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MAM VENUS+ USER MANUAL (1)
MAM VENUS+ USER MANUAL (1)
MAM VENUS+ USER MANUAL (1)
+
ALLENGERS MAM-VENUS
Mammography Machine
Catalogue No. 10
We thank you for purchase of Allengers Mammography Machine. Please go through the User
Manual carefully before operating the machine. This machine is type approved for
Mechanical, Electrical & Radiation Safety Standards by following regulatory boards:
PRODUCT APPROVAL
SYSTEM APPROVAL
Contents
2. System Overview………………………………………………… 7
2.1 Features……………………………………………………………….….. 9
4. Description of Control…………………………………………... 12
4.1 Description of Control Keys……………………………………………... 13
4.2 Description of Switches on Mammography Column……………………. 18
4.3 Description of Switch on LBD…………………………….…………….. 19
5. Operating Instructions………………………………………….. 20
5.1 Breast positioning………………………………………………………... 20
5.2 Film loading in cassette…………………………………….……………. 20
5.3 Machine operation………………………………………….…………..... 21
5.4 Technic chart……………………………………………….…………….. 22
7. Maintenance……………………………………………………... 25
7.1 Overview………………………………………………………………… 25
7.2 Inspecting the system…………………………………………………….. 25
7.3 General maintenance…………………………………………………….. 26
8. Troubleshooting…………………………………………………. 27
9. Warranty……………………………………………………….... 28
Checked By_____________________
Warning Symbol
SWITCH ON SAFELY
ATTENTION SYMBOL
USE SENSIBLY
QUALIFIED SERVICE
WATER RESISTANCE
DANGEROUS VOLTAGE
INTERFERENCE
WARNING MESSAGE
PROTECTIVE EARTH
OFF
ON
Attention
Please read this Manual thoroughly. Although Allengers devices comply with the related
Safety Requirements. This manual provides all information necessary for a correct use and
the warnings related to danger associated with X-Rays Generating Units.
Warnings:
• This device has not been designed to be used in environments where vapours,
anesthetic mixes flammable with air, or oxygen and nitrous oxide can be detected.
• Before cleaning the device, please disconnect it from the AC Mains supply.
• Wherever necessary, use the suitable accessories, such as the Leaded Aprons, Lead
Goggles, and Thyroid Guards to protect the Patient, User & Support Staff of OT
from radiation exposure.
• While performing the radiography, no one, apart from the Operator and the Patient,
must remain in the room.
• Though this unit has been designed with a quite acceptable protection level from
electromagnetic interference, it is advisable to install it at a certain distance from
electrical energy transformation rooms, from static continuity units, from portable
receiving-transmitting units and for Cellular use. Cellular Telephones are only
admitted at a distance of more than 1.5m from any component of the device. Other
medical instruments and devices that must be used in the same installation area of
the unit must comply with the Electromagnetic Compatibility rules in force. Non-
complying instruments, of which the poor immunity from electromagnetic fields is
well known, must be installed at least 3 m away from the equipment and supplied by
a different electrical line.
• The equipment must be OFF while using devices such as electrical scalpels or
similar instruments. The equipment automatically performs some self-test functions
and therefore is able to detect some anomalous conditions. However, whenever there
are doubts on the performance of the equipment (e.g. images too clear, too dark or
with artifacts), the activity must be suspended and an Allengers Qualified and
Authorized Engineer must be contacted.
• During the use of the equipment, the operator must comply with the local work
Safety Regulation, in particular with the ones referring to the use of X-Ray
Equipments.
• Avoid to use the CFL Lamps in O.T. as some of the CFL Lamps generate UV
Spectrum (>700 mm) which some times hamper the performance of electronic
circuits.
The equipment contains in some of its parts, materials that at the end of the unit’s life, must
be recycled at an approved location. Particularly the device contains the following materials
and/or components:
• Tube Head Assembly: Tube Head Assembly of this X-Ray Equipment contains
High Voltage Tank, X-Ray Tube and Oil filled alongside, Printed Circuit Board
(PCB) and Lead used for controlling Stray Radiations.
Allengers is not responsible for the disposal of the equipment performed by the user
and for the costs related to this intervention.
It is assumed by the manufacturer and distributors of this equipment that all persons
responsible for the operation of this equipment are aware of danger and excessive exposure
to X-Radiation and this equipment is sold with the understanding that Allengers Medical
Systems Limited, their agents and representatives have no responsibility for injury or
damage which may result from exposure to X-Radiations.
a) The radiation exposure to the patient should be the minimum exposure required to
produce images of good diagnostic quality. Use radiation with care, caution and at a
rate which is ALARA - ‘As Low As Reasonably Achievable’
b) The speed of the film, or screen and film combinations should be of fastest speed
consistent with the diagnostic objective of the radiographic examination.
c) When a patient or film must be provided with auxiliary support during radiation
exposure:
(i) Mechanical holding devices shall be used when the technique permits.
