Siemens Healthcare Luminos dRF Max Operator's Manual

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Luminos dRF Max

Operator Manual – VF11 and higher

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Page 1 Luminos dRF Max Operator Manual – VF11 and higher siemens-healthineers.com...
Page 2: Configuration
WARNING consists of the following elements: • Information about the nature of a hazardous situation • Consequences of not avoiding a hazardous situation • Methods of avoiding a hazardous situation VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 3: Table Of Contents
Installation, repair, or modifications 2.3.7 Product service life 2.3.8 Disposal Cleaning and disinfection 2.4.1 Important general information 2.4.2 Cleaning and disinfection process 2.4.3 Special cleaning information 2.4.4 Surfactant disinfectants 2.4.5 Sterilization VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 4: Configuration
Operating elements for system positions 4.3.3 Movement of 3D overhead support 4.3.4 Movement of X-ray system 4.3.5 Tabletop movements 4.3.6 Movement of tube assembly stand 4.3.7 Automatic system positioning 4.3.8 Table movements VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 5 SmartOrtho on the patient table 5.6.2 SmartOrtho on the SmartOrtho stand 5.6.3 Preparing Ortho 5.6.4 Releasing the Ortho exposures Interventional radiology 5.7.1 System recovery 5.7.2 Contrast medium 5.7.3 Important labels VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 6: Configuration
Three-field template, set 6.2.30 Laser light localizer template 6.2.31 Detector protector (patient support) 6.2.32 Clip-on grids 6.2.33 Wall holder for grids 6.2.34 Radiation protection for the upper body VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 7: Configuration
WLAN access point Aruba 303 Location of labels 7.2.1 System identification and approval labels 7.2.2 Additional labels Electromagnetic compatibility (EMC) 7.3.1 Essential Performance 7.3.2 Precautions for EMC - 4th Edition Glossary Index VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 8: Introduction
To operate the Luminos dRF Max system accurately and safely, the operating personnel must have the necessary expertise as well as knowledge of the entire Operator Manual. It must be read carefully prior to starting up the Luminos dRF Max system. Information about this Operator Manual This Operator Manual is valid for the following product: •...
Page 9: Value Statements
• Operator Manual and precautions: Read and understand all the instructions in the Operator Manual before trying to use the system and request additional training from Siemens Healthcare if necessary. Keep the Operator Manual with the equipment at all times and periodically review the procedures and safety precautions.
Page 10 Establish procedures for handling the patient in case of the loss of fluoroscopic imaging or other system functions during an examination. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 11: System Safety
The following are pictograms and their meanings as they may apply to your system (IEC standard). Alternating current Equipotential bonding Caution: Read Operator Manual Caution: Laser Pushing prohibited Attention: Hot surface (at the X-ray tube) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 12: Laws And Regulations
• Safety check for technical construction at least every 2 years USA and Canada Corresponding to the Medical Device Directive in the EU, Luminos dRF Max complies in the U.S.A. and Canada with the applicable standards. Federal law stipulates that this system may only be sold to a physician or by order of a physician.
Page 13: Explosion Protection
2 System Safety 2.1.4 Explosion protection Luminos dRF Max is designed for operation in explosion-endangered areas. CAUTION The system is not designed for operation in explosion-endangered areas. It does not fulfill the requirements for AP/APG classification. Danger of explosion! ◆ Do use the system where explosive atmospheres can arise.
Page 14: Information About The Software
• Device log data shall be stored for a reasonable time period; • Devices shall be placed in network zones which fulfill and are appropriate for their information security requirements; VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 15: Third Party Software
• Siemens Healthineers releases a security patch for the system regularly (90 days) to repair general security vulnerabilities. Third-party software Only software authorized by Siemens Healthineers for use with this product may be used. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 16: Data Security
The system and user software used in this product is protected by copyright. DICOM conformity The digital imaging system is DICOM-conform. The “DICOM Conformance Statement” is available on request from Siemens Healthcare or via the Siemens Healthineers Internet homepage. Data security Personal data are subject to data protection.
Page 17: Personal Safety Measures
Manual. Please read the Operator Manual. 2.2.2 Information about unit movements Because of the possible speed of movement of the system, it must be operated with particular care. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 18 Risk of collision, risk of injury to patient or operator, risk of damage to the system. ◆ Do load the remote console with any objects, accessories, folders, or documents. ◆ If movement does not stop, press the nearest emergency STOP button. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 19: Danger Of Crushing
2.2.6 Collision protection The Luminos dRF Max system has a collision control device comprising all motor driven moving components like tube support, detector support, tabletop and wall stand. VF11 and higher | Operator Manual Luminos dRF Max Print No.
Page 20: Red Emergency Stop Buttons
In case of a system failure, press the emergency STOP button and unlock it again. The system is reinitialized. Where are the emergency STOP buttons? You find the emergency STOP buttons in the following locations: STOP VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 21: Emergency Shutdown Button (Installed On-Site)
Consequences: • All unit movements are interrupted • Radiation is turned off • The current system program is interrupted VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 22: Switching On Again
2 If the stop function does not respond normally, immediately activate an emergency shutdown to turn off the entire system. If this happens, you may not continue to use the system. Contact the Customer Service. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 23: Power Failure
The patient weight includes any parts permanently or loosely connected with the patient, such as equipment, prostheses, implants, plaster casts. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 24: Maximum Load
• Lift range not limited; reduced speed • Tabletop: Centered in both directions; no movement allowed Restriction for patient position: • Patient prone or supine position, centered on the table VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 25: Avoiding Equipment Damage
2 Move monitor support systems, operating consoles, gurneys, beds, and instrument tables out of the tilting range of the table. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 26: Danger Zones / Danger Points
Danger zones / danger points The positions marked in the following illustrations show danger zones in which patients or operating personnel could suffer injury by crushing or colliding: VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 27 ◆ Table movements do not stop immediately when the control elements are released. ◆ Most axes perform a short overtravel movement. Danger points Risk of injury by crushing or collision VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 28 If the operating personnel leaves the room or moves out of reach of an emer-gency stop, the patient must be moved out of the danger zone. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 29: Tube Support
Danger of crushing the patient (knee, hand) with the compression unit ◆ Pay special attention to the danger zone (1) between the compression unit and the sitting patient. ( Page 282 Detector holder, lateral) Tube support VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 30 Crushing of patient seated with legs under the detector (for example, a wheelchair patient) ◆ Do not move the detector while a patient is seated near the wall stand. ◆ Move the patient away from the wall stand first. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 31: Grip Locations
◆ Make sure during the examination that the patient does not hold on to the edges of the patient table under any circumstances. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 32: Safety During Patient Examination
1 Position the X-ray system in the approximate acquisition position. 2 Move the patient to the acquisition position. 3 Set the X-ray system to object height. Always watch the patient during this movement. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 33: Safety Device
◆ To rescue or release the patient from the system, proceed as described in the following. During the following steps, make sure that the patient is not crushed! VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 34 1 Lift the mattress at the foot end to unfasten the hook and loop fastener or velcro fastener. 2 Put some paper or cloth between tabletop and mattress so that the velcro does not fasten again. 3 Unfasten safety straps, if applicable. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 35: Room Lighting
Checks Image quality can deteriorate over time because of aging and normal wear or damage of the monitor and other components. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 36: Radiation Protection
Siemens Healthineers does not accept any liability for diagnoses made on the basis of images from non-approved hardcopy cameras. 2.2.16 Radiation protection The X-ray equipment Luminos dRF Max with radiation protection complies with IEC 60601-1-3 :2008 and IEC 60601-2-43:2010 + AMD1:2017 + AMD2:2019. Mode of operation: Continuous VF11 and higher | Operator Manual Luminos dRF Max Print No.
