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Page 1 DR 600 5530/100 User Manual 3261K EN 20210708 0808...
Page 2: Table Of Contents
| DR 600 | Contents Contents Legal Notice ................9 Introduction to this Manual ..........10 Scope of this Manual ..........11 About the safety notices in this document ....12 Disclaimer ............... 13 Introduction .................14 Intended Use ............15 Intended User ............
Page 3 DR 600 | Contents | iii Warning labels on the radiographic wall stand Type label ............ 59 DR Detector identification label ....60 Additional Labeling of the Tube Head Unit ... 61 Additional Labeling of the Radiographic Table Additional Labeling of the Radiographic Wall Stand ............63...
Page 4 | DR 600 | Contents Step 4: execute the digital tomosynthesis exposure sequence ............ 107 Step 5: perform a quality control ....110 Performing an exposure using a CR cassette ... 111 Step 1: retrieve the patient info ....112 Step 2: select the exposure ......
Page 5 DR 600 | Contents | v Actual and target position parameters ..160 Collimator Parameters ........161 Automatic positions ........162 Tracking the radiographic table ....167 Tracking the radiographic wall stand ..169 Automatic centering ........171 Controls for digital tomosynthesis ......173 Radiographic Parameters for digital tomosynthesis ................
Page 6 | DR 600 | Contents Rotating the bucky ..........221 Loading of the bucky in the Radiographic Table ..222 Loading of the bucky in the Radiographic Wall Stand Unloading of the bucky in the Radiographic Table . 224 Unloading of the bucky in the Radiographic Wall Stand ..................225...
Page 7 DR 600 | Contents | vii Tube head display shows screen to check network connection .............263 Radiographic Parameter Limits ......264 Product Information ............265 Compatibility ............266 Connectivity ............267 Compliance ............268 General ............269 Safety ............269 Electromagnetic Compatibility ....269 X-Ray Safety ..........
Page 8 | DR 600 | Contents Maintenance on EMC relevant parts ... 315 3261K EN 20210708 0808...
Page 9: Legal Notice
Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or its affiliates. DR 600 is a trademark of Agfa NV, Belgium or one of its affiliates. All other trademarks are held by their respective owners and are used in an editorial fashion with no intention of infringement.
Page 10: Introduction To This Manual
10 | DR 600 | Introduction to this Manual Introduction to this Manual Topics: • Scope of this Manual • About the safety notices in this document • Disclaimer 3261K EN 20210708 0808...
Page 11: Scope Of This Manual
DR 600 | Introduction to this Manual | 11 Scope of this Manual This User Manual describes the features of the DR 600 System, an integrated X-Ray imaging system. It explains how the different components of the DR 600 System work together.
Page 12: About The Safety Notices In This Document
12 | DR 600 | Introduction to this Manual About the safety notices in this document The following samples show how warnings, cautions, instructions and notes appear in this document. The text explains their intended use. DANGER: A danger safety notice indicates a hazardous situation of direct, immediate danger for a potential serious injury to a user, engineer, patient or any other person.
Page 13: Disclaimer
DR 600 | Introduction to this Manual | 13 Disclaimer Agfa assumes no liability for use of this document if any unauthorized changes to the content or format have been made. Every care has been taken to ensure the accuracy of the information in this document.
Page 14: Introduction
14 | DR 600 | Introduction Introduction Topics: • Intended Use • Intended User • Configuration • Options and Accessories • Operation Controls • Installation • Radiation Protection • Labels • Cleaning and Disinfecting • Maintenance 3261K EN 20210708 0808...
Page 15: Intended Use
DR 600 | Introduction | 15 Intended Use The DR 600 system is a General Radiography X-ray imaging system used in hospitals, clinics and medical practices by radiographers, radiologists and physicists to make, process and view static X-ray radiographic images of the skeleton (including skull, spinal column and extremities), chest, abdomen and other body parts on adults and pediatric patients.
Page 16: Intended User
16 | DR 600 | Introduction Intended User This manual has been written for trained users of Agfa products and trained diagnostic X–Ray clinical personnel who have received proper training. Users are those persons who actually handle the equipment and those who have authority over the equipment.
Page 17: Configuration
DR 600 is a configurable DR (Direct Radiography X-ray system) and/or CR (Computed Radiography) X-ray system. DR 600 has configurations for DR, for CR and for mixed use of DR and CR. DR 600 supports following applications: • General radiography, including pediatrics •...
Page 18 18 | DR 600 | Introduction • CR 12-X • CR 15-X DR 600 includes following types of ceiling suspension and wall stand: • Standard ceiling suspension or ceiling suspension with reduced ceiling height • Motorized wall stand (type 5522/600) This configuration supports following functionality: •...
Page 19: Applied Parts
DR 600 | Introduction | 19 Topics: • Applied Parts Applied Parts Applied Parts refer to parts of the medical electrical equipment that in normal use necessarily comes into physical contact with the patient for the equipment to perform its function. This system includes the following Applied Parts: Topics: •...
Page 20: Options And Accessories
20 | DR 600 | Introduction Options and Accessories The system is delivered with a set of labels. When using multiple DR Detectors, on the labels a nickname is written to identify the DR Detector. An identical label is attached to the bucky of the X-ray system to identify the dedicated workspace of each DR Detector.
Page 21: Operation Controls
DR 600 | Introduction | 21 Operation Controls Topics: • Radiographic table • Radiographic wall stand • Control Panel of the X-Ray Tube Head Unit • Remote Control for the X-Ray Tube Head Unit • Tube head display • MUSICA Acquisition Workstation (NX) •...
Page 22: Radiographic Table
22 | DR 600 | Introduction Radiographic table The radiographic table is used for positioning of the patient lying or sitting over the detector or the cassette in the bucky for exposure. The radiographic table supports the patient and the detector or the cassette for free exposure.
Page 23: Radiographic Wall Stand
DR 600 | Introduction | 23 Radiographic wall stand The radiographic wall stand is used for positioning of patients standing upright or sitting towards the bucky for exposure. Figure 3: Radiographic wall stand with vertical bucky Related Links Radiographic Wall Stand...
Page 24: Control Panel Of The X-Ray Tube Head Unit
24 | DR 600 | Introduction Control Panel of the X-Ray Tube Head Unit Figure 4: Control Panel of the X-Ray Tube Head Unit with tube head display (controls for X-ray tube position and for X-ray exposure parameters) Related Links...
Page 25: Remote Control For The X-Ray Tube Head Unit
DR 600 | Introduction | 25 Remote Control for the X-Ray Tube Head Unit Buttons for positioning the X-Ray Tube Buttons for collimator control Buttons for collimator light, tracking and automatic centering Indicators for battery charge level and yellow status indicator light Figure 5: Remote Control the X-Ray Tube Head Unit The remote control can be mounted on the wall using a holder.
Page 26 26 | DR 600 | Introduction The status indicator on the remote control is blinking slowly to indicate that battery charging is ongoing. The status indicator on the remote control is unlit when the battery is fully charged. Charging time maximum 10 hours Operation time when fully charged 2.5 hours continuous operation or 1...
Page 27: Tube Head Display
DR 600 | Introduction | 27 Tube head display The tube head display can be used to control X-ray exposure and position parameters. It displays the system status. Figure 6: Example of the tube head display Related Links Software Console and Tube Head Display...
Page 28: Musica Acquisition Workstation (Nx)
28 | DR 600 | Introduction MUSICA Acquisition Workstation (NX) The MUSICA Acquisition workstation is used to define patient information, select exposures and process images. Figure 7: MUSICA Acquisition workstation software The operation of the workstation application is described in the MUSICA Acquisition Workstation User Manual, document 4420.
Page 29: Software Console
DR 600 | Introduction | 29 Software Console The Software Console is available to support X-ray exposure and position parameter control on the NX workstation. It is displayed on the NX workstation next to the NX application. The Software Console is used to control the X-ray exposure settings.
Page 30: Extra Monitor In The Examination Room
30 | DR 600 | Introduction Extra monitor in the examination room An optional monitor can be installed in the examination room, on which the screen of the MUSICA Acquisition Workstation is displayed. If the collimator is equipped with a camera, the extra monitor can be used to display the live camera image while positioning the patient.
Page 31: Dr Detector Switch
DR 600 | Introduction | 31 DR Detector Switch The DR Detector Switch shows which DR Detector is active and shows its status. The DR Detector Switch can be used to activate another DR Detector. The DR Detector Switch can be switched to CR, depending on the configuration.
Page 32: Automatic Positioning Button
32 | DR 600 | Introduction Automatic positioning button Press and hold the automatic positioning button to activate the automatic movement towards an automatic position or a center position. The automatic positioning button is available in the operator room and in the examination room.
Page 33: X-Ray Generator Mini Console (Spellman)
DR 600 | Introduction | 33 X-ray generator mini console (Spellman) The X-ray generator mini console is available in the operator room. Power ON button Power ON indicator Power OFF button Press and hold to prepare for exposure Prepare ready indicator...
Page 34: X-Ray Generator Mini Console (Emd)
34 | DR 600 | Introduction X-ray generator mini console (EMD) The X-ray generator mini console is available in the operator room. Wa rnin g: This x-ra y un it m a y be da n g e rou s...
Page 35: Exposure Button
DR 600 | Introduction | 35 Exposure button Preparing for exposure Press the exposure button down to the first pressure point and hold it for approximately 0.5 s to 2 s. The X-ray tube is prepared for performing an exposure.
Page 36: Automatic Collimator
36 | DR 600 | Introduction Automatic collimator The collimator sets the exposure field and displays it by means of a light field. The collimator provides X-ray filtering using the integrated filters or by inserting a filter in the rails.
Page 37: Collimator Camera
DR 600 | Introduction | 37 Collimator camera The collimator can be equipped with a camera to visualize the anatomical region of interest. Figure 14: 3D depth sensing camera mounted on the collimator The live camera image is visible on the tube head display or on the NX workstation in the Examination window, the Acquisition window and the Editing window.
Page 38 38 | DR 600 | Introduction Live camera image Camera button Figure 15: Live camera image on the tube head display and on the NX workstation Camera images are used for live display only and are not stored. Related Links...
Page 39: Portable Dr Detector
DR 600 | Introduction | 39 Portable DR detector When performing an exposure, keep in mind the following detector orientation aids: Table 3: Orientation aids Tube side icon, indicating the side that faces the X- ray tube Patient orientation marker, red rectange printed at...
Page 40: Emergency Stop Button
40 | DR 600 | Introduction Emergency stop button If a system malfunction causes an emergency situation involving the patient, operating personnel or any system component, activate the emergency stop button. • On the front side of the radiographic table (right) •...
Page 41 DR 600 | Introduction | 41 CAUTION: The emergency stop button does not switch off the voltage in the X-ray system. 3261K EN 20210708 0808...
Page 42: Emergency Shutdown Power Switch
42 | DR 600 | Introduction Emergency shutdown power switch Use the emergency shutdown power switch, if a dangerous situation cannot be eliminated by pressing the emergency stop button. WARNING: Use the emergency shutdown power switch in case of danger to patients, operators, third parties, or one of the units.
