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NewTom GiANO Service Manual

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Service Manual Rev 4
March 01 , 2019
Cod. 97050631
NewTom GiANO - TECHNICAL MANUAL – Rev 4

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Summary of Contents for NewTom GiANO

  • Page 1 Service Manual Rev 4 March 01 , 2019 Cod. 97050631 NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 2 CEFLA s.c. The original version of this manual has been written in English language. NEWTOM™ GiANO is a commercial trademark of CEFLA s.c. All other products and brand names are registered trademarks or trademarks of their respective companies.

  • Page 3: Table Of Contents

    Connecting the Ethernet cables and remote x-Ray button ................4-29 4.10 CEPH arm installation ............................4-31 4.11 Covers mounting ..............................4-35 4.11.1 Kinematic arm covers ..........................4-36 4.11.2 Longherone covers............................. 4-36 4.11.3 Sensors rotating arm covers ........................4-39 NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 4 5.4.2 Establish the 2D connection (PC <–> scanner) ..................... 5-64 5.4.3 Changing the IP address of scanner ......................5-65 3D Connection between PC and Giano (for 3D-FULL ONLY) ................5-67 5.5.1 Flat Panel (CBCT) driver installation ......................5-67 5.5.2 “Intel Gigabit CT Desktop Adapter” network card installation ..............5-68 5.5.3...
  • Page 5 Boards layout ................................7-142 Circuit boards description ..........................7-142 General block schematic ........................... 7-143 Mainboard (97661026) ............................. 7-144 7.3.1 Connector list ..............................7-146 7.3.2 Diagnostic leds .............................. 7-147 7.3.3 Dip switches ..............................7-149 NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 6 Diagnostic LEDs ............................. 7-169 7.9.3 Dip switches ..............................7-169 7.10 Stepper “CSENS” configuration (CEPH arm ear guides and nasion control) (97661112 ) ......7-170 7.10.1 Connector list ............................7-172 7.10.2 Diagnostic LEDs ............................7-172 NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 7 CONNECTOR LIST ............................. 7-174 Troubleshooting ................................ 8-175 NNT Log error viewer (only from NNT 8.0) ..................... 8-176 Maintenance procedures ..........................8-176 Error 8.1/8.2/8.7 (Mobile section of turret unit) .................... 8-178 Extranet site ................................9-180 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 8: About This Manual

    This manual has been prepared to provide information and instructions regarding the installation, use, maintenance, and troubleshooting of the "NewTom GiANO" device series. This manual is intended for trained personnel recognized by the manufacturer of the "NewTom GiANO" model device. Prior to operating or servicing this device, this manual must be read and understood.

  • Page 9: Attached Documents

    CAUTION: Information to prevent damage to the components when trying to complete a task. IMPORTANT: Instructions that you MUST follow to complete a task. NOTE: Tips and additional information to help you complete a task. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 10: Safety Information

    2 - Safety information The following section contains the safety information that you need to be familiar with before servicing a NewTom GiANO. Additional information are included inside the User Manual under the “Safety warnings” chapter. 2.1 General safety Follow these rules to ensure general safety: ...

  • Page 11: Electrical Safety

    2.2 Electrical safety Observe the following rules when working on electrical equipment. WARNING: The NewTom GiANO is an equipment, containing high voltage devices and must be opened only by qualified personnel, authorized by CEFLA s.c.

  • Page 12: Safety Inspection Guide

    When inspecting a machine good judgment should be used to identify potential safety hazards. If any unsafe conditions are present, you must determine how serious the apparent hazard could be and whether you can continue without first correcting the problem. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 13: Handling Electrostatic Discharge-Sensitive Devices

    ESD-sensitive devices.  Select a grounding system to provide protection that meets the specific service requirement. NOTE: The use of a grounding system is desirable but not required to protect against ESD damage. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 14: Grounding Requirements

    WARNING:In the NewTom VG an X-Ray source is present. Each action, which causes the switching on of the NewTom 5G, must be performed by qualified personnel, trained on the dangers and risks connected with X-Rays for people.

