Page 1 AXIOM Iconos R200 with fixed table height Operator Manual AXIOM Iconos R200 with fixed table height Operator Manual Rückenschild für Ordner A4 (50 mm Rückenbreite); Zuschneiden auf 205 mm x 50 mm AXIOM Iconos R200 with fixed table height Operator Manual...
Page 3: System Overview
© Siemens AG 2002 All rights reserved Order No.: AXD3-340.620.13.01.02 Printed in the Federal Republic of Germany Addendum/Current Information AG 12.2007 Contact Information: Siemens AG Siemens AG, Medical Solutions AX Wittelsbacherplatz 2 Siemensstrasse 1 DE-80333 Muenchen D-91301 Forchheim Germany Germany Technical Description Phone: +49 9191 18-0 Internet: www.medical.siemens.com...
Page 4 Important information from the manufacturer This product is provided with a CE marking in accordance with the regulations stated in Appendix II of the Directive 93/42/EEC of June 14th, 1993 concerning medical devices. In accordance with Appendix IX of the Directive 93/42/EEC, this device is assigned to class II b.
Page 5: Table Of Contents
AXIOM Iconos R200 Overall Table of Contents Operator Manual Lists Overall Table of Contents Part: Lists Chapter: Overall Table of Contents ....................... 1 Part: System Overview Chapter: System Description ........................5 Application ............................5 Product description ..........................5 System configuration ..........................6 System overview ..........................
Page 6 AXIOM Iconos R200 Overall Table of Contents Chapter: Functional and Safety Check ....................9 Daily tests ............................. 9 Monthly tests ............................10 Legally required tests .......................... 10 Chapter: System Settings ........................11 General notes ............................11 Moving the X-ray system longitudinally ....................14 Tabletop ..............................
Page 7 AXIOM Iconos R200 Overall Table of Contents Exposure measurement for cassette exposures ................17 Releasing the exposure ........................19 Organ programs ..........................19 Single exposures / serialography ......................19 Bucky mode ............................20 Spotfilming without tomography ......................20 Tomography (optional) ........................21 Chapter: Digital Radiography .........................
Page 8 AXIOM Iconos R200 Overall Table of Contents Orientation ............................3 Use of several accessory components ....................4 Chapter: Standard Accessories ......................5 Grip protection strip ..........................5 Handgrip strip ............................6 Handgrip ............................... 8 Shoulder supports ..........................9 Footboard ............................10 Chapter: Optional Accessories ......................
Page 9 ..................19 Remote compression (optional) ......................19 Safety devices ..........20 Possible collisions of the system with a ceiling-mounted support ................. 20 Measures for avoiding equipment damage ................. 21 Measures for avoiding unwanted radiation AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 10 System Overview Table of Contents Safety-relevant parts subject to wear ................22 Maintenance intervals ...................... 22 CAREWATCH ........................22 ......................... 22 Display data ..................23 Resetting the area dose product Chapter: Operating and Display Elements System remote control console ..................25 ......................
Page 11 System Overview Table of Contents ............... 41 Changing the bulb of the laser light localizer ................43 Testing the fit of the new bulb ..................43 Accessories and auxiliary devices AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 12 System Overview Table of Contents AXD3-340.620.13.01.02 Operator Manual / 44...
Page 13: Application
40 cm image intensifier or I.I. image receptor with 40 cm image intensifier, each with a large axial travel range. Fluoroscopy and imaging system with ergonomic remote control. Integrated system movement control on the spotfilm device. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 14: System Configuration
System Overview System Description System configuration The label with MODEL NO.: 59 02 767 bears the CE 0123 marking for the entire ICONOS R200 system and is attached to the back of the table frame. Standard version ❏ ICONOS R200 system ❏...
Page 15: System Overview
(5) FLUOROSPOT Compact keyboard (6) Foot switch for fluoroscopy and radiography (7) Desk (optional) for operating consoles (8) Tableside control console with foot switch for fluoroscopy and radiography (optional) (9) Bucky wall unit (optional) AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 16: Unit Overview
System Overview System Description Unit overview (10) (11) (12) (13) (14) (15) (16) (1) Image intensifier TV system with safety shut-off device (2) Handgrip (at the front), adjustable (3) Cassette spotfilm device or I.I. receptor unit with tableside control panel and removable scattered radiation grid (4) Grip protection strip (head end), detachable (5) Handgrip strip (located on back), adjustable, secure in all patient positions...
Page 17 (15) Table frame motor-driven adjustable in height, can be tilted + 90°/-17° (16) Unit base with tilting drive on installation plate AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 18 System Overview System Description AXD3-340.620.13.01.02 Operator Manual / 44...
Page 19: Chapter: Protective Measures
◆ Use only substances for cleaning and disinfection, which are recommended. ◆ Do not let cleaning liquids seep into the openings of the system (e.g. air openings, gaps between covers). ◆ Observe the following cleaning and disinfection instructions. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 20: Radiation Protection Zones
System Overview Protective Measures Radiation protection zones Position and size of the main operating area Horizontal patient table: Main operating area Dimensions in cm AXD3-340.620.13.01.02 Operator Manual / 44...
Page 21 System Overview Protective Measures Vertical patient table: Main operating area Dimensions in cm AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 22: Stray Radiation In The Main Operating Area According To Din En 60601-1-3
System Overview Protective Measures Stray radiation in the main operating area according to DIN EN 60601-1-3 Tolerance of the air kerma measurements ± 5% Characteristic A and C: continuous fluoroscopy 63kV, 0.8mA (antiisowatt) Characteristic B and D: continuous fluoroscopy 110kV, 3mA Patient table horizontal Height above floor Air kerma...
Page 23: Mechanical Safety
System Overview Protective Measures Mechanical safety Danger zones with unit in horizontal position The places marked in the illustrations show possible danger zones at which the patient or operator can be injured. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 24: Danger Zones With Unit In Vertical Position
System Overview Protective Measures Danger zones with unit in vertical position The places marked in the illustration indicate possible danger points where the patient or operating personnel can be injured. Danger zone If the patient is located in the danger zone, it must always be ensured that the operating personnel are in the room and within reach of an emergency stop.
Page 25: Grip Locations
◆ Prior to activating any movements of the unit, especially tilting of the unit, make sure that there are no objects such as stairs, steps, stands, waste con- tainers, instrument tables, beds, gurneys, monitor support systems, operat- ing consoles or the like in its movement range. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 26: Patient Positioning
Severe consequential damage including personal damage cannot be excluded in this case. ◆ immediately notify the SIEMENS Uptime Service. ❏ Avoid standing or sitting immediately adjacent to the system and especially do not sit next to the system with your legs or knees under the cross-beam at the head or foot end of the table.
Page 27: Patient Positioning With Unit In Vertical Position
(1) Switch rail between tabletop and stand (2) Switch rails in each case at the end of the travel of the spotfilm unit (3) Safety switching sensors on the image intensifier TV device (2 sensors)) AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 28: Possible Collisions Of The System With A Ceiling-Mounted Support
SIEMENS Uptime Service. Measures for avoiding equipment damage ◆ Before activating system movements, especially tilting the table, make sure that the movement range is free of obstructions.
Page 29: Measures For Avoiding Unwanted Radiation
◆ Before starting system movements make sure that the foot switch for fluo- roscopy and radiography (optional) in the examination room is not in the travel range of the image intensifier light distribution system. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 30: Safety-Relevant Parts Subject To Wear
Maintenance intervals Maintenance must be performed annually in order to ensure the safety and func- tioning ability of the system. If you have not concluded a maintenance contract, please notify the Siemens Up- time Service on time. CAREWATCH Display data...