Page 43: Power Off Behaviour
DR 600 | Introduction | 43 Power off behaviour After the system is stopped or if the emergency button is activated, this is the behaviour of the system: WARNING: The brakes for longitudinal and transversal movement of the tabletop are released. The tabletop can move freely in longitudinal and transversal direction when minimal force is applied.
Page 44: Installation
44 | DR 600 | Introduction Installation Installation and configuration is performed by an Agfa trained and authorized service engineer. Contact your local support organization for more information. On a configuration with multiple DR detectors of the same type, it is required to apply labeling to the DR detector containing a unique nickname for each DR detector.
Page 45: Radiation Protection
DR 600 | Introduction | 45 Radiation Protection X-ray radiation can cause serious damage to the health, therefore observe great care and ensure that protection against X-ray exposure is always applied. Some of the effects of X-ray radiation are cumulative and may extend over a period of time.
Page 46: Monitoring Of Personnel
46 | DR 600 | Introduction Monitoring of Personnel The monitoring checks the amount of X-ray radiation the personnel has been exposed to. It determines safety of the operators and it helps checking if safety measures of the X-ray environment are adequate. Inadequate or improper protection can lead to serious damage to the health.
Page 47: Protected Area And Significant Zones Of Occupancy
DR 600 | Introduction | 47 Protected area and significant zones of occupancy If the operator or staff does not need to be close to the patient during the exposure, the operator and staff use the protected area to control the following functions: •...
Page 48 48 | DR 600 | Introduction The intensity of scattered radiation depends on the energy and intensity of the X-ray exposure, the material of the object and the distance to the object. CAUTION: The radiation protection has to be applied to the patient and to the operator.
Page 49 DR 600 | Introduction | 49 Significant zones of occupancy at the radiographic table 50 cm X-ray tube Focal spot label [—] Significant zone of occupancy. Minimum area 60x60 cm. Minimum height above the floor 200 cm. Dose meter DR Detector or cassette...
Page 50 50 | DR 600 | Introduction Related Links Radiation Protection on page 45 Scattered radiation (general radiography) on page 51 Significant zones of occupancy at the radiographic wall stand 50 cm Phantom X-ray tube Focal spot label [—] Significant zone of occupancy.
Page 51 DR 600 | Introduction | 51 Significant zone of occupancy at the right side of the radiographic wall stand Significant zone of occupancy at the left side of the radiographic wall stand Figure 19: Significant zones of occupancy at the radiographic wall stand...
Page 52 52 | DR 600 | Introduction For the diagram above a maximum throughput of 30 exposures/hour was used. This complies with a throughput of 15 patients/hour with typically 2 exposures done per patient. The measurement results in the figure above refer to one exposure.
Page 53 DR 600 | Introduction | 53 Significant zones of occupancy at the radiographic wall stand on page 50 3261K EN 20210708 0808...
Page 54: Skin Dose Levels According To Iec 60601-2-54
54 | DR 600 | Introduction Skin dose levels according to IEC 60601-2-54 Dosimetric information: Skin dose values have been measured according to IEC 60601-2-54 chapter 203.5.2.4.101. Selected settings: SID: 115cm; Filter 1 mm AL and 0.1mm Cu; Pulse repetition frequency (duration) per DTS 5.2 seconds; Focal spot and angle depends on the body part.
Page 55: Ongoing Quality Control In Digital Radiography
DR 600 | Introduction | 55 Ongoing quality control in digital radiography Please refer to your State regulatory requirements for radiation control and AAPM guideline for appropriate physicist testing on the DR 600. Contact Agfa for more details. https://www.aapm.org/pubs/reports/detail.asp?docid=130 3261K EN 20210708 0808...
Page 56: Labels
56 | DR 600 | Introduction Labels Mark Meaning This mark shows compliance of the equipment with Directive 93/42/EEC (for European Union). This mark indicates that this is a Type B Equipment Serial number Manufacturer Date of manufacture Label Meaning...
Page 57 DR 600 | Introduction | 57 • DR Detector identification label • Additional Labeling of the Tube Head Unit • Additional Labeling of the Radiographic Table • Additional Labeling of the Radiographic Wall Stand • Labeling of the bucky •...
Page 58: Warning Labels On The Radiographic Table
58 | DR 600 | Introduction Warning labels on the radiographic table Figure 22: Warning labels on the radiographic table Warning labels on the radiographic wall stand Figure 23: Warning labels on the radiographic wall stand 3261K EN 20210708 0808...
Page 59: Type Label
DR 600 | Introduction | 59 Type label Mark Meaning Type label on the side of the X- ray generator. The type label information for each combination of X-ray tube and X-ray generator is available in the technical data. Figure 24: Example of type label for...
Page 60: Dr Detector Identification Label
60 | DR 600 | Introduction DR Detector identification label Label Meaning Writable label to identify and dedicate a DR Detector to an X- ray system bucky. 3261K EN 20210708 0808...
Page 61: Additional Labeling Of The Tube Head Unit
DR 600 | Introduction | 61 Additional Labeling of the Tube Head Unit Type label on the rear side of the ceiling suspension. Figure 25: Example of type label This mark indicates that this is a Type B Equipment Pinch point labels are located on the left and on the right side of the X-ray tube head unit, close to the telescopic column.
Page 62: Additional Labeling Of The Radiographic Table
62 | DR 600 | Introduction Additional Labeling of the Radiographic Table Type label on the right hand side of the up- per table cover. Figure 26: Example of type la- This mark indicates that this is a Type B...
Page 63: Additional Labeling Of The Radiographic Wall Stand
DR 600 | Introduction | 63 Additional Labeling of the Radiographic Wall Stand Type label on the rear side of the bucky. The type label information for each combina- tion of X-ray tube and X-ray generator is availa- ble in the technical data.
Page 64: Labeling Of The Bucky
64 | DR 600 | Introduction Labeling of the bucky The type label is located on the rear cov- er of the bucky or on the bucky drawer below the rotating platform. The type label information for each bucky model is available in the technical data.
Page 65 DR 600 | Introduction | 65 ous substances do not leak or mutate under normal use. The label is located on the rear cover of the bucky or on the bucky drawer below the rotating platform. Related Links Bucky Unit Technical Data...
Page 66: Labeling Of The Automatic Exposure Control (Aec)
66 | DR 600 | Introduction Labeling of the Automatic Exposure Control (AEC) The type label is located on the AEC ioni- zation chamber. The label is not visible without disassembling the component. Figure 30: Example of type label 3261K EN 20210708 0808...
Page 67: Labeling Of The Dr Generator Sync Box
DR 600 | Introduction | 67 Labeling of the DR Generator Sync Box The type label is located on the DR Gener- ator Sync Box Figure 31: Example of type label Functional earth Medical equipotential 3261K EN 20210708 0808...
Page 68: Labeling Of The X-Ray Generator (Spellman)
68 | DR 600 | Introduction Labeling of the X-ray generator (Spellman) Type label positioned on the left side of the X-ray generator cabi- net. Generator type and rating: the type label information for each X-ray generator model is availa- ble in the technical data.
Page 69 DR 600 | Introduction | 69 Label with warning for high voltage, on the front side of each generator. Attention! Danger mort! L'armoire peut seulement être ouvert personnel qualifié! Label inside the X-ray generator cabinet, at the rear side. Moving parts...
Page 70: Labeling Of The X-Ray Generator (Emd)
70 | DR 600 | Introduction Labeling of the X-ray generator (EMD) Type label positioned on the rear side of the X-ray generator cabinet. Generator type and rating: the type label information for each X-ray generator mod- el is available in the technical data.
Page 71: Labeling Of The Remote Control
DR 600 | Introduction | 71 Labeling of the Remote Control The type label is located on the bottom side of the remote control. Figure 34: Example of type label The type label is located on the bottom side of the remote control charging unit.
Page 72: Labeling Of Components With Earthquake Resistance
72 | DR 600 | Introduction Labeling of components with earthquake resistance The label indicates that the component is tested for earthquake resistance. Figure 36: Example of the label 3261K EN 20210708 0808...
Page 73: About The Software
DR 600 | Introduction | 73 About the software NX has an About box, showing information on version and release of NX and other software on the NX workstation. To consult the About box, click About NX... in the Tools section of the Main Menu.
Page 74: Cleaning And Disinfecting
74 | DR 600 | Introduction Cleaning and Disinfecting All appropriate policies and procedures should be followed to avoid contamination of the staff, patients and equipment. All existing universal precautions should be extended to avoid potential contaminations and to avoid patients coming into (close) contact with the device. The user is responsible for selecting a disinfection procedure.
Page 75: Cleaning
DR 600 | Introduction | 75 Cleaning To clean the exterior of the equipment: 1. Stop the system WARNING: When the equipment is going to be cleaned, be sure to turn off the main power of the system. Never use anhydrous or high solvency alcohols, benzine, thinner or any other flammable cleaning agent.
Page 76 76 | DR 600 | Introduction 1. Press and hold the cleaning button for 2 seconds. Figure 38: Cleaning button A black screen hides the screen and shows a number counting down. 2. Clean the display. The operation is not affected.
Page 77: Disinfecting
If you plan to use other disinfectants, approval of Agfa is needed before use, as most disinfectants can damage the device. UV disinfection is also not allowed. Perform the procedure following the instructions for use, the disposal instructions and the safety instructions of the selected disinfectants and tools and of the hospital.
Page 78: Disinfecting Safety Directions
78 | DR 600 | Introduction Disinfecting safety directions WARNING: Using a disinfectant that can form an explosive or flammable gas mixtures is hazard to life and health because of explosion risk. Switch the equipment off before disinfecting. Allow the gas mixture to evaporate before switching the x-ray system back on.
Page 79: Approved Disinfectants
DR 600 | Introduction | 79 Approved disinfectants Refer to the Agfa website for specifications on the disinfectants that have been found compatible with the cover material of the device and can be used on the outer surface of the device.
Page 80: Maintenance
80 | DR 600 | Introduction Maintenance Complete maintenance schedules are available in the Agfa service documentation for consultation by an Agfa trained and authorized service engineer. Maintenance of the DR Detector The DR Detector requires regular calibration. Calibration instructions are described in the DR Detector Calibration Key User Manual (doc 0134).
Page 81 DR 600 | Introduction | 81 Table 4: Lifetime and maintenance Lifetime Expected lifetime for the X-ray unit 10 years Periodic maintenance The equipment shall have a technical mainte- Every 12 months or after nance to maintain fault-free operation and 75.000 cycles, whatever...
Page 82 82 | DR 600 | Introduction and the service to be informed. The equipment must only be put back into operation when the fault has been repaired. Topics: • Warming-up of X-ray tube • Conditioning procedure for the X-ray tube...
Page 83 DR 600 | Introduction | 83 4. Select the large focal spot. 5. Take a sequence of exposures with the following kV values. Take one exposure per 30 seconds. Table 5: Sequence of exposures Time (minutes) kV Time (minutes) Time (minutes) 50 4.0...
