| Valory (system with floor mounted column) | Contents Contents Legal Notice ................6 Introduction to this Manual ........... 7 Scope of this Manual ..........8 About the safety notices in this document ....9 Disclaimer ..............10 Introduction ................ 11 Intended Use ............
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Valory (system with floor mounted column) | Contents | iii Additional labeling of the main control box ..Type labels of accessories ......55 DR Detector identification label ....57 About the software ........58 Cleaning and disinfecting ........59 Maintenance ............63...
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| Valory (system with floor mounted column) | Contents One point, two point and three point working modes ............111 Radiographic Parameters ......113 Focal Spot Indicator ........114 Automatic Exposure Control (AEC) .... 115 X-ray tube load ........... 119 DAP Value ..........120...
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Valory (system with floor mounted column) | Contents | v DR Detector is Exceeding the Maximum Working Temperature ............167 DR Detector must be Recalibrated ......168 Radiographic Parameter Limits ......169 Warning messages ..........170 Product Information ............171 Compatibility ............
Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or its affiliates. Valory 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.
Valory (system with floor mounted column) | Introduction to this Manual | 7 Introduction to this Manual Topics: • Scope of this Manual • About the safety notices in this document • Disclaimer 0426A EN 20220804 1858...
8 | Valory (system with floor mounted column) | Introduction to this Manual Scope of this Manual This User Manual describes the features of the Valory system, an integrated X- Ray imaging system. It explains how the different components of the Valory system work together.
Valory (system with floor mounted column) | Introduction to this Manual | 9 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.
10 | Valory (system with floor mounted column) | Introduction to this Manual 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.
12 | Valory (system with floor mounted column) | Introduction Intended Use Indications for Use The Valory 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.
Valory (system with floor mounted column) | Introduction | 13 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.
14 | Valory (system with floor mounted column) | Introduction System overview Valory is a digital radiography X-ray system. Valory is a modular system. This manual describes the system with the X-ray tube head on a floor mounted column. ai16050197339_2009-002 6396_DR599 THU Control panel HR.pdf...
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The system does not prevent double exposure of a CR cassette in the bucky. Valory can be used in combination with a CR digitizer and a CR full body cassette holder to perform full leg full spine examinations. Refer to the CR Full Leg Full Spine User Manual (document 4408, part of the MUSICA Acquisition workstation User Documentation).
16 | Valory (system with floor mounted column) | 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.
18 | Valory (system with floor mounted column) | Introduction Radiographic table The radiographic table is used for positioning of the patient lying or sitting over the detector in the bucky for exposure. The radiographic table supports the patient and the detector for free exposure.
Valory (system with floor mounted column) | Introduction | 19 Radiographic wall stand The radiographic wall stand is used for positioning of patients standing upright or sitting towards the bucky for exposure. Lateral arm rest Bucky unit Indicators for the position of the AEC cells...
20 | Valory (system with floor mounted column) | Introduction X-ray tube head unit Emergency stop button Tube head display showing positioning parameters and status information. Figure 6: Position tracking button Activate/deactivate automatic centering and position tracking of the radiographic table.
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Valory (system with floor mounted column) | Introduction | 21 Release the brake for movement in vertical direction (up & down). Figure 9: Longitudinal movement button Release the brake for movement in longitudinal direction (left & right). There are stop positions for default SID on the radiographic wall stand.
22 | Valory (system with floor mounted column) | Introduction MUSICA Acquisition Workstation (NX) The MUSICA Acquisition workstation is used to define patient information, select exposures and process images. Figure 13: MUSICA Acquisition workstation software The operation of the workstation application is described in the MUSICA Acquisition Workstation User Manual, document 4420.
Valory (system with floor mounted column) | Introduction | 23 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.
24 | Valory (system with floor mounted column) | Introduction 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. Figure 15: DR Detector Switch...
Valory (system with floor mounted column) | Introduction | 25 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...
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26 | Valory (system with floor mounted column) | Introduction Starting the exposure Before starting the exposure: 1. Check if the exposure settings displayed on the console are suitable for the exposure. 2. Check the Ready for Exposure status. Press the exposure button down fully and keep it pressed until the exposure has ended.
Valory (system with floor mounted column) | Introduction | 27 Manual collimator Longitudinal collimation Button to switch on the light field indicating the collimated area and the laser light indicating the center position. After pressing the button, they remain lit for half a minute before automatically switching off.
