for all sup-
ported field sizes. Make the desired selection when prompted and proceed accordingly.
ABS — level - No Uses image statistics to adjust the ABS output to achieve and maintain the target bright-
ness (displayed in the Cal Target field). This section applies only to installations that use
the ABS output of iCynergy system. If this ABS output is disabled in the generator
interface configuration (“Interfaces” on page 66), implying the presence of a PMT/photodi-
ode for dose control, this calibration sequence is automatically disabled and skipped.
The generator must be set for automatic fluoro dose control before executing this
sequence. Either continuous or pulsed fluoro may be used for this calibration.
1. Click Run to start the ABS calibration.
2. When prompted, verify that auto dose control is enabled, and activate fluoro (continu-
ous or pulsed). Allow the calibration sequence to complete.
the first.
ABS — Fluoro, Yes Adjusts the gain of the GIM ABS output circuit in an attempt to compensate ABS output
response pulsed fluoro for dark noise of the camera.
1. Click Run to start the ABS Response Calibration.
2. When the status overlay indicates successful completion, click Next to proceed.

Image
Iris — spot Spot No Uses image statistics to adjust the aperture of the iris to achieve the indicated image
brightness (displayed in the Cal Target field). Applies to all RF and DSA configurations.
The Digital Rad Exposure command must be maintained until the calibration completes
successfully or times out. iCynergy system executes exposures at approximately 1
frame/sec until calibration is complete or times out. DO NOT release the exposure switch
until the status overlay indicates completion.
Spot dose must be held constant per exposure during iris calibration. AEC must be
enabled for this calibration sequence and should be properly calibrated to maintain the
recommended dose rate identified in Table 26.
Note: Some generators may need to be set to a Serial Mode to allow multiple exposures.
2. When prompted for radiation, depress and hold the exposure switch, and allow the cal-
ibration sequence to complete.
3. When the status overlay indicates completion (success or failure), release the expo-
sure switch. If the calibration fails, the calibration software will make three additional
attempts identical to the first.
ported field sizes. Make the desired selection when prompted, and proceed accordingly.
Iris - spot Subtracted No Uses image statistics to adjust the aperture of the iris to achieve the indicated image
brightness (displayed in the Cal Target field). This section applies only to DSA configura-
tions and only if the spot subtract calibration option in the interface tab of configuration is
set to Independent (see page 46). If the system is not configured for DSA or if the spot
subtract calibration option is set to Same as Spot, this section is disabled and skipped.
The Digital Rad Exposure command must be maintained until the calibration completes
successfully or times out. iCynergy system executes exposures at approximately 1
frame/sec until calibration is complete or times out. DO NOT release the exposure switch
until the status overlay indicates completion.
Spot dose must be held constant per exposure during iris calibration. AEC must be
enabled for this calibration sequence and should be properly calibrated to maintain the
recommended dose rate identified in Table 26.
2. When prompted for radiation, depress and hold exposure switch, and allow calibration
sequence to complete.
3. When the status overlay indicates completion (successor failure), release exposure
switch. If calibration fails, the calibration software will make three additional attempts
identical to the first.
ported field sizes. Make the desired selection when prompted, and proceed accordingly.
Suggested resolution evaluation
1. If the focus was performed with a grid phantom, replace it with a converging line pair phantom as close
to the entrance of the image intensifier as possible.

2. Inspect the displayed image during live fluoro, and verify that the resolution meets, at a minimum, the
criterion in Table 28 under the column Acceptable Resolution for the size of the field of view.
TABLE 28. Criteria for resolution by field of vision
Image Intensifier field of Theoretical resolution limit Acceptable resolution (line

view (inches in diameter) (line pairs/mm) pairs/mm)
5 4.1 3.8
6 3.4 3.1
7 2.9 2.8
9 2.3 2.1
10 20. 1.9
12 1.7 1.5
14 1.5 1.3
16 1.2 1.0
3. Replace any covers removed from the camera assembly, using original hardware.
Exit, and return to iCynergy’s Service Mode.
_____________________
WHEN EVALUATING IMAGE QUALITY WITH CERTAIN PHANTOMS,

