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Hologic Affirm manuals available for free PDF download: User Manual, Service Manual
Hologic Affirm User Manual (194 pages)
Prone Biopsy System
Brand:
Hologic
| Category:
Medical Equipment
| Size: 31 MB
Table of Contents
Table of Contents
5
List of Figures
11
List of Tables
15
1: Introduction
17
Intended Use
17
Indications for Use
17
Contraindications
17
Essential Performance
17
System Capabilities
18
User Profiles
18
Mammography Technologist
18
Radiologists, Surgeons
18
Medical Physicist
18
Training Requirements
19
Quality Control Requirements
19
Where to Find the Installation Instructions
19
Where to Find Technical Description Information
19
Warranty Statement
20
Technical Support
20
Product Complaints
20
Hologic Cybersecurity Statement
20
Symbols
21
Symbol Description
22
Descriptions of Warnings, Cautions, and Notes
23
2: General Information
25
System Overview
25
Figure 1: Affirm Prone Biopsy System
25
C-Arm Overview
26
Figure 2: C-Arm Overview
26
Safety Information
27
Warnings and Precautions
27
Emergency off Switches
31
Interlocks
31
Compliance
31
Compliance Requirements
31
Figure 3: Emergency off Switch Functionality
31
Compliance Statements
33
Label Locations
34
Figure 4: Label Locations
34
Table 1: System Labels
35
3: System Controls and Indicators
37
System Power Controls
37
Figure 5: System Power Controls
37
C-Arm Controls
38
Figure 6: C-Arm Controls and Displays
38
Biopsy Arm Controls
39
Figure 7: Biopsy Arm - Detailed View
39
Control Handle Controls
40
Footswitch Controls
40
Figure 8: Control Handle -- Detailed View
40
Figure 9: Footswitch - Detailed View
40
Patient Platform Controls
41
Figure 10: Patient Platform Controls
41
Acquisition Workstation Controls
42
Figure 11: Acquisition Workstation Controls
42
4: Startup, Functional Tests, and Shutdown
43
How to Start the System
43
Figure 12: Startup Screen
43
Log in
44
Figure 13: Select an Operator (Log In) Screen
44
Functional Tests
45
Compression Functional Tests
45
Table 2: Compression Tests
45
C-Arm Movement Functional Tests
46
Patient Platform Functional Tests
46
Table 3: C-Arm Tests
46
Table 4: Patient Platform Tests
46
Emergency off Switches Functionality
47
How to Turn off the System
47
How to Remove All Power from the System
47
Figure 14: Emergency off Switch Functionality
47
5: User Interface - Control Monitor
49
Select Function to Perform Screen
49
Figure 15: Select Function to Perform Screen
49
About the Taskbar
50
Table 5: Taskbar Menus
50
Select Patient Screen
52
Figure 16: Select Patient Screen
52
Open a Patient
53
Table 6: the Select Patient Screen
53
Add a New Patient
54
Edit the Patient Information
54
Delete a Patient
54
Figure 17: Add Patient Screen
54
Filters for Patients
55
Figure 18: Filter Tab in the Patient Filter Screen
55
Table 7: Filter Tab Options (Require Access Privileges)
56
Refresh the Worklist
57
Query the Worklist
57
Admin
57
Log out
57
Procedure Screen
58
Figure 19: Procedure Screen
58
How to Use the Implant Present Button
59
Add a Procedure
59
Table 8: the Procedure Screen
59
Figure 20: Add Procedure Dialog Box
60
Add a View
61
Figure 21: Add View Screen
61
Edit a View
62
How to Remove a View
62
Figure 22: Edit View Screen
62
Procedure Info
63
Figure 23: the Procedure Info Window
63
Close a Patient
64
How to Access the Image Review Features
64
How to Access the Biopsy Options
64
Output Groups
65
Select an Output Group
65
Add or Edit an Output Group
65
Figure 24: Output Groups Field
65
Custom Output
66
Figure 25: an Example Custom Output Group
66
On-Demand Outputs
67
Archive
67
Export
68
Figure 26: on Demand Archive Screen
68
Print
69
Figure 27: Print Screen
70
Figure 28: Stereo Pair Print Screen
71
6: User Interface - Biopsy Control Module
73
Biopsy Control Module Screens
73
Home Screen
73
Figure 29: Home Screen
73
About the Taskbar for the Biopsy Control Module
74