28 | Valory (system with floor mounted column) | Introduction Portable DR detector When performing an exposure, keep in mind the following detector orientation aids: Table 1: Orientation aids Tube side icon, indicating the side that faces the X- ray tube...
Valory (system with floor mounted column) | Introduction | 29 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. Multiple emergency stop buttons are available on the system.
30 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Introduction | 31 Power off behaviour After the system is stopped or if the emergency stop button is activated, the brakes on the moving parts are activated. WARNING: The brakes of the floor mounted column with X-ray tube head are activated.
32 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Introduction | 33 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.
34 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Introduction | 35 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: •...
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36 | Valory (system with floor mounted column) | Introduction • Significant zones of occupancy at the radiographic wall stand • Stray radiation Significant zones of occupancy at the radiographic table If operator or staff needs to be close to the patient during normal use (e.g.
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Valory (system with floor mounted column) | Introduction | 37 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 Significant zone of occupancy at the left side of the radiographic table...
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38 | Valory (system with floor mounted column) | Introduction requires assistance or procedures that require the physician to be present next to the patient), the significant zone of occupancy applies for operator and staff. Keep maximum distance from the X-ray source and from the object producing scattered radiation.
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Valory (system with floor mounted column) | Introduction | 39 Minimum height above the floor 200 cm. Dose meter Protective device Wall DR Detector or cassette 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...
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40 | Valory (system with floor mounted column) | Introduction Exposure parameters 100 kV, 63 mAs Collimation 18 cm x 18 cm Table height (S3, S4, S5) 70 cm Bucky center height (S1, S2) 140 cm For the diagram above a maximum throughput of 30 exposures/hour was used.
Valory (system with floor mounted column) | Introduction | 41 Guidelines for Pediatric Applications CAUTION: Use special care when imaging patients outside the typical adult size and weight range. Children are more radiosensitive than adults. Reducing dose for radiographic procedures while maintaining acceptable clinical image quality will benefit patients.
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42 | Valory (system with floor mounted column) | Introduction • Image only when there is a clear medical benefit. • Image only the indicated area. • Use the lowest amount of radiation for adequate imaging based on size of the child (reducing tube output -- kVp and mAs, limiting the duration of dynamic imaging).
Valory (system with floor mounted column) | Introduction | 43 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 ×...
44 | Valory (system with floor mounted column) | Introduction Labels Symbol Explanation General warning, caution, risk of danger. Read and understand all instructions and warning labels in the product documentation before using the equipment. Keep man- ual for future reference.
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Valory (system with floor mounted column) | Introduction | 45 Symbol Explanation Type B applied part Manufacturer Date of manufacture Serial number This mark shows compliance of the equipment with Regulation 2017/745 (for European Union). This symbol on the products, and/or accompanying documents means that used electrical and electronic products should not be treated as, or mixed with general household waste.
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46 | Valory (system with floor mounted column) | Introduction • About the software 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Introduction | 47 Warning labels on the radiographic table 1,2,3,6 1,2,3,6 3,6,7 3,4,5,6 Figure 23: Warning labels on the radiographic table Warning Falling hazard. To avoid injuries, be alert when the patient is getting on or off the table.
48 | Valory (system with floor mounted column) | Introduction Warning labels on the radiographic wall stand 1,3,5,6 Figure 24: Warning labels on the radiographic wall stand Warning Pinch point. Keep hand and fingers away from this area. Danger Never disassemble of let an unauthorized person modify and/or repair the product.
Valory (system with floor mounted column) | Introduction | 49 Warning labels on the floor mounted column and tube head ai16050197339_2009-002 6396_DR599 THU Control panel HR.pdf 10/11/2020 15:48 ai16050197339_2009-002 6396_DR599 THU Control panel HR.pdf 10/11/2020 15:48 unit Figure 25: Warning labels on the floor mounted column and tube head unit...
50 | Valory (system with floor mounted column) | Introduction Type label Mark Meaning Type label on the top cover of the X-ray 2862 generator. The type label information for each com- bination of X-ray tube and X-ray generator is available in the technical data.
Valory (system with floor mounted column) | Introduction | 51 Additional labeling of the radiographic table Top side according to patient orienta- tion to indicate the orientation of the AEC sensors (optional) Original manufacturer type label on a system component.
52 | Valory (system with floor mounted column) | Introduction Additional labeling of the radiographic wall stand Original manufacturer type la- bel on a system component. Figure 28: Example of component type label 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Introduction | 53 Additional labeling of the floor mounted column and tube head unit Original manufacturer type la- bel on a system component. Figure 29: Example of component type label 0426A EN 20220804 1858...