A SLIGHT DEGREE OF BLOOMING/BLURRING CAN BE SEEN IN HIGH-DENSITY (HIGH BRIGHTNESS) AREAS OF THE IMAGE,
WHICH RESULTS IN SLIGHT VARIANCE IN DENSITIES TO APPEAR AS THE SAME BRIGHTNESS.
THIS IS AN AIO/AIE CLIPPING EFFECT

THAT IS CAUSED BY THE UNUSUAL IMAGE STATISTICS PRESENT IN THE MEASURING FIELD
WHEN USING THESE PHANTOMS.
IT MAY BE NECESSARY TO ADJUST THE ‘AIO TARGET’ SLIDER TO CENTER (2048) DURING THESE EVALUATIONS,
WHICH WILL ADJUST THE ALGORITHMS SUCH THAT UPPER-LEVEL DENSITIES
WILL NO LONGER ENCOUNTER THIS CLIPPING.
_____________________

Part 3. After Setup of iCynergy System

CHAPTER 14 System
Diagnostics
As an aid to troubleshooting, iCynergy provides diagnostic tests that address the detector data collection,
GIM and serial port communications. To begin, click Diag on the Service Mode menu (Figure 33).
The initial diagnostics window shows the range of tests in the left pane (Figure 65). The right-lower pane
displays a log of the progress of each diagnostic test performed. These diagnostic logs may be saved, and
they may be later reviewed by means of the Logs option of the Service Mode menu.
FIGURE 65. Initial diagnostics screen for iCynergy

14. SYSTEM DIAGNOSTICS
Data collection
DATA TO SAVE:
-- SYSTEM INFO
-- ERROR & DIAGNOSTIC LOGS
-- HIPAA LOGS
-- CONFIGURATION SETTINGS
-- ACQUISITION PROFILES
- PATIENT DATABASE (WITHOUT IMAGES)
-RESOURCES: LANGUAGE FILES USED IN THE ICYNERGY INTERFACE.
iCynergy can collect data for backup and for record keeping. You may select which of these items to have
the iCynergy system record. This feature is useful if you wish assistance from InfiMed in examining data
issues with iCynergy.
Select the data to be collected by touching or clicking the box next to each category (see Figure 65). An X
in the box indicates that iCynergy will indeed collect data for that category.
Browse to choose where the collected data should be stored. In any event, iCynergy places the informa-
tion in a file with the name i5[date time].zip.
Select Collect Data in the upper-right of the right-top pane. The task pane (right-bottom) displays progress.
The data are collected in a zipped file. The same data that you observe in the task pane (right-bottom)
comprises the contents of this file.
GIM
You may ping the GIM through iCynergy diagnostics. If the ping is successful, you will know that connectiv-
ity with the GIM is present.
You may save the results of the GIM ping and send them to InfiMed for assistance in diagnosing an issue.
This GIM diagnostics window also informs you of the GIM versions (GIM and GIM remote), information that
also should be communicated to InfiMed to assist in analyzing an issue.
IAPDB
The image acquisition, processing, and display board (IAPDB) can be tested through the diagnostics func-
tion of Service Mode. The results may always show errors, but the IAPDB board may be operating ade-
quately. Only InfiMed technicians should interpret the data from this test.

You may run selective tests or run all tests simultaneously. After the tests have been run, you may save the
log with the results of the tests. This information is useful to InfiMed if you have an issue that may involve
the IAPDB and for which you need assistance to resolve.


CHAPTER 15 Modify Image
Processing— DR
iCynergy offers excellent image processing tools for DR images. InfiMed, the manufacturer, has specified
x-ray image processing for multiple region-exam-position combinations, and these settings are pro-
grammed into iCynergy. You may, however, modify these settings to suit your needs.
FIGURE 66. Service Mode menu, lower menu choices (cutaway image)
Begin with the three-item accordion menu in the lower part of the Service Mode menu
(Figure 66). Touch or click Image Processing, and the menu opens to reveal the three circles of
the image-processing icon. Select this icon, and a new window opens.
This new window (Figure 67) permits you to review an image and process it simultaneously.