Page 84: Safety Directions
84 | DR 600 | Safety Directions Safety Directions Topics: • General Safety Directions • Safety Directions for the X-Ray System • Safety Directions for the radiographic table • Safety Directions for the Ceiling Suspension 3261K EN 20210708 0808...
Page 85: General Safety Directions
DR 600 | Safety Directions | 85 General Safety Directions WARNING: Safety is only guaranteed when an Agfa certified field service engineer has installed the product. WARNING: The product must only be installed using released components and in released configurations.
Page 86 86 | DR 600 | Safety Directions CAUTION: All Agfa medical products must be used by trained and qualified personnel. 3261K EN 20210708 0808...
Page 87: Safety Directions For The X-Ray System
DR 600 | Safety Directions | 87 Safety Directions for the X-Ray System WARNING: Avoid unnecessary dose by checking the workstation selection on the X-ray generator console before exposing. In a configuration with a DR Detector configured on a virtual port,...
Page 88 88 | DR 600 | Safety Directions CAUTION: Excessive ambient temperature may impact performance of DR Detectors and cause permanent damage to the equipment. Refer to the related user manual for environmental conditions for the DR detector. If ambient temperature and humidity is outside the specified range, do not operate the system or use air conditioning.
Page 89: Safety Directions For The Radiographic Table
DR 600 | Safety Directions | 89 Safety Directions for the radiographic table WARNING: The system is not intended for operation in explosion-prone areas. Such an operation is hazardous to life and health because of explosion risk. Please note the applicable regulations on formation of explosive gas mixtures when cleaning and using in combination with patients.
Page 90: Safety Directions For The Ceiling Suspension
90 | DR 600 | Safety Directions Safety Directions for the Ceiling Suspension DANGER: In case of uncontrolled movement of the ceiling suspension, press the nearest emergency stop button and contact your local service organization. DANGER: Make sure that no persons or objects are within the movement area of the system where they can collide with moving parts of the system.
Page 91: Basic Workflow
DR 600 | Basic Workflow | 91 Basic Workflow Topics: • Starting the System • Performing an exposure using the DR Detector • Performing a digital tomosynthesis examination • Performing an exposure using a CR cassette • Performing a Full Leg Full Spine examination •...
Page 92: Starting The System
92 | DR 600 | Basic Workflow Starting the System Allow the DR Detector to warm up before the system is used for clinical purposes. The warming-up time starts as soon as the DR Detector has been powered on and the NX workstation is running. To check if a warming-up time is required, refer to the DR Detector technical data.
Page 93 DR 600 | Basic Workflow | 93 3. On the software console, go to the screen with modality controls. Figure 39: Navigation button for modality controls 4. Click the button to start the automated workflow for warming-up of the X- ray tube.
Page 94: Performing An Exposure Using The Dr Detector
94 | DR 600 | Basic Workflow Performing an exposure using the DR Detector Topics: • Step 1: retrieve the patient info • Step 2: select the exposure • Step 3: Prepare the exposure • Step 4: Check the exposure settings •...
Page 95: Step 1: Retrieve The Patient Info
DR 600 | Basic Workflow | 95 Step 1: retrieve the patient info At the MUSICA Acquisition Workstation: 1. When a new patient comes in, define the patient info for the exam. 2. Start the exam. If the workstation is connected to a second monitor that is positioned outside the operator room, make sure that the patient data is not exposed to unauthorized persons.
Page 96: Step 2: Select The Exposure
96 | DR 600 | Basic Workflow Step 2: select the exposure In the operator room: 1. At the NX workstation, select the thumbnail for the exposure in the Image Overview pane of the Examination window. The default X-Ray exposure parameters for the selected exposure are sent to the modality and displayed on the Software Console.
Page 97: Step 3: Prepare The Exposure
DR 600 | Basic Workflow | 97 Step 3: Prepare the exposure 1. In the examination room, position the X-Ray system: To position the X-Ray system manually, use the control buttons on the control panel. 2. Position the DR Detector either in the DR bucky or on the radiographic table.
Page 98: Step 4: Check The Exposure Settings
98 | DR 600 | Basic Workflow Step 4: Check the exposure settings Related Links Software Console on page 29 On the NX application: 1. Check if the DR Detector Switch displays the name of the DR Detector that's being used 2.
Page 99: Step 5: Execute The Exposure
DR 600 | Basic Workflow | 99 Step 5: execute the exposure In the operator room: Press the exposure button to execute the exposure. Make sure the generator is ready for exposure before you press the exposure button. WARNING: During exposure ionizing radiation is emitted by the X-ray system.
Page 100: Step 6: Perform A Quality Control
100 | DR 600 | Basic Workflow Step 6: perform a quality control At the MUSICA Acquisition Workstation: 1. Select the image on which quality control is to be performed. 2. Prepare the image for diagnosis by using e.g. L/R markers or annotations.
Page 101: Performing A Digital Tomosynthesis Examination
DR 600 | Basic Workflow | 101 Performing a digital tomosynthesis examination This workflow is available only on DR systems that support digital tomosynthesis and that have a DR detector capable of dynamic imaging. The result of a digital tomosynthesis examination is an acquisition sequence and a reconstruction sequence.
Page 102: Step 1: Prepare The Examination
102 | DR 600 | Basic Workflow Step 1: prepare the examination 1. Insert the dynamic DR detector in the bucky at the radiographic table or at the radiographic wall stand. Remove the anti-scatter grid from the bucky. The position of the detector in the bucky must be centered.
Page 103 DR 600 | Basic Workflow | 103 The digital tomosynthesis group contains X-ray modality settings to control the X-ray system movement, the X-ray exposure parameters and the image processing for the reconstruction. Radiographic parameters for acquisition Positioning controls for acquisition...
Page 104 104 | DR 600 | Basic Workflow Sweep angle Knee 115 mm 22 degrees Pelvis 115 mm 22 degrees 4. Select the appropriate patient size setting. WARNING: Image quality of the reconstruction sequence is low if the dose is not adjusted to the patient size. The mAs setting is used for each exposure in the sequence.
Page 105: Step 2: Position The X-Ray System And The Patient
DR 600 | Basic Workflow | 105 Step 2: position the X-ray system and the patient 1. Move the X-ray system to the right position. a) Check if a correct automatic position is selected. Figure 45: Positioning controls b) Move the X-ray system to the selected automatic position.
Page 106: Step 3: Check The Exposure Settings
106 | DR 600 | Basic Workflow Step 3: check the exposure settings In the operator room at the X-ray generator console: 1. Check if the exposure settings displayed on the console are suitable for the exposure. 2. If other exposure values are required than those defined in the NX exam, use the console to overwrite the default defined exposure settings.
Page 107: Step 4: Execute The Digital Tomosynthesis Exposure Sequence
DR 600 | Basic Workflow | 107 Step 4: execute the digital tomosynthesis exposure sequence 1. In the digital tomosynthesis screen of the software console, click the button to start the digital tomosynthesis workflow. If the X-ray system position is not suitable to perform the examination, the button is disabled.
Page 108 108 | DR 600 | Basic Workflow Figure 47: Progress indicator for the image processing to create the reconstruction sequence The reconstruction sequence is displayed as a reconstruction sequence thumbnail in the lower half of the Image Overview pane. The middle slice of the sequence is visible in the thumbnail. An acquisition sequence thumbnail is indicated with a white Play icon in the center.
Page 109 DR 600 | Basic Workflow | 109 Related Links Controls for digital tomosynthesis on page 173 3261K EN 20210708 0808...
Page 110: Step 5: Perform A Quality Control
110 | DR 600 | Basic Workflow Step 5: perform a quality control 1. Perform quality control. The reconstruction sequence can be viewed in the Acquisition window as a dynamic image. The slices of the reconstruction sequence are the frames of the dynamic image.
Page 111: Performing An Exposure Using A Cr Cassette
DR 600 | Basic Workflow | 111 Performing an exposure using a CR cassette Note: Using an ID Tablet to identify cassettes before the exposure will break the communication of X-ray parameters between the NX workstation and the X-ray generator console. It is advised to identify cassettes after the exposure, as described in this workflow.
Page 112: Step 1: Retrieve The Patient Info
112 | DR 600 | Basic Workflow Step 1: retrieve the patient info At the MUSICA Acquisition Workstation: 1. When a new patient comes in, define the patient info for the exam. 2. Start the exam. If the workstation is connected to a second monitor that is positioned outside the operator room, make sure that the patient data is not exposed to unauthorized persons.
Page 113: Step 2: Select The Exposure
DR 600 | Basic Workflow | 113 Step 2: select the exposure In the operator room at the NX workstation: 1. Select the thumbnail for the exposure in the Image Overview pane of the Examination window. 2. Select CR in the Detector Switch.
Page 114: Step 3: Prepare The Exposure
114 | DR 600 | Basic Workflow Step 3: prepare the exposure In the examination room: 1. Position the cassette. Note: For a free exposure, partial lead covering of the cassette may be required if multiple images are taken on one cassette.
Page 115: Step 4: Check The Exposure Settings
DR 600 | Basic Workflow | 115 Step 4: check the exposure settings In the operator room on the Software Console: 1. Check if the exposure settings displayed on the console are suitable for the exposure. 2. Check the Ready for Exposure status.
Page 116: Step 5: Execute The Exposure
116 | DR 600 | Basic Workflow Step 5: execute the exposure In the operator room: Press the exposure button to execute the exposure. WARNING: During exposure ionizing radiation is emitted by the X-ray system. To indicate the presence of ionizing radiation, the radiation indicator on the control console lights up.
Page 117: Step 6: Repeat Steps 2 To 5 For The Next Subexposures
DR 600 | Basic Workflow | 117 Step 6: repeat steps 2 to 5 for the next subexposures 3261K EN 20210708 0808...
Page 118: Step 7: Digitize The Image
118 | DR 600 | Basic Workflow Step 7: digitize the image In the examination room: Take the exposed cassette. In the operator room: 1. Insert the cassette in the digitizer. 2. Click ID in the examination window of NX.
Page 119: Step 8: Perform A Quality Control
DR 600 | Basic Workflow | 119 Step 8: perform a quality control In the operator room at the NX workstation: 1. Select the image on which quality control is to be performed. 2. Prepare the image for diagnosis by using e.g. L/R markers or annotations.
Page 120: Performing A Full Leg Full Spine Examination
120 | DR 600 | Basic Workflow Performing a Full Leg Full Spine examination Refer to the DR Full Leg Full Spine User Manual (document 0179). The availability of DR Full Leg Full Spine depends on the configuration of the system.
Page 121: Stopping The System
DR 600 | Basic Workflow | 121 Stopping the System To stop the system: 1. Stop the NX workstation. NX can be stopped in two ways, either by logging out of Windows or without logging out of Windows. For detailed information on stopping NX, refer to the NX User Manual, document 4420.
Page 122: Guidelines For Pediatric Applications
The user documentation of this product contains a set of guidelines for pediatric applications, applicable in the U.S.A. Refer to document "Exposure Techniques for pediatric and adult use with DR 600". Guidelines for Pediatric Applications CAUTION: Use special care when imaging patients outside the typical adult size range.
