MANUEL BIOMEDICAL

EQUIPMENT TRADING
BLK 38 LOT 45 GOLDEN HILLS SUBD. SAN VICENTE STA. MARIA BULACAN
Tel no. 09063071380 Email : cmgirayle@gmail.com

CALIBRATION REPORT OF NEWLY INSTALLED STATIONARY

X – RAY EQUIPMENT FOR GENERAL RADIOGRAPHY

a) Calibration or job order number 2024-0143

EPH MULTI-SPECIALTY AND
b) Name of facility
DIAGNOSTIC CENTER INC.
TIBANGA HIGHWAY, BRGY. SANTIAGO ,
c) Address of facility
ILIGAN CITY
MAMAUNTE, NORFAIDAH M., RRT
GENERAL d) Name of facility representative
Lic. No. 0020573
INFORMA –
e) Condition of equipment upon purchase Refurbished
TION
f) X – ray equipment installation date Apr 15, 2024
g) X – ray equipment calibration date Apr 15, 2024
h) Date of reporting of test results Apr 15, 2024
i) Name of third party service provider Manuel Biomedical Equipment Trading
j) Name of service engineer Rey Esclabanan
k) Room/location Radiology
a) Manufacturer KETHLEY
b) Model number 35050A
TEST
c) Serial number 79169
TOOL A
d) Date of calibration Apr 15, 2024
(kVp Meter)
e) Calibration expiry date Apr 15, 2025
f) Calibration report of test tool A
a) Manufacturer VICTOREEN
b) Model number 07-487
TEST
c) Serial number 106126
TOOL B
d) Date of calibration Apr 15, 2024
(Timer)
e) Calibration expiry date Apr 15, 2025
f) Calibration report of test tool B
a) Manufacturer KETHLEY
TEST b) Model number 35050A
TOOL C c) Serial number 79169
(Radiation d) Date of calibration Apr 15, 2024
Dosimeter) e) Calibration expiry date Apr 15, 2025
f) Calibration report of test tool C

X – RAY a) Manufacturer SHIMADZU

CONTROL b) Model number DTXmDR5A
CONSOLE c) Serial number HAQ0703210041823S005
a) Manufacturer SHIMADZU
X – RAY TUBE
b) Model number DTXmDR5A
ASSEMBLY
c) Serial number HAQ0703210041823S005
X – RAY a) Tube mA range 50-200 ma

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 MANUEL BIOMEDICAL
EQUIPMENT TRADING
BLK 38 LOT 45 GOLDEN HILLS SUBD. SAN VICENTE STA. MARIA BULACAN
Tel no. 09063071380 Email : cmgirayle@gmail.com

EQUIPMENT b) kVp range 40-100 KVP

TECHNICAL c) Exposure time setting range 1/10
SPECIFICATIONS d) Maximum kW rated output 30KW
e) Power supply information 220 VAC SINGLE PHASE 50/60 HZ
f) Inherent/total filtration 1.0-1.5 mm
g) Overload circuit protection CIRCUIT BREAKER

MECHANICAL
PARAMETERS TRIAL 1 TRIAL 2 TRIAL 3 MEAN
CHECKS
a) Misalignment in side A (cm, %) 0.41,0.41 0.41,0.41 0.41,0.41 0.41,0.41
b) Misalignment in side B (cm, %) 0.25,0.25 0.25,0.25 0.25,0.25 0.25,0.25
c) Misalignment in side C (cm, %) 0.20,0.20 0.20,0.20 0.20,0.20 0.20,0.20
d) Misalignment in side D (cm, %) 0.42,0.42 0.42,0.42 0.42,0.42 0.42,0.42
1. COLLIMATION e) Total misalignment (cm, %) 1.28,1.28 1.28,1.28 1.28,1.28 1.28,1.28
ASSESSMENT f) The x – ray beam
90ͦ ±1.5ͦ 90ͦ ±1.5ͦ 90ͦ ±1.5ͦ 90ͦ ±1.5ͦ
perpendicularity (degrees)
SETTINGS: SETTINGS:100cm /26 cm x 18 cm
/80kVp/100mA /0.1s
g) Settings
NOTE: Set X-ray Field Size base on Test Tools with
Serial Number

TRIAL 1 TRIAL 2 TRIAL 3

Misalignment in side A

Misalignment in side B

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 MANUEL BIOMEDICAL
EQUIPMENT TRADING
BLK 38 LOT 45 GOLDEN HILLS SUBD. SAN VICENTE STA. MARIA BULACAN
Tel no. 09063071380 Email : cmgirayle@gmail.com