  • Page 15: General Information

    3 - General information 3.1 Label symbols The following symbols may be found on the x-ray device. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 16: Installation

    After cutting the straps for palletizing, remove all the boxes and place them in a safe location. In order to unlock the device from the crate the two holding brackets, located at the base and at the top of the column, must be removed (see below). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 17 WARNING: when lifting the unit from the base be very careful to do not knock the column against the wooden support as highlighted in the following diagram. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 18: Transportation With Trolley

    Crossbar installed in the back Stand up the scanner, then insert the caster wheels and loose each screw of the wheels until the scanner lift from the floor. Be extremely carefull when moving the equipment. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 19: Transportation With Handles (Cod 96600540)

    It includes the dimension of the device with all the possible configurations, a 1:1 template of the holding bracket and specific information related to power supply and connection of the scanner. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 20 Check the leveling and if necessary adjust the feet; Complete the bracket fixing; Preferably, drill the floor in correspondence with the holes of service provided on the plate and fix the base to the floor with 2 plugs. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 21: Mounting On Stative Base

    Check the leveling and if necessary adjust the feet of the base of support; Preferably, drill the floor in correspondence with the holes of service provided on the support base and secure the base to the floor with two dowels. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 22: Removing Bolts Used For Shipment

    Each bolts is identified by a red label as shown in the following pictures. A third bolt to be removed will be inside the Ceph arm. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 23: Patient Arm Installation

    Always grab the arm by the metal frame. Before moving the arm towards the support shelf, pay attention and place the cables in the apposite slot (A), in order to not damage them during the installation. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 24 WARNING: the pins cannot carry the weight of the arm, so it is necessary to manually hold the arm until it is fixed with the appropriate screws. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 25 Once the arm is fixed, connect the two-wire cable (white-brown) to the corresponding cable found on the upper part of the column (see picture); this cable is connected to the emergency stop button placed below the patient arm. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 26 Console board CAN-bus (KCB3 connector); USB cable (K19 connector) WARNING: Pay special attention in positioning excess cable in order to avoid contact with the moving cable harness during cinematic group movements for exams or reset. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 27: Electrical Connections On Pfc Board

    The color of the 3 wires must be as set forth by the standards. If the differential switch is found in a hard-to-reach area, install another switch in a place that the operator can easily access. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 28 (not supplied). After the device has been turned off, wait at least 60 seconds before handling the cards, to allow the capacitors to discharge. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 29: Connecting The Ethernet Cables And Remote X-Ray Button

    It's also supplied the button rays cod. 96600944 together with its support bracket (See the pictures below. The connector on the cable is a six-wire RJ11. Only four wires are actually used. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 30 Ethernet cable for LAN communication with PC. Use the supplied cable, or alternatively an ethernet cable RJ45 Cat.5e or higher. It can be point-to-point cross-type cable or connection through router / gateway. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 31: Ceph Arm Installation

    While holding the ceph arm, carefully pass the cables through the slot (A) (for a RIGHT ceph arm) on the column. First enter larger cable diameters (K15-Green and Grey-KCB1), then the three remaining wire (K13/K37/K23 labels). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 32 Pass cables K15, KCB1, K26 as shown in the following figure. Place the cables K13 - K37 - K23 around the actuator motor of the column and then connect to the main board on the opposite side to the arm patient. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 33 / translation of the movable part. Pay particular attention to the LVDS cable (K15), to make sure that it is firmly anchored and away from any moving parts. See image below for anchor points recommended for the cable K15. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 34 IMPORTANT : Remember to remove the safety screw used to prevent accidental movement of the media sensor during transport (see following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 35: Covers Mounting

    4.11 Covers mounting Following the parts included in the cover box Following is the list of bolts provided with the device NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 36: Kinematic Arm Covers