15. MODIFY IMAGE PROCESSING— DR
FIGURE 67. Image processing function with image preview
In modifying the image processing, you are selecting new profiles for specific region-exam-position combi-
nation. The same process is used when the image profiles are altered through configuration. Here, the pro-
file is altered by sight using your judgment. You may alter the following image qualities:
Parameter Explanation
Default AIE level Off, low, medium, high
ADi (auto-density) Specify a look-up table
Low Low contrast
Medium Medium contrast
High High contrast
Laterality Left, right, both

To implement this image processing function, first touch or click the black bar in the middle of the left pane
of the Image Preview window (Figure 67). Doing so opens another window that permits you to select
region, exam, and position (screen not shown). Once you have selected and accepted these items, that
window disappears, and your selections show in the black bar of the Image Preview window (Figure 67).
Note the choices in the illustration:
• Region: Upper extremities

• Exam: Shoulder
• Position: Anterior.
The current image profile settings are displayed in the left pane. You select new image profile settings in
the right pane. As you see in Figure 67, an image with more contrast and less brightness was selected.
Touch or click the magic wand icon, and a new window opens that permits you to adjust the
image enhancement settings. Make your selections. Save this new profile when it is acceptable.
Use the buttons on the bottom of the Image Profile window thus:
• Checkmark, accept changes and close.

• X reject changes and close window.
• Disk with checkmark: Accept changes and continue working on, for example, the image profile for
another region-exam-position.


CHAPTER 16 Utilities
iCynergy permits the user access to several Microsoft Windows XP (the operating system) functions and a
convenient way to view iCynergy’s own help files.
Except to view the manuals, most users of iCynergy system will have little reason to use the utilities
because they are most important for setting up the computer itself — unrelated to the iCynergy. For that
reason, the Service Technician generally is the only individual who should use the utilities.
FIGURE 68. Utilities & help menu
To access iCynergy utilities, click on the Utilities button at the lower-left of the Service Mode menu
(Figure 33). The new window has two parts: Utilities and Manuals (see Figure 68). Table 29 lists the utili-
ties that are illustrated in Figure 68 for iCynergy.

16. UTILITIES
TABLE 29. Utilities available

Notepad Date & time Clear site key
Regional & language options Explorer Command prompt (terminal)
Keyboard setup Network connections System properties
Notepad. Windows' Notepad is a simple text-based editor. Use it both to create unformatted text files, such
as to modify XML files, and to read text files such as logs.
Date & time. Set the time and date and the formats for display of time and date with this function. If the
computer hosting iCynergy is connected to the Internet, the computer can be made to synchronize
its time with Windows Internet time.
Clear site key. The site key maintains registration information about iCynergy software. If the software is
upgraded and the site key needs to be changed, use this utility. Note: Removing the site key ren-
ders iCynergy inoperable. Have a new site key on hand before using this utility.
Regional & language options. iCynergy is used around the world, and the computers that run it are set
up for the specific location of use. Use this utility to establish the country of use and the language.
Further, set preferences here for the formats of numerals, currency, and dates. The input device
used for the language - generally a keyboard - is also specified here.
Explorer. Use this option to view all the files on this computer including such folders as My Documents.
You can also view files throughout the network, if any. Desktop icons and shortcuts as well as the
recycle bin are available through this utility.
Command prompt. Use this utility for terminal functions. It opens a window with a command prompt from
the Windows' disk operating system (DOS) emulator. You can also view disk drives, folders, and
files.
Keyboard. Use this utility for access to the Windows' Control Panel feature for the computer's keyboard.
Set input preferences, cursor blink rate, keyboard hardware, and keyboard troubleshooting.
Network connection. Access network drives and network troubleshooting with this utility. It permits new
connections, network setup, and changes to the Windows firewall. It also gives access to the Con-
trol Panel, My Network Places, My Documents, and My Computer.
System properties. Information about the computer running iCynergy is available through this utility. Use
it to learn the version of Windows, registration, computer type, and computer name - used for the
identifier on the network. It permits access to hardware through the device manager, to the drives
and Windows update, and to the hardware profile. It also provides access to the computer's perfor-
mance parameters, the user profile, startup and recovery parameters, the computer's environ-
ment, and the parameters used to restore the system, handling of Windows system updates, and
remote access.