Figure 30: Taskbar for the Biopsy Control Module
74
Target Guidance Screen
75
Figure 31: Target Guidance Screen
75
Figure 32: Select Target Screen
77
Figure 33: Jog Mode Screen
78
Figure 34: AEC Adjust Screen
79
7: Images
81
Image Display Screen
81
Figure 35: Image Display Screen
81
Conventional Imaging Sequence of Events
82
Tomosynthesis Imaging Sequence of Events
82
How to Set the Exposure Parameters
82
Select the Exposure Mode
82
How to Use the AEC Sensor
82
How to Acquire an Image
83
Figure 36: Exposure in Progress
83
Figure 37: Exposure Complete
83
How to Accept a Rejected Image
84
How to Correct and Reprocess Implant Images
84
If the Image Is Not Accepted
84
How to Review the Images
85
Figure 38: Tools Tab
85
The Image Review Tools Tab
86
Figure 39: Image Review Tools
86
Other Image Review Tools
87
Figure 40: Exposure Index
87
Figure 41: Display Modes
87
Slice Indicator
88
Figure 42: Slice Indicator
88
8: Biopsy
89
Biopsy Approach
89
Biopsy Coordinate System
90
Biopsy Views
91
Biopsy Tab
91
Biopsy Options
92
Lesion Targeting in a 2D Biopsy Procedure
94
Lateral Needle Approach
95
Verify the Position of the Biopsy Device
95
Lesion Targeting in a 3D Biopsy Procedure
96
Lateral Needle Approach
97
Verify the Position of the Biopsy Device
97
Project Targets on Post-Fire Scout Image
98
Lesion Targeting Using Multi-Pass
98
Post Biopsy
101
9: Accessories
103
Maximum Comfort Package
103
Table 9: Installation and Use of the Maximum Comfort Package
103
Table 10: Installation of the Arm through Maximum Comfort Package
105
Biopsy Paddles
106
Table 11: Use of the Arm through Maximum Comfort Package
106
How to Install or Remove a Paddle
107
Biopsy Devices and Components
108
Needle Guides
108
Biopsy Device Adapter
109
Biopsy Device
110
Equipment Drape Set
111
Symbols
113
Accessory Cart
114
Pad Hangers
114
Paddle Holders
115
10: Sample Clinical Sequences
117
Example Stereotactic Biopsy Procedure
117
Example Tomography Biopsy Procedure
118
Example Sequence of Operation
119
11: Quality Control
125
Required Quality Control Procedures
125
Table 12: Required Procedures
125
How to Access Quality Control Tasks
126
QAS Test
128
Gain Calibration
131
Geometry Calibration
132
12: Care and Cleaning
133
Cleaning
133
12.1.1 General Information about Cleaning
133
12.1.2 for General Cleaning
133
12.1.3 How to Clean the Biopsy Control Module Screen
134
12.1.4 to Prevent Possible Injury or Equipment Damage
134
General Information about Equipment Drapes
135
Preventive Maintenance Schedule for the User
136
Table 13: Operator Preventive Maintenance Schedule
136
Preventive Maintenance Schedule for Service
137
Table 14: Service Engineer Preventive Maintenance
137
13: System Administration Interface
139
The Admin Screen
139
Table 15: Admin Screen Functions
139
The about Screen
141
Change the User Language Preference
142
How to Access the System Tools
142
13.4.1 System Tools for the Radiologic Technologist Manager
143
Table 16: Radiologic Technologist Manager-System Tools Functions
143
13.4.2 Remote Access to Image Reports
144
Archive Tool
146
Appendix A Specifications
149
Product Measurements
149
Operation and Storage Environment
150
General Conditions for Operation
150
General Conditions for Transport and Storage
151
Electrical Input
151
Generator/Gantry
151
Acquisition Workstation
151
Gantry Technical Information
151
C-Arm
151
Compression System
152
Biopsy Guidance Module
152
X-Ray Tube
152
X-Ray Beam Filtration and Output
152
X-Ray Generator
153
Table 17: Maximum Ma as a Function of Kv
153
Image Receptor Technical Information
154
Shielding
154
Acquisition Workstation Technical Information
154
Network Environment
154
Acquisition Workstation Cart
154
Appendix B System Messages and Alerts
155
Error Recovery and Troubleshooting
155
Types of Messages
155
Fault Levels
155
System Messages
156
Table 18: System Messages
156
UPS Messages
158
Appendix C: Use in a Mobile Environment
159
General Information
