Siemens Healthineers MULTIX Impact E Operator's Manual

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数字化摄影 X 射线机
Operator Manual – MULTIX Impact E 亿兴
VB10
siemens-healthineers.com

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  • Page 1 数字化摄影 X 射线机   Operator Manual – MULTIX Impact E 亿兴 VB10 siemens-healthineers.com...
  • Page 2 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 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 3: Table Of Contents

    2.2.7 Safety during patient examination 2.2.8 Radiation protection 2.2.9 Procedures and organ programs Equipment safety measures 2.3.1 Protection against electric shock 2.3.2 Electromagnetic compatibility (EMC) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 4 Checks concerning radiology 4.2.5 DAP display test Preparation and movements of the tube unit 4.3.1 Directions for moving and rotating the tube 4.3.2 Rotating the collimator MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 5 Performing IONTOMAT automatic exposure control Light localizer and collimation 5.5.1 Switching on and off of the light localizer 5.5.2 Switching on/off manually Collimation 5.6.1 Collimating manually MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 6 7.1.3 Labels on the patient table 7.1.4 Labels on the wall stand 7.1.5 Labels on the generator ON/OFF console Technical data 7.2.1 System 7.2.2 Components MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 7 Guidelines and manufacturer's declaration - electromagnetic immunity 7.3.3 Recommended separation distance between portable and mobile RF communications equipment and the system 7.3.4 RF transmitters Glossary Index MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 8: Introduction

    Exposures may be taken with the patient sitting, standing, or in the prone position. MULTIX Impact E uses digital detectors for generating diagnostic images by converting X- rays into image signals. MULTIX Impact E is also designed to be used with conventional film/screen or Computed Radiography (CR) cassettes. 1.1.2 Contraindications There are currently no known contraindications for MULTIX Impact E.
  • Page 9: Side Effects

    1.1.7 Physical functionality The MULTIX Impact E system may be used for projection of radiographic 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 10: Network Characteristics

    1 Introduction 1.1.11 IT network characteristics MULTIX Impact E may only be run in an environment approved or authorized by the manufacturer. The system may not be operated in public networks without firewalls or isolation. Refer to the “MULTIX Impact E Security White Paper and MDS Form”.
  • Page 11: Information About This Operator Manual

    To improve readability, your complete Operator Manual has been broken down into several individual Operator Manuals with thematically distinct content: • Operator Manual - MULTIX Impact E system • Operator Manual - MULTIX Impact E imaging system 1.3.1 Area of application This Operator Manual is valid for the following product: •...
  • Page 12: Operator Manuals On The Internet

    Any resemblance to names of real persons and institutions is entirely coincidental. All parameters and images shown in this Operator Manual are examples. Only the parameters displayed on your system are relevant. The MULTIX Impact E may be shown with expanded equipment or with optional accessories in some figures. 1.3.6...
  • Page 13: Value Statements

    Values in pictures of the software user interface, have no clinical meaning. Only set the values preset in the exam sets provided or the values recommended by experienced application specialists. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 14: System Safety

    Operator Manual. It must be read carefully prior to starting up the MULTIX Impact E system. Application training is supplied with the equipment according to the hand-over contract.
  • Page 15 • Safety check for technical construction at least every two years Regulations in the USA and Canada Corresponding to the Medical Device Directive in the EU, MULTIX Impact E 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 16: Explosion Protection

    1 Press the emergency SHUTDOWN button or actuate the main or disconnecting switch. 2 Use a CO fire extinguisher. use water! MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 17: Network Security

    ◆ Make sure that you know where the escape routes are. ◆ Make sure that you know where the fire extinguishers are located and familiarize yourself with the use of them. 3 Contact Siemens Healthineers Customer Service before performing any refurbishing work and before starting the system up again. 2.1.5...
  • Page 18 • Siemens Healthineers will provide timely patches or mitigations for serious software security vulnerabilities; • Siemens Healthineers releases a security patch for the system regularly to repair general security vulnerabilities. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影...
  • Page 19: Device Data

    Purpose: to monitor and ensure the normal operation of the system, and to authorize engineers to maintain the equipment. The equipment data is stored as files in local hard disk. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 20: Electrical Interface

    USB flash drive supported format by Windows 10 no special requirement (If customer needs, the USB batch stor‐ age device can be disabled.) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 21: Disaster Recovery

    2 System Safety Cybersecurity specific configurations The imaging station software of the MULTIX Impact E system is developed and run on the latest Microsoft Windows 10 Enterprise LTSB 1607 operation system. To protect the system from external network information hazards, Siemens Healthineers has enhanced the cybersecurity performance of the Windows 10 operation system, e.g.
  • Page 22: Information About The Software