CHAPTER 17 Logs &
Records
iCynergy compiles and stores data to supply information on its operation. Data generated both about iCyn-
ergy system itself as well as the application of the system with patients.
To view iCynergy logs, click Logs on the Service Mode menu(. A new window opens, and the left pane of
that new window shows the following logs:
Event Logs (InfiView®, Security). The InfiView® report compiles errors at iCynergy application level. The
Security report records the identities of those who login to iCynergy application.
.log files (Diagnostics.log). The Diagnostics.log is created when a Service Technician requests such a
report on the system's functions.
.txt files (AuditLog.txt). The Auditlog.txt report records the application of iCynergy system such as when
iCynergy was started and ended. It also records the initials of the technologists who login and logout when
such actions are required. The view of the name of the specific logs available under the four classifications
may be collapsed or expanded using the up and down arrow characters (^ and v) next to each group
name.

17. LOGS & RECORDS

CHAPTER 18 Acceptance
Testing
After installing iCynergy, you may test that the system operates as it should. This chapter provides instruc-
tions to exercise the core software functions of the system. Before these tests may be run, iCynergy must
have been configured for the site, the camera must have been calibrated, and the generator must be work-
ing with the system, if the x-ray generator is integrated with the system.
THESE TESTS REQUIRE ENTRY-LEVEL KNOWLEDGE OF CLINICAL MODE ACTIVITIES

AND USE OF THE X-RAY GENERATOR.
REFER TO THE OPERATOR'S MANUAL (INFIMED PART NUMBER 721-501-G1)

FOR INSTRUCTIONS ON PERFORMING SOFTWARE TESTS.
The testing focuses on basic system operation: patient creation, generator control (if integrated), image
acquisition in all available modes, image processing, and testing of supported DICOM services.
Power up
Power on the components in the following order:
1. X-ray generator
2. Power conditioner (if present)
3. UPS (if present)
4. Monitors
5. PC tower.

18. ACCEPTANCE TESTING
Use the system

Log in to iCynergy using an operator’s account. This login gives you minimal access and the most
restricted functionality and help you to see how a technologist will view iCynergy.
Test image acquisition
Place a target object in the field, a cell phone, for example, or anything with large amounts of varying
detail.
Open an emergency patient.
1. Activate live fluoro (continuous or pulsed) until the image stabilizes; then, release it. Save the last
image hold.
2. Acquire a single spot exposure.
3. Select a variety of image display features (such as zoom, annotations, horizontal flip, manual shutter),
and verify that these features function.
4. Acquire and store a fluoro loop. Verify that it replays properly and that all images are intact (not cor-
rupted) and of acceptable quality.
5. If supported, acquire a serial spot sequence. Verify that it replays properly and that all images are
intact and of acceptable quality.
6. For DSA systems, acquire a DSA sequence. Verify that the subtraction applies properly and that the
sequence replays all acquired frames.
7. For DSA systems, acquire a roadmap (subtracted fluoro). Verify that the subtraction applies properly
and that the loop replays all acquired frames.
IF ICYNERGY FAILS ANY PART OF THESE PROCEDURES,

CALL INFIMED CUSTOMER CARE AT +1 315-453-4553.
Test networking
1. Open a second study in the emergency patient file. Acquire a single image of any type.
2. If the system is connected to a DICOM print server, print the second test study. Verify that the image is
printed and that the printed film quality is equivalent to the image display quality.
3. If the system is connected to a DICOM network server (PACS), send the patient file to the network
archive. Verify that all images transferred and that image quality is maintained on the PACS side.
4. If the system is connected to a DICOM worklist server, run a manual worklist query.
5. Verify that the DICOM worklist feature works as documented in the Operator's Manual.
6. When test is complete, exit the application. iCynergy then returns to the login screen.
Non-acceptance terms
Non-acceptance of iCynergy by the end-user is defined as:

• Significant physical damage sustained to the hardware that prevents operation of the unit.
• Repeated failure of any one of the components during the acceptance test listed above.
Non-acceptance of iCynergy will not be considered if the system is rendered inoperable by the host x-ray
system or accompanying network device. Service personnel are responsible to replace defective materials
and to reinstall such materials. Refer to instructions provided with replacement parts for installation of
these parts.