159
Conditions for Safety and Other Precautions
159
Specifications for Mobile Use
160
Shock and Vibration Limits
160
Prepare the System for Travel
160
Prepare the System for Use
166
Test the System after Travel
166
Functional Tests after Travel
166
Quality Control Tests after Travel
166
Appendix D Dose Conversion Tables for the Medical Physicist
167
Appendix Ecnr Correction for Biopsy
171
CNR Correction for Stereotactic Biopsy
171
AEC Table 0 (Standard Stereotactic Biopsy Dose)
171
AEC Table 1 (EUREF Stereotactic Biopsy Dose)
171
CNR Correction for Biopsy under Tomosynthesis Option
171
AEC Table 0 (Tomosynthesis Option: Standard Tomo Dose)
171
AEC Table 1 (EUREF Tomosynthesis Biopsy Dose)
171
Appendix F: Technique Tables
173
Recommended Technique Table for Stereotactic Procedures
173
Recommended Technique Table for Tomosynthesis Procedures
174
Appendix G: Ancillary Parts for Biopsy
175
Hologic Factory-Verified Biopsy Devices
175
Table 19: Hologic Factory-Verified Biopsy Devices
175
Appendix H: Technical References
177
Electromagnetic Compatibility
177
Table 20: Electronic Emissions
177
Table 21: Electromagnetic Immunity Part 1
178
Table 22: Electromagnetic Immunity Part 2
179
Table 23: Separation Distances for RF Equipment
180
Rated Maximum Output Power of Transmitter
180
Appendix I: Forms
181
QAS Test Checklist
181
Geometry Calibration
183
Gain Calibration
185
Glossary of Terms
187
Index
189
Advertisement
Hologic Affirm Service Manual (116 pages)
Breast Biopsy Guidance System
Brand:
Hologic
| Category:
Medical Equipment
| Size: 13 MB
Table of Contents
Table of Contents
5
List of Figures
9
List of Tables
11
1: Introduction
13
Intended Use
13
User Profiles
13
Mammography Technologist
13
Radiologists, Surgeons
13
Medical Physicist
14
Training Requirements
14
Quality Control Requirements
14
Where to Find Technical Description Information
14
Warranty Statement
15
Technical Support
15
Product Complaints
15
Hologic Cybersecurity Statement
15
Symbols
16
Descriptions of Warnings, Cautions, and Notes
17
2: General Information
19
System Overview
19
Figure 1: Affirm Biopsy System on the Selenia Dimensions Mammography System
19
How to Handle the Biopsy Guidance Module
20
Figure 2: How to Lift the Biopsy Guidance Module
20
Figure 3: How to Store the Biopsy Guidance Module
20
Safety Information
21
Warnings and Precautions
21
Compliance
22
Compliance Requirements
22
Label Locations
23
Figure 4: Biopsy Guidance Module Label Location
23
Figure 5: Lateral Arm Serial Number Label Location
23
3: Installation, Verification, and Removal
25
Add Licensed Features
25
Unpacking
28
Preinstallation Check
28
Figure 6: Affirm System Icon Location
28
Biopsy Guidance Module Components
29
Figure 7: Biopsy Guidance Module
29
Biopsy Control Module Components
30
Table 1: Components of the Biopsy Guidance Module
30
Figure 8: Biopsy Control Module
31
Table 2: Components of the Biopsy Control Module
31
Installation of the Main Components
32
Install the Internal Gantry Biopsy Guidance Module Cables
32
Figure 9: Gantry/Biopsy Guidance Module Cables
32
Attach the Biopsy Guidance Module
33
Figure 10: Installation of the Biopsy Guidance Module
33
Attach the Biopsy Control Module
34
Figure 11: Attachment of the Biopsy Control Module
34
System Verifications
35
Confirm the Host Connection
36
Figure 12: Home Screen
36
Figure 13: Service Screen
36
Verify in Caltool
37
Installation and Removal of Accessories
37
Tabletop Stand for Affirm System
37
Biopsy Compression Paddles
38
Needle Guide
38
Figure 14: Installation of the Needle Guide Holder on the Standard Device Mount
39
Figure 15: Installation of the Needle Guide on the Standard Needle Guide Holder
39
Biopsy Device Adapter
40
Biopsy Device
40
Figure 16: Attaching a Biopsy Device Adapter to Device Mount (Standard)
40
Lateral Arm and Lateral Arm Accessories
41
Figure 17: Lateral Arm Components
41
Table 3: Components of the Lateral Arm