    2.1.6 Information about the software Third-party software Only software authorized by Siemens Healthineers for use with this product may be used. The pre-installed security package provides protection against cyber attacks, viruses, malware and other damaging software. It ensures that only trusted applications are run on the systems.
  • Page 23: Remote Software Update

    The system and user software used in this product is copyright protected. DICOM conformity The digital imaging system is DICOM-conform. The “DICOM Conformance Statement” is available on request from Siemens Healthineers or via the Siemens Healthineers Internet homepage. Remote software update CAUTION Software installation will disturb system functions.
  • Page 24: 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. Siemens Healthineers does not accept responsibility for the safety features and for the reliability and performance of the equipment as the manufacturer, assembler, installer, or importer, in the following cases: •...
  • Page 25: Personal Safety Measures

    ◆ Use the provided hand grips to move ceiling-suspended parts. ◆ Whenever this is not possible, pay special attention to all crush zones on the column especially those involving the hands or fingers. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 26 Collision causes damage to the system Injury of persons ◆ Report severe collisions and corresponding damage to Siemens Healthineers service so that the system can be inspected. Unit movements should be started only if neither a patient nor a third party may be endangered and if no object may hinder unit movements.
  • Page 27: Emergency Shutdown Button (Installed On-Site)

    SHUTDOWN button can be released and the system operated again. 1 In all other cases, for example system malfunction, contact Siemens Healthineers Customer Service. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10...
  • Page 28: Emergency Procedures

    Power failure If the power network at the site is very unstable, it may be advisable to install an uninterruptible power supply to prevent data loss. Contact Siemens Healthineers for more information. With UPS for imaging system (Uninterruptible Power Supply) 1 In case of a short power failure, please try to switch on the system after some seconds.
  • Page 29: Mechanical Safety

    ◆ Always watch the patient when performing system movements. Check system and accessories daily for damaged or loose parts. If problems are found, have the parts repaired before resuming patient examinations. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 30: Warning Signs

    When the patient tabletop collides with an obstacle such as a bed or instrument table, hairline cracks can result. Call Siemens Healthineers Uptime Service and let the tabletop be checked immediately if it is possible that it has been damaged (for example accidental collision with the bed...
  • Page 31: Acoustic Signals

    To protect these components and also the patient, such components are provided with the warning sign shown on the left. We can provide you with these warning signs. The Siemens Healthineers Uptime Service will also attach them to additionally installed components on request.
  • Page 32: Patient Table

    • Be aware of the danger zone between patient table and detector tray. Patient table MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 33 2 System Safety X-ray tube support Tube base rail MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 34 2 System Safety Wall stand Wallstand with pulled out detector tray MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 35 Make sure during the examination that the patient does not hold on to the edges of the patient table under any circumstances. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 36: Safety During Patient Examination

    ◆ Use other positioning aids for immobilizing weak or very unstable patients. Correct image orientation - patient orientation It is the responsibility of the operator to ensure correct image orientation on the monitor or film. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 37: Room Lighting

    Prerequisites for diagnosis and treatment planning The MULTIX Impact E imaging system software has been designed and tested for use in diagnosis and treatment planning based on digital radiographic X-ray images and series. To ensure that the imaging system produces monitor images suitable for these purposes, the monitor must meet certain criteria for image quality.
  • Page 38 Use of hardcopy cameras Only hardcopy cameras approved by Siemens Healthineers may be used. Approvals by Siemens Healthineers refer to DICOM image type XA. Siemens Healthineers does not accept any liability for diagnoses made on the basis of images from non-approved hardcopy cameras.
  • Page 39: Radiation Protection

    2 System Safety 2.2.8 Radiation protection The X-ray equipment MULTIX Impact E with radiation protection complies with IEC 60601-1-3 :2013, IEC 60601-2-54:2018. Mode of operation: Continuous operation with intermittent loading Important information The automatic format collimation system for acquisition helps reduce the radiation dose to the patient and examiner considerably.
  • Page 40: Procedures And Organ Programs

    2.3.1 Protection against electric shock To avoid the risk of electric shock, a protective conductor must be implemented when connecting this device to mains power. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 41: Potential Equalization

    Risk of malfunction of nearby equipment. ◆ Reorient or relocate the equipment or system or shield its location. ◆ Test the operation of the equipment in its new location. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 42: Maintenance Plan

    This maintenance plan includes the required tests according to IEC 62353. Periodic maintenance Periodic maintenance includes: • Safety inspection • Preventive maintenance • Quality and function tests Maintenance interval: 24 months for the entire system MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 43 This employee has to archive all certificates. In addition to our repair service, Siemens Healthineers also offers you a complete range of services for preventive inspection and maintenance of your system. These services can be called on as required or agreed in a flexibly drafted service contract.
  • Page 44 Prevent damage to unit com‐ Final function test of all components ponents * DHHS and country-specific regulations must be observed † Depending on the system configuration MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 45 If there are differences, preventive measures must be taken or repairs performed, whenever is appropriate. Maintenance interval: 24 months for the entire system Listing of work steps to be performed: MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 46: Safety-Relevant Parts Subject To Wear