(iii) If a human holder is required, the holder shall be positioned such that no
part of body shall be struck by primary X-Ray beam unless protected by
at least 0.5 mm lead equivalent and shall be protected from direct scatter
radiation by protective lead apron of not less then 0.25 mm lead
equivalent.
d) Gonadal shielding of not less then 0.25 mm lead equivalent shall be used for patients
who have not passed their reproductive age during radiographic procedures in which
gonads are under primary beam, except, in cases where shielding would interfere
with diagnostic procedures.
e) Doors of the Room/OT where X-ray equipment is installed should be closed before
making exposures.
f) The X-ray beam should not be directed towards doors or windows of the room, or
towards control panel or darkroom walls unless no other geometry is possible.
i) Use Collimator to set minimal useful field size; keep Image Intensifier in close
proximity to the patient.
3. Keep the air passage clear by turning the head to one side, opening
the patient’s mouth and cleaning it of water, saline, mucus or blood,
a lot of which might have accumulated in the back of the throat.
4. If the jaw is rigid, try to force the mouth open by pressure on the
gum behind the last molar tooth of the lower jaw. When the upper
air passage is cleared, tilt the head backward and force the jaw
forward from the angles of the jaw in front of the ears. This would
prevent mechanical obstructions to the upper air passages.
5. Hold the chin up and forward with one hand and pinch the nostril of
the victim with other.
6. Take a very deep breath and apply your mouth to that of victim and
blow into his mouth until the chest of the victim moves up
indicating filling of the lungs (Never allow the chin to sag).
7. When the chest has moved up, withdraw your mouth and allow the
chest to sink back.
2. System Overview
This equipment is Type Approved for Electrical and Mechanical Safety Standards and for the
Radiation Safety (vide IS: 7620) from the Atomic Energy Regulatory Board (AERB), Govt. of
India, thus making it entirely safe from the Radiation Hazards.
In an X-Ray Equipment Stand designed to perform ISO Centric scanning movements and having
three axes of rotation concurrent to the ISO Center O, the ISO Center can be caused to rotate
about a fourth axis (Axis 4) perpendicular to the second axis (Axis 2) and parallel to the third
axis (Axis 3). This permits displacement of the ISO Center in the horizontal plane, especially
along straight lines which are secant with the third axis.
Tube Head
Compression Paddle
UP/DOWN Switches
Emergency OFF
LBD
Switch
Protection Screen
3. Technical Specifications
PARAMETERS SPECIFICATIONS
Radiography KV 20 to 39 KV in steps of 0.5 KV
Radiography Timer Variable mAs from 1 to 700 mAs, mA output: 150mA
X-Ray Generator High Frequency 50 KHz., 5 KW X-Ray generator
X-Ray Tube Head -Double focus Rotating Anode, 9600 R.P.M. X-Ray Tube of focal spot 0.1 mm
(Small) and 0.3 mm (Large)
-Collimator with Auto Shut OFF after 45 Seconds ±15 Seconds.
-Target Material: Molybdenum
-Inherent Filtration: 0.5 mm Be
-Additional filter 1.0 mm Al or 0.035 mm Mo, (Rh*)
Control -Manual Two Point Technique Selector (kV and mAs)
-Automatic Exposure Control (3 Chamber)
-Anatomical Programming Mode & Manual Mode
-Automatic Filter Change
-Auto Stop Angular Movement
-Filter is automatic selected as per kV selection (Molybdenum & Rhodium)
-Film Density Control Functions (7 Step Density Control)
-LCD Display of kV/mAs, Molybdenum/Aluminium/Rhodium Filter* Selection.
-Indicators of Ready & X-Ray ON, Large/Small Focus Selection, APR/AEC,
Density Control & Self Diagnostic Functions
-Machine ON/OFF Switch, Focus Selection Switch, Ready & X-Ray Exposure
Switch, kV Increase/Decrease Switch & mAs Increase/Decrease Switch
Automatic collimation for size of bucky 24x30cm & 18x24cm with cassette size
24X30 & 18x24cm.
Automatic Focal Spot selection with insertion of Magnification stand is
provided.
Stand Assembly -Motorize ISO Centric Gantry UP/DOWN Movement: 70 to 140 cms.
-Angular Rotation: ±90°.
-Focus Film Distance: 650 mm
-Actuator based Breast Compression up to 20 Kg with Compression
Increase/Decrease Switches in steps, Compression Release Switch
-Automatic Decompression after Exposure.
-LCD Display of Compression Force in Kg (Preset of Compression force as per
user requirement – 3 to 20 KG), Degree, Breast Thickness
-Compression System is Motorise in such a way that paddel speed progressively
reduce as it contact with breast.
