Summary of Contents for Whale MultiScan G-Arm System XGB6-12-1026
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XGB6-12-1026 1.04 This user manual includes detailed usage instructions for the G- Arm system. Please read this manual before using equipment. You can always use to open or close this manual (PDF format).
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This manual may not be reproduced, in whole or in part, without the written permission of Beijing East Whale Imaging Technology Co., Ltd. The contents of this document are accurate at the time of publication. However, changes in design and additional features can, at any time, be incorporated in the hardware and software and may not be reflected in this version of the document.
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Contents Automatic Pulse Fluoroscopy ................79 Manual Pulse Fluoroscopy ................80 DR Fluoroscopy ....................80 Half Dose Fluoroscopy..................81 Resolution & Penetration Features..............82 Tissue & Bone Features ..................83 7.10 Automatic Exposure Control................84 Chapter 8 - Workstation Software ..........87 Viewing Screens ....................89 8.1.1 Last-image hold (LIH)..................90 8.1.2 Fluoroscopy time summary...............90 8.1.3 First letter combination for fluoroscopy modes ........91 Control Screen .....................91...
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Contents 8.15 Quitting Workstation Software ..............121 8.16 System Settings ....................121 8.16.1 About......................123 8.17 DICOM Setup..................... 124 8.17.1 Add a DICOM service ................125 8.17.2 Combine with a DICOM service ............. 126 8.17.3 Set up local host ..................127 Chapter 9 - Maintenance ............
Overview Chapter 1 - Overview and Safety Overview This manual can also be used as a general guide for planning the pre-instal- lation, installation and daily service of the G-Arm system. This manual includes functional descriptions as well as operational instruc- tions exclusively for the specific model of B6 (hereafter in this manual re- ferred to as the G-Arm system).
Chapter 1 - Overview and Safety Safety Classification This equipment cannot be used for pregnant women, unless it is used as directed by physicians. WARNING Safety Classification Electric Shock Protection Type: Class I Operation Mode: Continuous Operation Liquid Ingress Protection Degree: IPX0 Applied Part: NONE...
Safety Hazard Overview Chapter 1 - Overview and Safety emergency procedures, and the operating instructions provided in this manual. Do NOT use this unit in the presence of potentially flammable anes- thetic gas or equivalent. WARNING This unit shall NOT be operated at an altitude above 3000 meters (9842 feet).
None of electronic objects or parts of the unit (fuses, circuit breaker, etc.) shall be replaced or repaired by the hospital. Only service personnel autho- rized by Beijing East Whale Imaging Technology Co., Ltd. are allowed to perform these operations.
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Safety - Power Supply Chapter 1 - Overview and Safety Max. line current and technique 11 A, 120 kV, 15 mA (bi-plane imaging) factors: Highest electric power in high- 1.8 kW (120 kV, 15 mA)(bi-plane imaging, peak), voltage circuit: 1.2 kW (120 kV, 15 mA) (bi-plane imaging, maxi- mum average) Nominal electric power: 2.3 kW (100 kV, 15 mA, 1 s)
Chapter 1 - Overview and Safety Required Work Space Required Work Space Figure 1-1 (p16) demonstrate the work space required for the operator to op- erate the G-Arm system in any particular area. Figure 1-1: Required work space (mm (inch)) Be sure to leave sufficient room to maneuver the G-Arm, and take the required work space into consideration.
Radiation Protection Chapter 1 - Overview and Safety 1.9.1 General Protection The owner of the G-Arm system must designate areas suitable for safe oper- ations and maintenance of the equipment and ensure the G-Arm system are only used in those areas. For example, allocate a room exclusively to the equipment, where protective precautions like lead shields and lead screens are provided to separate the X-ray radiation field from the human bodies ir- relevant to the purpose of the clinical procedure.
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Chapter 1 - Overview and Safety Radiation Protection International regulations specify that a minimum source-skin distance (SSD) of 300 mm shall be maintained. However, for specific surgical applications, a minimum SSD of 200 mm is required. The cover of the hole where the X-ray is emitted is the nearest position to the X-ray source that the patient body can reach during normal use, which me- chanically preserves the minimum SSD.
Acronyms and Abbreviations Chapter 1 - Overview and Safety 1.9.6 Penetration of Fluids The G-Arm system is not waterproof. If liquids drip into the equipment, disconnect the power cord. Do NOT operate the system until it has DANGER been cleaned and inspected by a qualified service engineer. Excessive amount of fluids such as antiseptics, cleaning solutions or body fluids may damage the internal components if seeped through.
1.13 Responsibility Regardless of the particular requirements set by the relevant liability stan- dards, WHALE can be considered liable only when the following conditions apply: ● Assembly, installation, adjustment, maintenance and modifications are performed only by WHALE personnel or by persons authorized by Bei- jing East Whale Imaging Technology Co., Ltd.
Connecting Cables Chapter 2 - Start-up Connecting Cables The G-Arm system has four cables, as shown below: Figure 2-1: Cable list Figure 2-2: Ports & sockets on Control Unit 1 Circuit breaker 2 Terminal catch lock of Interconnect cable (L2) Figure 2-3: Ports &...