    * DHHS and country-specific regulations must be observed † Depending on the system configuration 2.3.4 Safety-relevant parts subject to wear This system contains no safety-relevant parts subject to wear. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 47: Product Service Life

    Combination with other products/components To ensure the necessary safety, only products or components expressly approved by Siemens Healthineers, may be used in combination with the system. The person connecting additional equipment to the medical device is considered to be the system configurer and is therefore responsible for ensuring that the current system configuration complies with the relevant standards (for example system standard IEC/EN 60601-ff and/or other applicable standards).
  • Page 48: Cleaning And Disinfection

    For all countries of the EU: In the member states of the European Union (EU) Siemens Healthineers will take back and will dispose of the packing material of your system.
  • Page 49 1 Only use water or a lukewarm diluted household cleaning agent solution. The use of other than the compatible cleaning agents can result in damage to the equipment. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 50 8 Follow the manufacturer's instructions regarding the exposure time of the disinfectant solution. 9 Let the system dry. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 51 • Clorox Healthcare Bleach Germicidal Wipes Touch User Interface (TUI) You must clean the TUI regularly because it becomes dirty with fingerprints: 1 Do not spray the TUI directly. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 52 Their concentration in the air must not exceed the statutorily defined limits. Follow the manufacturers' instructions for use of these products. Sterilization The system does not require sterilization. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 53: System Overview

    • For free exposures the Core XL can be equipped with a clip-on grid. 3.1.1 Application capabilities A MULTIX Impact E system may be used for projection of radiographic examinations of both adults and children (removable scattered radiation grid). • On the...
  • Page 54: Basic System

    3 System Overview Basic system 3.2.1 System overview in the examination room (1) MULTIX Impact E floor-mounted X-ray tube with collimator and Tubeside Control Module (TCM) or Touch User Interface (optional) (2) Patient table (3) Bucky wall stand (optional) 3.2.2...
  • Page 55: Image Station

    Operate the touch screen (optional) with one dry and clean finger. For further information refer to the Imaging System Operator Manual. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 56: Generator On/Off Console

    ◆ Only suitably qualified personnel should use the system. ◆ Check the radiation parameters before releasing X-ray. ◆ Pay special attention to the exposure index (EXI). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 57: Unit Overview

    3.2.5 Unit overview • X-ray tube with multileaf collimator ( Page 58 X-ray tube with multileaf collimator) • Patient table ( Page 70 Patient table) • Wall stand ( Page 73 Wall stand) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 58: X-Ray Tube With Multileaf Collimator

    3.3.1 Tubeside Control Module (TCM) The TCM is a user interface for control of tube movement. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 59 Tube rotation about the horizontal axis Floating tube movement (longitudinal and vertical) Tube position field Icon Short description SID in cm or inch Tube rotation angle RHA MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 60: Touch User Interface (Tui) (Optional)

    Press the TUI with one finger. The icons/buttons shown in this chapter only outline their performance and should not be taken as a detailed "pixel-by-pixel" design. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 61: Patient Information Field

    Longitudinal movement is in lock position. Tube rotation about the horizontal axis Floating tube movement (longitudinal and vertical) Patient information field (1) Patient information (2) Help button MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 62: Control Field

    You can select the patient size and workplace by using the pop up menu. Patient size The selected patient size is displayed with an icon. Icon Short description Small/thin patient MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 63 Restore the organ program parameters to default settings. Generator functions Icon Short description kV value selection ms value selection mAs value selection Dose value selection MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 64 Current: none For free exposures, a clip-on grid may be used. The status of the clip-on grid cannot be detected by the system. Current: unknown MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 65 Beam in center mode Red: beam not in center mode Collimation Icon Short description Collimator size in cm or inch Collimator mode Icon Short description Manual mode MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 66: Multileaf Collimator

    It can be set to four locking positions: • 0.0 mm (no) prefiltration • 0.1 mm prefiltration • 0.2 mm prefiltration • 0.3 mm prefiltration MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 67: Accessory Rails

    ◆ Do not exert any force on the multileaf collimator or its rails when inserting the accessory or auxiliary device. ◆ Check that the accessory is firmly anchored in the collimator rails. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 68 To protect the eyes of the patient or any other person, the laser radiation outlet (1) of the laser line light localizer can be closed with the sliding cover (1a). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10...
  • Page 69 2 To switch off the laser line light localizer, press the button again. The laser line light localizer can also be switched off automatically by an internal time switch. (The internal time switch can be set by Siemens Healthineers service. 5 s to 118 s)
  • Page 70: Patient Table

