Professional Documents
Culture Documents
COPYRIGHT
Instrumentarium Imaging reserves the right to revise this publication from time
to time and to make changes in the content of it without obligation to notify
any person of such revision or changes.
MANUFACTURED BY:
Instrumentarium Corporation
Imaging Division
P.O. Box 20
FIN-04301 Tuusula, FINLAND
Tel. +358-9-258851 Fax. +358-9-2757276
e-mail: alpha@imaging.imtg.fi
http://www.instrumentarium.fi/imaging
U.S. OFFICE:
Operation Instructions
Alpha RT
CONTENTS
1
OPERATION INSTRUCTIONS . . . . . . . . . . . . . . . . . . . . . 3
1.1
GENERAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
1.2
RADIATION PROTECTION . . . . . . . . . . . . . . . . . . . . . . . 4
1.3
OPERATING CONTROLS . . . . . . . . . . . . . . . . . . . . . . . . . 5
1.4
OPERATING PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . 10
1.4.1
1.4.2
1.4.3
1.4.4
1.5
26
28
31
32
SPECIAL EXPOSURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
1.6.1
1.6.2
1.6.3
1.6.4
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10
10
10
16
20
20
20
21
22
23
23
23
24
24
25
PATIENT POSITIONING . . . . . . . . . . . . . . . . . . . . . . . . . . 26
1.5.1
1.5.2
1.5.3
1.5.4
1.6
Preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.4.1.1
Switching on the unit . . . . . . . . . . . . . . . . . . . . .
1.4.1.2
Replacement of the accessories . . . . . . . . . . . . . .
1.4.1.3
Selection of the technique factors . . . . . . . . . . . .
1.4.1.4
Automatic compression release . . . . . . . . . . . . . .
C-arm adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.4.2.1
Vertical adjustment . . . . . . . . . . . . . . . . . . . . . . .
1.4.2.2
Selection of the image angle . . . . . . . . . . . . . . . .
1.4.2.3
Compression . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.4.2.4
X-ray field illumination light . . . . . . . . . . . . . . . .
Exposure procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.4.3.1
Placing the cassette . . . . . . . . . . . . . . . . . . . . . . .
1.4.3.2
Making the exposure . . . . . . . . . . . . . . . . . . . . . .
1.4.3.3
Removing the cassette . . . . . . . . . . . . . . . . . . . . .
Labelling and printer connection . . . . . . . . . . . . . . . . . . . . . .
Magnification exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Implant exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spot exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
35
36
39
1.7
TRANSPORTATION OF ALPHA . . . . . . . . . . . . . . . . . . . 40
1.8
March 1998
Alpha RT
Operation Instructions
1.9
PROBLEM SITUATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . 43
1.9.1
1.9.2
1.9.3
1.9.4
1.9.5
1.9.6
1.9.7
1.9.8
No power indication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ready light not lit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grid lines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Compression paddle stuck in upper position . . . . . . . . . . . . .
Check and error conditions . . . . . . . . . . . . . . . . . . . . . . . . . .
Alpha RT Check code guide . . . . . . . . . . . . . . . . . . . . . . . . .
Alpha RT Error code guide . . . . . . . . . . . . . . . . . . . . . . . . . .
AEC adjustment quick fix guide . . . . . . . . . . . . . . . . . . . . . .
43
43
43
43
43
44
45
46
1.10
1.11
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
1.11.1
1.12
1.13
1.14
1.15
March 1998
INSTRUMENTARIUM
MAMMOGRAPHY
SYSTEM
WARRANTY IN USA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
SYSTEM MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . 63
1.16.1
1.16.2
1.16.3
1.16.4
1.16.5
1.17
54
57
57
58
58
59
59
59
60
1.16
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Operators maintenance schedule . . . . . . . . . . . . . . . . . . . . . .
Preventive maintenance schedule . . . . . . . . . . . . . . . . . . . . . .
Quality assurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
63
63
64
65
66
32549
Operation Instructions
Alpha RT
OPERATION INSTRUCTIONS
1.1
GENERAL
ALPHA RT is a high quality x-ray mammography unit intended for both
screening and diagnostic examinations. The main features are the rotating dualangle anode tube, Load Matching Frequency (LMF) generator and easy
positioning of the patient.
The vertical adjustment is motorized, and the C-arm rotation angle ranges from
+135 to -180 degrees. The motorized compression of the breast is controlled
by pedals, and the manual compression by manual control. If wanted, the
compression can be released automatically after exposure. In power failure the
compression is released automatically.
The LMF generator is integrated with the unit. The control panel can be
mounted on either side of the unit or on the wall of the examination room. The
exposure button can be situated beside the control panel or outside the
examination room.
The functions of the unit are controlled by a microprocessor, and the operator
is informed of error situations. For example, exposures without cassette or too
large diaphragm are prevented.
The ALPHA RT is intended only for mammographic examinations, no other
uses are permitted.
WARNING!
This device emits X-ray radiation for medical purposes. X-ray tube has molybdenum anode. X-rays are
molybdenum or rhodium filtered. Minimum HVL 0,3 mmAl without compression paddle. MDD 93/42/EEC
32549
March 1998
Alpha RT
Operation Instructions
1.2
RADIATION PROTECTION
The radiation protection regulations of individual countries must be complied
with. Radiation protection facilities should be used.
The optional RADIATION SHIELD must be used, or the unit must be
operated from shielded control room. During the exposure, visual and audible
contact should be maintained with the patient.
