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Ziehm Imaging, Inc. QUANTUM User Manual

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ZIEHM QUANTUM
USER'S MANUAL

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Summary of Contents for Ziehm Imaging, Inc. QUANTUM

  • Page 1 ZIEHM QUANTUM USER’S MANUAL...
  • Page 2 Table of Contents MAN 06–0017H User’s Manual Page 2 of 220 ZIEHM QUANTUM...

  • Page 3: Table Of Contents

    MONITOR POSITION ..........................  2 1     2.5.4 DUAL FLAT PANEL LCD MONITORS  ......................  2 3     2.5.5 CHANGING THE MONITOR SETTINGS .......................  2 4     2.5.6 ZIEHM QUANTUM FP MONITORS ADJUSTMENTS  ..................  2 4     2.5.6.1. MONITOR SETTINGS ..........................  2 4     2.5.6.2. INTEGRATED BUTTON PANEL ......................  2 4     2.5.6.3.
  • Page 4     MECHANICAL HANDLING  ..........................  4 7     TRANSPORT POSITION  ...........................  4 7       5.1.1 TRANSPORT POSITION OF THE C‐ARM MOBILE STAND  ................  4 7     5.1.2 TRANSPORT POSITION FOR ZIEHM QUANTUM ..................  5 1 MAN 06–0017H User’s Manual Page 4 of 220 ZIEHM QUANTUM...
  • Page 5     MOBILE STAND CONTROL KEYBOARD  ......................  7 4     6.7.1 MAIN KEYBOARD ELEMENT GROUPS .......................  7 4     MOBILE STAND CONTROL KEYBOARD TABLE ....................  7 5     SWITCHING ON THE ZIEHM QUANTUM ......................  8 1     6.10 SWITCHING OFF THE ZIEHM QUANTUM ....................  8 2     6.11 VERTICAL LIFT ............................  8 3     6.11.1 VERTICAL OVERRIDE: ...........................  8 3  ...
  • Page 6     8.17.3. DOSE DISPLAY USER/OPERATOR......................  1 08     8.17.4. RESET DOSE DISPLAY..........................  1 09     8.18 IMAGE FILTERS: ............................  1 10     8.18.1. RTE (REAL‐TIME EDGE ENHANCEMENT) ....................  1 10     8.18.2. NOISE REDUCTION ..........................  1 10 MAN 06–0017H User’s Manual Page 6 of 220 ZIEHM QUANTUM...
  • Page 7 10.4 NO NAME FOLDER ..........................  1 36     10.4.1. FUNCTION ............................  1 36     10.4.2. STORAGE CAPACITY ...........................  1 36     10.5 EDIT PATIENT RECORDS  ..........................  1 37     10.6 DELETING PATIENT RECORDS .........................  1 39 MAN 06–0017H User’s Manual Page 7 of 220 ZIEHM QUANTUM...
  • Page 8 SETTING TIME AND DATE:  ......................  1 66     10.13.3. SETUP SERVICE KEY AND SERVICE LOG IN ..................  1 67     10.13.4. SETUP SERVICE KEY AND SERVICE LOG IN ..................  1 68     11.0 ZIEHM QUANTUM OPTIONAL TRANSPORT BRACKETS ................  1 69     11.1 FLOOR MOUNTED INSTALLATION ......................  1 69     11.2 SHIPPING LOCKS INSTALLATION ......................  1 74     11.3 SHIPPING LOCKS REMOVAL ........................  1 78  ...
  • Page 9     16.0 APPENDIX ERROR CODES ........................  2 15     16.1 ERROR AND ALERT MESSAGES .......................  2 15     16.2 ERRORS DURING NORMAL USE ......................  2 15     16.3 TABLE 4: LIST OF C‐ARM STAND ERROR CODES ..................  2 15     17.0 GLOSSARY ............................  2 17 MAN 06–0017H User’s Manual Page 9 of 220 ZIEHM QUANTUM...
  • Page 10 About this Manual MAN 06–0017H User’s Manual Page 10 of 220 ZIEHM QUANTUM...

  • Page 11: About This Manual

    Warnings, Cautions, and Notes. Operator must read and be familiar with this material before operating this equipment. Software Package Scope of validity ZIEHM QUANTUM • of this manual Software and Optional modules •...
  • Page 12 About this Manual MAN 06–0017H User’s Manual Page 12 of 220 ZIEHM QUANTUM...

  • Page 13: Safety & Responsibilities

    INTENDED USE The ZIEHM QUANTUM Mobile C-arm, is a medical device intended for fluoroscopic imaging in the field of surgical procedures, e.g. trauma, orthopedics, neurology, urology, pain management, gastroenterology, ERCP, simple peripheral vascular and limited interventional procedures such as pacemakers.

  • Page 14: Equipment Owner Responsibilities

    • Installation, alterations or repairs are carried out by persons authorized by the manufacturer. • The electrical installation in the room in which the ZIEHM QUANTUM is used corresponds to the power requirements listed in Appendix A. • The equipment is used in accordance with this manual and the operator follows said manual.

  • Page 15: Usa Regulatory Responsibilities

    1.11 REGULATORY /NOTIFIED BODY Ziehm Imaging, Inc. USA 1. The Food and Drug Administration (FDA) is our Regulatory Body. 1.12 RECORD KEEPING USA Service Engineers are responsible for: MAN 06–0017H User’s Manual Page 15 of 220 ZIEHM QUANTUM...
  • Page 16 Must be filed within 15 days • Beam-limiting assembly • Image receptor • X-ray control unit • Original to Service files. Equipment When system installation is • Copy to Manufacturer for Locator Card complete MAN 06–0017H User’s Manual Page 16 of 220 ZIEHM QUANTUM...

  • Page 17: System Overview Section

    Section 2.0 SYSTEM OVERVIEW SECTION FIELDS OF APPLICATION The ZIEHM QUANTUM is a Mobile C-Arm X-Ray System with Image Intensifier which is suitable for all surgical applications, pain management, traumatology, orthopedics, neurology, urology, gastroenterology, ERCP, simple peripheral vascular and simple interventional procedures such as pacemaker.

  • Page 18: Image Management

    In addition, all systems have a video BNC output. 2.2.8 NETWORKABILITY The optional DICOM 3.0 interface (Quantum FlexNet) enables integration into any network supporting DICOM 3.0, e.g. PACS. Thanks to “Primary Capture” support, the original fluoroscopic images can be archived without changes to the image that may have been applied to them later.

  • Page 19: Optional Accessories

    IEC 60601-1-1. If in doubt, consult the technical services department of your local representative. OPTIONAL ACCESSORIES The following accessories are optionally available for the ZIEHM QUANTUM: - Sterile disposable covers - Radiographic Cassette holder MAN 06–0017H User’s Manual...

  • Page 20: Parts Of The System

    Section 2.0 PARTS OF THE SYSTEM 2.5.1 C-ARM STAND Fig 2.1: ZIEHM QUANTUM Mobile Stand 2.5.2 TWIN FLAT PANEL MONITORS On the rear side of each flat-screen monitor, there is an ON/OFF switch. NOTE Newer models may not have the Power Switch.

  • Page 21: Monitor Position

    The standard mounting of the Flat-screen Monitors are on a pivot and can be swiveled approximately 180 degrees; please use caution when moving the monitors as collision with other devices may occur as well as collision with the Desk View Touch Screen. MAN 06–0017H User’s Manual Page 21 of 220 ZIEHM QUANTUM...
  • Page 22 320 degrees; please use caution when moving the monitors as collision with other devices may occur as well as collision with the Desk View Touch Screen. MAN 06–0017H User’s Manual Page 22 of 220 ZIEHM QUANTUM...

  • Page 23: Dual Flat Panel Lcd Monitors

    Fig 2-3b Optional Quick Release Monitor Pivot 2.5.4 DUAL FLAT PANEL LCD MONITORS The default operation of the ZIEHM QUANTUM C-Arm; Left monitor is the live monitor and the right monitor is the reference monitor. During operation, the following images will be displayed on the screens: - Live monitor: Live images and transferred images, Cine/DSA loops as full-screen image.