Page 37 9 Set the X-ray tube to skin distance as large as is reasonable for each examination. A larger focal spot to skin distance leads to a lower air kerma. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 38 ◆ Before starting system movements, make sure that the foot switch for fluoroscopy and radiography in the examination room is not in the travel range of the receptor system. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 39 ◆ Check that the tube is active and use the light marker for positioning before releasing X-ray. Radiation protection zones Position and dimensions of the main operating area Horizontal patient table (1) Focus point (2) Reference axis Main operating area VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 40 2 System Safety Dimensions in cm Vertical patient table Main operating area Dimensions in cm Stray radiation in the main operating area According to IEC 60601-1-3:2008 and IEC 60601-2-54:2009 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 41 (1) cm above floor (2) µGy/h (Air Kerma Rate) Characteristic C and D: horizontal/vertical 75 kV, 13 mA (antiisowatt) (1) cm above floor (2) µGy/h (Air Kerma Rate) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 42: Reducing Radiation With C.a.r
X-ray spectrum that are not necessary to make the image. This causes hardening of the beam, reducing not only the air kerma for the patient but also the scattered radiation for the examiner. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 43 (usually 2 Gy) (configurable. Contact your Siemens Healthineers representative, if you prefer a different display.) As well as: • Permanently The accumulated dose-area product VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 44: Information About Dose Measurement
At the Air Kerma rate of 13,86 mGy/min at the reference point, a reference dose of 2 Gy is reached after 8658 s fluoroscopy. Deterministic effects are probable at this dose (2 Gy). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 45 (l, m, (l, m, ter) ter) ter) ter) Air kerma rate 1,64 2.50 2.95 3.92 4.14 7.54 9.32 11.36 13.86 0.45 (30cm above tabletop) [mGy/min] Dose rate 172.5 [µGy/s] VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 46 Air kerma rate 1.46 2.11 2.48 3.26 2.91 5.02 6.44 7.72 9.27 0.23 (30cm above tabletop) [mGy/min] Dose rate 65.1 76.5 100.8 238.5 286.5 [nGy/p] VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 47: Equipment Safety Measures
For all products that are operated within an X-ray system, the power supply must be made through a contactor or other multipole circuit breaker installed on-site. The room installation must comply with DIN VDE 0100-710 or the corresponding national regulations. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 48: Power Outlet
DIN 57107/VDE 0107/6.81 section 5 (Federal Republic of Germany) or the relevant local and federal regulations. Attention: To avoid the risk of electrical shock, a protective conductor must be implemented. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 49: Opening The Units
◆ Maintenance work should be performed by trained technical personnel only. ◆ Purchasing a maintenance contract will keep the system in optimum condition. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 50: Periodic Maintenance
Protection of patient and personnel Visual check of cables and how cables against electric shocks are laid for safety deficiencies Accessories Safety of patients Check for safety deficiencies VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 51 Movable components Protection of patients, personnel Cable lead-in, movement behavior and, and unit if applicable, brakes Accessories Safety of patients, personnel Check for functionality and for good condition VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 52: Preventive Maintenance
Preventive measures must be adopted or repairs must be undertaken as appropriate. The specified maintenance intervals correspond to the minimum requirements. Compliance with stricter national legislation may be necessary Maintenance interval: 24 months for the entire system VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 53: Quality And Function Tests
What is checked Overall system Optimum operation on the basis of the Interaction of all system components specifications listed in the data sheet according to the assured characteristics VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 54 Image documentation systems Compliance with specifications and Gray scale reproduction, geometric legal requirements* imaging characteristics, resolution, optical density, artifacts Ensuring image quality * DHHS and country-specific regulations must be observed VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 55: Combination With Other Products/Components
IEC 60601-1. If in doubt, consult the technical service department or your local representative. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 56: Installation Recommendations
2.3.6 Installation, repair, or modifications Modifications of or additions to the product must be made in accordance with the legal regulations and generally accepted engineering standards. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 57: Technical Documents
Please talk to your Siemens Healthineers Representative about these measures early enough! 2.3.8 Disposal On disposing of the complete system or parts thereof, currently valid environmental legislation must be observed. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 58: Cleaning And Disinfection
( Page 62 Sterilization) 2.4.1 Important general information Safety hints Switch off the Luminos dRF Max and disconnect it from the main power prior to cleaning or disinfecting. CAUTION Use of harsh cleaning agents, liquids, or sprays. Risk of electrical hazard or damage to the system ◆...
Page 59: Cleaning In General
When cleaning, use suitable gloves for your own protection. Equipment 1 Only use water or a lukewarm diluted household cleaning agent solution. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 60: Cleaning And Disinfection Process
6 Thoroughly wipe the surfaces of the product one more time with a sufficiently soaked wipe for disinfection. 7 Make sure that all surfaces, existing grooves and protrusions of the product can be reached during the disinfection process and are completely moistened. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 61: Special Cleaning Information
It is recommended to clean the back of the detector first so that it has more time to dry while the front is being cleaned. Parts mounted above the patient ◆ Remove dust on parts mounted above the patient regularly. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 62: Accessory Parts
Their concentration in the air must not exceed the statutorily defined limits. Follow the manufacturers' instructions for use of these products. 2.4.5 Sterilization The system does not require sterilization. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 63: System Overview
3.1.4 Physical funtionality A Luminos dRF Max system may be used for projection of radiographic and fluoroscopic examinations of both adults and children (removable scattered radiation grid). • On the patient table, X-rays can be taken on the recumbent or sitting patient from head to foot.
Page 64: Conditions Of Use
Refer to ( Page 11 System Safety). System configurations 3.2.1 Configuration (1) Basic configuration without second plane consisting of: • Luminos dRF Max examination unit • Flat detector • OPTITOP X-ray tube assembly • POLYDOROS F X-ray generator • Primary collimator •...
Page 65: Configuration
Configuration (7) Basic configuration plus fully synchronized 3D overhead support and the mobile MAX wi-D and MAX mini. 3.2.8 Examination techniques You can perform examinations with the following techniques: VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 66: Product Features
The basic system is equipped with a solid-state flat panel detector for universal use. It is suitable both as intensively used universal workstation and as a highly loaded special workstation. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 67: System Overview
( Page 83 Ceiling-suspended X-ray tube with multileaf collimator) (3) Wall stand (second plane) ( Page 90 Wall stand) (4) Wall holder for mobile detector ( Page 293 Wall holder for grids) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 68: Basic System
3 System Overview 3.4.1 Basic system (1) Luminos dRF Max examination unit ( Page 69 Examination unit) (2) Display trolley ( Page 319 Display trolley) (3) System remote control console (4) FLUOROSPOT Compact with monitor, keyboard, and mouse (5) Moveable tableside control trolley with footswitch for fluoroscopy and exposure (...
Page 69: Examination Unit
Examination unit (10) (11) (12) (13) Luminos dRF Max Detector with tableside control panel Adjustable hand grip at the front Head-end safety bar Adjustable hand grip bar (located on back), secure in all patient positions Detachable compression device with continuously adjustable compression force...
Page 70: Video Manager (Option)
For more details, refer to ( Page 153 Video Manager) and the Operator Manual of the FLUOROSPOT Compact imaging system. 1) SmartView VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 71: System Components
• If no input signal is present, e.g. during startup, No Signal will be displayed. • If no image or a blurred image, vertical lines or other defects, are displayed, notify the Customer Service. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 72: System Remote Control Console
All parameters necessary for the examination are displayed on the Touchscreen User Interface (TUI). Most of the functions of the TUI are related to the digital imaging system. Please refer to the FLUOROSPOT Compact Operator Manual. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 73 Preselect flipping about horizontal axis on/off Inverse orientation transversal on/off Inverse orientation longitudinal on/off Unit orientation on/off Monitor orientation on/off Enable DVD recording Disable system movements Block radiation CAREPOSITION on/off VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 74 Fulcrum height for oblique projection (= isocenter) Tomographic height setting above tabletop Increasing SID up to 150 cm with indication when reached Decreasing SID up to 115 cm with indication when reached VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 75 Modular joystick user interface (2a) User interface with ST filter control (2a) User interface without ST filter control VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 76 – Middle: Button with LED to enable semi transparent filters – Right: Button with LED to move finger filter or semi transparent filters into home position - out of beam VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 77 – Exposure release with button on front side of joystick shaft. In the upper left corner is a blue LED for the activation state of the dead man’s grip (DMG) • LED is on: DMG is activ VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 78: Footswitch For Fluoroscopy And Exposure
• Display of a flashing “E” for an error message Right display: • Oblique projection angle (maximum ±45°) or • Tube rotation angle (-90°/+180°) or • Display of a flashing “E” for an error message VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 79: System Settings
Automatic system positioning for upright patient transfer Automatic system positioning for horizontal patient transfer Bypass key for actuating system movements if the ceiling- mounted tube is not in park position VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 80: Multileaf Collimator
Tape measure for SID setting (cm and inch) (10) Slide for covering the laser line light localizer (at the bottom) (11) Integrated measuring chamber for dose area product (not shown) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 81: Display Field
(1) Measuring tape for SID/SOD measurement (2) Laser-line light localizer with slider to cover the outlet opening (3) Crosshairs in the light localizer window (4) Locking spring for accessories VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 82 The Cu prefilter changes to the next value each time the button is pressed. Possible settings are: 0.0 mm Cu (no prefilter); 0.1 mm Cu, 0.2 mm Cu and 0.3 mm Cu. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 83: Ceiling-Suspended X-Ray Tube With Multileaf Collimator