Misalignment in side C

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Misalignment in side D

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X – ray beam perpendicularity

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 MANUEL BIOMEDICAL
EQUIPMENT TRADING
BLK 38 LOT 45 GOLDEN HILLS SUBD. SAN VICENTE STA. MARIA BULACAN
Tel no. 09063071380 Email : cmgirayle@gmail.com

2. X – RAY TUBE AND TABLE BUCKY ALIGNME

TRIAL 1 TRIAL 2 TRIAL 3

SETTINGS: 100 cm /26 cm x18 cm /80 kVp /100mA /0.1s

NOTE: Set X-ray Field Size base on Test Tools with Serial Number

GENERATOR SET TRIAL TRIAL TRIAL S.

SSDb COVc COLd % REe
CHECKS VALUE 1 2 3 MEAN
a) 40 48.5 48.5 48.6 48.533 0.058 0.001 2.933%
b) 50 60.2 60.2 60.2 60.200 0.000 0.000 0.333%
c) 60 71.7 71.8 71.8 71.767 0.058 0.001 2.524%
1. kVp d) 70 78.5 78.5 78.6 78.533 0.058 0.001 1.833%
ACCURACY e) 80 90.5 90.5 90.7 90.567 0.115 0.001 0.630%
100 cm/26.27cm x 12.7 cm /100mA/0.1s
f) Settings NOTE: X-ray Field Size base on Test Tool with Serial Number
Set Value base on capability of Electrical Supply
a) 50 53 53 54 53.333 0.577 0.001 6.667%
2. EXPOSURE b) 100 103 103 102 102.667 0.577 0.006 2.667%
TIME c) 150 158 159 160 159.000 1.000 0.006 6.000%
ACCURACY d) 200 209 209 210 102.333 0.577 0.003 4.667%
(s) NOTE: X-ray Field Size base on Test Tool with Serial Number
e) Settings
Set Value base on capability of Electrical Supply
152.3 152.4 152.5 152.4
a) 50mA
μGy μGy μGy μGy 0.100 30.480 0.1
3. mA 307.4 307.5 307.3 307.4
LINEARITY
b) 100mA
μGy μGy μGy μGy 0.100 30.480 0.1
(Xd in μGy 620.4 620.6 620.5 620.5
c) 200mA
μGy μGy μGy μGy 0.100 30.480 0.1
vs. mA)
100cm/12.7cm x 12.7cm /80kVp/0.1s
d) Settings
NOTE: X-ray Field Size base on Test Tool with Serial Number

• Page 4 of 5 •
 MANUEL BIOMEDICAL
EQUIPMENT TRADING
BLK 38 LOT 45 GOLDEN HILLS SUBD. SAN VICENTE STA. MARIA BULACAN
Tel no. 09063071380 Email : cmgirayle@gmail.com

a c
Legends: Radiation dose/exposure Coefficient of variance (COV = SSD / Sample Mean)
b
Sample standard deviation d
Coefficient of linearity [COL = (Xmax – Xmin) / (Xmax + Xmin)]
e
Percent relative error
[% RE = (Set Value – Actual Value)(100 %) / Set Value]
Specifications:
Mechanical Collimation ● Allowable misalignment for each side = ± 1 % of SID
checks assessment ● Allowable total misalignment = ± 2 % of SID
● Allowable x-ray beam perpendicularity = 90° ± 1.5°
X – ray tube and ● The center of x – ray beam and the center of indicator light beam must be at the center
table bucky of image receptor
alignment
X – ray tube and ● The center of x – ray beam and the center of indicator light beam must be at the center
vertical of image receptor
cassette/bucky
alignment
Generator kVp Accuracy ● For < 100 kVp: actual kVp shall be within ± 6 % of the set kVp
checks ● For > 100 kVp: actual kVp shall be within ± 6 % of the set kVp
Exposure time ● For exposure time < 0.1 s, actual time shall be within ± 20 % of the set time
accuracy ● For exposure time > 0.1 s, actual time shall be within ± 10 % of the set time
● The COV shall be within 0.05
mA linearity ● The overall COL shall be ≤ 0.1

Performed by: Checked and attested by: Conformed and accepted by:

Rey Esclabanan Rene Rebustes

Biomedical Technician Liaison Officer Radiologic Technologist

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