CHAPTER 19 Preventive
Maintenance
Please review InfiMed's requirements about equipment handling and safety (See “Equipment Handling” on
page 3.) These practices are essential to the proper operation of iCynergy. Additionally, check to see if
new network devices have been put in operation at the site. If so and if they are to interact with iCynergy,
check their connectivity and operation.
IT IS PRUDENT TO PERFORM PREVENTIVE MAINTENANCE AT LEAST EVERY 6 MONTHS.
Note these cautions when performing preventive maintenance:

• Power down the system and UPS, and disconnect the main power cord from the wall out-
let before performing any service.
• Follow procedures with regard to protection against electrostatic discharges (ESD) to
avoid damaging sensitive electronic components. An ESD ground strap may be connected to any
point on the PC chassis.
Related pertinent information is available in “Acceptance Testing” on page 135. The acceptance testing
form is at “Installation Report, InfiMed i5 Platform for iCynergy RF-DR” on page 151. See also how to cre-
ate backups of iCynergy configuration information and how to restore that information to the iCynergysys-
tem at “Restore points” on page 71.
Replacing PC parts
Use these instructions to open the PC, and refer to the instructions that accompany replacement parts for
their installation. Call InfiMed Customer Care (+1 315-453-4553) if you encounter difficulty.
To access the PC's components, only the left side or front panels need to be opened. The top and right
panels do not need to be removed. See front components in Figure 69. External cables are connected at
the rear of the PC, but it is not necessary to remove the rear panel for any procedure.

19. PREVENTIVE MAINTENANCE
FIGURE 69. PC’s front components
Instruction to remove the left panel
1. Remove the two screws located at the left-rear of the chassis (Figure 70).
2. Slide the side panel locking lever upward.
3. Slide the panel about 1 inch to the rear of the chassis until the hooks disengage from the notches on
the rear of the chassis frame.
4. Lean the panel slightly outward, and lift up from the bottom track.
5. The panel can be lifted away and stored to permit parts' replacement or cleaning. See Figure 70
FIGURE 70. Left, removing left-side panel. At right, panel has been removed
Remove front cover
The only reason to open the front panel is to install a CD-DVD drive. The left cover must have been
removed before the front cover can be removed.

1. See Figure 71. Locate the two green clips on the left side, inside the chassis.
2. Pull the clips outward, and the front cover will disengage from the chassis on its left side.
3. Lift the front cover off, and set it aside while you clean or replace components.
FIGURE 71. Removing the front cover
Replacing the front cover
Before the left side cover can be put back, the front cover must be in place. See Figure 72.
1. Mate the front cover to the right side of the chassis, with the front cover tilted forward on the left.
2. Move the left side of the cover toward the left side of the chassis until the cover clicks into place. The
green tabs inside the chassis will engage with the front cover.
FIGURE 72. Replacing front cover
Replacing the left panel
1. See Figure 73. Mate the left side panel to the chassis.

2. Align the interlocking groove of the side panel to the rail inside the chassis.
3. Slide the panel toward the front of the chassis until the hoods fully engage to the notches on the chas-
sis.
4. Slide down the side panel locking lever.
5. Locate the two panel screws, and secure the panel to the chassis.
FIGURE 73. Replace left metal panel
You may now hook up your power cables and power-up the PC. See “Cable connections” on page 25 for
the location of PC cables at the rear of the chassis.
Cleaning
Shut down all components of the system before cleaning. Follow these cautions when cleaning electronic
components:
• Follow procedures with regard to protection against electrostatic discharges to avoid damaging sen-
sitive electronic components.
• Blow dust from the interior of the PC and from fan covers to permit air circulation.
• Never use any liquid inside the PC tower.
• Never spray or squirt the liquids directly on any computer component. If you need to clean the
device, spray cloth first, then rub the equipment to clean.
• Be cautious of all cleaning solvents or chemicals used for cleaning. Some individuals may be aller-
gic to the ingredients.