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DANGER The power cord (L1) is not detachable and can only be replaced by the service personnel authorized by WHALE to make sure it conforms to WARNING relevant standards. Connect the power cord to AC receptacle...
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Connecting Cables Chapter 2 - Start-up STEP 3 Lock both connectors in place by securely applying the catch locks (2 in Figure 2-2 (p29) and 13 in Figure 3-2 (p38)). If the connectors are not securely locked in place, unreliable system operation may result.
Chapter 2 - Start-up Turning the System On Turning the System On Figure 2-5: Turning the system on Emergency stop Circuit Breaker At initial setup or when removing from storage, stabilize the equip- ment at ambient temperature and humidity for 4 hours before apply- ing power.
Turning the System Off Chapter 2 - Start-up Turning the System Off When the Control Unit is turned off, neither the Control Unit nor the G-Arm can be operated. To turn the system off: STEP When the equipment is on, press the Power On button above the control panel.
Control Unit Components Chapter 3 - System Components Control Unit Components The G-Arm system consists of two main units - the Control Unit and the G- Arm. The Control Unit is connected to the G-Arm through the interconnect cable. The G-Arm is powered and controlled by the Control Unit. Figure 3-1: Components of Control Unit Exposure lamp Viewing monitor (left: AP, right: LT)
Chapter 3 - System Components G-Arm Components G-Arm Components Figure 3-2: The G-Arm Image intensifier (LT plane) G-Arm handle Image intensifier (AP plane) G-Arm handle (one on each side) Curved arm G-Arm handle (one on each side) Control Panel (one on each side) Steering handles G-Arm Movement Line Control Brake pedal...
Laser Light Indicator Chapter 3 - System Components Table 3-1: Control Unit Major Component Qty. Footswitch (3- or 2-pedal) Printer (optional) Table 3-2: G-Arm Major Component Qty. Image intensifier assembly X-ray tube assembly Laser light indicator Laser Light Indicator Figure 3-3: Laser Light Indicator Laser Light (two on each I.I.) Laser Light Indicator Power Switch The G-Arm system is outfitted with two sets of laser light indicators to facili-...
Chapter 3 - System Components Skin Spacer (Optional) STEP 2 Turn on the other set of laser lights if necessary. STEP 3 Adjust the G-Arm or the operating table until the cross marks are lo- cated over the desired region of interest. STEP 4 Press the power switch(es) again to turn off the laser light indicators.
Exposure Lamps and Audible Signals Chapter 3 - System Components Exposure Lamps and Audible Signals The exposure lamp (yellow lamps on top of the viewing monitors, 1) will il- luminate when a footswitch pedal (or Exposure key on the control panel) is pressed.
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Chapter 3 - System Components USB & Network Ports Notes ● Personal USB flash disks are not allowed to be used in order to prevent or reduce the risk of computer virus infection. ● Use exclusive USB flash disks for the G-Arm system and perform virus checking periodically.
Dimensions & Weights Chapter 4 - Mechanical Positioning Dimensions & Weights 4.1.1 G-Arm Dimensions Note: The deviation of the focal spot is 3 mm. Figure 4-1: G-Arm dimensions 4.1.2 Control Unit Dimensions Figure 4-2: Dimensions of the control unit XGB6-12-1014, Rev 1.04...
Chapter 4 - Mechanical Positioning Movement Controls 4.1.3 Equipment Weights Whole Product Gross Weight: ≈ 670 kg Weight of G-Arm: ≈ 520 kg Weight of Control Unit: ≈ 150 kg 4.1.4 Operation Table Dimensions Before starting the installation process of the G-Arm system, make sure the room allocated for using the G-Arm system meets the technical, safety and radiation protective requirements by the local rules.
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Movement Controls Chapter 4 - Mechanical Positioning These movement controls are located on the movement control board (line control), as shown in Figure 4-4 (p47): Figure 4-3: Movement line control Note: Put the line control back to its original location as indicated in the Figure 4-3 (p47) after each use.
Chapter 4 - Mechanical Positioning G-Arm Orbital Rotation Vertical column lifting keys (up/down) G-Arm radial rotation keys (clock-wise and counter-clockwise) Related Topic: "G-Arm Attitude Restoration" (p50) G-Arm Orbital Rotation The G-Arm can rotate orbitally a total of 70° (35° clockwise and 35° counter- clockwise).
G-Arm Radial Rotation Chapter 4 - Mechanical Positioning G-Arm Radial Rotation The G-Arm can be rotated radially a totally of 90° around the G-Arm support axis (45° on each direction). Figure 4-6: G-Arm radial rotation Image Intensifier Adjustment Each image intensifier provides a 300 mm of travel distance. Each side of the image intensifier is marked with a ruler to aid in positioning.
Chapter 4 - Mechanical Positioning G-Arm Height Adjustment G-Arm Height Adjustment When positioning the vertical columns of the G-Arm, observe the mov- ing assemblies to ensure the safety of the patients and hospital per- WARNING sonnel. The G-Arm as a whole can lift itself up by at most 300 mm by means of ver- tically extending and retracting the main support beam that prop the G- shaped arm.
