AGFA D2RS User Manual

AGFA D2RS User Manual

Digital remote controlled table with dynamic flat panel detector

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Digital Remote Controlled Table with dynamic flat panel detector
User's Manual
OM-RCTDRDyn.R0a
Release in January 2015

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Summary of Contents for AGFA D2RS

  • Page 1 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual OM-RCTDRDyn.R0a Release in January 2015...
  • Page 2 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual REVISIONS HISTORY Revision Date Reason for change First edition 30 January 2015 Of reorganisation of the manuals...
  • Page 3 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual Please read the whole documentation before using the medical device...
  • Page 4: Table Of Contents

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual TABLE OF CONTENTS Note to the user ..............................6 Guarantee conditions ............................7 Environmental protection ............................ 8 Safety and protection ............................9 1. DESCRIPTION ......................13 1.1. Generalities ............................13 1.2.
  • Page 5 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2. OPERATION ........................ 21 2.1. Switching on ............................21 2.2. Detector positionning (for version with removable detector) ............22 2.3. Patient positioning ..........................23 2.3.1. Accessories Installation .......................23 2.3.2. Patient Installation ........................23 2.3.3.
  • Page 6 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual IMPORTANT ! ... X-ray Protection X-RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED X-ray equipment if not properly used may cause injury. Accordingly, the instructions herein should be thoroughly read and understood before attempting to place this equipment in operation.
  • Page 7: Note To The User

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual In normal use, (detector integrated into the table as image receptor) the reference axis of the X-ray beam must form an angle of 90 ° with the surface of the tabletop, so that the X-ray beam corresponds to the image area. There is an indexing system, activated by the buttons on the tube cover that automatically positions the X-ray tube assembly at 0°, + / -90°...
  • Page 8: Guarantee Conditions

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual GUARANTEE CONDITIONS It is the responsibility of the user to ensure that the government regulations respecting installation and operation of the equipment are observed. Incorrect operation or failure of the user to maintain the equipment in accordance with the schedule of maintenance relieves the manufacturer or his agent from all responsibility for consequent non-compliance, damage, injury, defects and/or other malfunction.
  • Page 9: Environmental Protection

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual ENVIRONMENTAL PROTECTION This equipment or system contains environmentally dangerous components and materials (electronic boards, electronic components, lead, transformers, etc…) that, once the life-cycle of the equipment or system comes to end, becomes dangerous and need to be considered as harmful waste according to the international, domestic and local regulations.
  • Page 10: Safety And Protection

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual SAFETY AND PROTECTION X-rays are not innocuous and can be dangerous if used badly. You must, therefore, take precautions even when following the instructions in this manual. Are entitled to use the remote controlled table physicians specialized in radiology and medical imaging as well as medical electroradiology operators, these users receive initial and ongoing training in radiation protection to implement these measures.
  • Page 11 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual  Equipment described herein is unsuitable for operation where and when flammable gasses or vapours are present.  It is vital that an authorized distributor carries out the assembly, extensions, adjustments, modifications and repairs.
  • Page 12 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2- X-ray protection:  Use the smallest possible X-ray field  Use the shortest possible fluoroscopy time  Use the highest possible Skin-Focus distance, in order that the patient dose is the lowest possible ...
  • Page 13 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 4- Electromagnetic risks:  Emission: This equipment can cause electromagnetic inteferences to other apparatuses, medical or not. For adapted protection against interferences, the equipment is in compliance with the criteria of CEI 60601-1-2 medical standard and EN 55011 emission standard, class A ...
  • Page 14: Description

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1. DESCRIPTION 1.1. GENERALITIES This remote control table is a universal X-ray examination table with variable height fully digitized & microprocessor controlled and developed for easy and fast examinations in fluoroscopy and radiography. The table is suited for functional and for anatomical examinations with the patient in any position.
  • Page 15 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.2 TABLE CONTROL CONSOLE Note: a seconday console is optional. The way to use it is almost the same as for the main console. On secondary console, a locking key activates the main console (and thus activates the infrared control handswitch and inactivates the secondary console) OR activates the secondary console (and thus inactivates the infrared control handswitch and inactivates the main console).
  • Page 16: Tube Movements Controls With Joystick

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.2.3. TUBE MOVEMENTS CONTROLS WITH JOYSTICK Increase SID Decrease SID Head side (to the left) column movement Foot side (to the right) column movement 1.2.4. COLUMN RESET BUTTON Column perpendicular stop 1.2.5.
  • Page 17: Compression Controls (Option)

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.2.8. COMPRESSION CONTROLS (OPTION) Raise compression device to parking position Lower compression device 1.2.9. UNIQUE CONTROL FOR AUTOPOSITIONING 16 “Move” button allows table autopositioning through anatomical programming 1.2.10. DETECTOR IN / OUT (for version with removable detector) Detector IN Detector OUT...
  • Page 18: Tabletop Longitudinal Movement

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.2.13. TABLETOP HEIGHT AND TILTING WITH JOYSTICK 23 Table height UP movement 24 Table height DOWN movement 25 Trendelenburg (negative) tilting 26 Positive (to vertical position) tilting 1.2.14. TABLETOP RESET BUTTON 27 Table horizontal stop 1.2.15.
  • Page 19: Touch Screen Display

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.2.16. TOUCH SCREEN DISPLAY 30 LCD screen to display parameters (example below) This screen shows the parameters according to the anatomical programming for table, generator and can display images from video camera for centring without fluoroscopy. It indicates the name of position in anatomical programming (if not, it indicates “manual positioning”), with values of SID, column and tilting angles, height of tabletop regarding floor, height of detector centre regarding table foot border, shutters opening, zoom if selected.
  • Page 20: Automatic Collimator