Page 31: Resetting The Area Dose Product
◆ actuate the reset button at the integrated generator control console – The displays for the area dose product and the patient entrance dose are reset to zero. ➩ Refer to the Operator Manual of Fluorospot Compact. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 32 System Overview Protective Measures AXD3-340.620.13.01.02 Operator Manual / 44...
Page 33: System Remote Control Console
E 4 7 1 - 1 0 ˚ 0 . 1mm ˚ < ❏ Oblique projection angle ❏ Table tilt angle User interface is identical for the optional mobile tableside control console depending on the operating mode AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 34: System Settings
System Overview Operating and Display Elements ❏ Display of the set compression level, only in connection with the compression device (optional) ❏ Additional Cu filter swivelled in ❏ Cassette exposures available in film segmentation – only with cassette spotfilm device ❏...
Page 35: Image Intensifier Formats
❏ Start position for various system settings in the operating modes Star Start t – Tomography (optional) – Periscanning – Scanning technique (optional) – Peristepping (optional) Image intensifier formats ❏ Image intensifier full format ❏ Image intensifier zoom formats (zoom stages 1, 2, 3) AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 36: Automatic Fluoroscopy Control
System Overview Operating and Display Elements Automatic fluoroscopy control ❏ Automatic fluoroscopy program 1 ❏ Automatic fluoroscopy program 2 ❏ Automatic fluoroscopy program 3 ❏ Automatic fluoroscopy stop Image reversal ❏ Right/left image reversal (vertically mirrored) ❏ Top/bottom image reversal (horizontally mirrored) Additional filter ❏...
Page 37: Semitransparent Filters
❏ Exposure release button with pre- and main contact Stop button ❏ Red emergency stop button STOP General operating elements ❏ Room light on/off (on-site installation required) only in operation with "DSA filter diaphragm” option AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 38: Preselection Functions
System Overview Operating and Display Elements Preselection functions ❏ Automatic format collimation for cassette exposures (only with cassette spot- film device) – Height and width: both LEDs light up – Height: left LED lights up – Width: right LED lights up –...
Page 39: Segmentation Program
– LED lights up: grid in the beam path Segmentation program ❏ Full format ❏ Format segmented 2 on 1 ❏ Format segmented 3 on 1 ❏ Format segmented 4 on 1 only with cassette spotfilm device AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 40: Generator On/Off Console
System Overview Operating and Display Elements Generator on/off console (1) System OFF button (2) System ON button (3) Radiation indicator (4) Radiation release in Vertix (bucky wall stand) and Iconos Bed (free exposure) mode All other generator control functions are integrated in the FLUOROSPOT Com- pact imaging system.
Page 41: Foot Switch For Fluoroscopy And Radiography In The Control Room
❏ Display of a flashing “E” for an error message ❏ Oblique projection angle (max. +/- 40°) ˚ ❏ Display of a flashing “E” for an error message optional in the examination room without mobile tableside control panel AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 42: System Settings
System Overview Operating and Display Elements System settings ❏ Oblique projection (cranio-caudal/caudo-cranial) ❏ Oblique projection +/- 0º (orthogonal projection) ❏ Source-image distance with cassette spotfilm device (115 cm, 150 cm) 1,50 ❏ Source-I.I. distance with I.I. image receptor unit (115 cm, 150 cm) 1,15 ❏...
Page 43: Lcd Monitor
The necessary settings are made at start-up. No operation is required during op- eration. Power on/off The unit has a power switch on the bottom which you must operate only if the LCD monitor is not switched through a system. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 44: Primary Collimator
Errors ❏ If the LCD monitor displays no image or a blurred image, vertical lines or other defects, please contact the SIEMENS Service. ❏ If no input signal is present, the ’No Signal’ message appears. Primary collimator Control elements and displays at the front...
Page 45 (6) Display of SID (in cm or inches) (7) Display: Collimator centered on image receptor (8) Display: Collimator rotated can be configured in cm or inch by Siemens Uptime Service Display function not available with all systems AXIOM Iconos R200 AXD3-340.620.13.01.02...
Page 46: Control Elements At The Underside
System Overview Operating and Display Elements Control elements at the underside (1) Button for full-field light localizer and laser line light localizer, switches off automatically after 10 - 90 s (configurable) (2) Laser line light localizer with slider to cover the outlet opening (3) Crosshairs in the light localizer window (4) Locking spring for accessories Laser line light...
Page 47 ◆ To remove the accessories, press the locking spring to the left until the com- pensating filter, template etc. can be removed from the collimator. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 48: Prefilter Selection
System Overview Operating and Display Elements Prefilter selection Caution Malfunctioning of prefilter Incorrect radiation dose ◆ Take care of correct filter setting on manual prefilter Motorized prefilter selection ◆ To select a prefilter press the prefilter selection button. – The Cu prefilter changes to the next value each time the button is pressed –...
Page 49 ➩ Refer to the description in the according system Operator Manual. Lamp cover at the backside of the collimator ◆ Loosen the 3 screws on the lamp cover using a conventional slotted screw- driver. ◆ Remove the lamp cover. Heat shield AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 50 ◆ Insert the heat shield to the stop position and tighten the screws (1). ◆ Attach the lamp cover. Caution Lamp breaks Patient and/or user injured by glass splinters ◆ Use only OEM Siemens spare parts AXD3-340.620.13.01.02 Operator Manual / 44...
Page 51 An incorrect position of the new bulb is visible by a mismatch of crosshairs and laser line. Correct position Incorrect position Accessories and auxiliary devices The maximum permissible weight of accessories and auxiliary devices attached to the collimator must not exceed 7 kg. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 44...
Page 52 System Overview Operating and Display Elements AXD3-340.620.13.01.02 Operator Manual / 44...
Page 53 Operating elements for system positions ................... 12 Object-dependent system settings ......................12 Start positions ..................12 General notes on error messages ............13 Behavior of the system settings in the case of a fault AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 54 System Operation Table of Contents Moving the X-ray system longitudinally ................14 Tabletop ..........................15 ..............15 Moving the tabletop longitudinally/transversely ............16 Lowering the tabletop completely with the table vertical Tube assembly stand ....................... 17 ..............17 Setting the projection angle (oblique projection) ............
Page 55 System Operation Table of Contents Image reversal ........................30 Switching over the image intensifier format ..............31 AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 56 System Operation Table of Contents AXD3-340.620.13.01.02 Operator Manual / 32...
Page 57: Chapter: On-Off/Emergency Stop
A possible error will be dis- played on the monitor. Please notify the SIEMENS Uptime Service if this is the case. ➩ Refer to the FLUOROSPOT Compact Operator Manual for further information.
Page 58: Switching The System Off
System Operation On-Off/Emergency Stop Switching the system off ◆ Press the button on the generator ON/OFF console. – The entire system and all further connected devices are immediately switched off. – All started operating sequences will be interrupted and the selected programs will be deselected.
Page 59: Red Emergency Stop Button
– The generator and the imaging system still remain switched on and ready; – Radiation is interrupted; fluoroscopy can be switched on again consciously after letting the foot- switch go and actuating it again; – Injection with the synchronized injector is interrupted. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 60: Patient Rescue
◆ Remove the hazardous situation. ◆ Unlock the red emergency stop button – The system is immediately ready for use ◆ If the hazardous situation cannot be removed, please notify the Siemens Cus- tomer Service. Patient rescue If the patient has to be rescued in an emergency situation (e.g. power failure), proceed as follows: ◆...
Page 61: Daily Tests
◆ immediately switch the X-ray system off using the emergency shutdown button and ◆ notify the SIEMENS Uptime Service. Use exclusively foot switches from SIEMENS (original parts with approval) for ra- diation release. Prior to the examination ◆ Remove unnecessary objects and equipment from the area of action of the system.