41
Figure 18: Left Needle Approach of Lateral Arm (Blue)
43
Figure 19: Right Needle Approach of Lateral Arm (Yellow)
43
Figure 20: Installing Lateral Arm Stand over Image Receptor
44
Figure 21: Removing the Needle Guide Holder from the Standard Device Mount
45
Figure 22: Installing Lateral Arm to Device Mount
46
Figure 23: Lateral Arm Mounting Side Selection Screen
47
Figure 24: Attaching Blue Needle Guide Holder to Needle Guide Rods (Left Needle Approach)
48
Figure 25: Attaching Yellow Needle Guide Holder to Needle Guide Rods (Right Needle Approach)
48
Figure 26: Installing Disposable Needle Guide on Needle Guide Holder (Lateral Arm)
49
Figure 27: Carriage Lever Locked and Unlocked Positions
49
Figure 28: Locked and Unlocked Positions of Device Mount Lever
50
Figure 29: Installing Device Mount Onto Lateral Arm Carriage
50
Figure 30: Lock Levers in Fully Locked Position
51
Figure 31: Scales and Positioning for X-Stop and Carriage
52
Figure 32: Installing X-Stop on Lateral Arm
53
Removal of the Main Components
54
Biopsy Control Module
54
Biopsy Guidance Module
54
Tabletop Stand for the Affirm System
55
Storage Case for the Lateral Arm
55
Figure 33: Affirm System Tabletop Stand
55
Figure 34: Lateral Arm and Storage Case
56
4: Calibration Procedures
57
Required Tools and Equipment
57
Front Needle Guide Alignment
58
Alignment for Standard Approach
59
Alignment for Lateral Approach
59
Biopsy Guidance Hardware
60
Geometry Calibration
60
STX Calibration
61
STX Calibration for Standard Approach
61
Table 4: Calibration Target List
62
STX Calibration for Lateral Approach
63
Table 5: Lateral Arm Calibration Target Coordinates List (in MM)
64
Biopsy Calibration Interaction
65
The QAS Test
65
Table 6: Calibrations
65
QAS Test for Standard Needle Approach
66
Figure 35: Admin Screen Showing QAS Test
66
Figure 36: QAS Test Info Dialog Box
67
Figure 37: Device Field in the Biopsy Tab
67
Figure 40: Device Field in the Biopsy Tab
67
QAS Test for Lateral Needle Approach
68
Figure 38: Admin Screen Showing Lateral Arm QAS Test
69
Figure 39: Lateral QAS Test Info Dialog Box
70
Dose Calibration
71
5: Care and Cleaning
73
Preventive Maintenance
73
Table 7: Service Engineer Preventive Maintenance Schedule
73
For General Cleaning
74
How to Clean the Biopsy Control Module Screen
74
To Prevent Possible Injury or Equipment Damage
75
Appendix A System Specifications
77
Affirm System Measurements
77
Figure 41: Affirm Biopsy Guidance Module
77
Lateral Arm Measurements
78
Figure 42: Lateral Arm
78
Biopsy Guidance Module
79
Lateral Arm
79
Biopsy Control Module
79
Appendix B System Messages and Alerts
81
Audible Alerts
81
Error Messages
81
Table 8: Affirm System Audible Alerts
81
Table 9: Affirm System Error Messages
81
Acquisition Workstation Messages
83
Table 10: Acquisition Workstation Messages
83
Appendix C Hardware Range Calibration
85
Hardware Range Calibration
85
Appendix D Biopsy Device Evaluation Procedure
89
Introduction
89
Please Read Prior to Performing Calibration
89
Hologic Factory-Verified Biopsy Devices
90
Configuring Device and Needle
90
Biopsy Device Parameters
90
Table 11: Hologic Factory-Verified Biopsy Devices
90
Table 12: Biopsy Device Parameters (See also Following Four Figures)
91
Needle Validation Process
94
Configuring the Wire Localization Needle
100
Wire Localization Needle Guides
100
Table 13: Wire Localization (Loc) Needle Guides
100
Wire Localization Parameters
101
Table 14: Wire Localization (Loc) Parameters (See also Following Two Figures)
101
Validate the Wire Localization Needle
102
Calculate and Confirm the New Wire Localization Needle Parameters
103
Adjust the Needle Length on the Acquisition Workstation
104
Validate Needle
104
Appendix E Field Replaceable Units (Frus)
105
Biopsy Control Module - Field Replaceable Units
105
Table 15: Recommended Frus - Biopsy Control Module (BCM)
105
Biopsy Guidance Module - Field Replaceable Units