54 | Valory (system with floor mounted column) | Introduction Additional labeling of the main control box Original manufacturer type la- bel on a system component. Figure 30: Example of component type label 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Introduction | 55 Type labels of accessories Mark Meaning Patient hand grips for the radiographic ta- Figure 31: Example of type label Lateral detector holder Figure 32: Example of type label Compression belt...
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56 | Valory (system with floor mounted column) | Introduction Mark Meaning Storage box for DR detector and grids Figure 36: Example of type label Foot pedals Figure 37: Example of type label 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Introduction | 57 DR Detector identification label Label Meaning Writable label to identify and dedicate a DR Detector to an X- ray system bucky. 0426A EN 20220804 1858...
58 | Valory (system with floor mounted column) | Introduction 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...
Valory (system with floor mounted column) | Introduction | 59 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.
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60 | Valory (system with floor mounted column) | Introduction unsuitable cleaning agents or methods can damage the property when surface becomes dull and brittle (e.g. by using alcohol-containing agents). Do not open the equipment for cleaning. No components inside the device require cleaning by the user.
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ID=41651138 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. Do not use any corrosive, soluble or gaseous disinfectants.
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62 | Valory (system with floor mounted column) | Introduction The room must be sufficiently illuminated to perform the visual inspection. Check for deterioration such as corrosion, cracks or serious discolorations, for damage to the cables or cable jackets, for loos screws.
Valory (system with floor mounted column) | Introduction | 63 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).
64 | Valory (system with floor mounted column) | Introduction Maintenance actions The X-ray unit and all components require regular maintenance to ensure the equipment is safe and reliable for operation. WARNING: Operation in unsafe condition includes the risk of radiological exposure and injury of the patient and/or the operator.
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Valory (system with floor mounted column) | Introduction | 65 Expected lifetime for the X-ray unit 10 years Periodic maintenance An Agfa trained and authorized service engineer Every 12 months shall perform a technical maintenance according to the maintenace schedules in the service documen- tation, to maintain fault-free operation and ensure safety for patient and operator.
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66 | Valory (system with floor mounted column) | Introduction 1. On the software console, select the manual modality positon. No image will be acquired on the NX workstation. 2. Select the three point radiographic working mode. mA,ms 3. Set the radiographic parameters to 125 mA (current) and 100 ms (exposure time).
Valory (system with floor mounted column) | Introduction | 67 Checklist before and after operation The user shall perform these checks before, during and after operating the system. Table 5: Checklist Check Mitigation Before starting the system Are unnecessary objects present near the...
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68 | Valory (system with floor mounted column) | Introduction Check Mitigation After stopping the system Are unnecessary objects present near the Remove unnecessary objects equipment? near the equipment. Has an examination room been checked Check if the room is safe.
Valory (system with floor mounted column) | Introduction | 69 Checklist for the floor mounted column and tube head unit The user shall perform these checks before using the floor mounted column and tube head unit. Table 6: Checklist Check...
70 | Valory (system with floor mounted column) | Introduction Checklist for the radiographic table The user shall perform these checks before using the radiographic table. Table 7: Checklist Check Mitigation Before using the system Is there any dent, crack or condensa-...
Valory (system with floor mounted column) | Introduction | 71 Checklist for the radiographic wall stand The user shall perform these checks before using the radiographic wall stand. Table 8: Checklist Check Mitigation Before using the system Is there any dent, crack or condensa-...
72 | Valory (system with floor mounted column) | 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 floor mounted column...
Valory (system with floor mounted column) | Safety Directions | 73 General Safety Directions WARNING: Safety is only guaranteed when an Agfa certified field service engineer has installed the product. WARNING: Risk of heavy weight causing physical injury. The system components must be installed and used according to the instructions.
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74 | Valory (system with floor mounted column) | Safety Directions WARNING: To avoid risk of electric shock, do not remove any covers. Changes, additions, maintenance or repairs must be carried out by an Agfa certified field service engineer. WARNING:...
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Valory (system with floor mounted column) | Safety Directions | 75 WARNING: Make sure that no clothes of the patient or the operator get caught by moving parts of the system. WARNING: Portable and mobile HF communication devices may affect medical electrical equipment.