    Mount the plates 99932552 (included in the supply box) to the upper part of the longherone as shown in the following picture; as reference place the two plates in such a way the circular holes of each plate matches with the blu caps located on the main structure. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 37 They will be tight once the two carters has been mounted. Mount the right lateral cover as shown in the following picture. Once positioned tighten the two bolts with washer in order to have the two lateral cover matching perfectly. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 38 This cover has to be mounted on the bottom part of the two lateral carter (see previous paragraph), in order to close the hole to access the mainboard. Use the bolts as explained in the next picture. 4.11.2.3 Top cover Mount the top cover as shown in the following picture. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 39: Sensors Rotating Arm Covers

    Remove the posterior CBCT sensor cover (highlighted in green in the following picture) by loosing the four bolts as shown in the following picture. 4.11.3.3 Lateral carter (2) The lateral cover can be removed simply dragging it as shown in the following pictures. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 40: Final Touches

    Close the opening of the column by using the provided covers. First, mount the metallic plate (1) using n° 6 SCREW TCEI M3X8 and then place the magnetic plastic cover on it (2). Once done mount the two plastic covers (3 and 4) at the base at the column using the provided screws. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 41: Cbct Panel Installation

    Make sure leads/wires are not arranged so that they rest on corners or are subject to tension. Use the slot to guide the connnectors towards the respective sockets and check that lead/wire routing is linear. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 42: Main Workstation Setup (Only For 3D Full)

    5 - Main workstation setup (only for 3D Full) 5.1 Preliminary Operations The computer connected with Newtom Giano has to fully comply the recommendations included in the user Manual of the device (chapter 10.13). When shipped together with the device the computer will be ready for connections with the scanner. In case the computer has not been included in the shipment, it will be necessary to prepare a computer that comply with the recommendations following the instructions provided in this chapter.

  • Page 43: Graphic Card Installation

    “Ignore” button on the bottom right corner. 4) In case the “AMD Gaming Evolved App” appears on the list, uncheck it before selecting the “Install” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 44 PC. NOTE: In case the “Catalyst Control Center” is installed, the Automatic Updates must be disabled unchecking the “Automatically check for updates” fields inside the “Software tab” (see picture on the side). NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 45: User Account Settings

    5.2.2 User account settings NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 46: Disabling Automatic Updates

    5.2.3 Disabling automatic updates NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 47 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 48: Device Installation Settings

    5.2.4 Device installation settings NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 49 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 50: Windows Defender Settings

    5.2.5 Windows defender settings NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 51 NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 52 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 53: Power Options Settings

    5.2.6 Power Options settings NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 54: Disabling The "Fast Start Up" Option

    5.2.7 Disabling the “Fast start up” option NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 55: Disabling Screen Saver

    REG ADD "HKLM\SYSTEM\CurrentControlSet\Control\Session Manager\Power" /V HiberbootEnabled /T REG_dWORD /D 0 /F 5.2.8 Disabling screen saver To disable the screen saver, press Windows + I to open the Settings app and then click “Personalization”. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 56 On the “Personalization” page, switch to the “Lock screen” tab and then click on the “Screen saver settings” NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 57: Extend Single Process Memory Limit (Only For Operating System With 32 Bit)

    From the “Start” menu edit “cmd” on the search field. On the program list right click on the “cmd” icon and select “Run as administrator” (see below) In the DOS shell window, add to the command prompt “bcdedit /set increaseuserva 2816” and press ENTER. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 58: Nnt Software Installation

    For a Giano “3D Ready” device select ”NNT Station”. For a Giano ”3DFull” device select “NewTom GiANO Main Workstation”. On the “Detector Type” window, select the type of Flat panel currently mounted on the equipment (Ex. 13X13 = “Varian 1313”, 13X08 = “Varian 1308”).
  • Page 59 In the “Select NNT installation mode” window, select “NNT stand alone” Wait for the installation to complete, then restart the PC. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 60: Connection Between Pc And Giano