106
Table 16: Recommended Frus - Biopsy Guidance Module (BGM)
106
Lateral Arm - Field Replaceable Units
107
Table 17: Recommended Frus - Lateral Arm Assembly
107
Table 18: Recommended Frus - Lateral Arm Carriage Assembly
108
Table 19: Recommended Frus - Lateral Arm Removable X-Axis Stop Assembly
108
Table 20: Recommended Frus - Lateral Arm Needle Guide RH Assembly
108
Table 21: Recommended Frus - Lateral Arm Needle Guide LH Assembly
108
Accessories - Field Replaceable Units
109
Table 22: Recommended Frus - Lateral Arm Device Mount Single Position Assembly
109
Table 23: Recommended Frus - Accessories
109
Glossary of Terms
111
Index
113
Hologic Affirm User Manual (116 pages)
Breast Biopsy Guidance System
Brand:
Hologic
| Category:
Medical Equipment
| Size: 14 MB
Table of Contents
Table of Contents
5
List of Figures
9
List of Tables
11
1: Introduction
13
Intended Use
13
User Profiles
13
Mammography Technologist
13
Radiologists, Surgeons
13
Medical Physicist
14
Training Requirements
14
Quality Control Requirements
14
Where to Find Technical Description Information
14
Warranty Statement
15
Technical Support
15
Product Complaints
15
Hologic Cybersecurity Statement
15
Symbols
16
Descriptions of Warnings, Cautions, and Notes
17
2: General Information
19
System Overview
19
Figure 1: Affirm Biopsy System on the Selenia Dimensions Mammography System
19
How to Handle the Biopsy Guidance Module
20
Figure 2: How to Lift the Biopsy Guidance Module
20
Figure 3: How to Store the Biopsy Guidance Module
20
Safety Information
21
Warnings and Precautions
21
Compliance
22
Compliance Requirements
22
Label Locations
23
Figure 4: Biopsy Guidance Module Label Location
23
Figure 5: Lateral Arm Serial Number Label Location
23
3: Installation, Verification, and Removal
25
Biopsy Guidance Module Components
25
Figure 6: Biopsy Guidance Module
25
Table 1: Components of the Biopsy Guidance Module
26
Biopsy Control Module Components
27
Figure 7: Biopsy Control Module
27
Table 2: Components of the Biopsy Control Module
27
Installation of the Main Components
28
Attach the Biopsy Guidance Module
28
Figure 8: Installation of the Biopsy Guidance Module
28
Attach the Biopsy Control Module
29
Figure 9: Attachment of the Biopsy Control Module
29
Installation and Removal of Accessories
30
Biopsy Compression Paddles
30
Needle Guide
30
Figure 10: Installation of the Needle Guide Holder on the Standard Device Mount
31
Figure 11: Installation of the Needle Guide on the Standard Needle Guide Holder
31
Biopsy Device Adapter
32
Biopsy Device
32
Figure 12: Attaching a Biopsy Device Adapter to the Device Mount (Standard)
32
Lateral Arm and Lateral Arm Accessories
33
Figure 13: Lateral Arm Components
33
Table 3: Components of the Lateral Arm
34
Figure 14: Left Needle Approach of Lateral Arm (Blue)
35
Figure 15: Right Needle Approach of Lateral Arm (Yellow)
35
Figure 16: Installing the Lateral Arm Stand over the Image Receptor
36
Figure 17: Removing the Needle Guide Holder from the Standard Device Mount
37
Figure 18: Installing the Lateral Arm on the Device Mount
38
Figure 19: Selection Screen for the Lateral Arm Mounting Side
39
Figure 20: Attaching the Blue Needle Guide Holder to the Needle Guide Rods (Left Needle Approach)
40
Figure 21: Attaching the Yellow Needle Guide Holder to the Needle Guide Rods (Right Needle Approach)
40
Figure 22: Installing a Disposable Needle Guide on a Needle Guide Holder (Lateral Arm)
41
Figure 23: Carriage Lever Locked and Unlocked Positions
42
Figure 24: Locked and Unlocked Positions of Device Mount Lever
42
Figure 25: Installing Device Mount Onto Lateral Arm Carriage
43
Figure 26: Attaching the Biopsy Device Adapter to the Device Mount (Lateral Arm)
44
Figure 27: Lock Levers in Fully Locked Position
45
Figure 28: Scales and Positioning for the X-Stop and Carriage
46
Figure 29: Installing the X-Stop on the Lateral Arm
47
System Verifications