  • Page 24: Changing The Monitor Settings

    You can change the monitor assignment in the Configuration operating mode by pressing the Live Monitor Swap button on the touch screen. You can customize the contrast and brightness settings of the 18.1" flat-screen monitors. 2.5.6 ZIEHM QUANTUM FP MONITORS ADJUSTMENTS 2.5.6.1. MONITOR SETTINGS You can change the following monitor settings yourself:...
  • Page 25 To set the backlight brightness of the monitor, do the following: - Press the Brightness/Contrast button three times. The Backlight Brightness menu appears on the screen. “69” Set the value to for Backlight Brightness MAN 06–0017H User’s Manual Page 25 of 220 ZIEHM QUANTUM...

  • Page 26: Setting The Menu Language

    To define the menu language, do the following: • Press the Menu button. The menu selection window appears on the screen. • Select the Setup menu with the help of the Plus or Minus button. MAN 06–0017H User’s Manual Page 26 of 220 ZIEHM QUANTUM...

  • Page 27: Restoring The Factory Settings

    To restore the factory settings, do the following: • Press the Menu button. The menu selection window opens. • Select the Defaults menu with the help of the Plus or Minus button. MAN 06–0017H User’s Manual Page 27 of 220 ZIEHM QUANTUM...

  • Page 28: Bnc Socket Video Output

    (live/Left monitor image) is available for, use with Video Printers Sony 980 or 960. WARNING Any supplementary, third-party devices, and or components used in combination with the ZIEHM QUANTUM must comply with the safety requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree of safety.

  • Page 29: Safety Instructions

    The system produces X-rays. If you do not observe the safety measures and precautions prescribed by your local radiation protection regulatory body, these X-rays can be hazardous both to operating staff and other persons within the radiation zone of occupancy. MAN 06–0017H User’s Manual Page 29 of 220 ZIEHM QUANTUM...

  • Page 30: Hazards

    Staff members who stay within the radiation controlled area must wear X-Ray-protective clothing. The radiation controlled area depends upon the size of the Image Intensifier installed and has the following radius: −23 cm Image Intensifier. Requires 4 meter control area. MAN 06–0017H User’s Manual Page 30 of 220 ZIEHM QUANTUM...

  • Page 31: Flammable Gas

    IEC 60601-1-1 or furnish proof of an equivalent degree of safety. Combining the ZIEHM QUANTUM with equipment which does not comply with IEC 60601-1 and/or IEC 60601-1-1, will lower the safety classification, compromising the safety of the whole system, which may...

  • Page 32: Performing Internal Service

    WARNING In order to avoid unintentional radiation, the foot switch must be placed in the foot switch support holder when the system is switched on, but is not in use. MAN 06–0017H User’s Manual Page 32 of 220 ZIEHM QUANTUM...

  • Page 33: Gettering

    ZIEHM QUANTUM must comply with the safety requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree of safety. Combining the ZIEHM QUANTUM with equipment that does not comply with IEC 60601-1 and/or IEC 60601-1-1, will lower the safety...

  • Page 34: Electromagnetic Compatibility

    The laser targeting device uses diode laser modules which emit laser radiation. Do Not under and circumstanstances look dirctly at the laser beam or any scattered laser radiation – either with the naked eye or with optical instruments. MAN 06–0017H User’s Manual Page 34 of 220 ZIEHM QUANTUM...

  • Page 35: Maintenance

    You must comply with all operating safety precautions when operating the laser device. The maximum output of continuous laser radiation, measured at the laser beam exit is <1 mW. The MAN 06–0017H User’s Manual Page 35 of 220 ZIEHM QUANTUM...

  • Page 36: Environmental Compatibility

    ENVIRONMENTAL COMPATIBILITY The system does not produce any waste during operation. When the system has reached the end of its useful service life, the relevant waste disposal regulations must be observed. MAN 06–0017H User’s Manual Page 36 of 220 ZIEHM QUANTUM...

  • Page 37: Unpacking Installation

    Carefully inspect the equipment for damage. If you find any damage, immediately report it to the shipping carrier in the form of a damage claim. 4.1.5 UNPACKING Unpacking of the x-ray system is to be carried out by authorized, qualified personnel. MAN 06–0017H User’s Manual Page 37 of 220 ZIEHM QUANTUM...
  • Page 38 Lift the lever located in the center of the control panel (the hand brake) and carefully move the mobile stand off the pallet and onto the floor. MAN 06–0017H User’s Manual Page 38 of 220 ZIEHM QUANTUM...

  • Page 39: Mounting Monitors

    Section 4.0 MOUNTING MONITORS Fig 4.1 C-Arm in the Transport Position MAN 06–0017H User’s Manual Page 39 of 220 ZIEHM QUANTUM...

  • Page 40: Mounting Standard Monitors

    Make sure the quick release monitor locking pins are full seated after installation, and shall be inspected to make they are fully seated before movement of the C-arm for transport of use. MAN 06–0017H User’s Manual Page 40 of 220 ZIEHM QUANTUM...
  • Page 41 Now lock the monitor to the pivot arm assembly Step 4b Step 4b Turn Locking pin to align with slot Allow pin to drop into slot making sure of tight fit. MAN 06–0017H User’s Manual Page 41 of 220 ZIEHM QUANTUM...

  • Page 42: Power Cable Connections

    Make sure that the inclination of the system does not exceed 5° from the level in operating position or death or serious injury may occur. • Put on suitable protective clothing to limit exposure to indirect and or direct radiation. MAN 06–0017H User’s Manual Page 42 of 220 ZIEHM QUANTUM...

  • Page 43: Switching On The System

    Section 4.0 WARNING: Never operate the C-arm system if inclination of the floor exceeds 5°. Death or serious injury may result if the ZIEHM QUANTUM is operated with a tilt of greater than 5° SWITCHING ON THE SYSTEM WARNING: Do not operate the system until the equipment has reached a safe operating temperature of +15°C to +35°C with no condensation present.

  • Page 44: Configuration

    Inspect ground leads to ensure that ground connections are solid. Insert the meter (with 100 ohm input impedance) in series with the ZIEHM QUANTUM line cord, per the meter manufacturer’s instructions. Turn the meter on and verify that leakage current does not exceed 100 µA, in either normal or reversed line polarity.

  • Page 45: Perform The Following Operational Tests & Verify That The Following Results Occur

    WARNING: To prevent the camera from being over-driven by high light-levels, do not perform fluoroscopy in the kV manual mode at a kV levels higher than needed. MAN 06–0017H User’s Manual Page 45 of 220 ZIEHM QUANTUM...

  • Page 46: Accessories

    USB 2.0 Image storage port Capacity changes with memory stick model and manufacturer. (32MB to 1 GB) Note: only approved memory sticks are guaranteed to work with the ZIEHM QUANTUM. Check with Manufacturer for list of approved memory stick devices. MAN 06–0017H User’s Manual...

  • Page 47: Mechanical Handling

    MECHANICAL HANDLING TRANSPORT POSITION For safety reasons, you must return the C-Arm Monitor Support Arm assembly to its respective transport position before transporting the ZIEHM QUANTUM C-arm system. 5.1.1 TRANSPORT POSITION OF THE C-ARM MOBILE STAND To return the C-arm stand to its transport position, do the following: How to proceed •...
  • Page 48 The monitors must be placed in the transport position with all locks engaged before transporting the ZIEHM QUANTUM C-arm mobile stand. Failure to lock all the ZIEHM QUANTUM c-arm locks and monitor support arm pivot locks as show in Fig 5.2 may result in serious injury to patient or operator.
  • Page 49 Section 5.0 CAUTION Do not move the system over floors with an inclination of more than 10° from level during transport. This applies to the ZIEHM QUANTUM C-arm mobile stand. Exercise extreme caution when moving the ZIEHM QUANTUM mobile C- arm stand over rough surfaces such as tile flooring, concrete pavement, or carpet.
  • Page 50 Make sure all monitor pivot locks are correctly set for operation of the mobile stand. Placement of the monitors on the right or left side of the mobile stand will require that the locks be set correctly for right or left operation. MAN 06–0017H User’s Manual Page 50 of 220 ZIEHM QUANTUM...