    With the brake knob, the detector tray can be moved manually in longitudinal direction. The detector tray can be stopped and fixed at any position within its moving range. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10...
  • Page 71: Detector Tray With Wireless Detector

    3.4.4 Detector tray with wireless detector Example (1) Wireless detector ( Page 74 Wireless detectors) (2) Handle of the detector tray (3) Stops MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 72: Foot Kick Switches In The Table Base

    1 Push the paper roll holder from the foot end or head end onto the tabletop. 2 Tighten/loosen it by turning the screws which can be find underneath the paper roll holder. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 73: Wall Stand

    Operating elements can be found on both sides. (1) Stand column (2) Front panel with imprint for detector position and measuring fields (3) Patient hand grips (4) Button for manual vertical movement MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 74: Wireless Detectors

    The wireless detector is part of a digital image acquisition chain in an overall radiological system. It features a portable equipment designed for mobile applications. The communication is managed through a WiFi interface. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 75 Battery capacity: ≤ 5% LED green - blinking Detector in startup n.a. Battery charging LED green - blinking (once) System in exposure n.a. n.a. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 76: Status And System Messages

    • The wireless detector is outside the room. Proceed as indicated in the system messages to solve the problem. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 77: System Operation

    4 System Operation 4 System Operation System switch-on/off The MULTIX Impact E system may be in one of the following operating status: • Off All the components of the system and the imaging station are turned off except for the detectors which remain in standby mode.
  • Page 78: Switching On After Power Failure Or After An Emergency Shutdown Switch Is Activated

    If you do so, problems may occur. 1 Press the OFF button on the console. The MULTIX Impact E system and the imaging system automatically shut down. If the ON button is pressed again within 10 seconds (configurable by Siemens Healthineers Customer Service), only the MULTIX Impact E system shuts down, not the imaging system.
  • Page 79: Emergency Shutdown Switch Activation

    5 Clean any contrast agent residues from the patient table, protective plate. Checking system movements Stand column with tube unit See also ( Page 85 Positioning the column stand with tube unit). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 80 Always check the alignment of the tube unit to the detector with the light localizer. ◆ Check the alignment of the tube unit to the detector with the light localizer. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10...
  • Page 81: Monthly Checks

    Risk of unnecessary radiation exposure ◆ Press the SHUTDOWN button to switch off the whole system. ◆ If no cause can be found, contact Siemens Healthineers Service and discontinue use of the system. 2 Check the patient positioning devices, for example the grip protection strip and hand grips.
  • Page 82: Constancy Test

    We recommend you to make this check at regular intervals - approximately monthly. Incorrect SID values can cause overframing. In this case please call the Siemens Healthineers Service. Constancy test Perform the constancy test according to the applicable (country-specific) national statutory provisions.
  • Page 83: Checks Concerning Radiology

    2 Convert the result into units of [µGy x m²] and compare it with the value displayed. 3 In case of inconsistent DAP values, call service. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 84: Preparation And Movements Of The Tube Unit

    • about the horizontal axis (RHA) • about the vertical axis (RVA) 4.3.2 Rotating the collimator For more detailed information refer to ( Page 89 Rotating the multileaf collimator) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 85: Positioning The Column Stand With Tube Unit

    The tube unit can only be moved out of the detent position by pressing the button again. The detent can be overrun at increased speed. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 86 The temperature of the tube surface during normal use reaches 50°C. In case of high energy radiation the temperature may exceed the 50°C. The buttons in the handles are configurable by the Siemens Healthineers service: • Floating movement in X- and Z-direction.
  • Page 87 2 Lower the tube unit support arm (2) if necessary. Move the tube unit into the required position by pushing/pulling the support arm handle (3) and the tube column (4). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 88 During oblique projections the angle in degrees is displayed on the TCM or TUI (optional). You must therefore absolutely measure the SID with the tape measure in the multileaf collimator. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 89: Rotating The Multileaf Collimator

    The collimator can be rotated out of the stop position 0°. The maximum rotation in both direction is ±45° by using the Siemens Healthineers tube flange. Assure that the rotation is not limited by the wiring harness.
  • Page 90: Preparation And Movements Of The Patient Table

    The tabletop brakes are released. 2 Push the tabletop manually into the required position. Putting a strain on the extended tabletop may activate the collision control device. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 91: Inserting Wireless Detector

    Be careful not to damage the detector when sliding it into the tray as the tray does not have a mechanism to absorb the shock. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 92: Positioning The Detector Tray

    When the tube unit has reached the correct longitudinal and transverse centering detents, the centering displays (white ring) at the movement buttons light up on the TUI (optional). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 93: Scattered Radiation Grid

