2 | CR 10-X, CR 12-X, CR 15-X | Contents Contents Legal Notice ................4 Introduction ................5 Introduction to this Manual ........6 Scope .............7 About the safety notices in this document ..8 Disclaimer ............. 9 Introduction to CR 10-X, CR 12-X and CR 15-X ..
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CR 10-X, CR 12-X, CR 15-X | Contents | 3 Troubleshooting ............59 Digitizer Remote Display ......60 Connection Problems ........61 Cassette Could Not Be Identified ....62 Cassette release button pressed before end of cycle ................63 Cannot read data on the image plate ....64...
Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or its affiliates. CR 10-X, CR 12-X, CR 15-X, NX, ADC QS and ADC VIPS are trademarks of Agfa HealthCare N.V., Belgium or one of its affiliates. All other trademarks are held by their respective owners and are used in an editorial fashion with no intention of infringement.
6 | CR 10-X, CR 12-X, CR 15-X | Introduction Introduction to this Manual Topics: • Scope • About the safety notices in this document • Disclaimer 2491E EN 20150409 1543...
CR 10-X, CR 12-X, CR 15-X | Introduction | 7 Scope This manual contains information for safe and effective operation of the CR 10-X , CR 12-X and CR 15-X digitizers, further referred to as the digitizer, unless the information applies to a specific type.
8 | CR 10-X, CR 12-X, CR 15-X | Introduction About the safety notices in this document The following samples show how warnings, cautions, instructions and notes appear in this document. The text explains their intended use. DANGER: A danger safety notice indicates a hazardous situation of direct, immediate danger for a potential serious injury to a user, engineer, patient or any other person.
CR 10-X, CR 12-X, CR 15-X | Introduction | 9 Disclaimer Agfa assumes no liability for use of this document if any unauthorized changes to the content or format have been made. Every care has been taken to ensure the accuracy of the information in this document.
10 | CR 10-X, CR 12-X, CR 15-X | Introduction Intended Use The digitizer is part of a CR system, further containing a cassette, image plate and modality workstation. The CR system is used in a radiological environment by qualified staff to read-out, process and route static X-ray radiographic images.
CR 10-X, CR 12-X, CR 15-X | Introduction | 11 Indications for Use Agfa’s Computed Radiography (CR) System with CR 10-X, CR 12-X or CR 15-X digitizer is indicated for use in general projection radiographic applications to capture for display diagnostic quality radiographic images of human anatomy.
12 | CR 10-X, CR 12-X, CR 15-X | Introduction Intended User This manual has been written for trained users of Agfa products and trained diagnostic X–ray clinical personnel who have received proper training. Users are those persons who actually handle the equipment and those who have authority over the equipment.
CR 10-X, CR 12-X, CR 15-X | Introduction | 13 Configuration The system consists of: • the digitizer for scanning image plates retaining latent X-ray images. The digitizer accepts one cassette containing one image plate at a time. • cassette and plate system: •...
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14 | CR 10-X, CR 12-X, CR 15-X | Introduction In case of power failure, the batteries of the UPS supply power to the digitizer, the NX workstation and monitor. Full Leg Full Spine Application Components • CR Full Body Cassette Holder •...
CR 10-X, CR 12-X, CR 15-X | Introduction | 15 Operation Controls The digitizer interfaces with the user via: • a power button, • an erase button, • a status indicator, • a cassette release button. Power button Erase button...
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16 | CR 10-X, CR 12-X, CR 15-X | Introduction Color Constant/ Status Action Blinking Blinking Busy with erasing Wait. and return of the IP into cassette Green Constant Standby mode Proceed. (Ready) Remove cassette. Cassette is ready for removal...
• CR 10-X, CR 12-X, CR 15-X User Manual (this document), document 2491. • AGFA CR Plates and Cassettes User Manual, document 2492. • Getting started with CR 10-X, CR 12-X and CR 15-X, document 2493. The NX User Documentation CD contains: • NX user documentation •...
18 | CR 10-X, CR 12-X, CR 15-X | Introduction Training The user must have received adequate training on the safe and effective use of the system before attempting to work with it. Training requirements may vary from country to country. The user must make sure that training is received in accordance with local laws or regulations that have the force of law.
If the device malfunctions and may have caused or contributed to a serious injury, Agfa must be notified immediately by telephone, fax or written correspondence to the following address: Agfa Service Support - local support addresses and phone numbers are listed on www.agfa.com Agfa - Septestraat 27, 2640 Mortsel, Belgium...
Compatibility The equipment must only be used in combination with other equipment or components if these are expressly recognized by Agfa as compatible. A list of such equipment and components is available from Agfa service on request. Changes or additions to the equipment must only be carried out by persons authorized to do so by Agfa.