    5.4.1.1 Direct connection using static IP addresses In case the PC and the GiANO are directly connected (not through a LAN with DHCP), a static IP address must be assigned to the PC. Considering the default IP address of the GiANO is 192.168.1.160, the PC will have to be configured with a compatible IP address (es.
  • Page 61 Connect the network cable between the integrated network adapter and the “ETH 1 PC/LAN” socket located on the back of the scanner. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 62 5.4.1.2 Connection through LAN (using DHCP server and dynamic IP addresses) In case of a LAN with a DHCP server, the DHCP will automatically assign the IP addresses to both the GiANO and the PC (dynamic IP Address). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 63 Connect both the network card integrated in the PC and the “ETH 1 PC/LAN” socket located on the back of the scanner to the local LAN. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 64: Establish The 2D Connection (Pc <-> Scanner)

    Select “Find”, wait for the software to browse for the equipment, then highlight the line showing the scanner IP address and press the “Add selected” button (see next picture). Set the configuration according to the following indications: NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 65: Changing The Ip Address Of Scanner

    2. Click on the button located on the top right corner (see picture below) and select “Launch 2D Calibration” 3. On the window that will appear select the “Service mode”. 4. Insert the Password : cefla NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 66 5. Select the “Device Options” button. In the window that will appear, check the “Static IP” and change the IP address. 6. Click on the "Apply" button, restart the software and restart the scanner. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 67: Connection Between Pc And Giano (For 3D-Full Only)

    5.5 3D Connection between PC and Giano (for 3D-FULL ONLY) 5.5.1 Flat Panel (CBCT) driver installation Insert the Flat Panel setup CD, wait for the process to start and follow the instructions. WARNING: each flat panel comes with a dedicated installation CD, containing data related to that specific sensor.

  • Page 68: Intel Gigabit Ct Desktop Adapter" Network Card Installation

    Open the “Device Manager”, right click on the “Intel Gigabit CT Desktop Adapter” and select properties. Under the Advanced TAB set the “Receive Buffer” to “2048”. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 69: Install Paxscan L09 Driver

    WARNING : skipping the above step could result in a failed installation of the driver 2. From the NNT setup CD browse for the "Varian\" folder. Run the "install.exe" file (this must be run with administrative rights). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 70 NOTE: In case of IP conflicts (typically when the suggested IP Addresses are already in use), it is possible to change the “NIC IP Address” and “Panel IP Address” (for example setting them to 192.168.8.11 and 192.168.8.34). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 71 “Control Panel” select “Device Manager”. Expand the “Newtork Adapter” group, right click on the “Intel pro 1000”or “Intel CT”, and select “Properties”. Select the “Advanced” tab, highlight the “Jumbo Packet”, and set it to “9014 BYTE” NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 72 3. Click on “Action” column in the adapters not connected to device detector and select “Use manufacturer” from the context menu. Select “Use manufacturer” on all adapters except on one connected to the detector. 4. Press “Install” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 73: Preparing The 3D Connection (Intel Desktop Adapter <-> 3D Flat Panel)

    5.5.4 Preparing the 3D connection (Intel Desktop Adapter <-> 3D Flat Panel) After the Paxscan L09 Driver has been successfully installed verify the INTEL PRO Network card has been properly configured by checking that the assign IP address is 192.168.2.11. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 74: Configuring 3D Panel Driver Directory And Establish 3D Connection

    Flat Panel data (usually “C:\IMAGERs\xxxxx”, where xxxx= flat panel serial number). 3) Click on the “OK” button. 4) Restart the NNT software and verify the “Scan manager” window appear on the bottom right corner (see next picture) NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 75: Giano Calibration

    6.2 2D Calibration 6.2.1 Calibration kit The calibration kit includes the following items:  Aluminum filter  Laser plate  2D phantom  Octagonal plate  Ceph calibration plate (included in each Ceph package) NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 76: Verifying Device Configuration

    Click on the button located on the top right corner (see picture below) and select “Launch 2D Calibration” On the window that will appear, select the “Service mode”. Insert the Password : cefla Select the service TAB and click on the “Machine configuration” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 77 Ceph arm position: define what side the CEPH arm is mounted. To recognize the type of the installed flat panel, locate the label stuck under the flat panel cover (see pictures below). NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 78: Column Calibration