The display on the MAXtouch informs you about the position of the support (SID, tube angle), the generator settings, patient name, organ programs, and so on. Movement control elements VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 84 Vertical tube movement up (motorized) Vertical tube movement down (motorized) Longitudinal tube movement Centering display Transverse tube movement Centering display Tube rotation about the horizontal axis Floating tube movement (longitudinal, transverse, vertical) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 85 LASER line light localizer can be closed with the sliding cover (5a). (5a) (5a) ( Page 144 Using the laser-line light localizer) Accessory rails (6) The accessory rails may be loaded with maximum 70N (7kg). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 86 FLUOROSPOT Compact Operator Manual. General functions Icon Short description Round buttons start an action immediately Square buttons toggle a function or open a popup menu Important message with confirmation VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 87 Detector rotation horizontally Detector rotation vertically Detector tilt on wall stand Detector height on wall stand MAX detector tilt about landscape axis MAX detector tilt about portrait axis Table height VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 88 This is to prevent the possibility of radiation being emit‐ ted through the inadvertent actuation of an exposure release button. CAREPOSITION on/off Select stand movement speed VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 89 Currently selected detector (MAX wi-D or MAX mini) displayed Directly accessible displays Icon Short description Patient name and additional configurable filing parameter Patient position Status Ready Status Not ready VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 90: Wall Stand
• The wall stand has a centering function – fully automatic centering of X-ray tube on middle of detector or its upper edge • The wall stand can be mounted on the floor. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 91: Operating Elements
(5) Button for manual vertical movement (on both sides) (6) Buttons for motorized vertical movement (on both sides) (7) Degree of tilting angle (8) Patient hand grips (on both sides) (9) Holder for hand-held remote control. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 92 MAXtouch. When the patient uses the stretch grips during exposures onto the wall stand, take care to ensure that the detector unit is fixed in the 0° position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 93 (tube to detector) With optional ceiling-suspended X-ray tube: ( Page 120 SID tracking) Light localizer switch SmartMove button for starting movement control Moves system into predefined OGP positions. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 94 0°/vertical and +90°/horizontal or up to -20°. ◆ Press the button (4) for unlocking the tilt mechanism and tilt the detector tray to the required position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 95 But be assured that the detector is fixed by the clamp (C) top right. 5 Press the brake handle. 6 Carefully and slowly slide in the detector tray with the detector. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 96 The responsibility for selecting and inserting the scattered radiation grid to be used for an exposure lies with the examiner. Removing the grid 1 Move the detector unit to the 0° position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 97 3 Place the grid against the top and bottom guide rail. 4 Holding it vertically and straight, push the grid all the way in. When the grid has reached the end position, the locking lever engages. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 98 ◆ Select a suitable organ program at the FLUOROSPOT Compact imaging system or the MAXtouch for an exposure onto the wall stand. Exposure with vertical beam Workstation "Wall stand vertical" projection VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 99: Wireless Detectors (Max Wi-D Or Max Mini)
◆ Press the button for the light localizer / linear light localizer on the collimator or on the hand-held remote control. 3.5.8 Wireless detectors (MAX wi-D or MAX mini) (1) Detector MAX wi-D (2) Detector MAX mini (3) Detector indicators VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 100 ◆ Check that detector identification on the detector label matches the detector identification shown on the user interface. ◆ Check that the green ready light on the correct detector is lighted before releasing radiation. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 101 LED orange - blinking fast , Switching OFF (going to OFF n.a. n.a. then red flashlight on the 3 mode) when requested by LEDs, then OFF message or by time-out VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 102: Acoustic Signals
• Skin dose threshold alert • X-ray tube too hot • Paging remote control • User information display • Error message requiring user confirmation The sounds can be configured by Customer Service. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 103: System Operation
◆ Purchasing a maintenance contract will keep the system in optimum condition. 4.1.1 System switch-on/off The Luminos dRF Max system may be in one of the following operating status: • Off All the components of the system and the imaging system are turned off except for the detectors which remain in standby mode.
Page 104: Switching Off
◆ Press the button on the remote control console. The entire system and all further connected devices are immediately switched off. All started operating sequences will be interrupted and the selected programs will be deselected. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 105: Restarting The System
1 Press the OFF button an the console. 2 When the Fluorospot Compact imaging system has shut down (dark monitor), press the ON button again. When the power-up process has been completed, Luminos dRF Max is again completely ready for operation. 4.1.3...
Page 106 The UPS is on battery mode (3) Alarm indicator (red) The UPS has an active alarm or fault (4) Escape (5) Up (6) Down (7) Enter (8) ON/OFF button VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 107 The UPS is powering the system with the battery power. and the UPS is in bat‐ Prepare your system for shutdown. tery mode. Battery LED is on 1 beep every 10 seconds VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 108: Ups Operation
2 Check the UPS front panel display for active alarms or notices besides the “Battery mode” notice and notices that indicate missing utility power. 3 Resolve any active alarms before continuing. ( Page 110 Troubleshooting) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 109: Operation On Battery Power
• The audio alarm stops. Return of AC input power Following an outage, the UPS restarts automatically when AC input power returns and the load is supplied again. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 110: Troubleshooting
Functional and safety check 4.2.1 Daily tests After system switch-on ◆ Perform a visual inspection of all displays and signal lamps on the operating units. No errors must be indicated. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 111: Damage Check
9 Run a functional test of the proximity switches (collision protection) by performing an arbitrary system movement and pressing a proximity switch during the movement. The movement concerned must stop immediately. 10 Release the proximity switch. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 112 Check the center position of radiation unit and Bucky wall stand (not with Multitom Rax) with the light localizer and check the collimation. Light on ◆ Press this button at the multileaf collimator. The light beam for collimation appears (time limited). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 113: During Examination
2 Check the patient positioning devices, for example the hand grips. 3 Initiate system movements only under the following conditions: There is no danger of injury to the patient or third parties. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 114: Monthly Tests
Max examination unit are only possible when the ceiling-suspended X-ray tube is in park position. The park position is indicated at the MAXtouch of the fully synchronized ceiling- suspended X-ray tube. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 115: Operating Elements For System Positions
The selected function is not yet concluded (see relevant chapter for description). Start positions Automatically determined system movements are performed with the SmartMove button depending upon the selected operating mode (Tomography, Scan Technique). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 116 TUI: “Severe error, please call service” All other movements are possible. A warning signal (beep) sounds on actuating and during the movement. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 117: Movement Of 3D Overhead Support
Rotating: The X-ray tube unit (with multileaf collimator) can be rotated manually about two axes: • about the horizontal axis (RHA = rotation horizontal axis) • about the vertical axis (RVA = rotation vertical axis) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 118 3 Pull the overhead support into the required position. Adjusting height (z direction) motor driven ◆ Press one of the buttons on the 3D overhead support control panel for up or down movement. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 119 The accuracy of the stop positions of the tube unit might decrease to ±3°, due to hard wear for example. Lateral image information might be “cut”. Always check the alignment of the tube unit with the light localizer. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 120 In addition to the tracking control perpendicular to the beam direction (in x direction), a further tracking control (in z direction) can be activated for keeping the SID (source- image distance) constant: Touch the SID tracking button at the MAXtouch. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 121: Movement Of X-Ray System
When moving the X-ray system towards the end position, please be aware that the table will start to move in the opposite direction once the X-ray system has reached the end position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 122: Tabletop Movements
This calculated range depends upon the room height and the system position. You can move the tabletop only within this range. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 123: Movement Of Tube Assembly Stand
Thus you can adjust it to the position of the object to allows isocentric viewing on the monitor. The additional mechanical centering device ensures that the central beam is centered onto the image receptor for each projection angle. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 124 For fluoroscopy, position the isocenter for oblique projection at the object height. The object centering on the monitor will remain the same without shift if you select oblique projection. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 125: Automatic System Positioning
4.3.7 Automatic system positioning The system can be moved automatically in a predefined OGP position using the SmartMove button on the system control console or the tableside control. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 126 If this function is switched on and the tilting-down or tilting-up operating element is activated longer than 0.5 s, the tabletop lowers to the minimum table height. Table tilt VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 127 ◆ Read off the tilt in degrees in the status area of the TUI. – or – Read off the tilt in degrees on the tableside control panel. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 128 ◆ Do not move the table while a patient is seated near the table. The table will stop automatically. ◆ Move the patient away from the table first. ◆ Press one of the keys. The tabletop moves up or down. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 129: Compression Device
Compression device (1) Compression device (2) Compression cone The Luminos dRF Max can be equipped with a stationary mounted compression device with detachable compression cone. Using the compression device • You can apply a maximum compression force of 150 N or 80 N (configuration for Japan only), adjustable in 15 or 8 (configuration for Japan only) steps.