.IEC 601-1-3 29.208.2
March 1998
32549
Operation Instructions
1.3
Alpha RT
OPERATING CONTROLS
X-ray tube
Diaphragm
Compression paddle
Cassette holder
Spring for cassette locking
Hand grips
Mains switch
Indication of mains plug (Illuminated if automatic fuse on)
Automatic fuse
Control panel
Exposure button
Digital display of image angle
Button for c-arm brake release
Toggle switch for vertical drive control
Compression force adjustment
Manual controls for compression
Automatic exposure control detector (Optipoint)
Detector position display (Optipoint)
Compression thickness display
Beam filter selection and indication
Compression force display
Diaphragm selection knob
X-ray field illumination light
5
March 1998
Alpha RT
Operation Instructions
March 1998
32549
Operation Instructions
COMPRESSION
Alpha RT
COMPRESSION
REL
EPS
C-ARM
PADDLE
17. Pedals for compression and X-ray field illumination light switch
32549
March 1998
Alpha RT
Operation Instructions
18
19
20
22
24
26
21
23
31
25
27
28
29
30
March 1998
Exposure button
Ready indicator
Radiation indicator
Display of exposure time and error codes
kV selection
kV display
mAs selection
mAs display
Density selection
Density display
Grid and Bucky indicator
Magnification indicator
Button and indicator for automatic compression release
Button for selection of Auto-kV, Semi AEC or manual mode or
acknowledging error messages
AEC program indicators
32549
Operation Instructions
Alpha RT
32549
In the Great Britain (GB) model toggle switch (38) and return button (39) are
functional only when compression is fully released.
37.
Balance indicator (if illuminated the C-arm is not in balance and the
C-arm brake can not be released, press return button (39))
38.
39.
March 1998
Alpha RT
Operation Instructions
1.4
OPERATING PROCEDURE
1.4.1
Preparations
1.4.1.1
Switch the power ON using the mains switch (7). The timer display now shows
r.ES, kV display Pr, mAs display shows the software version and density
display shows the country code. Resetting must be acknowledged by pushing
the auto exp button, which starts the internal testing routine.
The power can be kept on between the examinations, but it is recommended to
keep the unit turned OFF from mains switch when not in use. Switching ON
and OFF restores the default settings on the control panel.
It is recommended to allow a warmup period of approximately 3 minutes after
the unit is switched on.
1.4.1.2
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32549
Operation Instructions
Alpha RT
If the selected diaphragm is larger than the film, the exposure is prevented
and a C.CO error code is displayed
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March 1998
Alpha RT
Operation Instructions
March 1998
12
32549
Operation Instructions
Alpha RT
24x30
cm
XL
compression paddle
This paddle allows very
thick breasts to be
positioned because it
gives additional space in
between the paddle and
the cassette holder.
NOTE!
cm
is
the
cm
Therefore
during
positioning it allows a
better access to a small
breast.
In oblique or lateral views it allows a better compression to breast if the size of
the axillary muscle does not allow the use of the standard paddle.
It is important to remember, however, that especially in the oblique view the
axillary muscle is of interest because 45% of lesions are in the upper, outer
quadrant of the breast.
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March 1998
Alpha RT
Operation Instructions
Replacement of cassette holders (4): Align the guides of the desired cassette
holder with the grooves on the C-arm. Push the cassette holder to its position.
The Bucky devices and magnification tunnel are replaced in the same way.
14
32549
Operation Instructions
Alpha RT
Face shield
Face shield is used to keep patients face out of x-ray beam during exposure.
Face shield is installed by pushing the bars in the holes located in the both side
of the collimator (You will hear a snap in the end). Remove face shield by
twisting it towards the c-arm.
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March 1998
Alpha RT
Operation Instructions
1.4.1.3
NOTE!
Select the mode with the button for automatic exposure button (30). The light
at the corner of the button indicates that the AEC operation is selected, mAs
display indicates AA if Auto-kV is selected and A if semi automatic AEC is
selected , see fig.1.7.
a)
In the Auto kV mode the exposure time and the kV are automatically selected
to produce an optimum image quality.
In Semi AEC mode only the exposure time is automatically selected to
produce an optimum image quality.
There are three preprogrammable stations for each automatic mode:
Station a
default selection
Station b
Station c
As the factory default the system starts in AA mode, to select semi AEC mode,
press AUTO EXP so many times that the mAs indicator displays A. In this
mode the exposure time is automatically selected. The kV is manually selected.
To select manual mode, press AUTO EXP so many times that the mAs
indicator displays a mAs value and the AUTO EXP light indicator turns off.
Select the kV with the kV selection buttons (21). If Auto kV is selected, the
kV is automatically selected.
In automatic modes the tube voltage range is 23 kV - 35 kV for large focus, 25
kV - 35 kV for small focus and 20 - 35 kV in manual mode for both focal
spots.
March 1998
16
32549
Operation Instructions
Auto kV
Alpha RT
Semi AEC
Select the DENSITY with the density selection buttons (25). Use - DENSITY
for lighter images, and + DENSITY for darker images. Each step changes the
exposure time by 10%. The range of correction is from -7 to +7.
The POSITION OF THE PHOTOTIMER DETECTOR (16) can be
adjusted from the knob under the cassette holder. The DETECTOR
LOCATION DISPLAY (32) indicates where the detector is located
corresponding to the breast. The semicircle on the paddle indicates the size and
location of the detector.
During exposure, the highest possible mA is automatically selected and used to
minimize the exposure time. The AEC terminates the exposure when the
correct amount of radiation has reached the film. The time range is from 0.04
sec. to 5 sec.when using large focus (bucky, cassette tunnel), and from 0.04
sec. to 10 sec. when using small focus (magnification).
NOTE!
For country code 12 (Great Britain) the time range is from 0.04 sec. to 6
sec., and maximum mAs is 600 mAs.
NOTE!
In the New York version the maximum exposure time is the time that is
needed to achieve 300 mAs.
NOTE!
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March 1998
Alpha RT
Operation Instructions
b)
Select the mAs setting with mAs keys (23). Pressing the mAs+ button
increases the value and pressing mAs- button decreases the value as shown in
table 1.1.
4
12
16
20
25
32
40
50
63
80
100
125
150
175
200
250
300
350*
400*
450*
500*
550**
600**
March 1998
18
32549
Operation Instructions
Alpha RT
The maximum mAs-value is, however, limited by the selected kV and the
maximum permitted time. The maximum mAs/ mA values are shown in the
table 1.2.
MGF 101
0.3 focus
MGF 101
G.B.
0.3 focus
MGF 110
0.3 focus
MGF 110
N.Y.