Page 62: Monthly Tests
(error in the television chain) ◆ immediately switch the system off using the emergency shutdown button ◆ notify the SIEMENS Uptime Service. ◆ Check the patient positioning devices, e.g. use of the grip protection strip and handgrip.
Page 63: General Notes
❏ Operating elements with LEDs LED lights up: function is selected LED does not light up: function is deselected LED flashes: selected function is not yet concluded or message about a particular status (see relevant chapter for description). AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 64: Object-Dependent System Settings
– The fault message is cancelled as a rule Further operation of the system may be only under increased attention of the user. However, if an error message is still displayed, there is an error. ◆ Call the Siemens Uptime Service AXD3-340.620.13.01.02 Operator Manual / 32...
Page 65: Behavior Of The System Settings In The Case Of A Fault
◆ Actuate system movements only with direct visual control. All other movements are possible only step by step. A warning signal (whistle) sounds on actuating and during the movement. ◆ Rescue the patient. ◆ Call the Siemens Uptime Service AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 66: Moving The X-Ray System Longitudinally
System Operation System Settings Moving the X-ray system longitudinally The X-ray system consists of: – Stand with tube assembly and primary collimator – Image receptor unit with image intensifier and spotfilm device System remote control console ◆ Actuate the joystick. –...
Page 67: Tabletop
You can move the tabletop only within this range. Display in horizontal table position AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 68: Lowering The Tabletop Completely With The Table Vertical
System Operation System Settings Lowering the tabletop completely with the table vertical Warning If the tabletop is lowered to less than 12 cm above the floor with the table vertical, it is possible for feet to be crushed. ◆ Make sure before remote operation that no one is in the direct vicinity of the system.
Page 69: Tube Assembly Stand
For fluoroscopy, position the isocenter for oblique projection at the object height. The object centering on the monitor will remain the same without shift if you se- lect oblique projection. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 70: Tabletop
System Operation System Settings Setting orthogonal projection (oblique projection +/- 0°) ◆ Press this key – If the central beam is orthogonal to the receptor unit, the LED lights up; – The display for oblique projection indicates ”0°”. Reading off the projection angle System remote control console ◆...
Page 71: 0° Position Of The Table
Tilting the table up/down System remote control console ◆ Deflect the joystick to the left/right. – The tabletop tilts down/up. Tableside control panel ◆ Press one of the keys. – The tabletop tilts down/up. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 72: Reading The Table Tilt
System Operation System Settings Limitations when tilting in Trendelenburg position: Tabletop tilting stops when the distance table (Image Intensifier) to floor is less than 40 mm. To further tilt the table, ◆ Release the joystick/button and press it once again. –...
Page 73: Compression Device (Optional)
❏ The cone carriage moves automatically into the park position (topmost decom- pression position) – in tomography – in Peristepping, Periscanning, scanning technique – when setting a swivel angle greater than 30°. configuration for Japan only AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 74: Tomographic Equipment (Optional)
System Operation System Settings Cone arm in park Under the following conditions no shadowing of the collimated format will result position from the cone arm in the park position: ❏ Max. 40 cm high, on the horizontal unit with orthogonal collimation and 150 cm SID.
Page 75: Switching On The Fulcrum Height Light Localizer
◆ Look at the scale next to the mirror on the system. – You will see a red light mark there. ◆ Read the scale value indicated by the light mark. – One division corresponds to 0.5 cm. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 76: Manual Tube Assembly Rotation
System Operation System Settings Manual tube assembly rotation ❏ During the rotational movement radiation release is not blocked. ❏ Outside the 0° rotation position, the automatic format collimation system switches over to the “Manual” mode (free radiation field setting). ❏ Tube assembly rotation is possible from +90° to -90° with stop positions every 10°...
Page 77: Setting The Source-Image Distance
– Once the selected SID is reached, the LED in the key lights up. – If you release the key before the end position, the LEDs in both keys flash. 1,50 SID = 115 cm, 150 cm 1,15 AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 78 System Operation System Settings AXD3-340.620.13.01.02 Operator Manual / 32...
Page 79: Limiting The Radiation Field (Collimation)
Use the key on the system remote control console for selection / deselection. ◆ Press this key – Rectangular collimation is selected: left LED lights up. – Iris collimation is selected: right LED lights up. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 80: Setting
System Operation Setting the Image Geometry Setting System remote control console Rectangular collimation ◆ Actuate the coordinate switch – Push up / to the left: height/width collimator blade pair opens – Push down / to the right: height/width collimator blade pair closes –...
Page 81: Careposition (Optional)
The CAREPOSITION function enables you to position the patient anew without further fluoroscopy with the aid of the last fluoroscopic image (LIH). ➩ Refer to the FLUOROSPOT Compact operating instructions for further details. in relation to monitor image edge AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 82: Additional Cu Filter
System Operation Setting the Image Geometry Additional Cu filter The organ programs determine which additional Cu filter is moved into the beam path on selection of the program. A temporary change of the automatic additional Cu filter selection with organ pro- gram is possible by manual switchover.
Page 83: Switching Over The Image Intensifier Format
◆ Press one of the keys. – LED lights up: the function is selected. Image intensifier full format Zoom level 1, 2, 3 Regularly control the function of the format switch over! ➩ Refer to the maintenance plan. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 32...
Page 84 System Operation Setting the Image Geometry AXD3-340.620.13.01.02 Operator Manual / 32...
Page 85 Selecting automatic fluoroscopic control ....................... 10 Stop function ....................... 10 Fluoroscopic curves Fluoroscopy time limit ...................... 11 Fluoroscopy warning signal ....................11 Automatic format collimation in fluoroscopy ..............11 Fluoroscopy programs ...................... 11 Dose reduction ......................... 12 AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 86 Examination Table of Contents Chapter: Cassette Exposures in the Spotfilm Device (optional) Automatic format collimation in radiography ..............13 ......................... 13 Bucky mode ..................... 13 Semiautomatic mode ..................... 13 Fully automatic mode Cassette program ......................14 ..............14 Cassette formats and segmentation program .................
Page 87 ....................36 Examination procedure ......................36 Preparation ....................38 Programming run ......................39 Filling run ....................... 39 End of scene ......................40 Organ programs .................... 40 Creation of programs ................40 Temporary changes of programs AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 88 Examination Table of Contents DR-Scanning (optional) ..................... 40 ........................40 General ........................41 Selection ......................... 41 Deselection ......................41 Image transfer ....................41 Releasing an exposure ............42 Examination procedure for abdominal survey images ......................42 Preparation ..........43 Moving the system and tabletop into the starting position ....................
Page 89: General Information
❏ Attach all safety accessories, especially the grip protection strip, handgrip strip, handgrip, footboard and shoulder supports. ❏ Use only positioning aids expressly approved by Siemens. Contact your local Siemens representative if you have any questions. ❏ Refer to the ”Accessories” Register for all accessories available for position- ing.
Page 90 Examination Transferring and Positioning the Patient AXD3-340.620.13.01.02 Operator Manual / 52...
Page 91: Fluoroscopy Operating Modes
Use the FLUOROSPOT Compact infrared control for operation. If your system is equipped only with standard fluoroscopy, the Fluoro+ and Fluo- ro- keys have no function. Values in brackets apply to VIDEOMED DHC AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 92: Fluoroscopy With Supervision (Optional)
Examination Fluoroscopy Fluoroscopy with Supervision (optional) ◆ By pressing one of the keys you select Standard fluoroscopy (Fluoro +) or Supervision (Fluoro -) Fluoro Fluoro You can also switch from one operating mode to another during a fluoroscopic examination. Pulsed fluoroscopy (optional) ◆...
Page 93: Releasing Fluoroscopy
If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot be seen on the monitor: ◆ Switch the system off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue use of the system. Fluoroscopic data The fluoroscopic data of kV, mA, time and area dose product (optional) are dis- played on the integrated generator control console.