-Manual & Dual Speed Compression
-Compression Paddles for Normal & Magnification Mode
-Magnification Device: 1.8X, 1.5X (Optional).
-18 x 24 cm Bucky.
-Motor Operated Oscillating Grid of size 18 x 26 cm, 5:1, 31 lines/cm
-Molybdenum & Rhodium / Aluminum Filter
-Cone for Localization and Radiation Protection
-Column UP/DOWN Movement Foot Switches.
-Column rotation Switches on both side of Column.
Additional Features -Hand Switch with retractable cord for initiation of exposure
-Film Marking Device
-Protection Screen with fully transparent Lead Glass for Operator Protection
Power: 5 KW
Current: 15 Amps.
EARTHING: It is strongly recommended that independent earthing (at zero potential) is available in
the power socket in the Room where the machine is to be used. Proper earthing not only enhances
the performance & reliability of the equipment but increases safety for the operating staff as well.
FUSE DETAILS:
Storage:
Temperature 00 to 400 C
Operating Conditions:
Temperature: 10 to 40o C
Humidity: 0 to 75% RH Non Condensing
Atmospheric pressure: 70KPa…110KPa
4. Description of Control
Operator Console of Allengers MAM Venus+ consists of following keys:
12
10 8
11 9
1 2 3 5 6 4 7 13 14
1. MACHINE ON SWITCH
Pressing this Switch causes the machine to become ‘ON’. The Display has shown the unit
warming up for approx. 35 seconds. During this period of time machine performs the
internal checks.
Pressing this Switch turns OFF the machine. If the 15 Amps. Mains Switch on wall socket
is ‘ON’ & 230 V AC supply is available to the machine, this Indicator will glow. Glowing
of indicates that power is available to machine.
When machine is made ON, density control is selected to level 0 by default. Pressing this
switch increases the level to +1 so that darkness of image on film is increased. Again
pressing this switch further increases the level to +2 & +3 so that darkness increases further.
Similarly to reduce the darkness, pressing this switch again will decrease the level to -2 & -
3 so that darkness of image on film is reduced. Again pressing this switch will increase the
level to -1 so that darkness of image gets increased. (Selection of density control level may
require experience of few examinations).
When we increase the film density the mAs are increase 12.5% automatically and
when we decrease the film density the mAs are decrease 12.5% automatically.
This switch is used to compensate film density for different combination of Film and
intensifying screens available in particular country.
These indicators glow to indicate the level of selection selected by Film Screen
Combination Selection Switch. The Indicator at higher level indicates low factors as
required by high-speed film screen combination and vice-versa.
In AEC mode kV selected are 23, 25 & 26 respectively as per size of breast is selected.
However, the operator can still vary kV by switches (- & +) provided on control panel and
mAs are selected by AEC Chamber automatically as per Breast Size.
AEC Chamber is selected by default as per breast size is selected by operator i.e. Chanel-1
to Chanel-3 as per breast size.
Note:- In AEC mode before exposure mAs are 000 shown on LCD Display. When
exposure terminate given mAs are shown on LCD display.
When machine is switched ON, Large focus of Tube is selected by default. Pressing this
Switch changes the focus selection from large to small and vice-versa. When Magnification
Stand instead in Bucky assembly machine will automatically select small focal spot.
Selected focal spot will display on LCD.
Pressing (-/+) these Switches enables the user to decrease/increase the mAs. At Large focus
mAs can be selected from 1 to 700 mAs and at small focus mAs can be varied from 1 to
230 mAs.
Pressing (-/+) these Switches enables the user to decrease/increase the KV; it can be
increase from 20 to 39 KV. KV can be decreased/increased in steps of 0.5 kV.
Shows kV, mAS, Mode i.e. AEC, APR size of breast (Small/Medium/Large), filter (Mo,
Rh*/Al*) and Tube Filament (large/small) selected by user.
This Switch is used to boost the filament. When this Switch is pressed, Indicator along this
Switch glows.
This Switch is used to make an exposure. For exposure, first press the Ready Switch and
then Exposure Switch. Exposure Indicator above this Switch glows to indicate that
exposure is takes place.
INTERLOCKS
In case any one of these Interlock remain ‘ON’ & doesn’t become ‘OFF’ during exposure, it
is an indication of fault.
Interlocks Purpose
To indicate KV fault. Call for Allengers Service
Engineer if this Interlock Display.
Exposure
This is used to press Ready switch and Exposure switch using retractable type cord.
The Foot Switch is used for ‘C’ UP/DOWN and for Compression UP & DOWN.
Pressing UP Switch decreases the compression. Again pressing this key will decrease the
compression further. This way compression can be decreased. This key does not work when
compression display is 000.