    The software will prompts you to place the octagonal plate and press the “Reset” button on the console. Manually move the column all the way down, measure the height of the plate from the ground and insert it in the window. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 79 Next manually move the column all the way up and insert the height of the bite from ground. Confirm by clicking on the “OK” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 80 When the “Calibration ended” message appears click on the “Save Now” later. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 81: Pan X-Ray Alignment

    “Machine Configuration” window (see below) From the “Service” menu select “PAN xray Alignment” . Remove all the objects as show in the picture that will appear (see below) and click on Start: NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 82 X-Ray beam, meaning the left and right edges of the acquired image must be symmetric referring to the central red line, as shown on the reference image on the side. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 83 In order to do that slightly loosen the two bolts highlighted with a red circle in the following picture. NOTE: The bolt located at the top will be accessible only by manually rotating the motor shaft (highlighted in yellow). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 84 Once done tigthen the two bolts that holds the collimator and acquire a new image. Once the horizontal alignment is terminated it could be necessary to readjust the rotation as explained in the previous steps. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 85 Once the horizontal alignment is completed the software will check for the vertical adjustment prompting the operator to acquire a new image. Once the acquired image results to be completely irradiated (black) confirm the correct calibration. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 86 In case the inclination needs to be correct, adjust the primary collimator by rotating it. In order to do that loosen the bolt highlighted in the following picture, rotate the collimator and tighten the bolt back. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 87 “the image is correctly rotate” to proceed with the x-ray beam alignment. 2 – Horizontal adjustment In some cases, even if the image is completely covered, the software could show the following message. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 88 (highlighted in yellow). After that adjust the position by acting on the two set screw as shown below. Move on the direction as required by the software NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 89 For fixed collimator (3D READY): unlock the collimator by loosen the bolt circled in the following picture, then act on the two set screw as shown below. Once done tigthen the two bolts that holds the collimator and acquire a new image. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 90 In any case, the procedure is guided by the software, in the second case you will be required to mechanically adjust in order to make the two strips as much symmetrical as possible. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 91 Once the acquired image results to be completely irradiated (black) confirm the correct calibration. Save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 92 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 93: Pan Sensor Calibration

    Click on “start” and then on “START PROCEDURE”. Place the Aluminum filter as prompted by the software. Press the X-Ray button every time the software prompts for it. The procedure is completely automatic. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 94 Save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 95: Pan Mechanical Centering

    As the software prompts you, place the aluminum filter in front of the collimator and the phantom on the chin rest as shown in the following picture: Verify the “Automatic procedure” option is selected and click on the “START PROCEDURE” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 96 You will be prompted by the software (see following window) to click on a specific point (R Point) inside the acquired image. Identify and left click on the R Point of the acquired image (as pointed by the arrow in the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 97 Software will ask you to click on the Center Point inside the acquired image (refer to following picture). Identify and left click on the Center Point of the acquired image (as pointed by the arrow in the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 98 Software will ask you to click on the L Point inside the acquired image (refer to following picture). Identify and left click on the L Point of the acquired image (as pointed by the arrow in the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 99 Continue acquiring images and repeat the previous steps until prompted by the software. Once the image is correctly centered, the following message will appear. Click on the “OK” button. Save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 100 Enter X/Y axis values in the textbox on the left side of the screen, click on the arrows pointing to the right to confirm and then push “Acquire” to take another test image. The area to be checked is in the center of the image, see below for reference. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 101 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 102: Laser Test

    The rotating arm will be moved to the correct position. Wait until the arm stops. Once done, you will be prompted by the software to adjust the laser position. Move the Frankfurt plane laser to the lowest position by sliding its lever. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 103 For the Focusing vertical laser, Upper horizontal laser and Lower horizontal laser it will be necessary to remove the x-ray source covers. For the sagittal vertical laser the console cover will have to be removed. Once done select the “Exit” button to close the window. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 104: Ceph X-Ray Alignment