Page 94: Automatic Fluoroscopic Control
Examination Fluoroscopy Resetting the fluoroscopic data Once the examination is ended, then please note the displayed fluoroscopic data ◆ Press the reset key. – The displays for the fluoroscopic data and the area dose product are reset to zero. Automatic fluoroscopic control Selecting automatic fluoroscopic control The fluoroscopic curves and dose levels preset in the organ program can be changed with the automatic program keys on the system remote control console.
Page 95: Fluoroscopy Time Limit
– Roadmap pulsed fluoroscopy ➩ Refer to the Fluorospot Compact Operator Manual. Can be changed on request by SIEMENS Uptime Service, under compliance with the national regulations. Can be configured from 1 to 5 minutes by the SIEMENS Uptime Service AXIOM Iconos R200 AXD3-340.620.13.01.02...
Page 96: Dose Reduction
Examination Fluoroscopy Dose reduction In fluoroscopy with CAREVISION (pulsed fluoroscopy) or SUPERVISION the fol- lowing dose reductions configured in the factory result related to standard fluor- oscopy: Automatik- CAREVISION CAREVISION CAREVISION SUPER- programm 15 P/s 7,5 P/s 3 P/s VISION - 50% - 75% - 90%...
Page 97: Chapter: Cassette Exposures In The Spotfilm Device (Optional)
Fully automatic mode width and height is active: both LEDs light up. Fully automatic mode width is active: right LED lights up; left LED is dark.. Fully automatic mode height is active: right LED is dark; left LED lights up.. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 98: Cassette Program
Examination Cassette Exposures in the Spotfilm Device (optional) Cassette program Cassette formats and segmentation program The following cassettes standardized according to IEC, ANSI or DIN are permit- ted: Full format (1 on 1) 2 on 1 3 on 1 4 on 1 18 cm x 24 cm 8"...
Page 99: Format Segmentation
◆ Press the selected segmentation key once again, if you wish to skip a seg- ment during exposure. Mixed mode It is possible to change the segmentation within a cassette as long as the unex- posed part of the cassette permits the newly selected segmentation. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 100: Loading / Unloading The Spotfilm Device
Examination Cassette Exposures in the Spotfilm Device (optional) Loading / unloading the spotfilm device Warning Risk of injury during automatic cassette size sensing! ◆ Do not reach into the loading shaft of the spotfilm device. Loading LED lights up: Cassette in unloading position. ◆...
Page 101: Exposure Measurement For Cassette Exposures
(head end at the left, looking onto the patient with the table horizontal). (1) Left dominant (2) Right dominant (3) Middle dominant by the SIEMENS Uptime Service AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 102: Selection Of The Dominants
Examination Cassette Exposures in the Spotfilm Device (optional) Selection of the dominants The dominants are filed in the organ programs or they can be set on the integrat- ed generator control console. Multiple selection of the dominants is possible. Warning Please make sure when changing the selection of the dominants that the correct dominant is always selected.
Page 103: Releasing The Exposure
If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot temporarily be seen on the monitor: ◆ Switch the system off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue operation of the system. Organ programs All parameters necessary for the exposure are stored in organ programs.
Page 104: Bucky Mode
Examination Cassette Exposures in the Spotfilm Device (optional) Serialography Serialography selected: the LED lights up ◆ Select a segmentation program. – Segmentation 2 on 1 / 3 on 1 / 4 on 1 If you now release the series and keep the exposure release button pressed, you obtain an exposure series.
Page 105: Tomography (Optional)
In this case the tabletop is moved automatically synchronously to the image receptor unit so that the initial object centering is reset. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 106: Tomographic Sequence
Examination Cassette Exposures in the Spotfilm Device (optional) Tomographic sequence ◆ Press the exposure release button up to the first pressure point. – The tube assembly stand moves to the head-end tomography starting posi- tion (at the left with the unit horizontal). ◆...
Page 107: Automatic Format Collimation In Digital Radio-Graphy
The following sketch shows the arrangement of the dominants in the monitor in relation to the a-p patient position (head end at the left, looking onto the patient with the table horizontal). (1) Left dominant (2) Right dominant (3) Middle dominant (4) Central circular dominant AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 108: Selecting The Dominants
Examination Digital Radiography Selecting the dominants The dominants are filed in the organ programs or can be set on the integrated generator control console. Multiple selection of the dominants is possible. Exception: central circular dominant. Warning Please make sure when changing the selection of the dominants that the cor- rect dominant is always selected.
Page 109: Spotfilming Without Tomography
◆ During a native series the programmed frrame rate can be rduced in a maxi- mum of 2 stages by pressing the button, if the corresponding ruductions have been programmed in the relevant organ program (see FLUOROSPOT Com- pact). AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 110: Releasing The Exposure
If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot be seen on the monitor: ◆ Switch the generator off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue operation of the system. Radiation interruption...
Page 111: Tomography (Optional)
– The selected combination is emphasized. 8 ˚ 0 . 4 s ˚ 2 0 ˚ 0 . 6 s ˚ 1 . 2 ˚ 1 . 2 s 4 0 ˚ 2 . 5 s AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 112: Tomographic Sequence
Examination Digital Radiography Press the key again to activate the next possible combination. If the LED in the start key flashes, ◆ press the key. Start – The compression device moves into park position, if present. – The tube assembly stand moves into the 0° position. –...
Page 113: Releasing The Exposure
If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot be seen on the monitor: ◆ Switch the generator off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue operation of the system. Radiation interruption If you let go of the exposure release button during radiation, the exposure is in- terrupted immediately and the tomographic movement is stopped.
Page 114: Periscanning
Examination Digital Radiography Periscanning Serial exposures of the contrast bolus during aortoarteriography with the patient at rest. General Periscanning is selected after the patient has been positioned, the catheter has been placed and the system settings for aorto-arteriography have been per- formed.
Page 115: Releasing The Exposure
If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot be seen on the monitor: ◆ Switch the system off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue operation of the system. Radiation interruption If you let go of the exposure release button during radiation, the exposure is in- terrupted immediately.
Page 116: Test Run
Examination Digital Radiography If the LED in the start key flashes, ◆ press the key. – The compression device moves into park position, if present Start – Oblique setting moves into the 0° position Once these positions are reached, the flashing LED goes out. ◆...
Page 117: Scanning Process
– Film density – Dominants – Cu prefilter – Automatic level 1, 2, 3 The changed parameters apply only until you select another / same organ pro- gram or switch the system off. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 118: Peristepping (Optional)
Examination Digital Radiography Peristepping (optional) General Peristepping comprises the following phases: ❏ Programming run ❏ Filling run (native) Peristepping is selected after the patient has been positioned, the catheter has been placed and the system settings for aorto-arteriography have been per- formed.
Page 119: Programming Run
– Peristepping is selected: the LED lights up. Deselection There is no automatic deselection of Peristepping after the end of the scene. ◆ Press this key or select another exposure system. – Peristepping is deselected. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 120: Releasing An Exposure
If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot be seen on the monitor: ◆ Switch the system off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue operation of the system. Radiation interruption If you let go of the exposure release button during radiation, the exposureis inter- rupted immediately.
Page 121 Prepare the injector ◆ Connect the injector plug to the electronics cabinet (only with radiation-syn- chronous injector release (option)). ◆ Set the injection data and switch to ready for injections. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 122: Programming Run
Examination Digital Radiography Programming run The X-ray system stands in the starting position (position 1) for the programming run (abdomen) Release 1st step ◆ Deflect the joystick above / below or press the key to the left / right – The X-ray system moves into the next position –...