  • Page 51: Transport Position For Ziehm Quantum

    Section 5.0 5.1.2 TRANSPORT POSITION FOR ZIEHM QUANTUM MAN 06–0017H User’s Manual Page 51 of 220 ZIEHM QUANTUM...

  • Page 52: Braking And Steering The C-Arm Stand

    ZIEHM QUANTUM mobile C-Arm. Failure to observe this warning may result in serious injury to patient or operator.

  • Page 53: Movement Of The C-Arm, Mechanical Brakes

    CAUTION Before moving the C-Arm, make sure that there is nobody within its range of movement. MAN 06–0017H User’s Manual Page 53 of 220 ZIEHM QUANTUM...

  • Page 54: Orbital Rotation

    ZIEHM QUANTUM mobile C-arm. Failure to observe this warning may result in serious injury to patient or operator.

  • Page 55: Angulation

    Rotation Brake for angulations is on the horizontal arm of the Mobile stand See Fig 5.1 5.3.3 SWIVELING (PANNING) The C-arm can be swiveled 10° to the left or to the right around the vertical axis of the lifting column. MAN 06–0017H User’s Manual Page 55 of 220 ZIEHM QUANTUM...

  • Page 56: Horizontal Movement

    You can move the C-arm forward and backward by 22 cm in the horizontal plane by means of the horizontal carriage. A scale with 1 cm divisions is provided to facilitate precise positioning. Fig 5.7 Horizontal movement MAN 06–0017H User’s Manual Page 56 of 220 ZIEHM QUANTUM...

  • Page 57: Vertical Movement

    5.3.5.1. VERTICAL OVERRIDE: The ZIEHM QUANTUM provides an additional feature of a lower limit position. The lower limit position for vertical travel uses a safety override switch located on and just forward of the UP and Down vertical travel buttons located on the mobile stand console.
  • Page 58 Section 5.0 Fig 5.8 Vertical movement of C-Arm CAUTION Before moving the C-arm up or down, make sure that it does not collide with any persons or objects! MAN 06–0017H User’s Manual Page 58 of 220 ZIEHM QUANTUM...

  • Page 59: User Touch And Console Keyboards

    Example; in this case the noise reduction button has four (4) states (Off, Low, Med and High) Inactive Active The Main screen elements of operation are shown in the figure 6-1, MAN 06–0017H User’s Manual Page 59 of 220 ZIEHM QUANTUM...

  • Page 60: Deskview Main Screen Buttons

    The Main screen is displayed in the Fig 6-2 below. Operator can make different settings for organ program, Fluoroscopic mode, Image Magnification size, etc. The following Table gives a description of the different functions and modes available to the operator. MAN 06–0017H User’s Manual Page 60 of 220 ZIEHM QUANTUM...

  • Page 61: Main Screen Button Identification Table

    Button 2 Delete Image Deletes the highlighted (selected) reference image on the right side of the touch screen (collage) Note: This may not be available on some system configurations. MAN 06–0017H User’s Manual Page 61 of 220 ZIEHM QUANTUM...
  • Page 62 Button 8 Zoom Pressing the Zoom button will open a digital magnification window on the left monitor and display on the right monitor the magnified image. MAN 06–0017H User’s Manual Page 62 of 220 ZIEHM QUANTUM...
  • Page 63 Button 13 Set Magnification Controls the Image Intensifier’s electronics magnification size in three steps. Hides of Optional 10cm shows buttons for selecting Size. (23, and 15cm) Optional (23, 15, 10cm) MAN 06–0017H User’s Manual Page 63 of 220 ZIEHM QUANTUM...
  • Page 64 Button 16 Auto Function Activation of the Auto function button allows the selection of three functions. Note: Certain ZIEHM QUANTUM models will not have all the automatic functions Button 17 Noise Reduction Press / toggle the button to adjust the level of noise reduction during live Fluoroscopy.
  • Page 65 Button 22 Half Dose 1/2 Activates lower dose mode, allows the system to use a working dose that is nearly half that of the standard auto dose rate. MAN 06–0017H User’s Manual Page 65 of 220 ZIEHM QUANTUM...
  • Page 66 DSA button is activated. Button 28 Store Stores the active live image to the hard disk Operator can press Store button during live fluoroscopy to store image on the fly. MAN 06–0017H User’s Manual Page 66 of 220 ZIEHM QUANTUM...
  • Page 67 Control No. Symbol(s) Description Button 29 Store USB (Option) Store active image to a certified ZIEHM QUANTUM USB device Optional: Store to external USB memory stick storage device. Button 30 SEND DICOM (Option) DICOM images can be sent to DICOM server or printer.
  • Page 68 Displays the radiography exposure time in seconds Button 40 Radiation Time (fluoroscopy) Display of the accumulated radiation time for Fluoroscopy and direct radiography for the active patient folder in minutes and seconds. MAN 06–0017H User’s Manual Page 68 of 220 ZIEHM QUANTUM...
  • Page 69 • Auto Transfer Button 46 Image Attributes Image attributes displays the values of Noise reduction, Last image hold, and Real time edge enhancement, image rotation and Image Intensifier magnification size. MAN 06–0017H User’s Manual Page 69 of 220 ZIEHM QUANTUM...
  • Page 70 Button 52 Frame Rate Pressing the frame rate button will speed up or slow down the replay The button Toggles by pressing multiple times to set frame rate speed. MAN 06–0017H User’s Manual Page 70 of 220 ZIEHM QUANTUM...
  • Page 71 Section 6.0 MAN 06–0017H User’s Manual Page 71 of 220 ZIEHM QUANTUM...

  • Page 72: Controls In Fluoroscopic Operation Main Screen

    In the Patient entry, Patient File Search, Configuration operating modes a touch screen alphanumeric keypad is displayed allowing you to enter text as the text keyboard is needed for patient information, search criteria, etc. MAN 06–0017H User’s Manual Page 72 of 220 ZIEHM QUANTUM...

  • Page 73: Alphanumeric Keypad

    The Shift key is valid for subsequent letter or special character. To deactivate the Shift mode, press the U-Shift key before entering the letters or characters. To generate a blank space, press the Space key. MAN 06–0017H User’s Manual Page 73 of 220 ZIEHM QUANTUM...

  • Page 74: Mobile Stand Control Keyboard

    Lower Right “Image Processing” • Upper Right “Vertical Lift” • Upper Right “Image Mag and ½ Dose” • Upper Middle Left “Power ON/OFF” • Upper left “Laser” • Upper Left “Vertical Lift” MAN 06–0017H User’s Manual Page 74 of 220 ZIEHM QUANTUM...

  • Page 75: Mobile Stand Control Keyboard Table

    Press once reset timer, Press and hold for more than 2 seconds resets the timer and Dose Area Product Meter Button 6 Print Button Not active on ZIEHM QUANTUM model MAN 06–0017H User’s Manual Page 75 of 220 ZIEHM QUANTUM...
  • Page 76 Press the up button to increase the kV level Press the Down button to lower the kV level Button 14 Close slot Collimator Press and hold the button to close the radiation slot collimator MAN 06–0017H User’s Manual Page 76 of 220 ZIEHM QUANTUM...
  • Page 77 Radiography mode. USA only 24cm button is active. 30 and 40 cm are blocked from use. Optional setting for this function. May not be available on all systems. MAN 06–0017H User’s Manual Page 77 of 220 ZIEHM QUANTUM...
  • Page 78 Digital Image Rotation Image rotation of CCW or CW, This will rotate the image of the live monitor only. May not be active May not be active with some options. MAN 06–0017H User’s Manual Page 78 of 220 ZIEHM QUANTUM...
  • Page 79 Save / Store image Press button to store image to patient file. The LED will light when button is pressed. Button 31 Image Transfer Pressing this button will not activate functions Not Active MAN 06–0017H User’s Manual Page 79 of 220 ZIEHM QUANTUM...
  • Page 80 Tube Current mA Shows the automatically determined tube current in mA. After Fluoroscopy, the last value remains stored and displayed. Button 37 Radiography Time Displays the radiography exposure time in seconds MAN 06–0017H User’s Manual Page 80 of 220 ZIEHM QUANTUM...

