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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN FRONT MATTER Direction 2166913-1EN Revision 15 AMX-4+ Operation (Model 2169360, 2236420 & 2275938 Series) IMPORTANT! . . . X-RAY PROTECTION X-ray equipment if not properly operator to take adequate precautions...
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Power Distribution Unit shall be all electrical work on these products, electricians) to perform electrical performed licensed electrical GE will use its own specially trained servicing on the equipment. contractors. Other connections field engineers. All of GE's electrical between...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN 6/17/94 REGULATORY REQUIREMENTS This product conforms with the requirements of Council Directive 93/42/EEC concerning med- ical devices when it bears the following CE marking of conformity: Note: This equipment generates, uses, and can radiate radio frequency energy.
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Canadian Standards Association (CSA). International Electrotechnical Commission (IEC), international standards organization, when applicable. GE Healthcare reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. The original language of this manual is English.
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2166913-1EN Technical Manual Updates When operating or servicing GE Healthcare products, please contact your GE representative for the latest revi- sion of product documentation. Product documentation may also be available on-line at the GE Healthcare sup- port documentation library.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN REVISION HISTORY DATE REASON FOR CHANGE Dec. 13, 1996 Initial release. Aug. 22, 1997 Changed Periodic Maintenance Schedule to yearly for all checks. Dec. 1, 1998 Added CE regulatory requirements.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN TABLE OF CONTENTS TABLE OF CONTENTS SECTION TITLE PAGE BEFORE YOU BEGIN.............................1-1 Available Options ............................1-2 How to Use This Book ..........................1-2 SAFETY FIRST..............................2-1 Good Operating Practices ........................2-1 OPERATING CONTROLS ..........................3-1...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION TITLE PAGE OPTIONS ................................ 10-1 10-1 Dose Area Product (DAP) Meter ......................10-1 10-2 Mobil-AIDTM Automatic Exposure Control (AEC) ...............10-1 10-3 Remote Control Handswitch ......................10-1 ENVIRONMENTAL CONDITIONS ......................11-1...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 1 BEFORE YOU BEGIN The instructions in this operation manual are for use with the AMX-4+ Mobile X-ray Unit, Models 2169360 2169360-2 2169360-3 2169360-4 2169360-5...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN The self-stopping bumper, one of many built-in safety devices, helps prevent unwanted mobility - the motors stop and the brakes activate upon impact with another object.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN We think you'll find the AMX-4+ portable design performs so easily that it seems to nearly run itself. To promote optimum operation of this or any radiographic equipment, however, be sure to read your operator's manual carefully.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 2 SAFETY FIRST This equipment is to be used by authorized medical personnel only. Your AMX-4+ is engineered for years of reliable service. To promote optimum safety, be sure to read this manual carefully, before operating the unit.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN While driving the AMX-4+, keep the film bin closed. A loaded bin may close without warning possibly causing injury. CAUTION...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 3 OPERATING CONTROLS ILLUSTRATION 3-1 AMX-4+ MOBILE X-RAY UNIT (RIGHT REAR VIEW) TELESCOPING ARM Retractable arm supports collimator and X-ray tube. TAPE MEASURE VERTICAL COLUMN Supports telescoping arm.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN ILLUSTRATION 3-2 AMX-4+ OPERATOR CONSOLE KEY SWITCH Turn ON to drive the unit or take exposures. Turn OFF to remove key. Recharge in ON or OFF positions.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Turning the AMX-4+ On Steps Be sure to refer to Maintenance and Service in this manual for important information on the circuit breaker. 1. Turn the keyswitch to the ON position.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 4 DRIVING THE AMX-4+ Overview A compact design and dual motor assembly makes driving and maneuvering the AMX-4+ an easy process. If moving down hallways or just traveling from one room to another, you'll first make sure the telescoping arm is properly positioned and securely latched so maximum speed can be reached.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN The drive automatically adjusts to your pace, and can be pushed forward, turned or pulled in reverse at speeds of up to 3 mph (4.8 km per hour).