48
Confirm the Host Connection
48
Figure 30: Home Screen on the Biopsy Control Module
48
Removal of the Main Components
49
Biopsy Control Module
49
Biopsy Guidance Module
49
Tabletop Stand for the Affirm System
50
Figure 31: Affirm System Tabletop Stand
50
Storage Case for the Lateral Arm
51
Figure 32: Lateral Arm and Storage Case
51
4: User Interface - Biopsy Control Module
53
Biopsy Control Module Screens
53
Home Screen
53
Figure 33: Home Screen
53
Target Guidance Screen
54
Figure 34: Target Guidance Screen
54
Figure 35: Target Guidance Screen for Lateral Arm
55
Figure 36: Green Differential Cells
56
Figure 37: Yellow and Red Cells
56
Figure 38: Alert Sounds Are Audible
57
Figure 39: Alert Sounds Are Muted
57
Table 4: How to Use the Sound Button
57
Jog Mode Screen
58
Figure 40: Jog Mode Screen
58
Figure 41: Jog Mode Screen for Lateral Arm
59
Select Target Screen
60
Figure 42: Select Target Screen
60
5: Biopsy
63
Biopsy Views
63
Add a Biopsy View
64
Edit a Biopsy View
66
C-Arm Stereo Modes
67
C-Arm Rotation in the C-Arm Stereo Modes
67
Table 5: the C-Arm Stereo Mode Button
68
How to Select the C-Arm Stereo Mode for Image Acquisition
69
Table 6: How to Select the C-Arm Stereo Mode
69
Biopsy Tab
70
Biopsy Options
71
Stereotactic 2D Lesion Targeting
74
Verify the Position of the Biopsy Device
75
Lesion Targeting with Tomosynthesis Guidance
76
Verify the Position of the Biopsy Device
77
Project Targets on Post-Fire Scout Image
77
Lesion Targeting Using Multi-Pass
78
Post Biopsy
82
Printing Stereo Pair Images
82
6: Quality Control
83
Required Quality Control Procedures
83
QAS Test
83
Table 7: Required Procedures
83
QAS Test for Standard Needle Approach
84
QAS Test for Lateral Needle Approach
87
Geometry Calibration
90
Geometry Calibration Procedure
90
7: Care and Cleaning
91
General Information
91
Preventive Maintenance Schedule
91
Table 8: Radiologic Technologist Preventive Maintenance Schedule
91
Table 9: Radiologic Technologist Preventive Maintenance Schedule
92
Service Preventive Maintenance Schedule
93
Table 10: Service Engineer Preventive Maintenance Schedule
93
For General Cleaning
94
How to Clean the Biopsy Control Module Screen
94
To Prevent Possible Injury or Equipment Damage
95
Appendix A: System Specifications
97
Affirm System Measurements
97
Lateral Arm Measurements
98
Biopsy Guidance Module
99
Lateral Arm
99
Biopsy Control Module
99
Appendix B: System Messages and Alerts
101
Audible Alerts
101
Error Messages
101
Table 11: Affirm System Audible Alerts
101
Table 12: Affirm System Error Messages
101
Acquisition Workstation Messages
103
Table 13: Acquisition Workstation Messages
103
Appendix C: CNR Correction for Biopsy
105
CNR Correction for Stereotactic 2D Biopsy
105
AEC Table 0 (Standard Stereotactic 2D Biopsy Dose)
105
CNR Correction for Biopsy under Tomosynthesis Option
105
AEC Table 0 (Tomosynthesis Option: Standard Tomo Dose)
105
Appendix D: Forms
107
QAS Test Checklist
107
QAS Test Checklist for the Lateral Arm
108
Appendix E: Ancillary Parts for Biopsy
109
Hologic Factory-Verified Biopsy Devices
109
Table 14: Hologic Factory-Verified Biopsy Devices
109
Wire Localization Needle Guides
110
Table 15: Wire Localization (Loc) Needle Guides
110
Glossary of Terms
111
Index
113
Advertisement
Hologic Affirm Service Manual (76 pages)
Breast Biopsy Guidance System
Brand:
Hologic
| Category:
Medical Equipment
| Size: 6 MB
Table of Contents
Table of Contents
5
List of Figures
9
List of Tables
11
1: Introduction
13
Preface
13
Intended Use
13
User Profiles
13
Mammography Technologist
13
Radiologists, Surgeons
13
Medical Physicist
14
Training Requirements
14
Quality Control Requirements
14
Where to Find Technical Description Information
14
Warranty Statement
15
Technical Support
15
Product Complaints
15
Hologic Cybersecurity Statement
15
Descriptions of Warnings, Cautions, and Notes
16
2: General Information
17
System Overview
17