    Select “CEPH Xray Alingment”, and remove all the objects as show in the picture that will appear (see below). Select “START PROCEDURE” and press the X-Ray button every time the software prompts for it. After the first shoots, the software will ask to verify the inclination of the X-Ray beam. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 105 In case it needs to be correct, adjust the inclination of the secondary collimator by rotating it. First loosen the two holding bolts, then adjust the inclination acting on the two set screws (refer to the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 106 The software will acquire a few more images adjusting the G axle, in order obtain images with both sharp edges. Software will prompt you to acquire multiple images in order to evaluate the sharpness of the RIGHT edge of the sensor: NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 107 A new set of images will be acquired in order to adjust the horizontal position of the x-ray beam and cover the whole area of the sensor. At the end of the process a window will appear confirming the horizontal adjustment has been reached. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 108 (refer to following pictures). After each adjustment tighten the four holding bolts and acquire a new image until the vertical alignment results to be centered (as shown in the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 109 Once the previous step has been carried out, the alignment between the first and the second collimator will be automatically evaluated by the software: NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 110 Confirm selecting the “OK” button. Save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 111: Ceph Sensor Calibration

    Mount the aluminum filter as required by the software The procedure is completely automatic. Select the “START PROCEDURE” button to run it. When prompted by the software press the x-ray button to acquire a new image. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 112 Press the X-Ray button every time the software prompts for it. The procedure is completely automatic. At the end save the data selecting the “Save Now” button on the window that will appear and wait for the message that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 113: Ceph Mechanical Centering

    In case the RESULT value doesn’t change, before acquiring a new image, modify the Offset H (mm) value (first edit a new value, then press the Update button as shown in the following image). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 114 Once finished save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 115: Headrest Calibration

    Mount the rails earphones (n° 4 bolts TCEI M4X16) and the nasion. Select the “Headrest Calibration” button. Click on the “START PROCEDURE” button. As prompted by the software completely CLOSE the two ear guides, than press the “OK” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 116 Place the mechanical template in the correct position as shown in the following picture, than press the “OK” button. Save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 117: Nasion Calibration

    On the window that will appear check the “Automatic procedure” flag and then select the “START PROCEDURE” button. Software will prompt you to place the mechanical template for nasion as shown in the following picture. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 118 You will be prompted by the software (see following window) to click on the Nasion Cirle inside the acquired image. Identify and left click on the Nasion Circle of the acquired image (as pointed by the arrow in the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 119 The software will show a message informing the process has completed successfully. Save the data (selecting “Save now”) and wait for the window that confirms the data has been saved. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 120 To shift the soft tissue ramp it is necessary to modify the “Trasl (mm)” value; click on the arrow to confirm the new value and select “Manual ramp adjust” to execute a new exposure to assess the shift. Once the desired result has been obtained, confirm and save the value. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 121: Auricolar Guides Adjustment

    Rotate the cephalostat by losing the four holding bolts (see picture on the side) BAD VERTICAL ALIGNMENT: Add or remove spacers from the auricular guides (see picture on the side) PERFECT ALIGNMENT NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 122: Calibration Backup

    6.2.14 Calibration backup Click on “Backup Data”. Software will prompt to save the files for the selected calibrations (one file for each calibration): NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 123 The same procedure is for backup the Ceph sensor data calibration. Move the sensor on the ceph arm and select “Backup Data”: NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 124: Calibration Restore

    Select the path of the first calibration file and click “Open” The software will open automatically the windows in order to save the second calibration file: Select it and click “Open”. Wait for the end message. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 125 The same procedure is for the restore of the Ceph sensor data calibration. Click on “Restore Data” and select the backup file: NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 126: Calibration Report Pdf

    6.2.16 Calibration Report PDF It is possible to have a complete report of the 2D Calibration by selecting the “Report PDF” button. The report will be automatically created by the software. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 127: Calibration