Page 123: Filling Run
The exposure series is also ended if the image memory is full and the maximum scene time has been reached, independently of the position in which the system is located. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 124: Dr-Scanning (Optional)
Examination Digital Radiography Organ programs All parameters necessary for the exposure are stored in organ programs. ➩ Refer to the FLUOROSPOT Compact Operator Manual and the POLYDOROS SX register for further details on the organ programs and their programming. Creation of programs ➩...
Page 125 If these radiation ON indicators light up although no switch has been actuated and the current fluoroscopic image cannot be seen on the monitor: ◆ Switch the system off immediately! ◆ Notify SIEMENS Uptime Service. ◆ Discontinue operation of the system. Radiation interruption If you let go of the exposure release button during radiation, the exposure is in- terrupted immediately.
Page 126 Examination Digital Radiography Examination procedure for abdominal survey images Preparation ◆ Prepare the digital imaging system. ◆ Select the DR system at the unit remote control console. ◆ Move the patient table into the 0° position (horizontal). ◆ Position the patient, head on the left. For reasons relating to the exposure technology, the scanning direction for DR scanning should be from the pelvis headwards.
Page 127 – The X-ray system movement stops automatically The scene is also ended if the image memory is full and the maximum scene time has been reached, independently of the position in which the system is lo- cated. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 128 Examination Digital Radiography Examination procedure for images of the spine and ortho- pedic longleg images Preparation ◆ Prepare the digital imaging system. ◆ Select the DR system at the unit remote control console. ◆ Position the patient table vertically (+ 90°). ◆...
Page 129 – The X-ray system movement stops automatically The scene is also ended if the image memory is full and the maximum scene time has been reached, independently of the position in which the system is lo- cated. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 130 Examination Digital Radiography Organ programs All parameters necessary for the exposure are stored in organ programs. ➩ For further details on the organ programs and their programming refer to the FLUOROSPOT Compact Operator Manual and the POLYDOROS SX register. The programs are intended for the following examinations: ❏...
Page 131 ❏ Take Peristepping exposures as described under Peristepping. ❏ Select an exposure for each exposure position (e.g. a “max. opac image”) of this series and send it from the imaging system to the LEONARDO worksta- tion using the “DICOM Send” function. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 132 Examination Digital Radiography AXD3-340.620.13.01.02 Operator Manual / 52...
Page 133: Collimation On Exposure
– The LED lights up With tabletop cassette exposure or the tube assembly swivelled out, the sys- tem automatically switches over to “Free mode / tabletop exposure”. The au- tomatic format collimation system is disabled. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 134: Releasing An Exposure
❏ The radiation ON indicators must light up. Warning If these radiation indicators light up although no switch has been actuated : ◆ Switch the system off immediately! ◆ Notify the SIEMENS Uptime Service. ◆ Discontinue operation of the system. AXD3-340.620.13.01.02 Operator Manual...
Page 135: Collimation During Exposure
There is no limitation of the radiation field and collimation must be performed in mat collimation relation to the object using the full-field light localizer. ◆ Select measuring field AXIOM Iconos R200 AXD3-340.620.13.01.02 / 52...
Page 136: Releasing The Exposure
❏ The signal lamps for radiation ON must light up. Warning If these radiation indicators light up although no switch has been actuated: ◆ Switch the system off immediately! ◆ Notify SIEMENS Uptime Service. ◆ Do not start the system up again. AXD3-340.620.13.01.02 Operator Manual...
Page 137: Chapter: Integrated Control Console
......................... 12 Daily checks ....................12 After switching on ..................12 During the examination ......................12 Monthly checks ....................12 Legally required checks ....................12 Maintenance intervals Fluoroscopy ........................13 ....................13 Releasing fluoroscopy AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 138 POLYDOROS SX 65/80 Overall Table of Contents ..................13 Selecting the fluoroscopic mode ................13 Fluoroscopy with automatic control ..................13 High-contrast fluoroscopy1 ......................13 Fluoroscopic data ................13 Display of the kV and mA values ................13 Display of the fluoroscopic time ................
Page 139: Application
❏ IONTOMAT PN automatic exposure control for tomography ❏ Tomographic device connection ❏ Polymatic incl. 0-point technique ❏ Programming unit for organ programs ❏ RS 232 printer connection ❏ Tube load computer Options ❏ Connection for 3rd tube assembly AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 140: Overview Of The Controls And Displays
POLYDOROS SX 65/80 Integrated Control Console Overview of the controls and displays Integrated generator control console on the FLUOROSPOT Compact screen Menu On the basis of the selected program or operating mode the permissible operat- ing functions and operating data are indicated in menus on the integrated gener- ator control console.
Page 141 ❏ Displays messages, warnings and buttons with specific functions Selection field for organ programming ❏ Indicates 0-point technique selected/deselected Cerv spine ❏ Indicates the selected organ program oblique ❏ Switches over to the program menu Program AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 142 POLYDOROS SX 65/80 Integrated Control Console Fluoroscopic data field ❏ Fluoroscopic data field symbol 45 kV ❏ Indicates the fluoroscopic kV values ❏ Indicates the fluoroscopic mA values 0.3 mA 0.1 min ❏ Indicates the fluoroscopic time 0%hu ❏ Indicates the tube load µGy*cm²...
Page 143 ❏ Adjusts the mAs value ❏ Changes the exposure technique 280 ms ❏ Indicates/post-indicates the ms value ❏ Adjusts the ms value ❏ Changes the exposure technique ❏ Selects 80%/100% tube load 100% ❏ Selects small/large focal spot AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 144 POLYDOROS SX 65/80 Integrated Control Console Program menu Iconos DRF Iconos Iconos Bed Vertix Cassette Store Esophagus Colon Cerv spine 2 F/s 1 F/s oblique Abdomen Myelo 1 F/s 1 F/s Trachea 1 F/S Carotis NAT Series 2 F/s 2 F/s 7,5 F/s Edit name Cerv spine...
Page 145: Explanation Of Displays And Controls
❏ from 100% to 80% tube load the generator automatically reduces the mAs setting. Selecting the measuring field (dominant) The selection of more than one measuring field (dominant) is possible. ◆ Actuate the button – Function activated/deactivated AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 146: Messages
You can cancel the disable status as follows – Acknowledge error message. If the error message is still displayed, then there is an error in the system. Please call the SIEMENS Uptime Service. Tube load computer General The tube load computer protects the connected X-ray tube assembly from over- loading in radiographic mode.
Page 147 – Number of exposures released during the indicated cooldown time. ❏ ACQ on overloads – Number of overloads. If a warning buzzer is to come on at a certain pause time threshold please have it programmed by your customer service. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 148 Obtain information in Register “Safety”. Maintenance intervals Maintenance must be performed annually to maintain the safety and functioning of the generator. If you have not concluded a maintenance contract, please notify the SIEMENS Uptime Service in good time. AXD3-340.620.13.01.02 Operator Manual...
Page 149: Selecting The Fluoroscopic Mode
When the examination is finished, record the fluoroscopic data displayed and ◆ actuate the Reset button. – The displays for the fluoroscopic data and for the dose area product are reset to zero. depending on the system configuration AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 150: Fluoroscopic Characteristic Curves
POLYDOROS SX 65/80 Integrated Control Console Fluoroscopic characteristic curves For fluoroscopy you can choose between several fluoroscopic curves, which you can program depending on the system configuration. Characteristic curve examples for normal fluoroscopy Dose-reduced Antiisowatt Characteristic curve examples for high-contrast fluoroscopy High Contr.
Page 151: Fluoroscopic Time Limit
(accident stations) to counteract premature wear of the X-ray tube assembly. At the wish of the customer, this parameter can be changed by SIEMENS Uptime Service, in accor- dance with country-specific regulations. Not possible in DFR and Cassette mode;...