  • Page 81: Switching On The Ziehm Quantum

    < 0.5 seconds of actual radiation. SWITCHING ON THE ZIEHM QUANTUM During power up the system will display information on the Main Display monitors and will flash, the touch screen “DESK VIEW” will display depending on system options either, a black...

  • Page 82: Switching Off The Ziehm Quantum

    6.10 SWITCHING OFF THE ZIEHM QUANTUM To shut down the ZIEHM QUANTUM make sure you have allowed several seconds after the last image was stored or a new patient was entered to avoid possible loss of this information. To shut down do the following: •...

  • Page 83: Vertical Lift

    Before moving the C-arm up or down, make sure that it does not collide with any persons or objects! 6.12 HAND SWITCH AND FOOT SWITCH The ZIEHM QUANTUM is equipped with a standard hand switch and a two-position pedal foot switch. MAN 06–0017H User’s Manual...
  • Page 84 The foot switch pedals can be assigned with three individual customer-specific functions. If second footswitch is active the respective function will be indicated on labels on the foot switch itself and on the C-arm stand. MAN 06–0017H User’s Manual Page 84 of 220 ZIEHM QUANTUM...

  • Page 85: Standard Fluoroscopic Operations

    STANDARD FLUOROSCOPIC OPERATIONS GENERAL DESCRIPTION The ZIEHM QUANTUM family of x-ray systems has digital processing systems that are designed to extend the advantages of digital image technology to C-Arm Fluoroscopy. Their image enhancement capabilities answer the specific needs of a variety to clinical fluoroscopic applications.

  • Page 86: Thumbnail Image Display

    FLUOROSCOPY Using the ZIEHM QUANTUM to perform fluoroscopy is easy: turn the system on, give the cathode filament and image system around 45 - 60 seconds to warm-up, when desk view control buttons are displayed on the touch screen just press the hand switch or foot switch to start...

  • Page 87: Basic Operation

    Save the fluoroscopic image. • Save image to external storage USB device or optional DICOM server. The ZIEHM QUANTUM offers the following functions for adjusting the Individual appearance of the live image to your individual needs 7.8.2 ADJUSTMENTS THAT CAN BE MADE: •...

  • Page 88: Fluoroscopy Modes

    Automatic exposure rate control (AERC) is active on all three Fluoroscopic modes, and reduces the radiation burden of both patient and operating staff to a minimum and prevents overexposure of the screened body region. MAN 06–0017H User’s Manual Page 88 of 220 ZIEHM QUANTUM...

  • Page 89: Continuous Fluoroscopy

    When programmed by a service engineer, pulsed fluoroscopy can make up to three pulses per second. • Please contact your service engineer if you wish to set or modify the pulse rate factor. MAN 06–0017H User’s Manual Page 89 of 220 ZIEHM QUANTUM...

  • Page 90: Snapshot

    If required, a number of supplementary functions can be combined with each organ program: Metal artifact correction Mag factor 23, 15, (Optional 10cm version of I.I.) Noise Filters Fluoroscopy modes MAN 06–0017H User’s Manual Page 90 of 220 ZIEHM QUANTUM...

  • Page 91: Bone/Extremity

    Anatomical/Organ program buttons will appear, now select the new anatomical/Organ program button, the button will be highlighted in yellow and all the other buttons will be closed, and the LPD function will be off. MAN 06–0017H User’s Manual Page 91 of 220 ZIEHM QUANTUM...

  • Page 92: Digital Noise Filters

    The tube voltage and the tube current are usually adjusted automatically by the system’s automatic exposure rate control. You may, however, set the exposure rate also manually, if necessary. The Manual exposure mode can only be set from the Mobile Stand control panel. MAN 06–0017H User’s Manual Page 92 of 220 ZIEHM QUANTUM...
  • Page 93 Initiate radiation. To deactivate the manual exposure rate setting mode, do the following: • Press the Manual Exposure button on the mobile stand control keyboard or on the DeskView touch screen. MAN 06–0017H User’s Manual Page 93 of 220 ZIEHM QUANTUM...

  • Page 94: Screen Display During Radiation

    X-ray Symbol on the DeskView control panel are illuminated. See Fig 7.2. NOTE: AKR dose display is not active and is not displayed on systems manufactured before June 2006. MAN 06–0017H User’s Manual Page 94 of 220 ZIEHM QUANTUM...
  • Page 95 Section 7.0 Fig 7-2 DeskView-Radiation Lamp On, Image Displayed In Center Dose Air Kerma Radiation Indicator Active Live Image Store MAN 06–0017H User’s Manual Page 95 of 220 ZIEHM QUANTUM...
  • Page 96 Section 7.0 MAN 06–0017H User’s Manual Page 96 of 220 ZIEHM QUANTUM...

  • Page 97: User Functionality

    1/2 DOSE One-half dose is the standard mode. It is automatically selected when the ZIEHM QUANTUM is turned on. The ½ (One-half) dose function reduces the amount of working dose used by 50 percent. If you need access to full dose, press the 1/2 Dose button again to turn it off.

  • Page 98: Image Rotation

    DeskView touch panel when certain modes and functions would not be active in that mode or function. The two Image Mirror buttons on the mobile stand are not operable on the ZIEHM QUANTUM. IRIS COLLIMATOR The Iris Collimator can be manually opened and closed.

  • Page 99: Mark Image

    Right (R) or Left (L) marker off. LIVE SWAP This button is not active on the mobile stand NOTE Live Swap should not be activated when the system is making radiation. Image flash may appear. MAN 06–0017H User’s Manual Page 99 of 220 ZIEHM QUANTUM...

  • Page 100: Monitor L To

    The effect can be changed latter by recalling the image and pressing the INV button again. When you press store button the image will be stored with the INV image attribute so the image will be recalled with the Black and White levels inverted. MAN 06–0017H User’s Manual Page 100 of 220 ZIEHM QUANTUM...

  • Page 101: Storing/Saving

    Before saving an image, make sure that there is enough free hard disk space, and regularly back up the patient folders which are still needed on external storage media or on a DICOM network. MAN 06–0017H User’s Manual Page 101 of 220 ZIEHM QUANTUM...

  • Page 102: Store Usb Image

    User must Log In to the system before USB memory devices can store images. The system incorporates a feature of protection from unauthorized user removing medical images from the system. MAN 06–0017H User’s Manual Page 102 of 220 ZIEHM QUANTUM...

  • Page 103: Mobile Stand And Touch Information Displays

    The right window displays numeric and graphic information regarding dose, fluoroscopic time, and temperature, and includes fault and exposure indicators. Left Display Window 75.0 Right Display Window E 62 5.15 MAN 06–0017H User’s Manual Page 103 of 220 ZIEHM QUANTUM...

  • Page 104: Kv Display

    See left display window above for sample of display values. 8.14.2. MA DISPLAY The ZIEHM QUANTUM controls mA level in relation to kV level. The mA value is displayed in the left window during live fluoroscopy. The last value used by the system is stored and recalled when the system returns to fluoroscopic mode.

  • Page 105: Generator Overheating

    The generator will require cooling time to recover and be able to perform at normal operational technique levels. If the indicator does not stop flashing, turn off the ZIEHM QUANTUM and let the generator cool.

  • Page 106: Deskview Displays For Kv/Ma, Time And Dose

    Displays will display the selected mA for both Fluoroscopic and radiographic exposure modes. 8.15.3. S or Seconds: Displays for the radiographic exposure time. 8.15.4. Min: Displays the actual fluoroscopic accumulated time. MAN 06–0017H User’s Manual Page 106 of 220 ZIEHM QUANTUM...

  • Page 107: Mgy / Mgy/Min: (Active Only On System Manufactured After June 10, 2006)

    You can use the laser targeting device for the following tasks: − As alignment aid for positioning the C-arm − For foreign body localization −As a targeting aid for nail fixations MAN 06–0017H User’s Manual Page 107 of 220 ZIEHM QUANTUM...