    Enable the service level, by first left clicking on the NNT main window and then pressing CTRL + ALT + SHIFT + END on the keyboard: The service level is automatically disabled, every time the software is closed. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 128: Beam Limiter Test

    6.3.3 Beam Limiter Test From the NNT main window, select “Tools -> Scanner test” The following window will appear. Press the “Reset” button. Select the “Tools -> Beam Limiter Test” menu. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 129 2. Once the acquired image appears, check the size of the irradiated area compared to the green box. To modify it (meaning adjusting the collimator aperture) on the “Moveable window beam limiter” window (see following picture) check the “Enable Manual Tuning” flag. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 130 Manual Tuning” flag and acquire an image for each single FOV in order to double check that all the apertures values has been correctly stored. 8. Once finished select “File -> Close”. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 131: Daily Check

    TEST 5: Verification of the background image (without RX) of detector NOTE: the description of each test refer to the main functionality tested by the software. In case a test fails, please refer to the specific error message. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 132 Verify that nothing is placed in the scan area (remove also the craniostat in case it is mounted). Select the “X Ray Flash” button to start the Blank Acquisition process. Once terminated select the “Close” button. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 133: Mattarellum Acquisition

    TIN.  For 3D panel 13x08 the two lines of metallic spheres included in the TIN should result closer to the base of the TIN (as in the following picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 134 TIN, included in the four red boxes drawn in the center of the image. Once a sphere is recognized in the box it turns from red to green (see next picture). NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 135 Once finished the following report will appear. The software will show the result of the analysis. In case any of the values is out of range (three asterisks next to that value), repeat the calibration process. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 136 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 137: Verifying 3D Calibration

    The brighter dots (representing the holes of the aluminum pipe of the phantom) are crossed by the two horizontal dashed lines as showed in the following picture (red circles).  The phantom is aligned with the vertical dashed line as showed in the following picture (green circle) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 138 Left click on the acquired image and drag the image until it reaches the desired position.  Keeping the CTRL key pressed, release the left button of the mouse and wait until the software prompts you to acquire a new image. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 139 Wait until the scan has been completed. When prompted by the software (see following picture) select “YES” The analysis of the phantom scan will be performed, showing a table with the resulting values. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 140 H FWHM – V FWHM: 1)Verify phantom didn’t move during acquisition 2)Repeat TIN calibration HFD: 1)Repeat scan 2)Repeat TIN calibration VFD: 1) Verify vertical alignment of the phantom 2) Repeat TIN calibration NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 141: Exporting 3D Calibration Data

    3. The software will prompt you to select a folder where the backup file has been stored. Select the folder and press the “OK” button. When the process is finished the software will ask to reboot the NNT program. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 142: Boards Layout

    LEDs on the boards turn OFF. Do not disconnect/reconnect wires or leads with the machine on. The electronic boards of the Giano are physically connected to each other by two CAN “chains” that the MAIN board manages and merge together in a single CAN channel for the entire machine.

  • Page 143: General Block Schematic

    7.2 General block schematic NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 144: Mainboard (97661026)

    7.3 Mainboard (97661026) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 145 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 146: Connector List

    7.3.1 Connector list NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 147: Diagnostic Leds

    7.3.2 Diagnostic leds Kinematic section Power supply section PAN/CEPH sensor section NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 148 CAN BUS section Other LEDs NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 149: Dip Switches

    7.3.3 Dip switches 7.3.4 Memory Battery In case of low battery charge, replace the battery with a new one (model CR2450 3 Volts). NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 150: Power Board (97661113)

    7.4 Power Board (97661113) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 151 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 152: Connector List

    FUSE 15 AF 250v 6.3X32 115V(cod.97767400) PF1– Main Power supply protection FUSE 10 AF 250v 6.3X32 230V(cod.61720010) PF3 – 400V toward inverter board (for FUSE 8 AF 600VDC 10.3X38 column) (cod.61720011) NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 153: Diagnostic Leds

    7.4.3 DIAGNOSTIC LEDs 7.4.4 Dip switches NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 154: Converter (97661114)