CR 10-X, CR 12-X, CR 15-X | Introduction | 21 Compliance Topics: • General • Safety • Laser Safety • Electromagnetic Compatibility • Environmental Compliance • Equipment Classification General • The product has been designed in accordance with the MEDDEV...
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22 | CR 10-X, CR 12-X, CR 15-X | Introduction Equipment Classification This device is classified as following: Table 1: Equipment classification Class I equipment Equipment in which protection against electric shock does not relay on basic insulation only, but includes a power supply cord with protective earth conductor.
CR 10-X, CR 12-X, CR 15-X | Introduction | 23 Connectivity The digitizer is connected to the workstation via Ethernet connection and uses the DICOM protocol to communicate with the workstation. 2491E EN 20150409 1543...
24 | CR 10-X, CR 12-X, CR 15-X | Introduction Installation WARNING: When using the power supply, care must be taken to ensure that there is either a mains plug or an all-cable disconnecting device in the internal installation fitted near the device and that it is easily accessible in case of emergency.
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CR 10-X, CR 12-X, CR 15-X | Introduction | 25 The classification of this product according to the medical electrical equipment standard IEC 60601-1 requires installation outside the patient vicinity. For definition of patient vicinity see dimensions below. Patient vicinity Patient vicinity patient_vicinity.cdr...
26 | CR 10-X, CR 12-X, CR 15-X | Introduction Labels Always take into account the markings and labels provided on the inside and outside of the machine. A brief overview of these markings and labels and their meaning is given below.
CR 10-X, CR 12-X, CR 15-X | Introduction | 27 Type label Date of manufacture Manufacturer Serial number WEE Symbol, see section about Environmental protection. This mark indicates how to insert the cassette in the slot, depending on the cassette size that is indicated in the mark (CR 15-X only).
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28 | CR 10-X, CR 12-X, CR 15-X | Introduction divergence is 120 - 350 mrad. The laser beam’s deflection frequency is 70 1/s up to 90 1/s. Under normal operating conditions - device with all covers - there can be no laser radiation outside the digitizer.
CR 10-X, CR 12-X, CR 15-X | Introduction | 29 Cleaning and Disinfection All appropriate policies and procedures should be followed to avoid contamination of the staff, patients and device. All existing universal precautions should be taken to avoid that the digitizer and its accessories come into contact with potential contaminations.
30 | CR 10-X, CR 12-X, CR 15-X | Introduction Patient data security The user must ensure that the patients’ legal requirements are met and that the security of the patient data is guarded. The user must define who can access patient data in which situations.
CR 10-X, CR 12-X, CR 15-X | Introduction | 31 Maintenance Topics: • Preventive Maintenance • Cleaning the Optical Unit Preventive Maintenance No regular preventive maintenance is required other than described further in this chapter. The digitizer informs you when preventive maintenance is required and displays the following message "Maintenance interval expired.
32 | CR 10-X, CR 12-X, CR 15-X | Introduction Recurrent safety tests The device shall be tested according to IEC 62353* in a time interval of at least 36 months or less if local regulations are different. * Medical electrical equipment – Recurrent test and test after repair of medical electrical equipment.
CR 10-X, CR 12-X, CR 15-X | Introduction | 33 Environmental protection Figure 2: WEEE symbol Figure 3: Battery symbol WEEE end user notice The directive on Waste Electrical and Electronic Equipment (WEEE) aims to prevent the generation of electric and electronic waste and to promote the reuse, recycling and other forms of recovery.
34 | CR 10-X, CR 12-X, CR 15-X | Introduction Safety Directions WARNING: To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth. WARNING: Position the digitizer so that it is possible to disconnect it from the mains power if required.
CR 10-X, CR 12-X, CR 15-X | Introduction | 35 CAUTION: The digitizer is not suitable for scanning imaging plates (IPs) exposed with a dose higher than 5000 µG and for CR HD5.0S General a dose higher than 2500 µG.
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36 | CR 10-X, CR 12-X, CR 15-X | Introduction • Do not allow the digitizer to be subject to excessive vibration during operation, due to unstable ground (e.g. vibration of nearby equipment or footsteps). • Switch off the device before performing any maintenance work or repairs.
CR 10-X, CR 12-X, CR 15-X | Introduction | 37 Quality Control Quality control can be performed by means of the Auto QC2 tool. CAUTION: Unnoticed image quality degradation can cause false negative diagnosis. Apply regular quality control according local regulations.
CR 10-X, CR 12-X, CR 15-X | Getting started | 39 Starting the Digitizer To start the Digitizer: 1. Make sure the digitizer is connected to the control PC and that the control PC is running the appropriate NX software.