• Place no food, drink, or cigarettes around the computer.
Check the functionality and appearance of each major component of the imaging system:
• Inspect the camera, if accessible, for dust or debris. Clean with a dry soft cloth as necessary.
• Check cables for chafing, and replace if necessary.
• Check that the cable connections are secure. If necessary, tighten the connections.
_____________________
WHEN EVALUATING IMAGE QUALITY WITH CERTAIN PHANTOMS,

A SLIGHT DEGREE OF BLOOMING/BLURRING CAN BE SEEN IN HIGH-DENSITY (HIGH BRIGHTNESS) AREAS OF THE IMAGE,
WHICH RESULTS IN SLIGHT VARIANCE IN DENSITIES TO APPEAR AS THE SAME BRIGHTNESS.
THIS IS AN AIO/AIE CLIPPING EFFECT

THAT IS CAUSED BY THE UNUSUAL IMAGE STATISTICS PRESENT IN THE MEASURING FIELD
WHEN USING THESE PHANTOMS.
IT MAY BE NECESSARY TO ADJUST THE ‘AIO TARGET’ SLIDER TO CENTER (2048) DURING THESE EVALUATIONS,
WHICH WILL ADJUST THE ALGORITHMS SUCH THAT UPPER-LEVEL DENSITIES
WILL NO LONGER ENCOUNTER THIS CLIPPING.
_____________________


Part 4. Appendixes

APPENDIX A Statement of
IHE
Integration
TABLE 30. IHE Integration Statement, May 4, 2009
Vendor Product name Version

InfiMed InfiMed i5 1.0
This product implements the transactions required in the IHE Technical Framework to support the IHE Integration Profiles, Actors, and
Options listed below:
Integration Profile Implemented Actors implemented Options implemented
Scheduled workflow Acquisition modality PPS exception management
Broad worklist
Patient based worklist query
Assisted acquisition protocol setting
Performed procedure step manager None
Patient Information reconciliation Acquisition modality None
Key image notes Acquisition modality None
Portable data for imaging Acquisition modality None
Consistent presentation of images Acquisition modality None
Consistent time Acquisition modality None
Internet address for InfiMed IHE information: http://www.infimed.com
Links to standards conformance statement for the implementation
DICOM http://infimed.com/customercare/documentation
http:///infimed.com/impdf/DICOM_Conformance.pdf/
Links to general information on IHE
North America: Europe: Japan:
http://www.ihe.net http://www/oje-europe.org http://www.jira-net.or.jp/ihe-j

APPENDIX A Installation
Report

A.
Installation Report, InfiMed i5 Platform for iCynergy RF-DR

Installation Report, InfiMed Part No: 721-209-G1
Required. InfiMed requires submission of this Installation Report including Acceptance Testing results
within 30 days of first clinical use of the i5 Platform for iCynergy RF-DR system. Contact InfiMed Customer
Care at +1 315-453-4553 with questions. Thank you.
Service Technician: Complete this form to document your installation of the InfiMed i5 Platform for iCyn-
ergy RF-DR system. Return this form to InfiMed (121 Metropolitan Dr., Liverpool, NY 13088 USA) within 30
days of installation. Enter NA if an item is not applicable.
Installation: ___New ___Reinstalled ___Used Date: ___ / ___ / 20___

System serial number:
Site information Distributor information

Name Name
Street Street
City, State, Zip City, State, Zip
Department administrator Service engineer
Phone Phone
Email Email
Survey completed by (print)
Signed Date
Room configuration
Bucky replaced? ___Yes ___No _____ Chest stand _____ Table
Positioner (if any) Manufacturer Model
Mounting port used: Radial (side): Axial (top):
Fluoro imaging? ___Yes ___No Spot imaging? ___Yes ___No
Camera ABS in use: ___Yes ___LC
High resolution monitor type Make Model
Control station in: _____ Exam area _____ Control area
Are all interface cables clearly labeled? _____ Yes _____ No
Distance from iCynergy tower PC to patient area _____
Modem telephone number (if any)

A.
Detector setup
Detector manufacturer & model Wireless _____ Yes _____ No
Mfr & model of second panel, if any: Wireless _____ Yes _____ No
X-ray generator
Manufacturer Model
Dose Measurement Normal MAG1 MAG2 MAG3

Fluoro rate mR/minute
Photospot rate µR/exposure
Installation notes

A.
Acceptance Tests, InfiMed i5 Platform for iCynergy RF-DR

Service Technician: After completion of each test or procedure, note date that test was com-
pleted as well as the results of test or any other pertinent information. Some items listed are
optional equipment and may not have been installed. Enter NA if an item is not applicable.
Procedure Pass Fail NA