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76 | Valory (system with floor mounted column) | Safety Directions CAUTION: All Agfa medical products must be used by trained and qualified personnel. 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Safety Directions | 77 Safety Directions for the X-Ray System WARNING: Ionizing radiation can lead to radiation injuries if handled incorrectly. When radiation is applied, the required protective measures must be complied with.
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78 | Valory (system with floor mounted column) | Safety Directions CAUTION: When operating the DR detector, the calculated exposure time (ms) or manual overrides should never exceed the maximum exposure time (Max ms) specified as integration time of the DR detector.
Valory (system with floor mounted column) | Safety Directions | 79 Safety Directions for the radiographic table CAUTION: Using soft covers, sheets, mattresses, etc. may lead to visual image artifacts. If such shall be used, make sure that they are x- ray transparent and do not influence image quality.
80 | Valory (system with floor mounted column) | Safety Directions Safety directions for the floor mounted column If the radiographic table is installed in the movement range of the floor mounted column, make sure that the X-ray tube, collimator or X-ray tube arm do not collide with the tabletop, especially when the X-ray tube moves under the tabletop.
Valory (system with floor mounted column) | Basic Workflow | 81 Basic Workflow Topics: • Starting the System • Performing an exposure using the DR Detector • Performing an exposure using a CR cassette • Stopping the System 0426A EN 20220804 1858...
82 | Valory (system with floor mounted column) | Basic Workflow Starting the System WARNING: Before making X-ray exposures, make sure that the system is functioning correctly and that all components and accessories are securely mounted. Allow the DR detector to warm up before the system is used for clinical purposes.
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Valory (system with floor mounted column) | Basic Workflow | 83 Figure 40: Navigation button for modality controls 4. Click the button to start the automated workflow for warming-up of the X- ray tube. Figure 41: Button to start the automated workflow for warming-up of the X-ray tube A table is displayed with a list of exposures.
84 | Valory (system with floor mounted column) | 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 •...
Valory (system with floor mounted column) | Basic Workflow | 85 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.
86 | Valory (system with floor mounted column) | Basic Workflow 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.
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Valory (system with floor mounted column) | Basic Workflow | 87 If there is a chance that the detector comes in contact with liquids (bodily fluids, disinfectants, ...), the DR Detector must be wrapped in a protective plastic bag while performing the examination.
88 | Valory (system with floor mounted column) | Basic Workflow Step 4: Check the exposure settings Related Links Generator controls on page 110 On the NX application: 1. Check if the DR Detector Switch displays the name of the DR Detector that's being used 2.
Valory (system with floor mounted column) | Basic Workflow | 89 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.
90 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Basic Workflow | 91 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.
92 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Basic Workflow | 93 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.
94 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Basic Workflow | 95 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.
96 | Valory (system with floor mounted column) | 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.
98 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Basic Workflow | 99 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.
100 | Valory (system with floor mounted column) | Basic Workflow Stopping the System To stop the system: 1. Stop the MUSICA Acquisition workstation. The MUSICA Acquisition workstation can be stopped in two ways, either by logging out of Windows or without logging out of Windows.
102 | Valory (system with floor mounted column) | Software Console X-ray modality status frame 4 5 6 7 Ready for exposure status Modality position DR detector switch Filter status Grid status Heat units Radiation status Figure 43: X-ray modality status frame Topics: •...
Valory (system with floor mounted column) | Software Console | 103 Ready for exposure status Table 10: Exposure ready Color Description Green Exposure ready. Indicates that the selected technique is properly set and there are no interlock failures or system faults.
104 | Valory (system with floor mounted column) | Software Console 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.
Valory (system with floor mounted column) | Software Console | 105 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.
106 | Valory (system with floor mounted column) | Software Console Filter Status Based on the selected exposure, the filter status indicates if a filter is required. Table 15: Manual filter (no icon) Empty: no filter is required. Orange: a filter is required. Insert the filter manually.
Valory (system with floor mounted column) | Software Console | 107 Anti-scatter grid status Table 16: Grid status (no icon) No grid is required. A grid is required. Related Links Status information on the tube head display on page 125...
108 | Valory (system with floor mounted column) | Software Console Radiation status Table 17: Radiation status The X-ray tube is prepared. After pressing the exposure button completely, the X-ray exposure is made. The indicator on the console will light up.
Valory (system with floor mounted column) | Software Console | 109 Unknown status If a status is unknown, a question mark icon is displayed: Figure 45: 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.