G-Arm Attitude Restoration Chapter 4 - Mechanical Positioning flop will trigger the collision signal after being squeezed, and the system will immediately terminate the movement of G-arm. Keep the space around the anti-collision device clear during normal operation to avoid accidental activation or damage to the anti-colli- CAUTION sion device.
Chapter 4 - Mechanical Positioning Maneuvering the G-Arm Maneuvering the G-Arm Figure 4-10: The G-Arm Base 1 Emergency Stop 2 Steering handle 3 Steering handle 4 Brake pedal 5 Buffer 6 G-Arm Base The G-Arm can be moved and positioned with less effort and more accuracy with the steering handles.
Moving the Control Unit Chapter 4 - Mechanical Positioning Moving the Control Unit Familiarize yourself with the mechanical operations of all controls prior to moving the equipment. CAUTION It takes two people to maintain control of either unit (Control Unit or G-Arm) when moving up or down an incline.
Chapter 4 - Mechanical Positioning Moving the G-Arm STEP 4 Unlock the wheel brakes on the locking wheels on the Control Unit. STEP 5 Guide the Control Unit to the destination using the handles indicat- ed in Figure 4-10 (p53). STEP 6 When you reach your destination, apply the wheel brakes.
Locking the Equipment in Position Chapter 4 - Mechanical Positioning STEP 3 Unplug the power cord (L1). Disconnect the interconnect cable (L2) from the G-arm assembly. Disconnect any other external connec- tions like footswitch cable (L3), protective earth cable (L4), etc. STEP 4 Unlock the wheel brakes on the locking wheels on the G-Arm.
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Chapter 4 - Mechanical Positioning Locking the Equipment in Position Lock the Control Unit Each of the Control Unit and G-Arm has four swivel locking wheels, which can be together locked via a brake pedal. Figure 4-13: The brake pedal on the Control Unit Brake pedal To lock/unlock the Control Unit: ...
Positioning the Monitors Chapter 4 - Mechanical Positioning Unlocks the wheel brakes on the steering unit to allow the wheels to roll Locks the wheel brakes on the steering unit To lock/unlock the G-Arm: STEP Press down either of the brake pedals. To unlock it, press it again. 4.12 Positioning the Monitors From the neutral position, the viewing monitor assembly of the G-Arm sys-...
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Chapter 4 - Mechanical Positioning Positioning the Monitors Viewing monitor handle To position the viewing monitors: STEP Hold either of two sides (1) of the viewing monitor assembly and pull it to move the monitors to the desired position. B6 User Manual...
Viewing & Control Monitors Chapter 5 - Operating Controls Viewing & Control Monitors The G-Arm system includes two viewing monitors (1, 2) and one control monitor (3). During the examination, the image will be displayed on Viewing monitors in real-time. The AP & LT fluoroscopic images will be displayed on the left and right viewing monitors.
Chapter 5 - Operating Controls Control Panel Control Panel The control panel provides access to all the features and functions that the G-Arm system offers. The control panel is located both on the control unit (1) and the G-Arm base (2). The control panel on the G-Arm base is identical to that on the Control Unit, except that it does not provide the Exposure key.
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Control Panel Chapter 5 - Operating Controls Figure 5-5: Control panel layout (G-Arm base) Control keys on AP plane Whale Logo Image Parameter Reset key Control keys on LT plane Fluoroscopy mode & feature caption Fluoroscopy mode or feature display...
Chapter 5 - Operating Controls Control Panel Description Description Reset accumulated Single Study Fluoros- Take an exposure copy Time Reset the image parameters to factory settings. The following image settings will be reset: Sharpening, Noise Reduction, Brightness, Contrast, Rotation, Inversion, and Mirror. 5.2.1 Adjust the voltage/current values Fluoroscopic imaging is activated by pressing the relevant foot switch or the...
Touch-screen Controls Chapter 5 - Operating Controls Touch-screen Controls The control monitor provides a touch-screen for interacting with the Work- station software. Using the touch-screen (and the keyboard for text-entry) you can: ● Enter and view patient information ● View and process images/videos ●...
Chapter 5 - Operating Controls Footswitch To obtain the best image quality, the SID value shall be adjusted to about 100 cm during fluoroscopic imaging. At any SID, when both the iris and shutters of a collimator are opened as wide as they can through the adjustment keys on the control panel, the ac- tual X-ray radiation field will remain 25 cm, with a deviation range of ±2% of the current SID.
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Footswitch Chapter 5 - Operating Controls plane (yellow), and the combination of AP and LT planes (blue and yellow, not available on two-pedal footswitch). Avoid continuously tapping on the X-ray footswitch pedals over long periods of time. CAUTION Figure 5-9: 3-pedal Footswitch Pedal for taking exposure on the AP plane Pedal for taking exposure on both AP and LT planes Pedal for taking exposure on the LT plane...
Chapter 5 - Operating Controls Emergency Stop Switches Emergency Stop Switches Emergency Stop switches are located on each side of the control unit as well as on the back of the main support beam assembly of the G-Arm base. Press either Emergency Stop switch to shut down the equipment.