0.3 focus
MGF
101/110
0.1 focus
kV
mA/mAs
mA/mAs
mA/mAs
mA/mAs
mA/mAs
20
350/75
450/75
350/75
300/75
250/25
21
400/80
450/80
400/80
300/80
250/26
22
400/85
500/85
400/85
300/85
250/27
23
450/90
500/90
450/90
300/90
250/28
24
450/95
550/95
450/95
300/95
300/30
25
500/100
600/100
500/100
300/100
250/29
26
450/95
550/95
450/95
300/95
250/28
27
450/90
500/90
450/90
300/90
250/27
28
400/85
500/85
400/85
300/85
200/25
29
400/85
500/85
400/85
300/85
200/24
30
400/80
450/80
400/80
300/80
200/23
31
400/80
450/80
400/80
300/80
200/22
32
400/80
450/80
400/80
300/80
200/22
33
350/75
450/75
350/75
300/75
200/22
34
350/75
450/75
350/75
300/75
200/21
35
300/70
400/70
300/70
300/70
200/20
Table 1.2. Maximum mAs/mA values depending on kV, focus size and country code.
32549
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March 1998
Alpha RT
Operation Instructions
1.4.1.4
NOTE!
1.4.2
C-arm adjustments
1.4.2.1
Vertical adjustment
The cassette holder vertical adjustment range is 27 cm - 144 cm ( 10" - 56")
with the C-arm in the upright position and 77 cm - 194 cm ( 30" - 76") with
C-arm at lateral position.
The vertical movement is motorized, and the CONTROLS (12) are placed on
both sides of the unit. There is a button also at the lower part of handle, used
when the C-arm is tilted (The arrow towards the image receptor indicates
downward direction and the arrow pointing away from the image receptor
upward direction).
NOTE!
NOTE!
March 1998
20
32549
Operation Instructions
1.4.2.2
Alpha RT
NOTE!
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21
March 1998
Alpha RT
Operation Instructions
1.4.2.3
Compression
A good image quality requires sufficient compression of the breast. The breast
is pressed against the cassette holder by the compression paddle. The
compression paddle can be moved with motor BY PEDALS or BY MANUAL
CONTROLS.
The motorized motion of the compression paddle is controlled BY PEDALS
(17). The downward arrow of the pedals indicates compression, and the
upward arrow indicates release (fig 1.2).
The compression force limit for automatic compression can be adjusted
externally with the six step selector (13). Each step increases the force with
about 10 N. For safety reasons, motorized compression is limited at the
factory to about 180 N (40 Lbs) when the compression force selector is on
position 6 (may vary due to local regulations).
Remember, care must be taken in order not to injure the breast. The
compressed breast thickness (33) and the compression force (35) is display in
the c-arm display, see page 4.
MANUAL COMPRESSION controls (14) are turned clockwise for
compression and counterclockwise for release (figure 1.11). As the manual
controls allow considerable compression, up to 250 N (56 lbs), care must be
taken not to injure the breast.
The compression system incorporates also a mechanical force limit which is
adjusted to 250 N (56 lbs) the factory.
NOTE!
March 1998
22
32549
Operation Instructions
1.4.2.4
Alpha RT
After the exposure the timer display shows the exposure time. After
the cassette is removed from the cassette holder, the timer display
indicates which filter is in use.
no = molybdenum filter (0.03 mm), rh = rhodium filter (0.025 mm)
NOTE!
1.4.3
Exposure procedure
1.4.3.1
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March 1998
Alpha RT
Operation Instructions
1.4.3.2
NOTE!
Make the exposure by pressing the exposure button (9), and keep it pressed
until the radiation terminates. The radiation is indicated by the radiation light
(19), audible sound, and running exposure time (20) on the control panel.
If the exposure button is released during the exposure, the exposure is
terminated and an "r.EL" error message is displayed on the timer display.
1.4.3.3
March 1998
24
32549
Operation Instructions
1.4.4
Alpha RT
HOSPITALxNAMEx
CODExxxxxxxxxx
RADIOLOGISTxxx
DEPARTMENTxxxx
Explanations:
B
Bucky / Cassette tunnel / Magnification
Rh
Rhodium / Molybdenum filter
+0
Density correction
28kV
kV
002mAs mAs
0.02s
Exposure time
6.5cm
Breast thickness
200N
Compression force
180^/R C-arm tilt angle, ^= degrees (), to the /Right or /Left
0.06mGy Average patient dose
___/___/___ Date is handwritten after printing the label
R1
Site of the detector (L1, L2, C1, C2, C3, C4, R1, R2)
12345
Exposure counter, up till 99999
__________________________ Patient name is handwritten after printing
the label
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March 1998
Alpha RT
Operation Instructions
1.5
NOTE!
PATIENT POSITIONING
Always advise the patient not to use deodorant prior to a mammogram !
Certain deodorants can mimic as microcalcifications on the film.
1.5.1
REL
EPS
C-ARM
PADDLE
After an exposure the autorelease will drive both the compression as well as the
c-arm.
The EPS system uses the natural mobility of the breast to increase the clinical
image quality and patient comfort.
The EPS makes it easier to elevate the breast and open the inframammary fold.
Therefore it maximizes the amount of breast tissue visible in the image. In
positioning the EPS will not replace the technologist but helps her to do
positioning more easily.
In clinical use the amount of images that have pectoral muscle visible in ccprojections has increased from 20% (the amount prior to the use of the EPS
system) to 50%.
The EPS is excellent in biopsies. If the lesion is close to the chest wall,
applying compression from down below ensures that the lesion stays under the
compression paddle. With standard compression the lesion might may move
away from underneath the paddle.
March 1998
26
32549
PADDLE
Operation Instructions
REL
EPS
1.
EPS
32549
REL
C-ARM
PADDLE
2.
C-ARM
REL
3.
Alpha RT
27
March 1998
Alpha RT
Operation Instructions
1.5.2
Cranio-Caudal Projection
Select the desired image size, load the film into the cassette, and place the
cassette into the cassette holder.
Turn the C-arm to the upright position by pressing the image angle release
button (11) so that the scale of image angle (10) shows zero. Adjust the
cassette holder to a suitable height so that the nipple is in profile and that no
skin folds are present under the breast with the vertical drive control (12). See
figures 1.14 and 1.15.
March 1998
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32549
Operation Instructions
Alpha RT
Slightly rotate the patient medially leaning towards the stand. See figure 1.16.
Allow the patient to grip with her arm under the cassette holder or the hand
grips, and lean towards the stand so that the cassette holder under the breast is
against the ribs.