Page 152: Automatic Exposure System "0-Point Technique
POLYDOROS SX 65/80 Integrated Control Console Automatic exposure system “0-point technique” General ❏ 0-point technique presupposes fluoroscopy; it is therefore expedient only for spotfilming. ❏ The following exposure parameters are determined and set automatically for direct and indirect technique: Direct technique: Indirect technique: Exposure kV Exposure kV...
Page 153 Plateau 68.0 kV Plateau 68.0 kV See graph See graph See graph See graph Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV See graph AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 154 POLYDOROS SX 65/80 Integrated Control Console Type of curve Voltage Reserve Plateau 87.5 kV Reserve Reserve Reserve Reserve Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV Plateau 68.0 kV...
Page 155 Wasserwert (WV) (WW) ❏ Recommended characteristic curves for organ programs in 0-point technique – These suggestions correspond to the SIEMENS basic exposure table, whereby only the part relevant for the 0-point technique has been listed. Organ Characteristic curve Cranium: Survey of cranium p.-a., a.-p...
Page 156 POLYDOROS SX 65/80 Integrated Control Console Organ Characteristic curve Thorax: 1st-7th rib p.-a., a.-p. C 13 8th-12th rib p.-a., a.-p. C 14 Sternum p.-a. C 12 Sternum lateral C 13 Clavicle p.-a. C 11 Scapula a.-p. C 12 Scapula lateral C 12 Thorax C 61...
Page 157: Selecting Direct Exposure Technique
– Tube load – Measuring fields (dominants) – Film-screen combination – Density compensation ❏ After the end of the exposure, the mAs and ms values in the display are flash- Display of the exposure data ing. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 158: Select 1-Point Technique
POLYDOROS SX 65/80 Integrated Control Console Select 1-point technique ❏ Setting the kV value ❏ Exposure cut-off by automatic exposure control. Iconos DFR Iconos Iconos Iconos Bed Vertix Info Cassette Cassette 100% µGy*cm 2 Program Selection ◆ Actuate – a button for film-screen combination or –...
Page 159: Select 2-Point Technique
With organ program: ◆ Select an organ program without 2-point technique Exposure data ❏ The following exposure data can be set: to be set – kV value – mAs value – Focal spot – Tube load AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 160: Select 3-Point Technique
POLYDOROS SX 65/80 Integrated Control Console Select 3-point technique ❏ Setting the kV, mAs and ms value ❏ Exposure cut-off by the mAs counter. Iconos DFR Iconos Iconos Iconos Bed Vertix Info Cassette Cassette 100% µGy*cm 2 Program Selection ◆ Actuate the ms button With organ program: ◆...
Page 161: Select 3-Point Technique With Iontomat
– Tube load – Measuring fields (dominants) – Film-screen combination – Film density compensation Display of exposure ❏ After the end of the exposure, the mAs and ms values in the display are flash- data ing. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 162: Select Mas Tomography
POLYDOROS SX 65/80 Integrated Control Console Select mAs tomography ❏ Setting the kV, mAs values and the tomographic time ❏ Exposure cut-off by the mAs counter. Iconos DFR Iconos Iconos Iconos Bed Vertix Info Cassette Cassette 100% µGy*cm 2 Program Selection ◆...
Page 163: Select Tomography With Plani-Iontomat
– the IONTOMAT button: Plani-IONTOMAT with mAs preselection is selected Exposure data ❏ The following exposure data can be set: to be set – kV value – Focal spot – Tube load – Measuring fields (dominants) – Film-screen combination – Density compensation AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 164: Select Tomography With Plani-Iontomat And Mas Preselection
POLYDOROS SX 65/80 Integrated Control Console Select tomography with Plani-IONTOMAT and mAs preselection ❏ Setting the kV and mAs value and the tomographic time ❏ Exposure cut-off by the timer. Iconos DFR Iconos Iconos Iconos Bed Vertix Info Cassette Cassette max.
Page 165: Select Indirect Exposure Technique
Exposure data ❏ Density compensation to be set ❏ Measuring fields (dominants) Display of exposure ❏ After the end of the exposure, the mAs and ms values in the display are flash- data ing. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 166: Select Dr 1-Point Technique
POLYDOROS SX 65/80 Integrated Control Console Select DR 1-point technique ❏ Setting the kV value ❏ Exposure cut-off by the automatic exposure control. Iconos DFR Iconos DFR Iconos Iconos Bed Vertix Info Cassette µGy*cm 2 Program ◆ Select DR technique on the unit and an organ program with DR 1-point tech- Selection nique Deselection...
Page 167: Select Dr Tomography With Plani-Iontomat
Program Selection ◆ Select DR technique and a tomographic program on the unit Deselection ◆ Deselect the tomographic program on the unit Exposure data ❏ Density compensation to be set ❏ Measuring fields (dominants) AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 168: Select Dsa Constant Time
❏ At any time you can tailor these organ programs to your personal needs or generate and store new organ program. If desired, this can also be done by the SIEMENS Uptime Service. AXD3-340.620.13.01.02 Operator Manual...
Page 169: Selecting An Organ Program
In the data menu the selected organ program is displayed non-inverted. The edited parameters are in effect only until you select another organ program or switch the system off. Permanent storage ➩ For further information refer the FLUOROSPOT Compact operating instruc- tions AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 170: Editing New Organ Program Names
POLYDOROS SX 65/80 Integrated Control Console Editing new organ program names ◆ Actuate the desired system selection button Iconos DFR ◆ Actuate the program button in the data menu Program – The program menu appears Iconos DRF Iconos Iconos Bed Vertix Cassette Store...
Page 171 ◆ Following completion of the changes, actuate the Edit name button in the pro- Edit name gram menu for the programming mode. – Programming is now terminated and the edited program names are stored. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 36...
Page 172 POLYDOROS SX 65/80 Integrated Control Console AXD3-340.620.13.01.02 Operator Manual / 36...
Page 173 Footboard ......................... 10 Chapter: Optional Accessories Head support ........................13 Knee crutches ........................15 ..................16 Note on biological compatibility Compression belt ......................17 Footboard Extension ......................21 Foot restraint ........................23 Cup holder ........................26 AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 174 Accessories Table of Contents IV holder ........................... 27 Lateral cassette holder ..................... 29 ................29 Cassette holder with variable positioning ............... 31 Cassette holder without variable positioning Foot switch assemblies for fluoroscopy and radiography ..........33 Armrest ..........................35 Lateral radiation shield ...................... 36 Holder for BABIX cradles ....................
Page 175: Proper Use Of The Product
Accessories Preliminary Remarks Proper use of the product This Operator Manual describes all the accessories provided by Siemens for the ICONOS R200 system. Proper use of the accessories presupposes that the user has read and under- stood this Operator Manual in detail.
Page 176: Use Of Several Accessory Components
Accessories Preliminary Remarks ❏ turn toward the right means tighten accessory with knurled screws or levers (clockwise) ❏ turn toward the left means remove accessory with knurled screws or levers or other fastening devices (counterclockwise) Example: ◆ Turn both knurled screws toward the left ◆...
Page 177: Grip Protection Strip
◆ Insert the grip protection strip up to the stop into the accessory rails at the head end of the patient; ◆ Tighten (1) the cap screws; ◆ Check that the grip protection strip is securely attached by pulling and press- ing on it. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 178: Handgrip Strip
Accessories Standard Accessories Warning The grip protection strip is intended for the safety of the patient in the prone po- sition. To prevent injury to the hands when moving the tabletop, make sure that the patient uses the grip protection strip and not the head end or the side edge of the tabletop.
Page 179 ◆ Loosen both cap screws on the handgrip strip; ◆ Pull the handgrip strip out of the accessory rail. If required, an additional handgrip strip for the front accessory rail can be ordered via the Siemens Uptime Service (against payment). AXIOM Iconos R200 AXD3-340.620.13.01.02...
