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Abstract - The new era of innovation and technology has wherever it’s required the foremost, at the purpose of
begun to rise exponentially, new techniques are emerging to patient treatment.
provide optimal outcomes for most of the business pain Its unique combination of adept image quality, ease of use
areas. One such conception of huge medical equipment and robust performance makes Allura Centron a superb
portability, poses a major challenge to today's engineers. solution among the Allura series [11,12].
Delivery of medical devices from industry to hospital
exposes such expensive machine to the risk of being Its key benefits involve: High versatility of the system, focused
damaged and unfit for customer delivery. This paper is a on Cardiac procedures with flexibility to handle vascular
study about transporting one such huge medical interventional procedures; highly reliable robust performance
instrument, iXR (Interventional X-Ray) machine, an X-Ray and proven ease of use.
machine and aids in understanding the present situations
involved in transporting this machine to hospitals. This
article brings out the challenges faced during the
circumstance, followed by the techniques and procedures
currently used to overcome the difficulties. As the current-
day proficiency has only about 40% efficiency rate, this
work aims in bringing out solutions in future.
I. INTRODUCTION
iXR– Interventional X-Ray is an X-Ray machine which
handles variety of medical procedures at an excellent pace and Figure 1: Allura Centron iXR machine
provides accurate diagnosis. It is perfect for today’s hospital to
With these characteristics iXR machine is preferred over many
manage high procedure load with variety of functionality.[1]
other X-ray instruments.
Thus a company gets demand for such instruments very often.
Packaging and delivery of the IXR machine – Allura Centron,
Further it involves the company to deliver the instrument safely
involves 10 different crate boxes. Among them, there are four
to the hospital.
major components which pose challenging situations to the
The field service engineers take up the task of surveying the
field service engineers, while transporting and deporting the
site. Measurements are done manually using Measuring tapes,
machine to hospitals. They are:
Tools and Laser device, like- Laser Line Level, Standard toolkit
TC129, Spirit Level TC153, Fat Max CL2, etc. These tools
provide only single dimensional data. It takes very long time for 1. CLEA floor
the complete measurement to be computed. Also, the manual
measurements will certainly have some amount of error. 2. MCS monitors (3/4-Monitors)
Therefore accurate results cannot be obtained and requires a
novel solution.[1,2] 3. AD5i table top
Allura centron being the largest and most efficient among iXRs,
designing solution for this instrument would assure feasibility 4. AD5i base (fixed)
with the transport of other such machines. Hence
this paper describes procedures with respect to this model. The C-arm and L-arm together form CLEA unit. This alone
weighs approximately 1.5 tonnes posing the maximum
difficulty in handling. Though C-arm and L-arm can be
II. ALLURA CENTRON disassembled and assembled while installing, it is not suggested
Allura Centron is a robust interventional X-ray machine to do so. Assembly over the site requires sophisticated tools and
designed to handle a variety of procedures at an excellent the functionality which cannot guarantee the assemblage.
pace. As foremost versatile and economical interventional Hence this is carried as a complete unit.
X-ray systems, Allura Centron delivers clinical price
• Preferred room height for allura centron is 2.9 m. This is
the height from floor to false ceiling.
• Absolute technical minimum ceiling height is 2.8 m
which is because of the MCS.
• Preferred room length for allura centron is 6.925 m
• Minimum room length of 5.5 m
• Preferred room width for allura centron is 5.390 m. Only
in this case AD5i pivot can rotate 90°degrees in both
directions.
• Minimum room width is 4.2 m (then ad5i pivot can rotate
in ±90°).
Figure 2: CLEA (C-arm + L-arm)
• In case of non–pivot table configuration the minimum
Allura Centron operates with the temperature range of 18°C to room width can be 3.7 m
28°C, with a maximum temperature gradient of 0.5
Celsius/Minute. The stock or transport temperature varies
between -10°C to 55°C. The machine can sustain a shock pulse IV.ERGONOMIC CONDITIONS
of duration 6-10 milliseconds. While shifting the machine, the
The ergonomic considerations for the iXR positioning are
instrument will be liable to vibrations. The system sustainability
decided based on some of the aspects such as:
of vibration ranges between 10-150 Hz. Therefore the FSE must
• The Mechanical relation between the CLEA and the
take care of this parameter too [11,12].
patient table (AD5i).
III. CHALLENGES FACED • The MCS monitor to be positioned in the viewing area
of the doctor/Operator, so that optimum viewing height
Generally a site survey and planning activity is carried out by is achieved.
Field Service Engineers, before the machine is transported.
They manually measure various dimensions and record the • Enough space for the rotation of CLEA in the possible
details according to their checklist [1]. But these measurements 90⁰ with respect to the patient table, to be made
are not reliable as it certainly involves some amount of human available.
error in measurement. Such faulty analysis leads to several
problems while machine shifting takes place. Hence the field • The height of the MCS monitor from false ceiling
engineers may end up in extremities of solutions like breaking depends on the site.
of walls, damaging the building infrastructure as well as risking
the machine safety. There are many other companies which are
facing similar sort of inconvenience in delivering huge
equipment to their customers. The overall success rate in this
task is only about 40%. Hence, there is a need for accurate and
reliable solution to the problem stated [2].