  • Page 108: Positioning Aid

    8.17.1. AKR /Cumulative Air Kerma Dose Display (Active only on system manufactured after June 10, 2006) The ZIEHM QUANTUM calculates the dose values based on the kV, mA as well as time of the radiation exposure. The display automatically changes between live display of Air Kerma...

  • Page 109: Reset Dose Display

    The cumulative values will be displayed with in 5 seconds after releasing the radiation switch. MAN 06–0017H User’s Manual Page 109 of 220 ZIEHM QUANTUM...

  • Page 110: Image Filters

    When the Noise button is pressed, the message “NR LOW, NR MED, and NR HIGH” is displayed in the left monitor. MAN 06–0017H User’s Manual Page 110 of 220 ZIEHM QUANTUM...

  • Page 111: Lih Noise (Last Image Hold Noise)

    AUTO FUNCTIONS The Auto function has two modes of operation. You can configure the ZIEHM QUANTUM so that a new image will be stored or transferred automatically as soon as you terminate radiation. Simply press the Auto Function button to open all the auto functions available for the particular system configuration.

  • Page 112: Auto Off

    If the user/operator were then to select W/L for a live or captured transient image the changes would then also affect the next captured image, but would have no effect on the recalled image. MAN 06–0017H User’s Manual Page 112 of 220 ZIEHM QUANTUM...

  • Page 113: W/L (Window Level)

    USING THE WINDOW/LEVEL FUNCTION Select an image to be windowed and leveled. Transfer the image it to the live monitor using the R to L monitor transfer button or just MAN 06–0017H User’s Manual Page 113 of 220 ZIEHM QUANTUM...

  • Page 114: Invert

    When you press store the image will be stored with the INVERT image attribute so the image will be recalled with the Black and White levels inverted. Fig 8.2: INVERT Touch Screen Display MAN 06–0017H User’s Manual Page 114 of 220 ZIEHM QUANTUM...

  • Page 115: Image Crop

    Transfer Image Crop When the shutters are positioned correctly, Touch the center of the touch screen image to transfer the image to the right monitor MAN 06–0017H User’s Manual Page 115 of 220 ZIEHM QUANTUM...

  • Page 116: Zoom (Digital Magnification)

    3. The image on the live monitor and DeskView will have a circular area that defines the magnification area that will be displayed on the reference display monitor. The system selects 2X factor as the default setting for magnification MAN 06–0017H User’s Manual Page 116 of 220 ZIEHM QUANTUM...
  • Page 117 The operator can store the image to the patient file as a magnified image and can be recalled latter and exported. Fig 8.4: ZOOM Touch Screen Display MAN 06–0017H User’s Manual Page 117 of 220 ZIEHM QUANTUM...

  • Page 118: Selecting Thumbnail Images

    8.21.2. TO VIEW OR SELECT A SPECIFIC IMAGES Allows images of an active patient file to be viewed. If images have been stored for this patient) MAN 06–0017H User’s Manual Page 118 of 220 ZIEHM QUANTUM...

  • Page 119: Store To Or Make A Copy Of An Image

    Select the image by using the Image Scroll Arrow buttons to highlight the image then press the store to USB or Send to DICOM button. (Availability of these two functions depends on system option configuration) MAN 06–0017H User’s Manual Page 119 of 220 ZIEHM QUANTUM...
  • Page 120 Selects the next four reference images from the patient file These keys are available only when more than 4 images are stored in the patient file. Reference Cine Run Image Reference Single Image Highlighted Reference Image MAN 06–0017H User’s Manual Page 120 of 220 ZIEHM QUANTUM...

  • Page 121: Monitor Image Displays

    NOTE: To avoid confusion, the neutral terms ‘live monitor’ and reference monitor’ are used throughout this manual, regardless of your custom setting. MAN 06–0017H User’s Manual Page 121 of 220 ZIEHM QUANTUM...

  • Page 122: Direct Radiography Option

    8.23 DIRECT RADIOGRAPHY OPTION 8.23.1. OVERVIEW: The ZIEHM QUANTUM can also be used for making direct radiographic film exposures. Direct radiographies are only possible if your system is equipped with a film cassette holder (optional accessory). 8.23.2. FITTING THE FILM CASSETTE HOLDER...
  • Page 123 To avoid confusion, the neutral terms ‘live monitor’ and reference monitor’ are used throughout this manual, regardless of your custom setting. Fig 8.8: Main Screen Radiography Operating Mode, DeskView Touch Panel. MAN 06–0017H User’s Manual Page 123 of 220 ZIEHM QUANTUM...

  • Page 124: Set Technique Factors

    Remove the film cassette holder from the image intensifier. • Process image. NOTE: Adjustment of exposure factors will result in different image quality, adjustment of the technique factors maybe necessary to archive a good quality image MAN 06–0017H User’s Manual Page 124 of 220 ZIEHM QUANTUM...

  • Page 125: Cine & Digital Subtraction Mode

    The reference monitor will continue to display the regions of the vascular anatomy that had the greatest contrast during injection; this is considered a Maximum Opacified image. MAN 06–0017H User’s Manual Page 125 of 220 ZIEHM QUANTUM...
  • Page 126 Section 9.0 Fig 9.1: DSA touch Screen in Replay (Stop) Fig 9.2: DSA Flat Panel Display MAN 06–0017H User’s Manual Page 126 of 220 ZIEHM QUANTUM...

  • Page 127: Cine And Dsa Navigation Buttons

    During replay the operator can change the replay rate, however when returning to capturing a new run the system will reset to the default frame rate. The ZIEHM QUANTUM capture image at 1, 4, 7, 15 F/S Maximum frame rate may be dependent on optional software packages.

  • Page 128: Storing Of Dsa/Cine Images

    DSA. NOTE: All Cine/DSA Image Acquisitions are Protected. The ZIEHM QUANTUM protects all sequential image acquisitions (DSA, Cine Studies) are automatically stored to the Hard Drive for immediate review of the image sequences or can be recalled at a latter time.

  • Page 129: Storing Individual Images To The Patient File Directory

    To make room on the hard drive, delete Cine, images, or DSA image runs, or patients from the system. To exit the CINE function, press the CINE button to close the function and return to normal fluoroscopic operation. MAN 06–0017H User’s Manual Page 129 of 220 ZIEHM QUANTUM...

  • Page 130: Image Stop/Play And Step

    CINE run one at a time. NOTE: All Cine Image Acquisitions are protected. The ZIEHM QUANTUM protects all sequential image acquisitions (Cine Studies) they are automatically stored to the Hard Drive for immediate review of the image sequences images.

  • Page 131: Acquiring A New Cine Run

    Image Store buttons. The message “Stored to XXXX” is displayed on the left monitor which indicates that the image has been copied to the patient file as image number XXXX. MAN 06–0017H User’s Manual Page 131 of 220 ZIEHM QUANTUM...
  • Page 132 Section 9.0 MAN 06–0017H User’s Manual Page 132 of 220 ZIEHM QUANTUM...

  • Page 133: Patient File Operations

    Patient Name, ID, Accession Number, or Procedure. 4) PROTECT allows the user/operator to protect a patient file from deleting or changing unless they choose to override this protection MAN 06–0017H User’s Manual Page 133 of 220 ZIEHM QUANTUM...
  • Page 134 Pressing and moving the scroll bar will allow the user/operator to view more information if needed. Please see the individual sections below for more information on the functions of the buttons on the file screen. MAN 06–0017H User’s Manual Page 134 of 220 ZIEHM QUANTUM...

  • Page 135: New Pat (New Patient)

    Enter the Last Name of the patient’s name, and then press Enter to move to the next patient entry field. Enter the patients First Name; press Enter to move to the next patient entry field. MAN 06–0017H User’s Manual Page 135 of 220 ZIEHM QUANTUM...

  • Page 136: Facility Name

    The NO NAME patient record or a selected named patient record both have an image capacity that is limited only by present hard drive storage capacity and or system limits (What is left in system image storage capacity). MAN 06–0017H User’s Manual Page 136 of 220 ZIEHM QUANTUM...