Place the breast on the cassette holder so that it is symmetrical and totally
covers the automatic exposure control detector, as illustrated by one of the
semicircles located on the compression paddle.
Ensure from the detector indicator that the breast covers the detector.
NOTE!
If the breast does not cover the detector or the breast has an implant,
manual technique must be selected.
ATTENTION!
Keep focal spot to skin distances as large as possible in order to keep the
absorbed dose to the patient as low as reasonably achievable.IEC 601-1-3 29.205.3
32549
29
March 1998
Alpha RT
Operation Instructions
Set the compression with the pedal (17) or the manual controls (14).
Take care that the nipple is not inverted. Smooth out any skin wrinkles that
may have been caused during compression.
Place the marker on the lateral aspect of the breast. Turn the patient's head
away from the radiation beam.
To achieve proper compression for both breasts, follow the compression
thickness display (33). The breast should be firm when palpated. The skin may
become blushed, red or pink.
Make sure that the ready light is lit. Select or de-select the auto release.
Make the exposure by pressing the exposure button (9), and keep it pressed
until the radiation indicator light (19) is out and the audible sound is over.
Release compression. Change the cassette and make an exposure of the other
breast or move on to another projection.
NOTE!
March 1998
30
32549
Operation Instructions
1.5.3
Alpha RT
Medio-Lateral Projection
Select the desired image size, load the film into the cassette and place the
cassette in the cassette holder.
Turn the C-arm to the lateral position by pressing the image angle release
button (11).
Adjust the cassette holder to a suitable height with the vertical drive control
(12). The cassette holder should reach the axilla. The lateral portion of the
breast is in contact with the image receptor.
Ask the patient to hold the hand grip (6) and to lean against the stand.
Place the breast on the cassette holder so that the breast totally covers the
detector of the automatic exposure control. This can be achieved by gently
pulling the breast away from the chestwall.
Check that the breast covers the detector.
Set the compression with the pedal (17) or the manual controls (14). Make sure
that the nipple is in profile and no skin folds are present.
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March 1998
Alpha RT
Operation Instructions
1.5.4
Oblique Projection
Select the desired image size, load the film into the cassette, and place the
cassette in the cassette holder. Turn the C-arm to an angle of about 45
Adjust the cassette holder to a suitable height from the vertical drive control
(12). Place the upper edge of cassette so the axillary tail will be visualized.
Ask the patient to hold the arm at a 90-degree angle and turn the patient
slightly to an oblique position. Rotate the patient towards the cassette.
Place the breast on the cassette holder so that the breast totally covers the
detector of the automatic exposure control. Make sure that the lateral tissue is
pulled forward.
Check that the breast covers the detector.
Set the compression with the pedal (17) or with the manual controls (14).
Make sure that the nipple is in profile and that no skin folds are present.
Check the ready and auto rel lights.
Make the exposure by pressing the exposure button (9) and keep it pressed
until the radiation indicator light turns off and audible sound stops.
March 1998
32
32549
Operation Instructions
1.6
SPECIAL EXPOSURES
1.6.1
Magnification exposure
Alpha RT
By having the breast at a distance from the film causes the image to be
magnified. This increases the size of the smallest objects (microcalcifications)
above the grain size of the film-screen combination thus improving the image
quality.
Absorbtion in the air gap reduces scatter radiation thus further improving the
contrast. Good image quality requires a small focal spot though and therefore
a true 0.1mm focus is needed.
Although the object may be visualized well, this is offset by the fact that only
a small area of the breast can be imaged at a time. It therefore a matter of
opinion which magnification factor is used.
With the Alpha systems magnification factors 1.6x, 1.8x or 2.0x can be used.
The magnification is determined by the magnification stand. The higher the
factor is the larger the object is on the film but the area imaged from the breast
is smaller.
The magnification studies always use the smaller film format, 18x24. Both
cassette types, normal cassette and daylight cassette can be used.
The magnification studies can be done by applying compression to whole breast
which gets imaged or by applying compression only to a specific area, spot
compression.
In the whole field imaging a larger area can be studied from one image, for
example when it is not quite sure where the area of interest is in the breast.
Install
the
magnification tunnel
as shown in fig. 1.6.
Remove the face
shield.
The "magn" indicator
(28) lights up and the
default technique is
selected
automatically.
Follow the general patient positioning procedure. The size of the top of the
magnification tunnel corresponds to the area which can be magnified onto the
18 x 24 film size.
32549
33
March 1998
Alpha RT
Operation Instructions
If you are using magnification spot compression technique, be sure that the area
of interest is in the light field and the AEC detector is closest to the patient and
in the middle position.
The microfocus is automatically selected in magnification exposure.
Spot compression, on the other hand, applies local compression to a particular
area. This moves the different tissue structures better from hiding each other.
It also compresses the breast to thinner from this region, thereby allowing the
use of lower kV-setting resulting in a better image quality. Positioning using
the spot compression is more difficult though.
When using the whole film area the magnification diaphragm on the left has to
be used. When using the spot compression the same diaphragm can be used or
the specific spot diaphragm, on the right, can used.
The spot diaphragm collimates the image area to about 12cm in diameter.
This reduces scatter radiation to the image area improving contrast and also the
patient dose.
However, the final image may be harder to look at on the viewing box due to
the density difference between the image and the
unexposed area.
If film marking needs to be used when doing spot
compression, a special diaphragm with an
opening may be used.
March 1998
34
32549
Operation Instructions
Alpha RT
1.6.2
Implant exposure
The implant paddle gives a very good access
to the breast during positioning.
The paddle can be best utilized with small
breasts, with breasts that have a silicon implant
or with male breasts.
It also allows good compression in oblique or
lateral views, because it extends to the whole width of the small film format.
In regions where women usually have small breast the implant paddle may be
used a standard paddle together with the 21x24 paddle.
The paddle can be used with a standard diaphragm which exposes the whole
film or with the special diaphragm which exposes only the compressed part of
the breast.
NOTE!
32549
If the breast does not cover the detector or the breast has an implant,
manual technique must be selected.
35
March 1998
Alpha RT
Operation Instructions
1.6.3
Biopsy
Select the image size required and the corresponding diaphragm. Attach the
biopsy compression paddle. Clean the compression paddle and breast area
carefully.