Page 123 DR 600 | Basic Workflow | 123 http://pediatrics.aappublications.org/cgi/reprint/51/1/141. Technique factors: You should take steps to reduce technique factors to the lowest possible levels consistent with good image acquisition and to limit the duration of fluoroscopy sequences and rapid sequences. For example if your adult abdomen settings are: 70--85 kVp, 200--400 mA, 15--80 mAs, consider starting at 65--75 kVp, 100--160 mA, 2.5--10 mAs for a...
Page 124: Software Console And Tube Head Display
124 | DR 600 | Software Console and Tube Head Display Software Console and Tube Head Display The software console is displayed on the NX workstation. On a configuration with tube head display, the software console is displayed on the tube head display as well. The arrangement and availability of the controls may be different.
Page 125 DR 600 | Software Console and Tube Head Display | 125 • Generator controls • DR detector and X-ray tube head alignment • X-ray modality controls • Positioning controls • Controls for digital tomosynthesis • System messages 3261K EN 20210708 0808...
Page 126: Action Buttons
126 | DR 600 | Software Console and Tube Head Display Action buttons Table 8: Action buttons Icon Description Button to clean the tube head display during operation. Press and hold the cleaning button for 2 seconds. 3261K EN 20210708 0808...
Page 127: Planned Exposures
DR 600 | Software Console and Tube Head Display | 127 Planned exposures By clicking the status bar, an overview is displayed of the exposures that still have to be taken for the examination. Select an exposure to load the default X-ray exposure parameters and to activate the selected DR Detector.
Page 128: Live Camera Image On The Tube Head Display
128 | DR 600 | Software Console and Tube Head Display Live camera image on the tube head display By clicking an empty thumbnail in the Image Overview pane of the Examination window, the live camera image is displayed on the tube head display.
Page 129: Previewing The Position Of The Collimation Area And The Aec Fields
DR 600 | Software Console and Tube Head Display | 129 Previewing the position of the collimation area and the AEC fields The collimation area is visualized on the live camera image on the NX workstation as a semi-transparant yellow area that is virtually projected on the surface of the patient's body.
Page 130: Prerequisites For Previewing Collimation And Aec Fields
130 | DR 600 | Software Console and Tube Head Display Prerequisites for previewing collimation and AEC fields Prerequisites for previewing the collimation area and the AEC fields: • The SID is at least 100 cm. If the body part is too thick, the preview may fail. Increase the SID.
Page 131: Non-Perpendicular Angles
DR 600 | Software Console and Tube Head Display | 131 Non-perpendicular angles If the X-ray tube is not perpendicular to the bucky of the wall stand, the AEC fields that are drawn on the front panel of the bucky will not coincide with the AEC fields visualized on the camera image.
Page 132: Image Preview Window
132 | DR 600 | Software Console and Tube Head Display Image Preview Window After an exposure, the acquired image is displayed on the tube head display. To return to the controls, push the display anywhere. To disable image preview, toggle the Image preview button.
Page 133: Main Screen Of The Tube Head Display
DR 600 | Software Console and Tube Head Display | 133 Main screen of the Tube head display Patient information Status bar with exam type Modality position DR Detector Switch Filter status Grid status Automatic positioning status Collimator status Radiographic parameters...
Page 134: Device Status Frame
134 | DR 600 | Software Console and Tube Head Display Device Status Frame Figure 60: X-ray modality status frame 1. Ready for exposure status The status bar displays the exam type. 2. Modality position 3. DAP value Heat units 4.
Page 135: Ready For Exposure Status
DR 600 | Software Console and Tube Head Display | 135 Ready For Exposure Status Table 9: Exposure ready Color Description Green Exposure ready. Indicates that the selected technique is properly set and there are no interlock failures or system faults.
Page 136: Modality Position
136 | DR 600 | Software Console and Tube Head Display Modality Position The modality position is automatically selected, based on the selected exposure. To modify the position on the modality where the exposure will be made, click the drop-down arrow and select the modality position from the list.
Page 137: Dr Detector Switch
DR 600 | Software Console and Tube Head Display | 137 DR Detector Switch The DR Detector Switch shows which DR Detector is active and shows its status. The DR Detector Switch can be used to activate another DR Detector.
Page 138: Filter Status
138 | DR 600 | Software Console and Tube Head Display Filter Status On systems with automatic filtering, the filter is automatically set, based on the selected exposure. The filter setting can be modified on the software console and the tube head display, or on the collimator.
Page 139: Grid Status
DR 600 | Software Console and Tube Head Display | 139 Grid Status Table 12: Grid status - automatically detected (no icon) No grid is required. The correct grid type is inserted. The correct grid type is not inserted. A grid is inserted, but no grid is required.
Page 140: Radiation Status
140 | DR 600 | Software Console and Tube Head Display Radiation status Table 13: Radiation status Icon Description The X-ray tube is prepared. After pressing the exposure button completely, the X-ray ex- posure is made. The indicator on the console will light up.
Page 141: Unknown Status
DR 600 | Software Console and Tube Head Display | 141 Unknown status If a status is unknown, a question mark icon is displayed: Figure 62: Unknown status Depending on the component for which the unknown status is displayed, an action is required on the component or on the software to provide the system with the missing information.
Page 142: Generator Controls
142 | DR 600 | Software Console and Tube Head Display Generator controls Heat units and DAP value Radiographic working mode Radiographic parameters Automatic exposure control X-ray tube load Figure 63: Operation controls To change a value, use the + and - buttons. The values increase or decrease step by step each time the corresponding button is pushed.
Page 143: One Point, Two Point And Three Point Working Modes
DR 600 | Software Console and Tube Head Display | 143 One point, two point and three point working modes You can select following radiographic working modes according to the parameters to be controlled and the degree of automation: Table 14: Radiographic working modes One point mode, by selecting kV.
Page 144 144 | DR 600 | Software Console and Tube Head Display The value of mA and ms are adjusted automatically to keep the mAs value constant, within the boundaries of generator or X-ray tube limitations. The setting of density, dose and patient size is not available.
Page 145: Radiographic Parameters
DR 600 | Software Console and Tube Head Display | 145 Radiographic Parameters You can set up following radiographic parameters: • kV: shows the radiographic kV value (X-ray tube voltage) selected for the exposure. • mAs can show: • The radiographic mAs value selected for the exposure.
Page 146: Focal Spot Indicator
146 | DR 600 | Software Console and Tube Head Display Focal Spot Indicator A focal spot indicator shows the selected focal spot of the X-ray tube: “Small” or “Large”. Table 15: Focal Spot Indicator Small Large If you change the focal spot, the kV and mAs are kept constant. When...
Page 147: Automatic Exposure Control (Aec)
DR 600 | Software Console and Tube Head Display | 147 Automatic Exposure Control (AEC) Automatic Exposure Control (AEC) produces consistent detector dose regardless of the radiographic technique selected and of the patient size. To activate AEC mode, push any of the three AEC field buttons.
Page 148 148 | DR 600 | Software Console and Tube Head Display Right field Dose Each of these buttons allows adjustment of the AEC cut-off dose (low dose, middle dose and high dose), depending on configuration at installation time and on the selected patient age group. Each time a button is selected (highlighted), the others are automatically deselected.
Page 149 DR 600 | Software Console and Tube Head Display | 149 Density Dose 1.56 1.95 2.44 Patient Size The size of the patient is classified in five categories: Extra Small, Small, Medium, Large and Extra Large. Press one of the buttons to select the desired patient size.
Page 150 150 | DR 600 | Software Console and Tube Head Display Patient size Small normal mAs * 0.5 Medium normal mAs Large normal mAs * 2 Extra Large normal mAs * 4 Dose adaptation guidance On a system with a 3D depth camera, the patient size is monitored automatically.
Page 151 DR 600 | Software Console and Tube Head Display | 151 WARNING: Dirt on the collimator camera may disturb the 3D depth sensor readings. Keep the camera clean to avoid incorrect readings. Prerequisites for dose adaptation guidance: • The SID is at least 100 cm.
Page 152: X-Ray Tube Load
152 | DR 600 | Software Console and Tube Head Display X-Ray Tube Load As a way to increase the tube life cycle, the power percentage of the tube is reduced to a 80% by default. 100% If a specific technique requires 100% of the X-ray tube power, touch the 100% button.
Page 153: Dap Value
DR 600 | Software Console and Tube Head Display | 153 DAP Value The DAP value shows the radiation value of the last exposure. The radiation measure is read as DAP value (Dose Area Product) in cGy*cm (for example: DAP 12.22).
Page 154: Heat Units
154 | DR 600 | Software Console and Tube Head Display Heat Units The status of the heat units is displayed below the X-ray icon. During exposures, the heat units are calculated and totalled. The heat units display shows the percentage of the thermal capacity of the X-ray tube that is used.
Page 155: Dr Detector And X-Ray Tube Head Alignment
DR 600 | Software Console and Tube Head Display | 155 DR detector and X-ray tube head alignment The tube head display can show a readout of the tilting angle of the DR detector and of the X-ray tube head.
Page 156 156 | DR 600 | Software Console and Tube Head Display WARNING: There can be a delay on the readout of the tilting angle compared to the actual value. Confirm visually that the position of the X-ray tube head and the DR detector is stable.
Page 157: X-Ray Modality Controls
DR 600 | Software Console and Tube Head Display | 157 X-ray modality controls Select the modality position. Select the DR detector or switch to CR. All configured detectors are displayed. Only the detectors that can be used with the selected modality position, can be selected.
Page 158: Positioning Controls
158 | DR 600 | Software Console and Tube Head Display Positioning controls Automatic position Actual and target position parameters Collimation controls Figure 68: Positioning controls Note: The contents of the graphical user interface depends on the configuration of the X-ray system. The screenshots in this chapter are examples.
Page 159: Positioning Screen Of The Tube Head Display
DR 600 | Software Console and Tube Head Display | 159 Positioning screen of the tube head display Automatic positioning status (moving, position reached, error) Illustration of selected automatic position Source Image Distance (SID) X-ray tube angle (alpha) X-ray tube rotation (beta)
Page 160: Actual And Target Position Parameters
160 | DR 600 | Software Console and Tube Head Display Actual and target position parameters The target position parameters correspond to the selected automatic position. Table 21: Position parameters Source image distance (SID) No value is displayed for free exposures or if the X-ray tube is not pointing to the selected DR detector.
Page 161: Collimator Parameters
DR 600 | Software Console and Tube Head Display | 161 Collimator Parameters On systems with an automatic collimator, the collimation is automatically set, based on the selected exposure. To use the same collimation setting on subsequent exposures, push the restore button to restore the collimation setting of the previous exposure.
Page 162: Automatic Positions
162 | DR 600 | Software Console and Tube Head Display Automatic positions WARNING: Collision with objects within the movement area of the system. Do not activate automatic movement if extraneous objects are in the allowed movement area of the system.
Page 163 DR 600 | Software Console and Tube Head Display | 163 Automatic position Table 24: Automatic position The name of the target automatic position is displayed. To select another automatic position from the list of configured positions, use the + and - buttons.