    ◆ The expected grid status (inserted, removed) is indicated on the imaging system. ◆ Manually remove or insert the grid from or into the detector tray as required before making the X-ray exposure. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 94 2 Press the locking lever at the left side of the grip and, keeping it straight, pull the grid out towards the front. 3 Remove the grid. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 95: Preparation And Movements Of The Wall Stand

    ◆ Do not let the patient hang on the patient hand grip. ◆ Do not exert more than 25kg weight on the patient hand grips. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 96 WARNING Break of the chain High movement forces in vertical direction ◆ Stop working with the component and call service. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 97: Detector Unit Movements

    Inserting the detector into the wall stand (with wireless mobile detector only) 1 Move the detector unit to a convenient working height. ( Page 97 Detector unit movements) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 98 Be careful not to damage the detector when sliding it into the tray as the tray does not have a mechanism to absorb the shock. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 99: Removing The Detector

    The intended SID is color-coded on each wall stand grid using the following color scheme: Colors for grid handle Grid parameters SID (cm) Grid Ratio Lines/cm dark blue 92 & 40 140* grey 92 & 40 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 100 ◆ The expected grid status (inserted, removed) is indicated on the imaging system. ◆ Manually remove or insert the grid from or into the detector tray as required before making the X-ray exposure. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 101 3 Holding it vertically and straight, push the grid all the way in. When the grid has reached the end position, the locking lever engages. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 102: Positioning The Tube Unit Manually

    The portable wireless detectors may be interfered with by other equipment, including portable and fixed RF communication equipment, even if such equipment meets the applicable emissions requirements. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 103: Recommendations

    Therefore, avoid the battery getting empty. The detector reaches good image quality again after a maximum of 120 minutes (typically 60 minutes). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 104: Notes On Handling The Detector

    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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 105 ◆ Pay attention to the warning messages pertaining to detector surface temperature. ◆ Remove the detector from contact with the patient if the surface temperature exceeds 41°C (106°F). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 106: Shock Sensor

    There are no parts that need to be replaced due to limited lifetime, except for the battery. In case of malfunction, the detector will be returned to the manufacturer for repair. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10...
  • Page 107: Operation And Setting Of Wlan

    (2) Wireless connection (3) Wireless detector (4) Imaging system (5) PACS The wireless connection of the mobile detector is established between the X-ray detector and the system. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 108 In case a WLAN-network is present in your work environment, the channels of the access points can be detected in the room where MULTIX Impact E will be installed. The frequencies in use (channels if you have WLAN) should be communicated to the Siemens Healthineers project manager.
  • Page 109: Battery Change (Core Xl)

    3 Orientate the charged battery in the correct position: battery connector (1) facing the device connector (2). 4 Slide battery into the recess area of the device. 5 Push down the battery in the recess area. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 110: Charging The Battery Of The Detector

    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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 111: Fd Management

    4.6.9 Attaching the detector ✓ The detector has been registered before to this system by the Siemens Healthineers Service. ✓ Detector battery level > 50% MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 112: Detaching The Detector

    A message appears stating that the detector is attached successfully. If the detector attachment was not successful, the detector has to be registered once to the system by the Siemens Healthineers Service. Firmware upgrade during detector attachment If a new detector firmware is available, the firmware upgrade will start automatically during detector attachment.
  • Page 113: Emergency Operation

    ◆ Maintain procedures and equipment so that cassettes can be used in place of the portable detector for free exposures if necessary. 4.7.1 Cassette holder without retainer (optional) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 114 Have the patient place the hands on the protection strip, the hand grip strip, or the hand grip, depending on the type of examination. This will increase the feeling of security of the patient during the examination. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 115 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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 116: Examination

    Risk of crushing ◆ Make sure that no patient is near the column stand when the column stand is turned around. 1 Attach all necessary safety accessories. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 117: Positioning The Patient On The Table

    5 Examination 2 Use only positioning aids expressly approved by Siemens Healthineers. Contact your local Siemens Healthineers representative if you have any questions. Refer to ( Page 130 Accessories and Auxiliary Devices) for all accessories available for positioning. Attaching the accessories is also described there.
  • Page 118: Positioning Very Heavy Patients

    ◆ Do not exceed the maximum weight allowance for the table. ◆ Do not allow the patient to sit at the head end of the table. ◆ Call Siemens Healthineers Service and have the tabletop checked immediately if there is a possibility that it might have been damaged.
  • Page 119: Detector Pulled-Out

    1 Using the handles bring the X-ray tube unit into position, if necessary into the pull-in range of the tracking control. ( Page 85 Positioning the column stand with tube unit) 2 Observe messages on the display. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 120: Operating Height

    If the measuring field is out side of the collimated field of view (FoV), it will automatically be deactivated by the system. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 121: Light Localizer And Collimation

    ◆ 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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 122: Automatic Switching Off

    ◆ Always check collimation size and make sure that the collimator is not opened wider than the detector active area, especially when performing examinations on the table. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 123: Exposures Onto The Patient Table