If the Laser guide is used, read the separate operation instructions.
CAUTION!
Do not use automatic release. Press AutoRel (29) so that the indicator is
"off".
Turn the C-arm to the cranio-caudal position by pressing the image angle
release button (11). The indicator for image angle (10) shows zero.
Make the patient comfortable in the sitting position. Adjust the cassette holder
to a suitable height with the button for vertical drive control (12).
Place the breast on the cassette holder so that the breast totally covers the
detector of the automatic exposure control. Turn the patient's head to the side.
Set the compression with the pedal (17) or manual controls (14).
Take care that the nipple is in profile and no skin folds are present. Do not
compress the breast as tightly as in a routine exam since it must remain
compressed until the film is developed.
Be sure to keep the patient's head out of the light field.
Make the exposure by pressing the exposure button (9) and keep it pressed
until the radiation indicator light turns off and the audible sound stops. Do not
release the compression.
Develop the film. The holes in the compression paddle can be seen on the
image, and localization of the biopsy target can be made. Make the biopsy and
release the compression.
March 1998
36
32549
Operation Instructions
Alpha RT
In the FNA a sample of the breast tissue is taken for cytolocigal analysis of the
lesion. In lesion marking the lesion marked for surgical biobsy either with a
steel wire or with carbon or a dye (color). The surgeon then follows either the
wire or color trail to remove the correct lesion.
In a procedure the breast is imaged
with a biobsy paddle from one
projection.
The openings from the paddle can
be seen in the image and with their
help the location of the lesion in
this plane can be estimated.
How deep in the breast the lesion is
can be estimated from images that
have been taken using another projection. These can be taken earlier or during
the same procedure.
NOTE !
The needle is inserted into the breast after careful estimation and another image
is taken to ensure proper localization.
When localizing a steel wire, it correct localizing can be imaged after insertion
using another view. If this is done, the amount of compression has to be little
to make sure that the wire does not move.
There are three kinds of biopsy paddles available with different openings, holes
with diameter of 20mm, holes with diameter of 9.5mm and a square opening of
size 50x90mm. Which one to use is decided by the doctor's preference.
SLIDE BACK
REMOVE PADDLE
TO RELEASE
For localization use the biopsy paddle can have a fast release arm which makes
it easier to remove the paddle while the localizing wire is left in the breast.
32549
37
March 1998
Alpha RT
Operation Instructions
Release compression manually so that the hub of the needle does not catch
on the localizer paddle.
The spot of the lesion is marked with steel wire. It is recommeded to use the
fast release needle localization paddles.
The location of the wire end is checked with a new exposure. If needed, the
location of the wire is changed and controlled with another exposure.
Fix the control wire to the breast with tape.
March 1998
38
32549
Operation Instructions
1.6.4
Alpha RT
Spot exposure
Spot compression paddle (straight arm)
The spot compression paddle is used in clinical
studies with bucky or cassette tunnel. It applies
local compression to a specific area in the breast.
This moves the different tissue structures from
hiding each other giving a better visualization.
The breast tissue at the compressed area is also
thinner allowing the use of a lower kV setting
which gives a better contrast.
32549
Care must be taken not to overcompress the breast and risk injury to the
patient.
39
March 1998
Alpha RT
Operation Instructions
1.7
TRANSPORTATION OF ALPHA
If the mammography system is transported in a car or longer distances, the Carm has to be removed. The carriage does not tolerate the additional stress
from such transportation.
1.8
NOTE!
Always use the same cassette for IQC, set the detector in the same
position and read the O.D. from the same place of the exposured film.
The timer display indicates iqc for one second. Then for about two seconds the
correction factor from the previous IQC procedure is shown and thereafter the
text iqc shows up again.
The mAs display shows the optical density value that is followed either the
sensitometer method or the test exposure method.
NOTE!
March 1998
If the compression paddle is not in the upper limit, the exposures are
inhibited, the iqc display starts to blink and paddle drives up again.
40
32549
Operation Instructions
1.
Alpha RT
Expose a film with the sensitometer and process the film to get the stepwedge
on the film as below:
Read the optical density from the step that has been selected during the
installation.
Select Auto kV mode (AA) or Semi AEC mode (A). Press the +mAs button
for three seconds. Enter the measured optical density by using the +/- density
buttons. Press Autorel button to enter the value.
The time display shows the calculated correction where after the system returns
to normal mode and is ready for use.
2.
Select Auto kV mode (AA) or Semi AEC mode (A) and press on the +mAs
button for three seconds.
NOTE!
Alpha RT selects the filter that has been programmed as default filter
when switching on the unit
Depending on the program version of Alpha RT the mAs display in the control
panel shows either the text "P60" or "P.HA" to indicate the use of a phantom.
The actual thickness of the acrylic phantom is not important as long as the same
phantom is always used. If the user does not have any particular phantom to
use and uses plain acrylic, thicknesses from 40mm to 60mm are recommended.
32549
41
March 1998
Alpha RT
Operation Instructions
NOTE!
March 1998
The optical density will be +/- 10% within the wanted value.
42
32549
Operation Instructions
1.9
PROBLEM SITUATIONS
1.9.1
No power indication
Alpha RT
1.9.2
1.9.3
Grid lines
If the grid light on the control panel is not lit, check that the Bucky is properly
attached on the cassette holder base.
Exposure time too short (shorter than 0.2 sec.). Lower the kV to extend the
exposure time.
1.9.4
1.9.5
32549
43
March 1998
Alpha RT
Operation Instructions
1.9.6
Check code in
timer display
C.CA
C.CH
C.CO
C.dE
O.Fl
O.Fl
and flashing
kV-display
r.EL
r.ES
U.FL
Corrective action
C.Cn
C.ES
C.bU
C.PS
C.br
March 1998
44
32549
Operation Instructions
1.9.7
32549
Alpha RT
Error code in
timer display
Corrective action
E.r1
Error in EPROM
E.r2
Error in EEPROM
E.r3
Error in ext.RAM
E.r4
Call Service
E.r5
Call Service
E.01
mA too low
E.02
No kV
E.03
E.04
Error in serial
communication
E.05
Limit counter
E.06
PC communication
problem
Call service
E.07
E.08
Breast thickness
measuring problem
E.09
E.10
Compression force
measurement error
E.11
C-arm angle
measurement error
Call Service
E.12
Internal communication
error
Call Service
S.YS
CPU error
t.oF
E.AF
Communication error
CPU - AEC
45
March 1998
Alpha RT
Operation Instructions
1.9.8
Probable Reason
Ask service to do
Comments
No contrast with
large breasts
Results in lower kV
with large breasts
No contrast with
small breasts
Results in lower kV
with small breasts.