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Steps To drive the AMX-4+, follow these steps: 1. Make sure that the telescoping arm is in the park/transport position and that the battery charging cord is unplugged and fully retracted.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Grip the drive handle to activate the motors and disengage the brakes. Now simply steer the unit, like a shopping cart, to your destination. • When climbing inclines or moving over carpeting or other rough surfaces the drive motors will automatically adjust to the floor surface.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 5 X-RAY PROCEDURE Overview In this section you'll learn how to setup and position mechanical components of the AMX-4+. Steps for mechanical positioning are organized in the following way.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Adjustment of Column and Telescoping Arm In the following steps you can free the AMX-4+ components for positioning in one of two ways: by gripping the collimator handle(s) to keep the lock system released or, whenever necessary, overriding the lock system with slight force.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Tube Unit Rotation Because the tube assembly is counterbalanced, no active lock is required. And little effort is needed to override friction and rotate the tube.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Adjustment of Collimator The AMX-4+ manual collimator limits patient radiation exposure to a desired area at a given distance from the X-ray tube focal spot. 1. Press the field light button (on either the collimator face or handswitch) to activate the high-intensity field lamp.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Position the collimator and tube using the field light and crosshair shadow as guides. The crosshair shows the field center. For fine positioning of the collimator, see Step 4.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Collimate by adjusting the size of the field with the two control knobs located on the front of the collimator. See Illustration 5-6. • For fine positioning of the collimator, see Step 4 •...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN You may rotate the collimator about its vertical axis (that is, to the right or left) in two ways: by a simple 90× detent method or by a manual lock method for an angle other than 90×.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Technique Selection Be sure to refer to the AMX-4+ Exposure Guide (found in the card holder attached to the vertical column) for suggested techniques. ILLUSTRATION 5-8 ...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN • Should you reach a maximum or minimum value, kVp / mAs MAX or kVp / mAs MIN will briefly appear on the message display to alert you.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Taking Exposures Check the battery status and message displays for battery condition. It's important to note that you do not have to raise your kVp or mAs value to compensate for low battery voltage.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 6 CHARGING THE BATTERIES/CAPACITY GAUGE OPERATION Overview Battery charging is as easy as driving the AMX-4+ to a correctly rated wall outlet and plugging the unit in. Ratings are as follows: •...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN ILLUSTRATION 6-1 BATTERY CHARGING PLUG TO CHARGE THE BATTERY, SIMPLY PLUG THE UNIT INTO ANY CORRECTLY RATED WALL OUTLET. % Charge AT OR NEAR FULL CHARGE, ALL SEGMENTS ARE ILLUMINATED.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN ILLUSTRATION 6-2 As Illustration 6-2 demonstrates, the majority of the battery pack's capacity is used for drive and idle. Thus, reducing the amount of drive time by parking the...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Capacity Gauge Features “STUCK AT FULL” FEATURE After the AMX-4+ charges to 100% (i.e. “CHARGE COMPLETE” ), the capacity gauge will remain “stuck-at-full” for a pre-programmed amount of usage before the number of lit segments begins to decrease.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN ILLUSTRATION 6-3 RATING PLATE BATTERY CHARGING PLUG CIRCUIT BREAKER Check the message display to confirm the charging status: the message CHARGING should appear on the display.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 7 MAINTENANCE AND SERVICE Cleaning the Unit We recommend that you clean the AMX-4+ regularly with a soft cloth and a mild, non-abrasive cleaner. Apply the cleaner to the cloth, not directly to the unit, to safeguard against damage to the circuitry.
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Qualified Service Available GE Medical Systems, and its associates maintain a worldwide organization of service personnel specially trained on medical X-ray equipment. Consult your GE representative to find out more about all the available service programs.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Table 7-1 PERIODIC MAINTENANCE SCHEDULE Maintenance/Checks Frequency Replace counterweight cable Every 5 years Every year (Refer to Appendix 6 of 2173227-100, Inspect counterweight cable AMX-4+ Periodic Maintenance)
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Maintenance/Checks Frequency Every year (Refer to Appendix 3, Direction 2173227-100, Field size indicator AMX-4+ Periodic Maintenance) Every year (Refer to Section 3-4, Direction 2173224-100, Rotational detent...
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 8 MESSAGES ON DISPLAY Two kinds of messages can appear on the message display on the control cover: status messages and error messages. Status messages simply inform you of the operating condition of the AMX-4+, and look something like this.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Status MessagesDescription If this message displays, the unit is at its automatic calibration limit. A service call is AUTO CAL LIMIT recommended to ensure accurate technique and radiographic results. Exposures are not inhibited.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Status Messages Description The prep cycle has successfully completed, and an exposure may be taken within READY FOR X-RAY the next 30 seconds. (If an exposure is attempted after 30 seconds, the prep cycle must be repeated.)
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 9 SYMBOLS IEC Classification In accordance with International Safety Standard IEC 601, the AMX-4+ Mobile X-ray Unit is classified as Type B Equipment, Class I Equipment, Internally Powered Equipment, Ordinary Equipment and continuous operation.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Indicates non-ionizing radiation is present. Indicates radiographic control. Indicates ionizing radiation is present. X-ray emission. X-ray tube head is emitting X-rays. Take adequate precautions to prevent the possibility of any persons carelessly, unwisely, or unknowingly exposing themselves or others to radiation.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN Control for indicating radiation field by using light. Collimator blades closed. The controlled blades are shown in thicker lines. Collimator blades open. The controlled blades are shown in thicker lines.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 10 OPTIONS 10-1 Dose Area Product (DAP) Meter Full field ion chamber with an integral display unit. The display unit contains electronics controlling total dose area product, system reset and system test.
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AMX-4+ OPERATION GE Healthcare (MODEL 2169360, 2236420 & 2275938 SERIES) REV 15 om 2166913-1EN SECTION 11 ENVIRONMENTAL CONDITIONS Table 11-1 ENVIRONMENTAL CONDITIONS System operating environmental temperature 15°C to 38°C / 59°F to 100°F Storage environmental temperature -40°C to 60°C / -40°F to 140°F...
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