  • Page 137: Edit Patient Records

    To search by name press the text entry box “Last Name”, now type in the name you are looking for into the test field. As the user enters the name the system will start to sort the patient records MAN 06–0017H User’s Manual Page 137 of 220 ZIEHM QUANTUM...
  • Page 138 To exit the Edit/Modify patient information screen without saving the information added to the data entry fields, press the ESC button. Note: you will lose all the entered data if not stored. MAN 06–0017H User’s Manual Page 138 of 220 ZIEHM QUANTUM...

  • Page 139: Deleting Patient Records

    At the prompt, press the Yes key. The system deletes all images and patient information for the selected patient file or No to stop the delete operation and return to the screen. MAN 06–0017H User’s Manual Page 139 of 220 ZIEHM QUANTUM...

  • Page 140: Deleting Patients To Free Up Space

    If it is not possible to free up enough space on the hard disk for the save operation due to the large number of protected images, a message appears on the control panel to warn the user. MAN 06–0017H User’s Manual Page 140 of 220 ZIEHM QUANTUM...

  • Page 141: Protecting A Patient File

    The system will place a mark in the far right edge of the file screen "P" to alert the user this patient is protected from deleting without confirmation and resetting the PROTEC mode for that patient. Fig 10.5 MAN 06–0017H User’s Manual Page 141 of 220 ZIEHM QUANTUM...

  • Page 142: Log In Security Permission

    Once the password has been entered press the Enter button to accept the security password. MAN 06–0017H User’s Manual Page 142 of 220 ZIEHM QUANTUM...

  • Page 143: Image Export

    You must reenter your password after each power on cycle. Fig 10.6 10.10 IMAGE EXPORT The ZIEHM QUANTUM has three specific ways to EXPORT Patients records/images from the image system. The following instructions will assist the user in using these three methods of exporting image record from the system.

  • Page 144: Overview Of The Usb And Dvd Export Functions

    WARNING: The ZIEHM QUANTUM is not to be used as a long term “Archiving Device”, its primary use is in capturing and storing for limited time patient information and should not be considered a mass storage or image server for patient data.
  • Page 145 The DVD disks are most useful when Exporting large numbers of multiple patients and large number of images. Archive time estimates: CD-R 200MB of data = approx. 15 minutes DVD-R 200MB of data = aprox. 20 minutes MAN 06–0017H User’s Manual Page 145 of 220 ZIEHM QUANTUM...

  • Page 146: Enter Archive

    Note: the system will update the Display Monitors with the last four images of the patient file to confirm the patient file and images. This may take 2 to 3seonds for the update between selections on the Patient file screen. MAN 06–0017H User’s Manual Page 146 of 220 ZIEHM QUANTUM...

  • Page 147: Image Archive Screen Button Description

    Archive Screen Delete Patient Allows user to delete a patient from the database. Button 2 Not: Deleting the patient is a permanent operations the patient records cannot be recovered. MAN 06–0017H User’s Manual Page 147 of 220 ZIEHM QUANTUM...
  • Page 148 Press the AVI button to export a Cine/DSA image sequence as a Widows Media Button 8 motion picture. Press the BMP button to export the Cine/DSA image sequence as individual single images. MAN 06–0017H User’s Manual Page 148 of 220 ZIEHM QUANTUM...
  • Page 149 Archive screen. Button 11 If images were selected for any or all the patients in the Archive list and the user Escapes this screen the3 image marker will be removed. MAN 06–0017H User’s Manual Page 149 of 220 ZIEHM QUANTUM...
  • Page 150 USB memory or DVD disk. Progress Indicator The progress indicator gives the user an Button 15 indication of the progress of writing to the USB or DVD MAN 06–0017H User’s Manual Page 150 of 220 ZIEHM QUANTUM...

  • Page 151: Selecting Image Format

    USB device or DC/DVD disk so the operator may view these images without having a DICOM server workstation. The viewer is simple to use and is more or less self explanatory in use. MAN 06–0017H User’s Manual Page 151 of 220 ZIEHM QUANTUM...

  • Page 152: Select Patient Images For Export

    See the capacity indicator located on the lower left side of the screen. As the user selects images the indicator will show an indicator bar. When using a DVD with less MAN 06–0017H User’s Manual Page 152 of 220 ZIEHM QUANTUM...

  • Page 153: Usb Memory Device Problems (Thumb Drive)

    5. The device does not have enough memory to hold a single image(3.5MB) (user should make sure there are no other images of files on the memory device when attempting to load images) MAN 06–0017H User’s Manual Page 153 of 220 ZIEHM QUANTUM...

  • Page 154: Optional: Send Dicom Images To The Pac's Server

    USB memory device. However not all USB memory device models and types can be accommodated Therefore, the ZIEHM QUANTUM cannot use all USB memory devices. 10.10.7 OPTIONAL: SEND DICOM IMAGES TO THE PAC’S SERVER First the optional DICOM package must be active and the system has been programmed for the correct AE and Server addresses in the service configuration screen.

  • Page 155: Patient Folders

    DICOM network server and printer. 10.11 PATIENT FOLDERS: The ZIEHM QUANTUM will create on the USB and DVD files folders for the images exported to the devices. The Patient folders made by the archive /export function on both the DVD and USB memory Peripheral are made in a file tree structure.

  • Page 156: Configuring System: (Config)

    C-arm memory as they will be lost. Once the images are erased they cannot be retrieved. • Once all patient images have been exported and are safe the administrator should MAN 06–0017H User’s Manual Page 156 of 220 ZIEHM QUANTUM...
  • Page 157 System is now ready to enter additional patients and store images. CAUTION The Administrator should use caution when performing the Erase Disk operation as this may cause incorrect data base operations. operation if not performed correctly MAN 06–0017H User’s Manual Page 157 of 220 ZIEHM QUANTUM...
  • Page 158 DICOM port and AE TITLE information. Please see example of settings for DICOM 1& 2 Screen Fig 10.9 and Fig 10.10. The following are the fields available for DICOM. DICOM 1 Screen settings Quantum DICOM Settings DICOM Print Settings My AE TITLE Quantum Print_scp IP ADDRESS 192.168.1.72...
  • Page 159 XA, CR, OT, RF, ALL Pacs Type Generic, McKesson NOTE: McKesson: Removes (*) asterisk from DICOM (C-Find) worklist query. Allows retrieval of work list, vendor specific solution for non-DICOM 3 complaint server. MAN 06–0017H User’s Manual Page 159 of 220 ZIEHM QUANTUM...
  • Page 160 To enter and set up DICOM services please contact your “Ziehm Imaging, Inc. Service Representative” for details and to schedule the installation and testing of the DICOM settings. MAN 06–0017H User’s Manual Page 160 of 220 ZIEHM QUANTUM...

  • Page 161: Setting User/Administrative Log In Permissions

    The button to enter the configuration screen can be found on the PAT FILE screen center right side “CONFIGURATION”. Once administrator presses CONFIGURATION button the Configuration screen will be displayed with all selection available to the Administrator. See Example below. MAN 06–0017H User’s Manual Page 161 of 220 ZIEHM QUANTUM...
  • Page 162 Fig 10.11: Main Configuration Screen The Administrator now presses the AUTH USERS Button on the configuration screen to enter the Authorization screen to setup up user permissions to the system for performing Archive/Export functions. MAN 06–0017H User’s Manual Page 162 of 220 ZIEHM QUANTUM...

  • Page 163: Setting User Permissions

    • Once the Log In screen is visible on the touch panel select from the name and permission field the particular permission to delete • Once the name is highlighted press the DELETE button confirm message • Permission is now removed from the list. MAN 06–0017H User’s Manual Page 163 of 220 ZIEHM QUANTUM...

  • Page 164: Delete All Permissions

    NR to start at low, med, or high. Select invert, image mirror operations, Last image Noise reduction “LIH”, etc. See Configuration screen below for selections and location of the buttons. MAN 06–0017H User’s Manual Page 164 of 220 ZIEHM QUANTUM...
  • Page 165 Section 10.0 Fig 10.13: Configuration Screen MAN 06–0017H User’s Manual Page 165 of 220 ZIEHM QUANTUM...

  • Page 166: Setting Time And Date

    LOW, MED, or High. • The sections are used at startup and are the default settings when the system boots. • After you make changes press the save button to save the changes. MAN 06–0017H User’s Manual Page 166 of 220 ZIEHM QUANTUM...