O.fl errors or
"white images"
EAf errors
"white images"
March 1998
46
32549
Operation Instructions
1.10
Alpha RT
kVp
23
24 - 26
27 - 29
30 - 32
kVp
23
24 - 25
26 - 28
29 - 32
Density
0
0
0
0
Manual Techniques
mAs
kVp
Small breasts
16 - 40
23 - 25
Implants
80 - 175
26 - 29
Specimens (non-mag and mag)
4 - 16
20 - 23
Note:
Implant displaced views and specimens may be phototimed if sufficient breast
tissue covers the photocell closest to the chest wall.
Table 1.5
COMMENTS:
1.
2.
3.
4.
5.
32549
47
March 1998
Alpha RT
Operation Instructions
1.11
SPECIFICATIONS
1.11.1
Model
ALPHA RT
Power supply
Rated voltage
Rated current
Rated power
IP 20
Weight
240 kg
ENVIRONMENTAL SPECIFICATIONS
Operating conditions
+10C...+40C
Non condensing (maximum humidity 95%)
March 1998
48
32549
Operation Instructions
Alpha RT
2.5 kW
kV range
20 - 35 kV
tolerance 1.5 kV + instrument inaccuracy
mA range
focus 0.3
focus 0.1
mAs range
time range
70 - 100 mA
20 - 30 mA
(10 - 17)mA*
4 - 300 mAs
mAs # 40: 4 mAs
mAs > 40: 10%
(4 - 170)mAs*
focus 0.3
focus 0.1
X-RAY TUBE
Anode type
Anode heat capacity
Target material
Focal spot sizes
Port material
Reference axis
IEC601-1-3 29.203.1
FILTRATION
ALPHA III and
ALPHA ST
ALPHA RT
32549
23 - 35 kV
25 - 35 kV
0.03 molybdenum
0.03 mm molybdenum and
0.025 mm rhodium
49
March 1998
Alpha RT
Operation Instructions
POSITIONING
tube lock
electromagnetic
movements
rotation
vertical
SID
COMPRESSION
+135 to -180
1200 mm (48")
RECORDING SYSTEMS
Contact
Bucky
Magnification
1.6, 1.8, 2.0
Stereotactic device
CORRESPONDENCE BETWEEN
X-RAY FIELD AND IMAGE RECEPTION AREAIEC601-1-3 29.203.4
Chest wall
Other walls
0...+3 mm
-1...-5 mm
Correspondence between collimator light field and X-ray field 5 mm any wall
ATTENUATION EQUIVALENTIEC601-1-3 29.206.2
Bucky, cassette tunnel or magnification tunnel 0.24 mm Al (Total of all layers)
ANTI-SCATTER GRID
Application limits
Chemical symbol of the material of the absorbing strips
Transmission of primary radiation
Grid selectivity
Contrast improvement ratio
Grid exposure factor
Maximum deviation in millimeters between the
central line indication and the true central line
March 1998
50
32549
Operation Instructions
1.12
Alpha RT
OPERATING PARAMETERS
Maximum Deviation of Peak Tube Potential from Indicated Value:
1.5 kV + instrumentation inaccuracies (1.5% of the reading + 600 V) as
measured by a calibrated Dynalyzer
Maximum Deviation of Tube Current-Exposure time from Indicated Value:
4 mAs for mAs values less than or equal to 40 mAs, 10% for mAs values
greater than 40 mAs
Maximum Deviation of Timer from Indicated Value: 0.1 second +
instrumentation inaccuracies (0.5% of the reading + 0.25 msec.) as measured
by a calibrated Dynalyzer.
Power Supply Requirements:
Line voltage 230 VAC +/- 10%, 50/60 Hz, single phase. Operating Voltage
Range 198-242 ( 10%)
Automatic regulation for all voltages within Operating Voltage Range
32549
51
March 1998
Alpha RT
Operation Instructions
100 mA at 25 kV
70 mA at 35 kV
30 mA at 23 kV
20 mA at 35 kV
Exposures are automatically limited if the tube or housing heat capacity counter is
activated.
Tube protection counter:
Anode:
March 1998
52
32549
Operation Instructions
1.13
Alpha RT
kV
M113
mA (SF)
M113
mA (LF)
20
25
75
21
26
80
22
28
85
23
30
90
24
29
95
25
28
100
26
27
95
27
26
90
28
25
85
29
24
85
30
23
80
31
22
80
32
21
80
33
21
75
34
20
75
35
20
70
32549
53
March 1998
Alpha RT
Operation Instructions
1.14
1.14.1
0.3
LARGE
50 Hz
FIL.: AMPS/VOLTS
150
4.7
IT
100
LI
0.
AR
2
S
AC
70
SP
80
4.5
IN
IN
IN
60
50
40
15
20
30
25
40
50
0.3
LARGE
60 Hz
FIL.: AMPS/VOLTS
150
4.7
4.5
80
70
60
50
40
20
25
30
40
50
March 1998
54
32549
Operation Instructions
Alpha RT
0.3
SMALL
50 Hz
FIL.: AMPS/VOLTS
50
40
30
25
S
LI
IT
0.
SE
C.
50
10
Hz
SE
C.