    TUI (right) angle of the rotation about the horizontal axis (RHA) is displayed in degrees in the display of the TCM or TUI (optional). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 124: Exposures Onto The Wall Stand

    2 Center the tube unit to the detector. Move the tube unit manually to the vertical center position with the help of the light localizer. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 125: Free Exposure Onto The Wireless Detector

    3 Make sure that the indication status light on detector is green and so ready for radiation. 5.9.2 Positioning the tube unit Using the handles, bring the X-ray tube unit into position: MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 126: Sid

    Pay special attention in the diagnosis to distortions of the image geometry due to the oblique projection! We recommend using a protector for wireless detector when patient is directly standing on it. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 127: Horizontal Projection Onto The Mobile Detector

    To help reduce the risk of excessive radiation exposure, you should follow the ALARA (As Low As Reasonably Achievable) principle and seek to reduce radiation dose to only the amount necessary to obtain images that are adequate clinically. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 128: Use Of Anti-Scatter Grid

    If additional specific organ programs for a specific patient age or body region are needed, please contact the Siemens Healthineers application specialist in your country for support.
  • Page 129: Pediatric Positioning Aids

    Pediatric positioning aids Positioning aids are available that support a safe examination with small patients. These aids are described in Register Accessories and Auxiliary Devices. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 130: Accessories And Auxiliary Devices

    ◆ Make sure that accessory parts are attached firmly by pulling and pushing them. ◆ Follow the instructions in the Operator Manual. ◆ Observe the information regarding storage and maximum weight when using the accessories. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 131: Safety

    Use of accessories not intended for the system Risk of injury to patient or user - Risk of damage to the system ◆ Use only accessories approved by Siemens Healthineers with this system. ◆ All accessories are labeled and described in the Operator Manual.
  • Page 132: Orientation

    Risk of crushing When the equipment is handled properly and when patients are positioned, the staff may only grasp the handles provided with their hands. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 133 Please talk to us about these measures early enough! MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 134: Product Description

    To enable the patient table to be fixed at any location, the two castors at the front of the table are equipped with brake pedals. You can release or lock the castors with brake pedals. Brake locked, movement blocked MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 135 (2) Detector tray Inserting the wireless detector 1 Hold the detector tray handle (A) and pull out the detector tray until it reaches the stop position. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 136 Even if it is not extremely damaged, maybe its characteristics are changed, which may cause a problem in image quality. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 137 2 Let go of the brake in the required position. The brake now holds the detector tray in position. Product features • Wide application scope MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 138: Operation

    9 Release the brakes on both castors and move the table to a position convenient for the patient to leave the table. 10 Lock both castors and help the patient leave from the table. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 139 700 hPa to 1060 hPa Labels All labels displayed in the operator manuals are examples only and may differ from the labels attached to the system and components. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 140 6 Accessories and Auxiliary Devices (1) Identification label for table (2) Unit revision label (3) Refer to manual label (4) AR label (5) DHHS label (only for USA) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 141 • Check the brakes • Check the mobility of the castors • Check that the necessary devices for patient holding and immobilization are attached properly to the unit. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 142: Cleaning And Disinfection

    ◆ Make sure that the patient uses the hand grips during system movements or when turning over. ◆ Use other positioning aids for immobilizing weak or very unstable patients. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 143 3 Lift it up and turn it down (see following figure) We recommend placing the hand grip strip on the far side of the user. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 144: Hand Grip, Lateral

    ◆ Make sure that the patient uses the hand grips during system movements or when turning over. ◆ Use other positioning aids for immobilizing weak or very unstable patients. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 145: Attaching The Hand Grip

    2 Insert the hand grip into the groove of the accessory rail and slide it into the desired position. 3 Tighten the hand grip by turning it clockwise. Please make sure that the hang grips are securely fastened. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 146: Overhead Patient Hand Grip

    ◆ Please pay special attention when patients use the grip! ◆ The maximum load on the overhead patient handgrip must not exceed the stated value (see label). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 147: Compression Belt

    It is the responsibility of the operator to attach and remove the equipment only if it is ensured that neither the patient nor third parties can be endangered. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10...
  • Page 148 Disinfection 1 Disinfect all components of the compression belt only with a soft cloth soaked in disinfectant. 2 Do not use spray disinfectant. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 149 In addition, it can reduce the thickness of the patient which leads to better image quality for some examinations, especially abdominal. Product features • High reliability • Easy attachment MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 150 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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 151 1 Move the patient table to the horizontal position. 2 Press the ratchet handle (1) back. 3 Turn the cap screw (3) on the tensioning roller toward the right. The compression belt unclenches. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 152: Technical Data

