Table of Contents
Summary of Contents for Innomed Medical TOP-X 100NR
- Page 1 TOP-X HIGH-FREQUENCY X-RAY GENERATOR MODEL: TOP-X 100NR USER MANUAL Manufacturer: Innomed Medical Inc. 1146 Budapest Szabó József u. 12. Hungary Tel: (36-1) 460-9200 Fax: (36-1) 460-9222 www.innomed.hu D-0603-EN/F 28.04.2010.
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Page 2: Table Of Contents
TOP-X100NR USER MANUAL Innomed Medical Inc. Table of contents Introduction ........................5 General ........................5 Control panel ......................6 Turning the generator on and off..................8 Load limits, writing a log file..................... 9 Errors ..........................11 Error display ......................11 Error acknowledgement ................... - Page 3 TOP-X100NR USER MANUAL Innomed Medical Inc. 8.3.4 Selecting anatomical program ................29 Fluoroscopic parameter setting ................30 8.4.1 Fluoroscopic x-ray tube voltage (kV) setting ........... 30 8.4.2 Fluoroscopic x-ray anode current (mA) setting..........30 8.4.3 Fluoroscopic time..................... 30 8.4.4 Zoom ........................ 31 8.4.5...
- Page 4 TOP-X100NR USER MANUAL Innomed Medical Inc. WARNING! Innomed Medical Inc. states the following information according to operative European norms and related international standards. Extensive preparedness in the field of X-ray diagnostics is required for the operation of the generator. There is dangerous voltage inside the generator and in the high-voltage cables connected to the X-ray tubes, even after it has been turned off.
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Page 5: Introduction
X-ray parameter setting. The main feature of the TOP-X 100NR X-ray generator is the easy operation. The configuration containing the anatomical programs can contain up to 1700 pre- programmed automatic recording settings. The settings are grouped by body parts;... -
Page 6: Control Panel
Make sure no liquid or foreign objects – especially metal – get inside the generator. Cleaning the generator is detailed in the Cleaning and maintenance section. 1.2 Control panel TOP-X 100 NR - INNOMED MEDICAL FOCUS 35 36 37 38... - Page 7 TOP-X100NR USER MANUAL Innomed Medical Inc. LCD display layout Heat being Manual parameter setting stored in X-Ray tube Cooling time Ready for use Error / information display Other settings Other fluoro settings Fluoroscopic X-Ray Fluorocsopic X-Ray tube tube voltage current...
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Page 8: Turning The Generator On And Off
TOP-X100NR USER MANUAL Innomed Medical Inc. 2. Turning the generator on and off Turn the generator on with the ON button (1) and off with the OFF button (2). The LED above the ON button indicates when the generator is on, and the LED above the OFF button indicates when it is off, but the input mains presented. -
Page 9: Load Limits, Writing A Log File
TOP-X100NR USER MANUAL Innomed Medical Inc. 3. Load limits, writing a log file The generator takes the load-limit of the parts into consideration in all operating modes and does not allow the use of settings that can damage the generator or the X-ray tube. - Page 10 TOP-X100NR USER MANUAL Innomed Medical Inc. For both of the above cases exposure is not disabled. It is the operator’s responsibility to decide whether to make exposure contrary to the warning. The generator records exposures made with overloading in a separate log-file! The generator logs all exposures.
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Page 11: Errors
TOP-X100NR USER MANUAL Innomed Medical Inc. 4. Errors 4.1 Error display In case of an error a text is shown on the top right part of the console display to inform about the type of the error and a code which identifies the error more precise for a qualified person. -
Page 12: X-Ray Interruption, Inhibition
TOP-X100NR USER MANUAL Innomed Medical Inc. The "READY" script changes to "WARNING". 4.3.3 X-Ray interruption, inhibition These error disable the exposure and preparation. In case of such an error the exposure in progress is interrupted. Mostly caused by a system state that is dangerous to the generator or the connected equipment or makes the further use impossible. -
Page 13: Turn Off
TOP-X100NR USER MANUAL Innomed Medical Inc. The "READY" script changes to "SAFE MODE". 4.3.5 Turn off Gross errors, the high power parts and the control of the generator must be deenergised in order to avoid damage. In case of such an error the generator turns off, the error can not be displayed. - Page 14 TOP-X100NR USER MANUAL Innomed Medical Inc. Error code Description (20;1) The tube is overheated by load. Wait until it cools. (25;1..512) Error of the power unit during exposure. If regularly happens contact the service. (37;0) The set time for tomo exposure was too short.
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Page 15: Anatomical Program Mode
After turning on, the generator starts with the APR operating mode – a low-power program. In the APR operating mode of the TOP-X 100NR 12 buttons (9-20) are reserved in the APR field (A) for the anatomical programs. Each button is an arbitrary level, independent anatomical program. - Page 16 TOP-X100NR USER MANUAL Innomed Medical Inc. All changes (fatter/thinner patient, film sensitivity selection, etc.) that modify the default data are supervised by the generator’s software. It is important to note that these modifications will set only correct values for the anatomical programs until one...