40 | CR 10-X, CR 12-X, CR 15-X | Getting started Basic Workflow The main functions of the system are digitizing image plates and transmitting the digital image data to the image processing station, where you can perform an image quality control.
CR 10-X, CR 12-X, CR 15-X | Getting started | 41 Step 1: Select a patient and start the exam At the NX workstation: 1. Open the Worklist window of NX. In the Worklist window, you can view and manage the exams that are scheduled via the Worklist pane.
42 | CR 10-X, CR 12-X, CR 15-X | Getting started Step 2: Digitize the image At the digitizer: 1. Check that the digitizer is ready for operation: The status indicator on the digitizer constantly lights up in green. 2. Insert the cassette containing the exposed image plate into the cassette slot of the digitizer.
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CR 10-X, CR 12-X, CR 15-X | Getting started | 43 Figure 6: Inserting 24 cm x 30 cm cassette using the cassette adapter Once the cassette is locked, the status indicator on the digitizer is blinking yellow. Note: The cassette is unidentified, so the digitizer will send a request to the NX station.
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44 | CR 10-X, CR 12-X, CR 15-X | Getting started 4. As soon as the digitizer has received the complete identification data from the NX station (via Ethernet) it will start digitizing the image plate. The digitizer converts the information of the latent image to digital data.
CR 10-X, CR 12-X, CR 15-X | Getting started | 45 Step 3: Perform a quality control At the NX workstation: 1. Select the image on which quality control is to be performed. 2. Prepare the image for diagnosis by using e.g. L/R markers or annotations.
46 | CR 10-X, CR 12-X, CR 15-X | Getting started Step 4: Remove the cassette and insert the next one At the digitizer: 1. When the digitizer has finished treating the cassette, the status indicator constantly lights up in green.
48 | CR 10-X, CR 12-X, CR 15-X | Getting started Before Switching Off Check that the digitizer is not scanning an image plate. If the digitizer is scanning an image plate, the status indicator is blinking yellow. Note: A clamped cassette should be removed before switching off the device.
CR 10-X, CR 12-X, CR 15-X | Getting started | 49 Switching Off It is recommended to switch off the digitizer at the end of the day. To switch off, press the power button. Power button Note: After switch off, the device is still in stand-by mode. To remove the device from the mains supply disconnect the mains plug.
50 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Operating CR 10-X, CR 12-X and CR 15- This chapter provides information about functions that are available in operator mode. Finally you will find some preventive maintenance and troubleshooting guidelines.
CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 51 Reading an Emergency Image Plate Note: Reading an emergency image plate is a licensed functionality, necessary to facilitate the emergency cases and to improve the workflow.
52 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Re-erasing an Image Plate At the end of a normal or emergency digitizing cycle, the digitizer returns an erased image plate. However, in the following cases, you must re-erase the...
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CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 53 Figure 8: Inserting small cassette Figure 9: Inserting 24 cm x 30 cm cassette using the cassette adapter As a result, the digitizer starts erasing the image plate: the status indicator switches to the state “blue blinking”.
54 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Reading the Initialization Data of an Image Plate The initialization data stored in the IP barcode can be read via the digitizer. Reading the initialization data of an image plate can be necessary in case you want to find a specific IP.
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CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 55 Make sure that the cassette is firmly pushed into the slot, so that it is locked (you should hear a click). Otherwise, the digitizer cannot read the image plate.
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56 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Note: You can only remove the cassette from the cassette slot when the cassette is unlocked. Related Links Cassette formats on page 78...
58 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Upcoming Expiry of the Image Plate The Digitizer Remote Display informs you about upcoming expiry of the image plate 90 and 30 days before the expiry date. Please replace the image plates before expiry to avoid reduced system performance.
CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 59 Troubleshooting In case of a malfunction of the digitizer, consult the Digitizer Remote Display UI (User Interface) messages on the control PC. Error messages are displayed in a dialog box in the middle of the screen or in a fixed part of the screen.
60 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Digitizer Remote Display Digitizer Remote Display is an application running on the NX PC. To verify if Digitizer Remote Display is running, check if the Digitizer Remote Display icon is present in the Windows taskbar: To start the Digitizer Remote Display, go to the Windows Start menu >...
CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 61 Connection Problems CAUTION: Operation failure of the device can cause delayed diagnosis. Check if Digitizer Remote Display is running. In case the status indicator of the digitizer is blinking red, the user should look at the “status”...
62 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Cassette Could Not Be Identified Details This error message is displayed on the NX PC: Cause A cassette has been inserted in the digitizer and the ID button was clicked directly afterwards.
CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 63 Cassette release button pressed before end of cycle Details The following error message is displayed in the Digitizer Remote Display: Do not press the cassette release button before end of cycle.
64 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Cannot read data on the image plate Details The following error message is displayed in the Digitizer Remote Display: Error during read out of data on the image plate. Remove the cassette and press the confirm button.
CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 65 Image Plate Transport Problems Details The following error message is displayed in the Digitizer Remote Display: Image plate is not erased! Remove the cassette and press the confirm button.
66 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Removing a Jammed Image Plate Note: The technical concept does not allow the user to remove the top cover. Note: The digitizer always reads and digitizes the plate first, then erases it and transports it back into the cassette.
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CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 67 7. Slide out the cassette unit with the cassette attached. WARNING: The cassette unit and/or the cassette falling down can cause injury of the operator.
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68 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X 2. Open the back of the device by turning the four fixation rings by 90 degrees: 3. Gently remove the image plate from the back of the digitizer.
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CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 69 Note: After removing a jammed image plate, erase the image plate before the next exposure. 2491E EN 20150409 1543...
70 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Behavior in Case of Power Failure Note: The description below is only applicable if an uninterruptible power supply (UPS) is put into the CR system configuration.
CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X | 71 Cleaning the Optical Unit The only maintenance action which you must perform is checking the image quality. Refer to the User Manual of the NX software.
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72 | CR 10-X, CR 12-X, CR 15-X | Operating CR 10-X, CR 12-X and CR 15-X Make sure to return the lever completely to the left, where it is locked in position. 3. Place back the cassette unit. Note that the protruding elements of the cassette unit should be...
74 | CR 10-X, CR 12-X, CR 15-X | Technical Data Specifications Labelling 93/42 EEC 'Medical Devices' (Europe), EN 60601-1 (applicable only for equipment made in Germany) c NRTL us NRTL us certified, UL 60601-1 (North America) (applicable only for...
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CR 10-X, CR 12-X, CR 15-X | Technical Data | 75 Mains fuse protection Europe: min. 10 A, max. 16 A USA & Japan: min. 10 A, max. 15 A Network connectivity Ethernet connector RJ45 female, 10/100 Mbit/s autosensing, shielding CAT5...
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76 | CR 10-X, CR 12-X, CR 15-X | Technical Data Temperature -25 °C - +55 °C Environmental conditions (during transport) In line with IEC721-3-2 (1997): class 2K2 and 2M3, with following restrictions: Temperature -25 °C - +55 °C Vibration...
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CR 10-X, CR 12-X, CR 15-X | Technical Data | 77 150 µm 70 s (not applicable for CR HD5.0S General image plate) 118 s 100 µm 88 s End of Life Estimated product life 7 yrs. (if regularly serviced...
78 | CR 10-X, CR 12-X, CR 15-X | Technical Data Cassette formats Table 2: Supported cassette formats Cassette format CR 10-X, CR 12-X CR 15-X 35 cm x 43 cm 24 cm x 30 cm yes, using the cassette adapter...
CR 10-X, CR 12-X, CR 15-X | Remarks for HF-emission and immunity | 79 Remarks for HF-emission and immunity Remarks for HF-emission and immunity It is hereby certified that the digitizer has interference suppression according to the EN 55011 Class A as well as the FCC Rules CR47 Part 15 Class A.
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80 | CR 10-X, CR 12-X, CR 15-X | Remarks for HF-emission and immunity RF emissions in accordance Class A The device is suitable for use in with CISPR 11 all establishments other than domestic, and may be used in...
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CR 10-X, CR 12-X, CR 15-X | Remarks for HF-emission and immunity | 81 Voltage The quality of the • < 5% U • < 5% U breakthrough voltage supply should (> 95% (> 95% s, short term correspond to that of...
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82 | CR 10-X, CR 12-X, CR 15-X | Remarks for HF-emission and immunity Recommended protective distance: Conducted d = 1.2 high frequency 150 kHz to disturbance 80 MHz variables in accordance with IEC 61000-4-6 Radiated high 3 V/m 3 V/m d = 1.2...
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CR 10-X, CR 12-X, CR 15-X | Remarks for HF-emission and immunity | 83 investigation of the location is recommended, to ascertain the electromagnetic environment as a result of stationary high frequency transmitters. If the field strength of the device exceeds the level of agreement given above, the device must be observed with regard to its normal operation at each place of use.
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84 | CR 10-X, CR 12-X, CR 15-X | Remarks for HF-emission and immunity The distance can be determined through the equation for each respective column. P is the rated power of the transmitter in watts (W) according to the manufacturer information on the transmitter, only for transmitters where the rated power is not mentioned in the above table.