110 | Valory (system with floor mounted column) | Software Console Generator controls Heat units and DAP value Radiographic working mode Radiographic parameters Automatic exposure control X-ray tube load Figure 46: 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.
Valory (system with floor mounted column) | Software Console | 111 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 18: Radiographic working modes One point mode, by selecting kV.
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112 | Valory (system with floor mounted column) | Software Console 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.
Valory (system with floor mounted column) | Software Console | 113 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.
114 | Valory (system with floor mounted column) | Software Console Focal Spot Indicator A focal spot indicator shows the selected focal spot of the X-ray tube: “Small” or “Large”. Table 19: Focal Spot Indicator Small Large If you change the focal spot, the kV and mAs are kept constant. When...
Valory (system with floor mounted column) | Software Console | 115 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.
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116 | Valory (system with floor mounted column) | Software Console 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.
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Valory (system with floor mounted column) | Software Console | 117 Density Dose 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.
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118 | Valory (system with floor mounted column) | Software Console Patient size Medium normal mAs Large normal mAs * 2 Extra Large normal mAs * 4 AEC dose failure In AEC mode the exposure is interrupted automatically, when there is not enough dose detected within a certain time (e.g.
Valory (system with floor mounted column) | Software Console | 119 X-ray tube load Table 25: 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.
120 | Valory (system with floor mounted column) | Software Console 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). This measurement unit is configurable.
Valory (system with floor mounted column) | Software Console | 121 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.
122 | Valory (system with floor mounted column) | Software Console X-ray modality controls Select the modality position. Select the DR detector. All configured detectors are displayed. Only the detectors that can be used with the selected modality position, can be selected.
Valory (system with floor mounted column) | Software Console | 123 System messages screen 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.
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124 | Valory (system with floor mounted column) | Software Console The system messages screen lists all messages since the last startup of the software. Figure 52: Messages history Related Links X-ray generator messages and warning signals (Spellman) on page 164...
Valory (system with floor mounted column) | Tube head display | 125 Tube head display The tube head display shows the positioning parameters and status information. Readout value of X-ray tube angle (alpha) Readout value of source image distance (SID)
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126 | Valory (system with floor mounted column) | Tube head display The bucky is open or empty. It is not possible to perform an ex- posure. Bucky tray of radiographic table and wall stand Grid of radiographic table and wall stand...
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Valory (system with floor mounted column) | Tube head display | 127 The grid of the radiographic table is removed or inserted wrongly. The grid of the radiographic wall stand is inserted. The grid of the radiographic wall stand is removed or inserted wrongly.
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128 | Valory (system with floor mounted column) | Tube head display The bucky contains a DR detector with a size of 14x17 inch (35x43 cm) in landscape orientation and aligned to the upper edge of the bucky. The bucky contains a DR detector with a size of 14x17 inch (35x43 cm) in portrait orientation and positioned in the center.
Valory (system with floor mounted column) | Positioning the X-Ray Tube | 129 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.
130 | Valory (system with floor mounted column) | Positioning the X-Ray Tube 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.
Valory (system with floor mounted column) | Positioning the X-Ray Tube | 131 Centering the tube head on the table To move the X-ray tube head to the center of the DR detector in the bucky of the radiographic table and to keep the bucky centered while moving the tube head left and right: 1.
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132 | Valory (system with floor mounted column) | Positioning the X-Ray Tube If the X-ray tube is aimed at a position outside of the travel range of the bucky, an error is displayed and the position of the X-ray tube must be adjusted.
Valory (system with floor mounted column) | Positioning the X-Ray Tube | 133 Centering the tube head on the wall stand To move the X-ray tube head to the center of the DR detector in the bucky of the radiographic wall stand: 1.
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134 | Valory (system with floor mounted column) | Positioning the X-Ray Tube 5. Adjust the X-ray tube head height. Figure 67: Vertical movement button The movement is stopped when the X-ray tube reaches the center of the radiographic wall stand.
Valory (system with floor mounted column) | Positioning the Radiographic Table | 135 Positioning the Radiographic Table The movements of the radiographic table are controlled by foot pedals. 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.
136 | Valory (system with floor mounted column) | Positioning the Radiographic Table Positioning the floating tabletop To release the brake for moving the floating tabletop, press and hold the middle foot pedal. The tabletop can be moved in longitudinal and transversal direction manually.
Valory (system with floor mounted column) | Positioning the Radiographic Table | 137 Adjusting height To adjust the height, click and hold the foot pedal. Foot pedal to lower table height Foot pedal to raise table height Figure 70: Foot pedals to adjust the height of the table When minimum or maximum position of the table is reached, the movement is stopped automatically.