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Page 17: Automatic Exposure Control (Aec)
TOP-X100NR USER MANUAL Innomed Medical Inc. 6. Automatic exposure control (AEC) 6.1 The AEC operating mode When using the AEC operating mode, the so-called ionization chamber placed between the patient and the film performs the in time exposure stoppage. The ionization chamber measures the dosage passing through it and stops exposure when the dosage required for the optimal darkening of the used film is reached. -
Page 18: Density - Density Correction
TOP-X100NR USER MANUAL Innomed Medical Inc. When using AEC, prior to the exposure mAs or sec backup values must be set on the LED displays (B, C, D) according to the examination. The measured values after exposure appear floating on the LCD display. -
Page 19: Verifying The Exact Operation Of The Aec
TOP-X100NR USER MANUAL Innomed Medical Inc. Selecting the correct screen type on the control panel in AEC mode is extremely important, because when determining the required dosage, the generator takes into account the selected film / screen sensitivity as well. -
Page 20: Parameter Setting In Manual Operating Mode
TOP-X100NR USER MANUAL Innomed Medical Inc. 7. Parameter setting in manual operating mode Free parameter setting means that any of the four parameters effecting X-ray quality, strength and duration can be set freely – within the operating limits of the tube and the generator, and the device’s allowed accuracy. -
Page 21: Radiation Parameter Setting
10, 12, 16, 20, 25, 32, 40, 50, 63, 80, 100, 125, 160, 200, 250, 320, 400, 500, 630, 800 The maximum value for the TOP-X 100NR family is 800mA. Using the SEC up (39) / SEC down (38) buttons changes the exposure time (ms/s) value. -
Page 22: Mas Mode (Or Two-Point Mode)
TOP-X100NR USER MANUAL Innomed Medical Inc. Time steps [ms or s]: 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 20, 25, 32, 40, 50, 63, 80, 100, 120, 160, 200, 250, 320, 400, 500, 630, 800 ms, 1, 1.2, 1.6, 2, 2.5, 3.2, 4, 5, 6.3, 8, 10 s 7.1.3 mAs mode (or two-point mode) -
Page 23: Examination Device, X-Ray Tube And Focal Spot Selection
TOP-X100NR USER MANUAL Innomed Medical Inc. 7.2 Examination device, X-ray tube and focal spot selection 7.2.1 TECHNIQUE – examination device You can select five examination devices in the device selection field (3-7) if they are configured during installation. In APR mode each program is assigned to a device. -
Page 24: Focus - X-Ray Tube Focal Spot
TOP-X100NR USER MANUAL Innomed Medical Inc. High-speed rotation can be turned on with any exposure parameter settings. It can only be turned off if the current settings do not overload the tube at normal speed. 7.2.4 FOCUS – X-ray tube focal spot... -
Page 25: Tube - X-Ray Tube
TOP-X100NR USER MANUAL Innomed Medical Inc. 7.2.6 TUBE – X-ray tube The X-ray tube cannot be selected directly, only indirectly through device selection. During generator or system installation the X-ray tubes for each examination device has to be set. The currently selected X-ray tube is indicated by the number 1 or 2 at the top of the LCD display. -
Page 26: Fluoroscopic Mode
TOP-X100NR USER MANUAL Innomed Medical Inc. 8. Fluoroscopic mode 8.1 Controls on the fluoroscopic controller T OP -X 100NR - INNOMED ME DICAL INNOMED FLUORO REMOTE CONT ROLLER 8.2 Power on When turning the generator on (see chapter 2) the Innomed logo appears on the display (A) and the controller loads the character sets needed for display;... - Page 27 TOP-X100NR USER MANUAL Innomed Medical Inc. If, for whatever reason, there is no connection between the generator and the controller, the following window appears on the screen. Here you can also set screen contrast (2, 7), backlight brightness (1, 6) and beeper volume (3, 8). Use the “save changes”...