Figure 1: Affirm Biopsy System on the Selenia Dimensions Mammography System
17
How to Handle the Biopsy Guidance Module
18
Figure 2: How to Lift the Biopsy Guidance Module
18
Figure 3: How to Store the Biopsy Guidance Module
18
Safety
19
Warnings and Precautions
19
Compliance
20
Compliance Requirements
20
Symbols
21
Label Locations
21
Figure 4: Label Location
21
3: Installation
23
Overview
23
Unpacking
23
Preinstallation Check
23
Figure 5: Affirm System Icon Location
23
Install the Internal Gantry Biopsy Guidance Module Cables
24
Figure 6: Gantry/Biopsy Guidance Module Cables
24
Installation of Components
25
Attach the Biopsy Guidance Module
25
Figure 7: Installation of the Biopsy Guidance Module
25
Attach the Biopsy Control Module
26
Figure 8: Attachment of the Biopsy Control Module
26
Mount the Tabletop Stand
27
4: Verification and Removal
29
System Verifications
29
Confirm the Host Connection
29
Figure 9: Home Screen
29
Figure 10: Service Screen
29
Biopsy Staging
30
Figure 11: Function Buttons and Data on the Biopsy Tab
30
Installation and Removal of Accessories
32
The Biopsy Device Holder
32
Figure 12: How to Attach a Biopsy Device Holder
32
The Needle Guides
33
Figure 13: How to Install the Needle Guides
33
Removal of Main Components
34
Biopsy Control Module
34
Biopsy Guidance Module
34
5: Calibration Procedures
35
Required Tools and Equipment
35
Front Needle Guide Alignment
37
Alignment for Standard Approach
37
Biopsy Guidance Hardware
38
Geometry Calibration
38
STX Calibration
39
STX Calibration for Standard Approach
39
Table 1: Calibration Target List
40
Biopsy Calibration Interaction
41
The QAS Test
41
QAS Test for Standard Needle Approach
41
Table 2: Calibrations
41
Figure 14: Admin Screen Showing QAS Test
42
Figure 15: Device Field in the Biopsy Tab
42
Dose Calibration
43
6: Care and Cleaning
45
Preventive Maintenance
45
Table 3: Service Engineer Preventive Maintenance Schedule
45
For General Cleaning
46
How to Clean the Biopsy Control Module Screen
46
To Prevent Possible Injury or Equipment Damage
47
Appendix A System Specifications
49
Affirm System Measurements
49
Biopsy Guidance Module
49
Figure 16: Affirm Biopsy Guidance Module
49
Biopsy Control Module
50
Appendix B: System Messages and Alerts
51
Audible Alerts
51
Error Messages
51
Table 4: Affirm System Audible Alerts
51
Table 5: Affirm System Error Messages
51
Appendix C Hardware Range Calibration
53
Hardware Range Calibration
53
Figure 17: X-Axis Reference Hole Locations and Y-Axis Lead Screw Adjustment
53
Figure 18: Placing the Y-Axis Dowel Pin
54
Appendix D Biopsy Device Evaluation Procedure
57
Introduction
57
Please Read Prior to Performing Calibration
57
Figure 19: Hologic ASY-08307 (Left) and TLS-02799 (Right) Targeting Phantoms
57
Hologic Factory-Verified Biopsy Devices
58
Table 6: Hologic Factory-Verified Biopsy Devices
58
Configuring Device and Needle
59
Add or Edit Biopsy Device Information
59
Table 7: Biopsy Device Parameters
59
Figure 20: Biopsy Device Parameters
60
Needle Validation Process
61
Figure 21: Offset Measurement, Device in Extended (Post Fired) Position
62
Configuring the Wire Localization Needle
65
Validate the Wire Localization Needle
65
Figure 22: Adapter Surface to the Center of Needle Barrel
65
Figure 23: Length Measurement
65
Calculate and Confirm the New Wire Localization Needle Parameters
66
Adjust the Needle Length on the Acquisition Workstation
66
Validate Needle
67
Appendix E: Field Replaceable Units (Frus)
69
Biopsy Control Module - Field Replaceable Units
69
Biopsy Guidance Module - Field Replaceable Units
69
Table 8: Recommended Frus - Biopsy Control Module (BCM)
69
Table 9: Recommended Frus - Biopsy Guidance Module (BGM)
69
Accessories - Field Replaceable Units
70
Table 10: Recommended Frus - Accessories
70
Glossary of Terms
71
Index
73
Hologic Affirm User Manual (70 pages)
Breast Biopsy Guidance System
Brand:
Hologic
| Category:
Medical Equipment
| Size: 8 MB
Table of Contents
Table of Contents
5
List of Figures
7
List of Tables
9
1: Introduction
11
Intended Use
11
Intended Use for the User Guide
11
Product Complaints
11
Technical Support
11
Quality Control
11
Installation Instructions
11
User Profiles
12
Mammography Technologist
12
Radiologists, Surgeons
12
Medical Physicist
12
Training Requirements
13
Terms and Definitions
13
International Symbols
14
Warnings, Cautions, and Notes
15
2: General Information
17
System Description
17
Figure 1: Affirm on the Selenia Dimensions
17
How to Handle the Biopsy Guidance Module
18
Figure 2: How to Lift the Biopsy Guidance Module
18
Figure 3: How to Store the Biopsy Guidance Module
18
Biopsy Guidance Module Components
19
Figure 4: Biopsy Guidance Module
19
Table 1: Components of the Biopsy Guidance Module
19
Biopsy Control Module Components
20
Figure 5: Biopsy Control Module
20
Table 2: Components of the Biopsy Control Module
20
Safety
21
Warnings and Precautions
21
Compliance Information
23
Requirements
23
Label Locations
23
Figure 6: Label Location
23
3: How to Install or Remove the System
25
Installation of Components
25
How to Attach the Biopsy Guidance Module
25
Figure 7: Installation of the Biopsy Guidance Module
25
How to Attach the Biopsy Control Module
26
Figure 8: Attachment of the Biopsy Control Module
26
Installation and Removal of Accessories
28
Biopsy Compression Paddles
28
Biopsy Device Holder
28
Needle Guides
29
Figure 9: How to Install the Needle Guides
29
Affirm Table-Top Stand
30
Figure 10: Affirm Table-Top Stand
30
Removal of Main Components
31
Biopsy Control Module
31
Biopsy Guidance Module
31
4: How to Use the System
33
System Verifications
33
Confirm the Host Connection
33
The QAS Test
33
Figure 11: Home Screen on the Biopsy Control Module
33
Figure 12: Admin Screen
34
Figure 13: Device Field in the Biopsy Tab
34
Biopsy Control Module Screens
36
Home Screen
36
Target Guidance Screen
36
Figure 14: the Home Screen
36
Figure 15: Target Guidance Screen
37
Figure 16: Green Differential Cells
38
Figure 17: Yellow and Red Cells
38
Figure 18: Alert Sounds Are Audible
39
Figure 19: Alert Sounds Are Muted
39
Table 3: How to Use the Sound Button
39
Jog Mode Screen
40
Figure 20: Jog Mode Screen
41
Select Target Screen
42
Figure 21: Select Target Screen
42
Selenia Dimensions
43
Biopsy Views
43
Figure 22: Add a Biopsy View Screen
43
Figure 23: Edit Biopsy View Screen
44
C-Arm Stereo Modes
45
Figure 24: Stereo Mode
46
Figure 25: C-Arm Mode
46
Table 4: the C-Arm Stereo Mode Button
46
Figure 26: System Status Icon
47
Figure 27: System Status Menu
47
Figure 28: System Defaults Screen
47
Table 5: How to Select the C-Arm Stereo Mode
47
Biopsy Tab
48
Figure 29: the Biopsy Tab
48
Figure 30: Slice Indicator
48
Figure 31: Function Buttons and Data on the Biopsy Tab
49
Stereotactic Lesion Targeting
51
Lesion Targeting with Tomosynthesis
52
Post Biopsy
53
Printing Stereo Images
53
Figure 32: Stereo Pair Print Screen
53
5: Care and Cleaning
55
General Information
55
Preventive Maintenance Schedule
55
Table 6: Radiologic Technologist Preventive Maintenance Schedule
55
For General Cleaning
56
How to Clean the Biopsy Control Module Screen
56
To Prevent Possible Injury or Equipment Damage
57
Geometry Calibration
57
Geometry Calibration Procedure
57
6: Troubleshooting
59
Audible Alerts
59
Table 7: Affirm Audible Alerts
59
Error Messages
60
Table 8: Affirm Error Messages
60
Appendix A: System Specifications
61
Affirm Measurements
61
Biopsy Guidance Module
61
Biopsy Control Module
61
Appendix B: Forms
63
QAS Test Checklist
63
Appendix C: CNR Correction for Biopsy
65
CNR Correction for Stereotactic Biopsy
65
AEC Table 0 (Standard Stereotactic Biopsy Dose)
65
CNR Correction for Biopsy under Tomosynthesis Option
65
AEC Table 0 (Tomosynthesis Option: Standard Tomo Dose)
65
Index
67
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