138 | Valory (system with floor mounted column) | Positioning the Radiographic Table Positioning the bucky 1. Use the handle to move the bucky freely in longitudinal direction. 2. To make sure that the X-ray tube head and the bucky are aligned, use automatic centering or check the centering icon on the tube head display.
Valory (system with floor mounted column) | Radiographic Table Accessories | 139 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.
140 | Valory (system with floor mounted column) | Radiographic Table Accessories 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.
Valory (system with floor mounted column) | Radiographic Table Accessories | 141 Lateral cassette holder The lateral cassette holder supports a cassette or detector in lateral position and is attached to the tabletop. Figure 73: Lateral cassette holder Lateral Exposures 1.
142 | Valory (system with floor mounted column) | Radiographic Table Accessories Mounting the compression belt The compression belt provides additional fixation for the patient on the table. It can be adjusted to patient thickness. 1. Slide both ends of the compression belt in the rails of the tabletop and wrap the compression belt around the patient.
Valory (system with floor mounted column) | Radiographic Table Accessories | 143 Mattress The mattress fits the tabletop (220 cm x 80 cm) and is X-ray translucent. 0426A EN 20220804 1858...
144 | Valory (system with floor mounted column) | Positioning the Radiographic Wall Stand Positioning the Radiographic Wall Stand To adjust the height manually, release the brake for vertical movement by pressing and holding the button at the side panel of the bucky. The bucky can be moved up and down using the handgrip.
Valory (system with floor mounted column) | Radiographic Wall Stand Accessories | 145 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.
146 | Valory (system with floor mounted column) | Radiographic Wall Stand Accessories 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.
Valory (system with floor mounted column) | Radiographic Wall Stand Accessories | 147 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.
148 | Valory (system with floor mounted column) | Bucky Bucky The bucky is installed in the radiographic table and in the radiographic wall stand. The bucky clamps the detector during exposure and centers it relative to the Automatic Exposure Control (AEC) and the grid.
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Valory (system with floor mounted column) | Bucky | 149 Bucky drawer Clamps Lock lever Bucky drawer handle Anti-scatter grid handle Detachable clamp Slit for attaching the detachable clamp Figure 80: Bucky in the radiographic wall stand When the detachable clamp is not used, it can be stored by attaching it magnetically at the rear side of the wall stand bucky.
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150 | Valory (system with floor mounted column) | Bucky • Anti-scatter grids • Automatic Exposure Control (AEC) 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Bucky | 151 Loading of the bucky in the table To load the bucky with a detector: Figure 82: Loading of the bucky in the radiographic table 1. Open the bucky drawer completely by pulling the front handle.
152 | Valory (system with floor mounted column) | Bucky Loading of the bucky in the wall stand To load the bucky with a detector: Figure 84: Loading of the bucky in the wall stand 1. Open the bucky drawer completely by pulling the front handle.
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Valory (system with floor mounted column) | Bucky | 153 6. Close the bucky drawer using the handle. Make sure the bucky drawer is pushed up to the end to close completely. 0426A EN 20220804 1858...
154 | Valory (system with floor mounted column) | Bucky Unloading of the bucky in the table To unload the bucky with a detector: 1. Open the bucky drawer completely by pulling the front handle. 2. Unlock the clamps by turning the lock lever counterclockwise.
Valory (system with floor mounted column) | Bucky | 155 Unloading of the bucky in the wall stand To unload the bucky with a detector: 1. Open the bucky drawer completely by pulling the handle. 2. Unlock the clamps by turning the lock lever counterclockwise.
156 | Valory (system with floor mounted column) | Bucky Anti-scatter 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.
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.
158 | Valory (system with floor mounted column) | Bucky Anti-scatter 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. Table 31: Grid focal distance color indication...
Valory (system with floor mounted column) | Bucky | 159 Storage box for DR detector and anti-scatter 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.
160 | Valory (system with floor mounted column) | 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 cells (ionization chambers).
Valory (system with floor mounted column) | X-Ray Generator Mini Console | 161 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 exposure hand switch to trigger the exposure.
162 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | X-Ray Generator Mini Console | 163 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.
164 | Valory (system with floor mounted column) | 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...
Valory (system with floor mounted column) | Problem solving | 165 Problem solving Topics: • Restoring connection between generator and NX after generator failure • DR Detector is Exceeding the Maximum Working Temperature • DR Detector must be Recalibrated •...