Page 130 ◆ Read off the indication in the status area of the TUI. At the monitor ◆ Read off the indication at the bottom right on the monitor. At ± 90°, compression varies from displayed value. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 131: Tomographic Settings
The average fulcrum height (120 mm) is set automatically when the system is switched on. At the system remote control console ◆ Press one of the keys to adjust the fulcrum height. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 132: Preparation And Handling Of The Wireless Detectors
In such situation, protect the detector with a single use plastic bag. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 133 Symbol indicates waterproof detector. Additional symbols on the detector underside (1) IP code moved to a different label (2) Symbol for manual cleaning (3) Triangle for correct battery position VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 134 Proceed as indicated in the system messages to solve the problem. Maintenance No other maintenance action is required except the calibration needed for image quality, whose frequency is defined by the system program. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 135 Be sure to use the detector unit on a flat place so it will not bend. Otherwise, the detector may be damaged. hit the detector surface in any way. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 136 ◆ Protect such patients from exposure to the surface of the detector. Detector temperature If one of the following messages appears: • “Detector temperature below valid range” or • “Detector temperature above valid range” VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 137 ◆ Check the detector temperature icon on the display regularly. Operation and setting of WLAN (1) Base station (WLAN access point) (2) Wireless connection (3) MAX detector (4) FLUOROSPOT Compact imaging system (5) PACS VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 138 • 802.11n: 65 Mbps (OFDM) Pixium 3543 EZ, Pixium 3543 EZh, Pixium 2430 EZ detectors with option #M###; 802.11n: 260 Mbps (OFDM) Modulation techniques OFDM / CCK Network architecture Infrastructure mode VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 139: Changing The Battery
Changing the battery CAUTION Incorrect handling of detector battery Explosion or fire ◆ Handle the battery pack carefully. ◆ Do not drop, heat, open or mishandle it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 140 1 Open the locking system of the battery as shown in the figure. 2 Remove the discharged battery. 3 Orientate the charged battery in the correct position: battery connector (1) facing the device connector (2). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 141 If the battery of the detector is completely empty, charge it and wait at least 60 minutes. The detector needs a warm-up time between 60 and 120 minutes to achieve good image quality, depending on environmental temperature and switch-off time. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 142: Scattered Radiation Grid
MAXswap With the MAXswap functionality, it is possible to share several wireless MAX detectors between different systems (Ysio Max, LUMINOS Lotus Max, Luminos dRF Max, Luminos Agile Max, Mobilett Mira Max, MOBILETT Elara Max, and Multitom Rax). You can detach a wireless MAX detector at the system where it is not needed and attach it to another system.
Page 143 Removing the grid 1 Press the two buttons at the detector. The grid will spring out. 2 Grasp the handle and remove the grid completely. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 144: Setting The Source-Image Distance (Sid)
◆ Close the sliding cover over the laser light to protect the eyes of the patient and other people. ◆ Note that the collimator can heat up when the light localizer is used for a longer period of time. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 145: Rotating The Multileaf Collimator
Hands between the collimator and the overhead column Risk of injury ◆ Grasp the collimator on the sides when turning it so that there is no risk of crushing your hands. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 146: Collimation
• You can set the collimation with the light localizer via the knobs on the multileaf collimator. Only manual collimation is possible for free exposure. 1 Rotate the diaphragm knob to adjust the format height. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 147 1 Press the SmartMove button until the message "Final position reached" is displayed. A sound will be played on the TUI, and the collimation is set to the one stored in the OGP. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 148 (for Japan only) 1 Deflect the left throttle in y-direction. Width blades open or close. 2 Deflect the right throttle in y-direction. Height blades open or close. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 149 Semitransparent wedge filters Operation is exclusively at the system remote control console or the mobile tableside console. Left or right wedge filter (finger filter) Double wedge filter (finger filter) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 150 With assymetric collimation, the sitting patient does not have to lean over anymore for exposures of the upper extremities. The decentered positioning close to the edge of assymetric collimation allows easier positioning of, for example: • Ellbow joint • Forearm VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 151: Careposition
(LIH). When the column or tabletop is moved, the new position is displayed by a contour line. Refer to the FLUOROSPOT Compact Operator Manual for further details. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 152: Additional Cu Filter
The system will return to the originally selected measurement field when the collimator is opened. During fluoroscopy, the contours of the measurement fields can be superimposed briefly on the image (can be configured by Siemens Healthineers Customer Service). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 153: Video Manager
If you unintentionally press this key for longer during an examination, the input sources will be searched through again. You can cancel the process by pressing this key again briefly. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 154 The video frames are displayed on the reference monitor in the examination room and on the second monitor in the control room. The video frames are stored simultaneously in the imaging system in DICOM format. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 155: Examination
7 Make sure that the patient uses the provided grip locations. 8 Let the patient get on or off the table only in the central area. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 156: Positioning The Patient On The Table
1 Position the tube unit. ( Page 118 Positioning the 3D overhead support with tube unit) 2 Observe messages on the display and if necessary on the patient display. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 157: Positioning The Patient
◆ Using the handles bring the X-ray tube unit into position, if necessary into the pull-in range of the tracking control. Light localizer Switch on the light localizer / line light localizer if necessary on the multileaf collimator: ◆ Press the button. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 158 SID within the SID range. • Manual: You can collimate additionally further close to the object if required with the control knobs for format collimation on the multileaf collimator: VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 159: Fluoroscopy
See the FLUOROSPOT Compact Operator Manual for more details. Changing the selection of the operating mode ◆ It is possible to change the selection of the operating modes in connection with CAREVISION. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 160: Carevision
You can select or deselect this function only when radiation is not being released. Roadmap is automatically deselected when the organ program is changed or when the patient list is displayed. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 161: Automatic Format Collimation In Fluoroscopy
When the red emergency STOP button is actuated, fluoroscopy can be switched back on consciously after releasing the fluoroscopy switch and pressing it again. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 162: Fluoroscopic Data
Portable detector cannot be connected to system due to hardware or software problems Portable detector not available for use ◆ Maintain procedures and equipment so that cassettes can be used in place of the portable detector if necessary. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 163: Misuse Of Radiography
That is head end at the left, looking onto the patient with the table horizontal. (1) Left dominant (2) Right dominant (3) Middle dominant (4) Central circular dominant VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 164 Exception: Central circular dominant at the table. Left dominant Middle dominant Right dominant Selectable dominant combinations Central circular dominant at the table Selecting dominants ◆ Press one of the keys. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 165: Acquisition
The zoom format cannot be changed during an exposure series. Only the collimation is corrected on changing over to a larger zoom level. Creation of programs Refer to the FLUOROSPOT Compact Operator Manual. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 166: Exposure Release
If you let go of the exposure release button during radiation, the exposure is interrupted immediately in single exposure. In series, the last exposure is still exposed correctly. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 167: Tomography
The radiation ON indicators must light up briefly during the exposure. 5.3.6 Tomography With tomography and an appropriately equipped system, you can acquire an image in layers from different angles on the patient table. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 168 1 Select the required tomography organ program. The tomography angle/time and the fulcrum height adjustment are displayed on the Rad subtask card of the FLUOROSPOT Compact or on the Touchscreen.. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 169 With the exposure release button pressed, the tube assembly stand moves back into the starting position. 4 Prepare the next tomographic exposure: Set a new tomographic height. 5 Press the exposure release button up to the first pressure point. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 170: Scan Technique
The frame rate is fixed to 2 f/s. To enable other functions, select a different organ program. Generate an organ program for the Scan Technique in the series image menu. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 171 As long as the release button is pressed, the image receptor will move and acquire images. 5 Send the images from the imaging system to the syngo.via View&GO using the "DICOM Send” function. The images are composed on the syngo.via View&GO. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 172 6 If the LED in the SmartMove key flashes press this key. The compression device moves into park position, if present. Oblique setting moves into the 0° position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 173 5 Position the patient on the footboard or directly on the floor. Patient standing physiologically: Feet, hip and ankle must be aligned (for ap: heels not against table); both legs must be loaded in the same way. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 174: Exposures Onto Detector In Wall Stand
5.4.1 System configurations Exposures on the mobile MAX wi-D or the fixed detector (MAX static)in the wall stand are only possible with the following system configuration: VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 175: Exposure Workflow
5 Examination Configuration (3) Basic configuration plus wall stand with the mobile MAX wi-D. Exposures with the tube assembly of the Luminos dRF Max basic unit onto the mobile MAX wi-D in the wall stand. Configuration (4) Basic configuration plus fully synchronized 3D overhead support and wall stand with the mobile MAX wi-D.