    12 Use the cap screw (3) to roll up the belt on the tensioning roller. Technical data Dimensions Width ≤ 100 mm Length ≤ 400 mm Height ≤ 150 mm MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 153: Location Of Labels

    10% to 95% rel. air humidity without con‐ densation Barometric pressure 500 hPa to 1060 hPa Aluminum equivalent ≤ 0.8 mm Al Location of labels (1) Identification label for compression belt MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 154: Complying Standards

    • ANSI/AAMI ES60601-1 (2005 + C1:09 + A2:10), Medical Electrical Equipment, Part 1: General Requirements for Basic Safety and Essential Performance • IEC 60601-1:1988 + A1:1991 + A2:1995 • IEC 60601-1: 2005 + A1:2012 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 155: Cassette Holder, Lateral

    13 x 18 cm vertical or 18 cm x 24 cm horizontal. Maximum load capacity 3 kg Attachment ✓ Patient table in horizontal position. 1 Position the patient. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 156 3 Lift the rail for height adjustment. 4 Tighten the cap screw (2). 5 Open the clamping lever (1). 6 Remove the cassette holder from the accessory rail. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 157: Mobile Detector Holder

    Injury of persons or damage to the detector or holder ◆ Make sure the detector holder is securely fastened. 6.2.9 Detector holder, lateral Application Lateral exposures with the X-ray tube onto the upright detector. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 158 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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 159: Clip-On Grids

    2 Place the detector in a safe location. 3 Dismantle the detector holder with both hands from the lateral accessory rail of the patient table. 6.2.10 Clip-on grids MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 160 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. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 161 ◆ Push the detector gently down against the loading spring of the clip-on grid and then pull the detector out of the clip-on grid and let go. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 162: Fd Protector

    The Al equivalent value is 1.39 (for 3.7 mm Al). Other approved products/components To ensure the necessary safety, below products or components expressly approved by Siemens Healthineers, can be used in combination with the system. 6.3.1 UPS (for the imaging system)
  • Page 163: Functioning In The Event Of Power Failure

    4 Restart the system. Description of UPS The UPS has a five-button graphical LCD. It provides useful information about the UPS itself, load status, events, measurements and settings. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 164 The backlight LCD automatically dims after 10 minutes of inactivity. Press any button to restore the screen. The following table describes the status information provided by the UPS: MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 165 The UPS front panel display changes status to “UPS starting...”. 4 Check the UPS front panel display for active alarms or notices. Resolve any active alarms before continuing. ( Page 167 Troubleshooting) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 166 • The connected devices continue to be supplied by the UPS when AC input power is no longer available. The necessary energy is provided by the battery. • The indicators illuminate solid. • The audio alarm beeps every 10 seconds. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 167 Troubleshooting Operation status Possible cause Action Batteries discon‐ The UPS does not recognize the inter‐ If the problem persists, contact Siemens Healthineers serv‐ nected nal batteries ice. The batteries are disconnected Verify that all batteries are properly connected. If the problem persists, contact Siemens Healthineers serv‐...
  • Page 168: Barcode Scanner

    Wrinkled, smudged or torn labels can cause the scanner to not read at all. If you suspect that label quality is a problem, scan a known good label to check the scanner's read operation. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 169: Technical Data

    6 Accessories and Auxiliary Devices 3 If the scanner still does not function properly, contact your Siemens Healthineers Customer Service. Technical data Minimum requirements: Input voltage 4 VDC to 5.5 VDC Operating power < 4 W (450 mA @ 5 VDC) Standby power <...
  • Page 170: Intercom System In Control Room

    220 V ± 22 V Frequency 50 Hz ± 1 Hz Temperature range 10°C to 35 °C Humidity 20% to 70% Barometric pressure 86 kPa to 106 kPa MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 171: Battery Charger (Core Xl)

    Once the battery is in place correctly, the bottom green LED starts blinking. Charging a fully discharged battery will take a maximum of 4 hours. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 172 1.0 A Maximum DC power dissipation 40 W Charge voltage 12 V Charging current 610 mA Temperature range 10°C to 35 °C Humidity 20% to 80% MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 173: Technical Description

    7.1.1 Labels on the tube stand (1) System ID label The following symbols are contained in the labels, if applicable: MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 174 (2) China nameplate label (3) Unit revision label (4) Power label (5) China RoHS label (6) Warning label for ionizing radiation for deliveries to China MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 175 (11) EAC label (This label is for Eurasian Economic Union (EEU) with EAC declaration done.) (12) DHHS label for deliveries to USA (13) Swiss Representative label (Indicates the authorized representative in Switzerland) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 176 7 Technical Description (14) Refer to manual label with Document Library website (15) Label for deliveries to Ukraine (16) Australia label MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 177: Labels On The Tube Unit With Multileaf Collimator

    Labels on the tube unit with multileaf collimator (1) Tube 2nd set of labels (Only for deliveries to China) - or - (2) Laser radiation label MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 178: Labels On The Patient Table