Page 164 164 | DR 600 | Software Console and Tube Head Display • Shortest path. The tube head unit moves along the shortest possible path to the target position. The positioning time is reduced. However, more care must be taken to ensure that there are no extraneous objects are in the lower area of the room.
Page 165 DR 600 | Software Console and Tube Head Display | 165 Moving the system to parking position The parking position is defined during installation and cannot be changed by the user. The parking position is intended as a position where the system can remain for longer time, e.g.
Page 166 166 | DR 600 | Software Console and Tube Head Display The cleaning position settings are loaded. 3. Press and hold the automatic positioning button. A short double beep indicates that position is reached. Related Links Automatic positioning button on page 32...
Page 167: Tracking The Radiographic Table
DR 600 | Software Console and Tube Head Display | 167 Tracking the radiographic table The position tracking button on the main screen of the tube head display indicates if tracking can be performed. Table 26: Tracking status Tracking can be performed but is not activated.
Page 168 168 | DR 600 | Software Console and Tube Head Display Note: The movement of the X-ray tube stand has a small delay compared to the movement of the table. The movement of the X- ray tube is automatically stopped if the distance between the X- ray tube head and the table would become too small (SID lower than 45 cm).
Page 169: Tracking The Radiographic Wall Stand
DR 600 | Software Console and Tube Head Display | 169 Tracking the radiographic wall stand The position tracking button on the main screen of the tube head display indicates if tracking can be performed. Table 29: Tracking status Tracking can be performed but is not activated.
Page 170 170 | DR 600 | Software Console and Tube Head Display Table 30: Tracking status Tracking is activated. 2. Adjust the wall stand bucky height, the height of the X-ray tube or the alpha rotation of the X-ray tube head.
Page 171: Automatic Centering
DR 600 | Software Console and Tube Head Display | 171 Automatic centering The automatic centering functionality is intended to center the X-ray tube head unit over the detector or cassette in the bucky on radiographic table or radiographic wall stand.
Page 172 172 | DR 600 | Software Console and Tube Head Display Table 33: Automatic centering status Automatic centering is active. Center position is not reached. The automatic positioning button can be pressed. Center position is reached. A short double beep indicates that position is reached.
Page 173: Controls For Digital Tomosynthesis
DR 600 | Software Console and Tube Head Display | 173 Controls for digital tomosynthesis Radiographic parameters for acquisition Positioning controls for acquisition Recontruction parameters Dose adaptation for patient size Button to start the digital tomosynthesis workflow Figure 73: Controls for digital tomosynthesis The two point working mode applies to the radiographic parameters.
Page 174: Radiographic Parameters For Digital Tomosynthesis
174 | DR 600 | Software Console and Tube Head Display Radiographic Parameters for digital tomosynthesis You can set up following radiographic parameters for the exposures in the digital tomosynthesis acquisition sequence: • kV: shows the radiographic kV value (X-ray tube voltage) for the exposure.
Page 175: Position Parameters For Digital Tomosynthesis
DR 600 | Software Console and Tube Head Display | 175 Position parameters for digital tomosynthesis Table 34: Position parameters Source image distance (SID) The actual SID is displayed. A warning sign is displayed if the acquisition cannot be performed using the actual SID.
Page 176: Reconstruction Parameters
176 | DR 600 | Software Console and Tube Head Display Reconstruction parameters Table 35: Reconstruction parameters Start Height (cm) The height of the first slice of the reconstruc- tion sequence, relative to the tabletop or the wall stand front panel.
Page 177: Adjusting The Reconstruction Settings For Digital Tomosynthesis
DR 600 | Software Console and Tube Head Display | 177 Adjusting the reconstruction settings for digital tomosynthesis An acquisition sequence can be used to create more than one digital tomosynthesis reconstruction. Different reconstruction parameters can be used than those used for the initial reconstruction, e.g. to adjust the region of interest or the processing quality.
Page 178: System Messages
178 | DR 600 | Software Console and Tube Head Display System messages System messages are displayed at the bottom of the software console. The color of the message indicates the importance: Blue Information Yellow Warning Orange Error Messages that require feedback from the user contain a button that can be pressed.
Page 179 DR 600 | Software Console and Tube Head Display | 179 The system messages screen lists all messages since the last startup of the software. Figure 77: Messages history Related Links X-ray generator messages and warning signals (Spellman) on page 248...
Page 180: Ceiling Suspension
180 | DR 600 | Ceiling Suspension Ceiling Suspension Transversal rails Longitudinal rails Carriage Telescope X-Ray Tube Head Unit Tube head display Collimator Figure 78: Ceiling Suspension Topics: • Control Panel of the Tube Head Unit • Positioning the X-Ray Tube •...
Page 181: Control Panel Of The Tube Head Unit
DR 600 | Ceiling Suspension | 181 Control Panel of the Tube Head Unit Movement control buttons Tube head display Handle with integrated release button for omni direction movement. Figure 79: Control panel of the X-ray tube stand 3261K EN 20210708 0808...
Page 182: Positioning The X-Ray Tube
182 | DR 600 | Ceiling Suspension Positioning the X-Ray Tube The operation controls of the X-ray tube head unit are located at the control panel. The X-ray tube can be positioned by the operator manually. To release the brake for the selected movement direction or rotation, press and hold the button and move the X-ray tube head unit.
Page 183 DR 600 | Ceiling Suspension | 183 WARNING: If a grinding noise is heard during movement of the X-ray tube head unit or radiographic wall stand, the steel cables inside the ceiling suspension or wall stand could be broken. Do not operate the unit any further and try to avoid hard vibration or knocks of any kind.
Page 184: Stop Positions
184 | DR 600 | Ceiling Suspension Stop positions The system includes stop positions for manual movement of the X-ray tube head. The preferred positions of the stops are defined during installation. The stop positions are used to position the system manually for typical radiographic examinations, e.g.
Page 185: Collision Indicator
DR 600 | Ceiling Suspension | 185 Collision indicator Motorized movement is protected by a collision indicator. The collision indicator avoids collision of the X-ray tube head with the table or the wall stand. The collision indicator will give a signal and stop motorized movement in following situations: •...
Page 186: Positioning The X-Ray Tube Using The Remote Control
186 | DR 600 | Ceiling Suspension Positioning the X-Ray Tube using the Remote Control To activate a movement, press and hold the button on the remote control. To stop the movement and activate the brake, release the button. X-ray tube angle (alpha), right...
Page 187 DR 600 | Ceiling Suspension | 187 X-ray tube angle (alpha), right X-ray tube angle (alpha), left Vertical axis movement, up Vertical axis movement, down Longitudinal axis movement, right Longitudinal axis movement, left Transversal axis movement, front Transversal axis movement, back...
Page 188 188 | DR 600 | Ceiling Suspension CAUTION: When no movement of the system can be activated using the remote control and no error is shown, the X-ray generator may need to be restarted to restore communication between the remote control and the system.
Page 189: Automatic Collimator
DR 600 | Ceiling Suspension | 189 Automatic Collimator The collimator can limit the collimated area to the size of the cassette or DR Detector inserted in the bucky. Display • Size of the collimated area • Active filter Operation mode indicators •...
Page 190 190 | DR 600 | Ceiling Suspension Topics: • Semi-automatic collimation mode • Manual collimation mode • Collimation area for free exposures • Dose Area Product Meter (DAP) 3261K EN 20210708 0808...
Page 191: Semi-Automatic Collimation Mode
DR 600 | Ceiling Suspension | 191 Semi-automatic collimation mode The semi-automatic collimation mode is activated if any of following conditions applies: • the tube head unit is rotated out of the center position • the SID on the radiographic table is not within 90 cm to 130 cm •...
Page 192: Manual Collimation Mode
192 | DR 600 | Ceiling Suspension Manual collimation mode The manual collimation mode is activated when the user turns the key at the backside of the collimator. The yellow indicator at front of collimator is lit and an open key lock is displayed in the lower left corner of the collimator display.
Page 193: Collimation Area For Free Exposures
DR 600 | Ceiling Suspension | 193 Collimation area for free exposures For free exposures, the collimated area is set automatically. Because the position of the cassette or detector is unknown, a preconfigured SID is assumed. The position of the X-ray tube relative to the cassette or detector must be manually adjusted to match the preconfigured SID.
Page 194: Dose Area Product Meter (Dap)
194 | DR 600 | Ceiling Suspension Dose Area Product Meter (DAP) An integrated DAP meter (Dose Area Product Meter) in the automatic collimator is availabe as an option. The DAP meter reads the radiation as Dose Area Product in [cGy x cm The measured radiation value is transferred to the Software Console automatically and displayed after each exposure.
Page 195: Effect Of Sid On Patient Dose
DR 600 | Ceiling Suspension | 195 Effect of SID on patient dose Changing the distance of the X-ray tube to the patient affects the dose applied to the patient. For example doubling the distance reduces the dose by a factor of 4. The new dose can be calculated by a formula: new mAs = known mAs ×...
Page 196: Radiographic Table
196 | DR 600 | Radiographic Table Radiographic Table The radiographic table allows X-ray examinations from head to foot of lying or sitting patients. The table has a floating table top. The table has blue LED in the table foot that is lit when the radiographic table is selected as active workstation.
Page 197: Positioning The Radiographic Table
DR 600 | Radiographic Table | 197 Positioning the Radiographic Table The radiographic table is adjustable in height from 55 cm to 90 cm. An optional stop position at 70 cm can be configured during installation. The movements of the radiographic table are controlled by foot pedals mounted at front side of the table.
Page 198: Positioning The Floating Tabletop
198 | DR 600 | Radiographic Table Positioning the floating tabletop To release the brake for moving the floating tabletop, double click and hold the foot pedal. The tabletop can be moved in longitudinal and transversal direction manually. To stop movement and activate the brake, release the foot pedal.
Page 199: Adjusting Height
DR 600 | Radiographic Table | 199 Adjusting height To adjust the height, double click and hold the foot pedal. Table 39: Movement controls Foot pedal to lower table height (minimum 55 cm). Foot pedal to raise table height (maximum 90 cm).
Page 200: Collision Protection
200 | DR 600 | Radiographic Table Collision protection The collision protection accessories are mounted on the frame of the radiographic table. They protect the tabletop from damage when colliding with objects below. When the collision protection stops downward movement of the radiographic table, raise the table height and remove the object before lowering the table again.
Page 201: Positioning The Bucky
DR 600 | Radiographic Table | 201 Positioning the bucky 1. Press and hold the bucky lock switch. The lock for the bucky movement is released. 2. Move the bucky in longitudinal direction. Figure 89: Bucky lock switch 3. Release the bucky lock switch.
Page 202: Radiographic Table Accessories
202 | DR 600 | Radiographic Table Radiographic Table Accessories WARNING: Using wrong accessories that cannot be properly attached to the system can lead to hazardous situations and injury. Use only original accessories provided by the manufacturer. Topics: • Mounting the patient hand grips •...