Page 176 ◆ If necessary, switch on the light localizer / line light localizer on the multileaf collimator pressing this button. Auto Exposure Timer ◆ Pay attention to the positioning with respect to the Iontomat measuring chambers. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 177 The automatic format preselection ACSS is active when the central beam is vertical to the detector/cassette. ◆ To achieve this, position the tube using the centering button. Acquisition ◆ Refer to the FLUOROSPOT Compact Operator Manual. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 178 Risk of damage to the detector and injury of the patient ◆ Make sure that the detector is not mechanically overloaded as for example by patient sitting on it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 179 Set the SID by using the buttons on the detector unit. 4 Make an exposure. Attention: No SID tracking is possible for this mode. Positioning for oblique projection Configuration (3) only VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 180 Pay especial care in the diagnosis to distortions of the image geometry due to the oblique projection! Tracking ✓ Wall stand OGP 1 Move system in wall stand position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 181: Free Exposures
• Lateral exposures on the MAX wi-D or MAX mini in the detector holder at the table or in the mobile detector holder. Lateral exposures can be done only with the fully synchronized 3D overhead support (configurations (3) and (5)). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 182: Maxalign
The following free exposures are possible: • Exposures on a cassette placed on a patient trolley, for example • Exposures on a cassette placed on the floor (for example, exposures of the feet) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 183: Collimation During Exposure
With tabletop cassette exposure or the tube assembly swivelled out, the system automatically switches over to “Free mode / tabletop exposure”. The automatic format collimation system is disabled. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 184: Releasing An Exposure
Example: SmartOrtho a.p. lying (region with 3 positions) Acquisition position 2 Acquisition position 1 Acquisition position 3 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 185: Smartortho On The Smartortho Stand
( Page 64 System configurations) To perform automatic Ortho imaging onto the wall stand, the SmartOrtho stand is needed. ( Page 246 Multipurpose / SmartOrtho stand (11105090)) Required system configuration: Luminos dRF Max with SmartOrtho stand and the SmartOrtho license. 5.6.3 Preparing Ortho You can perform the settings via MAXtouch, TUI tableside control, or from the control room on the FLUOROSPOT Compact display.
Page 186 ( Page 187 Positioning the patient on the patient table) ( Page 187 Positioning the patient on the SmartOrtho stand) ( Page 187 Changing/entering the TOD) ( Page 188 Adjusting the Ortho ROI) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 187 Measure the SOD (source-object distance) using the tape measure. (TOD = SID - SOD) 2 Select the correct TOD on the MAXtouch. A “bing” sound indicates that the value has been registered. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 188 The target area has to be adjusted and the start and end positions have to be set again. 6 Turn off the laser light. 7 Collimate the region of interest in width. (Collimation in height will be adjusted automatically.) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 189 If the same acquisition parameters shall be applied for the second and further acquisitions of the Ortho series: 3 Click the STOP regulation icon. Regulation stop for exposure control is applied for further images. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 190: Releasing The Ortho Exposures
System recovery System recovery in case of a failure during examination in interventional radiology All functions of the system can be recovered within 10 min by the following procedure: VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 191: Contrast Medium
For more information and details, refer to your Siemens Healthineers contact person. 5.7.3 Important labels The permitted patient weight on your tabletop is stated on the label on the tabletop and in the technical data. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 192: Prerequisites For Interventions
( Page 210 Interventional kit) 5.7.5 Application of interventional radiology With "DSA for interventional applications", the Luminos dRF Max X-ray system fulfills the "Particular Requirements for the Safety of X-ray Equipment for Interventional Procedures" according to IEC 60601-2-43:2010 + AMD1:2017 + AMD2:2019.
Page 193: Free System Movements
• Before starting system movements, in particular lowering and tilting the unit, ensure that there are no obstacles in the movement area. • Make sure that the patient does not actuate the switch rail between the tabletop and the stand. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 194: Cardiopulmonary Resuscitation (Cpr)
5 Examination 5.7.8 Cardiopulmonary Resuscitation (CPR) The Luminos dRF Max system is designed for cardiopulmonary resuscitation (CPR=Cardio-Pulmonary Resuscitation). CAUTION System cannot be brought into position for CPR (e.g. because of power failure). Resuscitation (CPR) cannot be performed ◆ For interventional procedures, the table must be in a position where CPR can be performed.
Page 195: Fluoroscopy In Interventional Radiology
To prevent radiation release, activate Block Radia‐ tion in the Exam task card on the touchscreen con‐ • Foot switch trol. Injector See Operator Manual of the injector VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 196: Patient Entrance Reference Dose
SID 115 cm. 5.7.13 Reduction of patient skin entrance dose Reduction of the air kerma strength as a function of the Cu prefiltration with 20 cm PMMA object thickness. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 197: Concept Of The Interventional Patient Entrance Reference Point
Isodose curves According to IEC 60601-2-43:2010 + AMD1:2017 + AMD2:2019 The measurements were performed at the Luminos dRF Max with a fixed table height of 89 cm. The isodose values behind the tilting/lifting base (160°-200°) drawn as dashed lines are reduced considerably.
Page 198 • Source - phantom surface 79 cm • Small focus, SID 115 cm, without Cu prefilter • Vertical, downward projection. Luminos dRF Max without second plane Tabletop horizontal • Without mobile radiation protection • Scattered radiation of isodose curves in µGy/(Gy cm²) at 110 kV, 2.7 mA •...
Page 199 5 Examination Isodose 150 cm above the floor Luminos dRF Max with second plane Tabletop horizontal • Without mobile radiation protection • Scattered radiation of isodose curves in µGy/(Gy cm²) at 110 kV, 2.7 mA • The conversion factor to the unit (µGy/µGy m²) according to IEC 60601-2-43:2010 +...
Page 200 5 Examination Isodose 100 cm above the floor VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 201 5 Examination Isodose 150 cm above the floor VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 202: Accessories And Auxiliary Devices
Devices Preliminary Remarks This part of the Operator Manual describes all the system accessories provided by Siemens Healthineers for the Luminos dRF Max system. 6.1.1 Proper use of the accessories Proper use of the accessories presupposes that the user has read and understood this part of the Operator Manual in detail.
Page 203: Orientation Of Accessories
Turn toward the right means tighten accessory with knurled screws or levers (clockwise) • Turn toward the left means remove accessory with knurled screws or levers or other fastening devices (counterclockwise) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 204: Use Of Several Accessory Components
5 Check that all accessory components are securely attached. Description 6.2.1 Foot switch for fluoroscopy and exposure (1) Pedal for exposure (with precontact) (2) Pedal for fluoroscopy Application For releasing radiographic or fluoroscopic exposures. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 205 2 Turn the locking ring of the plug to the right until the connector is seated properly. 3 Route the cable along the floor appropriately. 4 Position the patient. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 206 1 Step on the right pedal (foot switch for fluoroscopy). 2 Continue pressing down on the pedal as long as fluoroscopy should be released. 3 Stop pressing down on the pedal. Fluoroscopy release ends. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 207: Battery Charger
For each charging slot, there are 4 LEDs. When there is no battery to be charged, all LEDs should be off. There is 1 bottom LED (orange or green) and 3 green LEDs. Charging levels Fault signal VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 208: Charging Troubleshooting
No battery inserted Battery not inserted correctly. 1 Remove battery and insert it again correctly. 2 If problem remains, check that connectors are not damaged or battery is not faulty. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 209: Wall Charger
Inserting the MAX wi-D detector correctly for charging To charge the MAX wi-D detector correctly, proceed as follows: 1 Insert the MAX wi-D detector into the corresponding compartment (charging station) of the wall charger. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 210: Interventional Kit
The covers can be cleaned with normal cleaning agents. Cleaning and disinfection" Attaching the front (1) and rear (3) covers ✓ The tabletop is in the horizontal position VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 211 Attaching the cover at the foot end (2) ✓ The table is in the horizontal position. ◆ Slide the flat gray end (B) of the cover (2) underneath the tabletop. Front cover attached (1) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 212: Removing The Covers
The mattress is used for comfortable patient positioning and is attached to the protection strip of the tabletop. Radiation protection value The attenuation equivalent is < 0.5 mm Al. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 213: Hand Grip, Lateral
The hand grip can be attached to either of the two lateral accessory rails of the patient table. 1 Hold the base (1) of the hand grip and loosen it by turning the hand grip (2) counterclockwise. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 214: Removing The Hand Grip
The maximum permissible load of the protection strip is 20 kg. Attachment ✓ Patient table in horizontal position 1 Loosen the cap screws (1) on the protection strip. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 215: Hand Grip Strip
The hand grip strip can be attached to front or back accessory rail in order to assist in positioning the patient. The maximum permissible load of the hand grip strip is 20 kg. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 216 We recommend placing the hand grip strip on the far side of the user. 4 Tighten both cap screws. 5 Make sure that the hand grip strip is secure by pulling and pressing on it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 217: Head Support