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Page 28: Exposure Parameters
TOP-X100NR USER MANUAL Innomed Medical Inc. The following appears on the LCD screen (A) after successful power on. Certain exposure parameters and all fluoroscopic parameters may be set on the controller. 8.3 Exposure parameters The set of exposure parameters are similar to those described at the control panel. -
Page 29: Selecting Anatomical Program
TOP-X100NR USER MANUAL Innomed Medical Inc. Here you can select the desired dominant fields (2, 4, 7) and return to the main window with the back button (5). 8.3.4 Selecting anatomical program Pushing the MENU (8), then the APR (7) buttons displays the window containing the main body parts, the same as on the main operator console. -
Page 30: Fluoroscopic Parameter Setting
TOP-X100NR USER MANUAL Innomed Medical Inc. parameters according to the selected examination. As long as you do not change these parameters, the APR name is also displayed. 8.4 Fluoroscopic parameter setting 8.4.1 Fluoroscopic x-ray tube voltage (kV) setting Use the fluoro kV up (11) / fluro kV down (12) buttons to change this value. -
Page 31: Zoom
TOP-X100NR USER MANUAL Innomed Medical Inc. disables radiation. The examination can continue only after resetting fluoroscopic timer. 8.4.4 Zoom This button (4) allows access to the image amplifier’s zoom functions if it is not controlled from the examination table. You can select from normal up to max. four magnified image displays (depending on configuration). -
Page 32: Impulse Fluoroscopic Operating Mode
TOP-X100NR USER MANUAL Innomed Medical Inc. It is possible to horizontally (7) and vertically (8) mirror the image or invert the colors (9). By pressing the buttons next to the symbol, the function changes its state. If it was turned on than it turns off, and vice versa. -
Page 33: Automatic Brightness Setting (Abs)
TOP-X100NR USER MANUAL Innomed Medical Inc. In impulse operating mode the generator enables the radiation in synch with the square signal released by the camera. Even lower dosage is possible by emitting less than 25 radiation impulse per second, but this will decrease the continuity of motion. -
Page 34: Digital Image Storage From Fluoroscopic Operating Mode
TOP-X100NR USER MANUAL Innomed Medical Inc. In this case the generator compensates the varying brightness with varying voltage, the result of which, as mentioned above is the change of fluoroscopic current. In case of starting with default parameters, the controller can adjust to the required brightness typically in 1 second. -
Page 35: Fluoroscopic Parameter Setting On The Control Panel
TOP-X100NR USER MANUAL Innomed Medical Inc. Three different image storage operating modes can be set: single, “burst” and series. In burst operating mode the generator makes 10 images with the set frequency, than returns to fluoroscopy mode. In series operating mode the images are made with the set frequency as long as the REC button is pressed. -
Page 36: Setting Fluoroscopy X-Ray Voltage (Kv)
TOP-X100NR USER MANUAL Innomed Medical Inc. Burst – Digital storage of 10 images. Rapid – Continuous digital image storage. In this and in the previous mode, the image creation frequency appears next to the symbol. The following line contains the accumulated fluoroscopy time. -
Page 37: Video Modes
TOP-X100NR USER MANUAL Innomed Medical Inc. Use the Magnify soft button (15) to set magnification level. 8.5.6 Video modes Use the Video options menu to invert image content, and to turn image horizontal and vertical mirroring on and off. Enter this menu with the soft button next to the Video options (9) label. -
Page 38: Automatic Brightness Setting (Abs)
TOP-X100NR USER MANUAL Innomed Medical Inc. Use the soft button (9) next to the Fluoro mode label to turn impulse operating mode on and off. By selecting less than 25 x-ray impulses per second lower dosage is available, but only at the expense of image continuity. To modify impulse frequency, push the soft buttons (10), (16) next to the Pulse frequency label in active impulse operating mode. - Page 39 TOP-X100NR USER MANUAL Innomed Medical Inc. Three different image storage operating modes can be set: single, “burst” and rapid. In burst operating mode the generator records ten images at the set frequency, then returns to fluoroscopy. In rapid mode the recordings are also made at the set frequency, but during the full time the REC button is held down.
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Page 40: Cleaning And Maintenance
TOP-X100NR USER MANUAL Innomed Medical Inc. 9. Cleaning and maintenance If necessary, the generator (including the control panel) cover may be cleaned according to the following. Before cleaning completely power down the generator, including mains power and all other devices electrically connected to the generator. -
Page 41: Technical Data
TOP-X100NR USER MANUAL Innomed Medical Inc. 10. Technical data (according to standards IEC 60601-1, IEC 60601-2-7) Modell 350HF 450HF 550HF 650HF 850HF @ 80kV 300 mA 400 mA 500 mA 600 mA 800 mA Maximum anode current @ 100kV 300 mA... - Page 42 TOP-X100NR USER MANUAL Innomed Medical Inc. Electromagnetic compatibility Guidance and manufacturer’s declaration – electromagnetic emissions TOP-X generator is intended for use in electromagnetic environment specified below. The customer or the user of TOP-X generator should assure that it is used in such an environment.
- Page 43 TOP-X100NR USER MANUAL Innomed Medical Inc. Guidance and manufacturer’s declaration – electromagnetic immunity TOP-X generator is intended for use in electromagnetic environment specified below. The customer or the user of TOP-X generator should assure that it is used in such an environment.
- Page 44 TOP-X100NR USER MANUAL Innomed Medical Inc. Guidance and manufacturer’s declaration – electromagnetic immunity TOP-X generator is intended for use in electromagnetic environment specified below. The customer or the user of TOP-X generator should assure that it is used in such an environment.
- Page 45 TOP-X100NR USER MANUAL Innomed Medical Inc. Recommended separation distances between portable and mobile RF telecommunication equipment and TOP-X generator TOP-X generator is intended for use in electromagnetic environment where electromagnetic disturbances are under control. Customer and user of TOP-X generator can help on preventing electromagnetic influence between portable and...
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Page 46: Disposal Of Old Electrical & Electronic Equipment
TOP-X100NR USER MANUAL Innomed Medical Inc. 11. Disposal of Old Electrical & Electronic Equipment (Applicable in the European Union and other European countries with separate collection systems) This symbol on the product or on its packaging indicates that this product shall not be treated a household waste.
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