Pressing DOWN initiates the movement of compression paddle downwards & compresses
the breast with force of 3 Kg initially. Again pressing this key will increase the compression
further 3 Kg. Compression can be increase in this way up to 20 kg. Compression force of 10
Kg is recommended. Compression releases automatically after exposure.
2 1
4
5
Pressing this key initiates the movement of compression paddle downwards & compresses
the breast with Selected force. Speed progressively reduces as it gets contact with the
Breast. Again pressing this key will increase the compression further of 3 Kg. Compression
can be increase in this way up to 20 kg.
Pressing this key decreases the compression. Again pressing this key will decrease the
compression further.
Pressing this key releases the compression and paddle moves upwards continuously & stops
at its home position.
Pressing this Switch Column Rotate in Clockwise / Anticlockwise direction. Auto Stop of
Angular Movement at ±90°.
Displays the value of compression force in KGs, Compress Brest thickness in CMs & Deg
for Angulations. Also Set Weight, Pre Compression, Dual Mode Full Compression
displayed on LCD.
7. EMERGENCY OFF
Emergency OFF is provided above ‘C’ Rotation Switch Panel on both side of Control for
Switch OFF the Machine & releases the compression when any emergency occurs during
X-Ray procedure.
Note:- If Emergency Switch is pressed machine is not getting ON. In that case rotate
the Switch in Clockwise direction.
8. COMPRESSION FORCE SELECTION SWITCH
Preset of Compression force is provided in the Machine with which user can select the
compression force as per user requirement. It can be selected from 3 Kg to 20 Kg with
these switches.
LBD ON/OFF
SWITCH
LBD
LBD CONE
ON/OFF SWITCH
Pressing this switch turns ON/OFF the LBD Bulb. LBD Bulb switches OFF automatically after 50
seconds.
As the kV is increased the filter will be automatically changed (After 29.5 KV Filter will change to
Rhodium/Aluminium).
‘*’ OPTIONAL ITEM
Allengers Mammography - User Manual Page 19
Rev. ‘0’ Eff. Date: 26.02.2011
Dark Room Procedures & Room Layout
MAMMOGRAPHY
UNIT
DOOR DOOR
CHANGE
ROOM
Note: We are providing Lead Glass as a protective device with the machine.
7. Maintenance
7.1 Overview
Regular maintenance of system is necessary for safe and trouble free use. Periodic maintenance
helps in reducing equipment downtime, service cost and operational hazards.
Contact the local service representative for spares or preventive maintenance inspections. It is
recommended that preventive maintenance be performed every three months.
Daily Checklist
√ After each use, remove the power cord from Power outlet and cover the machine
properly.
√ Clean the Tube Head and external surface of the unit by dry cloth.
Weekly Checklist
Monthly Checklist
√ Visually inspect the unit every month for any physical damage to different parts.
√ Check that panel covers are properly tight with screws from all sides.
√ Check the electrical and power cables for any crack, cuts etc.
√ Check the equipment for any loose connection or loose hardware.
√ Check the Tube Head for any leakage.
√ Check for any abnormal noise or sparking in the machine.
2. User should confine only to preserve the external appearance of the unit by cleaning the
unit with dry cloth. It is recommended to take suitable precautions against accumulation
of dust etc. on the control panel, tube head and fluoroscopy etc. Dust covers may be used.
3. Allengers Medical Systems Ltd. maintains a network of Service Centres through which
the assistance of skilled service personnel may be obtained. You are requested to contact
any of the centre near you for all your service related problems. Contact details alongwith
Telephone Numbers of our Service Centres are mentioned in this manual.
• When mA values are more than 10% off from the proper values, the tube current
must be readjusted. This should be done by qualified Service Engineer specially
trained in servicing the equipment.
The battery is provided for emergency release of compression tray in case of power
failure. Therefore, it must be ensured that battery is fully charged in normal use. If
battery is to be replaced only approved battery with same ratings as the original one
should be used.
8. Troubleshooting
4 X-Ray film comes out Black X-Ray film may be exposed to Light accidentally.
with No Image
Too long developing time.
Machine needs recalibration. Ask for Allengers
Service Engineer.
5 Radiograph is not up to the Software/firmware parameters need to be re-validated.
mark Call Allengers Engineer for re-calibration of the
equipment.
The equipment supplied is warranted against defective workmanship & material for a period of 12 months from the
date of Installation or 15 months from the date of dispatch which ever is earlier. Equipment & parts proved defective
within the warranty period shall be replaced or repaired free of material & labour cost.
All Vacumatic items (X-Ray Tubes & Image Intensifying Tubes) are subject to pro-rata warranty and these items
going defective during the warranty period shall be replaced as per following replacements policy.
(AUTHORIZED SIGNATORY)