    Labels on the patient table (1) Second set of labels for PSU (2) Second set of labels for generator (3) Kit ID label (4) Revision label MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 179 For Core XL, only one label is pasted on the table (left) and wall stand (right). (6) Iontomat label for table with wireless detector (7) Pinching warning label (8) Pinching warning label MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 180: Labels On The Wall Stand

    (1) Kit ID label (2) Revision label (3) Wireless detector position labels For Core XL, only one label is pasted on the table (left) and wall stand (right). MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 181: Labels On The Generator On/Off Console

    (1) Radiation emission warning label for deliveries to USA (2) DHHS label for deliveries to USA Technical data All technical data represent typical values unless specific tolerances are given. Siemens Healthineers reserves the right to change the design and specifications without notice. 7.2.1 System...
  • Page 182 With normal screen: approx. 14.5 kg With touch screen (optional): approx. 15.4 kg Patient table Approx. 300 kg Degree of contamination Class 2, according to IEC 60601-1-3:2013; IEC 60601-1:2012 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 183: Components

    • Maximum symmetrical radiation field at a distance of 1150 mm from the focus, • With table tray for Core XL: 426 mm x 426 mm MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 184 1,000 kJ (1,350 kHU) Total filtration (IEC 60601-1-3) ≥ 2.5 mm Al/75 kV Leakage radiation (IEC 60601-1-3) (at 150kV at 1 m distance) ≤ 0.8 mGy/h (450 W) MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 185 70% at 0.5 lp/mm 65% at 1 lp/mm 58% at 1.5 lp/mm 53% at 2 lp/mm 40% at 2.5 lp/mm 34% at 3 lp/mm 21% at Nyquist MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 186 Minimum exposure time • 1-point technique: 1 ms at 100 kV • 2-point technique: 2 ms at 100 kV • 3-point technique: 20 ms at 100 kV MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 187 • DICOM Print • Virtual Film Sheet DICOM Worklist, MPPS Data exchange via HIS/RIS Paper printing Printing of lists and images to a net‐ work paper printer MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 188: Network Information

    (5) DICOM TCP Port 104 (6) Switch on customer site (7) Any RIS or HIS or PACS MULTIX Impact E uses the Windows firewall to restrict access. The following ports need to be opened in the hospital network firewall: Application...
  • Page 189 Warning: Even if other equipment meets the emission requirements of corresponding national standards, the equipment or system may still be disturbed by other equipment. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 190: Guidance And Manufacturer's Declaration - Electromagnetic Emissions

    ± 8 kV air discharge ± 8 kV air discharge floor is covered with syn‐ thetic materials, the relative humidity must be at least 30 %. MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 191 Recommended separa‐ tion distance: Conducted RF interference 3 V (valid value) 3 V (valid value) d=1.2 √P GB/T 17626.6 150 kHz-80 MHz MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 192 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.7 GHz d=1.2 √P d=1.2 √P d=2.3 √P 0.01 0.12 0.12 0.23 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 193 5725- 5850 MHz 802.11g: 14dBm 40MHz, 80MHz BPSK, 16QAM, 64QAM, OFDM 802.11n: 13dBm 5.8GHz: 20MHz, 40MHz, 80MHz 11ac: QPSK, BPSK, 802.11ac: 8dBm 16QAM, 64QAM, OFDM, 256QAM MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 194 Rotation about the horizontal axis Region of Interest Rotation about the vertical axis Source Image Distance Tubeside Control Module Table-Object Distance Touch User Interface Uninterruptible Power Supply MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 195 Collimator mode safety information 38 Emergency operation 113 TUI 64 Horizontal projection Emergency procedures 28 Combination onto the mobile detector 127 with other products/components 47 Emergency SHUTDOWN button 27 onto the wall stand 124 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 196 Movements the patient on the table 117 System configurations 53 checking 79 Potential equalization 40 System overview detector unit 97 control room 54 patient table 90 Power failure 28 examination room 54 Power outlet 40 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 197 LCD 164 operation 165 troubleshooting 167 UPS = Uninterruptible Power Supply 162 Usability 10 of the product 8 User training 14 Value statements 13 Vertical projection onto the patient table 123 Visual contact 37 MULTIX Impact E 亿兴 | Operator Manual 数字化摄影 X 射线机 | VB10 Print No. XPB2-200G.620.03.03.02...
  • Page 198 This document is maintained in electronic form through Siemens Healthineers distribution channels. Printed versions not provided by Siemens Healthineers and/or downloaded copies are considered uncontrolled. Original language: English Siemens Healthineers Headquarters Manufacturer EU Authorized Representative Siemens Shanghai Medical Equipment Siemens Healthineers AG Siemens Healthcare GmbH Ltd.

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