Fluoroscopy Imaging Work-flow Chapter 6 - X-ray Imaging Process Fluoroscopy Imaging Work-flow The fluoroscopic imaging process: Surgery preparation (patient positioning, starting up the equipment, etc.) Create a new study (filling/reusing the information of a patient) Make fluoroscopic exposure (generating fluoroscopic images or cine- loops) Process the generated images Save and close the study...
Chapter 6 - X-ray Imaging Process Fluoroscopy Imaging Process setting the tube voltage and current values (kV and mA) adjusting the collimator Take an exposure to generate a static fluoroscopy image generate a cine loop clip Process the generated images (sharpen, reduce noise, etc) Compare a fluoroscopic image with the last image on screen Export images to a variety of file formats Print images...
Overview Chapter 7 - Fluoro Imaging Modes Overview A fluoroscopy mode allows you to take advantage of the preset fluoroscopy settings and get the G-Arm system ready for fluoroscopic imaging. The following diagram includes all fluoroscopy modes that the G-Arm sys- tem provides, and tries to depict their classifications and the inherent rela- tionships among them.
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Chapter 7 - Fluoro Imaging Modes Overview The X-ray is generated and emitted in an on-off pattern at a high fre- quency, which is often used for fluoroscopic imaging that simultane- ously generates X-ray from multiple planes that intersects each other to avoid light interferences.
Overview Chapter 7 - Fluoro Imaging Modes Tissue and bone features The G-Arm system comes with two exclusive features for generating the flu- oroscopic images of soft tissues and limbs, which offers higher degree of vis- ibility and recognition. These two features are: ●...
Chapter 7 - Fluoro Imaging Modes Automatic Continuous Fluoroscopy Body part Recommended mode Limbs Continuous Fluoroscopy Cervical spine Continuous Fluoroscopy Thoracic spine/lumbar/sacral Pulse Fluoroscopy Pulse Fluoroscopy Automatic Continuous Fluoroscopy In Automatic Continuous Fluoroscopy mode, the G-Arm system sets the loading factors such as kV and mA values automatically. During fluoroscopic imaging, the X-ray is continuously generated.
Automatic Pulse Fluoroscopy Chapter 7 - Fluoro Imaging Modes The LCD screens on the control panel display the current mode - “CONTINUOUS | MANUAL FLUO”. Ranges of loading factors The ranges of the loading factor values and the step values it will take when you manually adjust the loading factors are listed below: Manual Continuous Fluoroscopy 40~120 kV...
Chapter 7 - Fluoro Imaging Modes Manual Pulse Fluoroscopy Manual Pulse Fluoroscopy In Manual Pulse Fluoroscopy mode, you manually set the loading factors such as kV and mA values according to the particular conditions of different patients. During fluoroscopic imaging, the X-ray is intermittently generated. Note: Simultaneous bi-plane (AP &...
Half Dose Fluoroscopy Chapter 7 - Fluoro Imaging Modes Activating the mode: DR Fluoroscopy To switch to this mode: STEP In any mode, press the key. The LCD screens on the control panel display the current mode - “PULSE | DR FLUO”. Ranges of loading factors The ranges of the loading factor values are listed below: DR Fluoroscopy...
Chapter 7 - Fluoro Imaging Modes Normal &Low Dose Features ½ Dose Automatic Pulse Fluoroscopy (Normal) 0.2~15 mA (1-plane imaging) 0.2~15 mA (2-plane imaging) ½ Dose Automatic Pulse Fluoroscopy (Low Dose) 40~120 kV 0.2~7.5 mA (1-plane imaging) 0.2~7.5 mA (2-plane imaging) Normal &Low Dose Features Low Dose Feature The Low Dose feature provides lower dosage to penetrate small objects...
Tissue & Bone Features Chapter 7 - Fluoro Imaging Modes The system prompts you to select a mode, as shown below: Figure 7-2: Mode Selection STEP 2 From Exposure Mode, select FLUORO, from Part Mode, select Pen- etration, and then click OK. The system switches to the Penetration mode.
Chapter 7 - Fluoro Imaging Modes Automatic Exposure Control Activating the Tissue or Bone feature To activate this feature: STEP In any mode, press the Tissue or Bone key. The LCD screens on the control panel display the currently selected feature - capitalized characters “T”...
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Automatic Exposure Control Chapter 7 - Fluoro Imaging Modes Nominal shortest irradiation time The shortest exposure duration that may occur in an AEC sequence is: Nominal Shortest Duration Time: 1.2 sec Allowable AEC deviation Deviation Range of Current Time Product: ≤±(10% + 0.2 mAs) For detailed information of the loading factors of each automatic modes, please read respective sections describing these modes.