    7.5 Converter (97661114) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 155 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 156: Connectors List

    7.5.1 Connectors list NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 157: Diagnostic Led

    7.5.2 Diagnostic led 7.5.3 Dip switches 7.5.4 Fuses NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 158: Consolle (97661110)

    7.6 Consolle (97661110) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 159 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 160: Connectors List

    7.6.1 Connectors list 7.6.2 Diagnostic led 7.6.3 Dip switches NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 161: Column Inverter Board (97661076)

    7.7 Column inverter board (97661076) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 162 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 163: Connectors List

    7.7.1 Connectors list 7.7.2 Diagnostic LEDs 7.7.3 Dip switches NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 164: Stepper "Gsens" Configuration (Rotating Pan/Cbct Sensor Support) (97661112)

    7.8 Stepper “GSENS” configuration (Rotating PAN/CBCT sensor support) (97661112) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 165 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 166: Connector List

    7.8.1 Connector list 7.8.2 Diagnostic LEDs 7.8.3 Dip switches NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 167: Stepper "Msens" Configuration (Motorized Chin Support) (97661112)

    7.9 Stepper “MSENS” configuration (Motorized chin support) (97661112) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 168 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 169: Connector List

    7.9.1 CONNECTOR LIST 7.9.2 Diagnostic LEDs 7.9.3 Dip switches NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 170: Stepper "Csens" Configuration (Ceph Arm Ear Guides And Nasion Control) (97661112 )

    7.10 Stepper “CSENS” configuration (CEPH arm ear guides and nasion control) (97661112 ) NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 171 NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 172: Connector List

    7.10.1 Connector list 7.10.2 Diagnostic LEDs 7.10.3 Dip switches NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 173: Monoblock (97750183)

    7.11 Monoblock (97750183) NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 174: Connector List

    7.11.1 Connector list 7.12 X-Ray Command (97661136) 7.12.1 Diagnostic LEDs 7.12.2 Dip switches 7.12.3 CONNECTOR LIST NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 175: Troubleshooting

    8 - Troubleshooting Please use the official “Troubleshooting report” form (below an preview of Page 1) to report any problem to the manufacturer. The complete form can be downloaded from the extranet site (http://extranetmedical.cefla.it) NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 176: Nnt Log Error Viewer (Only From Nnt 8.0)

    In order to ensure the operational safety and functional reliability of the equipment installed, at least once a year: Apply some grease - type TUTELA MR3 - on the column motor, worm screw (mobile part) and the nut (fixed part). Access from the back of the column through dedicated hole. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 177 3. Apply some grease - type TUTELA MR3 - on the vertical worm screw of the CEPH sensor (if the CEPH option is present). It’s necessary to dismount sensor, carters and cover plates. Verify the conditions of the belts. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 178: Error 8.1/8.2/8.7 (Mobile Section Of Turret Unit)

    In case of higher friction move the threaded shaft away from the gear. In case of missing coupling move the threaded shaft toward the gear. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 179 Setup Disk (see a draft on the following image). Return a copy, along with the original manufacturer’s INSTALLATION AND TEST REPORT (document number 97011016) to CEFLA North America, Inc. 6125 Harris Technology Blvd. Charlotte, NC 28269 USA. NewTom GiANO - TECHNICAL MANUAL – Rev 4...

  • Page 180: Extranet Site

    Only registered user can access to the site. If a new account is required please contact service.radiology@cefla.it. The site is mainly divided between the main menu on the left side and the products area on the right site. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 181 Clicking on a single product the corresponding window will pop up, listing all the available resources linked to that specific equipment. NewTom GiANO - TECHNICAL MANUAL – Rev 4...
  • Page 182 All other products and brand names are registered trademarks or trademarks of their respective companies. NEWTOM™ VG series is manufactured by: CEFLA s.c. Phone: +39 045 8202727 Fax +39 045 8203040 e-mail: info@newtom.it All rights reserved. NewTom GiANO - SERVICE MANUAL – Rev 3...

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