Page 203: Mounting The Patient Hand Grips
DR 600 | Radiographic Table | 203 Mounting the patient hand grips The pair of patient hand grips are used to stabilize the patient and give a feeling of security. Using the hand grips will avoid the patient grasping the table edges which could cause a risk to pinch fingers.
Page 204: Mounting The Tabletop Hand Grips
204 | DR 600 | Radiographic Table Mounting the tabletop hand grips The pair of tabletop hand grips are used by the operator for moving the floating tabletop. Using the hand grips will avoid the operator grasping the table edges which could cause a risk to pinch fingers.
Page 205: Foot Pedals At The Rear Side
DR 600 | Radiographic Table | 205 Foot pedals at the rear side Additional foot pedals at the rear side are available as an option. 3261K EN 20210708 0808...
Page 206: Mattress
206 | DR 600 | Radiographic Table Mattress The mattress fits the tabletop (220 cm x 80 cm) and is X-ray translucent. 3261K EN 20210708 0808...
Page 207: Lateral Cassette Holder
DR 600 | Radiographic Table | 207 Lateral cassette holder The lateral cassette holder supports a cassette or detector in lateral position and is attached to the tabletop. Figure 92: Lateral cassette holder Lateral Exposures 1. Position the X-Ray tube head unit for lateral exposure over the table.
Page 208: Compression Belt
208 | DR 600 | Radiographic Table Compression belt The compression belt provides additional fixation for the patient on the table. It can be adjusted to patient thickness. Figure 94: Compression belt 3261K EN 20210708 0808...
Page 209: Radiographic Wall Stand
DR 600 | Radiographic Wall Stand | 209 Radiographic Wall Stand The radiographic wall stand allows vertical X-ray exposures of patients standing or sitting in front of the radiographic wall stand. The bucky has two variants, depending on the orientation for loading a detector or cassette: •...
Page 210 210 | DR 600 | Radiographic Wall Stand Tilting handle Figure 95: Radiographic wall stand, vertical version and vertical tilting version CAUTION: The format indications on the front panel show the format of the cassette or detector. Take into account that the actual area for imaging is smaller than indicated.
Page 211: Positioning The Radiographic Wall Stand
DR 600 | Radiographic Wall Stand | 211 Positioning the Radiographic Wall Stand Vertical movement handle with brake switch Tilting angle scale Tilting handle Figure 96: Positioning controls DANGER: Make sure that no persons or objects are within the movement area of the system where they can collide with moving parts of the system.
Page 212 212 | DR 600 | Radiographic Wall Stand To stop movement and lock the bucky into position, release the switch. CAUTION: The maximum load for the bucky movement in vertical direction is 20 kg. The bucky may slip downward when applying excessive load.
Page 213: Radiographic Wall Stand Accessories
DR 600 | Radiographic Wall Stand | 213 Radiographic Wall Stand Accessories WARNING: Using wrong accessories that cannot be properly attached to the system can lead to hazardous situations and injury. Use only original accessories provided by the manufacturer. Topics: •...
Page 214: Patient Hand Grips
214 | DR 600 | Radiographic Wall Stand Patient hand grips The patient hand grips for wall stand are mounted fixed at the backside of the bucky. The patient uses these grips for stabilization and support of correct correct positioning, e.g. for chest exams.
Page 215: Mounting The Lateral Arm Rest
DR 600 | Radiographic Wall Stand | 215 Mounting the lateral arm rest CAUTION: The lateral arm rest can bear up to 20 kg. It is not intended to hold the whole weight of a patient. Take care that the lateral arm rest does not collide with the ceiling when moving the bucky upward manually.
Page 216: Spacer
216 | DR 600 | Radiographic Wall Stand Spacer The spacer allows examination of sitting patients by offering additional space to position legs and feed under the bucky. Figure 99: Spacer 3261K EN 20210708 0808...
Page 217: Wall Stand Fixation Kit
DR 600 | Radiographic Wall Stand | 217 Wall stand fixation kit For additional stability of the radiographic wall stand an additional fixation of the radiographic wall stand is provided. The kit is installed at backside of the radiographic wall stand under the head cover and then fixed to a wall. It has to be installed by service.
Page 218: Bucky
218 | DR 600 | Bucky Bucky The bucky is installed in the radiographic table and in the radiographic wall stand. The bucky clamps the cassette or detector during exposure and centers them relative to the Automatic Exposure Control (AEC) and the grid.
Page 219 DR 600 | Bucky | 219 Topics: • Bucky configuration • Rotating the bucky • Loading of the bucky in the Radiographic Table • Loading of the bucky in the Radiographic Wall Stand • Unloading of the bucky in the Radiographic Table •...
Page 220: Bucky Configuration
220 | DR 600 | Bucky Bucky configuration Cassette only configuration The workflow with cassettes requires removing the cassette from the bucky after each exposure. The cassette has to be scanned using a digitizer to get the final image. The correct orientation of the cassette is applied by the way it is inserted in the bucky and there is no need to use the rotation mechanism.
Page 221: Rotating The Bucky
DR 600 | Bucky | 221 Rotating the bucky The cassette or detector in the bucky can be rotated without removing it from the clamping. To change the orientation of the cassette or detector in the bucky: 1. Open the bucky drawer halfway by pulling the front handle.
Page 222: Loading Of The Bucky In The Radiographic Table
222 | DR 600 | Bucky Loading of the bucky in the Radiographic Table To load the bucky with a cassette or detector: 1. Open the bucky drawer completely by pulling the front handle. 2. Push the cassette or detector towards the rear slider to open the clamping mechanism wide enough to contain the cassette or detector.
Page 223: Loading Of The Bucky In The Radiographic Wall Stand
DR 600 | Bucky | 223 Loading of the bucky in the Radiographic Wall Stand To load the bucky with a cassette or detector: 1. Open the bucky drawer completely by pulling the front handle. 2. Rotate the drawer to portrait orientation.
Page 224: Unloading Of The Bucky In The Radiographic Table
224 | DR 600 | Bucky Unloading of the bucky in the Radiographic Table To unload the bucky with a cassette or detector: 1. Open the bucky drawer completely by pulling the front handle. 2. Push firmly with both hands the cassette or detector towards the rear clamp to open the clamping mechanism.
Page 225: Unloading Of The Bucky In The Radiographic Wall Stand
DR 600 | Bucky | 225 Unloading of the bucky in the Radiographic Wall Stand To unload the bucky with a cassette or detector: 1. Open the bucky drawer completely by pulling the handle. 2. Rotate the carrier back to portrait position.
Page 226: Opening The Bucky Drawer Configured With An Earthquake Kit
226 | DR 600 | Bucky Opening the bucky drawer configured with an earthquake kit If the system is configured with an earthquake kit, the bucky drawer is locked. 1. Push the button to release the brake. 2. Open the bucky drawer completely by pulling the front handle.
Page 227: Automatic Cassette Size Sensing
DR 600 | Bucky | 227 Automatic Cassette Size Sensing The ACSS functionality of the bucky detects the size and orientation of the CR cassette or the DR detector and allows the collimator to limit the collimated area accordingly. The collimation setting received from the NX workstation or the collimation area set by the user is automatically adjusted.
Page 228: Bucky Types
228 | DR 600 | Bucky Bucky types The type of bucky installed in the system defines which functionality is available. Table 40: Modality positions Radiographic table 5523/120 5523/125 5523/300 Radiographic wall stand, left loading 5523/220 5523/225 5523/310 Radiographic wall stand, right loading...
Page 229 DR 600 | Bucky | 229 Table 42: Bucky for fixed DR detector Radiographic table 5523/300 Radiographic wall stand, left loading 5523/310 Radiographic wall stand, right loading 5523/320 Grid type and status detection All types ACSS requires the cassette to be positioned in the center of the bucky.
Page 230: Cassette And Detector Formats
230 | DR 600 | Bucky Cassette and detector formats To adjust the side clamps to the format of the cassette or detector, indications are available in cm (and inch, depending on the bucky type). Corresponding indications are printed on the wall stand cover to align the collimation area.
Page 231: Standard Cassette Formats
DR 600 | Bucky | 231 Standard cassette formats 35 cm x 43 cm 35 cm x 35 cm 24 cm x 30 cm 18 cm x 24 cm 15 cm x 30 cm 3261K EN 20210708 0808...
Page 232: Dr Detector Formats And Orientation
232 | DR 600 | Bucky DR Detector formats and orientation For information on how to use the DR Detector in the bucky, refer to following sections and to the user manual of the DR Detector. Topics: • Orientation of DR 10s in the bucky •...
Page 233: Orientation Of Dr 10S In The Bucky
DR 600 | Bucky | 233 Orientation of DR 10s in the bucky The clamps of the bucky may trigger the DR 10s power switch. To avoid switching off the detector when inserting it in the bucky, apply the orientation as described below.
Page 234: Orientation Of Dr 14S In The Bucky
234 | DR 600 | Bucky Figure 106: Portrait orientation in the radiographic wall stand left loading Orientation in the radiographic wall stand right loading • To use the detector landscape orientation, insert the detector in landscape orientation. • To use the detector in portrait orientation: 1.
Page 235 DR 600 | Bucky | 235 2. Rotate the detector in the bucky. Figure 108: Landscape orientation in the radiographic table Orientation in the radiographic wall stand left loading • To use the detector in landscape orientation, insert the detector in landscape orientation.
Page 236: Orientation Of Dx-D 10C, Dx-D 10G In The Bucky
236 | DR 600 | Bucky Figure 110: Portrait orientation in the radiographic wall stand right loading Orientation of DX-D 10C, DX-D 10G in the bucky To avoid damage to the cable of the detector, there are restrictions on the orientation of the detector when loading the bucky.
Page 237: Using Dx-D 45C, Dx-D 45G, Xd 10, Xd⁺10 Only Outside The Bucky
DR 600 | Bucky | 237 Orientation in the radiographic wall stand left loading • To use the detector in portrait orientation, insert the detector in portrait mode with the cable at upper left hand side. • To use the detector in landscape orientation: 1.
Page 238: Grids
238 | DR 600 | Bucky Grids Anti-scatter grids are used to reduce scattered radiation and improve image quality. Grids are available as an option. For DR Detectors focused grids are used. Focused grids require centering of the X-ray source to the detector and a specific distance range between X-ray source and detector.
Page 239: Anti-Scatter Grids
Anti-scatter grids are used to reduce scattered radiation and improve image quality. Grids are available as an option. Refer to the Agfa website for specifications on the anti-scatter grids that have been found compatible with the system and the DR Detectors.
Page 240: Grid Focal Distance Color Indication
240 | DR 600 | Bucky Grid focal distance color indication The handle of the grid is visible when the grid is inserted and its color indicates the focal distance of the grid. Focal Distance Color 100 cm 150 cm...
Page 241: Grid Detection
DR 600 | Bucky | 241 Grid detection The grid detection functionality of the bucky detects the type of the grid and if the grid is correctly inserted in the bucky. The grid status reflects if the inserted grid is suitable for the selected exposure and the current SID and is displayed on the tube head display and on the Software Console.