50
4.6
6.9
4.4
6.5
4.2
6.0
Hz
20
15
10
15
20
25
30
40
0.3
SMALL
60 Hz
FIL.: AMPS/VOLTS
50
40
4.6
6.9
4.4
6.5
30
25
20
4.2
6.0
15
10
15
20
25
30
40
32549
55
March 1998
Alpha RT
Operation Instructions
M-113
100
RHOxVxC 170.0
MAX COOL 714.0
HEAT STRGE 170000
900
WA
TTS
WA
TTS
0W
AT
TS
RADHTC 2.5e-10
TT
50
700
80
0W
A
60
TS
30
AT
40
10
% HEAT STORAGE
20
0
0.1
0.2
0.4
0.6
10
20
40
60
100
TIME (MINUTES)
FOR REFERENCE ONLY
March 1998
56
32549
Operation Instructions
1.14.2
Alpha RT
Description
M113 rotating anode x-ray tube is a 39 kVp EIMAC insert tube with 0.1 mm
and 0.3 mm focal spot combination and 77 mm diameter biangular (10E/16E)
Molybdenum anode disc, cathode grounded.
The M113 metal center section x-ray tube is for use in Mammography systems.
The use of a metal center section tube eliminates arcing due to metal deposition
on glass and allows use of a beryllium window in the insert for minimum
inherent filtration.
1.14.3
General Data
0.1 mm
Large
0.3 mm
32549
3-Phase 60 Hz
800 W
3.0 kW
Molybdenum Alloy
77 mm
16/10
300 kHU
60,000 HU/minute
Inherent Filtration:
U/L Approved
yes
57
March 1998
Alpha RT
Operation Instructions
1.14.4
B-112 Housing
39 pkV
39 pkV
0 pkV
500 kHU
3.3 kHU/minute
Weight
1.85 inches
60 pkV Rating
Acoustic noise
Function
Pin
Position
1.14.5
March 1998
Phase Shift
Phase
Common
Ground
Grid
Unused
Small Filament
Filament Common
Large Filament
Filaments
FOCAL SPOT
VOLTS
AMPERES
0.1
3.8 - 7.3
3.0 - 4.8
0.3
6.0 - 10.5
3.6 - 5.2
58
32549
Operation Instructions
1.14.6
Alpha RT
Stator 50/60 Hz
STARTING
115 V
230 V
Amperes
Seconds to
Start
0.5
Duty
Intermittent
Intermittent
RUNNING
40 - 50 V
40 - 50 V
Amperes
1.4 - 2.0
1.4 - 2.0
Duty
Continuous
Continuous
30 Microfarad
Safety:
1.14.7
Inherent Filtration
Inherent filtration of insert is 0 mm aluminum equivalent.
1.14.8
Rayproofing
Stray radiation complies with the requirements of HEW 21 CFR, Subchapter
J for medical diagnostic-type protective x-ray tube housings.
32549
40 pkV, 7mA
-9C (15F)
Operation Temperature:
+10C (+50F)
(+104F)
59
to
+40C
March 1998
Alpha RT
Operation Instructions
1.14.9
March 1998
Grid:
Safety:
60
32549
Operation Instructions
1.15
Alpha RT
MINIMUM ORDER
Part purchases will be a minimum of $50.00, unless otherwise authorized.
PARTS WARRANTY
Parts carry a 90-day warranty on defects in material and workmanship. The warranty does
not cover operation outside defused product specification and operating instructions.
These instances are assumed to be the result of customer negligence. Parts installed by
anyone other than Instrumentarium authorized representatives are not warrantied
in any way.
SHIPPING
Parts are sold FOB Milwaukee. You will be invoiced for freight and insurance charges.
Counter to counter shipments carry a $75.00 service fee, in addition to actual shipping
charges. INSPECT THE MERCHANDISE UPON RECEIPT. The merchandise was
carefully packed and thoroughly inspected before leaving our warehouse. Responsibility for
it's safe delivery was assumed by the carrier upon acceptance of the shipment. Claims for
loss or damage sustained in transit must be made upon the carrier as follows: External
evidence of loss or damage must be reported to the carrier upon receipt of the merchandise.
Concealed loss or damage must be reported to the carrier within fifteen days of delivery
date. Such loss or damage is the carrier's responsibility.
PARTS RETURN PROCEDURE
All parts returning to Instrumentarium Imaging, Inc. must have a RETURN MATERIALS
AUTHORIZATION number. If you did not receive RMA paperwork with your shipment,
call our office and a number will be issued for the following returns: (You are responsible
for any freight charges incurred to return parts to Instrumentarium unless specified on the
Return Materials Authorization form.)
Defective Received
Report the receipt of the defective part within 15 days of shipment. Parts received
defective will be replaced under warranty, FOB destination.
Wrong Part Received
Report the error within 15 days of shipment. Parts shipped incorrectly will be replaced,
FOB destination.
Wrong Part Ordered
If you wish to exchange the part, request the exchange within 15 days of shipment. Parts
ordered incorrectly can be exchanged subject to a $50.00 restocking charge.
Return for Credit
If you wish to return a part for credit, request the return within 30 days of the original
shipment of the part. Requests after 30 days will require special authorization, and may not
be returnable.
RESTOCKING CHARGE
$50.00 (does not apply to parts returned as defective or wrong part received.)
32549
61
March 1998
Alpha RT
Operation Instructions
1.15.1
lnstrumentarium Imaging, lnc. warrants to the original purchaser that each lnstrumentarium product sold by it
shall be free from defects in material or workmanship under normal use and service for a period expiring twelve
(12) months (unless otherwise documented on your sales agreement documentation) from the completion of
installation. Concerning products manufactured by persons other than lnstrumentarium lmaging, lnc, or its
affiliates: 1) those products which lnstrumentarium considers added on to the system shall be warranted as
above; 2) those products which lnstrumentarium does not consider added to the system are not warranted by
lnstrumentarium Irnaging, Inc., and Purchasers sole source of warranty therefore, if any, is the original
manufacturer's warranty.
If a failure occurs within the warranty period and there is no evidence of misuse, abuse, neglect or unauthorized
alteration or repair, lnstrumentarium lmaging, Inc. will repair, at it's option, the defective item without charge for
parts. lnstrumentarium Imaging, Inc. is the only authority on what constitutes misuse, abuse, neglect or
unauthorized alternation or repair, under the terms of this warranty.
This warranty is made on condition that prompt notice of any defects is given within the warranty period and that
the company inspection does not disclose an invalid claim. lnstrumentarium Imagine, lnc.'s obligation under this
warranty is limited to the repair or replacement, at its option, of the defective part. Repairs or replacement
deliveries shall not interrupt or prolong the term of the warranty. This warranty does not apply to perishable or
consumable material, except as specifically stated in writing, The X-Ray tube is warranted for twelve (12)
months nonprorated (unless otherwise documented on the signed quotation).