Viewing Screens Chapter 8 - Workstation Software Viewing Screens Figure 8-1: Viewing screens On the viewing screens, the following parameters are displayed: 1 Patient MRN 2 Patient name 3 Patient gender 4 Date of birth of the patient 5 Fluoroscopy mode ([P|C]/[H]/[A|M]/[B|T]/[Bi]) 6 Value of voltage (kV) 7 Value of current (mA) 8 G-Arm rotation angle (°)
Chapter 8 - Workstation Software Viewing Screens The terms of AP and LT used on the G-Arm system and in this manual are only to indicate the X-ray plane on which the images are gener- CAUTION ated. They are not identical to the clinical terms of AP and LT. 8.1.1 Last-image hold (LIH) LIH on the viewing screen indicates that the image displayed on the screen...
H: Half-dose Continuous M: Manual Tissue Bi: Bi-plane Fluoroscopy Control Screen Figure 8-2: Control screen Whale Logo Patient MRN, name, gender, and date of birth Image area Image time and imaging plane Frozen image refreshing area Image list Current pulse rate Fluoroscopy dosage information XGB6-12-1014, Rev 1.04...
Chapter 8 - Workstation Software Control Screen Loading factors & other parameters 10 Current mode (fluoroscopy, cine-loop, panoramic) 11 Resolution/Penetration feature 12 Tool panel 13 Function switch buttons Function switch buttons (10) Use these buttons to switch between the following functions: - Allows you to register a new patient - Allows you to retrieve and manage the saved patient studies Allows you to choose an Exposure mode, set the pulse rate, or turn...
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Selecting Exposure Modes Chapter 8 - Workstation Software Note: For detailed explanation of the options on the Mode screen, check out the rest topics in this section. Figure 8-3: Mode Selection Part Mode The Part Mode allows you to specify whether to turn on the Normal feature or Low Dose feature.
Chapter 8 - Workstation Software Registering Patients Exposure Mode You can choose an exposure mode from the following three: FLUORO (Fluo- roscopic imaging mode), CINE (Cine-loop mode), and PANO (Panoramic mode). Registering Patients 8.4.1 Manually register a new patient Figure 8-4: Register a new patient To register a new patient: STEP 1 Press...
Registering Patients Chapter 8 - Workstation Software Later you can complete the patient information at a convenient time. If you forget to do this, you will be prompted to enter the patient information when you try closing the current study. Related Topic: "Edit patient information"...
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Chapter 8 - Workstation Software Registering Patients Figure 8-5: Select a patient from the worklist To create a study using the patient information from the worklist: STEP 1 Press , and then switch to the Worklist tab. The Worklist tab is displayed, as shown in Figure 8-5 (p96). STEP 2 On the Worklist tab, click or tap to select a patient, and then press Register.
Retrieving Patient/Study Info Chapter 8 - Workstation Software 8.4.3 Register a patient from local database All patient information and studies are stored in the G-Arm’s database and can be retrieved at any time. Figure 8-6: Select a patient from the database To create a study using the patient information from local database: STEP 1 Press...
Chapter 8 - Workstation Software Retrieving Patient/Study Info gether with the fluoroscopic images, are stored in the database of the G-Arm system. Figure 8-7: Patient list The patient list provide basic tools for you to manage the patient studies: ● "Select and open a study"...
Cine-loop (Optional) Chapter 8 - Workstation Software 8.5.2 Search for a patient study If the patient list spans a number of pages, you can use the search function provided with the patient list to quickly find a specific study. To search for a study: STEP 1 Press The Patient List screen is displayed, as shown in Figure 8-7 (p98).
Chapter 8 - Workstation Software Cine-loop (Optional) To record a cine-loop sequence: STEP 1 Press STEP 2 From Exposure Mode, select CINE. STEP 3 Create a new study and initiate fluoroscopic imaging. The cine-loop sequence will be recorded and automatically played on the control screen.
Panoramic Imaging Chapter 8 - Workstation Software Panoramic Imaging In addition to ordinary images, the G-Arm system can also generate a pan- oramic image by combining several fluoroscopic images of the adjacent parts. It takes at least two persons to complete the panoramic imaging. One per- son moves the G-Arm while the other conducts the exposure at the same time.
Chapter 8 - Workstation Software Processing Images Processing Images You can process an image at any time, either before saving the newly creat- ed study, or after loading an existing study. Once a study is saved, you will still be able to open it and make changes to the images in it, but these changes will be discarded once the study is closed.
Processing Images Chapter 8 - Workstation Software Image noise is an undesirable by-product of image capture that adds spuri- ous and extraneous information. Noise Reduction: (0, 1, 2, 3, 4) The value 0 stands for no noise reduction is applied to the image, while 4 means the highest level of noise reduc- tion.
Chapter 8 - Workstation Software Processing Images The level readings of brightness and contrast are displayed above the tool buttons in the form of “ ”, for exam- B:<VALUE> C:<VALUE> ple, “ ”. D:0 C:0 STEP 3 Try the levels and select the one where the image appears accept- able.
Processing Images Chapter 8 - Workstation Software 8.8.5 Magnification You can enlarge a portion of the fluoroscopic images using the Zoom tool. Zoom: Enlarges the image fourfold. Figure 8-10: Enlarge a portion of an image To magnify a portion of an image: STEP 1 Take a shot to generate a fluoroscopic image, or open an existing study and then select an image from the image list.