Page 242: Storage Box For Dr Detector And Grids
242 | DR 600 | Bucky Storage box for DR Detector and grids The storage box provides vertical storage space for a DR Detector and up to three grids. It can be mounted to the wall or stand on a stable surface.
Page 243: Changing The Grid Configured With An Earthquake Kit
DR 600 | Bucky | 243 Changing the grid configured with an earthquake kit If the system is configured with an earthquake kit, the grid is locked in the bucky by a latch mounted on the grid. Release the latch to pull out the grid from the bucky.
Page 244: Automatic Exposure Control (Aec)
244 | DR 600 | Bucky Automatic Exposure Control (AEC) The use of an AEC ensures optimal and reproducible image quality independent of the radiation, the object exposed or other factors. The AEC has three sensor elements (ionization chambers). The AEC is mounted in the bucky of the radiographic table and the radiographic wall stand between the grid and the detector or cassette.
Page 245: X-Ray Generator Mini Console
DR 600 | X-Ray Generator Mini Console | 245 X-Ray Generator Mini Console The X-ray generator mini console is limited in functionality to power on and power off the generator and to connect the DR Generator Sync with the exposure hand switch to trigger the exposure.
Page 246: Starting And Stopping The Generator
246 | DR 600 | X-Ray Generator Mini Console Starting and stopping the generator The generator is switched on and off by the power buttons on the X-ray generator mini console. Press the Power ON button on the X-ray generator control box to switch on the generator.
Page 247: X-Ray Tube Start-Up Modes
DR 600 | X-Ray Generator Mini Console | 247 X-ray tube start-up modes The system can make exposures using two start-up modes, when pressing the exposure button in preparation stage: • Low speed start-up that boosts the tube anode to ca. 3000 rpm.
Page 248: X-Ray Generator Messages And Warning Signals (Spellman)
248 | DR 600 | X-Ray Generator Mini Console X-ray generator messages and warning signals (Spellman) Acoustic signals The generator indicates particular states with acoustic signals: • Exposure is terminated: 500 ms tone • Errors: rapid series of tones Visual signals The generator indicates particular states with visual signals: •...
Page 249: X-Ray Generator Messages And Warning Signals (Emd)
DR 600 | X-Ray Generator Mini Console | 249 X-ray generator messages and warning signals (EMD) Acoustic signals The generator indicates particular states with acoustic signals: • Errors: 4 consecutive tones at the end of the exposure 3261K EN 20210708 0808...
Page 250: Exposure Parameters
250 | DR 600 | X-Ray Generator Mini Console Exposure parameters Tube Voltage The tube voltage can be selected in steps of 1 kV in the range of 40 to 150 kV. mAs Product Step Step Step Step 0.63 Tube current [mA]...
Page 251 DR 600 | X-Ray Generator Mini Console | 251 Step Step (only for generator with 50 kW power or higher) (only for generator with 65 kW power or higher) Exposure time [ms] Step Step Step Step 1250 1600 2000 2500...
Page 252: Radiographic Parameter Limits
252 | DR 600 | X-Ray Generator Mini Console HFe 501 HFe 601 HFe 801 (50 kW) (65 kW) (80 kW) HSS: 500 mA E7869XX HSS: 650 mA HSS: 800 mA • LSS: Low Speed Start option • HSS: High Speed Start option All Values are valid for 3-phase generator power line and large focal spot.
Page 253 DR 600 | X-Ray Generator Mini Console | 253 • Space Charge. The space charge limit in the selected X-ray tube is reached by changing the kV or mA values. An information message is displayed. • Instantaneous Power. The instantaneous power limit of the X-ray tube (ratings limit or the X-ray tube is momentarily overheated) is reached by selecting some technique.
Page 254: Exposure Termination
254 | DR 600 | X-Ray Generator Mini Console Exposure termination In normal operation the exposure is terminated by the generator when: • mAs product is reached • Exposure time is reached • AEC switches off If the exposure switch is released the exposure is terminated instantaneously and an error is indicated.
Page 255: Problem Solving
DR 600 | Problem solving | 255 Problem solving Topics: • Restoring connection between generator and NX after generator failure • Automatic collimation always too wide or too narrow • NX does not connect to the generator due to ID tablet •...
Page 256: Restoring Connection Between Generator And Nx After Generator Failure
256 | DR 600 | Problem solving Restoring connection between generator and NX after generator failure Details An error on the generator occurred. NX lost connection to the generator. An error message that no connection with the genera- tor can be established is displayed on the Software Console.
Page 257: Automatic Collimation Always Too Wide Or Too Narrow
DR 600 | Problem solving | 257 Automatic collimation always too wide or too narrow Details The collimated area is not adapted correctly to the size of the cassette or DR Detected inserted in the bucky. Cause The sensors in the bucky that detect the size of the cas- sette or DR Detector are dirty or have become weak.
Page 258 258 | DR 600 | Problem solving NX does not connect to the generator due to ID tablet Details This occurs on a DR installation in combination with a digitizer using an ID Tablet. The NX application and the Software Console cannot connect to the generator.
Page 259: No Table Movement
DR 600 | Problem solving | 259 No table movement Details The table is not moving up or down when pressing the foot pedals with double click. No error is shown. Cause One of the foot pedals was pressed longer than 90 sec- onds.
Page 260: No Movement When Using Remote Control
260 | DR 600 | Problem solving No movement when using remote control Details No movement of the system can be activated using the remote control. No error is shown. Cause Communication between the remote control and the system. Brief Solution 1.
Page 261: Dr Detector Is Exceeding The Maximum Working Temperature
DR 600 | Problem solving | 261 DR Detector is Exceeding the Maximum Working Temperature Details A message is displayed on NX indicating that the DR De- tector is exceeding the maximum working temperature. Cause Due to ambient temperature conditions and the number of acquired images, the DR Detector’s internal tempera-...
Page 262: Dr Detector Must Be Recalibrated
262 | DR 600 | Problem solving DR Detector must be Recalibrated Details A message is displayed on NX indicating that the DR De- tector must be recalibrated. Cause A DR Detector must be recalibrated at regular interval. Brief Solution...
Page 263: Tube Head Display Shows Screen To Check Network Connection
DR 600 | Problem solving | 263 Tube head display shows screen to check network connection Details The tube head display shows only the following screen. Cause The tube head display does not detect a network con- nection. Brief Solution Check on the NX workstation if all network cables are plugged in.
Page 264: Radiographic Parameter Limits
264 | DR 600 | Problem solving Radiographic Parameter Limits Switching between small focus and large focus may have a delay of a few seconds to enable the filament to warm up before switching. The settings of kV and mAs or of mA and ms are defined by an algorithm. The...
Page 265: Product Information
DR 600 | Product Information | 265 Product Information Topics: • Compatibility • Connectivity • Compliance • Equipment Classification • Patient data security • Product Complaints • Environmental protection • System Documentation • Training • Technical Data • Remarks for HF-emission and immunity...
Page 266: Compatibility
Compatibility The system must only be used in combination with other equipment or components if these are expressly recognized by Agfa as compatible. A list of such equipment and components is available from Agfa service on request. Changes or additions to the equipment must only be carried out by persons authorized to do so by Agfa.
Page 267: Connectivity
DR 600 | Product Information | 267 Connectivity The NX workstation is connected to the X-ray system to exchange X-ray exposure parameters. The NX workstation requires a 100 Mbit ethernet network to exchange information with a number of other devices.
Page 268: Compliance
268 | DR 600 | Product Information Compliance The system is compliant with specific directives and standards. Topics: • General • Safety • Electromagnetic Compatibility • X-Ray Safety • X-Ray Accuracy • Environmental Compliance • Biocompatibility • Usability • Earthquake resistance...
Page 269: General
DR 600 | Product Information | 269 General • The product has been designed in accordance with the MEDDEV Guidelines relating to the application of Medical Devices and have been tested as part of the conformity assessment procedures required by 93/42/EEC Medical Device Directive (European Council Directive 93/42/EEC on Medical Devices).
Page 270: X-Ray Safety
270 | DR 600 | Product Information X-Ray Safety • IEC 60601-1-3 • IEC 60601-2-54 • IEC 60601-2-28 For USA The system conforms to DHHS radiation Standards of 21CFR subchapter J as of the date of manufacture. X-Ray Accuracy The system fulfills the X-ray radiation accuracy according EN IEC 60601-2-54 with a variation of max.
Page 271: Equipment Classification
DR 600 | Product Information | 271 Equipment Classification Per EN/IEC 60601-1, EN/IEC 60601-2-54, this device is classified as following: Table 43: Equipment classification Class I equipment Equipment in which protection against electric shock does not rely on basic insulation only, but in- cludes a fixed connection to mains power with pro- tective earth conductor.
Page 272: Patient Data Security
(ISP), set in compliance with point 17(4) and 18(8) of Annex I of the EU Medical Device Regulation 2017/745, must be implemented and used in connection with the use of the Agfa medical device by the Customer (User). These are minimum requirements and designed to protect against unauthorised access that could hamper the device from functioning as intended.
Page 273 DR 600 | Product Information | 273 • Medical devices shall be on an isolated network segment that restricts communication of the medical devices to the systems that are required for the device to function. • Internal firewalls shall be put in place to improve upon network segmentation and to further restrict communications of medical devices to the systems (internal and external) that they need to interact with.
Page 274: Product Complaints
Manufacturer address: Agfa Service Support - local support addresses and phone numbers are listed on www.agfa.com Agfa - Septestraat 27, 2640 Mortsel, Belgium Agfa - Fax +32 3 444 7094...
Page 275: Environmental Protection
DR 600 | Product Information | 275 Environmental protection Figure 117: WEEE symbol Figure 118: Battery symbol WEEE end user notice The directive on Waste Electrical and Electronic Equipment (WEEE) aims to prevent the generation of electric and electronic waste and to promote the reuse, recycling and other forms of recovery.
Page 276 276 | DR 600 | Product Information For battery replacements please contact your local sales organization. 3261K EN 20210708 0808...
Page 277: System Documentation
• DR Detector Calibration Key User manual, document 0134 • DR Full Leg Full Spine User Manual, document 0179 • Exposure techniques for pediatric and adult use with DR 600, document 3263 These documents can be installed on the MUSICA Acquisition Workstation and be made available as part of the online help.
Page 278 278 | DR 600 | Product Information 1. Open the CD, DVD or USB flash drive in File Explorer. Press simultaneously the Windows key and E to open File Explorer. Double-click the drive representing this documentation CD, DVD or USB.
Page 279: Training
The user must make sure that training is received in accordance with local laws or regulations that have the force of law. Your local Agfa or dealer representative can provide further information on training. The user must note the following information in the system documentation: •...
Page 280: Technical Data
280 | DR 600 | Product Information Technical Data Topics: • DR 600 Technical Data • Generator Technical Data (Spellman) • Generator Technical Data (EMD) • Radiographic Table Technical Data • Wall Stand Technical Data • Ceiling Suspension Technical Data •...
Page 281: Dr 600 Technical Data
DR 600 | Product Information | 281 DR 600 Technical Data Manufacturer Agfa NV Septestraat 27 2640 Mortsel, Belgium Type 5530/100 Power line See Generator Technical Data Stand-by power max. 3.3 A Table movement max. 7.0 A (full load of 320...