Page 180: Handgrip
Accessories Standard Accessories Handgrip Application The handgrip can be mounted in the front or back accessory rail for stable and secure patient positioning Attachment ◆ Move the patient table to the horizontal position; ◆ Holding the base of the handgrip, loosen the handgrip (1); ◆...
Page 181: Shoulder Supports
Trendelenburg position. Removal ◆ Move the patient table into the horizontal position; ◆ Loosen the cap screws (1) on both sides; ◆ Pull the shoulder supports out of the accessory rails. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 182: Footboard
Accessories Standard Accessories Footboard Attachment Positioning aid for examinations of patients when standing or sitting and for ad- ditional use with the foot restraints for recumbent patients in Trendelenburg po- sition. The maximum permissible patient weight on the footboard is 180 kg. The footboard can also be attached to the head end of the patient table, if the patient has to be turned for positioning (right head end).
Page 183 ◆ Lift the footboard first on one side and remove from the accessory rail; ◆ Remove other side of the footboard from the accessory rail. Maintenance note In order to prevent influx of contrast medium into the sockets, the pedal must be covered with absorbent fleece material. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 184 Accessories Standard Accessories AXD3-340.620.13.01.02 Operator Manual / 54...
Page 185: Head Support
◆ Push and pull on the stabilizing arms to ensure they are seated properly. ◆ Turn the cap screws (5) carefully to the right. ❏ Both padded stabilizing arms will move toward the patient’s head. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 186 Accessories Optional Accessories ◆ Ensure the patient’s head is safely stabilized. Warning To avoid injury to the patient’s head, ensure that the stabilizing arms are opened sufficiently and that the cap screws (5) are not tightened too much prior to po- sitioning the patient’s head in the support.
Page 187: Knee Crutches
◆ Slide the knee crutches along the accessory rails to the examination position. ◆ Tighten the cap screws (1). ◆ Open the securing straps on the molded leg supports. ◆ Position the patient’s lower legs on the molded leg supports. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 188: Note On Biological Compatibility
Accessories Optional Accessories ◆ Raise the leg supports to the examination position and adjust the position of the legs inward or outward as needed. ◆ Tighten the cap screws (2). ◆ Pull and push on the leg supports and the flanges to ensure they are seated properly.
Page 189: Compression Belt
◆ Move the patient table to the horizontal position. ◆ Position the patient on the table. ◆ Push the tensioning part of the compression belt into the required position over the front accessory rail. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 190 Accessories Optional Accessories ◆ Press both tension levers (2) outward. ◆ Check that the tensioning roller is firmly seated by pulling on it. ◆ Press the ratchet handle (1) downward. ❏ The belt is released. For very obese patients, the belt holder is easier to secure if you are standing at the back of the patient table.
Page 191 ◆ Move the patient table to the horizontal position. ◆ Press the ratchet handle (1) back. ◆ Turn the cap screw (3) on the tensioning roller toward the left. ❏ The compression belt will loosen. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 192 Accessories Optional Accessories ◆ Press both tension levers (4) on the belt holder inward. ◆ Pull the belt holder backward off the accessory rail. ◆ Lift the belt holder over the patient. ◆ Roll up the compression belt halfway using the cap screw. ◆...
Page 193: Footboard Extension
◆ Push the locking lever (1) on the rear of the footboard in the direction of the arrow. ◆ While exerting pressure on the extension board, fit the metal pegs of the ex- tension into the holes of the footboard. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 194 Accessories Optional Accessories ◆ Push the locking lever (1) on the rear of the footboard all the way to the stop in the direction of the arrow. ◆ Make sure the footboard is attached firmly by pushing and pulling it. Removal ◆...
Page 195: Foot Restraint
For this reason, you must check that the metal clip of the foot restraint is securely locked into the footboard. Have the patient hold onto the handgrips during this examination procedure. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 196 Accessories Optional Accessories ◆ Move locking handle (1) on the rear of the footboard in arrow direction and hold fast. ◆ Insert the metal clip of the foot restraint (2) into the hole on the footboard pro- vided for this purpose. ❏...
Page 197 If this safety device is not present, then the foot restraint must not be used any more. In case of defects to the foot restraint take this out of service and obtain a re- placement through the Siemens Uptime Service. We recommend using a commercially available impregnating pump spray for cleaning and care.
Page 198: Cup Holder
Accessories Optional Accessories Cup holder Available only with the "Compression" option Application Radiographic examinations of the gastro-intestinal tract, for patients drinking con- trast medium fluids The following requirements apply to the cup and contents: – Diameter: 5.5 cm to 7.0 cm –...
Page 199: Iv Holder
◆ Position the IV holder at the treatment position and clip it onto the accessory rail or slide it onto the accessory rail. ◆ Tighten the cap screw. ◆ Push and pull on the IV holder to ensure it is seated properly. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 200 Accessories Optional Accessories ◆ To set the height of the IV holder push the fixing ring (2) at the removable upper section of the IV holder upward (as shown above) and move the upper section to the desired height. ◆ To fix the height just release the fixing ring (2). ◆...
Page 201: Lateral Cassette Holder
Maximum cassette format: 35 cm in height, width is unrestricted, e.g. 35 cm x 43 cm horizontal is possible. Minimum cassette formats: 13 x 18 cm vertical or 18 cm x 24 cm horizontal. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 202 Accessories Optional Accessories Attachment ◆ Move the patient table to the horizontal position. ◆ Position the patient. ◆ Loosen the cap screw (1). ◆ Place the cassette holder on the accessory rail and move it to the exposure position. ◆ Tighten the cap screw (1). ◆...
Page 203: Cassette Holder Without Variable Positioning
Observance of this recommendation will prevent po- tential injury to the patient or personnel as well as equipment damage. ◆ Position the patient. ◆ Ensure that the patient is comfortable and stabilized. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 204 Accessories Optional Accessories ◆ Slide the cassette into the bracket of the cassette holder. ◆ Ensure that the cassette is seated properly in the holder. ◆ Position the cassette holder on the tabletop at the patient in the location ap- propriate for the examination.
Page 205: Foot Switch Assemblies For Fluoroscopy And Radiography
Do not permit the wheels of transport devices such as carts and wheelchairs to run over the pedals of the foot switch assembly, since this could cause inadvertent radiation release. The following steps require radiation release. Ensure proper radiation protection. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 206 Accessories Optional Accessories Left: Releasing fluoroscopy Right: Releasing radiography Releasing fluoroscopy ◆ Step on the right pedal (foot switch for fluoroscopy). Continue pressing down on the pedal as long as fluoroscopy should remain active. ◆ Let go of the pedal. ❏...
Page 207: Armrest
◆ Loosen the cap screw (2). ◆ Move the padded armrest to a comfortable position. ◆ Tighten the cap screw (2). ◆ Ensure that the armrest is seated properly. ◆ Place the patient’s arm on the armrest. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 208: Lateral Radiation Shield
Accessories Optional Accessories ◆ Place the strap over the patient’s arm and under the pin. ◆ Press down on the clamp (3). ◆ Ensure that the patient’s arm is stabilized and comfortable. Removal ◆ Move the patient table to the horizontal position. ◆...
Page 209 ◆ Move the patient table to the horizontal position. ◆ Tilt the radiation shield to the vertical position. ◆ Loosen both cap screws. ◆ Remove the lateral radiation shield from the front accessory rail. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 210: Holder For Babix Cradles
Accessories Optional Accessories Holder for BABIX cradles Application For pediatric examinations using BABIX cradles with the patient table tilted or in the vertical position Attachment ◆ Move the patient table to the horizontal position; ◆ Slide the BABIX holder with the hook along the front or rear accessory rail to the center of the patient table and move it to the exposure position;...