Chapter 8 - Workstation Software Processing Images 8.8.6 Annotation You can use the Annotation tool to add notes to an image. Please note that once the study is saved, these annotations will not be able to be altered or removed. Note: This feature is only available for the images in the currently unsaved study.
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Processing Images Chapter 8 - Workstation Software Note: Touch pad on the keyboard is always recommended whenever you have to tackle with precise on-screen positioning operations. To resize the text box: STEP 1 Click or tap on the annotation text to select it. Several small handles (1) appear around the annotation text box with invisible borders.
Chapter 8 - Workstation Software Processing Images STEP 2 Press and hold your finger on the control screen, and then move your finger along the diagonal line of the imaginary square region that you want to draw and then release your finger. Figure 8-12: Draw a square 1 Press and hold Move and release...
Comparing Images Chapter 8 - Workstation Software 8.8.8 Inversion You can reverse the image colors to create a photographic negative effect. For example, as in the below figure, the left image is positive, while the one on the right is a negative. Figure 8-13: Positive/negative image comparison Invert: Reverses the colors of an image.
Chapter 8 - Workstation Software Operation Guidelines (Optional) For example, an AP image will be displayed on the left viewing screen. STEP 3 Press to show more buttons, and then press Set as Ref- erence The image specified in Step 2 will be set as a reference image. Later it can be used as a reference when comparing with any other spec- ified images.
Generating Dose Reports Chapter 8 - Workstation Software STEP 3 Use the on-screen tool buttons to rotate and move the line. Figure 8-14: Guideline tool buttons Edit a guideline To edit an operation guideline: STEP 1 On the viewing screen, right-click on the guideline. STEP 2 On the context menu, click Edit to activate the edit mode.
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Chapter 8 - Workstation Software Generating Dose Reports AP (Single): Exposure(s) conducted on the AP plane alone. LT (Single): Exposure(s) conducted on the LT plane alone. Bi-plane: Exposure(s) conducted simultaneously on both AP and LT planes. Total: The sum of respective values for all exposures taken on AP, LT and Bi-plane.
Printing Images Chapter 8 - Workstation Software 8.12 Printing Images You can pick several images and print them out via a printer. The G-Arm system supports three types of printing, including: ● DICOM Printing Images will be printed through a DICOM printer. This option is unavail- able if the connection to the DICOM printer server is disconnected.
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Chapter 8 - Workstation Software Printing Images Print Types Setup screens of different print types are shown in the following figures: Figure 8-15: Setup screen for thermal printing Figure 8-16: Setup screen for laser printing B6 User Manual...
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Printing Images Chapter 8 - Workstation Software Print layout There are four layouts provided for printing (row × column): ● 1 × 1 ● 1 × 2 ● 2 × 1 ● 2 × 2 Technique for rearranging images The G-Arm workstation software does not provide an intuitive method for you to move the images around in the layout.
Chapter 8 - Workstation Software Managing Images and Studies The image will retain its enlargement settings when it is printed out. 8.12.1 Print through a DICOM printer To print images through a DICOM printer, you need to configure and setup the connection to the DICOM printer server.
Managing Images and Studies Chapter 8 - Workstation Software Note: The patient MRN shall be unique, which means that it cannot be the same as that of any existing patients. Figure 8-17: Edit patient information 8.13.2 Save an image You can save an image to preserve it. You can also have the images saved au- tomatically after they are generated.
Chapter 8 - Workstation Software Managing Images and Studies Manually save an image To manually save an image: STEP 1 Take a shot to generate a fluoroscopic image. The frozen last image is displayed on the corresponding viewing screen, depending on the X-ray plane where it has been generated. For example, an AP image will be displayed on the left viewing screen.
Managing Images and Studies Chapter 8 - Workstation Software STEP 2 On the control screen, press on the tools panel to the left of the image to export the image(s). The Save As dialog appears. Figure 8-18: Save As dialog STEP 3 On the Save As dialog, provide the file information as described in Table 8-3 (p119).
Chapter 8 - Workstation Software Managing Images and Studies You need to have the settings properly configured to establish a connection to the server. For instructions on this topic, see "DICOM Setup" (p124). DICOM Transfer: Transfer one or more images in the current study to the PACS server.
Changing Password Chapter 8 - Workstation Software 8.14 Changing Password The default system password for quitting the workstation or accessing ad- vanced settings is “123456”. To change the system password: STEP 1 On the keyboard, press Alt-F3. STEP 2 On the Change Password dialog, type the old password, type the new password twice, and then click OK to confirm the change.
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Chapter 8 - Workstation Software System Settings You can also access DICOM Setup screens via the System Settings screen. Figure 8-19: System Settings screen To access the System Settings screen: STEP 1 On the control screen, press System Settings STEP 2 Type the system password, which by default is “123456”, and then press OK.
System Settings Chapter 8 - Workstation Software Table 8-4: System Settings (Continued) Item Description Number of Copies Specifies the number of copies to print on the printer Burned Informa- Specifies whether to display the image parameter infor- tion on Paper mation on the report.
Chapter 8 - Workstation Software DICOM Setup Table 8-5: The About Dialog (Continued) Item Description OS Version The version number of the operating system. Software Version The version number of the workstation software. Released The build number and the release date of the workstation software.