  • Page 167: Setup Service Key And Service Log

    Such as CINE, DSA, DICOM, etc. 10.13.3 SETUP SERVICE KEY AND SERVICE LOG IN These are for service use only and are not intended for the User/operator or Administrator to use. Fig 10.14: Configuration Screen MAN 06–0017H User’s Manual Page 167 of 220 ZIEHM QUANTUM...
  • Page 168 Only qualified Service Engineers can access the service areas of the configuration file and set optional settings for DSA, Window level, and LUT tables. • Instructions to enter and changes to be made can be found in the service documentation. MAN 06–0017H User’s Manual Page 168 of 220 ZIEHM QUANTUM...

  • Page 169: Ziehm Quantum Optional Transport Brackets

    Section 11.0 11.0 ZIEHM QUANTUM OPTIONAL TRANSPORT BRACKETS The ZIEHM QUANTUM transport brackets were developed as an option to the standard transport packaging. This option may be preferred if frequent location changes are required and where floor, truck, or container transport is required. The transport brackets consist of floor and C-Arm mounted components as well as a hard-shell foam lined container for the display monitor assembly.
  • Page 170 Figure 11.2 • Slowly but firmly push the front C-Arm wheels up the base plate ramp while guiding the generator assembly to the generator cradle bracket Example Fig 11.3. Figure 11.3 MAN 06–0017H User’s Manual Page 170 of 220 ZIEHM QUANTUM...
  • Page 171 Adjust the steering lever to position the steering wheels at 90 degrees to the C-Arm body. Example Fig 11.4. • Lower the vertical shaft while guiding the generator assembly into the generator cradle. Continue until the vertical shaft is at 0cm. Example Fig 11.5 MAN 06–0017H User’s Manual Page 171 of 220 ZIEHM QUANTUM...
  • Page 172 Position the bracket with stencil # 4 over the left wheel hub assembly. Example Fig 11.6 • Position the bracket with stencil #3 over the right wheel hub assembly. Example Fig 11.7 MAN 06–0017H User’s Manual Page 172 of 220 ZIEHM QUANTUM...
  • Page 173 Tighten the 2 bolts to secure the front wheel bracket to the floor mounting plate and the 3 bolts to secure the left and right wheel brackets to the floor mounting plate. Example Fig 11.9 MAN 06–0017H User’s Manual Page 173 of 220 ZIEHM QUANTUM...

  • Page 174: Shipping Locks Installation

    Push the shipping lock forward and while simultaneously pulling the curved portion of the bracket around the DeskView support shaft. Example Fig, 11.10. • Tighten the locking bolt to secure the shipping lock. Example Fig 11.11 MAN 06–0017H User’s Manual Page 174 of 220 ZIEHM QUANTUM...
  • Page 175 DeskView to the transport position. Tighten the two bolts to keep the lever in position. Example Fig 11.12 • Ensure the C-Arm monitor arm assembly is fully extended after securing the DeskView shipping locks. Example Fig 13 MAN 06–0017H User’s Manual Page 175 of 220 ZIEHM QUANTUM...
  • Page 176 Section 11.0 • Slip the Arm Support Shipping lock onto the horizontal arm assembly. Example Fig 11.14 • Flip up the lever and partially tighten into position. Example Fig 11.15 MAN 06–0017H User’s Manual Page 176 of 220 ZIEHM QUANTUM...
  • Page 177 Flip up the lever and secure into position and tighten bolt from step 7 above. Example Fig 11.17 • For removal instructions perform the above steps in reverse order starting with the shipping locks and then the floor brackets. MAN 06–0017H User’s Manual Page 177 of 220 ZIEHM QUANTUM...

  • Page 178: Shipping Locks Removal

    Example Fig 11.4 • Slowly but firmly pull the C-Arm wheels down the base plate ramp while guiding the generator assembly out of the generator cradle bracket. Example Fig 11.3 MAN 06–0017H User’s Manual Page 178 of 220 ZIEHM QUANTUM...

  • Page 179: Monitor Transport Container

    • Make sure the monitor seat fully into the transport container • Close the Container and lock the locks on the front side of the container then strap the container to the shipping floor, truck, or pallet MAN 06–0017H User’s Manual Page 179 of 220 ZIEHM QUANTUM...
  • Page 180 Section 11.0 MAN 06–0017H User’s Manual Page 180 of 220 ZIEHM QUANTUM...

  • Page 181: Technical Data

    Section 12.0 12.0 TECHNICAL DATA This chapter presents technical information for the ZIEHM QUANTUM C-Arm, and includes heating and cooling charts and dose display. Ziehm Imaging, Inc. reserves the right to make changes in specifications at anytime without prior notification.
  • Page 182 0.5 acc. to IEC Small 1.5 acc to IEC Large 1.5 acc to IEC Large ≥ 39 mm Al @ 110kV Total filtration Image Intensifier Tube Input screen: Cesium iodide MAN 06–0017H User’s Manual Page 182 of 220 ZIEHM QUANTUM...

  • Page 183: X-Ray Generator X-Ray Generator, Housing And Tube With Beam- Limiting Device

    Environmental Relative air humidity: 35%-75% non Condensing max. 12.3 X-RAY GENERATOR X-RAY GENERATOR, HOUSING AND TUBE WITH BEAM- LIMITING DEVICE Device: ZIEHM QUANTUM C-Arm with x-ray source assembly Maxipuls 3-110 Generator Manufacturer: Ziehm GmbH ZIEHM Maxipuls 3-110 - Total filtration >...

  • Page 184: Mechanics

    Temperature: –10°C to +60°C Relative air humidity: 95% max. During operation Temperature: +15°C to +35°C Environmental Relative air humidity: 75% max X-Ray Tube Focal Spot and Reference Axis 30” C-profile opening MAN 06–0017H User’s Manual Page 184 of 220 ZIEHM QUANTUM...
  • Page 185 Section 12.0 Fig 12.1: Focal Spot Reference MAN 06–0017H User’s Manual Page 185 of 220 ZIEHM QUANTUM...

  • Page 186: C-Arm Overall Dimension

    Inches 9.00 19.30 9.94 35.75 13.375 37.00 15.70 37.40 17.00 38.25 17.75 1669 66.90 19.30 1710 67.25 20.00 1840 72.50 26.75 2080 81.875 27.50 2140 84.25 30.00 2300 90.50 31.50 MAN 06–0017H User’s Manual Page 186 of 220 ZIEHM QUANTUM...

  • Page 187: Scattered Radiation In The Significant Zone Of Occupancy

    N u m b e r L e v e l i n m G y / h 1 < 1 0 2 < 5 3 < 2 4 < 1 MAN 06–0017H User’s Manual Page 187 of 220 ZIEHM QUANTUM...

  • Page 188: Laser Alignment

    12.8.2. AKR / CUMULATIVE DOSE DISPLAY CALCULATION The ZIEHM QUANTUM calculates the dose values based on the kV, mA as well as time of the radiation exposure. The display automatically changes between live display of Air Kerma (AKR) or the Cumulated Air Kerma values (AKR x Fluoroscopy Time) automatically sets the MAN 06–0017H...

  • Page 189: Test Interval

    If this is the first time you are doing this test then just record the information in your log as the reference value then compare the next months test to this value MAN 06–0017H User’s Manual Page 189 of 220 ZIEHM QUANTUM...

  • Page 190: Test Results

    The normal point would be 15 cm from the ISO center toward the source. However, the ZIEHM QUANTUM does not have a single ISO center rather it has an elliptical ISO point. Therefore, the measurement point has been determined by Ziehm Imaging, Inc. to be located 51 cm from the source/focal spot toward the image receptor and represents the patient entry location for the entry point.
  • Page 191 Section 12.0 Dose Air Kerma Setup Diagram 21CFR 1020.33 (k), (4), (ii) Fig 12-4: AKR Dose Calibration Setup MAN 06–0017H User’s Manual Page 191 of 220 ZIEHM QUANTUM...