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.3 AUTOMATIC COLLIMATOR  The LCD screen indicates SID value, lateral and longitudinal blades openings in cm.  The knobs that disengage the motor driving of blades permit to collimate manually. shutter longitudinal opening shutter longitudinal closing shutter lateral opening...
  • Page 21: Remote Handswitch

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 1.4 REMOTE HANDSWITCH The major functions are available in the room using the remote handswitch:  Incidence movement: correspond with the controls 5, 6 & 7 of the main console ...
  • Page 22: Operation

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2. OPERATION 2.1. SWITCHING ON Switch on the X-ray room general contactor, then the following contactors:  For Table: press button 1, the LCD display lights up, the table is ON ...
  • Page 23: Detector Positionning (For Version With Removable Detector)

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.2. DETECTOR POSITIONING (for version with removable detector) The version of remote controlled table with removable detector has a slightly different interface, because the main screen display icons that concern this detector. ...
  • Page 24: Patient Positioning

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.3. PATIENT POSITIONING  CAUTION: Before any table movement, overall tilting or tabletop movements, make sure there are no obstacles that can collide during movement. WARNING Controls: to ensure patient safety, it is essential that the operator keeps eye contact with the patient whereas he controls table motion.
  • Page 25: Patient Positioning

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.3.3. PATIENT POSITIONING  Using tilting ( & ), carriage , tabletop lateral ( & ), tabletop longitudinal & ) and incidences ( & ) movements, position the patient according to the examination.
  • Page 26 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.4. TABLE AUTOPOSITIONING  Select an anatomical programme on Digital system control console Refer to Digital System User manual  The following screen appears on the table control console and displays the table parameters in relation with the selected anatomical programme ...
  • Page 27: Preparation For Exposure

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.5. PREPARATION FOR EXPOSURE  Table autopositioned and patient installed, switch on the collimator light beam  Check the position using video camera (and finalizing with fluoroscopy if really necessary, refer to Digital System and Generator interface User manuals for fluoro mode).
  • Page 28: Generator Interface Use

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.6. GENERATOR INTERFACE USE  Press GEN_X key, to get access. It is possible at any time to go to Table or Camera menu pressing TABLE or CAM.  Refer to generator interface User Manual for more details 2.7.
  • Page 29: Tomography Use

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.9. TOMOGRAPHY USE  After selecting the tomography protocol on Acquisition console LCD screen, press MOVE until the table reaches its position. The following screen shows on the table console: The buttons and labels have the following meaning: Press once : Increase Fulcrum Increment,...
  • Page 30 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual  You can adjust the Fulcrum and incrementation if needed.  Choose a tomography speed and angle. Once selected, the tomography time is displayed. Make sure that it is the same as the one mentioned in the tomography protocol that you selected on the Acquisition console LCD screen.
  • Page 31: Stitching Use (Option)

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.10. STITCHING USE (OPTION)  With Digital system control console (refer to Digital System User Manual), select programmed stitching protocol needed for spine or legs examination.  On the main console, in Table menu, the « stitching mode exit » icon appears. No te : it is p o s s ib le to e xit fro m s titc h in g m o d e a n ytim e b y p re s s in g th is ke y ...
  • Page 32: Motorised Compression System Use (Option)

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 2.11. MOTORISED COMPRESSION SYSTEM USE (OPTION) Two systems are available: first is removed manually from X-ray beam, second is motor-driven.  For motorised compression device manually removable, mount the compression accessory in its support located on the column ...
  • Page 33: Cleaning And Disinfecting

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 3. TABLE MAINTENANCE 3.1. CLEANING AND DISINFECTING  Warning: always disconnect the equipment from the mains before cleaning or disinfecting it. Do not allow water or other liquids to enter the equipment as such liquids may cause short-circuits or corrosion.
  • Page 34: Preventive Maintenance

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 3.2. PREVENTIVE MAINTENANCE Any maintenance operation must be carried out by the manufacturer or thirds parties expressly authorized by the manufacturer. Before starting the maintenance operations, read carefully the procedure to follow. All operations to do on the unit must be carried out when it does not work.
  • Page 35: Error Messages

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 4. 4. ERROR MESSAGES During the routine use of the equipment, the display shows various messages about the status of the table. This includes movement restrictions due to either room configuration or clearance space parameters or present table status.
  • Page 36 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual INFORMATION MESSAGES (TO BE CONTINUED) Messages displayed on top of screen description What to do TABLE TOP REAR LIMIT This indicates that the tabletop reaches its end lateral position on rear side (column) TABLE TOP FRONT LIMIT This indicates that the tabletop reaches its end lateral position on front side ELEVATION LOWER LIMIT...
  • Page 37: Operation Messages

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 4.2. OPERATION MESSAGES These messages appear at the bottom of touch screen of the main table control console They indicate unusual operation and ask for corrections to continue the procedure After corrections, if the message persists, turn the system OFF and ON.
  • Page 38: Failure Messages

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 4.3. FAILURE MESSAGES These messages appear at the bottom of touch screen of the main table control console They indicate the potential cause of a system failure. In general, to remove the indication on the console, press OK.
  • Page 39 Digital Remote Controlled Table with dynamic flat panel detector User’s Manual FAILURE MESSAGES (TO BE CONTINUED) This indicates a system failure with the carriage end position on foot side and CARRIAGE EOT + forbids all the movements This indicates a system failure with the carriage end position on head side and CARRIAGE EOT - forbids all the movements This indicates a system failure with the column incidence end position on foot...
  • Page 40: Service Messages

    Digital Remote Controlled Table with dynamic flat panel detector User’s Manual 4.4. SERVICE MESSAGES These messages appear at the bottom of touch screen of the main table control console They indicate the potential cause of a system failure. In general, the system forbids all the movements and messages are dedicated to Field Service.

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