Page 211 ◆ Remove the BABIX cradle from the BABIX holder; ◆ Take the BABIX cradle with the infant out of the examination room and attend to the infant; ◆ Loosen the cap screw; ◆ Remove the BABIX holder from the accessory rail. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 212: Babix Cradles
Accessories Optional Accessories BABIX cradles Application For pediatric examinations with the patient table in the vertical or horizontal posi- tion. The BABIX cradles are made of transparent, radiolucent plastic. They are available in 2 shapes: BABIX-U: Is suitable for examinations on the tilted to vertical tabletop in which the body of the infant must be firmly enclosed in a straight posture.
Page 213 The attenuation equivalent of the BABIX cradle is ≤ 1.6 mm Al. value: Permissible load of the Size 600 mm: 6 kg BABIX cradle: Size 700/800 mm: 10 kg Size 1000 mm: 15 kg AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 214: Babix Hanger
Accessories Optional Accessories Information on the In addition to “Accessories", please note the following information concerning possibility of wear the possibility of wear on BABIX cradles and their immobilizing straps. ❏ After prolonged use, cracks may form in the PVC plastic material. ❏...
Page 215: Holder For Pediatric Cradle, Manual
◆ Attach grip protection strip to head end. ◆ Place the mattress on the tabletop and pull loops over the cap screws of the grip protection strip. Radiation protection The attenuation equivalent is < 0.5 mm Al. value: AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 216: Compression Cones
Accessories Optional Accessories Compression cones Application Examinations of the gastro-intestinal tract Three cone shapes are available: pyramid (optional) pointed cone (optional) flattened cone (standard) The cones are highly radiotransparent. The cone is made of stable aluminum die-casting. In the uppermost position of the compression carriage, the compression cones permit a shadow-free field coverage even of the largest cassette formats or I.I.
Page 217 – The cone must no longer touch the patient. ◆ Press the locking lever (1) and hold it until the lock is released. ◆ Pull the cone arm out completely. ◆ Move the compression carriage into the upper end position. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 218 Accessories Optional Accessories Patient assistance If decompression cannot be controlled, e. g. during power failures or system mal- in an emergency functions, proceed as follows: ◆ Pull out the knob (2) and turn it by 90° until it locks into the deep locking notch (lock-in position a).
Page 219: Radiation Protection For Tableside Examinations
– When in position in the stop, a spring lever in the left profile rail engages in a notch of the bar. ◆ Check for the firm seating of the bar on the collimator. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 220 Accessories Optional Accessories ◆ Be sure to set the examination unit horizontal (± 10°)! ◆ As required hook a lead-rubber apron on the front bar of the holder. ◆ Hook the second lead-rubber apron according to the position of the examiner on the left or right bar.
Page 221: Radiation Protection For The Upper Body
Releasing the brakes ◆ Pull brake handle (1). – The carriage can now be moved freely in the ceiling rail. ◆ Set it to the required position. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 222 Use disinfectants commercially available for medical use to disinfect the radiation protection device. Then wipe it off with clear water. Sterile cover Both window designs can be provided with sterile covers ; contact your Siemens sales representative. optional AXD3-340.620.13.01.02 Operator Manual...
Page 223: Compensating Filters
❏ Pelvis ❏ Foot ❏ Infant skull ❏ Skull ❏ Shoulder BWS, lateral BWS, lateral SIEMENS SIEMENS BWS, a.p. Left: thoracic spine, lat. and right: thoracic/lumbar spine, lat. SIEMENS SIEMENS Left: pelvis and right: foot AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 224 Accessories Optional Accessories SIEMENS SIEMENS Pädiatrie Left: infant skull and right: skull SIEMENS Shoulder Please be very careful with the compensating filters and three-field templates. They are thin, sensitive to scratching and can become useless if handled carelessly. AXD3-340.620.13.01.02 Operator Manual...
Page 225: Holding Device For Eight Filters
◆ Slide the filter into the collimator accesssory rails in the correct direction for the examination. – The locking lever on the accessory rail springs back to the right. ◆ Check that the compensating filter sits firmly in the collimator. AXIOM Iconos R200 AXD3-340.620.13.01.02 / 54...
Page 226: Three-Field Templates
Accessories Optional Accessories Storing the ◆ Push the locking lever on the left accessory rail to the left. compensating filter – The locking lever on the accessory rail springs back to the right. in the wall holder ◆ Place the filter in a free compartment of the wall holder, turning the filter so that the designation can normally be read from above.
Page 227 Chapter: Identifying Labels Position of the labels ......................3 ......................4 Primary collimator ....................... 4 Backside ......................... 4 Bottom Chapter: Technical Data System ..........................5 Unit ............................. 6 Components ........................8 X-ray generator ......................... 11 AXIOM Iconos R200 AXD3-340.620.13.01.02 / 12...
Page 228: Operator Manual
Technical Description Table of Contents Operator Manual AXD3-340.620.13.01.02 of 12...
Page 229: Position Of The Labels
Technical Description Identifying Labels Position of the labels (1) Image intensifier (2) Primary collimator (3) X-ray tube assembly (4) Table AXIOM Iconos R200 AXD3-340.620.13.01.02 / 12...
Page 230: Primary Collimator
Technical Description Identifying Labels Primary collimator Backside Caution: read Operator Manual Bottom AXD3-340.620.13.01.02 Operator Manual / 12...
Page 231: System
Without ceiling-mounted support at least 3.20 m; with ceiling-mounted support: 3.30 m (without restrictions of the system move- ment), from 2.50 m to 3.20 m with automatic movement restrictions by collision computer Pretransformer required for 440/480 V AXIOM Iconos R200 AXD3-340.620.13.01.02 / 12...
Page 232: Unit
Technical Description Technical Data Unit Table and patient tabletop Table tilt: Motor driven, + 90° to - 17°; Tilting speed approx. 4.5°/s; min. tilting time 90° to 0°: 21 s (incl. soft start and braking); automatic stop in horizontal position (0°) can be switched on/off Table height: In horizontal position 89 cm with I.I.
Page 233 Distance from central minimum 42 cm (head end) beam to end of table: Attenuation of the Attenuation factor without cone m = 2,48 useful radiation Attenuation factor with cone m = 2,50 AXIOM Iconos R200 AXD3-340.620.13.01.02 / 12...
Page 234: Components
Technical Description Technical Data Compression device Can be remotely controlled, cone radiotransparent, detachable and replaceable (optional) (3 shapes) Compression force: 5 to max. 155 N or 80 N , movement blockage starting from 50 N compression force Speed: Compression/decompression approx. 7.5 cm/s Force indication: Digital (LCD) in steps of 1 through 15 or 8 at the system remote control console...
Page 235 580 000 J (783 000 HU) pacity: Anode rotation frequen- Radiography: 150 Hz/ 180 Hz Fluoroscopy: 20 to 30 Hz Mean continuous pow- max. 450 W Total filtration (IEC 2.5 mm Al at 80 kV 60601-1-3): AXIOM Iconos R200 AXD3-340.620.13.01.02 / 12...
Page 236 150 kV Brightness of full-field ≥ 160 lux (measured at a distance of 1m) light localizer (if original Siemens three-field templates and dose measurement chambers are used) Dimensions 183 mm x 232 mm x 352 mm (without DSA module)
Page 237: X-Ray Generator
650 mA at 100 kV (according to IEC 601) 430 mA at 150 kV POLYDOROS SX 80: 980 mA at 81 kV 800 mA at 100 kV (according to IEC 601) 530 mA at 150 kV AXIOM Iconos R200 AXD3-340.620.13.01.02 / 12...
Page 238 4 FLUO curves can be configured Tube voltage 53 values from 40 to 150 kV In steps of half Siemens exposure points (EP) or 1 EP (configurable) Automatic system 0-,1- point technique with continuously falling load 2-, 3- point technique with constant load...

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