  • Page 192: Heat/Cooling Capacity

    Fig. 12.5: Heating curve (with Active Cooling) Fig. 12.6 12.10 ANATOMICAL PROGRAM KV/MA DOSE CURVES The Anatomical Program curve below is representative of the mA/kV curves in the system and MAN 06–0017H User’s Manual Page 192 of 220 ZIEHM QUANTUM...
  • Page 193 KV and MA are match pairs. • Program 1: Pelvic –kV/mA Curve 1 EXAMPLE OF ANATOMICAL PROGRMA CURVE Fig. 12.7 Program 1: Pelvic-kV/mA, Curve 1 Watt 100 105 110 MAN 06–0017H User’s Manual Page 193 of 220 ZIEHM QUANTUM...
  • Page 194 Section 12.0 Fig. 12.8: Program 2: Thorax - kV/mA, Curve 2 Fig. 12.9: Program 3: DSA - kV/mA, Curve 3 MAN 06–0017H User’s Manual Page 194 of 220 ZIEHM QUANTUM...
  • Page 195 Section 12.0 Fig. 12.10: Program 4: Soft - kV/mA, Curve 4 Fig. 12.11: Program 0: Extremities - kV/mA, Curve 5 MAN 06–0017H User’s Manual Page 195 of 220 ZIEHM QUANTUM...
  • Page 196 Section 12.0 MAN 06–0017H User’s Manual Page 196 of 220 ZIEHM QUANTUM...

  • Page 197: Inspection & Maintenance

    A detailed maintenance schedule can be found in the “ZIEHM QUANTUM Technical Manual”. Technical information necessary to repair or upgrade the ZIEHM QUANTUM system will be made available by Ziehm Imaging, Inc. to authorized and qualified personnel upon request. 13.2 TEST RECORDING Consistency test according to national regulations for dose level.

  • Page 198: Verify Automatic Dose Rate Control

    The size of the collimator diameter in the image plane must not differ from the nominal image diameter by more than 2 % of the source–image receptor distance (SID).The SID and the nominal image diameter depend on the image intensifier size. I.I. size Nominal image diameter MAN 06–0017H User’s Manual Page 198 of 220 ZIEHM QUANTUM...

  • Page 199: Gettering The Image Intensifier Tube

    • mA display at default, low, and normal fluoroscopy • radiography time control • fluoroscopy terminates after releasing button • collimator controls • display functions • line cord condition; ground MAN 06–0017H User’s Manual Page 199 of 220 ZIEHM QUANTUM...

  • Page 200: Cdrh Maintenance

    (as applicable) • laser alignment (as applicable) 13.7 CDRH MAINTENANCE For information on requirements imposed by the FDA, please refer to the CDRH Maintenance Manual & Report. MAN 06–0017H User’s Manual Page 200 of 220 ZIEHM QUANTUM...

  • Page 201: Cleaning, Disinfection, Sterilization

    14.3.3. NO DISINFECTING SPRAYS Never use disinfecting sprays, since the liquid droplets may penetrate inside the unit, endangering safe system operation. Electronic modules may be damaged, and explosive air/solvent vapor mixtures may develop. MAN 06–0017H User’s Manual Page 201 of 220 ZIEHM QUANTUM...
  • Page 202 Section 14.0 MAN 06–0017H User’s Manual Page 202 of 220 ZIEHM QUANTUM...

  • Page 203: Appendix Labels

    Section 15.0 15.0 APPENDIX LABELS Fig. 15.1: Label Location ZIEHM QUANTUM Label with the * next to the number are only required if the system ships to Canada MAN 06–0017H User’s Manual Page 203 of 220 ZIEHM QUANTUM...
  • Page 204 Section 15.0 Fig. 15.2: Generator Laser Alignment Labels MAN 06–0017H User’s Manual Page 204 of 220 ZIEHM QUANTUM...
  • Page 205 Section 15.0 Fig. 15.3: Transport and Safety Labels Label with the * next to the number are only required if the system ships to Canada MAN 06–0017H User’s Manual Page 205 of 220 ZIEHM QUANTUM...
  • Page 206 OF MANUFACTURE MANUFACTURED BY: ZIEHM IMAGING, INC. 4181 LATHAM STREET, RIVERSIDE CA. 92501 MANUFACTURED: MONTH: ________ YEAR: ______ Located on the top desk near the power ON / OFF buttons MAN 06–0017H User’s Manual Page 206 of 220 ZIEHM QUANTUM...
  • Page 207 #1a or 1b If sold in Canada this label must be attached Same location as Item 4 Location on the Generator Cover near the C-Profile mounting side just below the mounting bracket MAN 06–0017H User’s Manual Page 207 of 220 ZIEHM QUANTUM...
  • Page 208 XPO cable Transport warning 11 Located on support arm monitor bracket and desk top of mobile stand cover If sold in Canada this label must be attached next to Number 11 MAN 06–0017H User’s Manual Page 208 of 220 ZIEHM QUANTUM...
  • Page 209 Location see fig 15.2 Only on systems with Laser device * Qty 1 for Laser LG *Qty 2 for Laser LC Background is Yellow in color Location see fig 15.2 MAN 06–0017H User’s Manual Page 209 of 220 ZIEHM QUANTUM...
  • Page 210 Located on side of the Mobile Stand above XPO Connector Fig 15.1 If sold in Canada this label must be attached next to item 20 Located below XPO Connector Fig 15.1 Equipment bonding Fig 15.1 MAN 06–0017H User’s Manual Page 210 of 220 ZIEHM QUANTUM...
  • Page 211 RJ45 Connection Fig 15.1 Only with Optional Net Work DICOM N/A (Replaces Label 26 when this option is used) Monitor Support Arm assembly Located on Small Arm Fig 15.1 MAN 06–0017H User’s Manual Page 211 of 220 ZIEHM QUANTUM...
  • Page 212 If sold in Canada this label must be attached next to item 30 Fig 15.1 Located on Skin Cone Fig 15.1 If sold in Canada this label must be attached next to Item 32 Fig 15.1 MAN 06–0017H User’s Manual Page 212 of 220 ZIEHM QUANTUM...
  • Page 213 Mobile Stand on the image system Fig 15.1 System Locks for operation and transport Located near pivots Fig 15.3 Safety Override Button label Located near pivots Fig 15.3 MAN 06–0017H User’s Manual Page 213 of 220 ZIEHM QUANTUM...
  • Page 214 Section 15.0 Safety Override Switch label Located on switch cover top desk. Fig 15.3 MAN 06–0017H User’s Manual Page 214 of 220 ZIEHM QUANTUM...

  • Page 215: Appendix Error Codes

    With compact unit, yellow monitor light defective Warning Call Customer Service. Warning Call Customer Service. Warning Call Customer Service. Error/ Fault Call Customer Service. Error/ Fault Call Customer Service. Error/ Fault Call Customer Service. MAN 06–0017H User’s Manual Page 215 of 220 ZIEHM QUANTUM...
  • Page 216 Call Customer Service. Error/ Fault Call Customer Service. Error/ Fault Call Customer Service. Error/ Fault Call Customer Service. Error/ Fault Call Customer Service. E15 1 Error/ Fault Call Customer Service. MAN 06–0017H User’s Manual Page 216 of 220 ZIEHM QUANTUM...

  • Page 217: Glossary

    ESCAPE To method to export images to external storage devices Export Function Exposure Time The time radiation is active or the length of a single exposure MAN 06–0017H User’s Manual Page 217 of 220 ZIEHM QUANTUM...
  • Page 218 Allows the user to set a new black level in the image to correct the image Correction as result of much metal in the radiation beam MiliGrays a measurement of dose Minute MAN 06–0017H User’s Manual Page 218 of 220 ZIEHM QUANTUM...
  • Page 219 Monitor A device that converts electronic signals into a visible image A function that reduces quantum noise in the image during live Noise Reduction fluoroscopic imaging Nominal Image the normal or standard image size.
  • Page 220 Noun, i.e. a type of radiation that can go through many solid substances, X-Ray allowing hidden objects such as bones and organs in the body to be photographed Ziehm Imaging, Medical Manufacturer of Ziehm Quantum Inc. ZIEHM Medical Device Product Name QUANTUM...

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