1 Loosen both cap screws (1) for attaching the head support to the accessory rails. 2 Insert the head support into the accessory rails at the head end or foot end of the table and move it to the appropriate position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 218 15 Turn the head of the patient to the right or left as required for the examination. The scale indicates the angle in degrees ”°”. 16 Tighten the cap screw (4). 17 Ensure that the patient is comfortable and stabilized properly. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 219: Arm Support
For securing the arm of the patient for injections, IVs, or insertion of a catheter. Attachment ✓ Patient table in horizontal position 1 Position the patient. (1a) 2 Open the clamping lever (1a). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 220 ✓ Patient table in horizontal position 1 Pull the clamp upward and loosen the strap. 2 Raise the arm of the patient from the arm support. 3 Open the clamping lever (1a). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 221: Shoulder Supports, 1 Pair
When in Trendelenburg position, the patient is protected against slipping only by the shoulder supports. Pull on the shoulder supports to be sure that they are securely attached before moving the patient into the Trendelenburg position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 222: Leg Support
◆ Tighten the cap screws and make sure that the leg support is securely fastened. ◆ Tighten the straps appropriately. Attachment ✓ Patient table in horizontal position 1 Loosen both cap screws (1). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 223 3 Wrap the straps around the leg supports. 4 If necessary, remove the leg supports by loosening the cap screws (2). 5 Loosen the cap screws (1). 6 Remove the flanges from the accessory rails. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 224: Foot Rest
CAUTION Attaching or detaching the foot rest Risk of injury ◆ Consider the heavy weight when handling the foot rest. Weight of the foot rest: ~ 15 kg. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 225 Press the left hand grip firmly to the accessory rail and release the spring-loaded part of the left hand grip (3). 3 Then lower the right side onto the accessory rail and release the spring-loaded part of the right hand grip (4). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 226 Make sure that patients standing on the foot rest hold on to the hand grip or the hand grip strip. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 227 Samples of incorrect attachment There should be no visible gap between the end of the tabletop and the foot rest. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 228 2 Lift the foot rest first on the right-hand side from the accessory rail. 3 Then remove the foot rest on the left-hand side from the accessory rail. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 229: Maintenance Note
The maximum patient weight must not exceed 150 kg at a Trendelenburg position >45°. Inspection/maintenance note Check that the foot holder is in a proper condition at regular intervals of about two months. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 230 The heels or toes of the patient should lie lightly on the tabletop. 8 Release the locking tab. 9 Check the locking of the foot holder by pulling on it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 231: Swivel Stool
The swivel stool is attached to the foot rest and is used for examinations in sitting position. The rotation range of 360° allows front and side views without standing. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 232 Check that foot rest and swivel stool are in working condition at regular intervals of about two months. Attachment ✓ Foot rest attached. ( Page 224 Foot rest) ✓ Table tilted to 20°. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 233 1 Push the locking tab on the back of the foot rest down and hold it firmly. 2 Pull the metal pins of the rotating chair out of the holes of the foot rest. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 234: Compression Belt
The attenuation equivalent of the compression belt is ≤ 0.8-mm Al. Attachment ✓ The patient table is in the horizontal position. 1 Position the patient on the table. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 235 In this case, and for restless or frail patients, we recommend that someone assists you in attaching the compression belt. 6 Lift the belt holder (B) with the belt across the patient. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 236 11 Push and pull back on the ratchet handle (1), until the belt tension is optimal. 12 Check the belt tension on the patient once again. Loosening ✓ The patient table is in the horizontal position. 1 Press the ratchet handle (1) back. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 237 9 Pull the tensioning part (A) from the front accessory rail. 10 Assist the patient in stepping down from the patient table. 11 Using the cap screw (3), roll up the belt on the tensioning part (A). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 238: Compression Belt
Daily checks 1 Check tension lever. 2 Check cap screw. 3 When the cap screw and tension levers are in locked status, check if the compression belt is locked. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 239 (5) Tag for ratchet handle (6) Tag for cap screw Ratchet handle (1) upward: tightened (2) downward: released Tag for ratchet handle (1) upward: released (2) downward: tightened Tag for cap screw VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 240 In this case, and for restless or frail patients, we recommend that someone assist you in attaching the compression belt 7 Lift the holder with the belt across the patient. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 241 3 Turn the cap screw (3) on the tensioning roller toward the right. The compression belt unclenches. 4 Use the ratchet handle to set a lower belt tension. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 242 12 Use the cap screw (3) to roll up the belt on the tensioning roller. Using the compression belt on the wall stand Attachment 1 Position the patient. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 243 The belt unclenches. For the attachment to the wall stand, we recommend that two persons fasten the compression belt. 6 Lift the holding part with belt over the patient. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 244 2 Turn the cap screw (3) on the clamping part to the right. The belt unclenches. 3 Set a reduced belt tension once again with the ratchet lever. Removal 1 Push the ratchet lever (1) to the back. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 245 -20°C to +70°C (Transport and storage) Relative humidity: 10% to 95% rel. air humid‐ ity without condensation Barometric pressure: 500 hPa to 1060 hPa Aluminum equivalent ≤ 0.8 mm Al VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 246: Multipurpose / Smartortho Stand (11105090)
(3) UR label/ UR (4) Identification label for compression belt 6.2.18 Multipurpose / SmartOrtho stand (11105090) The SmartOrtho stand is necessary to position the patient correctly for Ortho imaging. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 247 Positioning the Ortho support Injury of the user ◆ Follow the instructions in the Operator Manual. ◆ Be careful not to pinch your fingers, hand or legs during positioning. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 248: Using The Brakes
1 To lock the brakes push the pedal down towards the symbol of the closed padlock (1). 2 To release the brakes push the pedal down towards the symbol of the open padlock (2). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 249 In this case, use the additional steps. (1) Wheels (there are more wheels on the left side) (2) Handle (another handle is on the right side) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 250: Hand Grips
Patient hand grips slip because the guide rails are contaminated Patient injury ◆ Clean the Ortho support with a suitable agent. ◆ Check that there is no oily residue on the guide rails. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 251 Check that the locking screws on both hand grips are properly fixed to prevent the hand grips from disengaging while the patient is leaning on them. Disengaging hand grips might cause injuries to the patient and/or damage to the support! VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 252 ◆ Make sure that the swivel stool is attached correctly to the ortho support. ◆ Push and pull the stool to make sure that it is secure before positioning the patient. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 253 The holding device is used to position the ruler on the image. (1) Locking screw (2) Ruler (3) Positioning slots (4) Movable holding arm (5) Guide rail How to use the holder for the ruler VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 254 5 Position the ruler in the slot and fix it with the fixing clamp as shown above right. BABIX holder for multipurpose stand The BABIX holder is used to fasten the BABIX during pediatric examinations of small children. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 255 1 Slide the support arm (2) with the BABIX holder (3) from above on the guide rail (4) and fix it with the cap screw (1). The BABIX holder can only be mounted on the right guide rail at the top. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 256 3 Move the BABIX holder (2) around the vertical axis in steps of 90° by lifting it with the holding knob (4) and turning it. Detector holder for Multipurpose / SmartOrtho stand VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 257 4 Lift the fixing device (1). 5 Place the detector on the lower holder. 6 Slide the fixing device downward. 7 Ensure the detector is seated properly in the holder. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 258: Technical Data
Positioning the Ortho stand Injury of the user ◆ Follow the instructions in the Operator Manual. ◆ Be careful not to pinch your fingers, hand or legs during positioning. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 259 (4) Additional removable platform for smaller patients (for example children) and for examinations of the lower extremities (5) Brake pedals (on both sides) (6) Patient platform (with positioning indentations for additional platform and swivel stool) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 260 Mounting the Ortho stand Patient can slip or fall down ◆ Position the patient hand grips at the lowest possible position when the patient is mounting or dismounting. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 261 Removing the handgrips 1 To remove the hand rips when used as stretch grip, just turn the locking screws counterclockwise and remove the handgrips upwards from the guide rails. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 262: Brake Pedals
(1) Padlock closed (2) Padlock open Push the brake pedal down towards this symbol to lock the brakes, support cannot be moved. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 263 Risk of patient injury ◆ Make sure that the patient is seated securely on the swivel stool. ◆ Position a handgrip so that the patient can hold on. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 264 Ruler with holding device The holding device is used to position the ruler on the image. (A) Locking screw (B) Ruler (C) Positioning slots (D) Movable holding arm (2) Guide rail VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 265 4 To position the ruler in one of the two holding slots first of all open the fixing clamp as shown above left. 5 Position the ruler in the slot and fix it with the fixing clamp as shown above right. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 266 BABIX holder loaded with more than 10 kg Injury of persons ◆ Do load the BABIX holder with more than 10 kg. (1) Cap screw (2) Support arm (3) BABIX holder (4) Guide rail VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 267 ◆ The hook of the BABIX holder can be turned in steps of 90° around the vertical axis by lifting the BABIX holder with the holding knob and turning it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 268: Detector Holder