WARRANTY PARTS CHARGES
lnstrumentarium lmaging, Inc. reserves the right to charge the purchaser for any parts shipped for warranty
repair, if said parts are not returned to lnstrumentarium within IS days of repair. Charges will be made at
suggested list price and will be payable 30 days after original shipment of warranty part.
This warranty is not transferable and is effective only with respect o the original purchaser of lnstrumentarium
equipment, where installation has been performed by certified personnel or lnstrumentarium lmaging, lnc.
lnstrumentarium Imagine, Inc. reserves the right to make changes in design and/or improvements to its products
without any obligation to include these changes in any product previously manufactured. Correction of defects
by repair or replacement shall constitute fulfillment of all warranty obligations on the part of lnstrumentarium
lmaging, Inc.
LIMITATION OF LIABILITY
lnstrumentarium lmaging, Inc. shall not be liable for any loss of use, revenue or anticipated profits, or for any
indirect or consequential damages arising out of or in connection with the sale or use of the products. No agent,
distributor or any other party is authorized to make any warranty on behalf if lnstrumentarium or to assume for
Instrumentarium, any other liability with respect to its product,
lnstrumentarium lmaging, Inc. shall not be liable for any loss of use due to natural disaster (i.e., weather
phenomenon).
INSTRUMENTARIUM IMAGING, INC., MAKES NO WARRANTY OTHER THAN THE ONE SET
FORTH HEREIN. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR
IMPLIED, INCLUDING WARRANTIES OR MERCHANTABILITY OR FITNESS FOR PARTICULAR
PURPOSE, AND IS THE SOLE AND EXCLUSIVE REMEDY FOR ANY CLAIM OF DAMAGES ARISING
FROM ANY DEFECT IN THE INSTRUMENTARIUM PRODUCT.
March 1998
62
32549
Operation Instructions
1.16
SYSTEM MAINTENANCE
1.16.1
Cleaning
WARNING!
Alpha RT
ALL parts of the unit which come in contact with the patient must be cleaned
and disinfected prior to each examination.
The standard hospital regimen for disinfection should be followed, with the
following qualifications:
DO NOT clean surfaces on parts which contact the patient (i.e., face shield,
cassette holders, Bucky devices, compression paddles) with solvent-based
cleaners (containing benzene, alcohol, or stain removers).
DO NOT use extra-strength or abrasive cleaners, polishes, or waxes on parts
which contact the patient.
Proprietary disinfectant solutions meeting the above limitations are suitable,
provided that the manufacturer's instructions are stringently followed.
As a general rule, disinfectant sprays may not be used directly. The mist
generated by spraying may penetrate into the unit, and this may damage
electronic components. To use a disinfectant agent in spray form, first apply the
agent to a clean cloth or pad, and then use the pad to apply the agent to the
surface requiring disinfectant.
For general cleaning, use a non-lint cloth dampened with water, or a lukewarm,
diluted aqueous solution of household dishwashing liquid.
1.16.2
Care
Handle the plastic accessories carefully, and inspect them frequently. If they
begin to crack, discontinue their use and replace them.
32549
63
March 1998
Alpha RT
Operation Instructions
1.16.3
1.
2.
3.
Exposure Switch
Confirm that the exposure switch requires continuous pressing to maintain the
exposure and that releasing of the switch terminates the exposur and that the
timer display indicates "Rel".
4.
5.
6.
Vertical Movement
Check that the carriage moves smoothly and in both directions.
7.
Compression force
Check that the compression force has not changed.
8.
9.
10.
Control Panel
Check that all buttons in the control panel are intact by noticing that all lights
and display segments are lit up after connecting the main power on and
pressing the reset (AUTOEXP) button.
11.
March 1998
64
32549
Operation Instructions
1.16.4
Alpha RT
5. Oil leaks
Check that the high voltage unit and the tube housing
do not leak oil.
32549
10.
Clean High Voltage Connections and grease with clean grease for
example DowCorning #4.
11.
12.
65
March 1998
Alpha RT
Operation Instructions
1.16.5
Quality assurance
If the performance of the unit has changed, please contact your local distributor.
Distributor:
Contact person:
Tel:
Installation date:
TEST
FREQUENCY
TOOL(S)
PERFORMED BY
Film Processor
Daily
Thermometer
Densitometer
Sensitometer
Technologist
Image Quality
Weekly
Technologist / Physician
Phototimer Reproducibility
Monthly
Acrylic phantom
Technologist / Physician
Film/Screen Contact
Semi-annually
Physicist or Service
kVp
Semi-annually
Dynalyzer
Physicist
Dose/Patient Exposure
Semi-annually
Ion Chamber
Physicist
Semi-annually
Physicist
mAs (mA)
Semi-annually
Dynalyzer(mAs meter)
Physicist or Service
mAs Linearity
Semi-annually
Physicist or Service
Compression
Semi-annually
Scale
Technologist
Exposure Reproducibility
(mR/mAs)
Annually
Ion Chamber
Physicist or Service
Focal Spot
Annually
Star Pattern
Physicist
NOTE!
Refer to local regulations and instructions concerning the testing of the unit.
If the unit does not meet the manufacturers specifications, despite of proper maintenance and repair,
the operating life of the unit has completed.
March 1998
66
32549
Operation Instructions
1.17
Alpha RT
Radiographic control
Earth (ground)
Protective earth (ground)
Type B equipment
Dangerous voltage
ON (Power)
OFF (Power)
Attention, consult accompanying documents
If the unit has CE- marking it is CE- marked according to the Medical
Device Directive 93/42/EEC.
32549
67
March 1998
Your representative
Manufacturer
Instrumentarium Corporation
Imaging Division
P.O. box 20, 04301 Tuusula
Finland
Tel. +358 9 258851
Fax. +358 9 2757276
e-mail: alpha@imaging.imtg.fi
http://www.instrumentarium.fi/imaging
Distributed in USA by
Instrumentarium Imaging Inc.
300 West Edgerton Avenue
Milwaukee, Wisconsin 53207
USA
Tel. 414-747-1030
Tel. 800-558-6120
Fax. 414-481-8665