Baseline data on previously installed digital system (pertinent for preventive maintenance
but not for installation).
System diagnostics
System powers up
System configuration complete
System and camera / panel calibration complete. Document image quality parameters
including noise, resolution, uniformity, and signal range.
Describe image quality:
Ion chamber calibration

Image acquisition
Review of acquired images - W/L/I, AIE, flip, rotate, manual shutter, annotation, pointers,
measurements
Acquisition of fluoro images - integration, edge, W/L/I, fluoro store, LIH
Acquisition of fluoro loops - loop acquire, loop replay, store loop
Acquisition of spot images - single shot, rapids
LIH - Store, W/L/I, edge
Print images on DICOM printer in different formats
Export patient / image via DICOM network or disc media
Dicom worklist
Import patient from DICOM media
DICOM transfer received
Review or Work Procedures defined in i5 Platform for iCynergy RF-DR
Review of Exams defined in i5 Platform for iCynergy RF-DR
Review of Positions defined in i5 Platform for iCynergy RF-DR
System diagnostics
For QA use only

System serial number Installation date
Were any parts damaged in shipment? _____ Yes _____ No
If Yes, record all components that were removed or replaced.

A.
Comments
Removed component Replacement component

Part name IPN Serial no. Part name IPN Serial no.


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i5 Platform for iCynergy RF-DR

RF & DR from one console

Supports multiple CCD cameras & flat panel detectors

Flexible & adaptable to site requirements

Technology that grows as imaging demands change.

Service Manual: i5 Platform for iCynergy RF-DR i

Technical Support & Customer Service, +1 315-453-4553

Parts & Order Services, +1 315-453-4545.

• System Serial Number (S/N) — found on the identification tag on the

Thank you for choosing InfiMed.

RF & DR from one console

Supports multiple CCD cameras & flat panel detectors

Flexible & adaptable to site requirements

Service Manual: i5 Platform for iCynergy RF-DR i

Revision Date ECN Description of release & change pages

Applicable standards & compliance EU Authorized Representative:

ii Service Manual: i5 Platform for iCynergy RF-DR

We are pleased that you have chosen InfiMed. Thank you.

Service Manual: i5 Platform for iCynergy RF-DR iii

Part 1. Assemble iCynergy — 1

CHAPTER 1. Equipment Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CHAPTER 2. Room Readiness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

CHAPTER 3. Inventory of Hardware Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

CHAPTER 4. Cabling Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

CHAPTER 5. Carestream Health Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Service Manual: i5 Platform for iCynergy RF-DR v

CHAPTER 6. Using Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

CHAPTER 7. Site-specific Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

CHAPTER 8. Generator Interface & GIM Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

CHAPTER 9. Dicom: Export, Import & Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

CHAPTER 10. Acquisition Profiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

CHAPTER 11. Work Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

CHAPTER 12. Manage Users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

vi Service Manual: i5 Platform for iCynergy RF-DR

Part 3. After Setup of iCynergy System — 121

CHAPTER 14. System Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

CHAPTER 15. Modify Image Processing— DR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

CHAPTER 16. Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

CHAPTER 17. Logs & Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

CHAPTER 18. Acceptance Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

CHAPTER 19. Preventive Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Part 4. Appendixes — 145

Statement of IHE Integration 147

Installation Report 149

Service Manual: i5 Platform for iCynergy RF-DR vii

FIGURE 1. Tower PC, monitor, mouse, & keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Service Manual: i5 Platform for iCynergy RF-DR ix

x Service Manual: i5 Platform for iCynergy RF-DR

Service Manual: i5 Platform for iCynergy RF-DR xi

TABLE 1. Environmental parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Service Manual: i5 Platform for iCynergy RF-DR xiii

Service Manual: i5 Platform for iCynergy RF-DR 1

Protection against electric shock - class I

Service Manual: i5 Platform for iCynergy RF-DR 3

Use no software other than that supplied by manufacturer on iCynergy (SH15).

4 Service Manual: i5 Platform for iCynergy RF-DR

TABLE 1. Environmental parameters

Computer & peripherals Isolation transformer