1 Lift the fixing device (1). 2 Place the detector on the lower holder. 3 Slide the fixing device downward. 4 Ensure the detector is seated properly in the holder. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 269: Location Of Labels
DIN EN 60601-1-3 Location of labels All labels displayed in the operator manuals are examples only and may differ from the labels attached to the system and components. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 270 6 Accessories and Auxiliary Devices (2)(3)(9) (10)(11) (7)(8) (4)(5)(6) (1)(2)(3) (1) Weight label (200 kg) (2) Type B equipment label (3) Refer to manual label (4) Ortho stand ID label VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 271 (5) China nameplate label (6) Weight label (120 kg) (7) DHHS label (8) Al equivalent label (9) Handgrip ID label (10) Weight label (30 kg) (11) Caution label VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 272: Plastic Drain Bag Assembly
(1) Supporting rod (2) Holding device (3) Spring frame VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 273 1 Mount the supporting rod (1) with the two provided screws to the foot side of the table. Mounted supporting rod 2 Plug the holding device (2) in the supporting rod (1). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 274 3 Attach the end pieces of the spring frame (3) to the bolts (4). The holes (5) must face upward. 4 Push the locking bar (6) through the hollow seam of the drain bag. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 275 1 cm between the tabletop and pad. 8 After use, dispose of the drain bag in an environmentally compatible manner according to relevant regulations. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 276: Infusion Bottle Holder
3 Tighten the cap screw. 4 Push and pull on the IV holder to ensure it is seated properly. 5 Hang one or more IVs on the loops. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 277 4 Ensure that the upper section and extension rod are secured. 5 Loosen the cap screw (1). 6 Lift the base of the IV holder from the accessory rail or slide it off the accessory rail. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 278: Anesthesia Screen Holder
1 Push the lever (1) of the clamping device (2). 2 Hold the lever and put the clamping device straight on the accessory rail. 3 Let go of the lever (1) to fasten the clamping device (2). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 279: Cassette Holder, Lateral
13 x 18 cm vertical or 18 cm x 24 cm horizontal. Attachment ✓ Patient table in horizontal position. 1 Position the patient. 2 Open the clamping lever (1). VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 280: Cassette Holder Without Retainer
5 Open the clamping lever (1). 6 Remove the cassette holder from the accessory rail. 7 Assist the patient in stepping down from the patient table. 6.2.24 Cassette holder without retainer VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 281 1 Remove the cassette from the bracket of the cassette holder. 2 Remove the cassette holder from the tabletop. 3 Assist the patient in stepping down from the tabletop. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 282: Detector Holder, Lateral
Examples of application The detector holder is to be used only on or above the tabletop or directly at the side of the tabletop (see examples above). Danger points VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 283 ◆ Make sure the detector holder is securely fastened. 4 To move the detector holder vertically use the crank (1). Inserting the detector 1 Insert the detector into the detector holder from above. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 284: Overhead Patient Hand Grip
The overhead patient hand grip engages in the 0°, 90º, and 180° positions. For easy storage of the overhead patient hand grip, a wall holder is provided. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 285 1 Pull the overhead patient hand grip axially approximately 1 cm against the spring force to the front. A red mark is visible to indicate that the overhead patient hand grip is not locked. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 286: Compensation Filters
• Adult skull • T-spine, L-spine • Shoulder Compensation filter for pelvis and compensation filter for foot Compensation filter for infant skull and compensation filter for adult skull VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 287 The safety spring in the left rail is pushed beside in this case. 2 Push the filter up to the stop. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 288 Removal 1 Pull filter out of the accessory rails of the multileaf collimator The safety spring in the left rail has to be pushed beside in this case. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 289: Filter Holder For Eight Filters
◆ Place the filter in a free compartment of the wall holder, turn the filter so that you can read the designation on the filter reading normally from above. 6.2.29 Three-field template, set Application For exposing the measuring fields on the object to be exposed. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 290: Laser Light Localizer Template
An additional localizer template can be used to generate a 90° offset laser light. This ensures a radiation-free adjustment of the exposure projection and patient positioning. 6.2.31 Detector protector (patient support) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 291: Clip-On Grids
The maximum load on the detector protector must not exceed the specified value on the label. Al equivalent The Al equivalent value is 1.39 (for 3.7 mm Al). 6.2.32 Clip-on grids MAX mini MAX wi-D VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 292 1 Put the detector with the bottom in the clip-on grid as show in above figure. 2 Push the detector gently down against the loading spring of the clip-on grid and let it slide smoothly into the clip-on grid and let go. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 293: Wall Holder For Grids
6.2.33 Wall holder for grids This holder is used for storage of exchangeable grids. It can be mounted to the wall. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 294: Radiation Protection For The Upper Body
2 Wipe off heavy dirt and grime with a linen cloth moistened with alcohol and then rinse with clear water. 3 Remove blood spots best of all with cold water. 4 Remove contrast medium spots best of all with warm water. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 295 4 Position the radiation protection window so that it protects the eyes and thyroid of the examiner. For patient positioning and when not in use, the upper body radiation protection should be positioned outside the swivel range of the system. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 296: Radiation Protection, Removable
The lead equivalent of the double-layer lead-rubber flap is 0.5 mm Pb at 80 kV. Attachment 1 Recommendation: Set the examination unit horizontal and lower the table to minimum height. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 297 (do not kink them). 2 Pull the bars out from the accessory rails of the collimator. 3 Store the accessory in a suitable place. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 298: Radiation Protection, Lateral
6 Tilt the radiation protection into a protective position. The radiation shield can be tilted inward on the accessory rail as well as outward and completely down. Removal ✓ Patient table in horizontal position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 299: Babix Holder
3 Tighten the cap screw. 4 Pull and push the holder to ensure that it is seated properly. 5 Tighten the cap screw and ensure it is secure. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 300: Babix Holder For Bucky Wall Stand
This makes it possible to position the BABIX at different locations up to right in front of the front panel of the wall stand. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 301: Manual Holder For Pediatric Cradle
(1) at the support arm (2) for their stability and loading capacity. 4 Hook the bow of the BABIX (U-shape) in the hook of the BABIX holder. 6.2.39 Manual holder for pediatric cradle VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 302 4 Tighten the cap screw (2). 5 Please tighten the cap screws firmly. Apart from the clamp, there is no further fastening or securing for the cradle holder. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 303 To make your work easier, we recommend that two persons fasten the cradle in the cradle holder and remove it again. Reason: The sitting cradle together with the infant can weigh up to 18 kg. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 304 The wide knurled ring turns to the left in this case and springs back into its basic position. The red dot on the narrow ring (7) must be located opposite the red dot on the wide knurled ring (8) of the cradle holder. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 305 2 Loosen the knurled ring (9) on the back of the cradle holder. 3 Raise or lower the sitting cradle with the handle into the examination height. 4 Tighten the knurled ring firmly. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 306 Please take care that the infant is strapped safely in the cradle. 3 Tighten the knurled screw. 4 Check the firm location of the cradle by turning it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 307 6 Remove the sitting cradle with the infant from the X-ray room. 7 Loosen the retaining straps, lift the infant out from the cradle and care for it. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 308 2 Take care that the distance between the holders is large enough so that the cradles can hang without touching and can be easily removed or suspended. Refer to the suggestion on the following Figure. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 309 Maximum carrying capacity Cradle 640 mm 640 mm Up to 13 kg Cradle 720 mm 720 mm Up to 18 kg Made of radiolucent, not transparent material One cradle set VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 310 7 Fasten the Velcro tapes to the rail. Storing the Velcro tapes ◆ Install the fastening rail for the Velcro tapes on the wall at a good working height next to the sitting cradles. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 311: Patient Positioning Table, Mobile
• The thin tabletop surface can narrow the distance between the detector and the object to be exposed. • By using the brake control device, it is easy to position the patient table. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 312: Danger Points