DICOM Setup Chapter 8 - Workstation Software STEP 3 On the System Settings screen, press DICOM Setup. 8.17.1 Add a DICOM service You need to set up a connection to the DICOM service before binding a workstation feature to it. To set up a connection to a PACS server: STEP 1 On the DICOM Setup screen, press DICOM Server Set.
Chapter 8 - Workstation Software DICOM Setup 8.17.2 Combine with a DICOM service You need to specify a configured DICOM service to a feature in the G-Arm workstation software before this feature can function. Note: You need to set up a connection to the DICOM service in advance. For in- structions on this topic, see "Add a DICOM service"...
DICOM Setup Chapter 8 - Workstation Software Item Name Feature Storage_AE Transfers patient studies to a PACS server. MWL_AE Registers new patients using information provided by RIS/HIS. SR_AE Transfers the dose report to the DICOM server. Printer_AE Prints images through a DICOM printer server. Film Size Film sizes the DICOM printer supports (inch): 8×10, 10×12, 11×14, 14×17.
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Chapter 8 - Workstation Software DICOM Setup ● Local AE Specifies the AE title of the G-Arm system. ● Modality Specifies a unique modality name for the G-Arm system. ● Overtime Specifies the time limit (in seconds) given to the G-Arm system for it try- ing to establish a connection to another server before the connection attempt is considered as a failure.
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DICOM Setup Chapter 8 - Workstation Software To verify the connection: STEP On the DICOM Server Setup screen, select an application entity from the list, and then click Verify. After a while, a message dialog appears, reporting that whether or not the connection to the selected application entity is successfully established.
Maintenance Period Overview Chapter 9 - Maintenance Maintenance Period Overview In order to maintain the highest possible level of system performance, tech- nical inspection and maintenance of the G-Arm system should be per- formed periodically by qualified medical physicists, or the authorized service personnel.
Chapter 9 - Maintenance Checking the I.I. Movements STEP 1 Inspect the power cable and protective earth cables. Make sure they look intact and undamaged. STEP 2 Check the connections. Make sure they are both securely connect- Checking the I.I. Movements Before starting to inspect the I.I.
Checking Locking Wheel Movements Chapter 9 - Maintenance Checking Locking Wheel Movements The locking wheel movement of the Control Unit and the G-Arm shall be in- spected by the end users every time before use for any potential movement abnormalities. Before starting the test procedure, turn off the equipment.
Chapter 9 - Maintenance Checking Monitor Rotation Movements Checking Monitor Rotation Movements The movements of the viewing monitors should be inspected by the end us- ers each time before use for any potential movement abnormalities. Before starting to inspect monitor rotation movements, clear all the obstacles within the movement range to make sure the viewing moni- WARNING tors do not collide with any objects.
Measuring Accuracy of Tube Voltage Chapter 9 - Maintenance ● DR Fluoroscopy To measure the accuracy of the AEC sequence: STEP 1 Turn on the G-Arm system. STEP 2 Set the SID to 910 mm. Place a 20 cm thick PMMA rectangular block with sides ≥...
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Chapter 9 - Maintenance Cleaning and Disinfection STEP 3 Initiate fluoroscopic imaging according to Table 9-1 (p138) and re- cord the measured kV values displayed on dose meter. STEP 4 Switch to Manual Pulse Fluoroscopy mode, repeat step 3. For the test to pass, the measured kV values shall be within the range of kV values (±10%), as indicated in the following table: Table 9-1: Range of Measured kV Values (Manual Continuous Fluoroscopy) kV Range...
Cleaning and Disinfection Chapter 9 - Maintenance The following table lists the recommended cleaning agents and disinfec- tants: Table 9-3: Recommended Cleaning Agents and Disinfectants Solution Mfr. Form Wash Time Usage Tap water Clean Deionized water Clean Soft liquid soap Liquid Clean/disinfect Ethanol 75%...
Chapter 10 - Technical Specifications Diagnostics Table 10.16 Diagnostics Table Attenuation equivalent of materials located in the X-ray beam should meet the requirements as depicted in the following table; otherwise it will reduce the image quality, which requires higher loading factors to achieve the same image quality: Table 10-1: Attenuation equivalent of items in the X-ray beam Item...
Trouble-shooting Chapter 11 - Trouble-shooting 11.1 Trouble-shooting The G-Arm system performs a self-check during power-up and displays a message on the LCD screens if any fault is detected, as described in the fol- lowing table: Table 11-1: Error Codes and Solutions Error Code Description Solution...
Transport and Storage Environment Chapter 12 - Transport and Storage 12.1 Transport and Storage Environment Use special equipment package for the outdoor transportation of this unit. Take extra care when moving the G-Arm system across uneven ground. For example, when getting in/out of elevators, move the equipment as gently as possible to protect the precision components, CAUTION like the image intensifiers and the CCD cameras, from being damaged...
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Chapter 12 - Transport and Storage Related Symbols Table 12-1: Symbols Used on the Transport Package Symbol Name Description Indicates the correct upright position of the trans- This way up port package. Indicates that stacking of the transport package is Do not stack not allowed and no load should be placed on the transport package.