166 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Problem solving | 167 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-...
168 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Problem solving | 169 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...
170 | Valory (system with floor mounted column) | Problem solving Warning messages WARNING: Under certain conditions the system shows a dialog box in the middle of the tube head display containing a warning message with an error code. This message informs the user that either a problem has occurred or that a requested action cannot be performed.
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.
Valory (system with floor mounted column) | Product Information | 173 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.
174 | Valory (system with floor mounted column) | 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 •...
Valory (system with floor mounted column) | Product Information | 175 General • The product has been designed in accordance with Regulation (EU) 2017/745 on medical devices (MDR) • ISO 13485 • ISO 14971 Safety • IEC 60601-1 • IEC 60601-1-6, EN 60601-1-6 •...
176 | Valory (system with floor mounted column) | 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.
Valory (system with floor mounted column) | Product Information | 177 Equipment Classification Per EN/IEC 60601-1, EN/IEC 60601-2-54, this device is classified as following: Table 32: Equipment classification Class I equip- Equipment in which protection against electric shock ment does not rely on basic insulation only, but includes a fixed connection to mains power with protective earth conductor.
178 | Valory (system with floor mounted column) | Product Information Foot pedals Table 33: Equipment classification of the foot pedals Water ingress IPX1 The device is protected against dripping water. 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.
Valory (system with floor mounted column) | Product Information | 179 Patient data security The user must ensure that the patients’ legal requirements are met and that the security of the patient data is guarded. The user must define who can access patient data in which situations.
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180 | Valory (system with floor mounted column) | Product Information • 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.
Valory (system with floor mounted column) | Product Information | 181 Product Complaints Any health care professional (for example a customer or a user) who has any complaints or has experienced any dissatisfaction with the quality, durability, reliability, safety, effectiveness, or performance of this product must notify Agfa.
182 | Valory (system with floor mounted column) | Product Information Environmental protection Figure 90: WEEE 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.
Valory (system with floor mounted column) | Product Information | 183 System Documentation The Valory user documentation consists of • Valory User Documentation on USB flash drive (digital media) • MUSICA Acquisition workstation (NX) User Documentation on USB flash drive (digital media) •...
184 | Valory (system with floor mounted column) | Product Information Training The user must have received adequate training on the safe and effective use of the system before attempting to work with it. Training requirements may vary from country to country. The user must make sure that training is received in accordance with local laws or regulations that have the force of law.
Valory (system with floor mounted column) | Product Information | 185 Technical Data Topics: • Valory technical data • Generator Technical Data • Radiographic Table Technical Data • Wall stand technical data • Floor mounted column technical data • X-Ray Tube Technical Data •...
186 | Valory (system with floor mounted column) | Product Information Valory technical data Manufacturer Agfa NV Septestraat 27 2640 Mortsel, Belgium Type 5540/100 Power line See Generator Technical Data Permanent filtration E7254FX X-ray 2.8 mm Al @75kVp tube (+ 0.2 mm Al with DAP meter integrated in the collimator) E7884X and 2.9 mm Al @ 75kVp...
Valory (system with floor mounted column) | Product Information | 187 Generator Technical Data Manufactur- Spellman High Voltage Electronics GmbH Josef-Baumann-Strasse 23 D-44805 Bochum, Germany Supported EDITOR HFe 401 EDITOR EDITOR EDITOR Models HFe 501 HFe 601 HFe 801 Max. Power...
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188 | Valory (system with floor mounted column) | Product Information MUSICA Ac- 45 W quisition workstation (typical, without UPS and extra monitors) High voltage output values High voltage 500mA: 80kV 625mA: 800mA: 800mA: power out- 80kVp 80kVp 80kVp 400mA: 100kV put (at 0.1s)
Valory (system with floor mounted column) | Product Information | 189 Radiographic Table Technical Data Manufacturer DK Medical Systems Co., LTD 52, ChupalSandan1-gil, Paengseong-eup, Pyeongtaek–si, Gyeonggi-do, Korea, 17998 Type TE-90A TF-90A Dimensions Radiographic table TE-90A: 2206 mm x 800 mm x 530-820 mm...
190 | Valory (system with floor mounted column) | Product Information Wall stand technical data Manufacturer DK Medical Systems Co., LTD 52, ChupalSandan1-gil, Paeng- seong-eup, Pyeongtaek–si, Gyeonggi-do, Korea, 17998 Type DS-90A Dimensions Height 2351 mm Width 650 mm Depth 432 mm...