The parts of the unit marked in the drawing below indicate possible danger zones where the patient or staff coned crush their fingers or be struck. Risk of injury for the operating staff when placing the tabletop in position. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 313 10 Release the brakes on both castors and move the table to a position convenient for the patient to leave the table; 11 Lock both castors and help the patient from the table. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 314: Technical Data
< 0.8 mm Al (according to measurement results based on GB 9706.12(IEC60601-1-3:2008) (100 kV/3.7 mm Al) Environmental conditions Temperature +10 °C to +35°C Relative humidity 30% to 70% Atmospheric pressure 700 hPa to 1060 hPa VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 315: Mobile Detector Holder
CAUTION The detector holder is not securely fastened. Injury of persons or damage to the detector or holder ◆ Make sure the detector holder is securely fastened. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 316: Examination Lamp
Generally the light is switched on or off directly at the lamp. Depending on the configuration or installation, the light can be turned on or off during the examination with the foot switch or by radiation on or off. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 317: Injector
• Injector head with holder on the accessory rails of the patient table Although a system might offer several different possibilities for connecting injectors, only one injector may be connected! Only use injectors approved by Siemens Healthineers. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 318 (3) Receptacle for injector plug (ODU interface) Label of foot switch receptacle Label of injector receptacle Attachment ◆ Insert the injector plug into the corresponding receptacle in the electronics cabinet. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 319: Moveable Tableside Control Trolley
• User interface identical to remote control console for FLUOROSPOT Compact lean onto the tableside control trolley! 6.2.45 Display trolley Example of trolley with two flatscreen displays (1) "Radiation On" lamp VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 320: Intercom System In Control Room
LED State System Operat‐ ing State Intercom System ready for use ON/OFF switched off flashes set-up mode Loudspeaker ON/OFF loudspeaker ON loudspeaker OFF Microphone ON/OFF microphone ON microphone OFF VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 321: "Push To Talk" (Ptt) Mode
Switching OFF PTT 1 Switch the intercom system off. 2 Push and hold this key (approximately 5 s) until the LED above the “Microphone” key flashes. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 322: Technical Description
The system belongs to protection class I with a type B applied part according to IEC 60601-1 Protection against ingress of water • IPx8: Foot switches • IPx3: Tableside control panel • IP22: Control Room Module • IPx0: Rest of system VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 323 • Without ceiling-mounted tube support at least 3.20 m • With ceiling-mounted tube support 3.30 m (without limiting system movements), from 2.50 m to 3.20 m with automatic restriction of movements by collision protection computer VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 324: Unit
– Tabletop: Centered in both directions; no movement allowed – Table height adjustments are possible with reduced speed. Restriction for patient position: – Patient prone or supine position, centered on the table VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 325 • 40 kW / 80 kW (IEC 60613) - thermal anode reference output 300 W • 52 kW / 103 kW (IEC 60613) - thermal anode reference output 0 W Radiographic anode input power 47 kW/85 kW (IEC 60613) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 326 30 - 40 V AC ; 50/60 Hz; 8A Aperture angle 28° / 28° Attenuation of the useful radiation Attenuation factor without cone m = 2.48 Attenuation factor with cone m = 2.50 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 327: Ceiling-Suspended X-Ray Tube
• With 300 cm trolley: 220 cm • With 400 cm trolley: 355 cm Travel range and speed Vertical travel range 180 cm, manual or motorized Vertical travel speed Up to max. 0.3 m/s VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 328 Cu prefilter Without filter; 0.1 mm; 0.2 mm; 0.3 mm; motorized and positionable via organ programs Rotation ±45° manually Collimator control Manual and motorized, preset via organ programs VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 329: Bucky Wall Stand
(option); Pb with paper interspacing Bucky wall stand front - detector dis‐ ≤ 4.2 cm tance X-ray absorption ≤ 0.5 mm Al (at 100 kV/3.7 mm Al HVL; DIN IEC 60601-1-3:2008) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 330: Detectors
66 % at 1 lp/mm 35 % at 2 lp/mm 19 % at 3 lp/mm 15 % at 3.4 lp/mm (Nyquist) Modulation depth at the Nyquist fre‐ Approx. 13% quency VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 331 Dimensions with detector housing 44.1 cm x 46.1 cm x 1.9 cm Active detector matrix 2350 x2866 Pixel size 148 µm Semiconductor material Amorphous silicon (a-Si) VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 332 Cesium iodide scintillator coupled to TFT matrix with amorphous silicon technol‐ Dimensions (active area) 22.5 cm x 28.4 cm Dimensions with detector housing 26.9 cm x 32.9 cm x 1.6 cm Active detector matrix 1520 x 1920 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 333: Generator Polydoros F
All technical data are typical values unless specific tolerances are stated. Nominal voltage 380 V/ 400 V/ 440 V/ 480 V +/- 10%, 50/60 Hz 3-phases VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 334 High-voltage waveform Multipulse Nominal shortest irradiation time For Luminos dRF Max unit and ceiling suspended X-ray tube: 2.5 ms at 80 kV (with semiconductor 5-chamber 10093995 and 3-chamber ION RAD 7006856 manufactured by IBA Dosimetry GmbH, anti-scatter grid, large focus, 80% power)
Page 335: Fluorospot Compact Imaging System
CD-R storage capacity • DICOM 3.0 format: about 300 images • Packed format: about 450 images • DICOM send • DICOM query/retrieve Export In TIFF or AVI format via CD-R VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 336: Displays
< 58 W; in power save mode: < 8 W Weight 5.8 kg Horizontal viewing area 178° (H and V) Dimensions (W x H x D) 42.2 cm x 34.8 cm x 9.5 cm VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 337: Display Trolley
36 VDC, max. 57 VDC via RJ-45 jack The following applies to PoE: Current supply lines must be electrically isolated according to IEEE 802.3at, dielectric resistance > 2 Mohms. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 338: Wlan Access Point Aruba 303
Different numbers and parameters (for example serial number) may appear on the actual label. The following symbols are contained in the labels, if applicable: Medical device VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 339: System Identification And Approval Labels
Those individual components may be devices in themselves. 7.2.1 System identification and approval labels Luminos dRF Max system labels (2) Manufacturer's identification label (up to serial number < 61600) Manufacturer's identification label (from serial number61600) Art. 22 MDR Combi Label...
Page 340: Additional Labels
Furthermore, the manufacturer "Siemens AG, Wittelsbacher Platz 2, D-80333 Muenchen" shown on some labels, will be changed to "Siemens Healthcare GmbH, Henkestr. 127, 91052 Erlangen" gradually. VF11 and higher | Operator Manual Luminos dRF Max Print No.
Page 341 Danger of crushing No loading Identification label of lift‐ ing/tilting base UL warning label Contact for footswitch Identification label of net assembly M1 Product version of net assem‐ bly M1 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 342 Product version of compres‐ sion device Identification label of detacha‐ ble tube Label “Made in Germany” Danger of crushing “Foot” Label CPR position Max. load on table “150 kg” VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 343 Designation Sample Max. load on table “180 kg” Max. load on table “230 kg” Max. load on table “300 kg” Read Operator Manual Luminos dRF Max foot rest labels Pos. Designation Sample Identification label of foot rest Label “Maximum load”...
Page 344 7 Technical Description Luminos dRF Max control console labels (Z2) (I2) Labels on backside Pos. Designation Sample Identification label of con‐ trol console Product version of control con‐ sole Windows licence label Contact for footswitch DHHS label VF11 and higher | Operator Manual Luminos dRF Max Print No.
Page 345: Electromagnetic Compatibility (Emc)
7 Technical Description Luminos dRF Max cup holder label Pos. Designation Sample Identification label of cup holder Electromagnetic compatibility (EMC) 7.3.1 Essential Performance According to the IEC 60601-2-54 Standard the product provides following Essential Performance: • Accuracy of Loading Factors •...
Page 346 The XP product should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary, the equipment or product should be observed to verify normal operation in the configuration in which it will be used. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 347 Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the Luminos dRF Max, including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.
Page 348 Warning against use of equipment nearby of emitters This equipment has been tested for radiated RF immunity only at selected frequencies; use of emitters in close proximity at other frequencies could result in improper operation. VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 349: Glossary
MAX is a Siemens Healthineers innovation that is available with the Luminos Agile Max, Luminos dRF Max, Luminos Fusion Max, LUMINOS Lotus Max fluoroscopy systems, as well as the Ysio Max, YSIO X.pree, Mobilett Mira Max, and MOBILETT Elara Max radiography systems.
Page 350 SmartView SmartView allows you to display and switch between images from different modalities. Source-Object Distance Tableside control console Table-Object Distance Touchscreen User Interface Uninterruptible Power Supply VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 351: Index
SHUTDOWN 21 safety check 238 technical data 336 emergency STOP 20 technical data 245 Display ceiling suspension 56 Bypass key 114 Compression cone Display trolley 319 detaching 131 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 352 MAXalign 182 label 340 Fluoroscopic curves 161 Maximum load 24 Implanted devices 23 foot rest 25 Fluoroscopic data 162 Information tabletop 24 about the software 14 Maximum weight 23 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 353 Ruler 264 Pictograms 11 positioning patient on patient table 187 Ortho stand 253 Plastic drain bag assembly 272 preparing 185 RVA 117 releasing exposures 190 Ortho composing 173 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 354 System remote control console 72 LCD description 107 operation 108 operation on battery power 109 troubleshooting 110 Table movements 126 Ortho 184 regulations 12 Table height 128 Usability 9 VF11 and higher | Operator Manual Luminos dRF Max Print No. XPD3-520G.620.04.03.02...
Page 355 Manufacturer Siemens Healthcare GmbH Siemens Healthcare GmbH Henkestr. 127 Henkestr. 127 91052 Erlangen 91052 Erlangen Germany Germany Phone: +49 9131 84-0 siemens-healthineers.com Published by Siemens Healthcare GmbH / Print No. XPD3-520G.620.04.03.02 / © Siemens Healthcare GmbH, 2021 Revision date: 2022-11...