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Related Symbols Chapter 12 - Transport and Storage Do NOT dispose the waste of electrical and electronic equipment as unsorted municipal waste. Separately recycle it according to the rules of the local government. WARNING Please contact authorized representatives of the manufacturer or authorized waste management companies for information concern- ing the decommissioning of the equipment.
Note: Beijing East Whale Imaging Technology Co., Ltd. cannot guarantee that accessories, lines and transformers not delivered by Beijing East Whale Imaging Technology Co., Ltd. will correspond with EMC requirements of EN 60601-1-2.
Chapter 13 - Electromagnetic Compatibility Statement Electromagnetic Immunity # Emission Test Compliance Harmonic emissions IEC 61000-3-2 Voltage fluctuations/flicker emis- sions IEC 61000-3-3 Electromagnetic Environment – Guidance (#1 in the above table) The G-Arm System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Recommended Safe Distance Chapter 13 - Electromagnetic Compatibility State- Conducted RF & Radiated RF (#4 & #5 in the above table) Portable and mobile RF communications equipment should be used no closer to any part of the G-Arm System, including cables, than the recom- mended separation distance calculated from the equation applicable to the frequency of the transmitter.
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Chapter 13 - Electromagnetic Compatibility Statement Recommended Safe Distance below, according to the maximum output power of the communications equipment. The following table lists the recommended separation distances between portable and mobile RF communications equipment and the G-Arm imag- ing system: Rated Maximum Output Separation Distance According to Frequency of Transmitter (m) Power of Transmitter (W)
Symbols Appendix I - Symbols & Nameplates A(I)-1 Symbols Table I-1: Symbols used on this unit (Sheet 1 of 3) Symbol Description Location Warning: Dangerous voltage Near the power inlet terminal Warning: Crushing hazard - foot On the surface of the bottom main girder and on the surface of the wheel buffers Warning: Crushing hazard - Near the back cover of the image intensifier...
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Appendix I - Symbols & Nameplates Symbols Table I-1: Symbols used on this unit (Sheet 2 of 3) Symbol Description Location Sitting prohibited On the surface of the AP tube assembly Use no forklift On the surface of the bottom main girder ON/OFF Near the circuit breaker On the surface of the foot switch &...
Rulers Appendix I - Symbols & Nameplates Table I-1: Symbols used on this unit (Sheet 3 of 3) Symbol Description Location Warning: Laser beam On the surface of the image intensifier Total Equivalent Filtration On the surface of the x-ray tube assembly A(I)-2 Rulers A(I)-2-1...
Appendix I - Symbols & Nameplates Labels The G-Arm radial rotation rulers are labelled on back of the main support beam of the curved G-shaped arm. Figure I-3: G-Arm Radial Rotation Ruler A(I)-2-4 G-Arm Vertical Movement Ruler The G-Arm vertical movement ruler is used to measure the vertical travel dis- tance of the G-Arm.
Nameplates Appendix I - Symbols & Nameplates Table I-2: Labels used on this unit Label Location Near the circuit breaker On the surface of the control panel On the surface of the image intensifier on the LT plane. On the surface of the back cover of the control unit, near the power inlet.
Appendix I - Symbols & Nameplates Nameplates Table I-3: Symbols used on nameplates Symbol Description Caution Manufacturer Serial Number Date of manufacture The waste of electrical and electronic facility must not be disposed as unsorted municipal waste and must be collected separately. Use the return and collection systems according to local law.
Nameplates Appendix I - Symbols & Nameplates A(I)-4-3 G-Arm Nameplate The G-Arm nameplate is located on the lifter casing of G-Arm. Figure I-6: G-Arm Nameplate of B6 A(I)-4-4 Control Unit Nameplate The nameplate of Control Unit is located on the back cover of Control Unit, near the power connector.
Related Documents Appendix III - Related Documents A(III)-1 Related Documents Besides this user’s manual, several other related documents are shipped to- gether with the product, as below: Specifications of X-ray Tube Assembly Doc Number: XGB6-12-0073 Version: Specifications of X-ray tube assembly and X-ray tube for B6. The technical description shall contain a statement that the manufacturer will make available on request circuit diagram, component part lists, de- scriptions, calibration instructions, or other information that will assist ser-...
Dosimetric Indication Value Test Appendix IV - QC Test Log Form A(IV)-1 Dosimetric Indication Value Test ½ ½ Man. Auto. Man. Auto. Test Group Test Checkpoint Auto. Auto. Cont. Cont. Pulse Pulse Cont. Pulse Loading Factors Measured Value Displayed Value AKR (mGy/min) Deviation Pass/Fail...
Appendix IV - QC Test Log Form Accuracy Test of kV Values A(IV)-3 Accuracy Test of kV Values Table IV-1: kV Accuracy Test in Manual Cont. Fluo. Mode Criteria Value Pass? Time Signature 36~44 54~66 72~88 90~110 99~121 108~132 Table IV-2: kV Accuracy Test in Manual Pulse Fluo. Mode Criteria Value Pass?