Valory (system with floor mounted column) | Product Information | 191 Floor mounted column technical data Manufacturer DK Medical Systems Co., LTD 52, ChupalSandan1-gil, Paengseong- eup, Pyeongtaek–si, Gyeonggi-do, Ko- rea, 17998 Type SF-90A Dimensions Width x height x depth 250 cm x 224 cm x 130 cm...
192 | Valory (system with floor mounted column) | Product Information X-Ray Tube Technical Data Manufacturer Canon Electron Tubes & Devices Co., Ltd. 1385 Shimoishigami Otawara-Shi, Tochigi-Ken 324-8550 Japan E7884X X-ray Tube 12º 150 kVp dual focal spots 0.6 and 1.2 mm...
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Valory (system with floor mounted column) | Product Information | 193 mAs Product Step Step Step Step 0.63 Tube current [mA] Step Step (only for generator with 50 kW power or higher) (only for generator with 65 kW power or higher)
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194 | Valory (system with floor mounted column) | Product Information Exposure time [ms] Step Step Step Step 1250 1600 2000 2500 3200 4000 5000 6300 1000 Note: Not all exposure parameters may be available, depending on the configuration of X-ray generator, X-ray tube and DR Detector.
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Valory (system with floor mounted column) | Product Information | 195 In regular use these maximum exposure settings will not create doses that can cause deterministic effects. Effective patient doses for typical exposures are listed in Test Report for IEC 60601-1-3.
196 | Valory (system with floor mounted column) | Product Information Bucky technical data Manufacturer DK Medical Systems Co., LTD 52, ChupalSandan1-gil, Paengseong-eup, Pyeong- taek–si, Gyeonggi-do, Korea, 17998 Supported sizes 14x17 inch (43x35 cm) 17x17 inch (43x43 cm) in portrait and landscape orientation...
Valory (system with floor mounted column) | Product Information | 197 Automatic Exposure Control (AEC) Technical Data Table 35: Varex AEC ionization chamber Manufacturer Varex Imaging Americas Corp. 3835 Carnation Street Franklin Park, IL 60131 U.S.A. Supported Type ICX1945B Description...
198 | Valory (system with floor mounted column) | Product Information Manual Collimator Technical Data Manufacturer Ralco Via dei Tigli 13/G 20853 Biassono (MB), Italy Supported type R 221 Maximum radiation leakage 150 kVp – 4 mA Inherent filtration 2 mm Aluminum equivalent...
Valory (system with floor mounted column) | Product Information | 199 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 DAP resolution 0.01 cGy x cm...
200 | Valory (system with floor mounted column) | Product Information Portable DR detector technical data Refer to the DR Detector User Manual. 0426A EN 20220804 1858...
Valory (system with floor mounted column) | Product Information | 201 Fixed mounted DR detector technical data Manufacturer Manufacturer DR detector Vieworks Co., Ltd. (Gwanyang-dong), 41-3, Burim-ro 170beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, Korea Distributor DR detector Agfa NV Septestraat 27, B-2640 Mortsel - Belgium...
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202 | Valory (system with floor mounted column) | Product Information Pixel size 140 µm Active pixel matrix 3072 x 3072 Effective pixel matrix 3048 x 3048 Detector type amorphous silicium Active area size 430 mm x 430 mm Effective area size 426.7.0 mm x 426.7 mm...
Valory (system with floor mounted column) | Product Information | 203 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 0426A EN 20220804 1858...
204 | Valory (system with floor mounted column) | 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.
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The Valory system 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.
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206 | Valory (system with floor mounted column) | Product Information (50/60 Hz) in accord- respond to the typical values ance with IEC as they are in a 61000-4-8 commercial and clinical en- vironment. REMARK : U is the alternating current in the network before the application of the test level.
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Valory (system with floor mounted column) | Product Information | 207 This device is intended for operation in an electromagnetic environment in which the radiated high frequency disturbance variables are monitored. The user of the device can help to prevent electromagnetic...
208 | Valory (system with floor mounted column) | Product Information 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;...
Valory (system with floor mounted column) | Product Information | 209 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.
210 | Valory (system with floor mounted column) | Product Information 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...
Valory (system with floor mounted column) | Product Information | 211 Maintenance on EMC relevant parts Concerning the EMC safety (Electromagnetic Compatibility) of the Valory 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.