Page 282 282 | DR 600 | Product Information Humidity (non condensing) between 30 and 75 % relative humidity Atmospheric pressure between 70 and 106 kPa Maximum altitude 3000 m For overall system environmental conditions, the environmental conditions of the DR Detector or image plate should be taken into account. Refer to the related User Manual for environmental conditions for the DR Detector or image plate.
Page 283: Generator Technical Data (Spellman)
DR 600 | Product Information | 283 Generator Technical Data (Spellman) Manufacturer Spellman High Voltage Electronics GmbH Josef-Baumann-Strasse 23 D-44805 Bochum, Germany Supported EDITOR HFe 501 EDITOR HFe 601 EDITOR HFe 801 Models Power rating 113 A / 76 kVA...
Page 284: Generator Technical Data (Emd)
284 | DR 600 | Product Information Generator Technical Data (EMD) Manufactur- EMD Technologies 400 du Parc, Saint-Eustache, (Quebec) Canada, J7R 0A1 Supported EPS 50 EPS 65 EPS 80 Models Power rating 105 A / 68 kVA 135 A / 85 kVA...
Page 285: Radiographic Table Technical Data
DR 600 | Product Information | 285 Radiographic Table Technical Data Manufacturer Agfa NV Septestraat 27 2640 Mortsel, Belgium Type TB-Elev-001 5521/500 Dimensions Radiographic table 140 cm x 77 cm x 55-90 cm (WxDxH) Tabletop 220 cm x 81 cm x 4 cm (WxDxH)
Page 286: Wall Stand Technical Data
286 | DR 600 | Product Information Wall Stand Technical Data Manufacturer Agfa NV Septestraat 27 2640 Mortsel, Belgium Type WS-Motorized-T-001 5522/600 Dimensions Height 2245 mm Width 610 mm (only front panel) 715 mm (with tilting handles) 825 mm (with patient hand grips)
Page 287 DR 600 | Product Information | 287 Maximum load on the bucky (verti- 32 kg cal) Maximum load on the brakes for the 250 N vertical movement 3261K EN 20210708 0808...
Page 288: Ceiling Suspension Technical Data
288 | DR 600 | Product Information Ceiling Suspension Technical Data Type Standard ceiling 5530/110 5531/110 suspension Ceiling suspen- 5530/130 5531/130 sion with reduced ceiling height Dimensions Longitudinal rails 3.5 m to 6 m in increments of 0.5 m Transversal rails 2.5 m to 4 m in increments of 0.5 m...
Page 289: X-Ray Tube Technical Data
DR 600 | Product Information | 289 X-Ray Tube Technical Data Manufacturer Canon Electron Tubes & Devices Co., Ltd. 1385 Shimoishigami Otawara-Shi, Tochigi-Ken 324-8550 Ja- E7884X X-ray Tube 12º 150 kVp dual focal spots 0.6 and 1.2 mm 300 KHU...
Page 290 290 | DR 600 | Product Information 150 kVp dual focal spots 0.6 and 1.2 mm 600 KHU LS 21/53 kW (50Hz) 23/58 kW (60Hz) HS 40/100 kW (180Hz) 14,49x10 mAh@150kVp maximum load 3261K EN 20210708 0808...
Page 291: Bucky Unit Technical Data
DR 600 | Product Information | 291 Bucky Unit Technical Data Manufacturer Agfa NV Septestraat 27 2640 Mortsel, Belgium Type BT-Cassette-T-ACSS-001 5523/120 CASS BUCKY TABLE ACSS INCL DET CHARG 5523/125 BT-Cassette-WS-ACSS-L-001 5523/220 CASS BUCKY WS LL ACSS INCL DET CHARG...
Page 292 292 | DR 600 | Product Information Operating voltage 24 VDC Operating current 375 mA Electrical connection (type 5523/125, 5523/225, 5523/275) Operating voltage 24 VDC Operating current 1.375 mA Charging time of the DR Detector battery maximum 4 hours Supported sizes...
Page 293: Automatic Exposure Control (Aec) Technical Data
DR 600 | Product Information | 293 Automatic Exposure Control (AEC) Technical Data Table 45: Varex AEC ionization chamber Manufacturer Varex Imaging Americas Corp. 3835 Carnation Street Franklin Park, IL 60131 U.S.A. Supported Type ICX1945B Description 3-field ionization chamber with electronics Maximum dose rate 1.250 uGy/s...
Page 294: Automatic Collimator Technical Data
294 | DR 600 | Product Information Automatic collimator technical data Manufacturer Ralco Via dei Tigli 13/G 20853 Biassono (MB), Italy Supported type R 225 ACS Maximum radiation leakage 150 kVp – 4 mA Inherent filtration 2 mm Aluminum equivalent...
Page 295: Dose Area Product Meter (Iba Dap) Technical Data
DR 600 | Product Information | 295 Dose Area Product Meter (IBA DAP) Technical Data Manufacturer IBA Dosimetry GmbH Bahnhofstrasse 5 DE-90592 Schwarzenbruck Supported Type 120-131 HS/RS485 Dose area product range (0.1...99999999.99) cGy x cm Minimum readout value 0.01 cGy x cm 14.0 cm x 14.0 cm...
Page 296: Dose Area Product Meter (Vacutec Dap) Technical Data
296 | DR 600 | Product Information Dose Area Product Meter (VacuTec DAP) Technical Data Manufacturer VacuTec Messtechnik GmbH Dornblüthstrasse 13 D-01277 Dresden, Germany Supported Type VacuDAP 2004 Dose area product range (1.0...9999999.9) cGy x cm Minimum readout value 0.1 cGy x cm 14.7 cm x 14.7 cm...
Page 297: Fixed Dr Detector
DR 600 | Product Information | 297 Fixed DR Detector Two types of fixed DR Detectors are supported. Topics: • Fixed DR Detector Technical Data • Fixed DR Detector Technical Data Fixed DR Detector Technical Data Manufacturer Manufacturer DR Detector Varex Imaging Corporation, 1678 So.
Page 298 298 | DR 600 | Product Information Active pixel matrix 3056(H) x 3056(V) Fill factor 100 % Detector type Amorphous Silicon Active area size 42,7 cm (H) x 42,7 cm (V) Reliability Estimated product life (if regularly serviced 100 000 RAD...
Page 299 DR 600 | Product Information | 299 Pixel Matrix Pixium RAD Pixium RAD Pixium RAD Pixium RAD 4343 C 4343 G 4343 C-E 4343 G-E Pixel size 148 µm (H,V) Pixel matrix 2880(H) x 2880(V) Active pixel 2869(H) x 2874(V)
Page 300 300 | DR 600 | Product Information minimum maximum Distance to calibration temperature -10 °C +10 °C Distance to calibration pressure -100 mbar +100 mbar Pixium RAD 4343 G, Pixium RAD 4343 G-E Environmental Conditions (during normal operation) Temperature (ambient) between 15° and 40° Celsius...
Page 301: Portable Dr Detector Technical Data
DR 600 | Product Information | 301 Portable DR Detector Technical Data Refer to the DR Detector User Manual. 3261K EN 20210708 0808...
Page 302: Nx Workstation Technical Data
302 | DR 600 | Product Information NX Workstation Technical Data Electrical connection Operating voltage 90 – 263VAC Mains fuse protection 5.5A Mains frequency 47 – 63 Hz Power consumption Maximum power consumption 320W 3261K EN 20210708 0808...
Page 303: Dr Generator Sync Box Technical Data
DR 600 | Product Information | 303 DR Generator Sync Box Technical Data Model name DR Generator Sync Box Type number 5400/516 Labeling Dimensions Depth 21.5 cm Width 33.5 cm Height 6.5 cm Weight 3.2 kg Electrical connection 100-240 V AC, 50/60 Hz Power consumption 40 W (max.
Page 304: Remarks For Hf-Emission And Immunity
304 | DR 600 | Product Information Remarks for HF-emission and immunity It is hereby certified that the device has interference suppression according to the EN 55011 Class A as well as the FCC Rules CFR 47 Part 15 Class A.
Page 305 IEC 61000-3-3 DR 600 is used in a professional healthcare facility / radiological environment. Environmental conditions are stated in the user manual. This device was tested for a professional healthcare environment as described above. Nevertheless the HF-emission and immunity can be influenced by connected data cables depending on length and the manner of installation.
Page 306 306 | DR 600 | Product Information ded to use an energy supply • 0% U for 250 pe- free of interruptions or a riods battery. Magnetic field at the 30 A/m Magnetic field at the net- supply frequency work frequency should cor-...
Page 307 DR 600 | Product Information | 307 investigation of the location is recommended, to ascertain the electromagnetic environment as a result of stationary high frequency transmitters. If the field strength of the device exceeds the test level given above, the device must be observed with regard to its normal operation at each place of use.
Page 308 308 | DR 600 | Product Information • Cables, transducers and accessories • Maintenance on EMC relevant parts 3261K EN 20210708 0808...
Page 309: Immunity To Rf Wireless Communication Equipment
DR 600 | Product Information | 309 Immunity to RF wireless communication equipment Service ISM Band Distance Immunity test level (MHz) (V/m) 300-390 TETRA 400 430-470 GMRS 460; FRS 460 704-787 LTE Band 13, 17 800-960 GSM 800/900; TETRA 800, IDEN 820;...
Page 310: Precautions On Emc
310 | DR 600 | Product Information Precautions on EMC WARNING: Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally.
Page 311: Cables, Transducers And Accessories
DR 600 | Product Information | 311 Cables, transducers and accessories Cables, transducers and accessories which were tested and found to comply with the collateral standard IEC60601-1-2 (EMC): CAUTION: Use of accessories, transducers and cables other than those specified or provided by the manufacturer of this equipment...
Page 312 312 | DR 600 | Product Information remark TP_T; type; maximum length (m) Master ME/ES Signal Basic wiring 3 x AWG22; CAN Signal Basic wiring / Extension Standard RS-232 cable not allowed (9 Pin D-SUB); Bucky D. exp. / Bucky se- Basic wiring 7 x AWG20;...
Page 313 DR 600 | Product Information | 313 remark TP_WS; type; maximum length CAN Signal Basic wiring for DR 400-600 Standard RS-232 WS / Extension not allowed cable (9 Pin D- SUB); X8 24V Basic wiring for DR 400-600 2 x AWG16;...
Page 314 314 | DR 600 | Product Information remark type; maximum length (m) 230V Power Supply Basic wiring 3x AWG18; PE Cable Basic wiring 1x AWG10; Basic wiring 2 x AWG22; LAN for THU Basic wiring CAT6 (Energy chain); HV 1 / 2 Basic wiring 3 x AWG16;...
Page 315 DR 600 | Product Information | 315 Maintenance on EMC relevant parts Concerning the EMC safety of the DR 600 device, no relevant parts could be inspected by the operator. EMC relevant parts will be inspected from AFGA service engineer within the regular service interval until the end of lifetime.

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